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BMCH2016-0144f TwitQ�i 642, Quillam o �j 78-495 CALLE TAMPICO V 7600 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FNSgP CTIONS BUILDING PERMIT D e: Application Number: BMCH2O16-0144 Owner: Property Address: 78885 PINA ST JOHN FARKAS �5 o_ APN: 776070003 P 0 BOX 669 ro D rn Application Description: ESCAMILLA / HVAC CHANGE OUT FULLERTON, CA 9225 Property Zoning: I �i Application Valuation: $15,000.00 Applicant: SAN'S AIRCONDITIONING & HEATING 51-530 JACKSON STREET COACHELLA, CA 92236-2737 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full f ce and effect. License Clas : Li nse No.: 522775 �eD ate: Contractor i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however; the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'. State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projectsmith a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Contractor: SAN'S AIR CONDIITIONING & HEATING 51-530 JACKSON STREET COACHELLA, CA 92236-2737 (760)398-4287 Llc. No.: 522775 • WORKER'S COMPENSA I hij under penalty of perjury one e and will maintain a certifica co oin Pqfion,as provided for by Section 37( "for which this permit is issued. have and will maintain workers' i ect h 3700 of the Labor Code, for the perfc is issued. My workers' compensation insurar Carrier: Policy Number: I certify that in the performance o shall not employ any person in any manner s compensation laws of California, and agree tl workers' compensation provisions of Section comply with thcggeproyYslQns. WARNING: FAILURE TO SECURE WORKERS' C( AND SHALL SUBJECT AN EMPLOYER TO CRIMI ONE HUNDRED THOUSAND DOLLARS ($100,0 COMPENSATION, DAMAGES AS PROVIDED FC INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOI IMPORTANT: Application is hereby made to th the conditions and restrictions set forth on thi: 1. Each person upon whose behalf this appli, request and for whose benefit work is perforrr issued as a result of this application ,.the ownE shall defend, indemnify and hold harmless the employees for any act or omission related to tl following issuance of this permit. 2. Any permitissued as a result of this applic not commenced within 180 days from date of work for 180 days will subject permit to cancel I certify that I have read this application and s I agree to comply with all city and county ord construction, andI�grebuftohroirnizegresent above-mentio oon Dial 777-7125 777-7011 ,777-7153 ON DECLARATION the following declarations: of consent to self -insure for workers' of the Labor Code, for the performance npensation insurance, as required by ance of the work for which this permit carrier and policy number are: e work for which this permit is issued, I to become subject to the workers' if I should become subject to the 0 of the Labor Code, I shall forthwith 1PENSATION COVERAGE IS UNLAWFUL, %L PENALTIES AND CIVIL FINES UP_ TO ). IN ADDITION TO THE COST OF IN SECTION 3706 OF THE LABOR CODE, Building Official for a permit subject to application. ation is made, each person at whose !d under or pursuant to any permit , and the applicant, each agrees to, and :ity of La Quinta, its officers, agents, and e work being performed under or becomes null and void if work is ice of such permit, or cessation of that the abov information is correct. ces and stat aws relating to building s of this toj�rtter uvorrMe l i ® • i ,�_.bD'iESCrR,s?cI.P:, Txn5IO:..v.fi�Esr, zF ADKN.­'M aa�'� DrAyTa.E�'E mw BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ..jS4i4.:::'. v.R?NECK #'� 1;- +T..n`ti°.'4W`,:�'o`S,r✓..2� `asg..a{? i,":.�'z."'"sa.,,n, .. is-'F2nv:aXa�,,`i'e'Y.„'$,'.S.r�S?'"".+3,.i.,i„''".w-'.:G',. .,X.°ai�l55ka,Y%S..vEtii::. �wcn.'�f..xaW"3 Total Paid for BUILDING' STANDARDS ADMINISTRATION,BSA: $1:00 $0.00( ';DESCRIP,TION�F. ACCOUNT �QTYAMOUNT, gi �_.�,.� ,{.... - r ,.PAID PAID DATE' HVAC CHANGEOUT - SPLIT -SYSTEM: 101-0000-42402'! 0 $72.52 $0.00 eA TSS'G`.. b ....- S ''s,`. 6 f75 �` "$ °_4.. i f�: -`{i ?{� > f {'�"�kg`, .-��� PAID,BY� 'Rp 2`y "&+G2'i. 1? �. ,y,k,`"+''t e.''�`'v. f, METHOD��-Eg�RECHPpT�#�147 .'z .er.. { ,"Y; E J� ....°'RC&„-+:,A.Will' .d'sls_,...va�.�aLw,.�atL��-..,.. .Y. .:. ...�el SK.i"1"1 %9,..'YN.. , 3 CHECK#;�CLTDB�gY� ,"macfiF'�=F4k'...x{`i•,.✓`.(„'�'.�x..i$Csk. i -n_ i� "1 .. �. .'i.. . W.Y.,7S4'raF': 55'�.Wr-',.»aFt. ,: q �_. DESCRIPTIONS a.� �� .,. '' ._ s'A' `,iE +,. #.�� ': ;� - ? ACCOUNT � < < :,`''�r,.,.�'. s S.3r.....'a.''"'°ti.:.$.�'=."�.F`5"r�'.4,'1 r -w {'o "w: QTY :c'3e,§"wmyut '.4.. :, P AMOUNT `" .5... Fc4s[K<::.'Y;'�;.tiEtiikxY.{a. .., ='.�� r ,.. +.t ..d qfP +' 2 ? . AIDS.% , ,....XaY4kY.-EE:..'S•r1v: 'N PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 : 0 $36.26 $0.00 B2S�Y' mg _.W"R. k" _ k°P" .iVie,,����w� . a '�� +pF3�:, �b"v?�{` v'��,"� a%�%SRCFi'E',[Ck,H. E«,..,.EI...+.tPtfrrwTin �y'`#�S�..'�,i::h-',�:,;;he,���{ Pg-��NiE`my4�ayfi�aa.� C?Y,� H@A✓',E. L-r(zl# �,: s �3PC.5SL"1,fT._Y,D?{�y_`W� BskYz.�S 1.: Total Paid for'CHANGEOUT. .$108.78 ? $0.00 " E DESCRIPTIONS t94§.� `{-{#u ACCOUNTn ea`#' ka, QTY '... �� �.e"*g'�'xt "�zsr�t. t.; ..Y kt jAMOUNT., '^"` saR3:•�ie?' a`�x PAID .'���'�i,i �C".�*., PAS DATE PERMIT ISSUANCE 101-0000=42404 '0 $,91:85 $0.00 *E�."'� 'a''b.S�;��"';�"�`a":�5�:d{.,Ys,,'{."8.v+.u:.xs'uvi'caraY�:(.s%afiatn. s`. .,.`S,F(.�G>���.-',S.�a .4*. ea4sw {' �,slda'"• ��. 7,`?.�3p>£. a@S�,}M.Cm�°. SEi'-ruhT._�.L'a3�Y�f.(O. f.4a�cD«' ' s`l.. d�:<?:.A'`Y"'e��i?^!iR, yCW �'�i . �v�,"cA'�w, {.r'� fC-'�.R..'%{.�E"";:ECla�.�w`eTti4,�#. Y+.. �'`e<.,.w. .f.^,.:w.•�Y. „a�.f EIP'b01 :XPYsMEMO i�C�AU Total Paid for PERMIT ISSUANCE $91 85 $0.00 ROOM 0 \Y 0 Z cs'yoF::�a;F9 Description: ESCAMILLA / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 5/6/2016 SKH Approved: Parcel No: 776070003 Site Address: 78885 PINA ST LA QUINTA,CA 92253 Subdivision: TR 24890-4 Block: Lot: 55 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM (2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES FINANCIAL INFORMATION Printed: Friday, May 06, 2016 11:04:24 AM 1 of 2 ' S YSTf MS DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE RECEIPT :#: CHECK # METHOD PAID BY 7 CLTD .. .., BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Friday, May 06, 2016 11:04:24 AM 2 of 2 SYS7EIviS Bin # City of. La Quin, ia Building.Bt,Safety Division . Calle Tampico La Quinta, CA 92253.- (760) 777-7012 - Building Permit Application and Tracking.Sheet Ie n Permit i#78=495 Project Address: ,• 7�} Na Ow ner's me y A. P. Number: Address' ' Legal Description: -4 C.ST ?Zip ` d�f� Contract or: S � Te h ri " Ie P o e: Address,,, I sa& Project Description:' City, ST, Zip: TeleP h0 ne- State Lic. # : City Lic. #: 6 Arch., Engr., Designer: Address: City., ST, Zip: . Telephone: one: :Co-nstruction Type: Occupancy: : a.. S t to Lic. # r't type (circle one • New Ad d'ri Alter Repair Demo Name of Contact Person:#Stories: #. Un'ts: Telephone # of Contact Person: Estimated Value of Project: ' APPLICANT: DONOTWRITE BELOW:THIS LINE 9 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan,Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked. up Construction Flood plain plan Plans resubmitted' Mechanical Grading plan 2"d Review, ready for correctionsrisiue.-Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up :i S.M.I. H.O.A. Approval Plans resubmitted Grading IN If OUSE:- '"! Review, ready for. corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees STATE OF CALIFORNIA ALTEkATIONS - HVAC CEC-CF 1 R -ALT -04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Add re Enforcement Agency: Dae repa d: Permit#: Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset. C nditi ned Thermostat /y Required R -value Floor Area (sq ft) ❑ Pa d System ❑ Evaporator Coil D 49 COP ❑ R-6 (CZ 2; 8-13) Ducting Served by system ❑ Setback plit System 13 Condensing Unit ❑ R-8' (CZ 11, 14, IS) Ducting sgft (If not already ❑ Mini Split ❑ Compressor SEER HSPFpresent ❑ R-6 (all CZ's) Plenums must ❑ Furnace ❑ Li et EER ❑ R-5 or R7.5) Lineset be installed) W'XV _ , HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. ❑ 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or< 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos.(list manufacture date of building 1 ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS,.MECH-(23 or 24) -HERS', MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS. Installer Requirement: Dud leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF111-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Dud leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from dud leakage testing if: 111. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage L15% or,: 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between Floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 Ducts ' All New is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5 -3T -2W, 3.5 to 4T -2Y.", 5T-4%" Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the California Business and Professions Code.to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: Company: Address: City/State/Zip: Phone: f 7 Forassistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 714.