BMCH2016-042178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
IE INC
31225 LA BAYA
c&'v,44Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O16-0421
78311 W DEACON DR
770210030
MCLIN RESIDENCE / HVAC CHANGE OUT
$9,650.00
i
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/23/2016
Owner:
CATHERINE MCLIN
78311 DEACON DRIVE WEST
LA QUINTA, CA 92253
® ontractor:
NOV 2 3 2016#1 SERVICES HEATING & AIR CONDITIONING
A
D78206 VARNER ROAD #D-189
PALM DESERT, CA 92211
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMEN1760)342-3610
Llc. No.: 977333
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 force and effect.
License Class: C20, C36 License No.: 9773333
=
)"-
Date:.11 3�1—r7Contractor.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy Number: ATW
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
+010094
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
— �
j,
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: `I 13 1l7 Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
— —
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
Date: Owner:
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name: _
Date: 1I Z3 — Signature (Applicant or Agent)
—
Lender's Address:
Application Number:
BMCH2016-0421
Property Address:
78311 W DEACON DR
APN:
770210030
Application Description:
MCLIN RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$9,650.00
Owner:
CATHERINE MCLIN
78311 DEACON DRIVE WEST
LA QUINTA, CA 92253
Date: 11/23/2016
Applicant: Contractor:
IE INC A#1 SERVICES HEATING & AIR CONDITIONING
31225 LA BAYA 78206 VARNER ROAD #D-189
WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211
(760)342-3610
Llc. No.: 977333
---------------------------------------------------------------------------------------------
Detail: REPLACE 4 TON HEAT PUMP AND AIR HANDLER - 14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER PC
101-0000-42600
0
1 $12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$25.33
Total Paid for MECHANICAL: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-424040
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
sin.#
CitOf La QUinta
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
���. Ca.uinta CA 92253 -:(760) 777-7012
Bonding Permit Application and Tracking Sheet
Permit # ,
Project Address: 78311 Deacon Drive West
Owner's Name:. Steve and Cathy McLih
A. P. Number.
Address: 78311 Deacon Drive West
Legal Description:
Contactor: A#1 Services Heating &'A/C '
City, ST, Zip: La Quinta, CA 92253
Telephone:
Address: 78206 Varner Road #D-189
Project Description: Replace 4 ton Heat Pump & Air Handler
City, ST, Zip: Palm Desert, CA 92211
Telephone: 760-342-3610
g
"W
City Lie. 9-
State Lic. # : 977333
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lia #: rF M �i%lis �r
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy
'
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories:
#Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project $9,650.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACIMgG
PERMIT FEES'
Plan Sets
Plan Check submitted.
Item Amount
Structural talcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechaelcal
Grading plan
V Review, ready for correctionstiissue
Electrical
SubeontactorList
Called Contact Person
Plumbing
. Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IiV HOUSE:-
3a Review; ready for correetions!issae
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Steve and Cathy Mclin I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-11-22
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
Steve and Cathy Mclin
02
Date Prepared
2016-11-22
03
Project Location
78-311 DEACON DR. W
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOUSE
07
Zip Code
.f
92253 d
708
Dwelling Unit Conditioned
Floor Area (ft2)
1525
09
09
Climate Zone
Climate Zone
MC
15
15
i,f.:
0
rr, 0(SC)
Number of space conditioning
systems in this dwelling
unit.
1
WQr.M
B. Space Conditioning (SC) System Information
01
02
03
04
1105 l—
p— 1 06 % irq
07
08
09
10
Is the StO
linst`alling a.
16*w. 1 .
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ductedJnrs
046-ntain ngu!-e'
'a"system'grlttl
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components? .
feet of ducts?,
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
1525
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 416-A0009269A-000000000-0000
Registration Date/Time: 2016-11-22 17:19:00
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-22 17:19:06
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R-ValueCentra.
lHP
All new
CentHPsplit
All new
This field or
This field or
SYSTEM 1
packaged
heating
AFUE
0.80
cooling
EER
14.00
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: 1
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans x ^
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks. t '`
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containingcompo,nents are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:f
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
Thiss sec o does n a ply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 416-A0009269A-000000000-0000 Registration Date/Time: 2016-11-22 17:19:00 - HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-22 17:19:06
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Cara Goldberg
Ccwalq&Ld.UP,rg,
Company:
Signature Date:
A#1 Services Heating & Air Conditioning
2016-11-22
Address:
CEA/ HERS Certification Identification (if applicable):
78026 Varner Road #D-189
City/State/Zip: r
Phone:
Palm Dessert CA 92211
(760)*342-3610
Responsible Person's Declaration statement ;t N. 4 or 1 "
I certify the following under penalty of perjury, under the laws of the State of California:
..... .
1. The information on this Certificate of Compliance is true and correct. i .
R;
provided
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility.for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. 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 California Code of Regulations. '
4. 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 forapprovafwith this building p�ermiit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the tiuilding_permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required fo be included with'the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: SerCResponsible,
�
Designer Signature:
^Ccwa,(
Cara Goldberg 'j
'&c &g,
Company:
Date Signed:
A#1 Services Heating & Air Conditioning
2016-11-22
Address:
License:
78026 Varner Road #D-189
977333
City/State/Zip:
Phone:
Palm Dessert CA 92211
(760) 342-3610
Digitally signed by CHEERS'^'. This digital signature is provided in order
to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 416-A0009269A-000000000-0000 Registration Date/Time: 2016-11-22 17:19:00 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-22 17:19:06
Schema Version: 0.555SDD