BMCH2015-022578-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253
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Application Number:
BMCH2O15-0225
Property Address:
44555 SAFFRON CT
APN:
604252026
Application Description:
HVAC CHANGE OUT
Property Zoning:
�
Application Valuation:
$6,700.00
Applicant:
MANNY VARGAS AIRCONDITIONING &
P O BOX 470
INDIO, CA 92202
T4t�t 4 4 Qum&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 859195
Date: to "d-> / Contractor,
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 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 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 projects with 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 Name:
Lender's Address: .
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/25/2015
Owner:
JOHN KRAUSE
4455 SAFFRON COURT
LA QUINTA, CA 92-453
Contractor:
MANNY VARGAS A;RCONDITIONING &
P 0 BOX 470
INDIO, CA 92202
(760)398-8034.
Llc. No.: 859195
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of Erie following declarations:
I have and will maintain a certificate Df 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:
Carrier: Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ, any person in any manner so ae to become subject to the workers' '
compensation laws of California, and agree that, if I shoold become subject to the
workers' compensation provisions of Section 3770 of the Labor Code, I shall forthwith
comply with those provisions.
Date: (n '25^� ��� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR 'N SECTION -3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the -Building Official for a permit subject to,
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner. and theapplicant, each agrees to, and _
shall defend, indemnify and hold harmless the city of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
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 i2suance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representaives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen :�/-
FINANCIAL INFORMATION
zDESCRIPT10Nr a:�A000LINT QTY ' AMOUNT"
ti,'. � PAID PAID`:DATE,
E A- _.: � z
sf
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$1.00 6/25/15
'PAID BY METHOD
e� RECEIPT #
`CHECK # };CLTD BYa
! .
WANNY VARGAS AIRCONDITIONING & CASH
R7322
EVA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION` ` "
yip E ACCOUNT
QTY.
AMOUNT•
x
PAID' DATE;
7 : _.r
_
.x
yPAID
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
6/25/15
�gg ? ' PAID BY
2 METHOD ,`37 '
' ' RECEIPT # s g: E
$ CHECK # t
_CLTD BY
?x—S 1W Ali, ar
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MANNY VARGAS AIRCONDITIONING &
CASH
R7322
EVA
' DESCRIPTION = z
,
`` T ' ACCOUNTy `QTY=
AMOUNTa FPAID
xPAID DATE4
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
6/25/15
PAID BY *
' & METHOD`F
L` RECEIPT # ffi$*
^ CHECK #
CLTD BY;
E
�.'vss
�... 'K
n, ...._.
MANNY VARGAS AIRCONDITIONING &
CASH
R7322
EVA '
_ Total Paid forCHANGEOUT: $108.78' $108.78
E :DESCRIPTION fir`: a
`,si= ACCOUNT $
, QTY
�' AMOUNT,';
PAID
PAIDYDATE'
Mj ,
c..
z ��,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/25/15
PAID. BYK `
; R METHOD €
? ` r RECEIPT #
CHECK #
CLTD BYE
.`
MANNY, VARGAS AIRCONDITIONING &
CASH
R7322
EVA` `
Total Paid forPERMIT ISSUANCE: $91.85. $91.85
TOTALS:
9
Bin #
City of La Quinta
Building &T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
02 2� . Building Permit Application and Tracking Sheet
Permit #
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Project Address: S S j
Owner's Name:
A. P. Number:
Address: S ^' ti C�
Legal Description:
City, ST, Zip:
Contractor:ti v c
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Te1ePhone• <
Address: �� 2
Project Description:
City, ST, Zip:
I
Telephone: d v
GK.
3S
State Lia #:
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: e one:
P
X.
Con tru
s ctton Type: Occupancy:
P P� Y:
State i •
S to L c #.
ProJct •e h'Pa (circle cle one : New Add'n Alter Repair air e
D mo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Proj ci
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Depssit
Truss Cafes.
..Called Contact Person
Plan Check Balance.
Title V Cafes.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
i
School Fees
Total Permit Fees
Description: HVAC CHANGE OUT .
Type: MECHANICAL '
Subtype: -Status: UNDER REVIEW
Applied: 6/25/2015 EVA
Approved: _
Parcel No: 604252026 Site Address: 44555 SAFFRON CT LA QUINTA,CA 92253
Subdivision: TR 24208
Block: •Lot: 46
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,700.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No..Stories: 0 • No. Unites: 0
Details: HVAC CHANGE OUT -16 SEER/ SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES
INANCIAL INFORMATION
Printed:. Thursday, June 25, 2015 8:27:17 AM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT-;,".
PAID
PAID DATE
RECEIPT:#
CHECK # ;':METHOD
PAID BY
,
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/25/15
R7322
CASH
MANNY VARGAS
EVA
:
AIRCONDITIONING
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
IiVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52..
6/25/15
R7322
CASH
MANNY VARGAS
EVA
SPLIT -SYSTEM
AIRCONDITIONING &
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
6/25/15
R7322
CASH
MANNY VARGAS
EVA
SPLIT -SYSTEM PC
AIRCONDITIONING &
Total Paid forCHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
07
$91.85
$91.85
6/25/15
R7322
CASH
MANNY VARGAS
EVA
AIRCONDITIONING &
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, lune 25, 2015 8:27:17 AM 2 of 2' „ .,
sysrrnns.
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
Project Name:
JOHN KRAUS I Date Prepared:
CF111-ALT 02-E
(Page i of 3 )
2015-06-24
A. General Information
CF1R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF111-ALT 02 document for each dwelling unit.
01
Project Name
JOHN KRAUS
02
Date Prepared
2015-06-24
03
Project Location
44-555 SAFFRON CT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JOHN KRAUS
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
Installing .
Installing-
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information.
01.
02
03
ot':
` "'05. :`
06 ; " -
07 '-
OS
09
30
- `.Is the SC `
Installing a
SC System
SC System
CFA served
system arefrigerant
lnstallirig`hew SC
Installing .
Installing-
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
0
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-AO17098OA-000000000-0000. Registration Date/Time: 2015-06-24 18:51:12 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-24 18:48:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ACT 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
fooling
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
Dud Length
R -Value
Central gas
No heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
furnace
component
section is not
section isnot
AC
cooling
SEER
16
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning. Systems Duds and Fans . .
-Dud insulation requirement for new plenums: 116.
CF2R-MCH-20-H & CF311-MCH-20-11 — Dud Leakage testing. required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced.
-Leakage rate compliance: <_ 15%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant. Charge Verification required when refrigerant containing components 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: r .mow
-Duct systems registered with HERS provider as previously sealed:am exempt from`.MCH 20 Duct Leakage Testing requirements ,
-Heating-only systems and.Air Handler/Furnace changes do not'require verification of Air Flow MCH23;:.or RefrigerantZharge M,ECH 25;
= r
•, rr
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MGN=20 Dud Leakage Testing requirements. a .
' N. t _^ _, y .. .. nab �.M. i. 4.•.. � £. .--.-'. .v.. '? 'S.
E. Entirely New or Complete Replacement Duct System, with or without:Equipment Changeout (Sections 150 2(b)1Diia and-150.2(b)IE, F)
This section does not apply 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: 215-A0170980A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-24 18:51:12
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS.
Report Generated: 2015-06-24 18:48:48
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:
VARGAS, MANNY
Company:
Signature Date:
MANNY VARGAS A / C & HEATING'
2015-06-24 18:51:12. `
Address: ".
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 470
City/State/Zip:
Phone:
INDIO CA 92202
(760) 398-8034
Responsible Person'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. I 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 witli the informa2ion.provided on otherapplicable compliance documents, worksheets, .
calculations, plans and specifications submitted to.the enforcemenYagency for approvalmithAthis building permit application. r°
5. I will ensure that a registered copy of this Certificafe of Compliance shall, be!matle available with,the building permit(s). issued for,the,building, anddrnade avaifable:to;thdiWorcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the,builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
VARGAS, MANNY-
ANNYCompany:
Company:
Date Signed:
MANNY VARGAS A / C & HEATING
20.15-06-24 18:51:12
Address:
license:
P 0 BOX 470
859195
City/State/Zip:
Phone:
INDIO CA 92202.
(760) 398=8034
Digitally signed by Ca/CERTS. 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: 215-A0170980A-000000000-0000. ' Registration Date/Time: 2015-06-2418:51:12 HERS Provider: Ca10ERTS
CA Building Energy. Efficiency Standards - 2013 Residential Compliance . Report Version: 2014-03-31 Report Generated: 2015-06-24 18:48:48
Schema Version: 0.555SDD