BMCH2016-0434auutrw
78-495 CALLE TAMPICO c&ty, o VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
ILDIN RMIT
D4 4 Date: 12/1/2016
Application Number: BMCH2O16-0434 wrier:
Property Address: 76935 AVENIDA FERNANDOARVIN TABAK
APN: 658240030 DEC 01 2016
Property zoning: DESIGNANpD �OFLA QUINTA
Application Valuation: $18,000.00 I.OPMENTDEPARTMENT
Applicant: Contractor:
SUPERIOR HEATING & AIR CONDITIONING INC SUPERIOR HEATING & AIR CONDITIONING INC
73510 30TH AVENUE 73510 30TH AVENUE
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
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 oft a usiness and Profe ' Code, and
my License is in full force and effect.
License Class: C20 License No.: 9908
Dat T-47Contract
OWNER -B LDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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:
(760)343-0203
Llc. No.: 990826
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 th rk for which this permit is issued.
e 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: EVEREST NATIONAL INSURANCE COMPANY Polity Number:
7600014807161
_ I certify that in the performance of the wo for which this permit is issued, I
shall not employ any person in any manner so as t ome subject to the workers'
compensation laws of California, and agree t f I oap
subject to the
workers' compensation provisions of Secti of thith
comply with t ose rovisions.
Date: Applican .WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERFUL,
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 IN 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 the applicant, 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 issuance 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 bo i rmat
ion is correct.
I agree to comply with all city and county ordinances and s relating to building
construction, and her by authorize representatives of is i e upon the above-
mentioned ppr er'ty]'r inspection purposes.
Date: v I Signature (Applicant or Ag
Date: 12/1/2016
Application Number: BMCH2016-0434 Owner:
Property Address: 76935 AVENIDA FERNANDO MARVIN TABAK
APN: 658240030
Property Zoning:
Application Valuation: $18,000.00
Applicant: Contractor:
SUPERIOR HEATING & AIR CONDITIONING INC SUPERIOR HEATING & AIR CONDITIONING INC
73510 30TH AVENUE 73510 30TH AVENUE
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)343-0203
Llc. No.: 990826
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT :(1)SPLIT SYSTEM (2) PACKAGE UNITS, ALL 13 SEER, 80 AFUE[2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Total Paid for PERMIT ISSUANCE: $96.27
FINANCIAL
DESCRIPTION
.1.
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
HVAC CHANGEOUT- PACKAGED UNIT
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $240.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$6.08
Total Paid for Credit Card Fee: $6.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
IF
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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 -Value
Central gas
All new
Central split
All new
Less than or
Unit #3
heating
AFUE
0.78
cooling
SEER
13.00
Setback
equal to 40
R-8
furnace
components
AC
components
feet
Central
All new
Central
All new
Less than or
Unit #1
packaged HP
heating
AFUE
0.78
packaged AC
cooling
SEER
13.00
Setback
equal to 40
R-8
components
components
feet
Central
All new
Central
All new
Less than or
Unit #2
packaged HP
heating
AFUE
0.78
packaged AC
cooling
SEER
13.00
Setback
equal to 40
R-8
components
components
feet
Reduired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-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: 5 15%, ors 10% 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 C2 2, 8-15).
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-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)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 416-A0009425A-000000000-0000 Registration Date/Time: 2016-11-26 07:33:07 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-26 07:33:19
Schema Version: 0.555SDD
4,
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-ALT 02-E
(Page 1 of 3 )
Project Name: N.Corcoleotes I Date Prepared: 2016-11-26
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
N.Corcoleotes
02
Date Prepared
2016-11-26
03
Project Location
76935 Avenida Fernando
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
07
Zip Code
92253
08
Dwelling Unit Conditioned
3100
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
3
component?
components?
feet of duds?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information -
01
02
03
04
05
06
07
08
09
10
Is the SC •
Installing a
SC System
SC System
CFA served
system a
refrigerant
. Installing new 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 duds?
duct system?
SC system?
Alteration Type
Altered space
Unit #3
Master
1000
Yes
Yes
Yes
No
No
No
conditioning system
Altered space
Unit #1
Living Space
1100
Yes
Yes
Yes
No
No
No
conditioning system
Altered space
Unit #2
Bedrooms
1000
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: 416-A0009425A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-11-26 07:33:07
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CHEERS
Report Generated: 2016-11-26 07:33:19
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:
Shawn Malette
Sh"YvMa.ietbe,
Company:
Signature Date:
Superior Heating & Air Conditioning, Inc.
2016-11-26
Address:
CEA/ HERS Certification Identification (if applicable):
73510 30th Avenue
City/State/Zip:
Phone:
Thousand Palms CA 92276
626-589-8609
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. 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 for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building 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 to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Shawn Malette
Shawvt.Mad,Pxtel
Company:
Date Signed:
Superior Heating & Air Conditioning, Inc.
2016-11-26
Address:
License:
73510 30th Avenue
990826
City/State/Zip:
Phone:
Thousand Palms CA 92276
626-589-8609
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-A000942SA-000000000-0000 Registration Date/Time: 2016-11-26 07:33:07 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-26 07:33:19
Schema Version: 0.555SDD
Bin # ti
Permit #
,Jroject Address:
Qty of La Quanta
Building 9 Safety Division
. . 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
AB uildi g Perm i _Application and Tracking Sheet
&AS r Name:
A. P_ Number:
Address:
Legal Description: r
—City ST, Zip: <
o it act r:
C o
�
n
T hoc.•
eleA
Address:
, Project Descript on
f i
--City, ST, Zip:
f'
T ele P hone:
(State Li,. # : /
Arch., Gngr., Designer:
Address:
City, ST, Zip:
Telephone:
an cY•
ns truction Type: Occupancy:
Co •
State ic. ,.
L
• Add'n Alter Repair.air Dcmo
oProJecttYPe (circle one). New
'
—Nam of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telep ne # of Contact Person:
�
: ins ins gated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Cates.
Called Contact Person
Plan Check Balance •
Title 24 Cafes.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor Lis(
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
II.O.A. Approval
Plans resubmitted
Grading
JN JIOUSE:-
'"' Review, ready for correctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Dale of permit issue
School fees.'
F
.
I
Total Permit Fees