BMCH2016-025978-495 CALLE TA
LA QUINTA, CALIFORNIA 92253
]]
C` 40 ��
`t/ , VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT. DEPARTMENT •INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/15/2016
Application Number: BMCH2O16-0259
Property Address: 54135 SOUTHERN HILLS
Owner:
LARRY COIA
APN: 775101043:'.
D
54135 SOUTHERN HILLS
Application Description: LARRY COIA / HVAC REPILCGE
Property Zoning:
IU
FUL 1 2016
LA QUINTA, CA 92253
Application Valuation: $18,000.00
I CITY OF LA QUINTA I
Applicant: COMMUNITY DEVELOPMENT DEPARTMENT Contractor:
PALOMA AIR CONDITIONING PALOMA AIR CONDITIONING
83019 AVENUE 45 83019 AVENUE 45
INDIO, -A 92201 1 DIO0, CA.92201
(760)347-1212
Llc. No.: 619091
---------------------------------------------------------=-----------------------------------
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: C206r License No.: 619091
Date: �^ /v 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 my employees with wages as their sole
compensation, will do the work, and the structure is notintended 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.).
(1 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. Q.
Lender's Na
Lender's
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:
Carrier:_ Policy Number:
• 1 certify that in the performance of the Work for which this permit is issued, I'
shall not employ any person in any manner so as to become subject to -the workers'
compensation laws of California, and.agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: �� �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 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 above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property -for inspection purposes.
Date: ' 7-16 Signature (Applicant or Agent):
FINANCIAL INFORMATION
`[,,jM1A Q UN PAID DATEF'
-'Ja 14
BSASSB14.73FEE-
101-0000-20306 0 $1.00 $1.00 7/15/16
PAID.B*�i
X
OD' RECEIPT #j c HEC K # D
3:4
PALOMA AIR CONDITIONING
_.1!
CHECK R17148 002S669-. RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $im, $1.00.
4A,0t DE sc Tf�
COUNT5
OU
AID:DATEm
HVAC CHANGEOUT SPLIT -SYSTEM
101-0000-42402
O,
$145.04
$145.04
7/15/16
`_PAID YE
OD
2;CHECK,,#: j
CLTD
PALOMA AIR CONDITIONING
CHECK
R17148
0025669
RSE
'10-,�,DESCRIPTIONQ
5F`
M
AMOUNT:
RAID.
PAID DATE:j'
AW
�,
A
iACCH,�NGEOUT -SPLIT -SLIT . M PC
101-0000-:42600 •
0.!
s72.52.
$72.S 1 2
7/15/16
PAID'.!B R, ggt
41 ,
IET.
HOD'-
zn.7.
RE I
VCUT , B,;i
14
41
PALOMA AIR CONDITIONING
CHECK
R17148.
0025669
RSE
Jotal Paid for CRANGEOUT: $217.56 $217.56
PDESCRIPTIOWN.W
t
ckr,AM UNT;_:
PAID
PAIDDATE:
Mpg-
,ti, �fACCOUNT,"
rQTY
'PERMIT ISSUANCE
101-0000-42404
0.
$91.85
.$91.85
7/15/16
DP
O
METHD
AECEIP.,T,,# 'V'7 -r, 1��'
1�1"V�tk'ECK # JF`� `,;
'.-CLTD..BY�
4, k
PALOMA AIR CONDITIONING . .
CHECK
R17148
I 9925669
V, RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $310.41, $310.41
dr
s ti
Description: LARRY COIA / HVAC REPLACE
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/15/2016 RSE
Approved: 7/15/2016 RSE
Parcel No: 775101043 - Site Address: -54135 SOUTHERN.HILLS LA QUINTA,CA 92253
Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot 1,2-P ..
Issued:
FOR CMS _
"f
Lot Sq Ft: 0 Building Sq Ft: 0 _ Zoning: _'_` _ ,:..�
Finaled:
._
Valuation: $18,000.00 Occupancy Type: Construction Type:.
Expired:
No. Buildings: 0 No. Stories: 0' No. Unites: 0
Details: (2)HVAC CHANGE OUT-16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION: 2013 CALIFORNIA BUILDING CODES.
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $1.00.
Printed: Friday, July 15, 2016 1:48:12 PM 1 of 2 srs7rMs
A) lied to Approved
DDa
CHRONOLOGY,
CONTACTS
NAME NAME; ADDRE551r CITY
STATE ZIP
„ PHONES
a FAX : EMAIL
T.CYPE*:< _ ,
APPLICANT_ PALOMA AIR CONDITIONING 83019 AVENUE 45 . INDIO.. _ !
.. CA
92201.
.(760)347-1212
'
CONTRACTOR PALOMA AIR CONDITIONING 83019 AVENUE 4S: INDIO
CA
;92201
(760)3;47-1212
OWNER LARRY COIA 54135 SOUTHERN HILLS LA QUINTA
CA
92253
(760)347-1212
'
s
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $1.00.
Printed: Friday, July 15, 2016 1:48:12 PM 1 of 2 srs7rMs
�_D
_iS
:4 AIV16UNT;."..,�
PAID `�
�777
7
�,'PAIWDATF_
7 77
'RECEIPT #
7 7 11 .........
METHOD3,
PA
CLT D-
CRIPTibN-,`11,�,"�
��Luulm.
n,
HVACCHANGEOUT .
101-0000-42402
0
'$145.04
$145.04
R17148
0025669
CHECK
PALOMA AIR
RSE
SPLIT -SYSTEM
.7/15/16
CONDITIONING
'HVACCHANGEOUT-
101-0000-42600
0
$72.52
$72:52
7/15/16
R17148
0025669
CHECK'
PALOMA AIR
RSE
SPLIT -SYSTEM PC
CONDITIONING
Total Paid for CHANGEOUT: $217.56 $217.56
PALOMA AIR
PERMIT ISSUANCE
101-0000-42404
T-o
$91.85
7/15t /16
R17148
0025669
CHECK
RSE
•
!9i.85
CONDITIONING
Total Paid for PERM IT.ISSUANCE: $91.85 $91.85
11�plj 111111
... .... ..... . . . .. . ......... ..
. ... . ...... . . .. ... INSPECTIONS . . ... .. ..... .. . ......... ..... ....
PAREN T PROJECTS
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (forme'rly CF -IR -ALT -HVAC)
(Page 1 of 3
Project Name:
Larry Coia Date Prepared: 2016-0-15
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
Use one CFIR-ALT-02 document for each dwelling unit.
01
Project Name
Larry Coia
"05
Date Prepared
2016-07-15
03
Project Location
54-135 southern hill
04
Building Type
Single family
OS
CA City
La Quinta
F02
0
06
Dwelling Unit Name
Larry Coia
07
Zip Code
92253
08
08
Dwelling Unit Conditioned
3600
system
s' 1
more than 40
. - .
entirelyniw
r.
'entirely new
Floor Area (ft2)
Name
Served
System (ft2)
system.?
component?
Number of space conditioning
feet ofducts?
09
Climate Zone
is
10
1
(SC) systems in this dwelling
2
Yes
Yes
Yes
No
unit.
No
B. Space Conditioning (SC) System Information
01
02
03
"05
06
07
1t 08th
J 09
10
SC System
SC System
CFA served
Is the SC
system a,
'Installing 6
refrigerant
�-Installing new SC-
Installing
Installing
-`Installing
Identification or
Location or Area'.
by this SC
ducted
containing
system
s' 1
more than 40
. - .
entirelyniw
r.
'entirely new
Name
Served
System (ft2)
system.?
component?
components?
feet ofducts?
duct system?
SC system?
Alteration Type
System I
Kitchen/LivingAltered
1800
Yes
Yes
Yes
No
No
No
space
conditioning system
System 2
[Bedrooms
1800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
•
Registration Number: 216-A0262617A-000000000-0000 • Registration Date/Time: 2016-07-1512:51:38 HERS Provider: CaICERT'S
CA B,
A Building . ng Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev. 1.007 Report Generated: 2016-07-15 12:52:08
Schema Version: 0.55550D -
'4
� _i
CERTIFICATE OF COMPLIANCE CFSR-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)lE and F)
01
02
03
04
0S
06
07
08
09
10
11
12
N
t
Heating
,
i
,art.
System
1;4l,
Altered
Heating
Minimum
J
Cooling
Minimum
Required
New or
Identification
System
Heating .
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
t.z
Replaced
New Duct
or Name
'4
� _i
CERTIFICATE OF COMPLIANCE CFSR-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)lE and F)
01
02
03
04
0S
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
Systeml
Central as
g
Gas furnace
AFUE
78
Central split
All new
Less than or
furnace
AHU
AC
,, coo ling
8
SEER
13
Setback
equal to 40
R-8
•
components
feet
System 2
Central as
g
Gas furnace
AFUE
78
Central split
All new
'
Less than or
furnace
AHU
-
AC
.cooling
SEER
13 :Setback
equal to 40
R-8
components
_ feet
Required Documentation
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-
-
-Duct insulation requirement for new plenums: R6.
-
MR -MCH -20-1-1 R MR -MCH -20-1i — 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.
f
-Leakage rate compliance: s 15%, or < 10% leakage to outside, or seal all accessible leaks.
CF'2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required whenrefrigera nt cont rs are i
ing componentnslled or altered (applicable in CZ 2, 8-15).
ta«-
CFNMR-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH -25 is required:.. N
Escegtions: r - _ •. ,' r' .. +:,. .-. ^._y
F'
jr+�
-Duct systems registered with HERS provider as previously sealed are'exempt tram MCH -20 Duct,Leakage Testing requirements.
I-,
17
I «
-
.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-20DuctLeakage Testing requirements'.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)1C)
This section does not apply to this project..
Registration Number: 216-A0262617A-000000000-0000 Registration Date/Time: 2016-07.15 12:51:38 HERS Provider: CaICERTS
• CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-15 12:52:08
Schema Version: 0.55550D "
y, r
iar_
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 j
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
,
t
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content
Company: - .
Signature Date:. "
tuf
2016-07-15 12:51:38
Address: - -
CEA/ HER Certification Identification (if applicable): -
P 0 BOX 3501
Herman Paredes
City/State/Zip: -, -
Phone: - - -
PALM DESERT CA 92261
760-34721212
Responsible Person's Declaration statement
1 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. f
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 Compliane (responsible designer).
'. v
3. That the energy features and performance specifications, materials, components, and manufactured devices four the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Pait 1 and Part 6 of the California Code of Regulations.. _•! "r' - -' ;: -- '•, �'-" s `
M' _
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided onp ther app)licable compliance documents, worksheets,
calculations, plans'and sp'eofications submitted to the enforcement agency fon'approval with this,building permit applicatioen "
,��
S. I will ensure that a registered copy of this Certificate. of Compliance shall. be made available with the. building permits) issued fortheaiuilding, and.made available to theenforcement 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: ,, •'+ 1 { �: i A '..
Responsible Designer Signature: �` is ��. ✓v%�
Paredes, Hermanijj
.Report Version: 2013 Rev 1.007 r
Company: -
Date Signed: {
PALOMA AIR CONDITIONING
2016-07-15 12:51:38 -
Address: -
License:
r
619091
is •
� ~ � .,
� ... '
..
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 j
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Paredes, Herman
t
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content
Company: - .
Signature Date:. "
PALOMA AIR CONDITIONING
2016-07-15 12:51:38
Address: - -
CEA/ HER Certification Identification (if applicable): -
P 0 BOX 3501
Herman Paredes
City/State/Zip: -, -
Phone: - - -
PALM DESERT CA 92261
760-34721212
Responsible Person's Declaration statement
1 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. f
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 Compliane (responsible designer).
'. v
3. That the energy features and performance specifications, materials, components, and manufactured devices four the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Pait 1 and Part 6 of the California Code of Regulations.. _•! "r' - -' ;: -- '•, �'-" s `
M' _
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided onp ther app)licable compliance documents, worksheets,
calculations, plans'and sp'eofications submitted to the enforcement agency fon'approval with this,building permit applicatioen "
,��
S. I will ensure that a registered copy of this Certificate. of Compliance shall. be made available with the. building permits) issued fortheaiuilding, and.made available to theenforcement 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: ,, •'+ 1 { �: i A '..
Responsible Designer Signature: �` is ��. ✓v%�
Paredes, Hermanijj
.Report Version: 2013 Rev 1.007 r
Company: -
Date Signed: {
PALOMA AIR CONDITIONING
2016-07-15 12:51:38 -
Address: -
License:
P 0 BOX 3501
619091
City/State/Zip: -
Phone:
PALM DESERT CA 92261
760-347-1212
(
c
„t
t
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content
of this registered document, and in noway implies Registration
Provider responsibility for the accuracy of the information.
rl
Registration Number: 216-A0262617A-000000000-0000
Registration Date/Time: 2076-07-15 12:51:38
'HERS Provider: CaICERTS
r•.
•
CA Building Energy Efficiency Standards - 2013 Residential.Compliance
.Report Version: 2013 Rev 1.007 r
Report Generated: 2016-07-15 12:52:08
'1
„•
,. Schema Version: 0.555SDD
i.'?:�
Iain # pity of La Quinta
Building 8£ Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
6 C,}-} 16- a ( Building Permit Application and Tracking Sheet
Project Address: 0 3 � S O U TSE, Owner's Name:
A. P. Number:Add
ress: 5 S I (j (il 117f •
(/ ��3 d dT# f rye
Legal Description:
City, ST, Zip:
Contractor:
�� A
VVI �
Telephone: Z. L
Address: (
Project'Description:
City, ST, Zip:
r .(
Telephone:
hone:
'710 r
1 I 1
o t1
N'
State Lic. # : City Lie. #;
l .0 C G(/ ' JAI i
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
ele hone:
z
•Construction
Type: Occupancy:
State Lie. #•
Project tYPa circle one • New Add'n Alter Re pair Demo
Name of Contact Person:
Sq. Ft.:.
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: I Ift 0M I ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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"'. Review, ready for corrections/issue
Electrical
Subcontactor'List
Called ContactTerson
Plumbing
Gran(Decd-
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees