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BMCH2016-0325F 79-495 CALLE TAMPICO V LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number:- BMCH2O16-0325 Property Address: 48560 VIA AMISTAD APN: 646122037 Application Description: HOWARD COOK / HVAC CHANGE OUT Property Zoning: Application Valuation: $7,000.00 Applicant: PALOMA AIR CONDITIONING 83019 AVENUE 45 INDIO, CA 92201. 0 AUG 29 2016 CITYOFUkbljIM- A COMMUIVTYDEVELOPMEfVTDEP„RTL7E!4T 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.: 619091 Date: ” f Z q — 1_6 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 orcounty 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/29/2016 Owner: ALICE LOHRMAN , 92253 Contractor: PALOMA AIR CONDITIONING 83019 AVENUE 45 ) INDIO, CA 92201 (760)347-1212 Llc. No,: 619091 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 or 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5026841 _ 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 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 oft a La or e I I o wit comply with those provisions.. /A � Date: Z ^ / 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-mentionedproperty for inspection purposes. Date: [/-2 ls Signature (Applicant or Agent): ' Dater 8/29/2016• Application Number: BMCH2016-0325 -Owner- Property Address: 48560 VIA AMISTAD ALICE'LOHRMAN APN: 646122037 Application Description: HOWARD COOK % HVAC CHANGE OUT 92253 Property Zoning: Application Valuation: $7,000.00 Applicant: Contractor: PALOMA AIR CONDITIONING PALOMA AIR CONDITIONING 83019 AVENUE 45 83019 AVENUE 45 INDIO, CW92201. INDIO, CA -92201 (760)347-1212 Llc. No.: 619091 Detail: HVAC CHANGE OUT - 16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING`CODES. S J DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 " DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT.- SPLIT -SYSTEM 101-0000-42402 FINANCIAL INFORMATION $72.52 DESCRIPTION ACCOUNT CITY DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 " DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT.- SPLIT -SYSTEM 101-0000-42402 0 $72.52 DESCRIPTION ACCOUNT CITY AMOUNT ' HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 Total Paid for CHANGEOUT: $108.78 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE. 101-0000-42404 0 $91.85 1 Bin Permit #{ Project Address: L, Qty of La Quito Building&• Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet —0 .V /A .A VAI Il, Awner's Name: A. P. Number: Address: 5 6-0 VIA A MY S7c Legal Description: City, ST, Zip: S VT( -,oL,L Contractor: T h n e. ele o P Address: Project Description: City_. ST, !� ne• TeleP ho . Z State Lic. # :(P r City Li,. Arch.,`Engr., Designer: Address: City, ST, Zip: Telephone: T Occupancy: Construction YP y: . Type: OP State Lic .# •ProJec ty circle one • New Add'n . Iter Repair Demo. Name of Contact Person: Sq. Ft.:oQ2d #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 2 000 APPLICANT: DO. NOT WRITE BELOW THIS LINE tl 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 Floodplain plan Plans resubmitted Mechanical Grading plan 2'd Review, ready for corrections/issue Electrical Subcontacl'or List Called Contact.Person Plumbing Grant Deed Plans picked up S.M.I. II.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 of permit issue .School Fees, Total Permit Fees �(pv_77J-B9 ?� 6 -CERTIFICATE OF COMPLIANCE CFiR-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' Central gas Gas furnace Central split All new Less than or System furnace AHU AFUE 78 AC cooling SEER 16 Setback equal to 40 R-8 components feet Required Documentation: - - CF2R-MCH-01-E -Spate Conditioning Systems Ducts and Fans. -Duct insulation requirement for new plenums: R6. ! CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testing' q'tuired when heating or cooling components are irstalled inducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: s 15%, ors 10% leakage to outside;:or seal all accessible leaks. CF2R-MCH-25-H & COR -MCH -25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in C2 2, 8-15). - CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow'2:300-CFM/con rekjTd. when MCH 25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from,MC.. H-20 Duct Leakage Tesoro requirements ,�. -Heatin on -'` a� - g• h'systems and Air Handler/Furnace changes do not requve venhca0on of Av Flgw MCH'3Refr'gerant Charge MEC 25: " -Existing duct systems constructed, insulated or sealed with asMiis are exem from MCH•20IDur�t LeakaI ge Testing�equ emelt OW - 'Dn:,.. _ ■c RS � �R.. _ r2t AE •rt P8 ,er. "�. PXd- 'AR �.RA. �`+i,+` �Fr.4',gt� E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Dila•and 150.2(b)lE, F) a: a :a I = This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(6)1C) This section does not apply to this project. I Registration Number: 216-A0306833A-000000000-0000 Registration Date/Time: 2016-08-17 13:34:30, HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Izrsion: 2013 Rev 1.007 Report Generated: 2016-08-17 13:34:54 Schema Jersion:0.555SDD 61 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Spzce 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: Paredes, Herman Company: signature Date: PALOMA AIR CONDITIONING 2016-08-1713:34:30 Address: _EA/ HERS Certification Identification (if applicable): P O BOX 3501 Herman Paredes City/State/Zip: ohone: PALM DESERT CA 92261. 760-347-1212 . Responsible Person's Declaration statementk I certify the following under penalty of perjury, under the laws of the State of California: wv 3. The information provided on this.Certifiwterof Compliance is true and correct. b+ th Mw rinds X46'' 2. I am eligible under Division 3 oftheausiness and Professions Code to acceptresponsibility for the lullding design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, .•matenals 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`We of Reg la�dons - ' - 4. The building design features or system design features identified or his Certifl_� f F�mpHance ale consistent=with the infarmatian,provided o ther a'pphcable mPliance documents, worksheets, agency calculations, plans and specifications submnted.to the erriorcemen foryprpovzl witfi this build nig ep rmkbcati n. . F F ^, 9f=k W`I 2W Y� � : N �" ' S. I will ensure that a registered copy of this Certificate— Compliance shall�tie made available witti�th butMt rmd s �issurrd for F k _ _ngpe. () 1:hebu'ild�g andtmade avadabletolh 2nforcement agency for all applicable Inspections. I understand that a registered copy of thistertt icate of Compllianc" requiire.dd to bent cluded wit„ih thS hcocurri ntationfthe bull er pgoyiiddes tg,the bptlding owner at occupancy. ' Responsible Designer Name: 3esponsible Designer Signafi'rre:- amp Paredes, Herman Company: -Date Signed: PALOMA AIR CONDITIONING 42016-08-17 13:34:30 Address: _ Zicense: P O BOX 3501 X519091 City/State/Zip: 'shone: PALM DESERT CA 92261 60-347-1212 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this regi-+ered document and in noway implies Regisiration Provider responsibility for the accuracy of the information. Registration Number: 216-A0306833A-000000000-0000 Registral.on Date/Time: 2016-08-17 13:34:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2616-08-17 13:34:54 Schema 'le rs i o n: 0.555 S D D CERTIFICATE OF COMPLIANCE CF1R-ALT:02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) • .......- (Page 1 of -3 ) Project Name: Howard Cook Date Prepared: 2016-08-17 A. General Information CF1R-A4T-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 Howard Cook 02 Date Prepared 2016-08-17 03 Project Location 48-560 Via Amistad 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Howard Cook 07 Zip Code 92253 Dwelling Unit Conditioned 1200 W. � •* Floor Area (ft2) SC System SC System "rt xNumber of space conditioning ;Fri refrigerant 09 Climate Zone s;. 15 10 (SC) systems in this dwelling 1 - :x°rr Identification or unit. b this SC y B. Space Conditioning (SC) System nformation: 0 Y k -N, Fb z 01 02 V,,k03 »'t 041 ^P5 V, N ­66" 07"U8 � 09 10 x# •:. g> �Is the SC w.tea: � Installing a'k .a sa a v� wt k W. � •* SC System SC System `CFA served 'system a ;Fri refrigerant a a WlnstallingmewfSC r : ;Installing Y-be-a Installing 11-13 installing Identification or Location or Area b this SC y ducted containing g system more than 40 entirely new c entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1200 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: 216-A0306833A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/ Time: 2016-08-1713:34:30 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2016-08-17 13:34:54.