BMCH2017-029478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
T4t
Lp 4 4 �itiN1IC(/ VOICE (760) 777-7125
D FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/13/2017
BMCH2O17-0294 Owner:
78830 VIA AVANTE MESSNICK
643160004 ,® 8830 VIA AVENTE
MESSNICK RESIDENCE / HVAC CH E h QUINTA, CA 92253
$2,500.00 JUL 14 2011
Applicant:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
Contractor:
CITY OF LA QUINTA AIR EXPERTS AIR CONDITIONING & HEATING
DESIGN AND DEVELOPMENT DEPARTMENd4 160 MEADOWS LANE
OACHELLA, CA 92236
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 License No.: 1008665 /l
at 77//.q/17 ,=aqractor
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 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)397-3438
Llc. No.: 1008665
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 . e 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: NORGUARD INSURANCE COMPANY Policy Number: LUWC732457
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 of the Labor Code, I shall forthwith
comply with those provisions.
Dater//L/// A plicant:
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 --menti ned property for inspection purposes.
�a{e: / 11 /�� / a5fenatnredApplicant or Agent):
Date: 7/13/2017
Application Number: BMCH2O17-0294
Owner:
Property Address: 78830 VIA AVANTE
MESSNICK
APN: 643160004
78830 VIA AVENTE
Application Description: MESSNICK RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,500.00
Applicant:
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
AIR EXPERTS AIR CONDITIONING & HEATING
84=160 MEADOWS LANE
84-160 MEADOWS LANE
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)397-3438
r ' Llc. No.: 1008665
Detail: COIL CHANGE OUT ONLY - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
16
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4
FINANCIAL
DESCRIPTION
IN'FORMATION
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 - REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for CHANGEOUT: $17.74 '
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
TOTALS:0.0
16
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4
Bin tt
Permit ; -
Project Address:
Qty of La Qui i to
Building U Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777 7012
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address: 7 — -O 31� vt QA
Legal Description:
Cit ,.ST, Zi
Y P
Contractor:
Tel ehon�
P -6v 33
Address: A l6 U
�
Project Description: ,
r
City_ ST, Zip:
-
Tel ; .6 a
e 1 one: 3 -
P .3
7 a
:
State Lic. 4: ,S_
City Lic.
Arch., Engr., Designer:
Address:
City, ST., Zip:
Telephone'
i Occupancy:
truction TY an
:Con
Pe. cY
Lic.
1 to i
Demo
Project tyPe (circle ne • New Add'n
Name of Contact Person:
Sq. Ft.: / 2S) p
# Stories:
# Units:
Telephone # of Contact Person:
P
Off.
Estimated Value of Project: � Q;
APPLICANT: DO NOT WRITE BELOW THIS LINE
t/
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plait Check Deposit '
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs•
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tae Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'`' Review, ready for correct ionstissuc
Developer Impact Fee
Planning Approval
Called Contact Pei-son:
A.I.P.P.
Pub. \Vks- Appr
Date of permit issue
School Fees.
I
Total Pcrmit Fecs
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
MESSNICK I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-07-07
A. General Information
CF111-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
MESSNICK
02
Date Prepared
2017-07-07
03
Project Location
78830 VIA AVANTE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MESSNICK
Aft -SIA
YK'41
Dwelling Unit Conditioned
07
Zip Code
92253 E
081100
Floor Area (ftZ )
SC System
SC System
CFA served
Number of Space
refrigerant
09
Climate Zone �� " "`
,p ::.
15' _,...
10
Conditioning (SC) Systems in
1
Location or Area
by this SC
ducted
containing
this Dwelling Unit:
more than 40
B. Space Conditioning (SC) System Information11
11
K
01
02
- 03
'? 04
05
07
OS
09
10
�- f
Aft -SIA
YK'41
~`Isthe SG
1 sfall g°a
r%
'
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 ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this "project.
Registration Number: 217-A020229234A-000-000-0000000-0000 Registration Date/Time: 2017-07-07 07:28:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-07 07:28:12
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2.9f 3)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
08'
09
10
it
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
No heating
This field or
This field or
Central split
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
Duct insulation requirement for the new portions of supplfy-air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <=15% or <=10% leakage to outside;; or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verificatioA required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >=:300 CFM per tori:regwred whenWCH-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 requirev'rification of Air Flow MCH -23, o Refigerant Charge MCH25
'� "i f i• r,
-Existing duct systems constructed, insulated or sealed with asbestos< --are exemp}tffrom MCH 20 Du Y10a; kage Testg-requirremmeenhts
Registration Number: 217-A020229234A-000-000-0000000-0000 Registration Date/Time: 2017-07-07 07:28:07 HERS Provider: CaICERTS ,
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-07 07:28:12
. chema ve7slorl. fey 10/16
'CERTIFICATE OF COMPLIANCE CFIR-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: p ��
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2017-07-07 07:28:07
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 922474.
760-777-1724
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 Com pliance,is true and correct.
2. lam eligible under Division 3"of the Business"and Professions Code to accept,resporisibility 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 2,4, Part 1 and Part 6 of the Californla.Code of Re ul$t n
q s.
4. The building design features or system design features�identified on this Certifiiccaate f Compliance are consistent withRhe information:p, ovided on otHegapplicable•compliance documents, worksheets,
+. M-.�e.- . al k:
calculations, plans and specifications submitted:fo the enforcement:agency for approval with this building permit application.
Vq. 1A At Ili
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available withthe building:perI.mtt(s)tissued for�the buil �mg, and,made available toahe�enforcement agency for all applicable
inspections. I understand that a registered copy of thls.Certif�icate of C ompl ance is,requ reed to be !nclucled�w_'th the�documentetion�the�builder pro vides to,the building owner at occupancy.
Responsible Designer Name: a
Responsible Designer Signature: V C,n
Lira, Luis M
�(�
Company:
Date Signed:
Air Experts Air Conditioning
2017-07-07 07:28:07
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Easy to Verify0ieml.
'
at CalCERTS.com
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 tc
r the accuracy of the inforrl
Registration Number: 217-A020229234A-000-000-0000000-0000
Registration Date/Time
2017-07-07 07:28:07
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-07 07:28:12
- .Schema Verslun: rev iu/1b