BMCH2014-113578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4lw4�r rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O14-1135
Property Address:
77232 CALLE FLORA
APN:
658210021
Application Description:
HVAC CHANGE OUT - 4 TON 17SEER/7.7HSPF MINI SPLIT
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
I A S MECHANICAL INC DBA PERFE
P O BOX 13308
PALM DESERT, CA 92255
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 CI s: Q0, C38 License No .8977
Date I I 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).:
( 11, 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
Owner:
CHRISTOPHER MARGARITES
411 WALNUT ST NO 5608
GREEN COVE SPRINGS, FL 9i
Contractor:
I A S MECHANICAL INC DBA PE
P 0 BOX 13308
PALM DESERT, CA 92255
(760)770-0404
Llc. No.: 897743
Date: 11/5/2014
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.
WIAI have and will maintain workers' compensation insurance, as required by
Sevtion 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 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 Sectio 0 of the Labor Code I shall forthwith
comply with those provisions.
Date la Applicant: --f'
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 o enter upon the above-
mentioned pro erty for inspection purposes.
Date: ! '.S Signature (Applicant or Agent),�
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*� 2 PAID
�DESGRIPTIIION y AC000NT QTY+ µAMOUNT - ; PAID'DATE`
BSAS SB1473 FEE
101-0000-20306
0.
$1:00
$0.00
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1:00 $0.00
,`A,'.s's.• i• �P�YXf
DESCRIPTIO 9t
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QTY
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AMOUNT
PAID'DATE,
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��
HVAC CHANGEOUT'- SPLIT -SYSTEM
101-0000-42402
0.
$72.52
$0.00
..a":i'
c ;PAID BY ' '� 4��;
3.
°METIiODE�RECEIPT
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DESkCRIPTION.R.#
F $x,$v.go.Ctihn"h1� 1 wT'Y»K'1Y.:�4i
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QTY
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PAID
PAID DATE
x
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9 tl�ACCOUNT
AMOUNT
-x.... .... .<2s.
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HVAC CHANGEOUT -SPLIT-SYSTEM PC,
101-0000-42600
0
$36.26
$0.00
u��E''.
PAID BYE
'3S.:,.{,L�' 'sia'2 Mg'=
METHODS ��
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RECEIPT #rt
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CHECK #
CLTD BY
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*Y..+` `..°a>r
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Total Paid forCHANGEOUT: $108.78 $0.00
FY'fx"�.-� E&•S .�aW s+E,.:-.-fb£�xP�Sy `
DESCRIPTIOWP,1
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PAID,
PAID,DATE;
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PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
METHOD��
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RECEIPT#
CHECK #
CLTD'BY,
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Total.Paid forPERMIT ISSUANCE: $91.85 $0.00
•.$0.00
i
Description: HVAC CHANGE OUT - 4 TON 175EER/7.7HSPF MINI SPLIT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 11/4/2014 SKH
Approved: 11/4/2014 SKH
Parcel No: 658210021 Site Address: 77232 CALLE FLORA LA QUINTA,CA 92253
Subdivision: TR 21120 Block: Lot: 18
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: HVAC CHANGE OUT-17SEER/7.7HSPF SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Wednesday, November 05, 201410:01:05 AM 1 of 2 CR
SYSTEAAS
7 --
CHRONOLOGY
NAME TYPE
NAME
ADDRESSI
CONDITIONS
CONTACTS
CITY
STATE
ZIP
PHONE FAX EMAIL'
APPLICANT
I A S MECHANICAL INC DBA PERFE
P 0 BOX 13308
PALM DESERT
CA
92255
(224)475-7320
CONTRACTOR
I A S MECHANICAL INC DBA PERFE
P 0 BOX 13308
PALM DESERT
CA
92255
(224)475-7320
OWNER
CHRISTOPHER MARGARITES
411 WALNUT ST NO
5608
GREEN COVE
SPRINGS
FL
92253
(
Printed: Wednesday, November 05, 201410:01:05 AM 1 of 2 CR
SYSTEAAS
DESCRIPTION
ACCOUNT
QTY
- AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
PARENT PROJECTS "''
REVIEWS
RETURNED STATUS. REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE GATE NOTES '
BOND
INFORMATION
ATTACHMENTS
Printed: Wednesday, November 05, 2014 10:01:05 AM 2 of 2 ,
SYSTEMS
11/04/2014 14:48 17605684543 PERFECT WEATHER
PACE 02
APPLICANT; DO NOT WRITE BELOW THIS LINE
M
Sobinittal
Bin #
0 ofLauin' ta
Building & Safety Division
Permit #
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
VW01 t- I�'
Building Ferrule ►p lication and Tracking Sheet
Project.Address: 77232 Callc Flora La Quinta CA t)2253 Owner's Name: .0 Cris klmgaritcs
A. P_ Number:
Address: ?72 32 Calle Flora
Legal Description:
City, ST, Zip: La Quinta. C A. 92253
Contractor. IAS Mechanical Inc. dba. Per;ect Weather Telephone: �••'. ��fi3���� a
Address: 42280 .Beacon Rill D -S
Project Description: install Duchess Mini Spiit 17 SEER 3'r<m
City, ST, Zip: Palm. Desert, CA 9221 1
Flood plain plan
Telephone: 750-770-040
PCily
State Lie. 4 : 897?43
Lie'. #;
Arch, Engn, Designer.
Z" Review, ready for correctionstissue Electrical
Address:
Subcontactor List
City, ST, Zip:
Called Contact Person Plumbing
Telephone:
z Construction Typd?.csidcntiai,tltce:uionQceLpancy: Single,Famity .
'' Repair Demo
ate Lie_ :
K3�zwt s � l i ,< Fco' Project type (circte one): New Add'n [Alter] €
i
rNf'ame
of Contact Person: L)Itve. CullenSq. Ft.: 935 Stan ' -rwL,lephone
,V of Contact Person: F.Stimaid Value of Project: S I 0,0np
APPLICANT; DO NOT WRITE BELOW THIS LINE
M
Sobinittal
Req'd
Recd TRACIUMG URMTF FEES
Alan Sets
Plan Check submitted item Amount
Structural Cales.
Hee-Kewed, ready for corrections Plan Check Deposit
TTose Calcs.
Called Contact Person Plan Check Balance_
Title 24 Cates.
Plane picked up Construction
Flood plain plan
Plans resubmitted Mrchariical
Grading plat:
Z" Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Decd
Plans picked up S.M.L
H.O.A. Approval
Plass resubmitted Grading
ih KOUSE:
'^' Review, ready for carrectionsAssue Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. AVUs. Appr '
Date of permit Issue
School Fees
Total Permit Fees
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CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page I of 4 )
Project Name: Chris Margarites Date Prepared: 2014-09-24
A. General Information
CF11R-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
Chris Margarites
02
Date Prepared
2014-09-24
03
Project Location
77232 Calle Flora
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Chris Margarites
07
Zip Code
92253
08
Dwelling Unit Conditioned
985
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
`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 4D
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
House
Upstairs
985
No
Yes
No
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: 214-A0100579A-000000000-0000
CA Bdilding Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Report Version: 2014-03-31
Scherna Version: 0.551SDD
2014-09-2.4 11:08:45 HERS Provider: CaICERTS
Report Generated: 2014-09-2.4 11:06:57
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly Cf -1R -ALT -HVAC) - (Page 2 of 4 j
D. Altered Space Conditioning System (Sections 150.2(b)IE and F).....................
I ..........
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
Ductless split
All new
Ductless split
All new
This field or
This field or
House
HP
heating
HSPF
7.7
HP
cooling
SEER
17
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: RG.
CF2R-MCH-20-H & MR -MCH -20-1.- Duct Leakage testing required when heating or cooling components are installed in ducted systerns, or when
more than 40 -t of duct length is replaced.
-Leakage rate compliance: <_ 15%, ors; 10% leakage to outside; or seal all accessible leaks.
MR -MCH -25-1-1 & MR-iMCH-25-1-1 Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2., 8-15).
CF2RCF3R•MCH-23 & CF311-MCN-23 Air Flow a 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 1ACH-20 Duct Leakage Testing requirements. .
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A0100579A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-09-24 11:08:45 HERS Provides: CaICERTS
Report Version: 2014.03-31. Report Generated: 2014.09-24 11:06:57
Schema Version: 0.551SDD C i
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)q) .............. ...... . .. .. .......... ................ .......................................... .............. . ........... . ..." .......... ....... ........
.. . ..... .. ....... .. ................................ . .................. . . ................ .. .. .......... I I ........... - . ........................
This section, does not apply to this project.
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Registration Number: 214-A0100S79A-000000000-0000
CA Building Energy Efficiency Standards -- 2013 Residential Compliance
Registration Date/Time: 2014-09-24 11:08:45
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-09-24 11:06:57
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CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
.......... i ...
1:Tcertythat ths Certificate of Compliance documentation is accurate and complete.
Documentation Author riarne:
Documentation Author Signature:
calle)I
Cullen, David
lVid
Company:
Signature Date:
IAS MECHANICAL INC
2014-09-24 11:08:45
Address:
CEA/ HERS Certification Identification (if applicable):
PO BOX 13308
City/State/Zip:
Phone:
PALM DESERT CA 92255
(760)', 70-0404
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).
i. 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.
4L.' 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 apptication.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available With the building pennit(s) issued for the building, and made avaifabie to the enforcement apency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included viith the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: / ?
Cullen, David
mrirl C�ulle2t
Company:
Date Signed:
IAS MECHANICAL INC
2014-09-24 11:08:45
Addjess:
License:
PO BOX 13305
897743
City/Stale/Zip:
Phone:
PALM DESERT CA 92255
(760) 770-0404
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registereddncument, and in no way implies Regisiratior, Provider responsibility for the accuracy of rhe information.
Registration Number: 214-A0100579A-000000000.0000 Registration Date/Tine: 2014-09-24 11:08:45' HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09.24 11:06:57
Schema Version: 0.5515DD