BMCH2017-005278495 CALLE TAMPICO c&,ty,, 4 - al Q"Kz
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0052
Property Address:
48805 VIA LINDA
APN:
658200026
Application Description:
LEVERTE / (2) HVAC CHANGEOUTS-16SEER/13 EER SPLIT SYSTEM
Property Zoning:
Application Valuation:
$1,400.00
Applicant: n
SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
COACHELLA, CA 92236-2737 MAR 1 3 2017
Y OF LA QUINTA
1C!0MMUN11TCY1TDEVF1 npldrv7 noon
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business a ofessions Code, and
my License is in full force and effect.
License CIass.;?Q__L License No.: 522775
Date: � fCo`nt��
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 I
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 ) 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 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: 3/13/2017
Owner:
CRISTIAN LEVERTE
48-805 VIA LINDA
LA QUI NTA, CA 92253
Contractor:
SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
COACHELLA, CA 92236-2737
(760)398-4287
Llc. No.: 522775
WORKER'S COMPENSATION DECLARATION
I herebyaffirm under penalty of perjury one :)f the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37070 of the Labor Code, for the performance
of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfc rmance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9074503
_ 1 certify that in the performance a= 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 fiat, if I should beco s ject to the
workers' compensation provisions of Sectiorh abo ode s forthwith
comply with those pro sions.
Date ��J /l✓7/ 7Aoolir canti __Z1 - `^- —
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;300). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKYOWLEDGEMENT
IMPORTANT: Application is hereby made torthe 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 isuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application anc 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 represe•itatives of this city to ter n t ove-
mentioned prope y formn>pectiioon purpose,.
Application Number:
BMCH2017-0052
Property Address:
48805 VIA LINDA
APN:
658200026
Application Description:
LEVERTE / (2) HVAC CHANGEOUTS-16SEER/13 EER SPLIT SYSTEM
Property Zoning:
Application Valuation:
$1,400.00
Applicant:
SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
COACHELLA, CA 92236-2737
Date: 3/13/2017
Owner:
CRISTIAN LEVEF.TE
48-805 VIA LINDA
LA QUINTA, CA 92253
Contractor:
SAN'S AIR CONDITIONING & HEATING
51-530 JACKSON STREET
COACHELLA, CA 92236-2737
(760)398-4287
Llc. No.: 522773
Detail: (2)HVAC CHANGE OUTS -(1)&(2) 16SEER/13EER SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION 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 - SPLIT -SYSTEM
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
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: $5.00
a,t, #
ICity of 1a Qu' Into
Buifding ar Safety Division
Permit '# - 78-495 Caffe Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: 9 —'80S - .V rA LTV 0 Owner
7's
A. P. Number:
Address: VIA—
Legal Description:
City, ST, Zip:
r o r
Contractor: G s1 S it h
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Telephone:
Address:S ('S30 (Cs�i1,.
Project Description: ) C lit!uI% v f dr-
City, ST, Zip:
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Telephone: one: U %
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State Lic.# : o_ 7 %
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
cY�Telephone:Con Construction
l�
Type: Occupancy:
Lic #.
Project (circle one • New Add'n Ater Repair. Dcmo
Name of Contact Person. AK/' �
S Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: X
APPLICANT: DO NOT WRITE BELOW THIS LINE ?
#
Submittal
Req'd
Rcc'd
TRACKING
PZRMIT 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 Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
1-I.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''° 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,
1
1
Total Permit Faes
STATE OF CALIFORNIA
ALTERATIONS -HVAC
CEC-CFIR-ALT-04-E Revised 01/16 CALIFORIIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1)
SitAddress:
z4zu
Enforcement Agency:
Data,Prepared
:3
/ition2
Permit#:
Equipment Type
i t
i ien
New Ducting or Lineset:
Required R -value
C
Floc rArea (ft )
Thermostat
❑ Packged
❑ Evap or Coil
AFUE
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Sereed by system
❑ Setback
Syst
ondensing Unit
❑ , -16) Ducts
2
ft
(If not already
1313 lit System
❑ Min'
❑ Compressor
❑Li
EER
HSPF
112! R-2.8 Lineset-
present, must
it
urnace
set
V
EER
be installed)
HERS VER IFI ATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
for T-!Ellowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms alloyed) and a copy left on site.
111"i. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -2S -H2
Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2
Air Handler/Furnace2 (Can include new ducting)
Installer Requirement: Duct leakage L15%, or 510% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building 1
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25 -HZ
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2
Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF:R) MCH -25-H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 330 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-03-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H
Compressor, TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H
Installer Requirement: Duct leakage < 5%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos.
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (:-S_15% or, 510% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less
than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25
' All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of reused parts from the dwelling unit's
existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
" R-2.8 W' thick insulation) for linesets 1" and less.
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. That the energy features and performance specifications, materials, components, and manufactured devices foe the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Pa rt 6 of the CCR.
S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on otherNplicable compliance docume WwoAheets, calcula ' ns, plans and specifications submittad to the enforcement
for appro I ith this building per icati
ROcy
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For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1- 00-772-3300
d
STATE OF CALIFORNIA
ALTERATIONS - HVAC
I
CEC-CFIR-ALT-04-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1)
Site Ad r
Enforcement Agency:
Date reparejdf
Permit#:
l
/
Equipment Type
ip ent Efficiency
New Ducting or Lineset:
Required R -value
C& ditio ecl Z
Floor Area (ft)
Thermostat
❑ Packaged
❑ Ev or Coil
AFUE
COP
❑ R-6 (CZ 1-10, 12&13) Duds
Ser+ed by system
❑ Setback
Vt System
Condensing Unit
❑ Compressor
/
/f�
❑ R-8' (CZ 11, 14-16) Duds
ft
(if not already
SEER
HSPF
❑ 2 R-2.8 Lineset'
present must
❑plit
❑ Lin
19,TXV
1� EER
be installed)
urnace
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form,i ed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2
Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H', MCH -25-H2
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage L15%, or <_10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/tor., Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building1
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H'
Mini Splits require CFIR-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refri@erant Charge
❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H
Compressor, TXV, Lineset, Furnace' CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H
Installer Requirement: Dud leakage < 5%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (<_15% or, :510% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less
than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Char -,e verification MCH -25
3 All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of reused parts from the dwelling unit's
existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-2.8 (1" thick insulation) for linesets 1" and less.
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consisten' with the information
provided on other applic ble compliance documents, rks s, calculations, plans and specifications submitted to the enforcement
age y r approval with s building permit appl'
Respo ' signer mg; esp s' ner. ' u
I D !c•gne /
/
Li nse<ZZ7
Company. AlAddres
C' e/Ziq� jFhonv:_
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-80C-772-3300 &
-80C772-3300/ )
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