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BMCH2016-0293- r 78-495 CALLE TAMPICO D �il�Il�fCl/ LA QUINTA, CALIFORNIA. 92253 DESIGN & DEVELOP MENT.DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0293 Property Address: 48140 VIA VALLARTA APN: 602111027 Application Description: ALBERT ESCAMILLA / HVAC CHANGE OUT Property Zoning: Application Valuation: $1,500.00 Applicant: SAN'S AIR CONDITIONING & HEATING 51-530 JACKSON STREET COACHELLA, CA 92236-2737 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 ofessions Code, and my License is in full force and effect. License Class: C20 License No.: 522775 !fit S Date: 0 16 Contractor. OWNER -BUILDER D CLARATION 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 1 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: 8/8/2016 Owner: MARTY STATTIN 48140 VIA VALLARTA LA QUINTA, CA 92253 Contractor: SAN'S AIR CONDITIONING & HEATING 51-530 JACKSON STREET COACHELLA, CA 92236-2737 (760)398-4287 Lie. No.: 522775 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' compen , as provided for by Section 3700 of the Labor Code, for the performance of 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9074503 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in anymanner so as to become s ect to the workers' compensation laws of California, and agree that, if I should b o e subject to the workers' compensation provisions of Secti7111V, a Lab r C de, I shall fort ith comply with th a ro ' ions. JA�j,//c� Date. `�/ � ADDlicant:~{ 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 b 'ding construction, and hereby -authorize representatives oft city o nter on t :above- purposes. or-Dam:micanr e ' l Date: 8/8/2016 Application Number: BMCH2016-0293 Owner: . Property Address: 48140 VIA VALLARTA MARTY STATTIN APN: 602111027 48140 VIA VALLARTA Application Description: ALBERT ESCAMILLA / HVAC CHANGE OUT, LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,500.00 Applicant: Contractor: SAN'S AIR CONDITIONING & HEATING SAN'S AIR CONDITIONING & HEATING 51-530 JACKSON STREET 51-530 JACKSON STREET- . COACHELLA, CA 92236-2737 COACHELLA, CA 92236-2737 (760)398-4287 ------------------------------------------------------------- LIc. No.: 522775 -------------------------------- Detail: HVAC CHANGE OUT - 16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) T6BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 r Total Paid for BUILDING STAN DARDS,ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT.- SPLIT -SYSTEM 101-0000-42402 0 $72.52 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 Total Paid for CHANGEOUT: $108.78 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE r 101-0000.42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 TOTALS: $201.63 r f STATE OF CALIFORNIA ALTERATIONS - HVAC MU _CE_C_-CFIR-ALT-04-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Ad Enforcement Agency: D Pea d: Permit#: VIA Equipment Type445 Equipment Efficiency New Ducting, Plenums, Lineset., C diti ed Thermostat Required R -value Floor Area (sq ft) ❑ P 0 aged System v orator Coil AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system ❑ Setback stem lit V ondensing Unit ❑ Com ressor p SEER HSPF ,(If ❑ R-8 (CZ 11, 14, iS) Ducting sgft not already Present, must ❑ R-6 (all CZ's) Plenumse ❑ Li et zS—EER . ❑ R-5 or R7.5) Lineset' 6e installed) XV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form isAlowed 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. Clof HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equi men CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (5_15%, or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from dud leakage testing if: . ❑ 1.,DL1ct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of dud in unconditioned space, or Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CF111-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH=(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS, Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow Z 350 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: MECH-03, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace 1 CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, 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!pAhan All New Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Req ' ed to: Duct leakage (:<_15% or, < 10% to outside or, or seal all accessible leaks) EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 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 MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent 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-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5 -3T -2Y4", 3.5 to 4T-2%", 5T-4%" 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 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 application. Respo esign Name: Responsible Designer Signature: Date Signed: License: Company :� S x Address: _ City/State/Zip: / Phone:SA z Q For assistance or que tions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-330 �a 661--7 'E6 7 City of La Qulnta Building & Safety Division Permit #178-495 Calle Tampico ' La Quinta, CAM53- (760) 777-7012 IMC fiat' : o • � _ Buil mg Permit.Application and Tracking Sheet • roy�ct Address siP -'.. ....... �C�Ile- - �— t s Q� s A. P. Number: _ - - - d res. -- - - -- , -_ Legal I�cscitpiton Lify Si, Zip il Cot- tractor:: _ S.. _T Icphonq;'�i a14 ztlddress 1,7, o ect Des,np ion City, ST Zip n :. ... ... Arch. Engr., Designer: = : ........ ......._ ddress Address- City, City, ST, 'Zip;;hone: ` Tele._ P f f ¢ �F _ .._. .. ....-.. Construction Type Occupancy 'XrFr. :. Prglectaype (circle one) < New Add'ti Alter ltepau.:. Demo Name of Contact Person ,�� + Sq l t Units. t..- ... 64 Telephone .of Contac Person: Fs imated Value of P oiect. �O APPLICANT: DO NOT WRITE BELOW THIS LINE YSubmittal Re Rcc'd, TRACKrNG.....„ PERMIT FEES Flan Sets Plan Check submitted ' Item Amount Structural Cates. t Reviewed, ready.for corrections r Plan Check Deposit ,. Truss Cal cs. .. _... _ Called Contact Person _ Plan Check Balance i Title 24 Cates. Pians picked up t Construction Flood plain plan Plans resubmitted Mechanical Grading planready for corrccfions/issue Electrical Subcootactor List Called Contact Person Plumbing Gran( Deed Plans tcke S.M.L H.O.A. Approval Plans resubmitted _ 'Grading IN HOUSE:- a Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person J. Pub. Wks. Appr Date of permit issue Scil-001 PC i ,•.Total Perm it I+ccs 4 ,