BMCH2016-004178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0041
Tiht 4 4v Qum& -
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
78009 LAGO DR
APN:
658270005
Application Description:
ARENDS / CHANGE OUT (2) SPLIT SYSTEMS
Property Zoning:
Application Valuation:
$12,000.00
Applicant:
PERFECT AIR
P 0 BOX 8056
MORENO VALLEY, CA 92552
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 Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 972661_
Date: Q��o7�` 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).:
( ) 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.).
(__j 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
Lender's
I IIIIII Illll I'll IIII
50
L --
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DONALD ARENDS
78009 LAGO
LA QUINTA, CA 92253
Contractor:
PERFECT AIR
P 0 BOX 8056
MORENO VALLEY, CA 92552
(951)442-4825
Llc. No.: 972661
Date: 3/7/2016
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.
tudwhave 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:_ Policy Number:_
JE:�, 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 o1 `he Labor Code, I shall forthwith
comply with those provisions. 11
Date: "U7"f `A Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 lawslating to building
construction, and hereby authorize representatives of this city to en r upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION' , ACCOUNT. QTY "_AMOUNT .{
PAID PAID DATE .
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
PAID BY METHOD. RECEIPT # '
CHECK #-,*. CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT '
` PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
PAID BYMETHOD.
RECEIPT#
CHECK #t
CLTD BY
DESCRIPTION
ACCOUNT
QTYi
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT # ' <<
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $217.56 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT W
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: ARENDS / CHANGE OUT (2) SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/7/2016 SKH
Approved:
Parcel No: 658270005 Site Address: 78009 LAGO DR LA QUINTA,CA 92253
Subdivision: TR 3941 & INT IN COMMON AREAS Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $12,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - (2)16SEER/80AFUE SPLIT SYSTEMS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
PERFECT AIR
P 0 BOX 8056
MORENO
VALLEY
CA
92552
perfectair28@aol.com
CONTRACTOR
PERFECT AIR
P 0 BOX 8056
MORENO
VALLEY
CA
92552
perfectair28@aol.com
OWNER
DONALD ARENDS
78009 LAGO
LA QUINTA
CA
1 92253
FINANCIAL INFORMATION
Printed: Monday, March 07, 2016 3:06:07 PM 1 of 2 r. .
sysrrnns
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, March 07, 2016 3:06:07 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CH T -
101-0000-42402
0
• $145.04
$0.00
SPLIT-SYSTEMSYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT:. $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
177 Total Paid for PERMIT ISSUANCE: $91.85 $0.00
•TAL$: $310.41 $0.00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, March 07, 2016 3:06:07 PM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Arends Donald I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-03-07
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
Arends Donald
02
Date Prepared
2016-03-07
03
Project Location
78009 lago dr la Quinta
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Arends Donald
07
Zip Code
92253
08
Dwelling Unit Conditioned
3000
refngewa't
Installing=new-5c
Install ng
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
Number of space conditioning
system
09
Climate Zone
15
30
(SC) systems in this dwelling
2
System (ft2)
system?
component?
components?
unit.
duct system?
B. Space Conditioning (SC) System Information
Ol
02
03041
OS06
09
10
tls the SC"'-'
" .- , ,
Installing a
SC System
SC System
CFA served
''-- tS) a
refngewa't
Installing=new-5c
Install ng
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
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1500
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: 216-A0088659A-000000000-0000
Registration Date/Time: 2016-03-07 14:38:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 14:38:05
r,rhama Varcinn• n SSSCnn
CERTIFICATE OF COMPLIANCE CF1R-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
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
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
No cooling
This field or
This field or
Less than or
System 2
furnace
heating
AFUE
0.8
AC
component
section is not
section is not
Setback
equal to 40
R-8
components
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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: 515%, ors 10% leakage to outside, or seal all accessible leaks.
.... 1't . compo e..,"r .r ---t � ,,
CF2R MCH -25 H & CF3R-MCH-25-H Refrigerant Charge Verification required wherp-6fhgerant contammg components are installed or al tered-(applicable in CZ
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow_ 300 CFM/ton required when MCH -25 is requui ed"lagej
Exceptions:ili
nco
Duct systems registered with HERS provider as previously sealed`are exempt frm`MCH-il
20'Duct esting
requirements.
ay t
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or R�o�v
efrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are'exempt from.MCH; 0 Duct L akage Testing requ ement 1 P R
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0088659A-000000000-0000
Registration Date/Time: 2016-03-07 14:38:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 14:38:05
Crhpma Vprcinn• n SSSCr)r)
CERTIFICATE OF COMPLIANCE CF111-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:
VERDIN, EDGAR
Company: .
Signature Date:
Perfect Air
2016-03-07 14:38:12
Address:
CEA/ HERS Certification Identification (if applicable):
PO BOX 8056
City/State/Zip:
Phone:
MORENO VALLEY CA 92552
951-322-5306
Responsible Person's Declaration statement
1 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).
3. That the energy features and performance specifications, materials, components, and manufactured devices forthebuilding 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 R' gulations. �"`'� �^^� ¢
4. The building design features or system design features idet on this Certificate of Compliance are;cbnsistent;with the information provided on other;applicalile'compliance documents, worksheets,
a,ntified
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. j
I , �.. x P
t.? 1 I i R t .;.,
S. I will ensure that a registered copy of this Certificate of.Compliance shall be rnatle.available with the builiJ ng:permit(s)rissued for the building, an ad. avallab(1k the enforcement agency for all applicable
inspections. I understand that a registered copy of thisZe'rtificate of Compliance is -required to be,included with the.documentation the builder provides to,the building owner at occupancy.
Responsible Designer Name: :~ Ifw.. a.
Responsible Designer Signature:
VERDIN, EDGAR
Company:
Date Signed:
Perfect Air
2016-03-07 14:38:12
Address:
License:
PO BOX 8056
972661
City/State/Zip:
Phone:
MORENO VALLEY CA 92552
951-322-5306
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 for the accuracy of the information.
Registration Number: 216-A0088659A-000000000-0000• Registration Date/Time: 2016-03-07 14:38:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 14:38:05
Srhpma Vprcinn• n rrrrr) I