BMCH2016-006478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0064
T-iht 4 4 QuIRZ
COMMUNITY DEVELOPMENT. DEPARTMENT
BUILDING PERMIT
Property Address:
54259 SOUTHERN HILLS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
APN:
Application Description:
775101061 h
PATEL / HVAC CHANGE OUT
city or county that requires a permit to construct, alter, improve, demolish, or repair .
Property Zoning:
any structure, prior to its issuance, also requires the applicant fcr the permit to file a
'' �- � A
��
Application Valuation:
$13,000.00
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
r
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
�2
Date: 2^ Applicant*
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
�,�
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
L
-
AIR EXPERTS AIR CONDITIONING
& HEATING84-160
compensation, will do the work, and the structuress not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
MEADOWS LANE,',
INTEREST, AND ATTORNEY'S FEES.
apply to an owner of property who builds or improves thereon, and'who does the work
COACHELLA, 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
Date:'3'TZ2 Contractor
11111111111111111111
71
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/2016
Owner:
PGA WEST RESIDENTIAL HOMEOWN
P O BOX 1060
LA QUINTA, CA 0
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
(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 th work for which this permit is issued.
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 polity number are:
OWNER -BUILDER DECLARATION
Carrier:_ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair .
compensation laws of California, and, agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant fcr the permit to file a
workers' compensation provisions of Section 3700 f the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
�2
Date: 2^ Applicant*
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structuress not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant,. each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. . B.&P.C. for this reason
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.
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 N
Lender's
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 en r upon the
above-mentioned property -for inspection purposes.
Date:�6 Signature (Applicant or Agent):,
DESCRIPTION
! .• !.
FINANCIAL
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 BY
METHOD
r RECEIPT #
CHECK #
CLTD BY,
DESCRIPTION
ACCOUNT
QTY
` 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 #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
Description: PATEL / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/22/2016 RSE
Approved:
Parcel No: 775101061 Site Address: 54259 SOUTHERN HILLS LA QUINTA,CA 92253
Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 6
Issued:
FOR CMS
ZIP
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
84-160 MEADOWS
LANE
Details: HVAC CHANGE OUT - 16.5SEER/80AFUE 2 SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
OWNER
PGA WEST RESIDENTIAL HOMEOWN
P 0 BOX 1060
1 LA QUINTA
I CA
1 0
FINANCIAL INFORMATION
Printed: Tuesday, March 22, 2016 12:40:49 PM 1 of 2 ICR
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
_.
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
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
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•4••0
INSPECTIONS
Printed: Tuesday, March 22, 2016 12:40:49 PM 2 of 2
Or"SYSTEMS
Bin #
City of La Quihtd
Building tai Safety Division
_ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #•
Project Address:
Owner's Name:
A. P. Number:
Address: _ Z S O V \
Legal Description:
City, ST, Zip: 0- cc22 s3
Contrabtor; A\4* V-5(
" V S
Tcicplioii0:
s
Address: � r
t 160
t,s
Pro ect Descri tion:
j� P .
City, ST, Zip: Co
CL 22 6-
_.,...
ds' S _•
Telephone: 7,6a'3R (-
9 1 3 G-
5 ' s f
,
State Lie. # : QO 8
S
City Lie. #;
b.3
Arch., Engr., Designer:
-
Address:
City, ST, Zip:
Telephone:<.
:. :;•-,
Construction Type: P�JA Occupancy:
State Lie. #:
Project type (circle one): New Add'n ite Repair Demo
Name of Contact Person: � v� �� r�
,
Sq.. �
Ft.; 13c)00,
# Stories;:
# Units:Z
Tele hone # of Contact Person:
P
,3� %^3� �
o 6
l3stimafed Value of Prat Q d Q
APPLICANT: DO NOT WRITE BELOW THIS LINE -
I
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
,
Truss Calcs.
Called Contact Person
Plan Check Balance
r
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcootactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`a ReYiety, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.. .
Pub. Wks. Appr
Date of permit issue
"Sckoot•rccs,
---•— x
Zotal Permit Fees
,..
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
Patel I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-03-22
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CRR -ALT -02 document for each dwelling unit.
01
Project Name
Patel
02
Date Prepared
2016-03-22
03
Project Location
54-259 Southern hills
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Patel
07
Zip Code
92253
08
Dwelling Unit Conditioned
19000
.,ra L.,.+r...a' S..i
t.F ''.-.a.+�•
'S.J: A.�. heti
�w....-?t ie!I
Floor Area (ft2)
SC System
SC System iy
"CFA served
systema
refrigerant a[
Installing ew SC
Installing
re
1n telling
Installing
entirely
Identification or
Number of space conditioning
by this SC
09
Climate Zone
15�
10
(SC) systems in this dwelling
2
Name
J J ,_ _
System (ft2)
unit.
component?
B. Space Conditioning (SC) System Information!=' FF' .
r r .r .-•
01
02
+r 03•�
'� 04
05 t�
06
07
08
09
10
Is the SC
-"—
Installing a"'""'
.,ra L.,.+r...a' S..i
t.F ''.-.a.+�•
'S.J: A.�. heti
�w....-?t ie!I
SC System
SC System iy
"CFA served
systema
refrigerant a[
Installing ew SC
Installing
re
1n telling
Installing
entirely
Identification or
Location or Area
by this SC
ducted
c ntaining
system
than 4
entirely w
new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
dud system?
SC system?
Alteration Type
System 1
master bedroom
810
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
bedrooms
1150
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0108368A-000000000-0000
Registration Date/Time: 2016-03-22 11:10:44
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-22 11:11:05
613-
$'4(- (q1` Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 15O.2(b)1E and F)
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
'
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: 136:---/
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: <_ 15%, ors 10% leakage to outside, or seal all accessible leaks.
4
�•c y2e
,.moo
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when-refrigera�ontairnng components'are
.n' le
ents'a installed.or'altered;(appllcable in C2>2; 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required, when MCH=25 is regwred4Exceptions:%-Duct
:�)f Onc.
systems registered with HERS provider as previously sealed'are exempt from, MCH'40?' ct Leakage Testing
requirements.
-.0
M.
Heating -only systems and Air Handler/furnace changes do not require verification of Flow MCH 23 or rigerant Charge MECH-25..
-Existing duct systems constructed, insulated or,sealed with asbestos are exempt from MCH -20 Duct L kage..Testing requirements;
_ _-:
�'
M
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 1S0.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0108368A-000000000-0000 Registration Date/Time: 2016-03-22 11:10:44 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-22 11:11:05
Schema Version: 0.555SDD
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: p p,
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-03-22 11:10:44
Address:
CEA/ HERS Certification Identification -(if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247 h
760-777-1724
Responsible Person's Declaration statement's
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 .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, mateiials, coamponents, and manufactured devices for the buildmg,design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6Wthe C1lifor�ia Code ofd g lat on
4. The building design features or system design ffeatures identified on this Certificate of C ompliance are consistent wit4 the i�niormatibm.provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted.to the enforcement agency for" approval with this building permit application_.
1 A iio
� . . R � .a:
s. I will ensure that a registered copy of this'Certificate U.Compliance shall, be.made available withnthe building pief it(s)Jssued for the building, and_made ava.ilable,to the enforcement agency for all applicable
inspections. I understand that a registered copy of this•Certif�icate of C to berincfuded with theMdocumentation"the�builder prov des to the binding owner at occupancy.
omplance�is_requaired
Responsible Designer Name:, *Ziil
Responsible Designer Signature: ,V
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-03-22 11:10:44
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
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-A0108368A-000000000-0000 Registration Date/Time: 2016-03-22 11:10:44 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-22 11:11:05
Schema Version: 0.555SDD