BMCH2018-007678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
r Permit Type/Subtype:
Application Number:.'
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
4 4v
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0076
58162 ARACENA
764610021
TROXEL / 14SEER/80AFUE SPLIT SYSTEM
$9,500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner.:
1EANE TROXEL
57162 ARACEANA
LA QUINTA, CA 92253
Date: 3/22/2018
Applicant: Contractor:
IE INCD u v A#1 SERVICES HEATING & AIR CONDITIONING
31225 LA BAYA 78206 VARNEF.-RD #D-189
WESTLAKE VILLAGE; CA 91362 MAR 22 2018 PALM DESERT, CA 92211
CITYOF(AQUINTA
(760)565-2691
COM
MlJNITYDEVEIOPM-TDEPARTMENT Llc. No.: 9773.3
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, C36 License No.: 977333
Date: Zz' 1 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).:
(_J 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 theproperty, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply town owner of property who builds or improves thereon,
and who contracts for the projects with a contractors) 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
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 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
_ have and will maintain workers' :ompensation 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:
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA006188
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 Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: ?i fg Ap'licant:�.r,P--- h
WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION 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 ACKP OWLEDGEMENT
IMPORTANT: Application is hereby made to :he Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this aplfication 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 tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app iication 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 cancellati in.
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 ore inances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes
Lender's Address:I Date: 31 Z Z ) 8 Signature (Applicart: or Agent
Date: 3/22/2018
Application Number::. BMCH2O18-0076
Owner.
Property Address: '58162 ARACENA
JEANE TROXEL
APN: 764610021 _
57162 ARACEANA
Application Description: TROXEL / 14SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,500.00
Applicant:
Contractor:
IE INC
A#1 SERVICES-1EATING & AIR CONDITIONING
31225 LA BAYA
.78206 VARNER RD #D-189
WESTLAKE VILLAGE, CA 91362.
PALM DESERT, CA 92211
(760)565-2691
Llc. No.: 9773_3
Detail: HVAC CHANGE OUT - 14SEER/80AF6E SPLIT SYSTEM. CARBON MONOXIDE ALARM(S).TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
1
BSAS SB1473 FEE 101-0000-20306 i 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
CITY.
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 I
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
. cr:M ofdv DE•_S ERT
PERMIT Q* , co 76
.
PLAN LOCATION:
Project Address: Sg16-Z_ AW -Ac e a
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
1 q� �) r go, oop 1�1v
Patio/Porch SF
NvA C
Applicant Name:
c
State Lic: 91133 3 City Bus Lic:
Address: 3\ZZS ( 3a a ��- Z\3
State Lic: City Bus Lic:
City, ST, Zip: 0es+1(x1-Ce Y i 6\G e_ CA Olt 3b2_
Telephone:
Email'
Valuation of Project $ 4� 500 _cry
Contractor Name:Ail \ v i c eQ " J, G
New SFD Construction:
Address: '72Z O(o \)a.` 7d � _ �� �7
_TyXCity,
Conditioned Space SF
Sf, ZipV� \ M. beso-4, CA "i ZZ 11 .
Garage SF
Telephone: -71,0 _ 3� Z, �� p
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 91133 3 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, -Zip
Construction Type: Occrapancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: J eq\1 e Tour
New Commercial / Tenant Improvements:
Address: S� \ ��- A c`acer Baa
Total Building SF
City, ST, Zip La Ove �a CJS 9MSM
Construction Type: Occrapancy:
Telephone: ZDg_ 42-7p_ y 32
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: Jeane T Troxel Date Prepared: 2018-03-22
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
CFIR-ALT-02 document for each dwelling unit.
01
Project Name
Jeane T Troxel
02
Date Prepared
2018-03-22
03
Project Location
58162 Aracena
04
Building Type
Single family
O5
CA City
La Quintay _gip~
06
Dwelling Unit Name
HOUSE
SC System
SC System
' !
.,!
08
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
92253
Floor Area (W)3890
location or Area
by this SC
ducted
rs
system
Number of Space
entirely new
.09
Climate Zone
15
10'`
Conditioning (SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
'Alteration Type
B. Space Conditioning (SC) System Information I
Ol
02
03
04 '
f 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 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
. SC system?
'Alteration Type
Altered space
SYSTEM 1
LOCATION 1
•3890
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than'40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number:.418-A020017750A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-22 13:34:30
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-03-22. 13:34:31
CERTIFICATE OF COMPLIANCE CFI117ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
All new
All new .
This field or
This field or
SYSTEM 1
Central gas
heating
AFUE
0.8
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems��
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZ 1 10 12 and 13) and R8 (CZ 11.and 14-16)
CF2R and CF3R-MCH-20-H —Duct Leakage Test required when heating or cooling components are instalI'd,in"ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <-- 10% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing component a einstalled or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23'Airflow Rate >= 300 CFM per ton required when MCH -25 is required i
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, of Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
3 I�......�
E. Entirely New or Complete Replacement Duct System, with or witho&ut fqulpment Changeout (Sections 150.2(b)lDiia 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)IC)
This section does not apply to this project.
Registration Number: 418-A020017750A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-22 ,13:34:30
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-03-22 13:34:31
= ti
CERTIFICATE OF COMPLIANCE CF1R-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Patty Hernandez
Pattyffernavidek.
Company:.
Signature Date:
I Permit E Raters
2018-03-22
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Phone:
'818 ?35-7876
Westlake Village CA 91362
Responsible Person's Declaration statement
� .•�.'f
I certify the following under penalty of perjury, under the laws of the State of California: ,
E,t
1 s'. The information provided on thiCertificate of Compliance is true and correct. !
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility Jot 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 mahufactu ed devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24i Part 1 and Part 6 of the California Code of Regulations.
4. 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 forapproval with this building permit application.
for
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the-bwlding..p the-iSsued for the building, and made available to the enforcement agency all applicable
inspections. I understand that a registered copy of this Certificate of Co-inplian'fe is'required £o be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Cara Goldberg
Ga*-a,Qotd&rp
Company:
Date Signed:
A#1 Services Heating & Air Conditioning
2018-03-22
Address:
License:
78026 Varner Road #D-189
977333
City/State/Zip:
Phone:
Palm Dessert CA 92211
(760)342-3610
Digitally signed by CHEERS'"'. This digital signature is provided in order to secure the content of this registered
document, ,and in no way implies Registration -Provider responsibility for the accuracy of the information.
Registration Number: 418-A020017750A-000-000-0000000-0000. Registration Date/Time: 2018-03-22 13:34:30 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-22 13:34:31
Schema Version: rev 10/16