BMCH2018-003678-495 CALLE TAMPICO VOICE (760) 7774125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/14/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0036 STEPHEN MCLIN
Property Address: 78311 DEACON DR W® 8311 DEACON DR W
APN: 770210030 �—_-�� QUINTA, CA 92253
Application Description: MCLIN RESIDENCE / HVACCHAIP GE 0. T
Property Zoning: FEB 14 20�$
Application Valuation: $14,400.00
Applicant: CITY OF LA QUINTA Contractor:
IE INCDESIGN AND DEVROPMENTDEPARTMENT7A#1 SERVICES HEATING &8206 VARNER RD #D 1 9AIR CONDITIONING
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211
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: Z I'i 2 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'sState 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.).
(_) 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
Lender's
(760)565-2691•
Llc. No.: 977333
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.
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: 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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: t4 l g Applicant:�unr1.—� '
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 building
construction, and hereby authorize representatives of this city to enter upon the'
above-mentioned property for inspection purposes.
Date: j4 Signature (Applicant or Agent).
4
Detail: HVAC CHANGE OUT - 18 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
Date: 2/14/2018
Application Number:
BMCH2O18-0036
Owner:
Property Address:
78311 DEACON DR W
STEPHEN MCLIN
APN:
770210030
78311 DEACON DR W
Application Description:
MCLIN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$14,400.00
Applicant:
Contractor:
IE INC
A#1 SERVICES HEATING & AIR CONDITIONING '
31225 LA BAYA
78206 VARNER RD #D-189
WESTLAKE VILLAGE, CA 91362
PALM DESERT, CA 92211
(760)565-2691
Llc. No.: 977333
4
Detail: HVAC CHANGE OUT - 18 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION , •ACCOUNT CITY 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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
10170000-42600.
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
CITY
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
0
$5.00
i
44a Qa4f&
....._........... G:L.vf ofibr. CSTiCE:R:T-- ._-------- ----- _
PERMIT #
.
PLAN LOCATION:
Project Address: 831 \ Ueaco� j
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
acL t or. QD o� Lv
Telephone: ')co0- 342 -3 (o I O
S 1:- 1AVAC Skerr,
Applicant Name': S��r�erec
Fire Sprinklers SF
Address: 31 zz.5
State Lic: City Bus Lic:
City, ST,. Zip: �.c�es�-(°�e CA 9 ZZS�
.Telephone: 51.0-4A10_ 321y
Email:
Valuation of Project $ SCO. CC>
Contractor Name: A*-\ S'��,v�GeS �l � � A
Construction Type: Occupancy:
New SFD Construction:
Address: -�gZp� �,�_I�S
Conditioned Space SF
City, St, Zip ��� Sefi� C ctZZ\ I
Garage SF
Telephone: ')co0- 342 -3 (o I O
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: G 7 7 3 33 CityBus Lic:
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: C�G� (��L�v�
New Commercial / Tenant Improvements:
Address: 74311 JeccOr� �r kJ
Total Building SF
City, ST, Zip (,� �iv`�0. CA
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Y
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School.Fees, �.
Burrtec Debris Plan
1
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: Steve & Cathy McLin Date Prepared: 2018-02-14
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Steve & Cathy McLin
02
Date Prepared
2018-02-14
03
Project Location
78311 Deacon dr w
04
Building Type
Single family
05
CA City
La Quinta06
rell
Dwelling Unit Name
HOUSE
07
Zip Code
I i �1
92253,.
system a
Dwelling Unit Conditioned
5267
Installing
Installing
Installing
X08
Z
Area (ft )
Location or Area
by this SC
ducted
_
system
.Floor
entirely new
entirely new
Name
Served
Number of Space
system?
09
Climate Zone
15 u
" 10'
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOUSE
5267
`'
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04
05
106
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
SYSTEM 1
WHOLE HOUSE
5267
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-A020009134A-000-000-0000000-0000 Registration Date/Time: 2018-02-14 09:58:34 HERS Provider: CHEERS
' CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-14 09:58:36
Schema Version: rev 10/16
.. C
CERTIFICATE OF COMPLIANCE CF111-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)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
Central gas
All new
Central split
All new
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems-
Duct insulation for the duds Y-10 10, 12 13) R8 11 14-16)
- requirement new portions of supply -air and return -air or plenums (CZand and (CZ and
CF2R and CF3R-MCH-20-H - Dud Leakage Test required when heating or cooling components are install ed in ducted systems, or when more than 40 ft of dud length is replaced
Leakage rate compliance: <=15% or <= 10% leakage to outside, or seal all accessible leaks. ',F�.F
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed 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.
Exceptions: `. f
Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud -Leak' Jesting* requirements. .
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
rl— Sk: 96 t kl=t 11` i
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)IC)
This section does not apply to this project.
Registration Number: 418-A020009134A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-02-14 09:58:34
Report Version: 2016.1:006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-02-14 09:58:36
CERTIFICATE OF COMPLIANCE- CFIR-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:
Cara Goldberg
C""-a,001cib'9'
Company:
Signature Date:
A#1 Services Heating & Air Conditioning
2018-02-14
Address:
CEA/ HERS Certification Identification (if applicable):
78026 Varner Road #D-189
City/State/Zip: y
Phone:
Palm Dessert CA 92211 +v
;(76l)) 342-3610 -
Responsible Person's Declaration statement •. '° ` '- IF
I certify the following under penalty of perjury, under the laws of the State of California: { f,
1. The information provided on this Certificate of Compliance is true and correct.
2. . I 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 manufactu d'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 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 for -approval with this building permit application.
I- a1 __Ji t_ a� _ . 0 )f 5.,
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the bwlding permits) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered co of this Certificate of Compliance is`re uired to beincluded with the documentation the builder provides to the building owner at occupancy.
P g PYqP g P ry•
Responsible Designer Name:
Responsible Designer Signature:
Cara Goldberg
C�aGO#
Company:
Date Signed:
A#1 Services. Heating & Air Conditioning
2018-02-14
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-A020009134A-000-000-0000000-0000
Registration Date/Time: 2018-02-14 09:58:34
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 201.8-02-14 09:58:36
Schema Version: rev 10/16