BMCH2018-001078-495 CALLF..TAMPICO '
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0010
51053 ELDORADO DR
777360011
BORRIS / HVAC 5 TON CHANGE.OUT
$7,000.00
Applicant:
PRO-FORMANCE HEATING & AIR CONDITIONING
P0BOX 2041 -
INDIO, CA 92202
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: ' 1/17/2018
Owner:
HOWARD BORRIS
51053 EL DORADO
LA QUINTA, CA 92253
Contractor:
PRO-FORMANCE HEATING & AIR CONDITIONING
P 0 BOX 2041
INDIO, CA 92202
(760)81270872
Llc. No.: 924629
-----------------------------------------------------------------------------------'-
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.: 924629 '
D to e: 1 CA Contractor. - +rQt_4019Ct
OWNER -BUILDER DECLARATION .
1 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
tity 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.).
(_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 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
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 permitis 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: NORGUARD INSURANCE COMPANY Polity Number: HUWC887348
I certifythat 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:, JZQ i Applicant: 7 21 IJ tC c^L7i�S
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 io 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.
1 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: 0 Sig` an` t e (Applicant or Agent)
Date: 1/17/2018
Application Number: BMCH2O18-0010
Owner:
Property Address: -°"31053 ELDORADO DR
HOWARD BORRIS
APN: .777360011
51053 EL -DORADO
Application Description: BORRIS / HVAC 5 TON CHANGE OUT,
LA QUINTA, CA 92253
Property Zoning: .
Application Valuation: $7,000.00
Applicant:
Contractor.
PRO-FORMANCE HEATING & AIR CONDITIONING
PRO-FORMANCE HEATING& AIR CONDITIONING
PA BOX 2041
P O BOX 2041
INDIO; CA 92202
INDIO, CA 92202
(760)812-0872
LIc. No.: 924629.
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE.SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
a
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY 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
101-0000-42600.
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
QTY
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
502-0000-436110
$5.00
0
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $231
t
Contractor Name:New
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PERMIT #
PLAN LOCATION:
Project Address: �� S�C7
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
4VO C C_L1\w I)it .
Garage SF
Telephone:13(00 N01,�
Applicant Name:
Patio/Porch SF
Address:
�rtil� i L •COM
City, ST, Zip:
State Lic; gIZ61 (QZq
Telephone:
-
Email:
Valuation of Project $
Contractor Name:New
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SFD Construction:
Address
1
Conditioned Space SF•
City, St, Zip
CLA (
Garage SF
Telephone:13(00 N01,�
# Units:
Patio/Porch SF
Email 1 �fm
�rtil� i L •COM
Fire Sprinklers SF
State Lic; gIZ61 (QZq
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:.,zi SNew
Commercial /Tenant Improvements:
Address: 'S1 6s3 671-
Total Building SF
City, ST, Zip Lo G?U I K40 CA
Construction Type:. Occupancy:
Telephone: _ (D 2&Z0
Email: -�M5I l I S 1�OW 1� 1�UtJ1.��• C0 �1
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
r
#
Submittal J
y 1 Req'd
-Rec'd . .
Plan Sets
r
Structural Calcs
Truss Calcs
Title 24 Calcs
,t f
Soils Report
Grading Plan (PM 10) ).
-Landscape Plan '
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
l
Public Works approval
Fire approval
City Business License
,
1'
r
,t f
STATE OF CALIFORNIA
ALTERATIONS - HVAC
a.
CEC-CHR-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04 E
Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1)
Site Address:
SIDS
Enforcement Agency:
Date Prepared:
Permit#1:
�14 t
b4 1
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Required 11 -value
Conditioned
Floor Area (ft)
Thermostat
❑ Packaged
❑ Evaporator Coil
FUE
COP
❑ R-6 (CZ 1-10, I2&13) Ducts
Ser)Led by system
❑ Setback
System
W Split System
❑ Condensing Unit
❑ Compressor
❑ R-8' (CZ 11, 14-16) Ducts
l Q0 ft2
(If not already
SEER
HSPF
❑ 2 R-2.8 Lineset°
present, must
❑ Mini Split
❑ Lineset
be installed)
❑ Furnace
❑ TXV
EER
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed 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,
1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-1-12
Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H', MCH -25-H'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (5 1S%, or 510% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
0'2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CFIR-ALT-02-E
including Mini Split
CF2R-MCH-01-E, MCH -20-H, MCH -22-1-1, MCH -(23 or 24)-H', MCH -25-H'
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-1-12
Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow 2 350 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 CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H
Compressor, TXV, Lineset, Furnace' CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -2S -H
Installer Requirement: Duct leakage < 5%, Air Flow 2 350 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 less than All New Ducts; CF1R-ALT-02-E, CF2R-MCH-20-H, CF311-MCH-20-1-1
Installer Required to: Duct leakage (5.15% or, 510% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less
than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes d0 not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25
' All New Ducts is when at least 75%of the duct system' is new duct material, and up to 25%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-2.8.(1" thick insulation) for linesets 1" and less. - -
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.
Resp nsible Designer e:
t w4
ResponsibjILDrAigner Sig re:
Date Sign d:
License
any: `^t
dress•
City/State/Zips:
QA qrin?-
Pho • _
7W
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300