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BMCH2017-000678-495 CALLE TAMPICO (� V _ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O17-0006 Property Address: 77050 AVENIDA FERNANDO APN: 658240008 Application Description: PANOS / CHANGE OUT (3) HVAC SYSTEMS Property Zoning: a Application Valuation. $20,000.00 Applicant: SUPERIOR HEATING & AIR CONDITIONING INC 73510 30TH AVENUE THOUSAND PALMS, CA 92276 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.: 990826 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 e. f— z 1*/2017 Date: Contractor: <[ 1-A-lainz, �O Section 3700 of the Labor Code, for the performance of the work for which this permit Owner: is issued. My workers' compensation insurance carrier and policy number are: JACK PANOS a 77050 AVENIDA FEfDO �— LA QUINTA, CA 92253 N =D ¢ ; ac GL-.` a ¢cc signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 00 a Labor Codeall f hwit Contractor: -tea L31 ®. SUPERIOR HEATING & AIR CONDITIONING I% 73510 30TH AVENUE Date: �� Applicant: THOUSAND.PALMS, 27 ($500).: W! ©1 (760)343-0203 AND SHALL SUBJECT AN EMPLOYER TC CRIMINAL PENALTIES AND CIVIL FINES UP TO Llc. No.: 990826 ONE HUNDRED THOUSAND DOLLARS D100,000). IN ADDITION TO THE COST OF WORKER'S COM PENSATION 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 Secion 3700 of the Labor Code, for the performance of thg<ork for which this permit is issued. `�' - in i ma wer ers compensation insurance, as required by Date: Contractor: <[ 1-A-lainz, �O 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: OWNER -BUILDER DECLARATION Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 7600014807161 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of a wo f r hich this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so s to b subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and egree th t, if I o d become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 00 a Labor Codeall f hwit Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with hose provisions. 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 Date: �� Applicant: permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKER ' MPENSATION COVERAGE IS UNLAWFUL, ( ) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TC CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS D100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVI QED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forti on this application. (_) 1, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf tl'. is application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , t6e owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmess the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for.any act or omission relaced to the work being performed under or (� I am exempt under Sec. , B.&P.C. for this reason following issuance of this permit. 2. Any permit issued as a result of the application becomes null and void if work is not commenced within 180 days from Jate of issuance of such permit, or cessation of Date: Owner: work for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that I have read this applicatio■ and state that the abo% I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and 7operty eby authorize representatives of this city I above-ment' ned for inspectmn purposes. Lender's Name: Date: Signature (Applicant or Agent): Lender's Address: Date: 1/18/2017 Application Number: BMCH2O17-0006 Owner: Property Address: 77050 AVENIDA FERNANDO JACK PANOS APN: 658240008 77050 AVENIDA FERNANDO_ Application Description: PANOS / CHANGE OUT (3) HVAC SYSTEMS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $20,000.00 Applicant: Contractor: SUPERIOR HEATING & AIR CONDITIONING INC SUPERIOR HEATING & AIR CONDITIONING INC 7,3510 30TH AVENUE 73510 3071-1 AVENUE THOUSAND PALMS, CA 92276 THOUSAfNM PALMS, CA 92276 (760)343-0203 Llc. No.: 990826 --------------------------------------------------------------------------------------------- Detail: HVAC CHANGE OUT - (3)SYSTEMS 14SEER/81AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013. CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINIST2ATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $228.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $114.00 Total Paid for CiANGEOUT: $342.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0. $96.27 Total Paid for PERMIT ISSUANCE: $96.27 CERTIFICATE OF COMPLIANCE . CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4) Project Name: J.Panos I Date Prepared: 2017-01-17 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 J.Panos 02 Date Prepared 2017-01-17 03 Project Location 77050 Avenida Fernando 04 Building Type Single family 05 CA City La Quinta ' " ` � 06 Dwelling Unit Name House SC System SC System CFA served system a refrigerant 07 Zi Code P 92253 � Installing Dwelling Unit Conditioned 3105 Location or Area by this SC ducted X08 'Floor Area (ft) more than 40 entirely new entirely new �*' Name Number of Space System (ft2) 09 Climate Zone 15 -a �"' 10 Conditioning (SC) Systems in 1 Alteration Type . Unit #1 Living Space 1000 this Dwelling Unit: Yes Yes No No No Altered space B. Space Conditioning (SC) System Information �,,, - M 01 02 03 04 9 g 05 Lim,_ 06*4 07 . 08 09 10 Is the SC111 �flnstalling,ai SC System SC System CFA served system a refrigerant `Installinghe'W C` 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 . Unit #1 Living Space 1000 Yes Yes Yes No No No Altered space conditioning system Unit #2 Master 1000 Yes Yes Yes No No No Altered spaceconditioning system Unit #3 Bedrooms 1105 Yes Yes Yes No No No Altered space conditioning system Registration Number: 417-A020005388A-000-000-0000000-0000 Registration Date/Time: 2017-01-17 18:27:50 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-17 18:27:50 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 4) C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 1711. 07 03 04 05 09 07 U8 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 Systtem Type %Components Type Value Type Duct Length R -Value All new All:°°new Less than or Unit #1 Central gas heating AFUE 0.81 Cetralpht cooling SEER 14 Setback equal to 40 R-8 furnace components:: I.AC �;�^'components a;: feet Central All new -, Central All new Less than or Unit #2 packaged HP heating AFUE 0.81 packaged ACS; , CoolingSEER 14 Setback equal to 40 q R-8 components components feet Central All new Central All new Less than or Unit #3 packaged HP heating AFUE 0-81• 9 t Xpackaged AC cooling.. ; -v- SEER 14 Setback equal to 40 feet R-8 components ; ,,components Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Qi ill °= I , r V,v ,Y ��r " {• � ±I t ,,: - 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 MR -MCH -20-1-1 - Duct Leakage Test 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% or <='10% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF311-MCH-23 Airflow Rate >= 300 CFM per ton -required when MCH -25 is required. 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, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) This section does not apply to this project. Registration Number: 417-A020005388A-000-000-0000000-0000 Registration Date/Time: 2017-01-17 18:27:50 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-17 18:27:50 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT-024 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4) F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC) This section does not apply to this project. Registration Number: 417-A020005388A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance I Ly Registration Date/Time: 2017-01-17 18:27:50 Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-01-17 18:27:50 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 4 of 4) I Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Henry fo vv Ye* y Company: Signature Date: John Henry's Home Energy Rating Service 2017-01-17 Address: CEA/ HERS Certification Identification (if applicable): 13699 Monument Street City/State/Zip: + Phone: Desert Hot Springs CA 92240,864'367 3484 Responsible Person's Declaration statement ") X 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. a' 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the b (ding 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 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 fonapprovallwith this building permit application. S. I will ensure that a registered copy of this Certificate of Compliance 'shall be maac!66vailable with the,buildi g=pe mit( ued for the building, and made available to the enforcement agency fog all applicable inspections. I understand that a registered copy of this Certificate of Compliance is'required'to be Included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Shawn Malette QSsFnW-'C'll . r IW Responsible Designer Signature: il- v o it w''MP ',ll e . Company: Date Signed: Superior Heating & Air Conditioning, Inc. 2017-01-17 Address: License: 73510 30th Avenue 990826 City/State/Zip: Phone: Thousand Palms CA 92276 626-589-8609 Registration Number: 417-A020005388A-000-000-0000000-0000 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 Date/Time: 2017-01-17 18:27:50 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-17 18:27:50 Schema Version: rev 10/16 Bin # a i Permit # Project Address.; arty of La Qu' l to Building 81- Safety Division 78-495 Calle Tampico La Quint?, CA 92253 - (760) 777-701,2 B ng Permit Application and Tracking Sheet -7 DONvner'sName: wp S A. P. Number: Address: 2 jb!�—D Legal Description: City, ST, Zip: Contractor : 1L Telephone: Address: Project Description: City; ST, Zip: el T e h ne 0 d t� :City State Lie. # : �D� Z�O Lie #.: Arch., Engr., Designer: Address: City, ST, Zip: Tele h ne:Construction aneY e- Occupancy: TYP P : Add'nProJecttYP cirela one : New Aller Repair -air Demo to Lic. # State " Name of Contact Person Sq. Ft_: #Stories: # Units: Telephone # of Contact Person: O Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plam Check Deposit Truss Cafes. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Ccnstruction Flood plain plan Plans resubmitted N--chanical Grading plan 2°' Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person P3imbing Grant Deed Plans picked up SM.I. li.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Reyiav, ready for.corrections/issue E cvcloper Impact Fee Planning Approval Called Contact Person p..I.P.P. Pub. \Vks_ Appr Date of permit issue School Fees, 1 Total Permit Fees