BMCH2017-04997'8-495. CALLE TAMP -ICO ,,,..,,.
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation: .
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O17-0499
791Q2 LIGA
776130001
SEHER / (2) HVAC CHANGEOUTS 14SEER/81AFUE SPLIT SYSTEMS
,$14,000.00
Applicant:
SOUTHERN AIR CONDITIONING / HEATING"
2050 JASON CT
PALM SPRINGS, CA 92262
DEC 12 2017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 953452
"Date: �] —►Z—I �i Contractor: o r
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).:
(� 1, 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/2017
Owner:
STEPHEN SEHER
Contractor:
SOUTHERN AIF. CONDITIONING / HEATING
2050 JASON C1 -
PALM SPRINGS- CA 92262
(760)992-0296
Llc. No.: 953452.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one Y the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37)0 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: EXEMPT Policy Number: _
1X4. 1 certify that in the performance & the work for which this permit is issued,1.
shall not employ any person in any manner m 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 Lab Code, I shall forthwith
comply with those provisions.
Date:2--12 I l Applicant:
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT. ACKKOWLEDGEMENT
IMPORTANT: Application is hereby made to :he Building Official for a permit subject to
the conditions and restrictions set forth on CAis application. .
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perfoomed under or pursuant to any permit issued
as a result of this application , the owner, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cit+ of La Quinta, its officers, agents, and
employees forany act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app;ication becomes null and void if work is not
commenced.within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellatmn.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county orc inances and statelaws relatinVV building
construction, and hereby authorize representatives of this city tgenf$r up�n qhe above-
mentioned property for inspection purposes: /� (/
Date: ' ` I-r—,lignature (Applicant or
Date: 12/12/2017
.Application Number: BMCH2O17-0499
Owner:
Prop&W'Ad'dress: "" "' "79102 LIGA ..
STEPHEN SEH=R
APN: 776130001
3818 HORSEHEAD BAY DR NW
Application Description: SEHER / (2) HVAC CHANGEOUTS 14SEER/81AFUE SPLIT SYSTEMS
GIG HARBOR,'WA
Property Zoning:
Application Valuation: $14,000.00
Applicant:
Contractor:
SOUTHERN AIR CONDITIONING % HEATING
SOUTHERN AIR CONDITIONING / HEATING
2050 JASON CT
2050 JASON CT
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262
(760)992-0293
Llc. No.: 953452
Detail: (2)HVAC CHANGE OUTS - (1&2)145EER/81AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
rINANfIAI LIUMPMATInN
.. .; :DESCRIPTION
T
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
$78.02
DESCRIPTION'.
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0 .
$156.04
Total Paid for CHANGEOUT: $234.06
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
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
•$348.89
..... ...... --- GEM af,bn DESE:R1-- .—-------- -----.
PERMIT #n
PLAN LOCATION:
(Project Address
-- ?q �o�. �; LaC c
Project Description: Pool, Remodel, Add't,-Elect, Plumb, Mech
APN #:
Telephone:6 ,� Z
Patio/Porch SF
Email•S
Applicant Name:
State Lic: a City Bus Lic: ' L IG- p
Address:
State Lic: City Bus Lic:
City, ST, Zip:
Telephone:
Email:
AMC
,Valuation of Project $Q�
•Contracior Name:
New SFD Construction:
.Address:.
Conditioned Space SF
City, St, ZipGarage
SF
Telephone:6 ,� Z
Patio/Porch SF
Email•S
Fire Sprinklers SF
State Lic: a City Bus Lic: ' L IG- p
' 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:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, ZipLo�
Construction. Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA,.CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
•Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan.(PM 10)
F .
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
tf
1
F .
tf
CERTIFICATE OF COMPLIANCE, CFiR-ALT 02-E<.
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)'s
Project Name: 79102 Liga Date Prepared:. 2017-12-12_
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
(:FIR -ALT -02 document for each dwelling unit.
01
Project Name
79102 Liga
02
Date Prepared
201712-12
03
Project Location
79102 Liga
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79102 Liga
L.�/ C:
i
SC System
Dwelling Unit Conditioned
CFA served
07
Zip Code
92253 .:
08
Floor -Area (ft) .
3600
Identification or
Location or Area
by this SC
Number of Space
containing
09
Climate Zone
1S
10
Conditioning (SC) Systems in
2
Served
System (ft)
system?
component?
this Dwelling Unit:
feet of ducts?
U J%_ - IV--- :7& 11.&1 --Vr --. n' M
B. Space Conditioning (SC) System Informationifk' Fg,
01
02,
03''-
04
05
_ 06
07
08
09
10
'FIs the SC1'_1
11Gstaltl to M1
` "'.f V I
L.�/ C:
i
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Living Area
2000
Yes
Yes
Yes
No
No
No
conditioning system
System 2
bedrooms
1600
.Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDilb)
This section does not apply to this project.
Registration Number: 217-A026563782A-000-000-0000000-0000 Registration bate/Time: 2017-12-12 06:24:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-12-12 .09:24:21
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
CFiR-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
Less than or
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
g1
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Reouired Documentation:
CFZR-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 CF311-MCH-20-H - 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 access.i,.b�le leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing com onent�I Str� tilled ora' ilter2 '(ap(ilicable in C 2, 8-15).
CF2R and CF3RJ%-*
-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-iS is required
Exceptions: rk
from1MCH-2d D ct Leakage Testing squirehnts.
Duct systems registered with HERS provider as previously sea'leii.are xA01
}
Itempt
-.Heating-only systems and Air Handler,Furnace changes do not requlre verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, Insulated oraealed with asbestos ar 'exempt from;MCHi20 Duc akage Testing re ulrem n'tS. \ n
E. Entirely New or Complete Replacement Duct System, with or without Equipment 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)1C)
This section does not apply to this project.
Registration Number: 217-A026563782A-000-000-0000000-0000 Registration Date/Time: 2017-12-12 06:24:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-12712 09:24:21
Schema Version: rev 10/16
2
i
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, i certify that this Certificate'of Compliance documentation is accurate and complete.
nnrllmP_ntntlnn Grnrhnr Nomo;
U0tuthei6tatidh Author Signature:
Bach us, Tom
/I�t�li roldC,l f4�
Company:
Signature Date:
MLC Building Performance
2017-12-12 06:24:24
Address:
CEA/ HERS Certification Identification (if applicable):
77825 Delaware Place
City/State/Zip:
Phone:
Palm Desert CA 92211. }
760-836-0066 '
Responsible Person'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...
3
2. 1 am eligible under Divlslon'of theBusiness 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 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 gula�tfbn�
4. The building design features or system design features identified on this Certificate of Compliance are,consiste t wit the informatl'on,provided on•other.�pPlicatile compliance documents, worksheets,
calculations, plans and specifications submitted.to the enforcement agency for.approvAl with this bulltlln� ppermit eilication:
s� e9 to M(r �. V A� a{
S. I will ensure that a registered copy ofthis Certificate of Compliance shalkbe`made,ayailablewith t_he bgllding pet mitt3),lssued forithe l�ililding, and made available;to-tWenforcement agency for all applicable
inspections. I understand that a regisiered copy of this•CeOficate of Compliance iis.requlred to, Included witch the. documentation�the builder provides to the building owner at occupancy.
Responsible Designer Name: I -A
Responill3le DeFgner S1�nattre: V X—A L. �A
7aW oj6
Bachus,,Tom
Company:
Date Signed:
MLC Building Performance
2017-12-12 06:24:24-
Address: i
License:
77825 Delaware Place i
City/State/Zip:
Phone:
Palm Desert CA 92211 I
760-836-0066
i
Easy to Verify O�
at CaICERTS.com
t
'
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content oft his registered document, and in no way implies
O
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A026563782A-000-000-0000000-0000 Registration Date/Time: 2017-12-12 06:24:24 HERS Provider: CaICERTS
'CA Building Energy Efficiency Standards - 2016. Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-12-12 09:24:21
i Schema Version: rev 10/16 '