BMCH2017-041078-495 CALLE TAMPICO D 4� a"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0410
Property Address:
79645 MANDARINA
APN:
776191010
Application Description:
FLEMING / (1) 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$8,950.00
Applicant:
IE INC
31225 LA BAYA
CD
WESTLAKE VILLAGE, CA 91362
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
i
Date: (°'I 41 Contractor�glzzl
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).:
( ) 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 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 Na
Lender's Add
VOICE (760) 777-7125
FAX(760)777-7011
JNSPECTIONS 760,477-7153
M
Cn
z
ate w9/14/2017
v
Owner: z
MIKE FLEMING Q
m
79645MANDaRINm C)
LA QUI NTA, CA 92� ^
►—+
C-
CD
M
Contractor: a
.�A I G
A#1 SERVICE! HEA�IG &�_.
78206 VARNER RD -189
PALM DESERT, CA 9211
(7
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 Polity Number: FLA006188
_ I certify that in the performance of the work for which this permit is issued, l
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 Secticn 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: CI 4 Applicant
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 =0R 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 C'ty 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 o dinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposs.
cam— : ,
Date: g 14 11 Signature (Applicant or Agent)J�y �—
`
`Date: 9/14/2017
Application Number: BMCH2017-0410
Owner:
PropeityMdress: 79645 MANDARINA
MIKE FLEMING
APN: 776191010
79645 MANDARINA
Application Description: FLEMING / (1) 14SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,950.00
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
Ll c. 'No.: 977333
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMCS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT QTY I 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
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHA,VGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
Cit}r of La Quintta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application. and Tracking Sheet
Permit #
Project Address: 79645 Mandarina
Owner'sName:.Mike Fleming
A. P. Number.
Address: 79645 Mandarina
Legal Description:
City, ST, Zip: La Quinta, CA 92253,
Contractor. A#1 Services Heating & A/C
Telephone: 415-596-0135 >.>z
Address: 78206 Varner Road #D=189 •
Project Description: Replace'5 ton / `•.1OK BTU complete
City, ST, Zip: Palm Desert, CA 92211
HVAC system
Telephone: pQ�� "
P 760-342-3610 "' f ' n
State Lic. # : 977333 City Lia #:
Arch., Bngr., Designer
Address:
City., ST, Zip:
Telephone: ,' ::�
�V
State Lic. #: ---------
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Addrn Alter Repair Demo
Project
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $8,950.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRAMING
PERMTP FEES
Plan Seta
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Pians picked up
CanstrncEon
Flood plain plan
Plans resubmitted _ .
Mechanical
Grading plan
214 Review, ready for correctionsfissue
Electrical)
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans #icked upS
NlX
H.O.A. Approval
Plans resubmitted
Grading
IN IIUiISEs-
'^` Review; ready for correctionslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -.IR -ALT HVAC)
Project Name:
MIKE FLEMING I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-09-13
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
MIKE FLEMING
02
Date Prepared
2017-09-13
03
Project Location
79645 MANDARINA
04
Building Type'
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
. entirely new
Dwelling Unit Conditioned
Served
07
Zip Code
92253
082747
Floor Area (ft)
2747
SC system?
Alteration Type
-
WHOLE HOME
Number of Space
Yes
Eog
Climate Zone
15
10
Conditioning (SC) Systems in
1
;`�
this Dwelling Unit:
B. Space Conditioning (SC) System Information r
01
02
03
04
05 t
06'&
07
08
09
10
SC System
SC System
CFAserved
Is the SC
ti'alary
systema
Installing,a"
0 'r +r (.'I
refrigererit
W# '� new'SC
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 HOME
2747
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. EOension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020116058A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 14:37:22 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-13 14:37:23
1
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)- _ - .(Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
•0 ""i 1
01
02
03
04
05
06
07
08
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
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.g
AC
cooling
SEER
14
Setback
section is not
section is not
components
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 (CZ1 10 12 and�1 3) and R8 (CZ 11 and 14-16)
CF2R and CF3R-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 accessible leaks. ti
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: '..y
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage, Te sting requirements.
Heating -only systems and Air Handler Furnace changes dd 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.
.1 ... 1 1F7 1- 11 , I V—* i t`i!"
' A i
0-11 t. 0—, iIC.,., i '_A'! # i
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 secton does` of appl yto tth s -p o ect.
F. Entirely New.or Complete. Replacement Space Conditioning System .(Section 150.2(b)1C)
This.section does not apply to this project. -
71
Registration Number: 417-A020116058A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 14:37:22• . HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-13 14:37:23
•r •
1
k,
CERTIFICATE OF COMPLIANCE CF1R-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:
Timothy Ceausu
1 imothyCeau w
Company:
Signature Date:
I Permit E Raters
2017-09-13
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
RCN13063
City/State/Zip:
Phone:
Westlake Village CA 91362
818-735-7876
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. �f
2. 1 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 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 gency'forYapproval with this building permit application.
ie kt a �i �[..`
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be madeyavailablle with the building petmit(s� ued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required -to be included with- he documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: ,
Responsible Designer Signature:
T'�"u'%hyceausu (a"�tY"'f'�eCl)
Cara Goldbergs"1�i
Company :
Date Signed:
A#1 Services Heating & Air Conditioning
2017-09-13
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: 417-A020116058A-000-000-0000000-0000 Registration Date/Time: 2017-09-13 14:37:22
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
HERS Provider: CHEERS
Report Generated: 2017-09-13 14:37:23