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BMCH2017-004978-495 CALLE TAMPICO `LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O17-0049 Property Address: 44560 MILAGO DR APN: 604262003 Application Description: HVAC CHANGE OUT Property Zoning: Application Valuation: $8,900.00 Applicant: SAN'S AIR CONDITIONING & HEATING 51 -530 JACKSON STREET COACHELLA, CA 92236-2737 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.: 522775 (� *Date: '�1 Nlaltractor. "`�� 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 ) 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 Name: Lender's Address: 'MENT VOICE (760) 777-7125 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date:. . 3/9/2017 Owner: MARY ANN LASKO 44560 MILAGRD LA QUI NTA, CA 92253 Contractor: SAN'S AIR CONDITIONING & HEATING 51-5301ACKSON STREET COACHELLA, CA 92236-2737 (760)398-4287 Llc. No.: 522775 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' c.)mpensation 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: STATE COMPENSATION INSURANCE FJND Policy Number: 9074503 _ 1 certify that in the performance of .he work for which this permit is issued, I shall not employ any person in any manner sa as to become subject to the workers' compensation laws of California, and agree tF at, if I should become subject to the workers' compensation provisions of Section 3700 of he Labor Code,dsall forthwith comply with those provisions.�//�ate:.' `plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMILIAL 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 t1w 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 -he 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 tLe 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 representa-ives of this c i to pter upon the bove- mentioned property for inspection purposes. re (Applicant or Agen r Application Number: BMCH2017-0049 Property Address: 44560 MILAGO DR APN: 604262003 Application Description: HVAC CHANGE OUT Property Zoning: ' Application Valuation: $8,900.06 Applicant: SAN'S AIR CONDITIONING & HEATING 51-530 JACKSON STREET COACHELLA, CA 92236-2737 Date: 3/9/2017 Owner: MARY ANN LASKO 44560 MILAGRO LA QUINTA, CA.92253 Contractor: SAN'S AIR CONDITIONING & HEATING 51-5301ACKSC3N STREET COACHELLA, CF. 92236-2737 (760)398-4287 Llc. No.: 522775 --------------------------------------------------------------------------------------------- Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM 12016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE IMSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. 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 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $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 J i rr i r ur uAururtrvin ALTERATIONS- HVAC OWN CEC-CFI1R-ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION' CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site Ardr�srs:— -�1C1 I ' \� Enforcement Agency: Date prepared: Permit#: Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Conditioned r FlooQrea (ft2) Thermostat ❑ Packaged ❑ Evaporator Coil Z:QAFUE COP ❑ R-6 (CZ 1-50, 12&13) Duds Serve] by system ❑ Setback System ❑ Condensing Unit ❑ R-8' (CZ 11, 14-16) Duds ftZ (If not already ®'Split System ❑ Compressor SEER HSPF ❑ > R-2.8 Lineset` present, must ❑ Mini Split ❑ Lineset . 1EER be installed) ❑ Furnace ❑ TXV 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 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-H2 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 (< 15%, or 510% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: Id1. 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 1 ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Duds' CFIR-ALT-02-E inducting Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H' Mini Splits require CFIR-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3Rj MCH -25-H Installer Requirement: Duct leakage:S 5%, Fan Efficacy (0.58W/CFM), Air Flow,? 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 CFIR-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 -25-H Installer Requirement: Duct leakage :< 5%, Air Flow z 350 CFM/ton (or alternative), RefrigeranYCharge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet I Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H Installer Required to: Duct leakage L35% or, <_10% 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 do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -2S ' All New Ducts is when at least 75%of the duct system is new duct material,.and up to 2.5%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 infornation 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 Part6 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 they applicable compliance documents, worksheets, calculations, plans and specifications submitted',to the enforcement agAcy.,fora p roval with t1fis building permit application. R Desi ne me" Responsible Designer Signature:to Si ed: e:1'4 Tj� Company: ` Address: City/Stat i P�ene: for assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 Bin # Qty of La Quinta Building &r Safety Division Permit # 78-495 Caffe Tampico i - La Quinta, CA 92253 - (760) 777-701,2 p� Building: Permit Application and Tracking Sheet Project Address: l-1 ; � �' Owner's Name: A. P. Number:. Address: A !46 �— Legal Description: City, ST, Zip: \c,%—U) Contractor: Tele hone: l P wo Address: Pro ect Description: City, ST, Zip: `P�� — ne 0a � � r-� TeleP ho . V , U �1 State Lie. # : ' rzj11 „'Ai,� City Lie #;MEN;.:.;:: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: n fracfton Type: O ecu at cY: State Lie. 9: ProJ'ecftYPe circle one • New Add n Alter Repair- r Demo Name of Contact Person: Sq. Ft.:# Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACkJNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balan:e. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. 1Vks. APPr Date of permit issue School Fees. Total Permit Fees