BMCH2017-0232r •,
C1
78-495 CALLE TAMPICO
0 D fN1U�il/
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0232
Property Address:
78018 CALLE NORTE
APN:
770012002
Application Description:
PROPECK / HVAC CHANGEOUT 14SEER/80 AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$8,060.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MARY PROPECK
78018 CALLE NORTE
LA QUINTA, CA 92253
Date: 6/12/2017
Applicant: Contractor:
BEST IN THE WEST AIR CONDITIONING & HEAT D BEST IN THE WEST AIR CONDITIONING & HEAT
79301 CONTRY CLUB DR #200 79301 CONTRY CLUB DR #200
BERMUDA DUNES, CA 92203 JUN 12 2017 BERMUDA DUNES, CA 92203
(760)343-1002
CITY OF LA QUINTA Llc. No.: 967982
DESIGN AND DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am d licens under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of Busine and Professions Code, and
my License is in full force and effect.
License Class: C20, C38 License No.: 9 7 82
rContr'actor:
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 f
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.).
(1 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:
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
ofark
ork r which this permit is issued.
f .�_
hhave and will maintain wof kers' compensation insurance, as required by
Se 00 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 Policy Number: BEWC721764
_ I certify that in the performance o e w rk for which this permit is issued, I
shall not employ any person in any man so as o b ome subject to the workers'
compensation laws of California, and a ee that I sho Id become subject to the
workers' compensation provisions of ion th Labor Code, I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS"CM—PENSATION 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 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 an ate a he above information is correct.
I agree to comply with all city and county inanc an state laws relating to building
construction, and hereby authorize represWtif city to enter upon the above-
mentiohed property for inspection purpos
r
Application Number:
BMCH2017-0232
Owner:
Property Address:
78018 CALLE NORTE
MARY PROPECK
APN:
770012002
78018 CALLE NORTE
Application Description:
PROPECK / HVAC CHANGEOUT 14SEER/80 AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$8,060.00
Date: 6/12/2017
Applicant: Contractor:
BEST IN THE WEST AIR CONDITIONING & HEAT BEST IN THE WEST AIR CONDITIONING & HEAT
79301 CONTRY CLUB DR #200 79301 CONTRY CLUB DR #200
BERMUDA DUNES, CA 92203 BERMUDA DUNES, CA 92203
(760)343-1002
Llc. No.: 967982
Detail:
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
$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
S02-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
Qty. of La Quinta
Building 8r Safety Division
P.O. Box 1504,78-495 Caife Tampico
1.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Pemlit #
Project Address: N
Ownet's Name:. MArw
A. P. Number.
Address: " 1'O V I
Legal Description:
City, ST, Zip: LA_
Contractor. �'
TelephonelP 3 g� • q �a
'
Address:11 1 Couta�nA
Project Description:�/7S �^ k
City, ST, Zip: C) 003
W I r
Telephone• AQO X3 I vU,--�^
"xCV ��
1
State Lie. # : q(,Q �a-
City Lia #.-
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone: .�
� Y
y..
State Lic. #: ���a%
Name of Contact Person: L �,/
Construction Type: Occupancy:
Project a circle one New Add'n Alter Repair Demo
J tYP2� )� P
Sq. Ft : I S—
# Stories: ft Univ:
Telephone # of Contact Person: .(p 0 3—/00 Z
Estimated Value of Project 5L Qoup
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd TRACIQNG PERMIT FEES -
Plan Sets
Plan Check submitted
item Amount
Strgctural Cafes
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2id Review, ready for corrections%ssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN UOUSE:-
'"` Review' ready for corrections/issue
Developer Impact Fee
Planning Approval
Calleki Contact Person
A.LP.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:
78018 Calle Norte Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-06-06
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
78018 Calle Norte
02
Date Prepared
2017-06=06
03
Project Location
78018 Calle Norte
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MAIN
Identification or
Location or Area
by this SC
Dwelling Unit Conditioned
containing
07
Zip Code
92253 ti
08'
Floor Area (ft)
1375
Served
System (W)
system?
component?
Number of Space
feet of ducts?
09
Climate Zone
15
30
Conditioning (SC) Systems in
1 `
Yes
Yes
Yes
No
this Dwelling Unit:
No
B. Space Conditioning (SC) System Information
01
02
03
04 N-
y 05
66-& t
07
08
09
10
SC System
SC System
CFA served
Is the SC
systema
Jnstallinga
refrigerant '
Installing new SCS
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system -
more than 40
entirely new
entirely new
Name
Served
System (W)
system?
component?
components?
feet of ducts?
duct system?
SC system?
I Alteration Type
SYSTEM 1
MAIN
1375
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020096804A-000-000-0000000-0000 Registration Date/Time: 2017-06-06 13:05:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-06 13:05:23
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CKR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1
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
Dud Length
R -Value
Central gas
All new
Central split
All new
Greater than
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
14
Setback
40 feet
R-8
components
components
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 (CZ 1-10, 32 and' 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installedin 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. L^ j
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.
(,� 11_1' P- 1'7 I(-11 U_
t ' [IL— aE. EntirelyNew or Complete Replacement Duct System, wth or wihoutEquiPnt Chn aut (Sections 150.2 b 1Diia and 150.2 b lE, F),
This section doe Snot 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: 417-A020096804A-000-000-0000000-0000
U. Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-06 13:05:23
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-06-06 13:05:23
M
CERTIFICATE OF COMPLIANCE CF1R-ALT=027E
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:
Ted Straub
Company:
Signature Date:
Best In The West
2017-06-06
Address:
CEA/ HERS Certification Identification (if applicable):
79301 Country Club Drive
RCN13180
City/State/Zip: -
Phone:
Bermuda Dunes CA 92203 -
760-343-1002
Responsible Person's Declaration statement �f
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. I 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 agency forapproval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made'available with the-buildin'g' permit(s) issued 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`the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
U .frt� tCi`I Ci fru,_.
Responsible Designer Signature:
, . _.: I oj2l- ILL
Jamie Hansen
Company:
Date Signed:
Best In The West
2017-06-06
Address:
License:
79301 Country Club Drive
967982
City/State/Zip:
Phone:
Bermuda Dunes CA 92203
760-343-1002
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-A020096804A-000-000-0000000-0000 Registration Date/Time: 2017-06-06 13:05:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-06 13:05:23
Schema Version: rev 10/16