BMCH2018-002978-495 CALLE-TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&ty/ 4 4v Qu&roi
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0029
78151 CALLE NORTE
770011074
DEVLIN / HVAC CHANGEOUT 16SEE/80AFUE SPLIT SYSTEM
$6,500.00
Applicant:
BOB'S AIR CONDITIONING AND HEATING SERVI
40-874 CECINA WAY
BERMUDA DUNES, CA 92201
FEB 0 7 2013
L__ - .
CITY OF lH Q------�
UINTA
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.: 589063
,`Date t� Contractor:
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 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
VOICE (760) 777-7125.
FAX (760) 771-7011
INSPECTIONS (760) 777-7153
Date: 2/7/2018
Owner:
TOM DEVLIN
78151 CALLE NORTE
LA QUINTA, CA 92253
Contractor:
BOB'S AIR CONDITIONING AND HEATING SERVI
40-874 CECINA WAY
BERMUDA DUNES, CA 92201
(760)345-7640
Llc. No.: 589063
WORKER'S COMPENSATION DECLARATION
1 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
oft r-�ch-this permit is issued.
ave 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: WESCO INSURANCE COMPANY Policy Number: WWC3314660
_ I certify that in the performance of the work for which this permit is issued, I
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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 16 Applicant: -mss
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 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 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 representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: a` ��~ u Signature (Applicant or Agent)
►q
Date: 2/7/2018
Application Number: BMCH2O18-0029
Owner:.
Property Address: 78151 CALLE NORTE .
TOM DEVLIN
APN: 770011074
78151 CALLE NORTE
Application Description: DEVLIN / HVAC CHANGEOUT 16SEE/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,500.00
Applicant:
Contractor:
BOB'S AIR CONDITIONING AND HEATING SERVI
BOB'S AIR CONDITIONING AND HEATING SERVI
40-874 CECINA WAY
40-874 CECINA WAY
BERMUDA DUNES, CA 92201
BERMUDA DUNES, CA 92201
v
(760)345-7640
--------------------------------------------------------------------------------------------
Llc. No.: 589063
Detail: HVAC CHANGE OUT- 16SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 �.
CALIFORNIA BUILDING CODES.
►q
r
FINANCIAL INFORMATION
>:_.. •.;-.DESCRIPTION ACCOUNT, QTY AMOUNT
BSASSB1473 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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
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
9
Contractor Name:
a , —
AllAddress:.
PERMIT # MA / — dU c
PLAN LOCATION:
Project Address:In
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech '
Garage SF
Telephone:
Patio/Porch SF
S
Applicant Name: 6 A
State Lic: City Bus Lic:
Address:. D —8
State Lic: City Bus Lic:
City, ST, Zip:
Telephone: 6 y v
Email: 6o / coo L_ ICD ro
Valuation of Project $ �� , o—�
Contractor Name:
a , —
AllAddress:.
New SFD Construction:
•
Conditioned Space SF
,City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type:, Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
#Units:
Email:
State Lic: City Bus Lic:
,Property Owner's Name: '^
Address:
New Commercial / Tenant Improvements:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
ALTERATIONS -HVAC
CEC-CFIR-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR=ALT-04-E
Alterations - HVAC CZ 2, and 8-15 ci •�qez -e a — (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permitil:
en
Equipment Type
Equipment Efficiency
New Ducting or Lineset: ,
Required R -value
Conditioned
Floor Area (ft)
Thermostat
❑ Packaged
ZEUvapbrator Coil
�AFL1E
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Served by system
Setback
System
Split System
CKCondensing Unit
❑ Compressor
f�SEER
HSPF
❑ R-8' (CZ 11, 14-16) Ducts
��ftZ
(If not already
present, must
❑ z R-2.8 Lineset°
❑ Mini Split
❑ Lineset
be installed)
Furnace
❑ TXV
EER
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 site for Final:
All Equipment, . CFIR-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-1-1, MCH -(23 or 24)2-H, MCH -25-H'
Compressor, TXV, Lineset; CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (< 15%, or <_10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. 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
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CFIR-ALT-02-E
including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H'
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H'
Mini Splits require CFIR-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -2S -H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (O.S8W/CFM), Air Flow 2 350 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 -20-1-1, MCH -(23 or 24)-H, MCH -25-H
Compressor, TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H
Installer Requirement: Duct leakage < 5%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Duds' CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Dud leakage (< 15% or, 510% 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 -25
' All New Duds is when at least 75%of the duct system is new duct material, and up'to 25%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 information 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 Part 6 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 other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Re onsib a Designer Name:Responsible
Designer Signature:
Date signed:—
Lice :
6> 161
Com
Address:
City/ ate/Zip:
Phone" '
For assistance or questions regarding the Energy 5tandards,/con-tact the Energy Hotline at: 1-800-772-3300