BMCH2017-020578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0205
Property Address: 51160 CALLE PALOMA
APN: 770143002
Application Description:. SALADO / HVAC CHANGOUT 14SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $4,800.00
Applicant:
MANNY VARGAS AIR CONDITIONING & HEATING
P O BOX 470
INDIO, CA 92202
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C20 License No.: 859195'
(Date / / �Contcacfor:
:7z--=.
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.).
(__j 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 Address:
Owner:
RAYMOND SALADO
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 612017
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MANNY VARGAS AIR CONDITIONI �,& HEA1iNG
P 0 BOX 470
INDIO, CA 92202
(760)899-1429
Llc. No.: 859196
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one -)f the following declarations:
I have and will maintain a certificace 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.
r t have and will maintain workers' compensation insurance, as required by
Secti6n-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 FUND Policy Number: 9205670
_ 1 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 f e abor Code, I shall forthwith
comply with those provisions.
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 FCR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to 0e Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this applcation is made, each person at whose
request and for whose benefit work is perforned under or pursuant to any permit issued
as a result of this application , the owner, andtthe 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 appli:ation 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 cancellatioi.
I certify that I have read this application and rate 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: M Sig_-. in—afu7re (Appli64nt-ir Agent):- L—
Application Number:
BMCH2017-0205
Property Address:
51160 CALLE PALOMA
APN:
770143002
Application Description:
SALADO / HVAC CHANGOUT 14SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$4,800.00
Applicant:
MANNY VARGAS AIR CONDITIONING & HEATING
P O BOX 470
INDIO, CA 92202
Date: 6/1/2017
Owner:
RAYMOND SALADO
, 92253
Contractor:
MANNY VARGAS AIR CONDITIONING & HEATING
P 0 BOX 470
INDIO, CA 92202
(760)899-1429
LIc. No.: 859195
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL ,• 1.
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
10170000-42402
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
Bin #
City of LQ Q( rota
Building 8L Safety Division
78-495 Calle Tampico
La Quinta,.CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: _ �� �t/5
Owner'sN�:
A. P. Number:
Z ddfoets :
Legal Description:
iCity` ST,`_Zi
_1
Contractor.. y
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T ele ho e:
n
P
Addre' sPZiW QZ
Project Descript� i': f -Y
City,..S p:
- --1
Te le h ne:
_ P_ 0
state L;i7Q#_-) %
city Licy#
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: one:
State Lic. #•
Name of Contact Per~ son?/ v-
Construction on TY e: anc
P Occupancy:
Y:
roe cttYPec
rPJ �icle one : New Add'n Alter Repairair Demo
Sq. FL:
# Stories:
# Units:
Telephone'_#, of Contact-Peis n: ?G . 3S - - _
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cher c Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Constructon
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review; ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval .
Plans resubmitted
Grading
IN HOUSE:-
"d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Per nit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: RAY SALADO I Date Prepared: 2017-06-01
Aft
A. General Information
CF1R-ALT-02 is applicable to multipjpace conditioning systems contained within a single dwelling unit.JWn welling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
RAY SALADO 02
Date A
2017-06-01
03
Project Location
51160 CALLE PALOMA 04
8 ' i e
Single family
05
CA City
La Quinta 0
I Unit Name
RAY SALADO
07
Zip Code
92253
welling Unit Conditioned
1400
CFA served
s em a
AOW(
Floor Area (ft2)
Installing
Installing
Installing
� [
Number—:of Space
by this
09
Climate Zone
15
X10
4"0
I
Cond tionin SC +S tems.in
g ( )$ 1j,
("°s
1
Name
Served
Syst )
this O.welling Unit:1h ��� #, i
component?
B. Space Conditioning (SC) System Information t"-) V.� V I : W'k
01
02
034
05
06
07
08
09
10
C
Installing a
SC System
SC System
CFA served
s em a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
Syst )
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
BEDROOM
Location 1
kkoo
No
Yes
Yes
No
No
Yes
complete
replacement space
conditioning system
w
vv
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 217-A020183963A-000-000-0000000-0000 Registration Date/Time:
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-06-01 10:57:36
PP
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)IE and F) A
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changenut is 150.2(b)1Diia and 150.2(b)3E, F)
This section does not apply to this
F. Entirely New or Complete Replacement Space Conditioning System (Section 15 .
01
02
03
04
05
07
08
09
10
11
Heating
Cooling
System
Heating
Minim
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
E ency
Effi"igen
Cooh n'g�
Altered) Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type.
)ue�~
System Type
Component
Type
Value
Type
R -Value
ibt
hi
q
:i *A Vit.
4} $K-
Anrival F I
This field
Ground source
All new heating
Utili ati
_
r~�
�`Cen al sp t
i All new ool g f
SetbackTher
or section
BEDROOM
heat pump
components
E ncy
81
AC
components
SEER
14
mostat
is not
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air t it ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H Duct Leakage Test required
- Leakage rate compliance: <= 5%.
CF2R and CF3R-MCH-22 Fan Efficacy
CF2R and CF3R-MCH-23 Airflow Rate Verification
Compliance: Fan Efficacy <= 0.58 W per cfm and S Airflow >= 350 cfm per ton.
Alternative Compliance: CF2R and CF3R-MC t uct Design verification is an alternative to MCH -22 and MCH -23 verification.
i ion required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-25-H Refrigerant CVdystem"
Exceotions:
Heating -only systems are exempt from per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement means 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,rial) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 217-A020183963A-000-000-0000000-0000
Registration Date/Time:
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-01 10:57:36
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Alffik
Documentation AuthMWWe:
umentation Author Sign re. low
VARGAS, MANNY
Company:
Signature Date
MANNY VARGAS A/ C & HEATING
Address:
CEA/ HER rt Mn Identification (if applicable):
P 0 BOX 470
City/State/Zip:
P
INDIO CA 92202
7 3 -8034
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 e ndycorrect
2. Division Professions Code resp the bwldmg design;W:, tem design this Certificate Compliance (responsible designer).
I am eligible under 3 of the Business and toyaccept ibilityfo identified;on of
a }r Ail !" Mf . x; ks 3'd t4
3. That the energy features and performance speafications materials^com on - anufactuced devices. for thevbwld�ng 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 Re i
s o CompliariCee he p on
4. The building design features or system design featu identified thi, ; o arexoonsistteent with information vided other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcem agency r approval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Complia II be made available with the building 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 C rdi a of n pliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
VARGAS, MANNY ^kXN4.
Company: WIV
Date Signed:
MANNY VARGAS A / C & HEATING *14
Address:
License:
P 0 BOX 470
859195
City/State/Zip:
Phone:
INDIO CA 92202
768=998=8894
Registration Number: 217-A020183963A-000-000-0000000-0000
Registration Date/Time:
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-01 10:57:36
Schema Version: rev 10/16