BMCH2017-042778-495 CALLE TAM PICO C 0 D "�it�1ILICIJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O17-0427
Property Address: 44785 CALLE PLACIDO
APN: 604381028
Application Description: CERVANTEZ / HVAC CHANGEOUT 14SEER/ 81 AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $7,200.00
Applicant: IFF
nMENDEZ AIR CONDITIONING & HEATINGP 0 BOX •871
THOUSAND PALMS, CA 92276 EP 21 2017
ITY
COMMUNITY L EAPq NT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisi ns of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Pr essions Code, and
my License is in full force and effect.
License Cl as C20 License No.: 791437
,Date.-. �/ Qom tor:
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 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/2017
Owner:
HORTENCIA C=RVANTES
, 92253
Contractor:
MENDEZ AIR CONDITIONING & HEATING
P0BOX 871
THOUSAND PALMS, CA 92276
(760)343-5047
Llc. No.: 7914_7
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one -of the following declarations:
I have and will maintain a certific; to of consent to self -insure for workers'
compensation, as provided for by Section 37-30 of the Labor Code, for the performance
of the work for which this permit is issued.
_ I have and, will maintain workers' :ompensation insurance, as required by
Section 700 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: FARMERS INSURANCE EXCHANGE Policy Number: C09242175
_ 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 becom bject to the
workers' compensation provisions of Sectior 3700 of the Lab ode,1 II forthwith
comply witch t se provisions.
Date: / �r Applican
WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,1300). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE
INTEREST,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to :he Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this apoication 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 Citi of La Quinta, its officers, agents, and
employees for any act or omission related tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appfcation becomes null and void if work is not
commenced within 180 days from date of issjance 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 orotnances and state laws relating to building
construction, and hereby authorize represematives of this city to enter u o ove-
mentioned p per y for inspection purposes..
Date: a� / ure-(Ap
Signatplicant.o� Age;
Date: 9/21/2017
Application Number.: BMCH2O17-0427
Owner:
Property Address: 44785 CALLE.PLACIDO
HORTENCIA.CERVANTES "
APN: 604381028
. Application Description: CERVANTEZ / HVAC CHANGEOUT 14SEER/ 81 AFUE SPLIT SYSTEM
92253
Property Zoning:
Application Valuation: $7,200.00
• 1
Applicant:,
Contractor:
MENDEZ AIR CONDITIONING &'HEATING
MENDEZ AIR CONDITIONING & HEATING
P0BOX 871
P0BOX 871
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)343-5041
Llc. No.: 791437
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) T0. BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL
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
n
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Add ses:.
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A.P. Number
Address L-I LI Z�S Ca
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Legal Description:
City,_ST,,-Zi
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Contractor-:
Telephoner
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State,i ic.-#: L
City,Lic
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Proj. Type New Add'n
Occupascy:
Alter, Repair Demo
State Lic. #:
Name of Contact') t�t
SgFt:
#Stories
# Units:
Telephone of Cofitiqf�:-1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Req'd
TRACKING
PERM17 FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbin;:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Pen-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: 44785 Calle Placido, La Quinta, CA 92253 Date Prepared: 2017-09-21
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
44785 Calle Placido, La Quinta, CA 92253
02
Date Prepared
2017-09-21
03
Project Location
44785 Calle Placido, La Quinta, CA 92253
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
44785 Calle Placido, La Quinta, CA 92253
1
Dwelling Unit Conditioned
1 talk g a
07
Zip Code
92253 !
08
Floor Area (ft)2204
SC System
SC System
CFA served
i
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Number of Space
by this SC
09
Climate Zone `;
15 / 1 . _ - -
10
Conditioning (SC) Systems in
1
Name
_
r - _
System (ft)
this Dwelling Unit:
component?
IF I- 9 L z -I,- ",., 3 !.-- 7 C_--% N -.-',-"I r- it I- - 1 ti
B. Space Conditioning (SC) System Inf jma
.�
01
02
03,'�
.om.
04
1 .Ju Ji `�...i'
05
w..w.c. Fw' 'le..?✓
06
.M —0
07
..,M
09
10
j
,%
*
�;�
X08
llk(s the SCT
1 talk g a
SC System
SC System
CFA served
system a
refrigerant
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2204
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 217-A020325828A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-09-21 05:42:42 HERS Provider: CalCERTS
Report Generated: 2017-09-21 08:42:21
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 1501(b)lE and F)
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
Less than or
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
MR -MCH -01-E - Space Conditioning Systems !A
- Duct insulation requirement for the new portions of supply -air and return -air 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 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.
CF2R and CF311-1VICH-25-1-1 Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions: '
Duct systems registered with HERS provider aspreviously sealed are exempt from MCH -20 Duct Leakage Testing,requirements. w
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 asbestosare exempt from MCH=20 Duct`Leakage Testing requirements. SS i ��
i[ J t t E '1 v - 1 E i E i k 1 f . J i 1 I 1 E. 1 f k\1
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 section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)SC)
This section does not apply to this project.
Registration Number: 217-A020325828A-000-000-0000000-0000
Registration Date/Time
2017-09-21 05:42:42
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-21 08:42:21
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.
Documentation Author Name:
Documentation Author Signature:
/%(ems
�
Mendez, Enrique
w- c
O
Company:
Signature Date:
MENDEZ AIR COND & HEATING
2017-09-21 05:42:42
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 871
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276 A
760-343-5041
Responsible Person's Declaration statement's
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate Jof Compliance is true and correct.
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 Regulation_s�� E }
4. The building design features or system design features identified on this Certificate of Compliance are entwdh-the information -provided on otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval this bwlding permit application. v
1
S. I will ensure that a registered copy of this Certificate of:Compllance shall be;marJe,available withahe building:pgrmit(s) issued fortthe building, ant al available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Complliance is ;required to be included with the,documentation. he,builder p,covides to the building owner at occupancy.
Responsible Designer Name:` `w
Responsible De"'signer Signature: �° '-
Mendez, Enrique
Company:
Date Signed:
MENDEZ AIR COND & HEATING
2017-09-21 05:42:42
Address:
License:
P 0 BOX 871
791437
City/st-ate/Zip:
Phnno-
THOUSAND PALMS CA 92276 1760-343-5041
Easy to Verity aatIffil
at CaICERTS.00m
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies
PSI
a
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020325828A-000-000-0000000-0000
Registration Date/Time:
2017-09-21 05:42:42
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-21 08:42:21
Schema Version: rev 10/16