BMCH2018-005278-495 CALLE TAMPICO D .
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O18-0052
Property Address: 52190 AVENIDA VILLA
APN: 773234010
Application Description: ORSO / HVAC CHANGEOUT 14SEER/81 AFUE PACKAGED UNIT
Property Zoning:
Application Valuation: $5,367.00
Applicant:
HEMET VALLEY MECHANICAL INC DBA J & M Al D
395 W ESPLANADE AVENUE '—"--•
SAN JACINTO, CA 92583 MAR O 6 ZU18
CITY OF LA QUINT
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I he 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.: 496547
Date: O I '0` - /9 ContractoC_
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, 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.).
( 11, 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date:. 3/6/2018
Owner:
JOE ORSO
Contractor:
HEMET VALLEY MECHANICAL INC DBA J & M Al
395 W ESPLANADE AVENUE -
SAN JACINTO, CA 92583
(951)654-3464
Llc. No.: 496547
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of 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 wppk for which. this permit is issued.
I have 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 insuranco- carrier and policy number are:
Carrier: AMERICAN HOME ASSURANCE COM DANY Polity Number: WCO26182536
_ 1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner s• as to become subject to the workers'
compensation laws of California, and agree tliat, 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: QJ10 P Applican :
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 ($100,00). 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 the Building Official for a permit subject to
the conditions and restrictions set forth on ttis application.
1. Each person upon whose behalf this appEcation 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 applkation 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 cancellatim.
I certify that I have read this application and sate 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. A
Date: �3 �D Signature (Applicant or Age
r
Date: 3/6/2018
Application.Number: BMCH2018-0052
Owner:
Properfy'Address•.`` 52190 AVENIDA VILLA
JOE ORSO
APN: 773234010
Property Zoning:
Application Valuation: $5,367.00
Applicant:
Contractor:
HEMET VALLEY MECHANICAL INC DBA J & M Al
HEMET VALLE f MECHANICAL INC DBA J & M Al
395 W ESPLANADE AVENUE
395 W ESPLANADE AVENUE
SAN JACINTO, CA 92583
SAN JACINTO, CA 92583
(951)654-3464
Uc. No.: 496547
Detail: HVAC CHANGE OUT - 14SEER/81AFUE PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
r,;,- .:-...,. r• . ,.:,DESCRIPTION ACCOUNT j 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 - PACKAGED UNIT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $65.02
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
8
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Orso I Date Prepared:
CF1.
.(Pak
2015 ..3-06 I
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
Orso
02
Date Prepared
2018-03-06
03
Project Location
52190 Avenida Villa .
04
Building Type
Single family
05
CA City
La Quinta06
I
Dwelling Unit Name
Orso
07
Zip Code
92253
08
Dwelling Unit Conditioned
1286
Installing new SC
Installing
Installing
Installing
Floor Area (ft)
Identification or .
Location or Area
by this SC
ducted
containing
Number of Space
more than 40,
09
Climate Zone
.15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?"
this Dwelling Unit:
SC system?
'h $F y6 Eos
B. SPpace Conditioning (SC)System Informationfv Egz
'
b x 04
..
05
Y^•"° .F'^M-. ;
06
:a,w :mwar. HYMFn
07
.%.+..x.,.;. r. A' r`
08
.l*""'e-.. TXM.,.
409
ek!.'My,,
10
_N s the SO -1
Installing a •
-
I
�'
1 ;
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
Entirely new or
System 1
Location 1
1286
Yes
Yes
Yes
Yes
Yes
Yes
complete
replacement space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)iDiib)
This section does not apply to this project.
Registration Number: 218-A020064959A-000-000-0000000-0000 Registration bate/time: 2018-03-06 08:14:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-06 07:39:49
Schema Version: rev 10/16
Q
CERTIFICATE OF COMPLIANCE CF1R-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)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
O1
02
03
04
05
06
07
08
09
10
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type.
Value
System Type
Component
Type
Value
Type
R -Value
'l
Central gas
All new heating
Annual,Fiael
Utilization
^
Centrale W
All riew cc piing
SetbackTh&
System
r
`
, tt.: �,
f SEER
14
R-8
furnace
components
Efficien cy
a
packaged AC
s components
&
mostat
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, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CHR -MCH -20-1-1 Duct Leakage Test required
- Leakage rate compliance: <= 5%.
CF211 and CF3R-MCH-22 Fan Efficacy
CF2R and CF3R-MCH-23 Airflow Rate Verification
Compliance: Fan Efficacy <= 0.58 W per cfm and System Airflow >= 350 cfm per ton.
Alternative Compliance: CF2R and CF311-MCH-28 Return Duct Design verification is an alternative to MCH -22 and MCH -23 verification.
CF213 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement duct system" 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, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 218-A020064959A-000-000-0000000-0000 Registration Date/Time: 2018-03-06 08:14:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-06 07:39:49
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
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:���
Company:
Signature Date:
HEMET VALLEY MECHANICAL INC
2018-03-06 07:42:34
Address:
CEA/ HERS Certification Identification (if applicable):
395 W. Esplanade Ave
City/State/Zip:
Phone:
SAN JACINTO CA 92583
1951-654-3464
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 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 land Part 6 of the California Code of ReQuiatl6ns �'
4. The building design features or system design features identified ori this Certificate of Compliance are consisteht.with-the information, provided on other-applicable_compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement 11.
gency fo#rr approval with this building perr@t a�plicatio6n. %fit -
�f f*
S. I will ensure that a registered co of this Certificate,of.Com liance shall bemade:a�ailZ' with the bul.ldln '� all
g' copy g-petmit(s)assued for the If6i`Idmg, and:made available-to_thd"enforcement agency for all applicable
of ,exp _,
inspections. I understand that a registered copy of this -Certificate of Compliance JA required to be -included with the_documentation,the.builder provides to -the building owner at occupancy.
Responsible Designer Name: ' t '+
Responsible De'sigher Signature:
Company:
Date Signed:
HEMET VALLEY MECHANICAL INC
2018-03-06 08:14:52
Address:
License:
395 W. Esplanade Ave
496547
City/State/Zip:
Phone:
SA14 JACINTO CA 92583
951-654=3464
Easy to Verify O�
at CaICERTS.com
16
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies
.
Registration Provider responsibility for the accuracy of the information.
Registration Number: 218-AO20064959A-000-000-0000000-0000 Registration bate/Time: 2018-03-06 08:14:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-06 07:39:49
Schema Version: rev 10/16
W W
PERMIT #
Address:
Conditioned Space SF
City, St, Zip
Garage SF
PLAN LOCATION: .
Project Address: S,�/g�
Project Description: Pool, Remodel,.Add't, Elect, Plumb, Mech
Fire Sprinklers SF
[State Lic: q 16 S-% City Bus Lic:
%�
APN #:
1/ 1,r 41
mov -
Applicant Name: ,U`' A G
��x,L �✓ �LG�Z�'l �/L� L -1
Address:
City, ST, Zip:Cj/ C �GT/�
Telephone:
Email:
Valuation of Project $ S W7 .
smr g
Contractor Name:
-New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
[State Lic: q 16 S-% City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Oc:mpancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: ` tP
New Commercial /Tenant Improvements:
Address: ��� ?
Total Building SF
City, ST, Zip
Construction Type: Oc:mpancy:
:
E
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
+ .
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
0