BMCH2018-0079- 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
KMA HVAC INC
25920 IRIS AVE 13A-400
MORENO VALLEY, CA 92551
c&ht 4.4 Q"qro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0079
56985 VILLAGE DR
764060004
KRISHNAN / HVAC CHANGEOUT
$6,000.00
MAR 2 3 2018
CITY OF LA QUINTA
DESIGN AND 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: B. C20 License No.: 1023799
ate:sst9 a Contras
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.).
(� 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 Na
Lender's Add
VOICE (760) 77.7-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/23/2018
Owner:
KALLIANA KRISHNAN
737 RICHARDSDN DR
BRENTWOOD, CA 92253
Contractor:
KMA HVAC INC:
25920 IRIS AVE 13A-400
MORENO VALLEY, CA 92551
(951)486-0337'
Llc. No.: 1023799
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one :)f the following declarations:'
_ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37 )0 of the Labor Code, for the performance
of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Sec io'n 3700 of the Labor Code, for the perfc rmance of the work for which this permit is
issued: My workers' compensation insurance carrier and policy number are: .
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Polity Number: FLA007465
_ I certify that in the performance o` 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: 41g?PPlicant:
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 -he Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this app ication 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 tothe 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 iss.iance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and :.tate 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 represen-.atives of this city to enter upon the above-
mentioned property for inspection purposes.. 00,
Date: ('Applicant or Agent): -
�4
Date: 3/23/2018
- Application Number: BMCH2O18-0079
Owner:
Property Address: '56985 VILLAGE DR
KALLIANA KRISHNAN
APN: 764060004
737 RICHARDSON DR
Application Description: KRISHNAN / HVAC CHANGEOUT .
BRENTWOOD,.CA 92253
Property Zoning: .
Application Valuation: $6;000.00
Applicant:.
Contractor:
' KMA HVAC INC
KMA HVAC INC
25920 IRIS AVE 134-400
25920 IRIS AVE 13A-400
MORENO VALLEY, CA 92551
MORENO VALLEY, CA 92551
(951)486-0337
Llc. No.: 1023799
Detail: HVAC CHANGE OUT - 16.SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHAMGEOUT: $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
Bin.#
Qty Qf Quinta
Building & Safety Division
P.O. Box 1504,'78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Q/�,Cbl1�i► 8•c�l
t 1
Project Address:56 S V 16 `
e�.,
Owner's Name: 'K Q, l
A. P. Number:
Address: 9 . `1 Z
Legal Description:
Contractor:
V G
Address: 2 6 4 b g: S
p
.. + � l..
City, ST, Zip:
�. �'
Telepho�rl Z �(J 0� �s��:�"�'.- .
Project Description:
City, ST, Lip: Ae
ck 4Z5s I
5 •�
Telephon,Q6f Ift6117I611
z
City Lie. #:
Cr4.
State Lic. # 102
Arch., Engr, Designer:
Address:
City., ST, Zip:
Telephone:
P
State LIC.
v2'
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter :. Repair
Demo
Name of Contact Person::fjf
Sq. Ft.: # Stories:
#Units:
Telephone # of Contact Person%is-
31
1 Estimated Value of Project: bCrjo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rtq'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitteditem
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
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.
R.O.A. Approval
Plans resubmitted
Grading
N HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. ApprDate
of permit issue
School Fees
Total Permit Fees
;i..• 1`;
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
ti
Project Name: KALLIANA R. KRISHNAN Date Prepared: 2018-03-23
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
KALLIANA R. KRISHNAN
02
Date Prepared.
2018-03-23
C ;
l°-oject Location
56985 VILLAGE DR
04
Building Type
Single
05
CA City
La Quinta
06
Dwelling Unit Name
56985 VILLAGE DR
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253 < > f
08'
:Floor Area (ftZ)
2070
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15 �`
"jT0
Conditioning (SC) Systems in
1
system?
component?
components?'
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System Information
01
02
03
04 ``
05
06
07
08
09
10
is the SC
Installing 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 (ftZ)
system?
component?
components?'
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
System 1
Location 1
2070
Yes
. Yes
Yes
Yes
Yes
Yes
complete
replacement 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: 418-A020017926A-000-000-0000000-0000 Registration Date/Time: 2018-03-23 09:51:46 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-23 09:51:47
Crhai•na Varcinn- rani 1(111 F
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -SR -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.
L. Enlffeiy 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)
01
02
03
04
05z
:' f-;'06
07
08
09
10
11
Heating
G .;
Cooling
System
Heating
Minimum",
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency'','
; : tCooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New'Duct
Name
Type
Component
Type
Valuer<,<,:.
System Type
Component
Type
Value
Type
R -Value
Heating
Seasonal
System 1
Central gas
All new heating
Performanc
8 . :Y•
Central split
All new cooling
�y>
SEER
16
SetbackTher
R-8
furnace
components
a Factor
{ -
AG
components
mostat
f
(HSPF)
Required Documentation:
MR -MCH -014 - 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 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 System Airflow >= 350 cfm per ton.
Alternative Compliance: CF2R and CF3R-MCH-28 Return Duct Design verification is an alternative to MCH -22 and MCH -23 verification.
CF2R 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: 418-A020017926A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-23 09:51:46
Report Version: 2016.1.006
Crhomn Vor6nh- rov'i n/1 r,
HERS Provider: CHEERS
Report Generated: 2018-03-23 09:51:47
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:
Marc-Antuan.tnriqu(n
Ma.►c Antf.vwvEn*-Lque�k
Company:
Signature Date:
The Energuy
2018-03-23
Address:
7AI HERS Certification Identification (if applicable):
1215 K Street
City/State/Zip: f
.Phone:
Sacramento CA 95814 is
877;,600=0123
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. s r
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 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 for,,approval with this building permit application.
1 will ensure that a registered copy of this Certificate of Compliance's hall be made available with t6 building permits) issued for the building, and made available to the enforcement agency for all applicable
.5.
inspections. I understand that a registered copy of this Certificate of Compliance is-requi4&io be iric16ded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Natalie Lopez
Na.L.°Pe,'d
Company:
Date Signed:
KMA HVAC, Inc.
2018-03-23
Address:
License:
25920 Iris Avenue 13A-400
1023799
City/State/Zip:
Phone:
Moreno Valley CA 92551
877-717-8732
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: 418-A020017926A-000-000-0000000-0000
Registration Date/Time: 2018-03-23 09:51:46
HERS Provider: CHEERS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016 '.1.006 Report Generated: 2018-03-23 09:51:47
Grhomn \/arcinn• raw 1 n/1 r,