BMCH2019-001078-495 CALLE TAMPICO DlLlr/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/7/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0010 SALVADOR SANDOVAL
Property Address: 44325 CAMINO LAVANDA
APN: 604193012 LA QUINTA, 92201
Application Description: SANDOVAL/ [2] HVAC UNIT REPLACEMENT
Property Zoning:
Application Valuation:
Applicant: Contractor:
PALOMA AIR CONDITIONING I PALOMA AIR CONDITIONING
83019 AVENUE 45 BAN 0 83019 AVENUE 45
P
INDIO, CA 92201 % 2019 INDIO, CA 92201
pES�GN& +��Nr CIrYDFL QUINTA (760)347-1212
DEVELOPMENT DEPARr Llc. No.: 619091
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.: 619091 Yam_
❑ate: I 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 Lhe
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 Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I 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
of Ilie work 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 insurance carrier and policy number are:
Carrier: INSURANCfSOMPANY OF THE WEST Policy Number: WSD502684104
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: Ap olfc a nt: _
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
ssued 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
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
lot commenced within 180 days from date of issuance of such permit, or cessation of
,vark 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 authorlt representatives of this city to enter upon the
above -mentioned property fqr Inrection purposes.
"e: Siam ture (Appllcantor Agentj:
Application Number: BMCH2019-0010
Property Address: 44325 CAMINO LAVANDA
APN: 604193012
Application Description: SANDOVAL / [2] HVAC UNIT REPLACEMENT
Property Zoning:
Application Valuation:
Applicant:
PALOMA AIR CONDITIONING
83019 AVENUE 45
INDIO, CA 92201
Owner:
SALVADORSANDOVAL
LA QUINTA, 92201
Contractor:
PALOMA AIR CONDITIONING
83019 AVENUE 45
INDIO, CA 92201
(760)347-1212
Llc. No.: 619091
Date: ' 1/-7/2019
Detail: [2] HVAC CHANGE OUT- 15SEER/80AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
ko FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402
0
$80.04
DESCRIPTION ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600
0
$160.10
Total Paid for CHANGEOUT: $240.14
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
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
X-a Qua
- -- GEVI ofd, DFS FRT —
Project Address:
APN #:
Applicant Name: a AJ AIJ
Address: (44A
City, ST, Zip: L , L
Telephone: ]
Email:
Contractor Name: I ��
Address:
City, St, Zip '�7 IL I'-() C-. Q 2,� D J
Telephone: "� - (P /— C Z
Email:
State Lic: O ' / 96 q1 City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
PERMIT #
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
r — LA l(9 lT r �o m 1 (�
U V V a V
6 G[JA-,0ai d "t�
Valuation of Project
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type. -
Grading:
Bedrooms: I Stories:
New Commercial / Tenant Improvements:
Total Building
Construction Type: Occupan
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
_ . SF
SF
SF
SF
Occupancy:
# Units:
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
(Page 1 of 3)
Project Name:
Salvador Sandoval Date Prepared:
2019-01-07
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling
units must be documented, use one
CFI11-ALT-02 document for each dwelling unit.
01 Project Name Salvador Sandoval
02 Date Prepared
2019-01-07
03 Project Location 44-325 Camino Lavanda
04 Building Type
Single family
05 CA City La Quinta
06 Dwelling Unit Name
Salvador Sandoval
Q7 Zip Cade 92253
®8 Dwelling Unit Conditioned
2800
Floor Area (ft2)
Number of Space
09 Climate Zone 15
10 Conditioning (SC.) Systems in
2
this Dwelling unit:
S. 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
System I Location 1 1500 Yes Yes
Yes No
No No
Altered space
conditioning system
System 2 Location 2 1300 Yes Yes
Yes No
No No
Altered space
conditioning system
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: 219-A020003986A-000-000-0000000-0000 Registration Date/Time: 2019-01-07 14:02:28 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-07 14:02:20
Schema Version: rev 20180426
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)1E and F)
O1
02
03
04
05
06
07
OE
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
All
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
15
Setback
section is not
section is not
components
applicable
applicable
Central gas
All new
Central split
All new
Less than or
System 2
S y
furnace
heating
g
AEUE
80
AC
cooling
SEER
15
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
MP-MCH-01-E - Space Conditioning Systems
- Duct insulation, equirement for the new portions of supply -au and return -air ducts or plenums: R6 (C2 1-10, 12 and 13) and R8 (CZ 1i and 14-16)
CF2R and CF311-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 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF2R and MR-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or alteted (applicable in C7. 2, 8-15).
CF2R and MR-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-25 is required.
r
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing regpirements.
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 asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
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)iC)
This section does not apply to this project.
Registration Number: 219-A.020003986A-000-000-0000000-0000 Registration Date/Time: 2019-01-07 14:02:28 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-07 14:02:20
Schema Version: rev 20180426
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: ��
Paredes, Herman
Company:
Signature Date:
PALOMA AIR CONDITIONING
2019-01-07 14:02:28
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 3501
City/State/Zip:
Phone:
PALM DESERT CA 92261
760-347-1212
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 istrue 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 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall 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 Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature;
Paredes, Herman
Company:
Date Signed:
PALOMA AIR CONDITIONING
2019-01-07 14:02:28
Address:
License:
P 0 BOX 3501
619091
City/State/Zip:
Phone:
PALM DESERT CA 92261
760-347-1212
Easy to Verify
at CaICERTS.com
fe,
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies0
Registration Provider responsibility for The accuracy of the information.PL-40
Registration Number: 219-A020003986A-000-000-0000000-0000
Registration Date/Time: 2019-01-07 14:02:28
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2.018.0.001 Report Generated: 2019-01-07 14:02:2.0
Schema Version: rev 20180426