BMCH2019-001378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&ty/ 4 4P 09&ro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0013
51370 AVENIDA CARRANZA
773082006
ADAMS / HVAC CHANGEOUT
Applicant: 1 1
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND PALMS, CA 92276
JAN 10 2019 1 DD
CITY OF LA QUINTA
DESIGN & 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.: 881926
Date: C I Contractor: f
OWNER -BUILDER DECLARATID
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 Name
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10/2019
Owner:
CECILIA ADAMS
51370 AVE CARRANZA
LA QUINTA, CA 92253
Contractor:
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND PALMS, CA 92276
(760)343-5335
Llc. No.: 881926
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 the wo for which this permit is issued.
ve 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: RENCH MARK INSURANCE COMPANY Policy Number: CST5012608
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.
r`
Date: IU Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPEN N 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
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 application 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 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 authorize representatives of this city to enter upon the
above -mentioned property for inspection purposes.
Date: % D Signature (Applicant or Agent):
4@te: 1/10/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2019-0013
51370 AVENIDA CARRANZA
773082006
ADAMS / HVAC CHANGEOUT
Applicant:
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND PALMS, CA 92276
Owner:
CECILIA ADAMS
51370 AVE CARRANZA
LA QUINTA, CA 92253
Contractor:
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND PALMS, CA 92276
(760)343-5335
Llc. No.: 881926
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT -14 SEER / 80 AFUE PACKAGE UNIT. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
HVAC CHANGEOUT - PACKAGED UNIT
DESCRIPTION
HVAC CHANGEOUT - PACKAGED UNIT PC
DESCRIPTION
PERMIT ISSUANCE
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT QTY
AMOUNT
101-0000-42402 0
$40.02
ACCOUNT QTY
AMOUNT
101-0000-42600 0
$26.68
Total Paid for CHANGEOUT:
$66.70
ACCOUNT QTY
AMOUNT
101-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
ACCOUNT QTY
AMOUNT
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
ACCOUNT QTY
AMOUNT
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Bin #
City of La Qu1nta
Building iT Safety Division
Permit #
P.O. Box 1SO4, 76-49S Calle Tampico
4a Quinta, CA 92253 - (760) 777-7012
QNIr✓ Ilq-a-,
Building Permit Application and Tracking Sheet
Project Address: ` .
Owner's Name:
A. P. Number:
Address: '
:•
Legal Description:
City, ST, Zip:
Contractor: �1��,�41516Telephone:
Address:
Project Description:
City, ST, Zip: n
Tclepho c-11
State Lic.
City Lic. #•:
Arch., Engn, Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter epair Demo
Name of Contact Person: _
Sq. Ft : # Stories: # Units:
Telephone # of Contact Person:
CU
Estimated Value of Project: i
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd ReOd TRACKING PERMIT 1PT;F.S
Plan Sets
Plan Check submitted Item i Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correetfonslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
s^' Review; ready for correctionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 04116) CALIFORNIA ENERGY COMMISSION .
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name: J
LO C lies pate Prepared:
This compliance document is only applicable to
with a HERS Provider Data Registry.
thot do not require
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR AL T 05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
leokage testing include. less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems ore altered and are not exempt from HERS verification, then a CFI R-AZT 02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5pounds per cubic foot having an R-vaiue other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on R-value of 3.5 per inch, shall complete and register a CFIR-ALT 01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. ueneral intormation
01 Project Name: F L
03 Project Location: (—I, 7^�.
05 CA City: f ]TL3
07 Zip Code: ^7
09 Climate Zone: %
11 Building Type:
�r
13 Project Scope (Select all that apply):
02 Date Prepared:
04 Building Front Orientation (deg or cardinal):
06 Number of Altered Dwelling Units:
08 tFulType.
10 { Total Conditioned Floor Area (ft):
12 Slab Area (ft)
z9//7
Z
IL/i
❑ B. Insulation ❑ D. & E. Fenestration/Glazing -ADD ❑✓ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
.L-
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 04ila)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
COMMISSION
IE
CF1R-ALT-05-E
Page 2 of 3
G. Space Conditioning (SC) Systems - Heating/Cooling (Prescriptive Section 150.2(b))
Alterations to Space Conditioning Systems shall be exempt from HERS verification requirements as prerequisite for use of the CF1R-ADD-02 and CF2R-ADD-02 Compliance Documents. If new space
conditioning systems are installed or existing systems are altered and are not exempt from HERS verification, then a CF1R-ADD-01 shall be completed and registered with a HERS Provider Data Registry.
In each row below for each dwelling unit in the building, check the box that indicates the exemption from HERS verification -compliance:
❑ a: space conditioning system was not altered;
❑ b: less than 40 ft of ducts were added or replaced;
❑ c: (exempt from duct leakage testing) if: the existing duct system was insulated with asbestos;
❑ d: (exempt from duct leakage testing) if: the existing duct system was previously tested and passed by a HERS Rater.
01 02 03 04
Dwelling Unit Name
Add Row I Delete Row
SC System Identification or Name 1 SC System Location or Area Served
Exemption from HERS Verification
a. b. ❑ c. d.
a. b. ❑ c. ❑ d.
April 2016
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 04116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of
Pto'*a Name: ■ !' a{.S _ __.r.
f / oaie Prewred:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Aushor N ❑ocumentallon Author Sjsnaturr�
Company. , Signature Date: ! O t
Addres
p h 7
CER/ kERS Cert [a[io dentiFkation —Rap
ty�statel v I Phone:
RESPONSIBLE PERSON'S DECLARATION tTATEMENT
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 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. ! 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. 1 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 Drsi ner Namr
M Responsib es t e:
Company: ,[ /�/J� Date ign
� z;g-J ✓T-iV I
Address: l ce e:
City/SiatelZip: phone:
2 Z
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
AL1i ERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01116
CERTIFICATE OF COMPLIANCE
Alterations - HVAC CZ 2, and 8-15
CALIFORNIA ENERGY COMMISSION
CF 1 R-ALT-04-E
(Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permit#:
Equipment Type Equipment Efficiency
New Ducting or Lineset:
Required R-value
Conditioned
Floor Area (ft)
Thermostat
19 Packaged
❑ Evaporator Coil
UE
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Served by system
❑ Setback
System
�-5p1i4.5Mctwa�
❑ Condensing Unit
❑ Compressor
❑ R-8' (CZ 11, 14-16) Ducts
ftz
(If not already
❑ Mini Split
❑ Lineset
SEER
HSPF
❑ > R-2.8 Lineset°
present must
❑ Furnace
❑ TXV
EER
be installed)
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
�d 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH-20-H, MCH-(23 or 24)2-H, MCH-25-HZ
Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH-(23 or 24)-HZ, MCH-25-HI
Air Handler/FurnaceZ (Can include new ducting)
Installer Requirement: Duct leakage (< 15%, or <_10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed; insulated or sealed with asbestos (list manufacture date of building_]
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts CFIR-ALT-02-1
including Mini Split CF2R-MCH-01-E, MCH-20-H, MCH-22-H, MCH-(23 or 24)-H2, MCH-25-112
CF3R-MCH-20-H, MCH-22-H, MCH-(23 or 24)-H2, MCH-25-H2
Mini Splits require CFIR-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH-25-H
Installer Requirement: Duct leakage S 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Char e
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts" and one or more of the following
CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R-MCH-01-E, MCH-20-H, MCH-(23 or 24)-H, MCH-25-H
Compressor, TXV, Lineset, Furnace
CF3R-MCH-20-H, MCH-(23 or 24)-H, MCH-25-H
Installer Requirement: Duct leakage < 5%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet I Required Compliance Documents to be left on site for Final.
New ducting but less than All New Ducts 1 CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (< 15% or, <_10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less
than 40 ft installed. This includes in walls, between floors etc.
Z Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24), or Refrigerant Charge verification MCH-25
3 All New Ducts is when 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)
4 R-2.8 (1" thick insulation) for linesets 1" and less.
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. 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
a ncy for approval with this building permit applicatio
Res Bible Pesianer N e:
Resp - e ature:
Date Signe License:
'
Co m ny, :
Address:
y/state
f' 6,, z26
P,��. - y3-S3 -
ror assistaW or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300