BMCH2019-0029UVOICE (760) 777-7125n�
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/25/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0029 RICARDO LAGUNA
Property Address: 51682 AVENIDA RAMIREZ
APN: 773131009 92253
Application Description: LAGUNA / HVAC CHANGEOUT [1) PACKA UN U
Property Zoning: A
Application Valuation: !�
Applicant: 2 5 2019 Contractor:
PALOMA AIR CONDITIONING JAN PALOMA AIR CONDITIONING
83019 AVENUE 45 83019 AVENUE 45
INDIO, CA 92201 GiTv 0� �AQ�INTA INDIO, CA 92201
DESIGN &DEVELOPMENT DEPARTMENT
(760)347-1212
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 11 License No.: 5190
,Da(' Z " 1 ^ Contracto ,__
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.).
() 1, 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:
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 thl work forwhich this permit is issued.
� l 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: INSURANCE COMPANY OF THE WEST Policy Number: WSDS02694104
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, 9
I (9
Applicant:
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
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. A
Date:. L SgnatUr (Applicant or Agent): r
Application Number: BMCH2019-0029
Property Address: 51682 AVENIDA RAM IREZ
APN: 773131009
Application Description: LAGUNA / HVAC CHANGEOUT [1] PACKAGE UNIT
Property Zoning:
Application Valuation:
Applicant:
PALOMA AIR CONDITIONING
83019 AVENUE 45
INDIO, CA 92201
Owner:
RICARDO LAGUNA
92253
Contractor:
PALOMA AIR CONDITIONING
83019 AVENUE 45
INDIO, CA 92201
(760)347-1212
Llc. No.: 619091
Date: 1/25/2019
Detail: HVAC CHANGE OUT- 16SEER / 80AFUE PACKAGE UNIT [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT I QTY I AMOUNT
HVAC CHANGEOUT- PACKAGED UNIT
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$26.68
Total Paid for CHANGEOUT: $66.70
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
CF1R-ALT 02-E
(Page 1 of 3) 1
Project Name: Ricardo Laguna Date Prepared: 2019-0143
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
C1`111-ALT-02 document for each dwelling unit.
01
Project Name
Ricardo Laguna
02
Date Prepared
2.019-01-23
03
Project Location
51-682 ave Ramirez
04
Building Type
Single family
05
CA City
La Quin#a
06
Dwelling Unit Name
Ricardo Laguna
07
Zip Code
92253
08
Dwelling Unit Conditioned
1600
Floor Area (ft2)
Number of Space
09
Climate Zone
15
10
Conditioning ('SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Mformetlon
01
02
04
10
the S
lhstaiii J'a
V i
SC System
SC System
CIA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entir eIy new
entirely new
Name
Served
System {ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniSfl.2(b(iDiib)
This section does not apply to this project.
Registration Number: 219-A020018877A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2.0.16 Residential Compliance
Registration Date/Time: 2019-01-23 16.35:33
Report Version: 2018.0.001
Schema Version: rev 20180426
HERS ,Provider: CaICERTS
Report Generated: 2019-01-23 16:35:21
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
CFIR-ALT 02-E
(Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
0S
06
07
08
09
10
11
12
Heating
Coaling
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
System 1
Central
packaged HP
All new
heating
AFUE
80
Central large
packaged AC
All new
CoolingSEER
16
Setback
Less than or
equal to 40
R-8
components
components
feet
Reouired Documentation:
MRAVlCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air darts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14.16)
CF29 and CF 3 R- MCH - 20- H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40ft of duct length is replaced
-Leakage rate compliance: — 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge veri station required when refrigerant ccntaIning components are installed or altered (applICab `e in CZ 2, 8-15).
CF2R and CF3R-MCH-23 AirflowRate — 300 CFM per tun required when MCH-25 is required.
Exceotiorw
Duct systems regsstered with HERS provider as previously Beaked are exempt f nom p4-20 Duct Leakagetiag
Heating -only systems and Air Handler Furnace changes do not require verificat(gii of Air floW MCF�23� efn n
-Existing duct systems constructed, insulated or seated with ashestq$$are exempt; From MCO2bVud Lgkage Test._ requiremeo
A in om
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)IMia and 150.2(b)IE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 219-A020018877A-000-000-0000000-0000
Registration Date/Time: 2019-01-23 16:35:33
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-23 16:35:21
Schema Version: rev 201&M26
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:
Paredes,
Documentation Author Signature: 7"�i:�/ p�
Herman
Company:
Signature Date:
PALOMA AIR CONDITIONING
2019-01-23 16:35:33
Address:
Cer1/ HERS Certification Identification (if applicable):
P O 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 Cettificaw of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibiliity for the building design or system design identified on this Certificate of Compliance (rsponsible designer).
3. That the energy features and performance specifications, materWS, covents, and nufa red devices for the building design o_ rr system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the Galifomla Cede of a'�orss. imr eey{yc +u.
�F
4. The building design features or system design features i ntified o his Certr-M of lance are' i�rmAW
17 wtlt'the provided on`bther ppbra4WEompiiarnce documents, worksheets,
calculations, and specifications submitted to he forap a*icati�'11.
plans rceme ncy w this buil ng perm*
S. I will ensure that a registered copy of this Geri pliance s Ee:rnarLEmraille Wlt�#Ye Perm issusdld farthet idg, andynade ava}fable tothe enforcement agency for all applicable
inspections. I understand that a registered copy of th rate of Co pl'ance, is.reci jred to beincluded the documentation, [he b& er ppydes t the building owner at occupancy.
Responsible Designer Name: t ; V
Paredes, Herman,
ResponKle DeAg-i er S re: V
Company:
Date Signed:
PALOMA AIR CONDITIONING
2019-01-23 16:35:33
Address:
License:
P 0 BOX 3501
619091
City/State/Zip:
Phone:
PALM DESERT CA 92261
760-347-1212
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: 219-A020018877A-000-000-0000000-0000 Registration Date/Time: 2019-01-23 16:35:33 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-23 16:35:21
Schema Version: rev 20180426
<;EM of the O SPR'r •�_..
PERMIT#
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name: n �s i ` /✓
Address:
City, ST, Zip:
!!��
Telephone:.
Email:
Valuation of Project S
Contractor Name:
0 r
New SFD Construction:
Address: O G
4
Conditioned Space
*U fi SF
City, St, Zip
ZGg
Garage
SF
Telephone:
3 1(7� 2 Z
Patio/Porch
SF
Email: I U YYA
h t,-a C ^oa 1 , .,1?
Fire Sprinklers
SF
State Lic:
City Bus Lic: 000Z6 %o
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: :1#7u:nW:
Email:
'State Lic: City Bus Lic:
0
Property Owner's Name: f
New Commercial / Tenant Improvements:
Address: f
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: 7 f;E 0
Email:
78495 CALL6 TAMPICO
LA QUINTA, CA 92253
760-777-7000