BMCH2019-007178-495 CALLE TAMPICO T/ D� VOICE (760) 777-7125
v LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/8/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0071 KEVIN HAMS
Property Address: 52815 AVENIDA ALVARADO P 0 BOX 174
APN: 773313017 LA QUINTA, CA 92253
Application Description: HAMS / CHANGEOUT HEATPUMP, AIR HADNLER, AND CONDESOR
Property Zoning: /16SEER
Application Valuation:
$8,300.00
Applicant: Q Contractor:
STEWART'S A/C AND HEATING D STEWART'S A/C AND HEATING
49394 LEWIS RD 49394 LEWIS RD
2019
INDIO, CA 92201 MAR 0 $ INDIO, CA 92201
0 (760)409-3252
CITY 4F LA QUINTA Llc. No.: 1025945
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 70001 of Division 3 of the Business and Professions Code, a d
my License is in full force and effect.
License Class: C20 License No.• fl2594
Date: ' Contractor:
OWNER-BUILDEROECL. RATION
I hereby affirm under penalty of perjury that I am e�ernatftoin 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
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 the 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:
Car ' MPT Policy Number:
NItl7certify that in the performance of the work for which this permit is issued, I
shall Xot employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I shoguiAbeeemesubject to he
workers' compensation provisions oQ a Labor Co e, I shaI r. with
comply �h t � rovisians.
Date: Applicant:
WARNING: FAI URE TO SECURE WORKERS' CO NSAT COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM ALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION �706 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 cl t t r upon the above -
mentioned property for inspection purposes.
O
Date: Signature (Applicant or Agent): ��`-
Date: 3/8/2019
Application Number: BMCH2019-0071
Property Address: 52815 AVENIDA ALVARADO
APN: 773313017
Application Description: HAMS / CHANGEOUT HEATPUMP, AIR HANNLER, AND CONDESOR
Property Zoning: /16SEER
Application Valuation:
$8,300.00
Applicant:
STEWART`S A/C AND HEATING
49394 LEWIS RD
I N DIO, CA 92201
Owner:
KEVIN HAMS
PO BOX174
LA QUINTA, CA 92253
Contractor:
STEWART'S A/C AND HEATING
49394 LEWIS RD
INDIO, CA 92201
(760)409-3252
Uc. No.: 1025945
Detail: HEATPUMP, CONDENSOR & AIR HANDLER CHANGE GOT 45.55EER/13EER SPLIT SYSTEM CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
QTY
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
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Property Owner's Name: New Commercial / Tenant Improvements:
Address: F Total Building
g SF
City, ST, Zip t q Construction Type:]ccupancy: t
Telephoner (ef) — t { �--` 1) 1
Emaill i
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
ALTERATIONS - HVAC
CSC-C.FIR-ALT-04-E Rev�sad 01/1S
CERTIFICATE OF COMPLIANCE
Alterations - HVAC CZ 2, and 8-15
r
Site Address:
Equipment Type
�
Equipment Efficiency
❑ Packaged
vaporator Coil
System
Condensing Unit
AFUE COP
•Split System
❑ Compressor
� -
�ER
❑ Mini Split
❑Lineset
HSPF
❑ Furnace
❑ TXV
1,
I EER
Enforcement Agency:
New Ducting or Lineset:
Required R-value
❑ R-6 (CZ 1-10, 12&13) Ducts
❑ R-8' (CZ11, 14-16) Ducts
❑ >_ R-2.8 Lineset°
AMISSION
CF1R-ALT-04-E
(Page 1 of 1)
Date Prepared: I Permit#:
Conditioned
Floor Area (ft) Thermostat
Served by system ❑ Setback
ft2 (If not already
present, must
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. 'HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
AI! Equipment, CF1R-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH-20-H, MCH-(23 or 24)'-H, MCH-25-HI
Compressor, TXV,_Lineset, CF3R-MCH-20-H, MCH-(23 or 24)-H', MCH-25-H'
Air Handler/Furnace' (Cen include new ductirrgj
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:
0 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
fincluding
. New HVAC System Required Compliance Documents to be left on site for Final:
ew equipment and All New Ducts' CF1R-ALT-02-E Mini Split CF2R-MCH-01-E, MCH-20-H, MCH-22-H, MCH-(23 or 24)-Hx, MCH-25-H'
CF3R-MCH-20-H, MCH-22-H, MCH-(23 or 24)-Hz, MCH-25-Hz
Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH-25-H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58Wil Air Flow >_ 350 CFM,tton (or alternative), Refrigerant Charge
113. 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 CF1R-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-123 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
114. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts CF1R-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,
' Heating only systems and Air Handier/Furnace changes do not require Air Flow MCH-(23 or 24), or Refrigerant Charge verification MCH-25
' 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)
° R-2.8 (I" 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 an 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
provi ed on other app' a complia a documents, worksheets, calculations, plans and specifications submitted to the enforcement
an is ui r - it application.
Ill sible DesignerNa - r,,,,,,�_•____„___ _
'01] C
�s C P ,may 5 �' vista e%Zip: LC(J 7�J
or assistance or cu stinnc -
regarding the Energy Standards, contact the
Hotline at: 1-800-772-3300