BMCH2019-0103T^yl 4VR"
78-495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/4/2019
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O19-0103
CHARLES TOPALIAN
Property Address:
49600 RANCHO LA MERCED
APN:
602280032
92253
Application Description:
TAPALIAN / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
PQ
f:
E� I
Contractor:
PALO MA AIR CONDITIONING1�
PALOMA AIR CONDITIONING
83019 AVENUE 45
APR 0 4 77'; "4 �
83019 AVENUE 45
INDIO, CA 92201
INDIO, CA 92201
6
CRf R QUIUA {
SAA 66ff�� 611h�lii
(760)347-1212
�n1h�a
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
Lice ns*'Ia5s:.QQ License No.: 619091
Date: 6Pf y_4:2/0_/# Contractor: a"",,4
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.).
(_) 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
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 wgrk for which this permit is issued.
eiL 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: IN RANGE COMPANY OF THE WEST Policy Number: WS0502684104
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: O Y—U y— / )—
Applicant: z��"�'
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.
Dater os�/_ Signature (Applicant or Agent): _,! � 4, �"��
Application Number:
BMCH2O19-0103
Property Address:
49600 RANCHO LA MERCED
APN:
602280032
Application Description:
TAPALIAN / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
PALOMA AIR CONDITIONING
83019 AVENUE 45
INDIO, CA 92201
Owner:
CHARLES TOPALIAN
92253
Contractor:
PALOMA AIR CONDITIONING
83019 AVEN U E 45
INDIO, CA 92201
(760)347-1212
Llc. No.: 619091
Datil' 4/4/,2019
----------------------------------
Detail: REPLACE [2] HVAC SYSTEMS 20SEER/80AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
T � FIN�NfIAI INF(1RMATI(1N
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
$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
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
Contractor Name: A ov�u C
PERMIT#
PLAN LOCATION:
Project Address: q1 6 0-0 9=,wr-k-o �I �[/C.P�t
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
Telephone: !:f6 o 34-4 (Z 1 Z
Patio/Porch SF
Email:
Applicant Name: v-,,,-,
�r re►r�.J
'r'ur� I i t S S'f'�s
Address: 6?S d 11
City, ST, Zip: I i o cA IZZc� j
Telephone: 4 60 34--1 17— 1 Z
Email:
Valuation of Project $ 1'5 O o o
Contractor Name: A ov�u C
New SFD Construction:
Address: g2� OK 4s-
v-
Conditioned Space SF
City, St, Zip ' ,"� ; o CIA, Z2_o-f
Garage SF
Telephone: !:f6 o 34-4 (Z 1 Z
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 6 tJp9 1 CityBus Lic:
Arch/Eng Name: Jc 7-1 ®� i�
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lic:
Property Owner's Name.: Ckuc-li- Tiroi i a"
New Commercial / Tenant Improvements:
Address: `tai(60 0 Po--c� O ey-c A
Total Building SF
City, ST, Zip q)a,' � C:' Z� 3
Construction Type: Occupancy:
:(p 6j9
E
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Plan Sets
Req'd
Ree'd
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
CFSR-ALT 0
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
(Page 1 of 3)
Project Name:
Tapolian Residence Date Prepared:
2019-03-13
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CFIR-ALT-02 document for each dwelling unit.
01 [Project Name Tapolian Residence
02 Date Prepared 2019-03-13
03 Project Location 49-600 Rancho La Merced
04 Building Type Single family
05 CA City La Quinta
06 Dwelling Unit Name Tapolian Residence
07 Zip Code 92253
08 Dwelling Unit Conditioned
1800
Floor Area (ft2)
Number of Space
09 Climate Zone 15
10 Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01 02 03 04 OS
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 (ft) system? component?
components? feet of ducts? duct system? SC system?
Alteration Type
System 1 Location 1 1800 Yes Yes
Yes No No No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 219-A020059394A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2.019-03-13 13:12:49
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-13 13:12:39
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-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)
01
02
03
04
05
06
07
09
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
i Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
Less than or
System YL
/
furnace
heating
AFUE
80
AC
cooling
r SEER
20
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF211-MCN-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-50, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-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 CF3R-MCH-25-H Refrigerant Charge verification required when refrigetiant containing components are installed or altered (applicable in CZ 2,8-15).
CF2R and CF3114ACH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required,
Em-eptions:
Duct systems registered with HERS,provider as previously sealed are exempt from MCH -20 Duct Lokage TWc m! .S ragcirements.
Heating -only systems and Air Handier Furnace changes do not require vel ifrcawn of kir FIAw MCF# 23, or Refrigerant Charge WCC -ZS.
-Existing duct systems constructed, insulated or sealed with asbestosare exempt from MCH -20 Duct Leakaga Testing rrqutremants.
E. Entirely New or Complete Replacement Duct Systems, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)IE, fj
This section does not apply to this project.
F. Entirely New or Complete Replacement Spade Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 219-AD20059394A-000-000-0000000-0000 Registration Date/Time: 2019-03-13 13:12:49 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-13 13:12:39
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:
paw4e�
Paredes, Herman
'/1
Company:
Signature Date:
PALOMA AIR CONDITIONING
2019-03-13 13:12:49
Address:
CEA/ HERS Certification Identification (if applicable):
83019 ave 45
City/State/Zip:
Phone:
Indio CA 92201
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 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 orsystem design identified or: this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Rsgulaftoe�s.
4. The building design features or system design features identified onthis Cea ficate:pf Compliance are.comisterrtwAh the information provided otipthr dpplicable &rnpllance documents, worksheets,
calculations, plans and specifications submitted to the edforcementagency forappiovalw[th this building perrtt}t application -
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available wnh the bullding permit(s) issued for thetwild#tEg, and made avaltabletothe*forcement agency for all applicable
inspections. I understand that a registered copy of this C tt#ficate of Cofnplianc%,i5-regtjire� to he,included rHj h the dacumentation.the builder provides to the building owner at occupancy.
Responsible Designer Name:
p Agrrer Sigr+a{ure:
Res onsilile De
Paredes, Herman
Company:
Date Signed:
PALOMA AIR CONDITIONING
2019-03-13 13:12:49
Address:
License:
83019 ave 45
619091
City/State/Zip:
Phone:
Indio CA 92201
760-347-1212
t R
Easy to Verify
at CaICERTS.w
Digitally signed by CaICERTS. Thisdigitals is provided in order to secure the content of this registered document and in no way implies
l
Regrs[rat+an Pravider responsibr7ity for the accuracy of the information.
Registration Number: 219-A020059394A-000-000-0000000-0000
Registration Date/Time: 2019-03-13 13:12:49
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-13 13:12:39
Schema Version: rev 20180426