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BMCH2019-013378-495 CALLE TAMPICO 19art" VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/19/2019 Permit Type/Subtype: MECHANICAL/ Owner: Application Number: BMCH2O19-0133 MAGNUM CHAIM / COSS MARGARITA M Property Address: 51662 EISENHOWER DR 50827 29 PALMS HWY APN: 773135008 MORONGO VALLEY, CA 92256 Application Description: COSS / HVAC CHANGEOUT Property Zoning: Application Valuation: $6,620.00 Applicant: D Contractor: ACOSTA MECHANICAL INC APR 19 2019 ACOSTA MECHANICAL INC P 0 BOX 342 0 P 0 BOX 342 PALM SPRINGS, CA 92263 CITY OF LA QUINTA PALM SPRINGS, CA 92263 DESIGN & DEVELOPMENT DEPARTMENT (760)404-9914 Llc. No.: 924902 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.: 924902 Date: !�f It1 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 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 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 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: Carr'er: EXEMPT Policy Number: Car re 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: Qhfi- 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. 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 -onstruction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. )ate: L111 q,(I c Signature (Applicant orAge Application Number: BMCH2O19-0133 Property Address: 51662 EISENHOWER DR APN: 773135008 Application Description: COSS / HVAC CHANGEOUT Property Zoning: Application Valuation: $6,620.00 Applicant: ACOSTA MECHANICAL INC P 0 BOX 342 PALM SPRINGS, CA 92263 Date:y 4/19/2019 Owner: MAGNUM CHAIM / COSS MARGARITA M 50827 29 PALMS HWY MORONGO VALLEY, CA 92256 Contractor: ACOSTA MECHANICAL INC P 0 BOX 342 PALM SPRINGS, CA 92263 r X760)404-9914 41c. No.: 924902 - - - - - - - - - - - - ---- ------- -- ----- --- -- - - --i- ------•----------------- - - - - ---------- --- _-- Detail: [1] 14SEER SPLIT SYSTEM [1] CONDENSER BOTH HEAT PUMP. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• / 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 - CONDENSER ONLY 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY 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: $186.77 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 Architect/ Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) i Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFtft-ALT-04•E Revised OyI6 CERTIFICATE OF COMPLIANCE Alterations - HVAC CZ 2, and 8-15 Site Address: Equipment Type © Packaged ❑ Evaporator Coil Syst,ee, ❑ Condensing Unit Split System 2 ❑ Compressor ❑ Mini Split ❑ Lineset ❑ Furnace ❑TXV Equipment Efficiency Enforcement Agency: New Ducting or Lineset: Required R -value AFUE I Cop 1 ❑ R-6 (CZI-10, 12&13) Ducts ❑ R-8' (CZ 11, 14-16) Ducts SEER HSPF ❑ > R-2.8 Lineset` EER IA ENERGY COMMir,&OW 40 CF1R-ALT-04-E (Page 1 of 1) Date Prepared: I Permit—#: Conditioned Floor Area (ft'') Thermostat 5ervie ,by system Z�4d6 t� ❑ Setback (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'formjs 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: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H' Compressor, TXVJineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2 Air Handler/Furnace' (Can include new ducti ) Installer Requirement: Duct leakage (< 15%, or 510% 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' CF1R-ALT-02-E — — including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-11, MCH -(23 or 24)-H', MCH -25-H' CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 Mini Splits require CF1R-ALT 02-J ,CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H IrNew llirement: Duct leakage:S 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton for alternative), Refrigerant Charge Ducts with Replacement Required Compliance Documents to be left on site for Final: ' and one or more of the following CF1R-Aenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H XV, Lineset, Furnace2 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 Requ€red 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 (5 15% or, 510% 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 - 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25 4 All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%m4y 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 agency fora proval with this building permit application. Responsible Designer Name sponsible Designer Signature: -jokL Cit Date Signed: License: Company Address: 4 -CL' T-4 V'-''- k 1 sr 44 A'I A F L I�lti Cl[yl5t ctelxip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300