BMCH2018-02097&495 LOLL E :TAM P..J,CO
LA LZU 1NTA'," M1rMN 1 XSn 53'
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T4t!t 4. Qa�&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
MECHANICAL/ Owner:
BMCH2O18-0209. COACHELLA VALLEY ARTS
78046 CALLE BARCELONA . 78046 CALLE BARCELONA
770153004 LA QUINTA, CA 92253
COACHELLA VALLEY ARTS / HVAC CHANGEOUT 14SEER/11EER
PACKAGED
$11,000.00
Applicant:
SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
COACHELLA, CA 92236-2737
-- CITY OF Ui CUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect. ,
License Class: C20 License No.: 522775
D�:3,fJ V' ��$ Contract . J
Date: . 6/6/2018
Contractor:
• SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
COACHELLA, CA 9223672737
(760)398-8247
Llc. No.: 522775
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
�t 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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9074503
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter; improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 the Lao Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions.
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
__*1U1
bate —GO to ZJM(% Applicant:
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).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( 11, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon,'and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion,.the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).'
the conditions and restrictions set forth on this application.
( ) I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of.property who builds or improves thereon,
as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to. the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. , B.&P.C. for this reason
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
Date: Owner:
for 180 days will subject permit to cancellation.
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:
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 o building
construction, and hereby authorize representatives of this city toe r upon a above
mentioned property for inspection purposes.
Date,%& A %9-19 ( ,Signature (Applicant or Agent):
Date: 6/6/2018..
Application Number:•, BMCH2O18-0209.
Owner.
PropEit�i'Ad{iress "'18046'iCALiE'BARCELONA
COACHELLA VALLEY ARTS
APN:. 770153004
78046 CALLE BARCELONA °
Application Description: COACHELLA VALLEY ARTS / HVACCHANGEOUT 14SEER/11EER.PACKAGED LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $11,000.00
Applicant: -
Contractor:
SAN'S AIR CONDITIONING.& HEATING
SAN'S AIR CONDITIONING & HEATING
51 -530 JACKSON STREET
51-530 JACKSON_STREET
COACHELLA, CA 92236-2737
COACHELLA, CA 92236-2737
(760)398-8247
,Llc.'No.: 522775
Detail:. HVAC CHANGE OUT - 14SEER/11EER'PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
1
I
FINANCIAL INFORMATION
..DESCRIPTION
ACCOUNT
QTY
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 - PACKAGED UNIT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC-
101-000042600
0
$26.01.
Total Paid for CHANGEOUT: $65.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
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
TOTALS:
e
PERMIT # G "
PLAN LOCATION:
:Project Address: 1�o CA
Project Description:" Pool, Remodel,.Add't, Elect, Plumb, Mech
APN #:
Applicant Name:.
Address:
City, ST, Zip:
Telephone:
Email: • In
Jslu-�� 0
Valuation of Project S
.Contractor Name: _
4,4
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
e .
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: TS City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email
,
State Lic: City Bus Lic:
-
Property Owner's Name.
New Commercial / Tenant Improvements:
Address:
eA-5 4L_
Total Building SF
City, ST, Zip\_� �w
'Construction Type: Occupancy'
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
:Submittal
Req'd
•Ree'd
Plan Sets
t
.
Structural Calcs
Truss Calcs
Title 24 Calcs
i '- '� ►f'-
Soils Report
Iri��Lr :d'
kr'il+lr aaj::y�"�"cf'
Grading Plan (PM. 9 0)
,-
Landscape Plan
ti
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-CF1 R-ALT-04-E Revised 01/16
CALIFORNIA ENERGY COMMISSION -w#OW-
CERTIFICATE OF COMPLIANCE
CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15
(Page 1 of 1)
Site Address:
a Aa.Q_atoQ A
Enforcement Agency:
Date Prepared:
Permit#:
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Required R-value
Conditioned 2
Floor Area (ft )
Thermostat
Z Packaged
❑ Evaporator Coil
AFUE
COP
❑ R-6 (CZ1-10, 12&13) Ducts
Served by system
❑ Setback
System
❑ Condensing Unit
❑ R-8' (CZ 11, 14-16) Ducts
ft2
(If not already
❑ Split System
❑ Compressor
V SEER
HSPF
❑ Z R-2.8 Lineset°
present, must
❑ Mini Split
❑ Lineset
be installed)
❑ Furnace
❑ TXV
EER
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.
❑ 1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF111-ALT-02-E
Condenser Unit; Evaporator Coil,
CF2R-MCH-01-E, MCH-20-H, MCH-(23 or 24)2-H, MCH-25-H2
Compressor, TXV, Lineset,
CF3R-MCH-20-H, MCH-(23 or 24)-H2, MCH-25-H2
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (< 15%, or <_30%to outside, or seal all accessible leaks), Air Flow 2 300 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-H, MCH-(23 or 24)-H2, MCH-25-H2
CF3R-MCH-20-H, MCH-22-H, MCH-(23 or 24)-H2, MCH-25-H2
Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and'(CF21i-CF3R) Iv1CH-25-H
Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
❑ 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
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-(23 or 24)-H, MCH-2S-H
Installer Requirement: Duct leakage < S%, Air Flow 2 350 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
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 (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
' 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 (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.
S. 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, wo ksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit ap ti
Pes-Ponsible ame:
Re si r i ur
t� i V L•
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Company�� t�
JAddress:15
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Phh e: _ 0�
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300