BMCH2019-0214Tity a scf�j QuiA&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O19-0214
Property Address: 44030 CAMINO LAV-ANL3;4 LA C-f-ESM
APN: 604180066
Application Description: ISABELL/ HVAC 16SEER CONDENSER ONLY
Property Zoning:
Application Valuation: $5,000.00
Applicant:
KMA HVAC INC
25920 IRIS AVE 13A-400 JUN 0 4 2019
MORENO VALLEY, CA 92551 H_ D
CITY OF LA QUINTA 0
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 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: B. C20 License No.: 1023799
Date:1491/ _&;1�4149� Contractor: (96'
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/4/2019
Owner:
ROGER ISABELL & CAROLINE M
44030 CAMINO LA CRESTA
LA QUINTA, CA 92253
Contractor:
KMA HVAC INC
25920IRIS AVE 13A-400
MORENO VALLEY, CA 92551
(951)486-0337
Llc. No.: 1023799
WORKER'S COMPENSATION DECLARATION
,iereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
)mpensation, as provided for by Section 3700 of the Labor Code, for the performance
f t W . rk For which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ection 3700 of the La bar Code, for the performance of the work for which this permit is
sued. My workers' compensation insurance carrier and policy number are:
arrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA007465
_ I certify that in the performance of the work for which this permit is issued, I
call not employ any person in any manner so as to become subject to the workers'
:)mpensation laws of California, and agree that, if I should become subject to the
,orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
imply with those provisions.
EGI,Applicant
/ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
JTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
64PORTANT: Application is hereby made to the Building Official for a permit subject to
ie conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
aquest and for whose benefit work is performed under or pursuant to any permit issued
s a result of this application , the owner, and the applicant, each agrees to, and shall
efend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any act or omission related to the work being performed under or
)Ilowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
:)mmenced within 180 days from date of issuance of such permit, or cessation of work
)r 180 days will subject permit to cancellation.
-ertify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
)nstruction, and hereby authorize representatives of this city to enter upon the above-
ientioned property for inspection purposes.
ate: _ Fgnature (Applicant or Agent): '� r
Date: 6/4/2019
Application Number:
BMCH2019-0214
Property Address:
44030 CAMINO LAVANDA
APN:
604180066
Application Description-
ISABELL / HVAC - 16SEER CONDENSER ONLY
Property Zoning:
Application Valuation:
$5,000.00
Applicant:
KMA HVAC INC
25920 IRIS AVE 13A-400
MORENO VALLEY, CA 92551
Owner:
ROGER ISABELL & CAROLINE M
44030 CAMINO LA CRESTA
LA QUINTA, CA 92253
Contractor:
KMA HVAC INC
25920 IRIS AVE 13A-400
MORENO VALLEY, CA 92551
(951)486-0337
Llc. No.: 1023799
Detail: 5-TON HVAC CONDENSER AND EVAPORATOR CHANGE OUT SAME LOCATION - 16SEER. 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 $1.007777
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.34
Total Paid for CHANGEOUT: $85.38
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
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
TOTALS-
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-
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PERMIT # � �— O 2-/ 7
PLAN LOCATION:
Project Address- 01; 00 LA A
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
C 14 NCnj OUT 58I.00A710
Applicant Name: N Uf LQ
Address: 1q %i0 If 'Iq Avet A. 3 A 460
City, ST, Zip: lio ?- Wo VALL'; l GA. OM551
Telephone: - L % l 40ou Q *1j1
Email: tf A INLA 1� to kM/k44A�f. t-i t`
Valuation of Project $ 60'd
Contractor Name: K tIA `'v /�
New SFD Construction:
Address: *Ol u [?-v3 Av" A' [lj A4 66
Conditioned Space SF
City, St, Zip lAdVt;'�JO v Au'L l CA OM64
Garage SF
Telephone: 01y1
1 % O SS1
Patio/Porch SF
Email: Y tAA t4v /kC, 6DIA01 tAN I L -" `
Fire Sprinklers SF
State Lic: I 0 �( 37gq 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: IyA$ tb q-G(Ai
New Commercial / Tenant Improvements:
Address: i �0 Zj0 CSC tAt ) '--A CVO 4
Total Building SF
City, ST, Zip LA (. V J tJ t /N C 4, �1,2
Construction Type: Occupancy:
lephone: (j1 "� 11,. (00� �j1/
TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
ISABELL ROGER (25838240) { Date Prepared:
CFIR-ALT-02-E
(Page 1 of 3)
2019-06-03
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
ISABELL ROGER (25838240)
02
Date Prepared
2019-06-03
03
Project Location
44030 Camino La Cresta
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
44030 Camino La Cresta
Dwelling UnitConditioned
07
Zip Code
92253
08
Floor Area (ft )
2344Conditioned
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
05
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2344
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)
This section does not apply to this project.
Registration Number: 419-A020055817A-000-000-0000000-0000
Registration Date/Time: 2019-06-03 16:45:32
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-03 16:45:45
Srhama Varcinn: rav 7n1Rn47fi
CERTIFICATE OF COMPLIANCE CFIR7ALT-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
08
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
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R-Value
This field or
No Heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
section is not
Component
section is not
section is not
AC
cooling
SEER
16
Setback
section is not
section is not
applicable
Altered
applicable
applicable
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 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 refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, 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: 419-A020055817A-000-000-0000000-0000
Registration Date/Time: 2019-06-03 16:45:32
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-03 16:45:45
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