BMCH2019-026278-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/28/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0262 RICHARD GARNETT
Property Address: 76910 AVENIDA FERNANDO
APN: 658240022 92253
Application Description: GARNET / [2] HVAC UNIT CHANGEOUT
Property Zoning:
Application Valuation:
Applicant:
tractor:
AUSTIN SIMMONS DBA SIMMONS AIR CONDITION TIN SIMMONS DBA SIMMONS AIR CONDITION
P O BOX 314 JUL 10 2019 P BOX 314
LA QUINTA, CA 92247 QUINTA, CA 92247
CITYOFlAQUINTA (760)863.5254
DESIGN & DEVELOPMENT DEPARTMENT. No.: 780534
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.: 780534
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 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.
1 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: STATE COMPENSATIONINSURAhICE FUND Policy Number: 9054788
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
:amply with thoseSirDviSiOns.
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 pon the above•
mentioned property or inspection purposes.
STj;7 Applicant or AgenI)
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
CITY
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
502-0000-43611Ld
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
- GP.M rfrfr DL•S[.R'1'�-!
PERMIT # /JACU
PLAN LOCATION:
Project Address: P. r% a n
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: 9
fon
Applicant Name:
Address:
City, ST, Zip: C.Y A
Telephone: e:Z�-� I --r3 q Z�
Email: / / A
Valuation of Project $
Contractor Name: 52 6 085--
New SFD Construction:
Address: V d 1 4
Conditioned Space SF
City, St, ZipLc,- (),,u t r�-v 0-�
oV3
Garage SF
Telephone 776 �Z
Patio/Porch SF
Email: /.--/
Fire Sprinklers SF
State Lic: City Bus Lic: 5- J y
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: r -4
cl mAddress:
New Commercial / Tenant Improvements:
r .
Total Building SF
City, ST, Zip �(� �V ta, Of r n{
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
76910 Avenida Fernando I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2019-06-28
A. General Information
CF111-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
76910 Avenida Fernando
02
Date Prepared
2019-06-28
03
Project Location
76910 Avenida Fernando
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
76910 Avenida Fernando
07
Zip Code
92253
08
Dwelling Unit Conditioned
2016
Floor Area (ft2)
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
2
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Living Area
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedrooms
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 219-A020148340A-000-000-0000000-0000 Registration Date/Time: 2019-06-28 09:26:52 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-28 09:26:46
CERTIFICATE OF COMPLIANCE CF111-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
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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
80
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
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: 219-A020148340A-000-000-0000000-0000
Registration Date/Time: 2019-06-28 09:26:52
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-28 09:26:46
c=tie..,. If—i,.. ,WnlQnn)r,
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:
Bachus, Tom
� /�(�
/
Company:
Signature Date:
MLC Building Performance
2019-06-28 09:26:52
Address:
CEA/ HERS Certification Identification (if applicable):
77825 Delaware Place
City/State/Zip:
Phone:
Palm Desert CA 92211
760-836-0066
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 or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. 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 for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Bachus, Tom
/ �f
Company:
Date Signed:
MLC Building Performance
2019-06-28 09:26:52
Address:
License:
77825 Delaware Place
780534
City/State/Zip: Phone:
Palm Desert CA 92211 760-836-0066
Easy to Verify
at CaICERTS.com
m
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies El
Registration Provider responsibility for the accuracy of the information.
Registration Number: 219-A020148340A-000-000-0000000-0000 Registration Date/Time: 2019-06-28 09:26:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-28 09:26:46
1
PO Box MA
La Ouenla. CA M47
ph: 7d0-e43-52U
LFc*ruse 670MA
Client: Garnett
Property: Ave. Fernando
Date: June 16, 2019
Propose.d_lrlio.rk. Option s:
A. 4Ton + 5Ton York 16SEER }R'TLJ--PPG UnOt „ 1186:1
i) 10YR Manufar Lure on C'trr;7Pr,:asz-a,"r uM'd 2YP Lobc=r Warr—anly (Qualifies for ill) Renate)
ii) inctudes new 4Tcn and si`cn rrao:'top cr an, ,• ? :o municipal permit and HERS fees. Compressor
sound btankc15 and bootiler kilt:,
Requested Follow -Up:
Installations include gas and electrical hook-ups, vibration pads. city permit and HERS fee. crane charges. and open invoice for pre'
blower work will be voided. I will submit 110 application on your behalf. However, it is your responsibility to gain approval for work to
performed and clearance of crane with H0A_ no HOA security deposit nor fee will be covered. if any are applicable
The Wi-Fi thermostats are operable with manual use even if Wi-Fi goes down and will be turn off in event of internet failure. Regard
the Wave-R, I have not personally used it. i installed a competitors brand beforo I Warned about the Wave. The brand I have is the sa
retail price but requires maintenance in replacement ot.its UV bulb every two years for $275. The direct link for tit 'Wa
in the items description but this is the exact URL: -
r�
Prier olarce ssorylrsFedpers}rs�am
1) Wi-Fi Thermostat - $17
i) Honeywell Tb Lyric t
2) Compressor Bound Blanket- Inc! dr
i) Sound padding wrap for compressor, rt'ducing nols-4-1
3) writ-Start/Start Booster Kit included
� r
i) Start capacitor providing boosi tc r_omr ress ;r, n,du6ng ir- rush aim ps and slari Ltaaci
Mave-R - $814 p
.
)ay1n.eRt; Upon installation completion.
Jx-clus-toffs:
Any alteration or deviation from the above specifications involving extra rust of material or tabor will be executed upon written ordtr form
same and will become an extra charge over the mentioned in this contract, All agreements must be matte in writing. warranties apply to
new equipment only. Expenses/work for patching/repair not included or Covered. This proposal is valid.or3A days !ram above date, By
signing/accepting, the prices. specificalions and can dilions are saVsfa ctory anaare hereby accepted- Authorixing/signrng party endorses
work to begin as agreed upon and payment will be made as outirned above. Prices are subject to change with Ructuat;on O'economy and
production.
Options Selected:
Authorized Party Name:
Authorized Party Signature:
{ ;P-- "r4-)