BMCH2019-042378-495 CALLE TAMPICO T-it�/ +ZP Qu&&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O19-0423
Property Address: 80585 VIA TALAVERA
APN: 777270023
Application Description: VETRONE / [3] HVAC UNIT CHANGEOUTS
Property Zoning:
Application Valuation: $20,622.00
Applicant:
SPEEDY AIR CONDITIONING
51-100 CALLE OBISPO OCT 18 2019
LA QUINTA, CA 92253
CITY OF LA QUINTA
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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: Cam_ License No.: n
f A
Date: Contractor:
:z�.,
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 Name:
Lender's Address:_
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/2019
Owner:
Vetrone Leonard J / Vetrone Sue Ann
80585 VIA TALAVERA
LA QUINTA, CA 92253
Contractor:
SPEEDY AIR CONDITIONING
51-100 CALLE OBISPO
LA QUINTA, CA 92253
(760)567-0133
Llc. No.: 834471
WORKER'S COMPENSATION DECLARATION
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
)f 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
ssued. My workers' compensation insurance carrier and policy number are:
:arrier: FUND Policy Number: 9051534
I certify that in the performance of the work for which this permit is issued, I
hall not employ any person in any manner so as to become subject to the workers'
ompensation laws of California, and agree that, if I should become subject to the
corkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
omply with those provisions. Ip
)ate: ® Applicant.
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND 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,
gTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
VIPORTANT: 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
?quest 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
)flowing 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
instruction, and hereby authorize representatives of this city to enter upon the above-
ientioned property for inspection purposes.
ate: _1s11 Signature (Applicant or Agent): /
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
CITY
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 - SPLIT -SYSTEM
101-0000-42402
0
$120.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$241.50
Total Paid for MECHANICAL CHANGEOUT 2019: $362.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
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
Property Owner's
Address:
City, ST, Zip
Telephone:
Email:
UCO".OAf d I New Commercial / Tenant Improvements:
Total Building
Construction Type
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
SF
Occupancy:`
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
80585 Via Talavera I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 4)
2019-10-16
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
80585 Via Talavera
02
Date Prepared
2019-10-16
03
Project Location
80585 Via Talavera
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
80585 Via Talavera
07
Zip Code
92253
08
Dwelling Unit Conditioned
3662
Floor Area (ft)
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
3
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
Y
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
MAIN HOUSE 1
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
MAIN HOUSE 2
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3
CASITA
662
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Registration Number: 219-A020221541A-000-000-0000000-0000
Registration Date/Time: 2019-10-16 09:32:05
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-16 09:31:58
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project
CF111-ALT 02-E
(Page 2 of 4)
D. Altered Space Conditioning System (Sections 150.2(b)lE 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 as All new All new
System 1 g heating AFUE 80 Centralsplitsplit cooling SEER
furnace
14 Setback
This field or
section is not
This field or
section is not
components components
applicable
applicable
Central as All new All new
System 2 g heating AFUE 80 Centralsplitsplit cooling SEER
14 Setback
This field or
This field or
furnace
section is not
section is not
components components
applicable
applicable
Centrals lit All new All new
System 3 p heating AFUE 80 CentACl split cooling SEER
14
This field or
This field or
HP
Setback
section is not
section is not
components components
applicable
applicable
Reouired 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.
Exceytion5
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.
Registration Number: 219-A020221541A-000-000-0000000-0000 Registration Date/Time: 2019-10-16 09:32:05 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-16 09:31:58
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC)
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 219-A020221541A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-10-16 09:32:05
CF1R-ALT-02-E
(Page 3 of 4)
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-16 09:31:58
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
CF1R-ALT 02-E
(Page 4 of 4)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature: -TORRES, DANIEL AVYf—rR1C
17014fS
Company: Signature Date:
SPEEDY AIR CONDITIONING 2019-10-16 09:32:05
Address:
CEA/ HERS Certification Identification (if applicable):
54-685 AVENIDA HERRERA
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
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 ofthe 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 ofthis Certificate of Compliance shalt 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 ofthis Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
TORRES, DANIEL
Responsible Designer Signature:
Company:
Date Signed:
SPEEDY AIR CONDITIONING
2019-10-16 09:32:05
Address:
License:
54-685 AVENIDA HERRERA
834471
City/State/Zip: Phone:
LA QUINTA CA 92253 760-567-0133
Easy to Verify 0
at CaICERTS.com
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of dvis recA,� tered document and in noway implies �^
Registration Provider responsibility for the accuracy of their, forrrral iam
Registration Number: 219-A020221541A-000-000-0000000-0000
Registration Date/Time: 2019-10-16 09:32:05
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-16 09:31:58
Schema Version: rev 20180426