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BMCH2015-029577508 Avenida Madrugada BMCH2015-0295 aw I uu l 78-495 CALLE TAMPICO 4JUL 3 IP t(r 6) -7125 AX LA 4UINTA, CALIFORNIA 92253 F (760 77 -7011 COMMUNITY DEVELOPMENT DEPARTMENT IN}PECTI"0 x(^760) 77 -7153 BUILDING PERMIT CI Y rU. a COMMUNITY DEVELOPIrtcDEPARTMENT Date: 7/30/2015 Application Number: BMCH2O15-0295 Owner: Property Address: 77508 AVENIDA MADRUGADA STACEY SMITH APN: 773340045 77508 AVENIDA MADRUGADA Application Description: A/C CENTRAL SPLIT SYSTEM 4 TON LA QUINTA, CA 92253 Property Zoning: Application Valuation: $7,000.00 Applicant: HYDES OUTSIDE CITY LIMITS 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: License No.: AEC407 ( 'Date: Contractor OWN ER -BU ILDE ECLARA N 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 Divisio 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 permit subjects the applicant to a civil penalty of not more than five hundred dolla ($500).: (1 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. BAP.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: Contractor: HYDES OUTSIDE CITY LIMITS (760)360-2200 Llc. No.: AEC407 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: Carrier:_ Policy Number: _ _ 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 sha hwith comply with those provisions. gate: Applican WARNING: FAILURE TO SECURE WORKERS)C,9101PENSATtON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 0,000). 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 upon the above• mentioned prropert fjor inspection purposes. Dat (, J . ✓ Signature (Applicant or Age FINANCIAL INFORMATION DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY ' METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION- ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK #. CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID;DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY. METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 Description: A/C CENTRAL SPLIT SYSTEM 4 TON Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 7/30/2015 PJU Parcel No: 773340045 Site Address: 77508 AVENIDA MADRUGADALA QUINTA CA 92253 Approved: Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 45 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: A/C & HTNG CENTRAL SPLIT SYSTEM 18 SEER 4 TON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION ADDITIONAL SITES CHRONOLOGY CONDITIONS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Thursday, July 30, 2015 2:07:53 PM 1 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL"* BLD CLTD DESCRIPTION ACCOUNT QTY .,AMOUNT PAID PAID DATE RECEIPT# CHECK-# METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL"* BLD REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Thursday, July 30, 2015 2:07:53 PM 2 of 2 cRwsrsreMs Bin. # City of L2 Q uinta Building a Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application'and Tracking Sheet Permit # Project Address: AIA f4AA.1 Owner's Narne:. A. P. Number. Address--7-7 : . tMLICI d Legal Description: Contractor: win5 ///MAIMA City, ST, Zip: Telephone: BIENNIUM Address: 41—z42/NAD cA Project Description: City, ST, Zip: Telephone'lio— 340 — State Lic.#: City Lie.. A Arch., Engr., Designer Address: -7 CRY, SL Zip: Telephone: State Lic. #: Name of Contact Person: Construction type'. Occupancy: Project type (circle one): Now Add'n. Alter Repair Demo Sq. FL: 3 6 Stories Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Reqld Reed TItACMG PERMFrFEES Plan Sets Plan Check submitted item Amount Structural Calci. Reviewed, ready for corrections Plan Check Deposit. Truss Calci. Called Contact Person Plan Check' Balance. Tide 24 Calci. Plans picked up Construction Flood plain plan' Plans resub mitt.ed.'. Mechafilcal Girding plan Review, ready for correction0issue Electrical Subcontfictor List Called Contact Person Plumbing Grant Deed Plans Plans picked up S.M.I. H.OA. Approval 4eview, Plans resubmitted GradingIN ' HOUSE:- R ready for corrections/Issuc Developer Impact Fee Planning Approval. Called . Contact Person A.I.P.P Pub. Wks. Appr Date of permit Issue School Fees . L Total Permit Fees CEi2TIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: 77-508 Avenida Madrugada Date Prepared: 2015-07-29 A. General Information MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be. documented, use one MR -ALT -02 document for each dwelling unit. 01 Project Name 77-508 Avenida Madrugada 02 Date Prepared 2015-07-29 03 Project Location 77-508 Avenida Madrugada 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 77-508 Avenida Madrugada 07 Zip Code 92253 08 Dwelling Unit Conditioned • 1389 .Installing new SC f Installing Installing t ----Installing Floor Area (ft2) Identification or Location or Area by this SC ducted containing Number of space conditioning more than 40 09 Climate Zone 15 10 (SC) systems in this dwelling 1 system? component? components? feet of ducts? unit. SC -system? B. Space Conditioning (SC) System Information 01 02 03 04`+- a - - 05 r f f,, 06 " ') 07'- T 08 .E r 09 10 ~ `Is the SC "` nsnga SC System SC System CFA served '` 'system a- P frMge nt ' .Installing new SC f Installing Installing t ----Installing Identification or Location or Area by this SC ducted containing system r 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 1600 Yes Yes Yes No No No Altered spaceconditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A0209895A-000000000-0000 Registration Date/Time: 2015-07-29 17:26:15 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-29 17:13:24 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CFiR-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)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 split All new Central split All new This field or This field or System 1 HP .. heating..... AFUE 0.78 .. .... AC cooling..... .... SEER 18 Setback section is not section is not components components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: RE. CF211-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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: 515%, or 5 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 Be CF3R-MCH-23 Air Flow a 300 CFM/ton required when MCH -25 is required. Exceptions: A _, .. H -Duct systems registered with HERS provider as previously sealed are exempt from'MCH-20 Duct Leakage Testing requiremerits. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23 or Refrigerant Charge MECH 25. / -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20'Duct Leakage Testing regwreme'nts. 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: 215-A0209895A-000000000-0000 Registration Date/Time: 2015-07-29 17:26:15 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-29 17:13:24 Crhama Varcinn• n SSSCnn CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: Hyde, Mark Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC 2015-07-29 17:26:15 Address: CEA/ HERS Certification Identification (if applicable): 42949 Madio - City/State/Zip: Phone: Indio CA 92201 (760) 360-2202 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'ofthe'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 ? t { P^ ; ' , r 7i 4. The building design features or system design features identified on<this Certificate:of Compliance are consistent with the information provided on.other'at'pplica`•bl% compliance documents, worksheets, calculations, plans and specifications. submitted to the enforcementagency for appioval;with this building permit a'p`plication. S. I will ensure that a registered copy of this Certificate of Compliance shall be,made'available with the building permit(s) issued for the,builduig, and made avaifab a 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 b6ilder provides.to_the building owner at occupancy. Responsible Designer Name: "c i 3 f } A Hyde, Mark Responsible Designer Signature: wry 7 .ei O Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2015-07-29 17:26:15 Address: License: 42949 Madio 906115 City/State/Zip: Phone: Indio CA 92201 (760) 360-2202 Digitally signed by CaICERTS. This digital signature is provided in order to secure the'content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.. Registration Number: 215-A0209895A-000000000-0000 Registration Date/Time: 2015-07-29 17:26:15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-29 17:13:24 Schema Version: 0.555SDD