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BMCH2015-0322Applicant: AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA, CA 92247-0094 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed unde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B i ess nd Professions Code, and my License is in full force and effect. License Class C20 License No.: 725283 ate: Contractor: 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 �` permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to coAstruct 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: Contractor: AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA, CA 92247-0094 (760)777-1724 Llc. No.: 725283 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 -ofthe 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 become subject to the workers' comp satio provisions of Section 0 of a Labor Code, I shall forthwith comply w' t s r visions. Date: / Applicant: 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 h reby authorize representativePthis y to enter upon the above- menti717//," for inspection purposes. Date:•Signature (Applicant or A .N 4 78-495 CALLS TAMPICO C6 0 D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/18/2015 Application Number: BMCH2O15-0322 Owner: Property Address: 51800 AVENIDA MENDOZA WILLIAM BROWN APN: 773182003 298 COUNTRY CLUB DR Application Description: WYATT REBECCA AIR HANDLER CHANGE OUT SAN LUIS OBISPO, CA 92253 Property Zoning: Application Valuation: $3,500.00 Applicant: AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA, CA 92247-0094 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed unde rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B i ess nd Professions Code, and my License is in full force and effect. License Class C20 License No.: 725283 ate: Contractor: 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 �` permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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.). (1 I, as owner of the property, am exclusively contracting with licensed contractors to coAstruct 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: Contractor: AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA, CA 92247-0094 (760)777-1724 Llc. No.: 725283 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 -ofthe 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 become subject to the workers' comp satio provisions of Section 0 of a Labor Code, I shall forthwith comply w' t s r visions. Date: / Applicant: 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 h reby authorize representativePthis y to enter upon the above- menti717//," for inspection purposes. Date:•Signature (Applicant or A DESCRIPTION - FINANCIAL INFORMATION 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 AIR HANDLER 101-0000-42402 0 $36.26 $0.00 PAID BY. METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION' ACCOUNT. QTY < AMOUNT PAID , - :PAID DATE AIR HANDLER PC 101-0000-42600 0 $12.09 $0.00 -PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $48.35 $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 forPERMIT ISSUANCE: $91.85 $0.00 TOTALS: $141.20 $0.00 Description: WYATT REBECCA AIR HANDLER CHANGE OUT CONDITIONS Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 8/18/2015 PJU Approved: Parcel No: 773182003 Site Address: 51800 AVENIDA MENDOZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 119 Lot: 22 Issued: NO 12 NAME TYPE NAME Lot Sci Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 AIR EXPERTS AIR CONDITIONING -H Details: REPLACE 4 TON AIR HANDLER 2008.ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CA 92247- CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA CA 92247- 0094 CONTRACTOR AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA CA 92247- 0094 OWNER WILLIAM BROWN 298 COUNTRY CLUB DR SAN LUIS CA 92253 OBISPO Printed: Tuesday, August 18, 2015 3:20:45 PM 1 of 2 o r sysnnis DESCRIPTION ACCOUNT * QTYAMOUNT MECHANICAL FINAL" BLD PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY. CLTD BY . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 AIR HANDLER 101-0000-42402 0 $36.26 $0.00 AIR HANDLER PC 101-0000-42600 0 1 $12.09 j $0.00 Total Paid forMECHANICAL: $48.35 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $141.20 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD - PARENT PROJECTS Printed: Tuesday, August 18, 2015 3:20:45 PM 2 of 2 C sysreMs Bin # City of La Quin to Building SZ• 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: Owner's Name: &�e CCA— t J Wil ---r A. P. Number: Address: Legal Description: City, ST; Zip: ZA OQ r-�, 72MQ Contractor: /J Tele hone: P Address: 0) &6 9 Project Description: City, ST, Zip: LA Qc.c cN 92Zzf7 ^/ 6 Tele 'h p_ Telephone: CP P Q -777 � �Z State Lic. # : City Lic. #t Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone: . � C.....ons tructi on Type: cc anc YP O u P Y: Lac.# Project type (circle r le ne • New Add'n Alter Repairai t Demo Name of Contact Person: Sq. Ft.:%600 # Stories: # Units: Telephone # of Contact Person: s Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Jrd Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks: Appr Date of permit issue School Fecs Total Permit Fees CERTIFICATE OF COMPLIANCE i;'" CFI11-ALT024 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: !f Rebbecca Wyatt Date Prepared: 2015-08-17 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 Rebbecca Wyatt 02 Date Prepared 2015-08-17 03 Project Location 51850 Avenida Mendoza 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Rebbecca Wyatt 07 Zip Code 92253 r� 08 Dwelling Unit Conditioned 1600 InstalUng ew SC `* Installing ,1n ailing Installing Floor Area (ft2) Identification or Location or Area by this SC �! c ntaining Number of space conditioning more than 40 09 Climate Zone 15�� 10 (SC) systems in this dwelling 1 system? V- _ _ _ ,l _ feet of duds? unit. SC system? B. Space Conditioning (SC) System information 01 02X03% 04& J F 06 i I I 07 08 1 i 09 10 �"�, � FIs the SC"-�' st , :. -'�..s Installing a � u SC System SC System 'CFA served '%.,system a r f ige nt InstalUng ew SC `* Installing ,1n ailing Installing Identification or Location or Area by this SC ducted $ c ntaining # system * more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of duds? duct system? SC system? Alteration Type Home Location 1 1600 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: 215-A6293752A-000000000-0000 Registration Date/Time: 2015-08-17 12:39:44 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-17 12:39:37 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)IE 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 No cooling This field or This field or This field or This field or Home HP heating AFUE 0.78 AC component section is not section is not Setback section is not section is not components altered applicable applicable applicable applicable Required Documentation: CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CFIR-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing r quired when heating or cooling components are installed inducted systems, or when more than 40 ft of dud length is replaced. -Leakage rate compliance: 51S%, or 510% leakage to outside; orseal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verificatlon requiredwhenrefrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow t 30`0. CFM/ton required when MCH=25 Is.requ` d. Exceptions: `w �� `'may•."# -Dud systems registered with HERS provider as previously sealed are.exempt from MCH-20,Duct leakageAdsting regwremen Heating=only systems and Air Handler/Furnace changes do not require verification of Air Flow:MCH -23, or Refrigerant`Chalrge-MECH 25.;. -Existing dud systems constructed, insulated or sealed,,with asbestos are exempt' from MCH -20 DudlLeakage Testing requirements. .nn '.'wxrNs• `.ti.R � M TTaw!.' U.rl..w...i3 -4R zrf; :app �.. � � I, 'y+^ 'Rb LnvY6 �h E. Entirely New or Complete Replacement Duct System, with Orw hout Equipment Changeout (Sections 150.2(b)1Dii'a;andj150.2(b)3E, 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-A6293752A-000000000-0000 Registration Date/Time: 2015-08-17 12:39:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-17 12:39:37 Schema Version: 0.555SDD 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: Van Vlymen, Paul Company: Signature Date: Air Experts Air Conditioning - 2015-08-17 12:39:44 Address: CEA/ HERS Certification Identification (if applicable): PO Box 94 City/State/Zip: Phone: La Quinta CA 92247 A 760-777-1724 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, la s; co p nents, and manufactured devices for the building design or.system design identified on this Certificate of Compliance conform to the _materj requirements of Title 24, Part 1 and Part6 of the California Code of Regulations. 4. The building design features or system design±eat res identified on this Certificate of Compliance are cornsiste* t with the information•provided on other -applicable -compliance documents, worksheets, calculations, plans and specifications si]b6tted,to`the e*forcemen!agency fora pprovaliw th this building permit app{ication. it S. 1 will ensure that a registered copy of this Certificate of,Compliance shall be made,ayallable with�the building e�mit(s) ass ed fordk building, an ,.� a a aviil to th enforcement agency for all applicable inspections. I understand that a registered copy ofthis-Certificate of Complance.is-requ�lre gd to be_induded with the documentatlon.hebuilder provides to the building owner at occupancy. Responsible Designer Name: 7 iFi Responsible Designer Signature: V 0 Van Vlymen, Paul Company: Date Signed: Air Experts Air Conditioning 2015-08-17 12:39:44 Address: License: PO Box 947 725283 Crory/State/Zip: Phone: La Quinta CA 92247 1760-777-1724 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-A6293752A-000000000-0000 Registration Date/Time: 2015-08-17 12:39:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-17 12:39:37 Schema Version: 0.555SDD