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BMCH2014-1012Building Permit w Page 1 of 1 PERMIT NO -BMCH2O14-1012 — - — 21T4 STRAIGHT ARROW INC DBA BRAZIL STRAIGHT ARROW INQDB BRflt View;Report 49101 BRALEY COURA 0� -- -----gay of 2 ? D DI G 100% — Find ) Next OF IL QUINTA =FIN04 — - -- 78-495 CALLE TAMPICO D 1 Qu&rcu VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/30/2014 Application Number: BMCH2O14-1012 Owner: Property Address: 56100 MUIRFIELD VILLAGE NANCY FREEZE APN: 762400004 56100 MURFIELD VILLAGE Application Description: HVAC CHANGE OUT LA QUINTA, CA 92253 �I V li��__ Property Zoning: Application Valuation: $8,000.00 Applicant: Contractor: 21T4 STRAIGHT ARROW INC DBA BRAZIL STRAIGHT ARROW INQDB BRflt 49101 BRALEY COURT 49101 BRALEY COURA INDIO, CA 92201 INDIO, CA 92201 OF IL QUINTA =FIN04 DEPT. (760)342-3700 -------------------------------------------------------- Llc. No.: 697225 ------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C36, C20 License No.: 66,9,72225 /��� 4T e: 0 / Contractor '�'�A A&Z- � +� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00).: (� 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 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 contractors) 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 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 perfo ante of the work for which this permit is issued. .I have and will maintain workers' compensation insurance, as required by S on"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:_ Polity 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 shall forthwith comply with those provisions. 11--7-10- `J. Date: 'Applicant: J 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 fora 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 certifythat 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 property for inspection purposes. "Da -7 Sig u IICa[It or Agent http://laquinta.crw.comltrakit9lDocumentV iewer.aspx?&report=/DocumentsIPERMITSB... 7/10/2014 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 56100 Muirfield Village, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 14-00000921 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow 0 3. Reduce leakage by 60% and conduct smoke and fix all leaks o 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempted_ before utilizing,Option,4.)_ Determine nominal Fan Flow using one of the'following three calculation methods.t ✓ ® Cooling:system method: Size of condenser in Tons f 3•Sx 400 1400- •• CFMf i' ✓ O z `in Heating system method .21.7 z Output Capacity Thoyusanbs of Btu/hr = CFM ''• Y',•. J'P � '4 •�:. l ` K � ✓ ❑ 'CFM•' ,.'.r � ra ,y Measured system airflow using RA3 3 airflow test procedures: -� Option i used then: 1 Allowed leakage = Fan Airflow 1400 x 0.15 = 210 CFM Actual Leakage = 159 CFM Pass if Actual Leakage is less than Allowed leakage ® Pass [3 Fail Option 2 used then: - 2 Allowed leakage = Fan Airflow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM Pass if Actual leakage to outside is less than Allowed leakage Pass 0 Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction _ CFM ((Leakage reduction _-/ Initial leakage x 100% _ % Reduction Pass if % Reduction >= 60% c3 Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke 0 Pass r7l Fail Reg: 214-A0047732B-M2100001A-0000 Registration Date/Time: 2014/07/09 06:24:39 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: 56100 Muirfield Village, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 14-00000921 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply and return register boots must be sealed to the drywall if smoke testis utilized for 'compliance — applies'to duct leakage compliance option 3 (leakage reduction by 60%0) and option 4,(fix alf'accessible leaks) described above ;:.. - ® New duct installations" cannot utilize building cavities as -plenums or platform returns in lieu of ducts.' ® Mastic and draw bands must be used in combination with cloth backed rubber adhesive ducttape to seal leaks at all new duct connections DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS raterand if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) STRAIGHT ARROW INC Responsible Person's Name: Responsible Person's Signature: Randy Scott Randy Scott CSLB License:Date 697225 Signed: 6/25/2014 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 214-A0047732B-M2100001A-0000 Registration Date/Time: 2014/07/09 06:24:39 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Bin # \ City of La Quinta Building &r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet P� t Address: S(o��(' l///��� 'Owner's NameA-AfG SZ_r_- A. P. Number: :Address:.j��OQUJ���LIiQ Legal Description: �ty, ST, Zip: 0 '�— q2 Z.'3 /- � Contractor: CJ�/Z�ot�� �t4Z�l� ,��(J �-r� .Tcicphone:52 (� ZJ 700(' ��'r�<>>���<>�-»�<_>� �..: ••:•>:�•-»•::.»::;.. Address:D—)02— ' Pro tDescription: r City, ST, Zip: �/ I t� �� 1j'54J %(G S SS_'P_- Telephone: `#%;«<:>::'•'<Mv # :>:.<.'; St�atc Lic. # : t9g 722 City Lic.+#,l Arch., Engr., Designer: Address: City, ST, Zip: Telephone: >:% :>«:>::<<:;::>l;;<:f; ;>;:;::;:•:»;-:: Construction Type: Occupancy State Lic. #:o' i w Add'n Alter Project type (circle one): New r Repair Demo - Name of Contact Person:'�/ G� Sq. Ft.: # Stories: # Units: Teltphone #,ofContact Person: 7(PO SZ 7-5 S 7t " 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 Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN 11OUSE:- Jrd Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees