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BMCH2015-026478-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - n Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BMCH2O15-0264 57145 MOUNTAIN VIEW COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 762350015 BUTLER RESIDENCE HVAC CHANGE OUT $15,000.00 Applicant: ALL DAY HEATING & COOLING 82578 PISA CT INDIO, CA 92203 W021-1 JUL 13 2015 QITy QF LA QUINTA ENT nDEVELOPMENTDEP LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury that I am licensed der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi ss Professions Code, and my License is in full force and effect. License Class: License No.: 954337 Date: ( t S Contractor: OWNER -BUILDER DECLARATIO 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/2015 Owner: MARK & CArolyn butler 57145 MOUNTAIN VIEW LA QUINTA, CA 92253 Contractor: ALL DAY HEATING & COOLING 82578 PISA CT INDIO, CA 92203 (760)83471064 Llc. No.: 954337 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 permitis 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 becom subject to the workers' compensation laws of California, and agree that, if I should e e subject to the workers' compensation provisions of Section 370 f the or Code, I shall forthwith comply with those provisions. . Date: Applicant: WARNING: FAILURE TO SECURE WORKERS'COMPENSATI N 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 Quinti, 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 orrect. I agree to comply with all city and county ordinances and state la rela n o building construction, and hereby authorize representatives of this cit>�to ter o the above mentioned property for inspection purposes. I Date: Signature (Applicant or Agent) FINANCIALINFOWAM §DESCRIPTION#? % ;� r'� 'ACCOUNT nQTYs AMOUNT£^f sPAID 'PAIDDATE .a g x BSAS SB1473 FEE 101-0000-20306 0 $1.00 ,$1.00 7/13/15 3 / METHOD '. F ..:.Sp..: sf'RECEIP1T #iaiii, CHECK #P L Y: t�CLTD yrs y f BY', ; ALL DAY HEATING & COOLING CHECK R7674 1002 EVA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTIONiZ, xt`b' R< ACCOUNT 3':SQTY � PQIDe4 t 1 � Y: 4'AIVIOUNT� m; �PAID;DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $145.04 7/13/15 PAID BY #� '„ METHOD E =�F_�RECEIPT #&„ Y CHECK LT BYE i ALL DAY HEATING & COOLING CHECK R7674 1002 EVA ", CITY AMOUNTe 'MPAID PAID DATE r4DESCRIPTION �z�'A�CCOgUNT<r a HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $72.52 7/13/15 -,+x .y.. PAIf): BY RECEIPT # � CHECK # BY' 4 ate. 3METHOD � , 1 CLTD ALL DAY HEATING & COOLING CHECK R7674 .1002 EVA Total Paid forCHANGEOUT: $217.56 $217.56 DESCRIPTION;X fi ACCOUNT�QTY aAMOUNT5PAIDAPAID:DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 7/13/15 PAIf)%BY lr i { �'`METH OD RECEIPT # n + CHECK # � '�_z CLTf) BYE 4 , F ALL DAY HEATING & COOLING CHECK R7674 1002 EVA Total Paid 'for PERMIT ISSUANCE: $91.85 $91:85_ • F • Bin # City of La Quinta Building 81• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # 201r Project Address: — Imo-! j �fl� ^•. `� Owner's Name: A. P. Number: Address: Legal Description: Contractor:tie_ City, ST, Zip: Tele Phone: Address 4g2 Project Description: City, ST, Zip: t•. t—vC13�t_�; Tele P ho e• J E33"— 06 — C —o State Lic. # : 9 Sy 33 City Lic. #; .. Rti.4. c.. �, Z` Lo e•�--r�� Arch., Engr., Designer: Address: City., ST, Zip: Tele P Con n Construction Type: e: P Y P Occu ane Y: State to Lic. # Project type (circlele one):: New Add' n Re air Demo P Name of Contact Pelson: C_ Sq. Ft.: v # Stories: 1 # Units: Telephone # of Contac,Z, -3-4 — Ia C.,—t Estimated Value of Project: S tD p Z APPLICANT: DO NOT WRITE BELOW THIS LINE 9 Submittal . Req'd Recd 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 god 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 HOUSE:- 3d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl*Fees ------------- Total Permit Fees 1 2 .. > v--'EJ CERTIFICATE OF COMPLIANCE _ CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R7ALT HVAC) Project Name: 57-145 Mountain View I Date Prepared: (Page 1of3) 2015-07-13 A. General Information CF11R-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 57-145 Mountain View 02 1 Date Prepared 2015-07-13 03 Project Location 57-145 Mountain View. 04 Building Type Single family 05 CA City La Quinta 06 1 Dwelling Unit Name 57-145'Mountain View 07 Zip Code 92253 08 Dwelling Unit Conditioned 3400 Install ng Jnn�s'talling; Installing Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 2 component? d. feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information, 01 02 03 04j 05 06 07 Of 08 09 10 - `^,^t••.i Is the SC , "?- ' s Installing a :.tom Li.Y»+.-�"il %f �.: al: 4it.+s•.' , d•` 4:} +iu, w:,fs'' 'y:= SCS stem y SCS stem y CFA served s '*zsystem a ` r� rigefrant - installing new S,C Install ng Jnn�s'talling; 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 living area 1800 Yes Yes Yes No No No Altered space conditioning system System 2 bedrooms 1600 Yes Yes Yes . No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Sect1on1S0.2(b)1Diib) This section does not apply to this project, Registration Number: 215-A0190476A-000000000-0000 Registration Date/Time: 2015-07-13 06:56:12 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 06:56:06 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-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 Gas furnace Central split All new This field or This field or system 1 furnace AHU AFUE 80 AC cooling SEER 15 Setback section is not section is not components applicable applicable System 2 Central gas furnace Gas furnace AHU AFUE 80 Central split All new cooling SEER 16 Setback This field or section is not This field or section is not AC components applicable applicable Required Documentation: CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-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. s leakage rate compliance: 515%, ors 10% leakage to outside, or seal all accessible leaks. s CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant contalmng components are Installed or altered.(applicable in CZ;2 8,-T, Sp. H .,�.,-. F -....,..r CF2RCF3R-MCH-23 & CF3R-MCH-23 Air, Flow >_ 300 CFM/ton regwred.when MCH -25 Is required �`� o- ;• s ` �� Exceptions: tzv* �� f ,- # -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. a _ -Heating-only systems and Air Handler/Furnace changes do not require -of H 23 f Air Flow -MC, or Refrigerant Charge MECH 25.'R -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20Duct 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: 215-A0190476A-000000000-0000 Registration Date/Time: 2015-07-13 06:56:12 HERS Provider: CaICERTS, CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 06:56:06 c�ho.,,� ve.��.,..• n ccccnn CERTIFICATE OF COMPLIANCE CF111-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: SANCHEZ, MIGUEL Company: Signature Date: MIGUELSANCHEZ 2015-07-13 06:56:12 Address: CEA/ HERS Certification Identification (if applicable): 83947 Moonlit Drive City/State/Zip: Phone: Coachella CA 92136 (760) 834-1064 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 Regula ions. xw, 4 xc, ' w , 4. The building design_features or system design features identified on:this Certificate of Compliance are consistent with',the information,provided o other'applicable'compliance documents, worksheets, . calculations, plans and specifications submitted to the enforcementyagency fo(aapproval. with this building permit application. 44 tib. %i S . Yes'.Z cyb, 4 d +� ';;li E '4 ' this 5. I will ensure that a registered copy of Certificate of Compliance shall,be;matle:availa6lewrth,„the building.permit(s)assued for the tiuildng, and=made avallable;to the enforcement agency for all applicable ar. inspections. I understand that a registered copy of this Certificate of Compliance isrequired to be�included with the documentation�the�builder provides to he building owner at occupancy. Responsible Designer Name: _ — _ -D Responsible Designer Signafure: s t SANCHEZ, MIGUEL / Company: Date Signed: MIGUELSANCHEZ 2015-07-13 06:56:12 Address: License: 83947 Moonlit Drive 954337 City/State/Zip: Phone: Coachella CA 92236 (760) 834-1064. Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way'implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0190476A-000000000-0000 Registration Date/Time: 2015-07-13 06:56:12 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 06:56:06 Schema Version: 0.5555DD Description: BUTLER RESIDENCE HVAC CHANGE OUT. • -rly Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 7/13/2015 EVA Parcel No: 762350015 Site Address: 57145 MOUNTAIN VIEW LA QUINTA,CA 92253 Approved: Subdivision: TR 29147-2 Block: Lot: 26 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation, $15,000:00 ' ' Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (2) 15 SEER & 16 SEER / 80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED s PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. F ADDITIQNAL .. . FINANCIAL INFORMATION Printed: Monday, July 13, 2015 9:30:22 AM 1 of 2 SYSTEMS • • 4 NAMETYPE - NAME.— ADDRESSI ::. ;.- APPLICANT ALL DAY HEATING & COOLING 82578 PISA CT INDIO CA 92203 CONTRACTOR ALL DAY HEATING & COOLING 82578 PISA CT INDIO CA 92203 OWNER MARK & CArolyn butler 57145 MOUNTAIN LA QUINTA CA 92253 VIEW FINANCIAL INFORMATION Printed: Monday, July 13, 2015 9:30:22 AM 1 of 2 SYSTEMS Printed: Monday, July 13, 2015 9:30:22 AM 1 of 2 SYSTEMS DESCRIPTtION "ACCOl1NT "QTY AMOUNT PAID PAID DATE, RECEIPT # CHECK #:' : 'METHOD CLTD ,: BSAS 561473 FEE 101-0000-20306 0 $1.00 $1.00 7/13/15 R7674 1002 CHECK ALL DAY HEATING & EVA COOLING Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $145.04 $145.04 7/13/15 R7674 1002 CHECK ALL DAY HEATING & EVA SPLIT -SYSTEM COOLING HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $72.52 7/13/15 R7674 1002 CHECK ALL DAY HEATING'& EVA SPLIT -SYSTEM PC COOLING Total Paid forCHANGEOUT: $217.56 $217.56 PERMIT ISSUANCE 101-0000-42404 0 $91.85. $91.85 7/13/15 R7674 1002 CHECK ALL DAY HEATING & EVA COOLING Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS:0.4 Printed: Monday, July 13, 2015 9:30:22 AM 2 of 2 �'� ' SYS TrtitS