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BMCH2015-0069Applicant: Contractor: BEST IN THE WEST AIR CONDITION BEST IN TH 255 N ELCIELO ROAD #140-125 255 N EL .1 PALM SPRINGS, CA 92262 PALM SPRI 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: C20, C38 License No.: 967982 Date: 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 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.). C Lender's Name: Lender's (760)343-0 LIAR 2 2015 Llc. No.: 9 79 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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' comp tion, as provided for by Section 3700 of the Labor Code, for the performance oft k 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 shall forthwith comply with those provisions. Date: 3.'[?- P5 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 hereby authorize representatives of this city to ent on the above- mentioned`propertyfor inspection purposes. Dater '�15 � Signature (Applicant or Agent) Qumto VOICE (760) 777-7125 78-495 CAIKE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/11/2015 Application Number: BMCH2O15-0069 Owner: Property Address: 52600 AVENIDA CARRANZA AARON MILLER APN: 773291005 Property Zoning: Application Valuation: $2,000.00 Applicant: Contractor: BEST IN THE WEST AIR CONDITION BEST IN TH 255 N ELCIELO ROAD #140-125 255 N EL .1 PALM SPRINGS, CA 92262 PALM SPRI 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: C20, C38 License No.: 967982 Date: 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 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.). C Lender's Name: Lender's (760)343-0 LIAR 2 2015 Llc. No.: 9 79 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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' comp tion, as provided for by Section 3700 of the Labor Code, for the performance oft k 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 shall forthwith comply with those provisions. Date: 3.'[?- P5 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 hereby authorize representatives of this city to ent on the above- mentioned`propertyfor inspection purposes. Dater '�15 � Signature (Applicant or Agent) Y► tU WEST Conditioning & Heating 255 N EI Cielo Rd, PMB 125 Palm Springs, CA 92262 760-343-1002 www.gotcoolair.com rWork Order Date Summary:, Tech:, Start: 1441-15625 3/10/2015 INSTALLATION RICK 09:00 AM FBill To: Job Name: Fidelity National Home Warranty Miller/ 52600 P.0 Box 8127 Walnut Creek, CA 94596 Assistant 1 ANTHONY 1-800-208-3151 52600 Ave Carranza La Quinta, CA 92253 714 -679 -1013 -AARON swo4618620 Inv -32999 (wip2) Install of 5ton Goodman HP Cond w/TXV, (Ordered and Goodman) Tnt-Lisa-208-457-2384 Autho-Veronica-LC8931172(4251abor+250permit+75disp+160freon+12.80tax+250codes) NCC-$800(525title24+200mods+75codes) > 2/24/2015 TUE 2:38 PM> Angela: msg tnt for install date > 3/2/2015 MON 9:02 AM> Angela: msg tnt for install date > 3/5/2015 THU 10:48 AM> Angela: msg tnt for install date Installed Equip Install Date Model# Serial Equip. Warr Labor Warra Service Exp Filter 6/13/2011 20X24 WASHABLE '97 Tempstar Air Handler- r22 6/13/2011 NFCP6000Al L972246539 '97 Tempstar Condenser- r22 6/13/2011 CH5560VKC1 L972564163 honeywell non programable pro 3000 6/15/2011 TH311 ODI 008 PRO with bitw name on front 3000 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorney's fees. Signature Date CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) Project Name: CF1R-ALT 02-E (Page 1 of 3 ) Miller.52600.1 I Date Prepared: 2015-03-09 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. 02 Project Name Miller.52600.1 02 Date Prepared 2015-03-09 03 Project Location 52600.1 Ave. Carranza 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Miller.52600.1 07 Zip Code - 92253 08 Dwelling Unit Conditioned 2000 Installing new SC Installing Installing 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 r s 01 02 03 04 0S 06 ! r 07 ' `08 09 10 Is the SC Installing a SC System SC System 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 Whole House 2000 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A0064234A-000000000-0000 Registration Date/Time: 2015-03-09 16:21:15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-09 16:20:59 Schema Version: 0.555SDD h CERTIFICATE OF COMPLIANCE F CF111-ALT-024 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 it 12 • Heating • s 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 No heating . „ This field or _ This field or - Central split Outdoor This field or _ This field or System 1 HP component section is not section is not HP condensing SEER 13 Setback section is not - section isnot altered ,applicable ,applicable unit applicable applicable Required Documentation: CF2R-MCH-01-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. 'Leakage rate compliance: 5 15%, or15 30% leakage to outside, or seal all accessible leaks. CUR-MCW25-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 & CF311-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 -is required Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct LeakageJesting requirements -Heating-only systems and Air Handler/Furnace'changes do nota r q ire,vef ification 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 Testuig requirements.,. .� „�. ss•• -.v .., .�._:: .,,, sem^'"'` __ .�"" ��-'!1`i 4^,. b»�s""''' - J E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout'(Sections 150.2(b)1Diia and 150.2(b)lE, F) i This section does not`apply'to•this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) f This section does not apply to this project. Registration Number: 215-A0064234A-000000000-0000 1 'CA8uUcling Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-03-09 16:21:15 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-03-09 16:20:59 CERTIFICATE OF COMPLIANCE CFiR-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: �� Hansen, Jamie Jamie d ansen Company: Signature Date: Best in the West Air Conditioning & Heating Inc 2015-03-09 16:21:15 Address: CEA/ HERS Certification Identification (if applicable): 31225 Plantation Dr City/State/Zip: Phone: Thousand Palms CA 92276 - 1(760) 343-1002 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.Profession,s Code to accept responsibility-fcT 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 {ode of Regulations. I,r 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 toth4e enforcement agency for approval with this building permit application. �- t 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made available 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 builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: r�� Jamie O ansen Hansen, Jamie Company: Date Signed:, Best in the West Air Conditioning & Heating Inc 2015-03-09 16:21:15 Address: License: 31225 Plantation Dr 967982 City/State/Zip: Phone: Thousand Palms CA 92276 (760) 343-1002 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-A0064234A-000000000-0000 Registration Date/Time: 2015-03-09 16:21:15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015703-09 16:20:59 Schema Version: 0.555SDD 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 - CONDENSER ONLY 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY' . AMOUNT PAID PAID DATE HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD . ' RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $60.43 $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: Permit Details City of to Qu i - - t31Vlt t1zu Description: MILLER/CHANGE OUT- (1) STON CONDENSOR Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 3/11/2015 SKH Approved: Parcel No: 773291005 Site Address: 52600 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 154 Lot: 19 Issued: UNIT 16 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CITY STATE Details: HVAC CHANGE OUT- (1) STON 15 SEER CONDENSOR CENTRAL SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS CA 92262 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS CA 92262 OWNER AARON MILLER 10 PROSA IRVINE CA 1 92253 Printed: Wednesday, March 11, 2015 10:42:26 AM 1 of 2 (f7SYSTEMS LNC x 4 V �� .ate' >� L , • � :: � �� • � � � � _ • _ • s� 01: s a sTIAV DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS S81473 FEE 101-0000-20306 0 1 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVACCHANGEOUT- 101-0000-42402 0 $36.26 $0.00 CONDENSER ONLY HVAC CHANGEOUT - 101-0000-42600 0 $24.17 $0.00 CONDENSER ONLY PC Total Paid forCHANGEOUT: $60.43 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:•• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL*" PARENT PROJECTS BOND INFORMATION Printed: Wednesday, March 11, 2015 10:42:26 AM 2 of 2 CRWSYSTEMS Bin.# :. Pt�r d La QuI: ta Bullding 8E Safety Division Permit # P.O. Box 1504,78-495 Calle TamploD LA.Quinta, CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet Pro jeer Address: W , l V` Owner's Name:. A. P. Number. Address:s n Legal Description: City, ST, Zip: Contractor. R S4 I I/ rN Telephone: Address: I/- Letitelt, PQ C 12'5 ProjectDescnphon: I 'fUl'1 i0 City, ST, Zip: G /; PrA 977l_Z Telephone: XPO -3 q3 - 100 Z State Lia # : �� % City Lic. Ok Arch, Engr., Designer: Address: City., ST, Zip: ' Telephone: =.PrcjedVype(=rdron6): Construction Type:. Oocapancy: State Lie. #: New Add'n Alter Repair Demo Name of Contact Person: CG (^/�� Sq. Ft.: Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: i APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Rsq'd Reed TRACIMG PERbIITFEES- Plan Sets Plan Cheek submitted Item Amount Stmctural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Cheep Balance- Tlde24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading pian 2 ! Review, ready for correctionsfrssue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. iHAA. Approval Plans resubmitted Grading IT[ HOUSE:- 2" Review; ready for correetionslissuc Devdoper Impact Fee I Planning Approval Called Contact Person Y A.I P P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Mckov MAR 1.0 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT