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BMCH2016-020178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4a Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: ' BMCH2O16-0201 Property Address: 52700 EISENHOWER DR APN: 713301012 Application Description: HUDSON RESIDENCE / HVAC CHANG Property Zoning: Application Valuation: $8,500.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 D Q� LJUN 0 9 2016 0 T CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 977333 �DateW:1<"f0'� Gi 1 1 16 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.). Lender's Name Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/9/2016 Owner: RONNIE HUDSON 52700 EISENHOWER DR LA QUINTA, CA 92253 Contractor: A#1 SERVICES HEATING & AIR CONDITIONING 78206 VARNER ROAD #D-189 PALM DESERT, CA 92211 (760)342-3610 Llc. No.: 977333 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 polity 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. 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 enter upon the above-mentioned property for inspection purposes. Date: TI I Lo Sigaa_tuFe;(Applicant or;Agent): 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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY' AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $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: $153.28 00 Permit Details PERMIT NUMBER % City of La Quinta BMCH2016`-0241 M Description: HUDSON RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/9/2016.MFA Approved: 6/9/2016 MFA Parcel No: 773301012 Site Address: 52700 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 144 Lot: 12 Issued: UNIT 15• ZIP Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 31225 LA BAYA Details: HVAC CHANGE OUT - 14 SEER/80AFUE PACKAGED SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. Applied to Approved CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT 'IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (941)228-5450 CONTRACTOR A#1 SERVICES HEATING & AIR CONDITIONING 78206 VARNER ROAD #D-189 PALM DESERT CA 92211 (941)228-5450 OWNER RONNIE HUDSON 52700 EISENHOWER DR LA QUINTA I CA I 92253 1 (941)228-5450 Printed: Thursday, lune 09, 201611:48:22 AM 1 of 2 ' CSYSTFMS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Thursday, June 09, 2016 11:48:22 AM • 2 of 2 C _ ., srsTEMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $0.00 PACKAGED UNIT HVAC CHANGEOUT - 101-0000-42600 0. $24.17 $0.00 PACKAGED UNIT PC Total Paid for CHANGEOUT: $60.43 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Thursday, June 09, 2016 11:48:22 AM • 2 of 2 C _ ., srsTEMs Bin.# cit La La Qu%litCi Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico ta.Quinta, CA 92253 -:(760) 777-7012, Building Permit Application' and Tracking Sheet Permit # Project Address: 52700 Eisenhower Drive Owner's Name:. Ron Hudson A. P. Number. Address: 52700 Eisnehower Drive Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor. A#1 Services Heating & A/C Telephone: Address: 78206 Varner Road #D-189 Proje4Description: Replace 3.5ton Package Unit City, ST, Zip: Palm Desert, CA 92211 Telephone. 760-342-3610 _ �� V` n State Lic. # : 977333 City Lia 9, Arch, Engr., Designer: Address: City., ST, Zip: Telephone:' ; ` Name of Contact Person: Steven Schnierer Construction Type:.Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft : #Stories: #Units: Telephone # of Contact Person: $18-735-7876 Estimated Value of Project $8,500.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACK NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit. . Truss Cala- Called Contact Person Plan Check Balance Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted.*. Mechanical Grading plan 2" Review, ready for correcfionsfissue Electrical Subcoatactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE— 7j° Review; ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ' Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: RON HUDSON I Date Prepared: CF1R-ALT 02-E (Page 1 of 3 ) 2016-06-08 . A. General Information CFIR-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 RON HUDSON 02 Date Prepared 2016-06-08 03 Project Location 52700 EISENHOWER DRIVE 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name RON HUDSON 07 Zip Code 92253 08 Dwelling Unit Conditioned 1209 Installing more Installing - Installing Floor Area (ft2) Location or Area by this SC ~`ducted ' a' system * Number of space conditioning entirely a 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? _ duct system? unit. Alteration Type B. Space Conditioning (SC)°System Information 4=.. n � .( n 7r�� n 01 02 X03 04) ,. f 05 {� f-061 M I1 0)) K 1169 if 09 10 N'4 )Is the SC'' R �Instelling a`" SC System SC System "CFA served N.System a re rf ige nt 1 ,Installing new SC Installing more Installing - Installing Identification or Location or Area by this SC ~`ducted containing a' system * than 4 entirely a entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1209 Yes No 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: 216-A0213661A-000000000-0000 Registration Date/Time: 2016-06-08 19:24:13 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 19:24:11 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE 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)1E and F) O1 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 All new Central All new This field or This field or System 1 packaged HP heating AFUE 78 ackaed AC pg cooling SEER 14 Setback section is not section is not components components applicable applicable Reouired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. i 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 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2300_CFM/t8n required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. ..ro -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23=or Refrigerant"Charge MECHH=25.1 M kage i Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duct leakage Testing requirements". [ r 1 t J d — 7. I le I I A'4 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: 216-A0213661A-000000000-0000 Registration Date/Time: 2016-06-08 19:24:13 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 19:24:11 Schema Version: 0.555SDD 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: Castillo, Daniel Company: Signature Date: A 1 SERVICES 2016-06-08 19:24:13 Address: CEA/ HERS Certification Identification (if applicable): 74866 Lennon PI City/State/Zip: Phone: Palm Desert CA 92260 ' 760-565-2269 1 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 Title 24, Part 1 Part 6 the California Code Regulations. requirements of and of of 14� t F )I-) 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on otherapplicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for'approval`wlth this building permlt application. S. I will ensure that a registered copy of this Certific i of Compliance shall be made available with the building permit(s) issued for the puilding, and made available to the ehforcement 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.bWlder provides to the building owner at occupancy. Responsible Designer Name: +� 1 L If -J Responsible Designer Signature: " Castillo, Daniel Company: Date Signed: - A 1 SERVICES 2016-06-08 19:24:13 Address: License: 74866 Lennon PI 977333 City/State/Zip: Phone: Palm Desert CA 92260 760-565-2269 1 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: 216-A0213661A-000000000-0000 Registration Date/Time: 2016-06-08 19:24:13 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 19:24:11 Schema Version: 0.555SDD