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BMCH2015-042078-495 CALLE.TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�p 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0420 Property Address: 80663 VIA TRANQUILA APN: 777430031 Application Description: SIGURDSEN / (2) HVAC CHANGEOUTS Property Zoning: Application Valuation: $29,500.00 Applicant: COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 D Q EOC �.CITT 2 7 2015 Y 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:: LicensAEC343 4Dat� A, t 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 I 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 10 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/2015 Owner: WILLIAM SIGURDSEN , 92253 Contractor: COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 a(760)320-5800 ~ Llc:=No.: AEC343 . WORKER'S COMPENSATION DECLARATION I hereby affir under penalty of perjury one of the following declarations: I ve and will maintain a certificate of consent to self -insure for workers' compensati n, as provided for by Section 3700 of the Labor Code, for the performance of t wo for which this permit is issued. I have and will maintain workers' compensation insurance, as required by n 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 pro isions..l)�° Dat pint: ant: 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 TOTHE 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-mentiono prop y for inspection purposes. Date --� JS g-ture:(Applicant or Agent): DESCRIPTIONACCOUNT FINANCIAL ` ' QTY: AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 10/27/15 PAID. BY METHOD RECEIPT # : " CHECK # CLTD BY COMFORT AIR CHECK R10307 2189 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $2.00 $2.00 . DESCRIPTION ACCOUNT...: QTY AMOUNT, ...: PAID 'PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $145.04, 10/27/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY COMFORT AIR CHECK R10307 2189 SGU DESCRIPTION : ACCOUNT. QTY .. AMOUNT; PAID .. ,PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $72.52 10/27/15 PAID BY METHOD RECEIPT #' CHECK # CLTD BY COMFORT AIR CHECK R10307 2189 SGU Total Paid for CHANGEOUT: $217.56 $217.56 DESCRIPTION-ACCOUNTQTY .: AMOUNT, ', PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 10/27/15 PAID BY. METHOD 'RECEIPT # CHECK # CLTD BY COMFORT AIR CHECK R10307 2189 SGU Total Paid for PERMIT ISSUANCE: $91.85 $91.85 Description: SIGURDSEN / (2) HVAC CHANGEOUTS Type: MECHANICAL Subtype: Status: APPROVED Applied: 10/27/2015 SGU Approved: 10/27/2015 SGU Parcel No: 777430031 Site Address: 80663 VIA TRANQUILA LA QUINTA,CA 92253 Subdivision: TR 31123-1 Block: Lot: 31 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $29,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: (1) HVAC CHANGE OUT - 25SEER/78AFUE SPLIT SYSTEM 5 TON AND (1) HVAC CHANGE OUT- 25SEER/78FUE SPLIT SYSTEM 4 TON [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO'BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, October 27, 2015 2:31:40 PM 1 of 2 MAN CRUffsYSTIMS ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER WILLIAM SIGURDSEN I I 92253 Printed: Tuesday, October 27, 2015 2:31:40 PM 1 of 2 MAN CRUffsYSTIMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CL D. • BY HVAC CHANGEOUT - 101-0000-42402 0 $145.04 $145.04 10/27/15 R10307 2189 CHECK COMFORT AIR SGU SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $72.52 10/27/15 R10307 2189 CHECK COMFORT AIR SGU SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $217.56 $217.56 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 10/27/15 R10307 2189 CHECK COMFORT AIR SGU Total Paid for PERMIT ISSUANCE:. $91.85 $91.85 TOTALS: $311.41 $311.41 INSPECTIONS ATTACHMENTS Printed: Tuesday, October 27, 2015 2:31:40 PM 2 of 2 C SYS TERAS stn. #City. of, %a QuInta Building ar Safety Division P.O. Box 1504, •78-495 Calle Tampico La.Quinta, CA 92253 •(760) 777-7012 Building Pernvt Application and Tracking Sheet Perinit # �I Project Address: 1 v) 0 Ing, QgeOwner's Name:. :5 LA {' CJ S 3 A. P. Number. Address: �S o u,lD 3. k/1 i ( r An Legal Description: City, ST, Zap: (,-q Contractor. i Telephone.-Wo 0 9S9 Address: v' ,. ProjeetDescripdon: w ;- ;J `_ 1 City, ST, Zip:.r%` YA <43rl c'2 Trk — 't-4 Telephone: . p • ,TL State Lic. #: City Lie. C. Arch, Eng, Designer Address: City., ST, Zip: Telephone: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person:, � Sq. Ft,: ;/ � � . #Stories: # UnitN: Telephone # of Contact Person: U. . ' _ 7 1 Estimated Value of ProjeoF APPLICANT: DO NOT WRffE BELOW THIS UNE N submittal Re9'd Ree'd TRACING PERMIT FEES- Plan sets Pian Cheek submitted Item Amount Stractund Cales. Reviewed, ready for corrections Plan check Deposit. . 1)Fass Cates. Called Contact Person Pian Check Balance Tide 24 Calci. Plan picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for corrections/a;sue Electrical Subcontactor List Called ContactPerson Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Gradlog IN HOUSE:- 3" Review, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.IR.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: SIGURDSEN, BILL I Date Prepared: CF1R-ALT-02-E (Page 1 of 4 ) 2015-10-26 A. General Information MR -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 SIGURDSEN, BILL 02 Date Prepared 2015-10-26 03 Project Location 80663 VIA TRANQUILA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name SIGURDSEN, BILL 07 Zip Code 92253 08 Dwelling Unit Conditioned 3502 A Floor Area (ft2) SC System SC System `CFA served systema re rige nt tlnstallingnew Number of space conditioning stalling 09 Climate Zone 15 10 (SC) systems in this dwelling 2 ducted .-- �^---� more than 40 unit. entirely new B. Space Conditioning (SC) System Information 01 02 (1'03 04 05 00 6 07 1164 1 ( 09 30 w Kt e� °-sthe SCS' Installing a� SC System SC System `CFA served systema re rige nt tlnstallingnew SC stalling Falling installing Identification or Location or Area by this SC ducted containing system more than 40 entirely w entirely new Name Served System (ft2) system? component? components? feet of ducts? dud system? SC system? Alteration Type Entirely new or 5 TON LENNOX Location 1 3502 No Yes Yes No No Yes complete XC25 replacement space conditioning system Entirely new or 4 TON LENNOX Location 2 3502 No Yes Yes No No Yes complete XC25 replacement space conditioning system Registration Number: 215-A6370671A-000000000-0000 Registration Date/Time: 2015-10-26 13:44:28 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-26 13:44:29 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 ) -'C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b) 1Diib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)lE and F) This section does not apply to this project. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) This section does not apply to this project. T t -s F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) 01 02 03 y 04 OS 06 07 08 09 10 11 System s Heating Heating Minimum. ` Coolin Cooling Mimmum Required Identification or Heating System j�4 Altered 'Heatm9 Efficiency 6 b , Efficlenry` ,, tea.. Cooling AReredtCooling �r Vie: Efflcienry �, Efficienry `# Thermostat New Duct Name Type _/ Component wa•+ Type 4 3 Value *a.... System Type !A' Component _ $ef �kb' Type Y� Value Type R -Value firy Vol It' V ice' , ! This field 5 TON LENNOX Central gas All new heating AFUE 0.78 Central split, All new cooling SEER 25 SetbackTher or section XC25 furnace components AC components mostat is not applicable This field 4 TON LENNOX Central gas All new heating AFUE 0.78 Central split All new cooling SEER 25 SetbackTher or section XC25 furnace components AC components mostat is not applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R & CF3R-MCH-20-H Duct Leakage Verification required. -Leakage rate compliance: 5 6% CF211 & CF3R-MCH-22 Fan Efficacy Verification CF2R & CF3R-MCH-23 System Air Flow Rate Verification Registration Number: 215-A6370671A-000000000-0000 Registration Date/Time: 2015-10-26 13:44:28 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-26 13:44:29 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 ) -Compliance: Fan Efficacy15 0.58 W/cfm and System Airflow Z 350 cfm/ton, - Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification. CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Exceptions: Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements. of An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage F��7� — . . . .. - .. .. — - Ld inc.- Registration Number: 215-A6370671A-000000000-0000 Registration Date/Time: 201510-26 13:44:28 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-26 13:44:29 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 4 of 4 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: �Jj n y 0 Volta, Paul Company: Signature Date: VOTTA ENTERPRISES INC 2015-10-26 13:44:28 Address: CEA/ HERS Certification Identification (if applicable): 4803 E SUNNY DUNES ROAD City/State/Zip: Phone: PALM SPRINGS CA 92264 A 760-320-5800 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the lews,:of the State of California: y 1. The information provided on this.Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the,8usinessand 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, materi las• components, and manufactured devices for the building design oc 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 Regulations. 1the4pplicable-compliance 4. The building design features or system design features identified on this Certificate of Compliance are consistent -with the information -provided on documents, worksheets, calculations, plans and specifications submitted to the eW forcement agency for,approval� vith this building permit application. 5. 1 will ensure that a registered copy of thifCertificate ofyompliance shall be,made.available with�the.bu�lding:permrt(s);issued for the;building anclpade available to be enforcement agency for all applicable inspections. I understand that a registered copy ofthis,Certifcate of Complliance is;require�d to be -included with th docum,entation.the�builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Des g 'er Signature: V 9/ ;Z. Volta, Paul Company: Date Signed: VOTTA ENTERPRISES INC 2015-10-26 13:44:28 Address: License: 4803 E SUNNY DUNES ROAD 763937 City/State/Zip: Phone: PALM SPRINGS CA 92264 760-320-5800 Digitally signed by Ca/CERTS. 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-A6370671A-000000000-0000 Registration Date/Time: 2015-10-26 13:44:28 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-26 13:44:29 Schema Version: 0.555SDD