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BMCH2015-000578-495;CALLf•rTAMPIGQ, LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: HYDES - 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 BUILDING PERMIT .VOICE (760) 777-7125 FAX (760):777-7011 INSPECTIONS (760) 777-7153 BMCH2O15-0005 Owner: 52560 AVENIDA RAMIREZ MAYA BIZIK F 773292003 P 0 BOX 724 AC CHANGEOUT 3 TON 17 SEER LA QUINTA, CA 92253 $12,475.00 , _ -_n n Contractor: JAN 0 9 M5 tiq HYDES 0 OUTSIDE CITY LIMITS CITY OF LA NTA LA QUINTA, CA 92253 COMMUNITY DEVELOPMENT DEPARTMENT (760)350-2200 Llc. No.: :LIC -0004822 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. Lice, ri a Klass: Li ense No.: :LIC -0004822 Date: I �� ontractor: 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 arr 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.). (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 contractor(s) licensed pursuant to the Contractors' State License Law.). ( 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: A\ G Lender's Address: Date: 1/9/2015 WORKER'S COMPENSATICIA DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate o` 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 performa:ice 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 no become subject to the workers' compensation laws of California, and agree that, i,:'] should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply th ose sions. plican , WARNING: FAILURE TO SECURE WORKERS' COMP:-NSATION 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 INSECTION 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 apolication. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed ender 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 Cite 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 applicaticin 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 -hat 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 - me ion d ope for inZnat.re n purposes. Date: �. (Applicant or Agen -Q ':;4 _ .. .. ,., .. � e .. .. ,� .,. Description: AC CHANGEOUT 3 TON 17 SEER ADDITIONAL Type: MECHANICAL Subtype: Status: APPROVED Applied: 1/9/2015 KHE Approved: Parcel No: 773292003 Site Andress: 52560 AVENIDA RAMIREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 153 Lot: 21 Issued: UNIT 16 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,475.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS Details: HVAC CHANGE -OUT 3 TON 17 SEER, .78 AFUE. 2013 CODES. Printed: Friday, January 09, 2015 9:15:25 AM 1'of 2 srsTrMs ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS ..:e:'n,. '`" ,,.;F. .:*,*�? 5` ,�,'y. s #'; ..x.• ,, �€"., w i :bl �k . 4`•. :f�,i'',a' '?* :'ti-°.,, <. �'�,?,5,z;.v ^<'�� :F• ? STATE ZIP PHONE FAX., EMAIL, �NAME:TYPE ,v5. .. ". .,NAME ;:"-`�C :C+:x.::,'�'`.�- >. `�'^i. iL-. �."s .ADDRESSlCITY f,�. , .,Cm. er v�'5... a�rn { „ m ,... '"5, _+o'"' f•''i'.. ra.a .—,�.' .$.,2c3'.a.. .:. :...: c°%_�.. £w: .;�; ',l ; `�.: ...E`a'£� ;.�. " APPLICANT HYDES 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR HYDES 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER MAYA BIZIK P 0 BOX 724 LA QUINTA CA 92253 Printed: Friday, January 09, 2015 9:15:25 AM 1'of 2 srsTrMs ,:SEVDINSPb:TI0N TYPE INSPECTOR cTOR SC4EdULEJ".tdM0LET 'REMARK 'NOTES `DATE DATE MECHANICAL FINAL" PARENT PROJECTS ....BOND INFORMATION ATTACHMENTS Printed: Friday, January 09, 2015 9:15:25 AM 2 of 2 SYSTEMS -��,777777 -7,-T,, �:;7- - -7-, 77 7 7`7 =77, CLMI DESCRIPTibW'�, �'ACCOUNT �'ATY, - AMOU14f, PAID' PAID DATE.' RECEIPT'# CHECK #',' -METHOIJ PAID BY HVACCHANGEOUT- 101-0000-42402 0 $36.26 $0.00 PACKAGED UNIT HVACCHANGECIUT- 101-0000-42600 0 $24.17 $0.00 PACKAGED UNIT PC Total Paid forCHANGEOUT: $60.43 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALSi $1S3.28 $0.00 ,:SEVDINSPb:TI0N TYPE INSPECTOR cTOR SC4EdULEJ".tdM0LET 'REMARK 'NOTES `DATE DATE MECHANICAL FINAL" PARENT PROJECTS ....BOND INFORMATION ATTACHMENTS Printed: Friday, January 09, 2015 9:15:25 AM 2 of 2 SYSTEMS Bin # Permit .# l Project Address:'77— A- P. Number: Contractor. i— Address: City, ST, Zip: ,o Telephone: 6 o _ State Lie. # : q oc, Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs.. Truss Calcs. Energy Calc& Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: Planning Approval Pub. Wks. Appr School Fees City of La Quints Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: Address: t!f]!City, ST, Ztp;r-- lc(Icz Project Description: Lie. #: 4-i Y •2 Construction Type: Occupancy: P cy: . Pr'ojeCt type (circle one): . New Add' nAlter Repair • Demo Sq. Ft.:' # Stories: J #Units: Estimated Value Of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE TRACKING Plan Check submitted PERMIT ES Reviewed, ready for corrections Item Amount Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical • god Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading ' ab Review, ready for eorrectionemsue Developer Impact Fee Called Contact Person A.LP.P. Date of permit issue Total Permit Fees f CERTIFICATE OF COMPLIANCE CHR -ALT -024 Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) - (Page 1 of 3 Project Name: 52-560 Avenida Ramirez Date Prepared: 2015-01-0e. s 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 MR -ALT -02 document for each dwelling unit. 01 Project Name 52-560 Avenida Ramirez 02 Date Prepared 2015-01-08 03 . Project Location 52-560 Avenida Ramirez 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 52-560 Avenida Ramirez 07 Zip Code 92253 08 Dwelling Unit Conditioned 1299 V k' t -10 Floor Area (ft2) SC System SC System CFA served system a refrigerant Number of space conditioning - 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System lnformatior,, r 01 02 03 �'� 04 106 07 08 r' ; 3 09 10 - r05 is the SC ' Installing a V k' t -10 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 Living Area 1200 Yes Yes Yes No No No Altered spaceconditioning _ 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-A0012131A-000000000-0000 Registration Date/Time: 2015-01-08 13:23:31 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 -Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-08 13:24:07 rncama \/crcinn- n SS1 Vln f TIFICATE OF COMPLIANCE CF1R-ALT C rations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 2 o1 D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 '09 10 it 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 All new Central All new Less than or System 1 furnace heating AFUE 0.78 packaged AC cooling SEER, 17 Setback equal to 40 R-8 components components feet 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. -Leakage rate compliance: <_ 15%, or 510% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-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 >_ 300 CFM/ton;required when MCH -25 is required. +� •. — .5--- —�., r ,y r- 1 Exceptions: � j r- � : �t ,� 1j -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. 1 4� -Heating-only systems and Air Handler/Furnace'changes do not require verification 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 Testing requirements. .' t• .., ti r� . t a� .r E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)IE, 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-A0012133A-000000000-0000 Registration Date/Time: 2015-01-08 13:23:31 t� HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-08 13:24:07 rrhamn Varcinn-n rr1Cnn L CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) - (Page 3 of 3 ) Documentation Author's Declaration'Statement 't 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. r ' Documentation Author Name: Documentation Author Signature: Hyde, Mark _ .• Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC _ - ' 2015-01-08 13:23:31 ` Address: y CEA/ HERS Certification Identification (if applicable): 42949 Madio City/State/Zip: Phone: - Indio CA 92201 (760) 360-2202 Responsible Person's Declaration statement z 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). I That the energy features and performance specifications, materials, components; and manufactured ices 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 Regulations. ; •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 specification's snbmitted to the enforcement agency for approval with this building permit application. f y �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. i Responsible Designer Name: r Responsible Designer Signature: Hyde,'Mark • _ /`( Company: _ Date Signed:' , CERTIFIED COMFORT SYSTEMS INC 2015-01-08 13:23:31 Address: ' - _ License: ; 42949 Madio 906115 - City/State/Zip: r - Phone: Indio CA 92201 4,_ r (760)36072202, Digitally signed by CaICERTS. 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-A0012131A-000000000-0000 , _'•.`Registration Date/Time: 2015-01-08 13:23:31 - HERS Provider: CaICERTSs " t CA Building Energy Efficiency Standards - 201.3 Residential Compliance ; + -- Report Version: 2014-03-31 r' Report Generated: 2015-01-08 13:24:07 , - �• ` . Crhama \rarcinn• n S;icnil �� /'/ill /�' ! i Building & Safety Department. 78-495 Calle Tampico PO Box 1504 La Quinta, CA 92253 (760) 777-7012 voice — (760) 77.7-7011 fax CERTIFICATION OF BUILDING AREA 60`� STREET ADDRESS OF JOB: 52-560 AVENIDA RAMIREZ V� APN: 773 — 292 — 003 oo' r DESCRIPTION OF WORK: CASITA ADDITION �6 SQUARE FOOTAGE: 492 OWNER'S NAME: ROBERTO GARCIA 1 Coachella Valley Unwed School District 83-733 Avenue 55 P 0 Box 847 Thermal, CA 92274 (760) 398 5909 Desert Sands Unified School District 47-950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 CITY OF IA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION. DATE-6-j?],BY Please Note: This Letter Verifies Conditioned Square Footage. Please call your School District to Verify School Fees, Requirement for Cashiers Check or Money Order and Hours of Operation. For questions regarding this letter, please cal Building & Safety Counter Technicia i7ani 777-7ni Y CERTIFICATE OF COMPLIANCE r Desert Sands Unified School District ` 47950 Dune Palms Road fsto7 La Quinta, CA 92253 29568 - (760) 771-8515 tot # No. Street s nif t 52560 Avenida Ramirez -ntZ. s ' Un". I :rJnit 4 f �• _Comments '. .� tom,: Q BERMUDA DUNES C7 Cn RANCHO MIRAGE t7 INDIAN WELLS d PALM DESERT 6 \fill LAQUINTA is ��INDIO `/,. v © 1 • APN # 773-292-003 -Jurisdiction La Quinta Permit # Study Area No. of Units 1 S.F. Lot # No. 492 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Street S.F. f 1t the present time, the Desert Sands unified School District does not collect fees on garages/carports, covered patiaa/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for Crying, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determahed that the above-named owner is exempt from paying school fees at this time due to the following reason: Detached Accessory Structure This certifies that school facility fees imposed pursuant to ,the amount of $2.63 X 492 S.F. or $1,293.96 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed preiect may now be issued. Fees Paid By Money Gram/Roberto Garcia Check No. 10060111682/10 Name on the check Telephone Funding Residential Ty Dr. Doris. Witson Superintendent r. Fee collected /exempted by ESpe Lara Payment Recd $6.00 $1,293.96 O verfUnder Signature f f NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protestd?�fe r othei, payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date.on vi -hose.amounfs are paid to the District(?) ortoanother public entity authorized to tolled them on the DistrictCs) behalf whichever is earlier. n NOTICE: This Document NOT VALID if Duplicated 'r x' Embossed Original- Building Department/Applicant Copy - Applicant/Receipt Copy - Acoounting, � ` ; f 6t - r