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BMCH2019-019178-495 CALLE TAMPICO LA QUINTA,`CALIFORNIA 92253 `� r �F 1wQur rw COMMUNITY DEVELOPMENT', DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0191 Property Address: 44670 BLAZING STAR TRAIL APN: 604251014 Application Description: WESTERFIELD RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $9,000.00 Applicant: SAN'S AIR CONDITIONING & HEAT[ 51-530 JACKSON STREET COACHELLA, CA 92236-2737 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 License No.: 522775 Date: l0 S—/ Contractor: �1 , 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 fora 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 TIONS (760) 777-7153 Contractor: SAN'S AIR CONDITIONING & HEATI 51-530 JACKSON STREET COACHELLA, CA 92236-2737 (760)398-4287 Llc. No.: 522775 6/5/2015 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 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: (p — /J Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I NLAWFUL, 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 thisapplication , 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: 16- 4!r " �� Signature (Applicant,or Agent): FINANCIAL .• 1. DESCRIPTION : ACCOUNT:. QTY: AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/5/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY SAN'S AIR CONDITIONING & HEATI CHECK R6822 17143 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID, PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $72.52 6/5/15 PAID BY METHOD, RECEIPT # ' CHECK # CLTD BY SAN'S AIR CONDITIONING & HEATI CHECK R6822 17143 MFA DESCRIPTION ACCOUNT QTY ,AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $36.26 6/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SAN'S AIR CONDITIONING & HEATI CHECK R6822 17143 MFA Total Paid forCHANGEOUT: $108.78 $108.78 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/5/15 PAID BY METHOD RECEIPT #. CHECK # CLTD BY SAN'S AIR CONDITIONING & HEATI CHECK R6822 17143 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 • 1$201.63 $201.63 Description: WESTERFIELD RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: ISSUED Applied: 6/5/2015 MFA Parcel No: 604251014 Site Address: 44670 BLAZING STAR TRAIL LA QUINTA,CA 92253 Approved: 6/5/2015 MFA Subdivision: TR 24208 Block: Lot: 14 Issued: 6/5/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,000.00 Occupancy Type: Construction Type: Expired: 12/2/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM (2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SAN'S AIR CONDITIONING & HEATI 51-530 JACKSON STREET COACHELLA CA 92236- 2737 (760)772-2345 CONTRACTOR SAN'S AIR CONDITIONING & HEATI 51-530 JACKSON STREET COACHELLA CA 92236- 2737 (760)772-2345 OWNER KATHIE WESTERFIELD 44670 BLAZING STAR TR LA QUINTA CA 92253 (760)772-2345 FINANCIAL INFORMATION Printed: Friday, June 05, 2015 12:32:48 PM 1 of 2 CINff-lrsTEMS wL,'• Permit Details PERMIT NUMBER City of La Quinta BMCH20115 0191 e � DESCRIPTION ACCOUNT "_ QTY AMOUNT. PAID-. PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD , • BY SAN'S AIR BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/5/15 R6822 17143 CHECK CONDITIONING & MFA HEATI Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - . SAN'S AIR 101-0000-42402 0 $72.52 $72.52 6/5/15 R6822 17143 CHECK CONDITIONING & MFA SPLIT -SYSTEM HEATI SAN'S AIR HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $36.26 6/5/15 R6822 17143 CHECK CONDITIONING & MFA SPLIT -SYSTEM PC HEATI Total Paid forCHANGEOUT: $108.78 $108.78 SAN'S AIR PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/5/15 R6822 17143 CHECK CONDITIONING & MFA HEATI Total Paid for PERMIT ISSUANCE: $91.85 $91.85 INSPECTIONS #ctm INSPECTION TYPE . INSPECTOR SCHEDULED COMPLETED RESULT : REMARKS NOTES DATE 'DATE' MECHANICAL FINAL" BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE NOTES Printed: Friday, June 05, 2015 12:32:48 PM 2 of 2 CR sysrrMs STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CF1 R -ALT -04-E Revised 015/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: Equipment Type Equipment Efficiency. New Ducting, Plenums, Lineset: Conditioned Thermostat Required R value Floor Area (sq ft) 0 ackaged System ❑ Evaporator Coil AFUE COP ❑ R-6 (CZ2, 8-13) Ducting Served by system ❑ Setback Split System ❑ Condensing Unit ❑ R-8' (CZ 11, 14, 15) Ducting sgft (If not already ❑ Mini Split ❑ Compressor SEER HSPFpresent, ❑ R-6 (all CZ's) Plenums must ❑ Furnace ❑ LinesetEER [IR -5 or R7.5) Lineset° be installed) ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this' fo m is allowed to be•filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (:L15%, or < 10% fo outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: '❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or 113. Existing duct systems are constructed,'insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow Z 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Duds with Replacement Required Compliance Documents to be left on site for Final: All New Duds' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Dud leakage < 6%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge Exempted from dud leakage testing if: ❑ 1. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage L15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 3 All New Ducts is when 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) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-25/8", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). . 4. 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 CCR. 5. 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 to the enforcement agency for approval with this building permit application. Responsible Designer Name:' Responsible Designer Signature: Date Signed: License: 1Company: , ' Address: �- X Cit State/Zip: Phone: !!5�0L^Y , , , �� 80 o �� z 7&o--?s��y�8 For assistance or quesons regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: / —(p %D 14,,, y� S � Owner's Name: A. P. Number: Address: 4�1_p Z s ✓ Legal Description: City, ST, Zip:2 �3 dGt lei eIA4 Contractor :Gn telephoneo2'�.��/� Address:�j �-S` 1_�z Project Description: City, ST, Zip: ti�� lKU 5�2Y10 61Z,/- f Te ne• le ho P / 2 �S7 d State Lic. # : 6'�Z 7'7,f ` City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: cu aneY : Pe: Occupancy: Con tructionTY State Lic. #: New Add'n Alter Repair Dem o Project tYP.a circle oneNe Name of Contact Person: fG+/ccorr t� Sq. Ft.: # Stories: # Units: 1 Telephone # of Contact Person: `7G Estimated Value of Project:", Oo p APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees