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BMCH2015-0124aw 78-495 CALLETO�iAMPICO D. .LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0124 Property Address: 79320 PASEO DEL REY APN: 604440060 Application Description: SCOTT/CHANGE OUT (1) COIL Property Zoning: Application Valuation: $1,800.00 . Applicant.- pplicant:BEST BESTIN THE WEST AIR CONDITION 2SS N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 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: C/20, C38 License No.: 9679 Date / �i-1 5 Contract. 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) orthat 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 1 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: 4/14/2015 Owner: JAY SCOTT SMITH 79320 PASEO DEL REY LA QUINTA, 92253 Contractor: BEST IN THE WEST AIR CONDITIO 255 N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 (760)343-1002 Llc. No.: 967982 5 c z �" D 00 N��m Z — M O 32 a c� a -a T C X11 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 ' �fdr which this permit is issued. e -and will maintain workers' compensation insurance, as required by Seon 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, 1 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 Appliean" /t:, 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.. APPLICANTACKNOW LEDGEMENT IMPORTANT:Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. '..I. 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 permitio 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. 4-� .- '_5' /�v��qq Date: Signature (Applicant or Agen. tj/ 49. R 11 _ Conditioning,& Hdating 255 N El Cielo Rd, PMB 125 Palm Springs, CA 92262 760-343-1002 www:gotcoblair.Com 1441-15905'.4'/15/201.5 ; INSTALLATION MANN Fidelity National Hoene Warranty P.O Box 8127 Walnut Creek, CA 94596 Assistant 1 ANTHONY 09:00 AM Job"`Name: :' , � I.Ri ,. Scott/79320 79320 Paseo Del Rey Aliso-P9697 La Quinta, CA92253 1-800-208-3151 909 -25473870 -JAY •. Description'of Work,. swo4659717 In (wip3) Replacing 5ton Horz.•Allstyle Coil for split system-(ferguson) Autho-SS3471432-Kimbetly-new autho- 909-964-9697-DONNA 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 CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: Scott.79320.1 Date Prepared: 2015-04-13 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-CFiR-ALT=02°document for each dwelling unit. O3 Project Name Scott.79320:1 .,; 4 02 Date Prepared 2015-04-13 03 Project Location "" 79320.1 Paseo Del Rey ;,04 . Building Type" Single family " 05 CA, City La Quinta 06 Dweiling Unit Name Scott.79320.1 07 Zip Code 92253 :.08 -Floor Dwellirig"Unit Conditioned ' Area = 2000 . Installinganei l �11 � r Instal1W- Installing- - Installing . (ft2)' Identification or Location or Area '' by this SC r o ' !i• k containing Number. of sp_ace_conditioning` i� more than 40 09 . Climate Zone v 15 :' ? *, 10 (SC) systems in this dwelling .1 , system?. componentl components?. feet of ducts? duct system? SC system? Alteration Type System 1 Whole House . - -2000 Yes ° Yes B. Space Conditioning (SC); System Information;AV" 4010ft eiRR► • .fir Ol 02 ' ��03 04 d 05 '06 Y 0:�r 08 09 10 the SC bInstallling 677 iAn . SCS "stem- y SCS stem y CFA served system ag�{I "'�` ' ' refrigerant t �iliw. '� Installinganei l �11 � r Instal1W- Installing- - Installing . Identification or Location or Area '' by this SC *5 d ducted ' !i• k containing E! %A. % .; system _ i� more than 40 u�' ..51x.1. entirely new` entirely new Name Served System (ft2) system?. componentl 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 (SectiOn150.2(b)1Diib) This.section does not apply to this project. Registration Number: 215-A0095845A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Datefrime: 2015-04-13 14:23:39 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2015-0413 14:23:53 CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) 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 Dud Length R -Value Central gas No heating This field or This field or Central split This field or This field or System 1 furnace component section is not section is not AC Indoor coil SEER 13 Setback section is not section is not altered applicable applicable 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: 515%, ors 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF311-MCH-25-11 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: HERS from MCH Dud Leakage -Duct systems registered with provider as previously sealed are exempt -20 -Testing regwrements: j -Heating-only systems and Air Handler/Furnace changes do not require verid fication of Air Flow MCH -23, or Refrigerant Charge-MECH-25.t rn -Existing dusystems constructed, insulated or sealed with asbestos am re exempt�froMCH-20 Duct'Leakage Testing requirements. k E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (S_ections 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: 215-A0095845A-000000000-0000 Registration Date/Time: 2015-04-13 14:23:39 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-13 14:23:53 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 - Hansen, Jamie -._ - Hansen, Jamie o awen Company: Signature Date: 'Best in.the West Air -Conditioning & Heating Inc 2015-04-13 14:23:39 Address: CEA/ HERS Certification Identification (if applicable): 31225 Plantation: Dr City/Siate/Zip: Phone: Thousand Palms CA 92276 (760) 343,1002 Responsible Person's;Declaration statement, I certify the'following under penalty of perjury, under the' lawnf the State of California: 1. The information provided on this Certificate of Co pliance,is true and correct. 2. 1 am eligible under Division 3 of t:he BBusiness and Professions Code two 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 forthe 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'cwnsistent,with the inform ation,provided on otherrapplicatle°compliance documents, worksheets, .. 1k4tiI)•.s+.._ ty.ae.tK ode f,.a �` : kR. calculations, plans and specifications submitted,to the enforcemenYagency forapproval with this building permit application:. 5. I will.ensure that a,registered copy ofFthis Certifica�te�of C mpliance shall be m de, ailablewith the building permit(s),issue�d for+the_buildi g, a.n de availableto�the enforcement agency for all applicable inspections.I understand that a registe ed copy,of this C'rt ficafe of Co,;mpllianceois;req Xired to byeincluded`�wi�th the cumey n tionafie tiu Ider. pyo -vides to�the bui ing•owner at occupancy. Responsible Designer Name: ' " Responsible Designer S gnature V IL-wAzi Haosen, Jamie Jamie ansen Company.: Date Signed: Best in the West Air Conditioning&Heating Inc 2015-04-13 14:23:39 Address: License: 31225 Plantation Dr 967982 City/SWe/Zip: Phone: Thousand Palms CA 92276 (760) 343-1002 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-A0095845A-000000000-0000 Registration Date/Time: 2015-04-13 14:23:39 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-0413 14:23:53 Schema Version: 0.555SDD • 1 1 0 1 :rtl: �.sra'+ifi- �.� r� �"F1G.{�1.d{ •,�vr'Sc mT,�45'.i�, l�"�._� st4".�,' -¢_ 2�, � ti1Ps� U T7�' t�'..Tai.'adr.Y.,' Ftg3� i.'•9 ',� ". � ' � t ,'1�y#'�'^i �'4'.yit�� "'.: :;F,. � OTT rQTYAMOUNT .� x�QUNT csa, �' FA�DcS'pAIgDATE BSAS SB1473 FEE 101 0000:20306': 0 :. , $1,.00 .. '.�METfHO p uss; N j�" #?rgj � .. CI9E K # {' n ;,l CLOT{D ABY �Jp}�y�, .. •�� PAID BY{ yL- MIM "ll, �''$.'41kR*1�2t+•S y .•. _'RECE�IP,�fT .� R'RS.�'.�i•ICr"! 2i,�r47U1.�.�nxY..4. .. iYeF`.'i " .n;9!{f4"fi.SPtSrt@t94rfhM5x<+J=� c}''ti!tTiles?µTryxt.: :.#i�tttln Total Paid.forBUILDING;STANDARDS ADMINISTRATION`BSA >- $1.00. „$0.00 sN ". ION,J"�`' <. lO HVAC CHANGEOUT;- REPAIR/ALTERATION 101 10000'42402 0 $12 09 $0.00 Iwi�METHOD�a�,-rRECEI#?;CHEK�#>r�,BYay-� NMI r -i✓r. � .p. max.VN o a u t twrsa rr • ,t _g ° •''4k3Y ."liyx7tF�h3!,i;wP1 �7�DESCRIPTIONw }w 1i"A�vyr'/�tipT"q'rat'•C :"y,... ,�6p7C^"''th'1 L ACCO.UNTiQTY M4+ 4. iF.EL-Ey1F.,£Y7 ': '"'r. 't/+ ry„'{j AMOUNT i%Y:�. L-'4b'i:'i.Y•'%` L'$�L1.1,}sA;�'1F�'�,77:"'pry PAID , MPA DATE ..,�i«SiA'A;MY;rc:G �,Lk4:}1.`Qn#'-as'r,.�t W .'fw�6 r•!�"n`I$iS:'�F't'+.P'?�r`•i ...1';8:.7 �:'i A.. A."�}.'a:.',t. �:%bk+rar �: aip wt�'.`k15Y,'�`Ada'+�atF .SF:.,RFAfa..hix.r,. HVAC CHANGEOUT -REPAIR/ALTERATION ��1. PC 1010000-42600.: r 0 `$4.83 $0.00 WON METHQD� '1 iS.'�i` RCiWE,PL�Ty;�f.r. % �1`WE a , _•a 3 4•l""ih :V`hERv 1-41,WON �NYI4D�jBsYti �,,. ` s � � �i IF,' .m�•Y�arE.F•L,;:�? ,�,/V4`�SH.J"3!r.2"'4. Total Paid forCHANGEOUT... ' .a -M: $16:92 $0.00. iG.. •� Rk v345AP YvdSf[$%,�'r..� �. %` f ,' �Lf r�,$!% DESCRIPION'v{ACCOUNTQTY,'$(MOU,NT . I'� "F `iR • : , ey�a ., 1 . t $ ik' LAI to w ! ,� ,. ,,'� L"G'Q?:ss9 4 •tzj'a` 2 �_i. r'b C�YvF4p Al D' DATE ,A PERMIT ISSUANCE 101-0000 42404. ' 0 $9185 $0.00 '� ! .i. G'�t "k,+Sd _`". Y�` -S"'exi i X NOR!PAID BY v, •x4_tl'M1 �;yt� �'4 u�1Y't'*s'✓! METHOD � S,�Y� L hr. RECEIPT # :.'9d�.% .tri 5'u'...v.41 i CHEdOMMA .f `tlW�:1Y'Y�i p'•44ti. BY k �, � , 3061(x• .:.a � � a' _,: :.a.' .✓3. r,�u�rtzaC7 r` a�CLaTD �� F ,TUANCE Description: SCOTT/CHANGE OUT (1) COIL Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 4/14/2015 SKH Approved: Parcel No: 604440060 Site Address: 79320 PASEO DEL REY LA QUINTA,CA 92253 Subdivision: TR 27519 Block: Lot: 60 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 13SEER COIL. [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONDITIONS I FINANCIAL INFORMATION Printed: Tuesday, April 14, 2015 11:33:43 AM 1 of 2 SYSTEMS v, Ni �� A lJFi 7771 >_. DESCRIPTION .. :. _ 'ACCOUNT _. QTY ".,.'AMOUNT PAID 4 PAID DATE RECEIPT# . 'CHECK # METHOD .=PAIQ BY CLTD BY BSAS SB1473 FEE. 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION HVAC CHANGEOUT - 101-0000-42600 " 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid forCHANGEOUT: $16.92 $0.00 PERMIT ISSUANCE 101-000042404 0 $91.85 $0.00 Total.Paid for'PERMIT ISSUANCE: $91.85 $0.00 ..;4 ., •. �, .mac ... � � � � $',% S L:'�d4.'�-♦. Y :41 a �:i.�1Fai�` . 4!' . l.. 'K�.�'�F. �'. Printed: Tuesday, April 14, 2015 11:33:43 AM 2 of 2 CR&VSYSTEMS B"I Bin.# Ory. of La Qulnta Bulkgng or Safety Division P.O. Box 1504,78-495 Calle Tampico la.Quinta, CA 92253 • (760) 777-7012 Building Permit -Application• and Tracking Sheet Permit # 6 ProjectAddress: 7 -.?7pj c,,5PbOwner's Nem.: , SGo � A- P. Number. Address: '7� - 5zo PC,581VW. Legal Description: Contractor.S-� , ►ice City, ST, Zip; L e ?)z ' Telephone:. 7G Address: 25,5 [V -.0 V-0 �' 1'el e, p%t�l g / q -125 Project Description: City. ST. Zip: Q S r; / � � ' P�vt CCtt) ) c:k_C Telephone: 6(G • 3q' J002 State Lia # : City Lie. f1k. Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: 2 f G VJ'e0,V �` Construction Type:. ;e . Occupancy: Project type (ckrde one): New Add n Repair Demo : Sq. Ft : #.Stories: # Unita: Telephone # of Contact Person: -760 G© 7,Estimated Value of Project: ✓ APPLICANT: DO NOT WRITE, BELOW THIS'UNE q Submittal Rcq'd Rcc'd TRACMG PERMIT FMS PIan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . 'mass Calct. Called Contact Person Plan Check Balance Tide 24 Cale. Plans picked up Construction Flood plain plan Plans resubmitted. • Mechariicsl Giading plan 2' Review, ready for correctionshoue Electrical Subcoutactor List Called Contact Person Plumbing Great DeedPians picked up S M.I. H.O.A. Approval Pians resubmitted Grading IN ROUSE:- ''" Rgview, ready for eorreetionsAssae Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees