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BMCH2015-013978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0139 Property Address: 55573 PINEHURST APN: 775241078 Application Description: JACOBSON/(2)16SEER/78AFUE SPLIT SYSTEMS Property Zoning: Application Valuation: Applicant: ALL DAY HEATING & COOLING 82578 PISA CT INDIO, CA 92203 LICENSED CONTRACTOR'S DECLARA ION I hereby affirm under penalty of perjury that I am licensed L ide/Rovisions of Chapter. 9 {commencing with Section 7000) of Division 3 of Busi a and Professions Code, and my License is in full force and effect. License Class: C20 License No.: 954337 Date, ii vtl I 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) 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).: (1 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: 4/22/2015 Owner: STEVE C JACOBSON 55573 PINHURST n 0 LA QUINTA, CA 92253 M A Contractor: No ALL DAY HEATING & COOLING b - 82578 PISA CT INDIO, CA 92203 z (760)834-1064 Llc. No.: 954337 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 thR 14ork for which this permit is issued. ,X Fhave and will maintain workers' compensation insurance, as required by Secti87'3700 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 f which this permit is issued, I shall not employ any person in any manner so as to becoi ie subj to the workers' i compensation laws of California, and agree thatAl shou bec me to to the workers' compensation provisions of Section 37 of the Labo Code, I shall forthwith comply wi h those provisions. Date! tiv �S Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVE GE 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 abov informa ion ' correct. I agree.to comply with all city and county ordinances and state s relat o building construction, and hereby authorize representatives of this city nter u the ab ve• menPtiio/ o/ned property for inspection purposes. Dater Signature (Applicant or Agen/,,( � CERTIFICATE OF COMPLIANCE MR -ALT -02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: 55-573 Pinhurst Date Prepared: 201504-21 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. 01 Project Name 55-573 Pinhurst 02 Date Prepared 2015-04-21 03 Project Location 55-573 Pinhurst 04 Building Type Single family OS CA City La Quinta 06 Dwelling Unit Name 55-S73 Pinhurst 07 Zip Code 9225308 system a Dwelling Unit Conditioned 2400 ! Installing A Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning en rely new 09 Climate Zone II5 J� 30 (SC) systems in this dwelling 2 component? components? ,.�� duct system? unit. Alteration Type B. Space Conditioning (SC) System Information+': yi*'' {cry( ��t a � / � /�. !A F� AA. #1 .0 or r Ate' 01 02 J; X 03-^ a1 04& ^05I W 6r* 07'% 08 09 10 FIs the SC""" A ' Installing a n.�... ys a Asx. rr...r as i.s t,+ �-.,✓ u SC System SC System A served system a ref igerant `.Installing new SCInstalling ! Installing -Installing Identification or Location or Area by this SC ducted containing system more than 40 en rely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 living, kitchen 1200 Yes Yes Yes No No No Altered space conditioning system System 2 bedrooms 1200 Yes Yes Yes No No No Altered space conditioning 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-A0104894A-0000000004000 Registration Date/ Time: 2015-04-21 17:58:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-21 17:57:09 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) 01 02 03 04 0S O6 07 08 09 30 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 Dud or Name Type Components Type Value System Type Components Type Value Type Dud Length R -Value Central gas Gas furnace Central split All new This field or This field or System 1 furnace AHU AFUE 0.78 AC cooling SEER 16 Setback section is not section is not components applicable applicable Central gas Central split All new This field or This field or System 2 furnace Fancoil AMU UE 0.78 AC cooling 1componen. SEER 16 Setback section is not section is not �� applicable applicable Required Documentation: r / CFZR-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 Leikage testing required when heating components are.installed,in ctucted systems, or when.more than 40 It of duct length is replaced. -or_woling leakage rate compliance: 515%, ors 10%leakage to outside, or sell all access ble leaks. - �� CF2R-MCH-25-H & MR -MCH -25-H Refrigerant Charge Verifica�ion required when refrigerant containing components are installed or altered (applicable in CP2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM to`n r uireodiwhen MC11-25 is re wired co Exceotlons: /%% ' jj gj -Duct systems registered with HERS provider as previously sealed'are exempt from MCH -20 Duct Leakage Testing requirements. 1 j -Heating-only systems and Air Handler/Furnace changes do not require verification"ofAir Flow MCH -23, or Refrigerant Charge MECH-2C) I - V -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCHk�20'DuR Leakage Testing requirements. 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: 215-A0104894A-000000000-0000 Registration Date/Time: 2015.04-21 17:58:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-21 17:57:09 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: SANCHEZ, MIGUEL Company: Signature Date: M IGUE L SANCH EZ 2015-04-21 17:58:00 Address: CEA/ HERS Certification Identification (if applicable): 83947 Moonlit Drive Gty/atate/Zip: Phone: Coachella CA 92236 (760) 834-1064 Responsible Person's Declaration stateme'nt', I certify the following under penalty of perjury, under the laws of the State of California: i 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 requirements of Title 24, Part 1 and Part -66 of the California Code of R g iaQns } tt l p 4. The buildingdesign features or m g 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 with this building permit appbcation t-1 NI S. I will ensure that a registered co g copy of this Certificate of�C�ompliance shalhbc'made.avaitabla with the building permit(s).issued for the,building, and,made available.[p the�enforcemem agency for all applicable Inspections. 1 understand that a registered copy of this Certificate of Compllianceris,required to be induded.with the;documentation'the Wider provides totthe building owner at occupancy. Responsible Designer Name: '' N iF Y r -r --i Responsible Designer Signature: a '� M'Y` SANCHEZ, MIGUEL Company: Date Signed: MIGUEL SANCHEZ 2015-04-21 17:58:00 Address: License: 83947 Moonlit Drive 954337 city/state/zip: Phone: Coachella CA 92236 (760) 834-1064 Digitally signed by ra10ERTS. 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-AO104894A-000000000-0000 Registration Date/Tme: 2015-04-21 17:58:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-21 17:57:09 Schema Version: O.SSSSDD 1 1101001,101 SCRIPTIOrr � � �=.Y>�,��+..:;� � -� :+ -�x �"�3' ", �r.� � K4' f{�rc�' �••,� �>3 ? •;: Q •.:l :air r4.: :r.. r u . 5" ��ACCOU tY"� 0"'WRu'�. � MOUNT 2 .ysxe7s'S�u�r.�n E HVAC CHANGEOUT - SPLIT -SYSTEM 101-000042402 ;' 0 $145 04 $0.00 .., 1J�)kt".. �j""'"� �fi,�"��r:�!'f�.d":CbYS:et�45#y+'wy,�Yjv*'v T� Imir aBY� � �� METHOD �r- ;•ti(b..iscs*�'a;�'S{'�1 L'.'(yi:N� �w b RECEIPT# � �� CHECK#ti . _ :$c i'i...a$. .✓.P.^ifi:N.c.,t? _.,.. �a � �'�'Xir,.;ki^te �,CLTDBY xacwar HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-426001 0 $72 52 $0.00 Y ,• V "; � -��` yPAIDBY ' `; � i .:: � rr � .� �- METH`OD�' � �� �.• X4nYw+ree'in�.iiuYf�?ia(S4$,`n. a.: y.�y .:.FL-: .•t�.. l`C������„ SY..�::. !t'ln=:-Po#X���� s RECEIPT"#; ��� G CHEC #� 4)Y XO.:J.WN:�T'. fd`.+�: 3��..' $ 1n�'�ti Uf:5�t4:::J(ar.'r.��r�i+ �` CLxTD BY�_ 01.n7Y�'.5�.�32�Y,...� Total Paid forCHANGEOUT: . 17.S6 $0.00 �':� y.'hS�t i'�h"'3S�Ecysy,t...�.97L. Y � `� ti � �DESCRIP,�TION_�'COl1NT E £�'';p' yA •� RTS'f:1y.'@f'4Y i�� Y ,�y>r` r¢yc ..a QN .� X161?Y<�.�'ii'F�-P'd'pGf:.�$b`,-5fi� _' k L�AMOUNT 'i+'�y'. fy'�l'C?S:'r'iv3N - �E`ai ¢PAIq, - �''•<iF', y'4t�°ii-57! � PAID DATE PERMIT ISSUANCE' '101-0000- 0 $91 85 i _ $0:00 fTa 4 �1`,� r' 'R4W. 0:011, 'PAIDI6Y ,}AK�fX4* itv �. ^�' a�'1 iY�I;F::d�+RQ.L^Tl� '��' r+,_4 WMETHOD,�.�t,^RECEIPT-# n;.�: nd1u:R:Aaiw,.. 'uti. 'C MINNOW ;,....� - ;�.11'�yfi'ik� {i�Scd.'FM1`� d Ri��Y'i4.�' �w. '.6:��i � �F� 4'e�[.,1�?`.`W��y�,.r• �� CHECKt# ��,(CLTD�BY'q �iY' .aaF�r�i..YHY�iQ+' Total Paid"for PERMIT ISSUANCE a is91 85 $0.00• • 1 • 1 1 1 s'_ Description: JACOBSON/(2)16SEER/78AFUE SPLIT SYSTEMS Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 4/22/2015 SKH Approved: Parcel No: 775241078 Site Address: 55573 PINEHURST LA QUINTA,CA 92253 Subdivision: TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot: 2 Issued: 40 FOR CMS Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (2)16SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONDITIONS Printed: Wednesday, April 22, 2015 4:23:27 PM 1 of 2 0 SYSTEMS �Ic^ - `G,�o . � v.. ify ,�,� •�`f _:.t° .#,� r _. . t r _ .t,".- � ti i,' a SEQID' `„< ANOECTION:TYPE ya.. 1. _ REMARKS a DATE' DATE y CHECK #. �C� :off BY CLTD'' �B•p� r �. ,a. x .p �Ftl'f`_ � AMOUNT t` .., T Ci ..-•icx'i � k `f41�y'•"�'a .i,',_ ,y� o. kG j.•. '� 3 +�,�.•.yR' � L �•'f! .�':� S �». RECEIPTx# ,. DATE �S - f_�•�;,.�. b ,,,y-., '.r,}M4•'3,sL•� �: �#:°r:;' �' y... S ,; 'e'S' ��:�..P 1stS: '^• ii• 'DESCRIPTION [ x •; . a X ; ' TT•"° .. h SEQID' `„< ANOECTION:TYPE ya.. 1. _ REMARKS a DATE' DATE y CHECK #. METHOD BY CLTD'' z ACCOUNT QTY AMOUNT PAID' PAID DATE RECEIPTx# .. DATE PAID 21 i Au qv 1 .'�4tjt-' ' 0, Xy_,r, HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $0.00 .r. SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $217.56 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 .,.p �. • �' 1 Dal •.f^ .�.. `YS"�4;z ..> 'S soc. -� { � �" u`7 �'i: `-., �;=,�`�_ ^.w � `. � r.� �- ..e'''3� ; ,_s. • � .g - ' P 5, :7] �,Yfi� .(i '`Y'•r'. �i rJ �' ti4" � 4' tt" R � •^N. �4V f �,� �'S�'" 4 ._J,. T _��'� .{������'�~ SEQID' `„< ANOECTION:TYPE INSPECTOR = .. SCHEDULED ,COMPLETED RESULT REMARKS :' s' NOTES REMARKS a DATE' DATE y MECHANICAL FINAL” BLD DUE DATE ;xx = = . ` k 'y � PARENTq PR6.li T_ L Printed: Wednesday, April 22, 2015 4:23:27 PM 2 of 2 SYSTEMS RETURNED,. STATUS' REMARKS ,REVIEW TYPE ; REVIEWER SENT DATE DUE DATE NOTES , •. .. ., .. DATE , 21 i Au qv 1 .'�4tjt-' ' 0, Xy_,r, `Y..,�.+ -1 i . k .r. Printed: Wednesday, April 22, 2015 4:23:27 PM 2 of 2 SYSTEMS Bin # , CkV , f ,L -J Q'u1h to . Buildi6g B *Safety'Division.• ' P.O. Box 1504, 78-495 Calle Tampico La-Quinta, CA 92253- (760) 777-7012.1 BuildingPermit APP t! :and Tracking.Sheet Permit # Project Address:`js�$� ; ' 3' .� �s—r 'p Owner's Name `d3 - A. P. Number:Address; Legal.Desciiption: City, ST, Zip: y Contractor: 4s, _ �r✓ �� t C cow Telephone. " P , Address: S Z -5`}-C� 5. G—� S Project Description: t City, ST, Zipv Gz:% GZZ:a3 -il�� o Teleph e:S•J. o3, -t— bc:{; _ -�-.xz44. t,J• ���-�� State Lic. "City Lie. #: Arch., Engr., Designer: 1 Address: :r City" ST, Zip: . a. Telephone: P ' :;.;;:;.::::.;.;.;: :.::.:::::.......::.::.:......:. ..... . ns Cotruction Type: •, Occupancy: State Lie. # S to L Pro�ecttype,(circleon' .New Add'n Alter Repair Demo Name of Contact Person: a J Q LkE7 C7' Stories: ,. #Units: Telephone # of Contact Pers n:� b0,�-t— t v (, �{ ,'` : Estimated -Value of Project:. APPLICANT: DO NOT WRITE BELOW THIS` UNE tl Submittal Req'd Recd TRACKING a , PERMIT FEES Plan Sets Plan'Checksubmitted "4. ;Item Amount Structural Calcs. Reviewed, ready for corrections iPlan'Ctieck Deposit Truss.Calcs: Called ContactPerson 'Tlan`Check Balance Title 24 Cales. Tlans'.picked up Construction ' Flood plain plan Plans resubmitted t _.. •,,. Mechanical Grading plan _ - .. %itis ,2°,d Review; ready for correctionsMiue 'w:" :- .€. Electrical Subcontactor List Called Contact Person ` Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted F ',`Grading IN HOUSE:= '"' Review, ready forcorrections/issue '. ,Dcveloper Impact Fee Planning Approval k Called Contact Person A.LP.P. Pub. Wks. Appr Date or.permit issue School Fees Total Permit Fees ..