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BMCH2015-0008~ /• �i 78-495 CALLETAMPICO D VOICE (760) 777-7125 LA CONTA, CALIFORNIA 92753. FAX (760) 777-7011 COMMUNITY DEVEL`CiPMENT; DEPARTMENT INSPECTIONS (760) 777-7153 BUILDINGPERMIT Date: 1/9/2015 Application Number: BMCH2O15-0008 Owner: Property Address: 55990 PINEHURST UNIT C18 BRIAN WALLEY APN: 775241022 55,990 PINEHURST Application Description: 5 TON COMPRESSOR CHANGE OUT LA'QUI NTA, CA 92253 Property Zoning: Application Valuation: $4,650.00 Applicant: Contractor: BEST IN THE WEST AIR CONDITION D Q BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 255 N ELCIELO ROAD #140-125 PALM SPRINGS; CA 92262 JAN O 9 ZOiS PALM SPRINGS, CA 92262 CITY OF LA QUINTA (760)343-1002 _. "........., ,,_� rr�cur DEPARTMENT. LIc..No.: 967982 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 of the Business and Professions Code, and my License is in full force -and effect. License Class: C20, C38 License No.: 967982 1�`Coate: I — /— 5 Contractor: Ae Aes) 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; orrepair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he orshe is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing -with Section 7000) of Division of the Business and Professions Code) or. that he or she is ekempt 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 isnot 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 offered16r 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 cointractor(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,perjurythat.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: C_ 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: Carrieri _ . 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 sous to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Secti6n'37 Labor Code, I shall forthwith comply /with those provisions. Date: I / - Applicant: 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. 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 u'p'on 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 shallidefend,.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 riot 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.l'have'read thisapplication 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 herebq.'authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date:( / _, S Signature (Applicant or Agent): CERTIFICATE OF COMPLIANCE CF1R-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:r�� Hansen, Jamie Camie Ortansen Company: - -' -' " Signature Date: Best in the West Air Conditioning & Heating Inc 2015-01=08 16:26:13 Address: CEA/ HERS Certification Identification (if applicable): ' 31225 Plantation Dr City/State/Zip: Phone: Thousand Palms CA 92276 (760) 343-1002 Res ponsible'Person's Declaration statement I certify the following under penalty of peripry'uniJerrtheaawsof the State 8t-_51ifornia: 1. The information provided on this Certificate of Compliance istrueiand correct 2.- 1 am eligible under Division 3 of the buslness,and Profession's Code to accept responsibility for the buildmg,design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performaAcelspenfications, materls componentsnand manufactured Aewees�forkthe 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 CallfornIa Code oftRegulatlons. _ At 4. The buildirig:design features or system design features idepfied on thtCertificate o�f.Compliance ae`cons stent,withth Zlnformation7provided oother applicable compliance documents, worksheets, calculations, plans ands eciflcationssubmltted to he enforcements enc for approval with this bulldm permit appllcatfon '< p ads:. g.�y g s �e PC r a, S. I will ensure that a registered copy of this,Certifieate shalbeamade.avaablewith t�hebuildmg permits)%ssued for the building and made available to the enforcement agency for all applicable. ofCopliance inspections. I understand that a registered copyof tFiis Certifieatefof Complian¢e`lsyrequiredsto be included,viith.thedocumentation the.6uilder proyidestii the building owner at occupancy. . ._ Responsible Designer Name: Responsible Designer Signature:' rr�� Hansen, Jamie Y' Jamie C arisen Company : Date Signed: Best in -the West Air Conditioning & Heating Inc 2015-01-08 16:26:13 Address: _ License: 31225 Plantation Dr 967982 City/State/Zip: Phone: Thousand Palms CA 92276 (760) 343-1002 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-A0012731A-000000000-0000 Registration Date/Time: 2015-01-08 16:26:13 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015.01-08 16:27:07 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: Walley.Brian.55990.1 I Date Prepared: 2015-01-08 A. General Information CF1R-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. 7 01 Project Name Walley.Brian.55990.1 02 Date Prepared 2015-01-08 43 Project Location 55990.1 Pinehurst 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Walley. Brian.55990.1 07 Zip Code 92253 08 Dwelling Unit Conditioned 2000 Installing Installing Installing Floor Area (ft2) Location or Area. by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 1 1 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information `~ 01 02 03, f; 04 a'�"° OS ?` ' 06 . ' ; 07 '- MF f! 08 — 09 10 1s the SC'= Installing'a 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) 1 system? 1 component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Living 2000 'Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A0012731A-000000000-0000 Registration Date/Time: 2015-01-08 16:26:13 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-08 16:27:07 Schema Version: 0.551SDD 17% ��fyo - g� 2 IN A ~FINANCIAL iqWgip, N -- 0.", 9 mom H 'U" NINE 'ftPAID, ',6 --d M. W -.61,190M SAS SB1473 FEE, ; 0 1 00 $0.00 101, '111119 fsr W MH -�W- tf t IF I CHECK #�CLTp1vBY� ffEW & !u ADMINISTRATION Total Paid for BIJIJLDINd.tTANIJARdt'ADMINIS R .00 NO igmws� ism, PAID Pii4ID?�UATE : 4-1 -wou( HVAC CHANGEOUT OTHER' EQUIPMENT �.E.OUT 10 4 qq(�97.2402 $0.00 W71A 11", ".1 ""1 WINES, "WIN V1 W 8-11 C C- UT, D E I qn--, NO" NO -1" T-1 �"-; MORE, 111 17 IN A N PIN I-OT11 M101.1 vo 11. L NR Ls' 1, N •H . VACCHA 6T:'-'bTHER EQUIPMENT PME�N�..'.k --.101,-0009 3 6.26- .00 i�TfCW-Y. NUIOIxZWMZ Ofir Fv �fftj �Rn '9A N V -p k�'; "p - C' Total Paid foEOUT.",t $72.52, $0.00 PINION-- I I'M IN W.'MR 01, ��;Wkl - PERMIT ISSUANCE j10�OOOQ-42��'4`- 9. $O.w g OD�'.'Us'm A�p -,'T- i AR A ENG E kv N4 E!Ct �CH t;MET_O Total P a-ja 9 Description: 5 TON COMPRESSOR CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 1/9/2015 P1U Approved: Parcel No: 775241022 Site Address: 55990.PINEHURST UNIT C18,CA Subdivision: TR 21381-1 CM 059/074 SEE ASR MB Block: Lot: 2 Issued: 769/41 FOR CM CONDITIONS Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,650.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: COMPRESSOR CHANGE OUT 2013 CALIFORNIA MECHANICAL CODE] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAI INSPECTION. 2013 CALIFORNIA BUILDING CODES Printed: Friday, January 09, 2015 10:59:41 AM 1 of 2 SYSTEMS ADDITIONAL D CHRONOLOGY CONDITIONS .:-,..:,.....::.-.r.;�✓: s+.'�,; NAME -T. �a-.k.a ., ._«,-wn.Sa+.F+="'+::±. .a>y�,.:�-.� ,�. ..,'>r.. -",•-^+-"r-". ,;_ ..._ DRE .exeai � .ne INS .� �A.rT w..-.._.,..o-.s,:A' :s,v`'9 ZI p; sem.. Pe FAX M E AILS APPLICANT BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM ISPRINGS. CA 92262 (778)229-7863 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS CA 92262 (778)229-7863 OWNER BRIAN WALLEY 55990 PINEHURST LA QUINTA CA 92253 (778)229-7863 INFORMATIONFINANCIAL Printed: Friday, January 09, 2015 10:59:41 AM 1 of 2 SYSTEMS Printed: Friday, January 09,201510:59,41AM 2ofZ CRWYSTEMS -HOD PAID BY, CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 HVACCHANGEOUT- 101-0000-42402 0 $36.26 $0.00 OTHER EQUIPMENT HVACCHANGEOUT- 101-0000-42600 0 $36.26 $0.00 OTHER EQUIPMENT PC Total Paid forCHAN�EOUT: $72.S2 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.8.5 $0.00 Total Paid for PERM IT -ISSUANCE: $91.8s $0.00 TOTALS: $165.37 $0.00 Printed: Friday, January 09,201510:59,41AM 2ofZ CRWYSTEMS Bin # .. , Qty of )La Qu►nta Building &-Safety Division P.O. Box1'50, 78=495 Calle Tampico La Qulnta,,CA 92253 -.(760). 777-701 2 BuildingPermit.Appifcation'and Tracking Sheet Permit # Project Address: ci. Owner's Name. - y ,ain W- a A. P. Number: Address: t5Sqq 0 4>1 tyjiui�S 4 Legal Description: S- 1 '' City, ST, Zip:'CAVlo�a . Contractor: � AC Telephoner _ O tll Address:. N �, n- ProjectDesciptio rn 5 ovq— Cit ST Zip: p YY\ q a�C¢� ' Telephone:luo- � 60:) „^^ � State Lic. # : "t�.l "t. �� City Lic. #: Arch., Engr., Designer: Address: City., ST; Zip: Telephone: ;:;:;:::.>:<<;?:::;::;;;::;:. :,.:; ...................................................... ' Construction Type: `Z r Occupancy: State Lic. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �� GL W�wUt Sq. Ft.: # Stories. # Units: Telephone #. of Contact Person: 2 P /� Q'G Estimated Value of project: (f! io APPLICANT: DO'.NOT.WRIT,E BELOW THIS LINE . # Submittal Req'd Recd TRACKING PERMIT FEES, Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 20° 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 I10USE:- '^' Review, ready for corrections/assue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr .Date of permit issue School Fees Total PermitTees �r2�y7