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BMCH2016-026578-495 CALLE TAMPICO- LA QUINTA, CALIFORNIA 92253 c&ht 4.lwQuLtrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT -Application Number: BMCH2O16-0265 Property Address: 44060 CARMEN PL PL APN: 604151007 Application Description: SWEAT RESIDENCE / HVAC CHANGE 0 Property Zoning: Application Valuation: $11,000.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 D A`---.� - T� JUL 2{' 2016 CITY OF Lr, :JUINTA_J CO!dMUNITY DEVELOP&?ENT D"cPARTMENT 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. C36 License No.: 977333 Dam to 7 ZO II t. _C-ontractor: ��w2 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 t 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 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 Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 77.7-7153 Date: 7/20/2016 Owner: BARBARA SWEAT 44060 CARMEN PL LA QUINTA, CA 92253 Contractor: A#1 SERVICES HEATING & AIR CONDITIONING 78206 VARNER ROAD #D-189 PALM DESERT, CA 92211 (760)342-3610 Lic. No.: 977333 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 thork 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. 17.0lte V1025nt--1���— 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 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 nct 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. D.te,-7-7 ZO)�gna ure.(Applilca" nYo�Agenf):-� « FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306. 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID -DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC _ .101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID- PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: SWEAT RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/20/2016 MFA Parcel No: 604151007 Site Address: 44060 CARMEN PL PL LA QUINTA,CA 92253 Approved: 7/20/2016 fiIIFA Subdivision: TR 23269 Block: Lot: 18 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $11,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 18 SEER/80AFUE SPLIT SYSTEM [2608 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. i® Applied to Approved . .:V11 CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC .31225 LA BAYA WESTLAKE VILLAGE CA 91362 (503)430-8928 CONTRACTOR A#1 SERVICES HEATING & AIR CONDITIONING 78206 VARNER ROAD #D-189 PALM DESERT CA 92211 (503)430-8928 OWNER BARBARA SWEAT 44060 CARMEN PL LA QUINTA CA 92253 (503)430-8928 FINANCIAL INFORMATION Printed: Wednesday, July 20, 2016 10:50:21 AM 1 of 2 CIR"WlYSTEMS BOND INFORMATION Printed: Wednesday, July 20, 2016 10:50:21 AM 2 of 2 srsr.Ms ~CITY 7. CLTD DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00. Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $0.00 SPLIT -SYSTEM PC .$36.26 Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 _ $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 BOND INFORMATION Printed: Wednesday, July 20, 2016 10:50:21 AM 2 of 2 srsr.Ms Bin.# City of La Quints Buiicrtng &r Safety Division P.O. Box 1504,78-495 Caiie Tampico la.Quinta, CA 92253 - (760) 777-7012 Building Permit' Application and Tracking Sheet Permit # ProiectAddmss: 44060 Carman Place Owner's Name:. Barbara Sweat A. P. Number: Address: 44060 Carman Place Legal Description: City, ST, Zip. La Quints, CA :92253 Contractor. A#1 Services Heating & A/C Telephone: Address: 78206 Varner Road #D-189 Project Description: Replace4ton A/C & 90,000 BTU Furnace . . City, ST, Zip: Palm Desert, CA 92211 Telephone. 760-342-3610 State Lic. # : 97733.3 City Lie'. M. Arch., Engr., Designer Address: City, ST, Zip: Telephone:V z. '. State Lia #: yK ; Name of Contact Person: Steven Schnierer Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft- #Stories: #Units: Telephone # of Contact Person: 818-735-7876 Estimated Value of Project: $11,000.00 . APPLICANT: DO NOT WHITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERhIIT FEES Plan Sets Pian Check submitted item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Catled Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Hood plain plan Plans resubmitted Mechanical Grading plan Zid Review, ready for correctionsfcssue Electrical Subcontactor List Called Contact Person Plumbing Great Deed Plans picked up SJ%LL H.OA.'Approval Plans resubmitted Grading IN HOUSE:- '^` Review; ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. ' Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: Barbara Sweat I Date Prepared: CF1R-ALT 02-E (Page 1 of 3 ) 2016-07-19 A. General Information MR -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 Barbara Sweat 02 Date Prepared 2016-07-19 03 Project Location 44060 Carman PI 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Barbara Sweat 07 Zip Code 92253 08 Dwelling Unit Conditioned 1563 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 Information� - n / � n fl r^ r,1-- , - 01 02 03 04�� OS 061 `?t` 074„ 08 09 10 43 FIs the SC - Instilling a SC System SC System CFA served system a-`' refrigerant Installing new SCInstalling -Installing Installing Identification or location or Area by this SC `ducted containing system « . more than 40 enn elyen w entirely new Name Served System (ft2) system. component. components? feet of ducts? duct system. SC system. Alteration Type System 1 Location 1 1563 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: 216-A0265697A-000000000-0000 Registration Date/Time: 2016-07-19 09:03:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:03:56 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) 01 02 03 04 05 06 07 08 09 10 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 Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas All new Central split All new Less than or System furnace heating AFUE 80 AC cooling SEER 18- Setback -equal to 40 R-8 components components feet Reauired 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 ftof duct length is replaced. -Leakage rate compliance: 5 15%, or 510% leakage to outside, or seal all accessible leaks. MR -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 & CF3R-MCH-23 Air Flow 2:300 CFM/ton required when MCH -25 is required. Exceotions: -Duct systems registered with HERS provider as previously sealed are exempt from,MCHA20 Duct Leakage Testing requirements. -Heating-only systems'and Air Handler/Furnace changes do not require verification of Air Flow MCH -23; or Refrigerant ChargeMECHH-25 Existing duct systems constructed, insulated or sealed with asbestos are exempOrom MCH 20 Dudt Leakage Testing requirements. I ..+� t t �"�_. L i :I 9 1 f it,. •. s I t f 1 l � 1 ! f .,. 1 t i 3 i!� t, ,,: E. Entirely New or Complete Replacement Duct System, with or without. Equipment Changeout (Sections 150.2(b)1Diia,and 150.2(b)1E, F) -+�9 �€ Ifr- '*w. l..r►' � is � 1L � • 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: 216-AC265697A-000000000-0000 Registration Date/Time: 2016-07-19 09:03:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:03:56 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-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: �/ Jacoby, Ian cyan �acobJr. ' Company: Signature Date: i PERMIT E RATERS 2016-07-19.09:03:21 Address: _ CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 Responsible Person'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. I 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 6 of the California Code of Regulat ons 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the informatlon.provided on other.applicable compliance documents, worksheets, calculations, plans and specifications submitted tothe enforcemeni agency for -approva,I'vv h this building permit application. 11 a a r� �r,,, �. at ar S. I will ensure that a registered copy of this Certificate of,Compliance shell be. made available with the bullding permit(s) issued for thebuilding, 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. Responsible Designer Name: ..: Responsible Designer Signature: VW IU -0 -- L—�^ i r t J9 Jacoby, Ian n �acob Company: Date Signed: A 1 SERVICES 2016-07-19 09:03:21 Address: License: 74866 Lennon PI 977333 City/State/Zip: Phone: Palm Desert CA 92260 760-565-2269 1 Digitally signed by CaICERTS. 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: 216-A0265697A-000000000-0000 Registration Date/Time: 2016-07-19 09:03:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:03:56 Schema Version: 0.555SDD