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BMCH2015-016278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t,r °& 4Qubtrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0162 Property Address: 81507 CASTLEROCK CT CT APN: 764780040 Application Description: KRIMSTEIN / CHANGE OUT (1) 3TON COMPRESSOR Property Zoning: Application Valuation: $2,000.00 Applicant: BEST IN THE WEST AIR CONDITION c� 255 N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 255N ELCIELO ROAD #140-125�'fl z 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: License No.: 967982 Date.-- — 5 contractor: 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 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.). (1 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.). (_J 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 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 th k for which this permit is issued: I nd 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: J s- I's 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 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 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: _—I 5 Signature (Applicant or Agent): Date: 5/8/2015 Owner: FRED KRIMSTEIN — 81507 CASTLE ROCK CT �I z LA QUINTA, CA 92253 C=:)ma© Contractor: c� BEST IN THE WEST AIR CONDITION--- ONDITION_255 255N ELCIELO ROAD #140-125�'fl z PALM SPRINGS, CA 92262 (760)343-1002—�� Llc. No.: 967982 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 th k for which this permit is issued: I nd 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: J s- I's 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 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 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: _—I 5 Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HVAC CHANGEOUT - REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $16.92 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 PAID:BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0• 00 Description: KRIMSTEIN / CHANGE OUT (1) 3TON COMPRESSOR Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 5/8/2015 SKH Approved: Parcel No: 764780040 Site Address: 81507 CASTLEROCK CT CT LA QUINTA,CA 92253 Subdivision: TR 30023-6 Block: Lot: 78 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (1) 135EER 3TON COMPRESSOR [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Friday, May 08, 2015 10:12:22 AM 1 of 2 � SYSTEMS CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262 #140-125 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262 #140-125 OWNER FRED KRIMSTEIN 81507 CASTLE ROCK CT LA QUINTA I CA I 92253 Printed: Friday, May 08, 2015 10:12:22 AM 1 of 2 � SYSTEMS ...... ...... 0 Z PARENT LOTS 7 -T -E RETURNED STATUS REMARKS -.-,P - CL1 6 DESCRIPTION ACCOUNT QTY J AMOUNT PAID I PAID DA RECEIPT # CHECK I METHOD AID BY DATE 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 $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 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 F PARENT LOTS Printed: Friday, May 08, 2015 10:12:22 AM 2 of 2 LJ WYSTEMS 7 RETURNED STATUS REMARKS 7' REVIEW TYPE REVIEWER I SENT DATE I DUE DATE I I NOTES I DATE Printed: Friday, May 08, 2015 10:12:22 AM 2 of 2 LJ WYSTEMS 7, 7' a Printed: Friday, May 08, 2015 10:12:22 AM 2 of 2 LJ WYSTEMS Bin # CIS}/ Of - %a QUihta Bul*g a Safety Div bn P.O. Box 1304,78-495 Calle Tampico 1.4.Quinta, CA 92253 •:(760) 7777012 Building Permit Application and Sheet Perinit # Project Address: 5O-7 CGS4-je je C `Tracking Owner's Name:.�r`t1do, kr;,,� ,rte A. P. Number. Address: S ISO Cc.,f i'' OC C Legal Description: City. ST, Zip: L Q ' C4 07 ?7- v� c� Contractor. S-� ►H in lAe- Address: q 2515 IV e/ • l?e(tt OAR l �-IZ5 Telephone: Project Description: � to ee City, sr, zip: a 21,W-2-Ou► Telephone: 746 •-3 3 - too State Lir. # : -/ 6 •7 V T4City Lie', 0, Arch, Engr., Designer Address: City., ST, Zip: Telephone: Construction Type:. Oxupancy: State Lic. : . Project type (circle one): New Add' Repair Demo Name of Contact Person: ? i G (/��Gt U Sq. Ft : #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: ZOOO APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal RcWd 'Reed TRACKING PERMIT FEES- P1un Sets Pian Check submitted Item Amount Stmetural Cases. Reviewed, ready for corrections Plan Check Deposit_ . Truss Cala. CoMed Contact Person Plan Check Balance_ Title 24 CalcL Pians picked up Constmedon Flood plain plan Plans resubmitted.. Mechanical Giadlag plan Z' Review, ready for correctioWissue Electrical Subcontactor List Called ContaetPerson Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IM SOUSE:- 2" Review, ready for eorreetionslissne Developer Impact Fee Planning Approval Called Contact Person A".P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E I Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) I IProject Name: Krimstein.81507.2 I Date Prepared: - 2015-05-06 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. ' 01 Project Name Krimstein.81507.2 02 Date Prepared 2015-05-06 03 Project Location 81507.2 Castle Rock Ct 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Krimstein.81507.2 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 Floor Area (ft2) SC System CFA served `'ssystem al -4 re rf ige ar nt I -,Installing new SC Number of space conditioning 'Installing 09 Climate Zone 15 10 (SC) systems in this dwelling 1 containin g system s .r more than 40 ntir a,.. entirely new unit. B. Space Conditioning (SC) System Information . if 01 02 03 04k. U5'06 07'J) 08 09 10 4��Is the SC" "' Installing a SC System SC System CFA served `'ssystem al -4 re rf ige ar nt I -,Installing new SC Installing 'Installing Installing Identification or Location or Area b this SC y '"`ducted - containin g system s .r more than 40 ntir a,.. entirely new entirely new Name Served System. (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 2Bedrooms 1600 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-A0119347A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-05-06 09:14:39 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2015-05-06 09:14:22 CERTIFICATE OF COMPLIANCE CF1R-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)lE and F) O1 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 No heating This field or This field or Central split This field or This field or System 2 furnace component section is not section is not AC Compressor SEER 13 Setback section is not section is not altered applicable applicable applicable applicable Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF311-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: s 15%, or s 10% leakage to outside, or seal all accessible leaks. CF2R-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. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud Leakage Testing requirements # Heating -only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH�23, or Refrigerant Cha�ge.MECH-25; Imo' s,— .tts. are Existing dusystems constructed, insulated or sealed with asbestos exempY¢rom MCH -20 Dud`Lexakage Testing requi�Amen d � * i"7R R I r E. Entirely New or Complete Replacement Duct System, with'or without Equipment Changeout (`S ctions 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-A0119347A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-05-06 09:14:39 HERS Provider: CalCERTS Report Version: 2014-03-31 Report Generated: 2015-05-06 09:14:22 Schema Version: 0.555SDD 4 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: rr7�/� Jamie C Hansen, Jamie ansen Company: Signature Date: Best in the West Air Conditioning & Heating Inc 2015-05-06 09:14:39' Address: CEA/ HERS Certification Identification (if applicable): 31225 Plantation Dr City/State/Zip: Phone: Thousand Palms CA 92276 (760) 343-1002 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. 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 6 of the California Code of Reg lat ns. � .-�.w 4. The building design features or system design features Identified on this Certiflcate of Compliance are, consistent,with theinformatfon.provided on other applicable'compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for'approval'wlth this building permit application. S. I will ensure that a registered copy of this Certificate ofyCompliance shall be,made:available with the bullding permits) issued forAhe building, and'made available tgthe enforcement agency for all applicable inspections. I understand that a registered copy of thls.Certlficate of Complliance_is,required to be -included with the -documentation -the ,builder provides to the building owner at occupancy. Responsible Designer Name: ` i .: Responsible Designer Signature: V ' .�' Hansen, Jamie Jamie O ansen Company: Date Signed: Best in the West Air Conditioning & Heating Inc 2015-05-06 09:14:39 Address: License: 31225 Plantation Dr 967982 City/State/Zip: Phone: . Thousand Palms CA 92276 (760) 343-1002 Digitally signed by Ca10ERTS. 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-A0119347A-000000000-0000 Registration Date/Time: 2015-05-06 09:14:39. HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-06 09:14:22 Schema Version: 0.555SDD