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BMCH2016-035878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0358 Property Address: 81226 SANTA ROSA CT APN: 764440001 Application Description: PROSENJAK RESIDENCE4 / HVAC Property Zoning: Application Valuation: $20,000.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 P nZ 12 CITY©r"„ifiiiH COF,4ft9 ?:y`,O . FFfDEPART,4fEft1T 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.: 827420 Date: _I-* 3 Ito Co�� tor: 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).: (_) 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: 10/3/2016 Owner: STEVEN PROSENJAK 81226 SANTA ROSA CT LA QUINTA, CA 92253 Contractor: ALL SEASONS AIR CONDITIONING PLUMBING & 73605 DINAH SHORE DR STE 1310M PALM DESERT, CA 92211 (760)568-2663 Llc. No.: 827420 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: Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy Number: SWC1104544 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. I0I7!,)IIo Applicant: J � ��— 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. 3 Xo Signature (Applicant or Agent): Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BMCH2016-0358 81226 SANTA ROSA CT 764440001 PROSENJAK RESIDENCE4 / HVAC $20,000.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 Date: 10/3/2016 Owner: STEVEN PROSENJAK 81226 SANTA ROSA CT LA QUINTA, CA 92253 Contractor: ALL SEASONS AIR CONDITIONING PLUMBING & 73605 DINAH SHORE DR STE 1310M PALM DESERT, CA 92211 (760)568-2663 Llc. No.: 827420 Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. DESCRIPTION. ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306. 0 $1.00 Total Paid ;for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM . 101-0000-4240Y 0 .$76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $114:00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000=42404 0 $96.27 Total :Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE .502=0000743611 0 $5.00 :.`•: "' TotelaPaidfor,TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin ## •-City :of . La* Quin to . Building to Safety Division Permit #1 '78=495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 -Building Permit Application and'Tracking Sheet Project Address; $ 1 Z 2 (� S 0.r�� loss G� •. Owner's Name:.Sae Y 1 A. P. Number: Address: g 1 2�os o. C� Legal Description: City, ST, Zip: a. � Qvi r��• ai C.A q Z Contractor: 2e-essotss L Telephone: — Address: 73b�5 Project; Description: Ice CASQ 't City- ST, Zip: be erg CA G'Zz I) � �� pts, :Telephone: - to O- co Z 3 S b State Lie. : $ Z 7�1 Z O City Lie. Arch., Engr., Designer: Address: City, ST, Zip: w• wi APPLICANT:, DO NOT.WRITE<BELOW THIS LINE # Submittal RN'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check -submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrica.I SubcontactorList Called Contact Person Plumbing Grant Dced Plans picked up, . S.M.I. II.0.A. Approval Plans resubmitted Grading r IN ROUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called'Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees, L I I I L 1 Total I'crmit Fccs I I STATE OF CALIFORNIA ALTERATbNS- HVAC CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Date Prepared: Permit#: 1 ZZCo USo,�r.�a.�O sc �'�'. /Agency: 'Ci Cxn— L,-- 0 1 3 1 I�,— Equipment Type Equipment Efficiency. New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged Evaporator Coil L5t�AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system 4 Setback System ,TlCondensing Unit ❑ R-81 (CZ Il, 14, 15) Ducting sgft (if not already Split System ❑ Compressor i'f SEER HSPF❑ R - (all Q's) Plenums present, must ❑ Mini Split ❑ Lineset EER ❑ R-55 or R7.5) Lineset be installed) Furnace ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ....... ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Duds with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-2'/°", 3.5 to 4T-2%8', 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Si License: S'��ve.h c� � ert:� S�1 C (0�3 +� rel aZ7�zv Company: Address: City/State/Zip: Phone: �� Se c 73(o0.S b%v-%c X, S 6D -& k 13 1� l� exec � ci Z-, -7 too - S(o$ - 210 (0 3 For assistaAce or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 51 PALM:I AVL 2- Is Agave Vilmoriniana *TBT AV 2- Med. Agave Varigated *TBT AV 1- 15- Gal. Agave Varigated HP 4- Ch 1- 15- Gal.+ Chamaerop Humilis *TBT Strelitzia Reginae *TBT SHRUBS: BA 2- 2411 Box Brahea Armata *TBT Lg. Carrisa Boxwood *TBT Hi 7- Lg. PD 1- 2ft Phoenix Dactylifera LO 3- Med. Lonicera *TBT VINES: WH T. 3- 2ft to 3ft Washingtonia Hybrid *TBT Vines Remain 01 As Planted 'w t�dv1l U DESIGN J. P.O. BOX 98 LA CSU INTA, CA 92247 C. 7G0.8GI.0907 0: 7GO.771.2317, fi 74 F AVL 2- Lg. Agave Vilmoriniana *TBT AV 2- Med. Agave Varigated *TBT AV 1- 15- Gal. Agave Varigated HP 4- Med. Hesperaloe Parviflora *TBT Sr 8- Med. Strelitzia Reginae *TBT SHRUBS: LA 3- Gal. Lantana *TBT CA 3- Lg. Carrisa Boxwood *TBT Hi 7- Lg. Hibiscus *TBT R 4- Med. Roses *TBT ti LO 3- Med. Lonicera *TBT VINES: All Bougainvillea Vines Remain As Planted PERENNIALS: TL 6- 1- Gal. Tagete Lemonii Zg 6- 1- Gal. Zephyranthes Grandifora *TBT To Be Transplanted HARDSCAPELEGEND GROUND COVER: 3/8" S. 1204 sq/ft 11 Tons 3/8" Stone. Color: Arizona Cobble to/be mixed with existing stone. 2-1-311S. 110 sq/ft I Ton 2"-3" Arizona Cobble LIGHTING: 3- Path Lights Unique Lighting Systems 6- Spot Lights Malibu Lighting Systems 2- Well Lights Malibu Lighting systems A. DECKING: Acker -Stone Pavers: 18" x18" 800 sq/ft Color: Terra Cota Pattern: Diagonal B. GARAGE MAN DOOR LANDING: Same as above 80 sq/ft C. FRONT WALKWAY: Same as above 42 sq/ft D. BBQ. 6.5ft L x 2.5ft W x 36"H Block Island wl Plaster and Paint on Vertical Walls. Porcelain Tile on Counter Top 30" Grill w/ Stainless Steel Flex Lights Stainless Steel Storage Door, Umbrella Sleeve in Counter Top Counter Top to/be Cantilevered 6" (2) Two Stainless Steel Drawer E. FIRE -BOWL: 42" ODx18"H x 20"B Fire Bowl by "Grand Effect" GAS LINE: . . . . . 105 lineal ft. Gas Line F. SYNTHETIC PUTTING GREEN: 25ft L x 12ft W 4 Cups Putting Green w/ 6 degree Contour 1 ft Ruff on Perimeter G. MOW CURB: 70 lineal ft. Colored Concrete Mow Curb H. DECORATIVE POTS: 5 Large Decorative Pots Owner Provide DRAINS: Drains done by other 'w t�dv1l U DESIGN J. P.O. BOX 98 LA CSU INTA, CA 92247 C. 7G0.8GI.0907 0: 7GO.771.2317, fi 74 F