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BMCH2014-109078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: DCS AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BMCH2O14-1090 78691 TALKING ROCK TURN 770300026 HVAC CHANGE OUT $2,237.00 SEP 2 3 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MONTE LEEN P O BOX 3707 BELLEVUE, WA 92253 Contractor: DCS AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)343-5560 Llc. No.: :LIC -0109379 Date: 9/23/2014 --------------------------------------------------------------------------------------------- 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.: :LIC -0109379 Date: C431 w Contractor: JI 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 Lender's Add 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. 5�. 1 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. Date: G L3 1A} 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. q Date: C4 I-Zal 14 Signature (Applicant or Agent): sw L� 5p? FINANCIAL i • / • . s ,. DESCRIPTION y n ACCOUNT,QTY y� �'AMOLINTFPAID " PAID DATE . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY x '... '.METHOD e ECEIPT # �' R°' C HECK # '" CLTD BY °,� ks E rs 3-, xw Total Paid for BUILDING.STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION * s A00OUNT QTY N. AM LINT r PAIDµ ;PAID DATE , Ftp HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42402 _. 0 $12.09 $0.00 -� _PAID BY .; METHOD _ i�' RECEIPT # r CHECK # I s CLTD BY , �.. z. . ' .DESCRIPTIONrACCOUNT � �� 'QTY �A� AMOUNT', ` PAID a PAID DATE �_ ;' HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42600 0 $4.83 $0.00 PC i PAID BY+ : , RECEIPT # CHECK #' BY „METHOD' . {; sCLTD Total Paid forCHANGEOUT: $16.92 $0.00 "DESCRIPTION Nt ACCOU.NT :°QTY <.°` AMOUNT< 'PAID DATE' t 4 CG :PAID PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID'BYt METHODRECEIPT # ` CHECK # LTD BY F wrt Total Paid for PERMIT ISSUANCE: $91.85 - $0.00 TOTALS:0• 00 r � 0 Description: HVAC CHANGE OUT ° Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/23/2014 MFA Approved: Parcel No: 770300026 Site Address: 78691 TALKING ROCK TURN LA QUINTA,CA 92253 Subdivision: TR 28470-2 Block: Lot: 43 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,237.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE 3 TON COIL [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, September 23, 2014 12:10:39 PM 1 of 2 _, 4 `PAID T CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 $0.00 TOTALS"0• 00 Printed: Tuesday, September 23, 2014 12:10:39 PM 2 of 2 er'"------- Bin # ` City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints,CA 92253 - (760) 777-7012 • 0 q Building Permit Application and Tracking Sheet Permit # Project Address: '78 (.Q 10.� ���� x X7 rn Owner's Name: ov1� t_2� A. P. Number: Address: 7$(oCt k� Yl 1 Legal Description: City, ST, Zip: LC�, Q0 N YN CA QZZS 3 Contractor:SCS A'r �' t,r.d��-iot�.r, Telephone:20(,- 3q `t - 35O350.0 Address:311 iO e e:ry e Project.Description: City, ST, Zip: s �c,1�nn S C� ZZ'�Co e= C_ To COi 'r ^a' • Telephone: %te0-3� s%2 �• »:::> ;«::;:> > ::,;,;;;::;.;s:;;;<: "1P/011�- State Lic. # : 9 Co8114 1 City Lic.-#; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ijA:r}}ii=:•iiia cy: Construction Type: Occupancy: type (circle one): : New Add'n . Alter Repair Demo J P State Lic. #: Name of Contact Person:{�ucr `��� �� r . Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 9's 1 _ Zy 1- Estimated Value of Project: Z, Z -3 -7, Oo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Q r q Item Amount Structural C21eS. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Caned Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IIOUSE:- '`d Review, ready for corrections(ssue 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 CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 1 of 4 ) Project Name: - MONTE LEEN Date Prepared: 2014-09-18 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 MONTE LEEN _ 02 Date Prepared 2014-09-18 03 Project Location = 78691 TALKING ROCK TURN - 04 Building Type" Single family 05 CA City La Quinta 06 Dwelling Unit Name MONTE LEEN 07 Zip Code 92253 08 Dwelling Unit Conditioned. 7063 � ..-„w - ...�..- stalling a � ,w.,�,a,,;,; .. .•_,,Y,v �� •, ,�;,.,.;�:,v; Floor Area (ft2) SC System SC System CFA served .he system a Number of space conditioning Installing new SC 09 Climate Zone 15 _ 10 (SC) systems in this dwelling 1 SC- ducted containing system unit. entirely new B. Space Conditioning (SC) System Information r 01 02 p ' ' 03) �R0s 09 10 su � •,,,;ate-,� � A ..��; Is ��t�• SG; � ..-„w - ...�..- stalling a � ,w.,�,a,,;,; .. .•_,,Y,v �� •, ,�;,.,.;�:,v; SC System SC System CFA served .he system a r,,Jr refrigerant Installing new SC Installing Installing Installing Identification or Location or Area:.?tthis SC- ducted containing system more than 40 entirely new entirely new Name Served System (ft2) •system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 7063 ryes 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 roject. Registration Number: 214-A0097331A-000000000-0000 Registration Date/Time: 2014-09-18 21:04:26 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 21:04:35 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)lE 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 No heating This field or This field or All new Central split This field or This field or System 1 furnace component section is not section is not cooling AC SEER 13 Setback section is not section is not altered_ applicable bl applica components applicable ' applicable Required 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 ft of duct length is replaced. -Leakage rate compliance: 5 15%, or < 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 > 300 CEM/ton-,required when MCH -25 is required Exceptions: T -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testmg,requirements Heating -only systems and Air Handler/Furnace changes do not require venficaUon of Air Flow MCH 23, or Refrigerant Charge MECH-25 Existing duct systems constructed, insulated orsealed with�astYestKos are, exemp4 from MC20 Duct Leakage Testing requirementr t.`, Rt" C #./ a,-•.;�.ae-�¢-�.i:_:' ��fan+.;�. �.r... ., �;�,�? �,.+.. c._ K+.�..r.�..'.aF-'� ,r ._ `T?.s. +'�a��.�:.w�,..-ti..:+�: �7?;,,. �., ..yam,, �. E. Entirely New or Complete Replacement Duct System; with or without Equipment Cha ngeout (Sections 150.2(b)1Diia and 150.2(b)IE, F) This section does not apply to this'project. Registration Number: 214-A0097331A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-09-18 21:04:26 HERS Provider: Ca10ERTS Report Version: 2014-03-31 Report Generated: 2014-09-18 21:04:35 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 ). This section does not apply to this project. r7 Registration Number: 214-A0097331A-000000000-0000 Registration Date/Time: 2014-09-18 21:04:26 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 21:04:35 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 ) Documentation Author's Declaration Statement - 1. 1 certify that this Certificate of Compliance documentation is accurate'and complete., Documentation Author Name: Documentation Author Signature: ROGAN, LESLIE Company: Signature Date: HARRISON ENTERPRISES INC 2014-09-18 21:04:26 Address:- _ - - - CEA/ HERS Certification Identification (if applicable): 72078 CORPORATE WAY #101 City/State/Zip: Phone: THOUSAND PALMS CA 92276 - (760) •343-5566 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: V.: 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). features devices for building design design identified Certificate Compliance 3. That the energy and performaan�ce specifications, materials, componentssliand manufactured the or system on this of conform to the TkMi:s L Z'r requirements of Title 24, Part 1 and Part:6 of the California Code of Regulations. r s {t rn� 4. The building design features or system design features identified on tFii"s Certificate of Compliance are consistent with the information provided on.other applicable compliance documents, worksheets, -a,%� }� ,.'..f-:�:J•< .est n _.- (:; calculations, plans and specifications submitted,f,to,thefenforrcement agency for approval with this building permit application : - „h4.v..=3.•'s'd+e,.\ �•7'e � 1� ,Fm•M 5. 1 will ensure that a registered copy of this;CerUficate;of Compliance shall be made;avdilable with thebuilding;permit(s) issued for'the building and made available to the enforcement agency for all applicable irispections. 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: �. +rte" `r'�..,;,: Responsible Designer Signature: ROGAN, LESLIE Company: Date Signed: HARRISON ENTERPRISES INC' 2014-09-18 21:04:26 Address: License: 72078 CORPORATE WAY #101 968141 - City/State/Zip: Phone: THOUSAND PALMS CA 92276 (760) 343-5566 Digitally signed by Ca10ERTS. 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 y Registration Number: 214-A0097331A-000000000-0000 Registration Date/Time: 2014-09-18 21:04:26 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 21:04:35 , Schema Version: 0.551SDD "