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BMCH2014-107778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 9 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BN 79700 STAR FLOWER TRAIL 604251008 SPLIT SYSTEM CHANGE OUT 16 $7,000.00 Applicant: PRIORITY ONE AIR CONDITIONING P O BOX 1681 PALM DESERT, CA 92261 � "�Y' °r' 7MUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT IM SEP 11 20% CfTY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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. Lice /e/C�l�ass: QO (License No.: 752 80 ate: `�/ / Contra r: :!71/� 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).: (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.). (� 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. . BAP.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 Address: Owner: JUDY UNDERWOOD , 92253 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/11/2014 Contractor: PRIORITY ONE AIR CONDITIONING P 0 BOX 1681 PALM DESERT, CA 92261 (760)773-0811 LIC. No.: 752180 WORKER'S COMPENSATION DECLARATION ereby affirm under penalty of perjury,one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' mpensation, as provided for by Section 3700 of the Labor Code, for the performance the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by ction 3700 of the Labor Code, for the performance of the work for which this permit issued. My workers' compensation insurance carrier and polity number are: irrier. Policy Number:_ I certify that in the performance of the work for which this permit is issued, I all not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agree that, if I should become subject to the )rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith ;pl��hthlose p/ro)v�isions. / % Applic/—:4� ARNING: FAILURE TO SECURE WORKERS'COMPENSATIONrJERAGE IS UNLAWFUL, JD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO VE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF )MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IPORTANT:Application is hereby made to the Building Official for a permit subject to e conditions and restrictions set forth on this application. L. Each person upon whose behalf this application is made, each person at whose quest and for whose benefit work is performed under or pursuant to any permit ;ued as a result of this application , the owner, and the applicant, each agrees to, and all defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and nployees for any act or omission related to the work being performed under or [lowing issuance of this permit. i'. Any permit issued as a result of this application becomes null and void if work is it commenced within 180 days from date of issuance of such permit, or cessation of irk for 180 days will subject permit to cancellation. ertify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building nstructiori, and hereby authorize representatives of this city to enter upon the above- entioned property for inspection purposes. Signature (Applicant or Ag t): t A�L " �, FINANCIAL .• l• DESCRIPTION �'. ACCOUNT M QTYs AMOUNT "r � PAID PAin nATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 �. PAID BY' METHOD RECEIPT # =CHECK ,# CLT _ =CH D -BY, Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION.';"ACCOUNT �'m', { ACCOUNT. QTY ` .AMOUNT PAID xY` PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $71.50 $0.00 �:. PAIDBY� x ° METHOD 'RECEIPT# CHECK# CLTDBY DESCRIPTION., ACCOUNT QTY AMOUNT , ' . N, PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $35.75 $0.00 PAIDS ` METHOD � .RECEIPT # � � a. R �; CHECK # ', _ CLTD BY Total Paid forCHANGEOUT: $107.25 $0.00 DESCRIPTION ACCOUNT QTY_ AMOUNT PAID :PAID -DATE. PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY o; " METHOD RECEIPT # CHECK # 'CLTD BY� Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 Description: SPLIT SYSTEM CHANGE OUT 16 SEER Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/11/2014 MFA Approved: Parcel No: 604251008 Site Address: 79700 STAR FLOWER TRAILLA QUINTA,CA 92253 Subdivision: TR 24208 Block: Lot: 8 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC SPLIT SYSTEM CHANGE OUT - 16 SEER/80AFUE 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAI INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Thursday, September 11, 2014 10:59:34 AM 1 of 2 CR SYSTEMS CONDITIONS CONTACTS NAME TYPE NAME ;ADDRESS1 CITY STATE ZIP PHONE FAX '' : EMAIL" APPLICANT PRIORITY ONE AIR CONDITIONING P 0 BOX 1681 PALM DESERT CA 92261 CONTRACTOR PRIORITY ONE AIR CONDITIONING P O BOX 1681 PALM DESERT CA 92261 OWNER JUDY UNDERWOOD 92253 Printed: Thursday, September 11, 2014 10:59:34 AM 1 of 2 CR SYSTEMS PARENT PROJECTS ATTACHMENTS . _. Printed: Thursday, September 11, 2014 10:59:34 AM 2 of 2arsrsrrMs CLTD ; DESCRIPTION ACCOUNT QTY ` AMOUNT PAID PAID DATE RECEIPT # CHECK.# METHOD PAID BY . BY HVAC CHANGEOUT - 101-0000-42402 0 $71.50 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $35.75 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $107.25 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 PARENT PROJECTS ATTACHMENTS . _. Printed: Thursday, September 11, 2014 10:59:34 AM 2 of 2arsrsrrMs >3iri # City of La Quinta "Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta,CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: " g �Qv-I Owner's Name: A. P. Number: Address:. -7C3-706 2 e Legal Description: City, ST, Zip: Q�JA C A Contractor: n Q. •L N L 1 Telephone: ?<. P Address: (2, g + Project Description: City, ST, Zip: VNIM lbvnio* Telephone: %-n, State Lic. #,: '? jj I I d City Lie..#: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P State Lic. #: ><'�:<`"s��s>'« MENEM Occupancy: Type: O p y. Project type (circle one): New Add'n . Alter Repair Demo Name of Contact Person: Sq. Ft.: Z # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: �L APPLICANT: DO NOT WRITE 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 Calrs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue 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 -IR -ALT -HVAC) . (Page 1 of 4 ) Project Name: Judy Underwood Date Prepared: 2014-09-09 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 Judy Underwood 02 Date Prepared 2014-09-09 03 Project location 79700 Starflower 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Judy Underwood 07 ,r CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) . (Page 1 of 4 ) Project Name: Judy Underwood Date Prepared: 2014-09-09 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 Judy Underwood 02 Date Prepared 2014-09-09 03 Project location 79700 Starflower 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Judy Underwood 07 Zip Code 92253 08 Dwelling Unit Conditioned 2000 SC System Area:by ` system a ` Floor Area (ft2) Installing new SC Installing . # Installing Number of space conditioning or 09 Climate Zone 15 .. _ 10 (SC) systems in this dwelling 1 r more than 40 - entirely new unit. - B. Space Conditioning (SC) System Information ' �» 1L . .►��-� fi'�.'� Ol 02 0�`,t ' 1rr � � i; ` t ' PS .: �,:. �r�a . J 06. ,J #"x,07 . z: 08> "' % 09 10 �•�-: Is the SC �� '.Installing a '� _ ,;,�.:� �� - r v "'�"`•"5=sr' ' ''' `"`` a'-' :� SC System Identification SC System Area:by CFA seried system a ` refrigerant Installing new SC Installing . Installing Installing or ,Location or this 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 l whole home 2000 Yes Yes Yes No No No Altered spaceconditioning 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: 214-AO09124SA-000000000-0000 Registration Date/Tme: 2014-09-09 16:21:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-09 16:21:03 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE r CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) l (Page 2 of 4 ) 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 dy Cfur All new CentACl split All new , ' This field or - This field or System 1 aceentral heating AFUE 0.78 cooling � SEER 16 Setback section is not section is not - components components 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 & MR -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. y CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-1S(. , CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is requiredExcep.. ions: vio'ta' - eTt'% fromH-2a.�j -Duct -Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct leakage Testing,regm_111rements •f ' MCH-20 r -' -Heating-only Air Handler/Furnacetchanges do verification or systems and not req its re of Air Flow MCH 23 Refrigenint Charge,MECH 25 -Existing duct systems constructed, insulated or;sealed with asbest sure exempt from MCH�20 Duct Leakage Testmg requirements c r CERTIFICATE OF COMPLIANCE r CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) l (Page 2 of 4 ) 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 dy Cfur All new CentACl split All new , ' This field or - This field or System 1 aceentral heating AFUE 0.78 cooling � SEER 16 Setback section is not section is not - components components 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 & MR -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: 515%, or 510%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, 8-1S(. , CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is requiredExcep.. ions: vio'ta' - eTt'% fromH-2a.�j -Duct -Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct leakage Testing,regm_111rements •f ' MCH-20 r -' -Heating-only Air Handler/Furnacetchanges do verification or systems and not req its re of Air Flow MCH 23 Refrigenint Charge,MECH 25 -Existing duct systems constructed, insulated or;sealed with asbest sure exempt from MCH�20 Duct Leakage Testmg requirements c E. Entirely New or Complete Replacement. Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, F) x- This section does not apply to this project. f j t Registration Number: 214-AO09124SA-000000000-0000 Registration Date/Time: 2014-09-09 16:21:00 HERS Provider: CalCERTS • CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 ' Report Generated: 2014-09-09 16:21:03 , Schema Version: 0.551SDD J - r Y 41 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 ) F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. M py S Registration Number: 214-A0091245A-000000000-0000 Registration Date/Time: 2014-09-0916:21:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-09 16:21:03 - Schema Version: O.SS15DD S ' 1 • . y t CERTIFICATE OF COMPLIANCE ' a CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ` _ _ t (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: Meghnagi, Roy Company: Signature Date: - PRIORITY ONE AIR CONDITIONING AND HEATING CO 2014-09-09 16:21:00 + Address: t CEA/ HERS Certification Identification (if applicable): P 0 BOX 1681 City/State/Zip: ' Phone: PALM DESERT CA 92261 1(760) 773-0811 + Responsible Person's Declaration statement .r 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. • • t 2. 1 am eligible under Division 3 of the Business and.Professions Code to acceptresponsibility.focthe building -design or-system.design Identified on this Certificate of Compliance (responsible designer). , 3. That the energy features and erformances ecifications, mater s coin onents?and manufactured dewces for the bu idin `desi n or s stem desi n identified on this Certificate of Com liance conform to the (iY P P g B V„ 6 P *P _ requirements of Title 24, Part 1 and Part 6 of the California�Code of Regulations. 4. The building design features or system design feature IS dentified on this Certificate of Compliance are consistent with the Information, provided onother applicable compliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement.agency for approval with this building permit apphcation.ay"' ' W S. I will ensure that a registered copy ofthi; Certificate of Compliance shall'be:madeavailable with.the bwlding permits) issued for the.bLilding anil;made,available to the enforcement agency for all applicable inspections: I understand that a registered copy of this C('r ificate:oECompliance is're•quired to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name:;,...+°`�y'� ¢. Responsible Designer Signature: Meghnagi, Roy��'"""w Company: -- Date Signed: ' PRIORITY ONE AIR CONDITIONING AND HEATING CO . 2014-09-09 16:21:00 Address: - License: P 0 BOX 1681 t 752180 City/State/Zip:: , Phone: • " ' PALM DESERT CA 92261 (760)773-0811 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: 214-A009124SA-000000000-0000 ' _ Registration Date/Time: 2014-09-09 16:21:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards .2013 Residential Compliance Report Version 2014-03-31 Report Generated: 2014-09-09 16:21:03 , j Schema Version: 0.551SOD S s