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BMCH2015-017778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O15=0177 Property Address: 54922 SOUTHERN HILLS COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT APN: 775120048 Application Description: HERRICK RESIDE I�CE RE IN ATTIC Property Zoning: Application Valuation: $2,000.00 Applicant: I U I MAY 15 2015 BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 VOICE (760) 777-7125 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Dater 5/15/2015 Owner: ROBERT HAMMOND 92253 Contractor: BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 (760)343-1002 Llc. No.: 967982 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter. I hereby affirm under penalty of perjury one of the following declarations - 9 (commencing with Section 7000) of Division 3 of the Business and Professions. Code,. I have and will maintain a certificate of consent to self -insure for workers' and my License is infull force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C20• C38 License No.: 967982 of tfor rwhich this permit'is issued. Cl have and will maintain workers' compensation insurance, as required by . Date: �y— S Contractor: 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contra.ctor's State . . I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Set. 7031.5, Business and Professions Code: Any shall not employ any person' in any manner so as to become subject to the workers' city'or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers: compensation provisions of Section 370 Labor Code, I shall forthwith' signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 exem (therefrom and the Date: A licant:. pp 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (� I, as owner of the property, or my employees with wages as their sole., : , ONE'HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF.THE LABOR, CODE, . (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT. are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to . within one year of completion, the owner -builder will.have the burden of proving that the conditions and restrictions set forth on this application. he orshe did not build or improve for the.purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� I; as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and ' thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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: 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 t r upon the above- mentioneed Woperty for inspection purposes. Date: f /� �' Signature (Applicant or Agent): FINANCIAL • • 1 - _ r r' PAID BY ;kms �swm METHOD rRECEIFT #�"z ` "�*CHEEK #:s CLTD BY .,e " ;` �'.. BEST IN THE WEST -AIR CONDITION CHECK R6108 .30'06 AZA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ;; FINANCIAL • • 1 - _ a � �b�� i ;�.� ;'ACCOUNT . �PAID:DATE i• PAID BY ;kms �swm METHOD rRECEIFT #�"z ` "�*CHEEK #:s CLTD BY FINANCIAL • • 1 - �„ 4':DESCRIRTION� �' � •` r.x', 3QTY,� ��`>AMOUNTa'�z�� '+,��PAID�,�, tin � a � �b�� i ;�.� ;'ACCOUNT . �PAID:DATE BSAS SB1473 FEE 101-0000-20306 - 0. $1.00 $1.00 .5/15/15 PAID BY ;kms �swm METHOD rRECEIFT #�"z ` "�*CHEEK #:s CLTD BY .,e " ;` �'.. BEST IN THE WEST -AIR CONDITION CHECK R6108 .30'06 AZA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ;; r_ ,ref: ACCOUNT- QTY AMOUNT 'i }PAIDg'` PAID:DATE. •t APPLIANCE REPAIR/ALTERATION 101=0000-42402. 0 - $12.09 $12.09 5/15/15 '# PAIIJ BY � fi.Yt..+ ME.T. # €r CLTD}BY . stH- 4.f�.-. • 1%, '...... - , BEST IN. THE WEST AIR CONDITION CHECK 116108 3006 AZA nM -3 ti,E,i' �s DESCRIPTION tea ':.7 .rt& x• ACCOUNT QTY.AMOUNT �ro y$�' ¢ �� B '6eG { x" ' #.�+ - PAID- PAID DATES �._ , t APPLIANCE REPAIR/ALTERATION PC .101-0000-42600 0 $4.83 $4.83 5/15/15 s r PAIDBY '.� r'� # -,0 CHECK # `CCTD BY ; (METHODRECEIPT F BEST IN THE WEST AIR CONDITION CHECK R6108 3006 AZA '- • Total Paid forMECHANICAL: $16.92. $16.92 - { -X-,,D<"' ir{�'# j ACCOUNT QTY p:6 '.'4 ' r R.:{ ; n .'.:ESCRIPTION t ,fiAMOUNT a €PAID to �PAIDMATE: PERMIT ISSUANCE 101-0000-42404 0 $91.85 , $91.85 5/15/15 PAID BYz:." L METHODEF.¢ `RECEIPT # #x BY ;'; sCHECK xCLTD BEST IN THE WEST AIR CONDITION CHECK 116108 3006 AZA ' Total Paid forPERMIT ISSUANCE: '$91.85 $91.85 TOTALS: $0• 0• .77 a d f Bin # City of La Quinta Building & SafetyDivision P.O. Box ,1504; 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: CJ Owner's Name: v �' A. P. Number: Address:�� - �jf� �'t3'c/ f G q Jl lY Legal Description: City, ST, Zip: L 01* a� S Z ntr / Co actor: Telephone: ele h ne: P ............................................. Address: 11� ,gt,6 U P446*1-jzk_j2 5Project.Description: IC v n City, ST, Zip: 13, Telephone: Tele h /� P t�C�'OWN State Lic. # : F City Lie. #.-., Arch., Engr., Designer: Address: City., ST, Zip: Telephone: < Cti on strut on Type: ccu Occupancy: P P Y: State Lic. #. Project hPa circle one) New Add'n air Dcm'o Name of Contact Person: !�-�eG�C �Qv Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: —7(p G—� -/Ory Estimated Value of Project: 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 Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan s Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue 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 Description: HERRICK RESIDENCE REPLACE EVAP COIL IN ATTIC Type: MECHANICAL Subtype: Status: ISSUED' Applied: 5/15/2015 AZA Approved: 5/15/2015 AZA Parcel No: 775120048 Site Address:.54922 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 28776 Block: Lot: 24 Issued: 5/15/2015 AZA Lot Sq Ft: 0 Building Sq Ft: 0': Zoning: Finaled: Valuation: $2,000.00. Occupancy Type: Construction Type:. Expired: 11/11/2015 AZA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE EVAPORATIVE COIL IN ATTIC. 2013 CALIFORNIA BUILDING CODES. APRroved to. Issued ADDITIONAL FINANCIAL INFORMATION r .., •+ Printed: Friday, May 15, 2015 2:19:52 PM 1 of 2 \ - - - SYSTEMS 'CHRONOLOGY, • • • 1 i_ .. ........ _„ v :..0 nyy:;c.... W ..,_ • .. :.. Jr..... Y- :.. ': "_:':'.Y_ .:, •.yam-.#3yYuyyH•. Z `°-J:.. .... _ NAME?YPE; �� NAME ,. ADDRESSl $: CITY �..Y'STATE ZIP .w '-NPH ONE" FAX EMAIL .<$ n APPLICANT 'BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROA_ D PALM SPRINGS CA 92262 #140-125 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262' #140-125. CO-OWNER -TRAVIS HERRICK 54922 SOUTHERN HILLS LA QUINTA CA 92253 I DR _ OWNER ROBERT HAMMOND 92253 FINANCIAL INFORMATION r .., •+ Printed: Friday, May 15, 2015 2:19:52 PM 1 of 2 \ - - - SYSTEMS 'CHRONOLOGY, • • • 1 i_ .. ........ _„ v :..0 nyy:;c.... W ..,_ • .. :.. Jr..... Y- :.. ': "_:':'.Y_ .:, •.yam-.#3yYuyyH•. Z `°-J:.. .... _ NAME?YPE; �� NAME ,. ADDRESSl $: CITY �..Y'STATE ZIP .w '-NPH ONE" FAX EMAIL .<$ n APPLICANT 'BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROA_ D PALM SPRINGS CA 92262 #140-125 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262' #140-125. CO-OWNER -TRAVIS HERRICK 54922 SOUTHERN HILLS LA QUINTA CA 92253 I a u` V .S � ' �' �'` ps C�hf OF'fN�� c CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 1 of 3 Project Name: Herrick/Travis.54922.2 Date Prepared: 2015-05-13 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 Herrick/Travis.54922.2 02 Date Prepared_ 2015-05-13 " 03 Project Location 54922.2 Southern Hills 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Herrick/Travis.54922.2 07 Zip Code 92253 A8 Dwelling Unit Conditioned 2000 �nstalliri CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly _C.F-IR-ALT HVAC) (Page 2 of 3 ) 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 Central split This field or This field or System 2 furnace component section is not section is not AC Indoor coil SEER 13 Setback section is not section is not altered applicable applicable 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 & CF313-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: 5154, or 5109 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 ?'i00 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from'MCH-20 Duct Leakage7esting requirements. -1-n��gV -Heating-only systems and Air Handler/Furnace changes do not require verification of Air F ow MCH -p23 or Refrig �antKha1•ge MECH 25�'T, -Existing duct systems constructed, insulated or sealed with asbestosare exempt`from MCH -2O DuctiLeakage Testing requirements.-, - E. Entirely New or Complete Replacement Duct System, with �qr without Equ pment CHangeout. Sgctlon� i5U.2(:b);1Diia':and 150.2(b)1E, F) This section does not apply to this project. R Entirely•New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 215-A0126364A-000000000-0000 Registration Date/Time: 20,15-05-13 09:26:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 20.1.3 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-13 09:26:31 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT=02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: ��^ Hansen, Jamie Jamie c ansen Company: Signature Date: . Best in the West Air Conditioning & Heating.lnc 2015-05-13 09:26:24 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 thi 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 Regula ns. o`mpliance pllcab(e documents, worksheets, 4. The building design features or system design features identified on,his Certlfii ate'of Compliance are cc nsistentwith the mformatl'on,provided oAther'a' t 4w" r nt �u�r{ f, b c .�.�r + -moi 3�P to. fo for�approval building calculations, plans and specifications submitted the eit rcemenf�a�gency with this permit applicati n. �; is 5. 1 will ensure that a registered copy of thisCertificate of Compliance shall.be'n de,a�ailable withrthe building permtt(s),issuetl for�the;buildin°`g, and�made available toahe enforcement agency for all applicable inspections. I understand that a registered copy of thls=Certl�tcate of Compliance s required to be includedwith thedocumewntantionthekbuilder provides t��the building owner at occupancy. Responsible Designer Name: !. w Responsible Designer Slgn Are: `.<� 'lamie Hansen, Jamie _ O ansen Company: Date Signed: ` Best in the West Air. Conditioning & Heating Inc 2015-05-13 09:26:24 Address: License: 31225 Plantation Dr 967982.' City/State/Zip: Phone: Thousand Palms CA 92276 (760)34j-1002 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. Registration Number: 215-A0126364A-000000000-0000 Registration Date/Time: 20115-05-11309:26:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-13. 09:26:31 Schema Version: 0.555SDD