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BMCH2015-002178-495 CALLE•TAMPICO, LA QUINTA, CALIFORNIA'9225301 J Application Number: BMCH2O15-0021 r VOICE (760) 777-7125 FAX .(760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ` Date: • 1/21/2015 Property Address: 54259 SOUTHERN HILLS APN: 775101061 Application Description: REPLACE (1) SYSTEM Property Zoning: Application Valuation: $6,800.00 Applicant: FF -i AIR EXPERTS AIR CONDITIONING -H PO BOX 94 d 12015 LA QUINTA, CA 92247-0094 CITY 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 ness nd Professions Code, and my License is in full force and effect. License C`las 12,_ License No.: 725283 Date: /Contractor: I 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 D1vis110Q 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 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 Name: Lender's Address: Owner: • BALMUKUND PATEL 54259 SOUTHERN HILLS LA QUINTA, CA 92253 t Contractor: AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA, CA 92247-0094 (760)777-1724 Uc. No.: 725283 s 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 UrTlie 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: _ 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 sh ec a subject to the workers' compensation provisions of Section 3700 the La Code, I shall forthwith comply witl those provisions. bate: ) Z/ 5 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 an s relating to building construction, and hereby authorize representatives of is city to ter upon the above- mentioned roperli for inspection purposes. bate: ' Z ( 15 Signature (Applicant or Agen ): CERTIFICATE OF COMPLIANCE CFiR-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 ) Project Name: - _ r _ — Balmukund Patel Date Prepared: - * 2015-03-21 .A. General Information MR -ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR -ALT -02 document for each dwelling unit. ' 01 Project Name. Balmukund Patel 02 Date .Prepared 2015-01-21 03 Project location 54259 Southern Hills 04 Building Type Single family 05 . CA City La Quinta , - 06 Dwelling Unit Name Balmukund Patel 07 Zip Code 92253 08 Dwelling Unit Condition_ ed 4000 Floor Area (ft2) SC System ` CFA served - refrigerant Number of space conditioning Instelling 09 Climate Zone .15-,-,. 10 (SC) systems in this dwelling 3 3,-.,....; ducted containing system more than 40 unit. i - ria. •�"e�?,+•r:..�aa�:�.', •,�..�,. •� °t'': ��r �+ K .:.^ •-•�f sitB. S ace Conditionin SCS stem�Informationi� ` • : p g( )-Y Kr < 61 - 02PIP, + .. p3 �?< 04)US�A�' y{�' 06.�� ° r� 07X> 09 10 ..X€.' ,,..3.0u. :,• ., fH:.:,... �A' taw. w.. .`!")a:i#i.^ ~ 7•,;+#" k" *,f...^ - - • ` �T; x is the SC Y' rte' -':s' Installing a SC System SC System. CFA served systeri a refrigerant Installing new SC Instelling Installing ' Installing Identification or Location or Area .�..rww,h. , : kiy this SCy_ 3,-.,....; ducted containing system more than 40 entirely new entirely new ' - Name ' Served System M2).• 'sem? component? components? feet of duds? duct system? SC system? Alteration Type -, Altered space System i living area . 2000;s :Yes Yes ,Yes _ % No No. ' No :.conditioning system System 2 Location 2 800. No' _ 1 No No - No No No � No alteration performed No alteration System 3 . • Location 3 - 1200 No No - No No No No performed - C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Di1b) - This section does not apply to this project. - Registration Number: 215-A0023503A-000000000-0000 Registration Date/Time: 2015-01-21 10:32:19- , HERS Provider: CalCERTS , CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 _ Report Generated: 2015-01-2110:32;25 Schema Version: 0.551SDD _ _ D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 _ 06 07 08 . _"09 10 it " 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 'All new Central split All new. - •" or This field or System 1 furnace heating AFUE 0.78 .. cooling SEER- _i3 Setback Fis not section is not components AC components le 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 inducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, ors 30% 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)n CZ 2, 8-15i.. CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow.a 300 CFM/torr required when MCH -255 is regwred- Exceptions:�1 � -Duct systems registered with HERS provider as previously sealed aarre exempt frdm Mtre CH 20 Duct Leakage Testmggwrements -Heating-only systems and Air Handler/Furnace changes do not require.yerification-of Air Flow MCH'23 or Refrigerant Charge MECH 25:. 34'- Existingduct systems constructed; insulated or Baled withasbesto are^exempt f om MC 20 Duct leakage.Testing require rents r, t.; •.. -. rkj� ,'�`;?�;+?'<.`y�� tai 'r�fiy3�.t,-r.�3,'9'n`a., k^o "-#'da�'} ...:� �[.�4c» •�"�'�+f... :-*m'�'u'1 nha�`;s'� $'.' .G.'R" 's�'�+"•€i . - _ _:.. ., ., .. .. . E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) + This section does not apply to this project. F..Entirely'NeWor Complete Replacement Space Conditioning System (Section 150.2(b)1C) _ 4 r ' This section does not apply to this project. .Registration Number: 215-A0023503A-000000000-0000. Registration Date/Time: 2015-01-21 10:32:19 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version: 2014-03-31 Report Generated: 2015-01-21 10:32:25 Schema Version: 0.551SDD Documentation Author's Declaration Statement- tatement.1'1 1'lcertify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: _ Van Vlymen; Paul Documentation Author Signature:_ Company: SignatureDate: Air Experts Air Conditioning wl 2015-01-21 10:32:19 . Address: } ` ' - _ .- - CEA/ HERS Certification Identification (if applicable): PO Box 94: _ • f W _ City/State/Zip: Phone: La Quinta CA 92247 - 760-7774724 ; • ~ 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 Busin,Ness.and.Professions Code to accept responsibility for the building design or system.desiign identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials 'components and manufactured devices for the bui'ldml' 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 Regulations. �•'r <, I _Afw Y 4. The building design features or systm dew e3ign features identlfi�ed on thdis Certificate ofCompltance re consistentwitht formation pro ided on other applicable compliance documents, worksheets, - calculations; plans and specifications submitted-toahe enforcementagenty for-approvaUwith this building -permit application - - � ":5' '�jrrV '� �.y ` �i4 � f e,; ''€ aq' ,�' - � .r •e.o gTi.• z w 'z• � 5. I will ensure that a registered copy of -this Cprtifi6teofsComplian eeahall be made available with the buildmg_permit(s} issuedfor�the buliding and:m de available to the enforcement agency for all applicable inspections. I understand that a registered copy of.this Certificate of:Compliance is required to be included witii the documentation the'tiuilder provides to the building owner at occupancy. ' Responsible Designer Name: } Responsible Designer Signature: �R��1(/%/SGP.!(/ Van Vlymen, Paul :' - • f� r'iTM Company: - r ' Date Signed: Air Experts Air Conditioning ' 2015-01-21.10:32:19 Address: License: ' - PO Box 94 •. 725283 City/State/Zip: Phone: La Quinta CA 92247 - - 760-777-1724 , r , Y 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=A0023503A 000000000 0000 Registration Date/Time: 2015-01-21 10:32:19 HERS Provider: CaICERTS • CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 t - Report Generated: 2015-01-21 10:32:25 Schema Version: 0.551SDD , JINANCIAL INFORMATION DESCRIPTIO PAID ^` PAID DATE BSAS SB1473 FEE 101-0000-20306. 0 $1.00 $0.00 YPAID BY} RECEIPT'# n r ` CHECK #' �: t CLTD-BY•' xE. K , �. Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00, ` $0.00. kit, DESCRIPTIONS .' r ' 3c t `ST _" ACCOUNT QTYj'". AMOUNTPAID DATEi HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 "[f, `' PAI D.BY ' rw. b ;METHObC„^c RECEIPT#w, c x t a;CHECK#� CLTD.BY, b .„fit!;C,'?; �. i' 4rACCO,UNT�i s#"a' QTY '=� AMOUNT„"APAID r '-'PAID DATE #DESCRIPTION!k i , td' HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 •PAID,BY' `' s'aMETHOD '"L RECEIPTn# CHECK:#T1` CLTD;BY F1” l,i' �:.hi.• "iL,' P ..`. .f 1 Total Paid forCHANGEOUT: $108.78 ' $0.00 DESCRIPTION ,t ' 4 AMOUNT,PAID DATE y. PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 . ar'; '<[N " - 4 bHy:r^r%,..n.'!Q'j '�+} r �, ',PAID BY { ” ;..ti' ;,; , RMETHO.D� �:.r r . " � RECEIPT;# '# Fx";, °, '�CHECKY# f ,ri -y i CLTD`BYK Total Paid for PERMIT ISSUANCE: $91.85 $0.00 • 00 r t ` i Description: REPLACE (1) SYSTEM Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 1/21/2015 PJU Approved: Parcel No: 775101061 Site Address: 54259 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 6 Issued: FOR CMS Lot Sq Ft: 0 Building Sq Ft_ 0 Zoning: _ Finaled: Valuation: $6,800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details% REPLACE ONE SYSTEM A/C & HEATING 5 TON 13 SEER .78 AFUE 2013 CALIFORNIA MECHANICAL CODES.CARBON MONOXIDE ALARM (S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES _ ADDITIONAL SITES CHRONOLOGY ,-. - .. ., , . I , , I I CONDITIONS FINANCIAL INFORMATION Printed: Wednesday, January 21, 2015 11:48:51 AM 1 of 2 _ C V SYSTEMS .+. � s,. -ate,,. �-':i 'S' -Y"" -_,.yKG' = 'rC; �y�- � � .€'dip: -3•�, -t �}„ a � � �.s�,"w�•�. +n ,{'r`. �,��` S v� •.r �',y • "�'.-�e A ' - `� .�:+:: .,i-3: w" ' �> �y.r � �t r•, .w-.37� _ �_ ""' `Y'y"".','i-`� �e.-a�` ak" x - _ ri K;g - a- e^ +•{• 5 'rR C 'f` �/, `r'�i�'�r7��� � ® -• ..��.,+- `�` 1'`.5�. • Y.npv.,,,,.�s 77 :DESCRIPTION �, ACCOUNT QTY s AMOUNT PAID - PAID DATE , RECEIPT# CHECK` #. =METHOD PAID BY .. `BYb ; w, t , BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: • HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 .Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•- SEQID - F. -INSPECTION TYPE �:. K INSPECTOR &HEDULED COMPLETED 4 RESULT REMARKSr y "NOTES c ;y' • Vis., M , DATE, DATE MECHANICAL FINAL" PROJECTSPARENT BOND INFORMATION ATTACHMENTS' Printed: Wednesday, January 21, 2015 1148:51 AM 2 of 2 CB?SYSTEMS City of La Quinta. Building a 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:ZS Sou //����) ff�S Owner's Name A. P. Number: Address: .J L)zs r Legal Description: City, ST, Zip: ZA- C1c ,-r- 1 ''CA ?Z7-93 Contractor: Telephone: / I -S 'Address: q Project Description: 1����Z L# d/nf City, ST, Zip: L— �` u sN�CA Tbvf Telephone: `� U —277 1'7 /n <{"........:.,....:.,..:::,.......::::::::. I State Lic. # : '7ZS--Z City Lie. #-. Arch., Engr., Designer: S E t Address: City., ST, Zip: TelePhone. hi:'fi• ...:... ....State ...... ...................... aneY Pe• Occupancy: n TY • Construction o Lu. #: Add n Alter Repairair Demo ' hP (circle l ne :N w Name of Contact Person: Sq. Ft.:# Stories: #Units: Telephone #,of Contact Person: 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 Plans resubmitted Mechanical Grading plan 2pd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing. Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 'rd Review, ready for corrcctionsCssue Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees