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BMCH2016-0283Applicant: CARRERA AIR 78-970 SON ESTA WAY LA QUINTA, CA 92253 LICENSED CONTRACTOR'SDECLARATIO I hereby affirm under penalty of perjury that I am licensed un r pr, 9 (commencing with Section 7000) of Division 3 of the Busi ss and and my License is in full force and effect. License Class: C20 License No.: 959853 Date: ' 2 actor: 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: o�\ ,1 11�P er: 09 ERT SANCHEZ Contractor: CARRERA AIR 78-970 SONESTA WAY LA QUINTA, CA 92253 (760)343-6675 Llc. No.: 959853 VOICE (760) 777-7125 FAX (760) 777-7011. TL NS (760) 777-7153 ate: ^ /2016 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 polity number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9155895 I certify that in the performance of the work for whj�#Ihis permit is shall not employ any person in any manner so as to becom ject to the wort compensation laws of California, and agree that, if I sho 1 ecome subject t workers' compensation provisions of Section 3700 o abor Code, I s f comply with the p ovisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKE3'C ENSATION CAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 ,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 tl I agree to comply with all city and county ordinances an construction, and hereby authorize representatives of tf above-mentio ed ro erty for inspection purposes. Date: Signature (Applicant or Agent) �iNMCl/ 78-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0283 v Property Address: APN: 79425 AVENIDA LAS PALMAS 604460002 r Application Description:. SANCHEZ RESIDENCE / HVAC REPAIR LA Property Zoning: Application Valuation: $900.00 Applicant: CARRERA AIR 78-970 SON ESTA WAY LA QUINTA, CA 92253 LICENSED CONTRACTOR'SDECLARATIO I hereby affirm under penalty of perjury that I am licensed un r pr, 9 (commencing with Section 7000) of Division 3 of the Busi ss and and my License is in full force and effect. License Class: C20 License No.: 959853 Date: ' 2 actor: 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: o�\ ,1 11�P er: 09 ERT SANCHEZ Contractor: CARRERA AIR 78-970 SONESTA WAY LA QUINTA, CA 92253 (760)343-6675 Llc. No.: 959853 VOICE (760) 777-7125 FAX (760) 777-7011. TL NS (760) 777-7153 ate: ^ /2016 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 polity number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9155895 I certify that in the performance of the work for whj�#Ihis permit is shall not employ any person in any manner so as to becom ject to the wort compensation laws of California, and agree that, if I sho 1 ecome subject t workers' compensation provisions of Section 3700 o abor Code, I s f comply with the p ovisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKE3'C ENSATION CAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1 ,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 tl I agree to comply with all city and county ordinances an construction, and hereby authorize representatives of tf above-mentio ed ro erty for inspection purposes. Date: Signature (Applicant or Agent) Date: 8/2/2016 Application Number: BMCH2016-0283 Owner: Property Address: 79425AVENIDA LAS PALMAS GILBERT SANCHEZ APN: '• 604460002 79425 AVENIDA LAS PALMAS Application Description: SANCHEZ RESIDENCE / HVAC REPAIR LA QUINTA, CA 92253 Property Zoning: ; Application Valuation: $900.00 Applicant: Contractor: CARRERA AIR CARRERA AIR 78-970 SONESTA WAY 78-970 SONESTA WAY LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)343-6675 Llc. No.: 959853 -------------------------------------------------------------------------------------------=- r Detail: CONDENSER CHANGE OUT -14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. i FINANCIAL DESCRIPTION INFORMATION 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- CONDENSER ONLY 101-0000-42402 0 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $24.17 Total Paid for CHANGEOUT: $60.43 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 U I ALJ: j153.Z8 Description: SANCHEZ RESIDENCE / HVAC REPAIR Type: MECHANICAL Subtype: Status: ISSUED Applied: 8/2/2016 MFA Approved: 8/2/2016 MFA Parcel No: 604460002 Site Address: 79425 AVENIDA LAS PALMAS LA QUINTA,CA 92253 Subdivision: TR 29563 Block: Lot: 2 Issued: 8/2/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $900.00 Occupancy Type: Construction Type: Expired: 1/29/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: CONDENSER CHANGE OUT =14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Appueato Approvea Approved to Issued CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI . CITY STATE ZIP PHONE FAX EMAIL APPLICANT CARRERA AIR 78-970 SONESTA WAY LA QUINTA CA 92253 (760)600-6367 CONTRACTOR CARRERA AIR 78-970 SONESTA WAY LA QUINTA CA 92253 (760)600-6367 OWNER GILBERT SANCHEZ 79425 AVENIDA LAS PALMAS LA QUINTA CA 92253 (760)600-6367 Printed: Tuesday, August 02, 2016 3:51:10 PM 1 of 2 rl7 SYSTEMS ATTACHMENTS Printed: Tuesday, August 02, 2016 3:51:10 PM 2 of 2 ,, .. srsnnas CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY i BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 8/2/16 MR330 B 6 DEBIT CARRERA AIR MFA -0283 -0283 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0. $36.26 $36.26 8/2/16 MR330 BMCH2016 DEBIT CARRERA AIR MFA CONDENSER ONLY -0283 HVAC OUT - 101-0000-42600 0 $24.17 $24.17 8/2/16 MR330 B 6 DEBIT CARRERA AIR MFA CONDENSER ONLY PC CONDENSER O -0283 -0283 Total Paid for CHANGEOUT: $60.43 $60.43 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 8/2/16 MR330 B 6 DEBIT CARRERA AIR MFA -0283 -0283 Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: ATTACHMENTS Printed: Tuesday, August 02, 2016 3:51:10 PM 2 of 2 ,, .. srsnnas Bin # City of >a Quino Building &" Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 7 2 5wner's Name: A. P. Number: Address: G Nu Legal Description: 07- City, ST,Zip:IA QX4JTAZ 53 Contractor:rL Telephone: P one: ( Address: Q __' U `UDI Project Description: City, ST, Zip: Z7,01 ✓�/ zn7 Telephone:............ u / r 7 r 4 1 D State Lic. # :49 City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: Construction Type: e: Occupancy: Y P State Lic. # Pr ' o ect a (circle one): New d'n J tYP �c e Ad Alter Re pair r D'e mo 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 Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cafes, Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for.corrcctions/issue Electrical Subcontactor List Called Contact Person Plumbing ,Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 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 i VZ7- CERTIFICATE OF COMPLIANCE CF1R-ALT702-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: 79425 Avenida Las Palmas Date Prepares: 2016-08-02 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 MR -ALT -02 document for each dwelling unit. 01 Project Name 79425 Avenida Las Palmas 02 Date Prepared 2016-08-02 03 Project Location 79425 Avenida Las Palmas " 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 79425 Avenida Las Palmas 07 Zip Code 92253 08 Dwelling Unit Conditioned 2000 Floor Area (ft2) SC -System SC System CFA served °,`system a�- re rfrf iger nt Number of space conditioning 09 Climate Zone 15 10 (SC) systems in this dwelling 1 `ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System'lnformation,.,,,,,•,� 01 02 03 04 OS if 06 07 11 08 I 1 09 10 J 1ls the St--®'' "Installing a"' SC -System SC System CFA served °,`system a�- re rfrf iger nt Installing new SCInstalling I stalling RInstalling Identification or Location or Area by this SC `ducted containing system more than 40 enn ely a entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 2000 Yes Yes Yes No No No Altered space , conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 216-A0288412A-000000000-0000 Registration Date/Time: 2016-08-02 15:09:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 15:09:18 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE' CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)1E 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 All new This field or This field or System 1 furnace component section is not section is not AC cooling SEER 13 Setback section is not section is not altered applicable applicable components applicable applicable Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CUR -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: 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 in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require veriflcatio of Air Flow MCH -23; o� Refngerant`Charge MECH=25zr" Existing duct systems constructed, insulated or sealed with asbestos are exempt;from MCH 20 Duct Leakage Testing requiremerit`s.11 1`4. I[ 1# E. Entirely New or Complete Replacement Duct Sys tem, 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 New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 216-A0288412A-000000000-0000 Registration Date/Time: . 2016-08-02 15:09:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 15:09:18 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF11R-ALT-02=E Alterations to Space Conditioning Systems (formerly CF-lR-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: Carrera, Andrew Company: Signature Date: • . CARRERA AIR 2016-08-02 15:09:30 Address: CEA/ HERS Certification Identification (if applicable): 78-970 SONESTA WAY City/State/Zip: - Phone: LA QUINTA CA 92253 760-343-6675 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 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 Regulations��"'� r�""�"` .4.�r 4. The building design features or system design features identified ori this Certificate of Compliance are consistent with the information provided on other appficable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval' with. this building permit application. `�j )( {p jt i I �I I4 i0.. % a. Ii rF,� i,'. R' !C t} -- !f 5. I will ensure that a registered copy of this Certificate of,Compliance shall be,made'avaflable with the building permits) issued for the building, and made available,to theenforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to thebuildingowner at occupancy. Responsible Designer Name: ..� Responsible Designer Signature: Carrera, Andrew Company: Date Signed: CARRERA AIR* 2016-08-02 15:09:30 - Address: License: 78-970 SONESTA WAY 959853 City/State/Zip: Phone: LA QUINTA CA 92253 760-343-6675 Digitally signed byCa10ERTS. 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: 216-A0288412A-000000000-0000 Registration Date/Time: 2016-08-02 15:09:30 _ HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 15:09:18 Schema Version: 0.555SDD