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BMCH2016-02401 78-495.6HLtE TPhPICO T,i'4t 4 4 Qu&roj LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT II BUILDING PERMIT Application Number: . BMCH2O16-0240 Owner: Property Address: 44631 LIBERTY AVE JUAN ARREDONDO APN: 604513014 44631 LIBERTY AVE Application Description: ARREDONDO / CHANIE OUT MINI SPLIT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $6,200.00 Applicant: J ANTHONY PLUMBING HEATING & AIR CONDITI 72216 NORTH SHORE ST #101 THOUSAND PALMS, CA 92276 -- - - - - - - - - - - - - - - - - - - - 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 t e Business and Professions Code, and my License is in full force and effect. License Class: C20, C36 License No.: 777 Da414/k Contractor:: 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 VOICE (760) 777-7125 FAX (760) 777-7011 v � g30/ 015 Okd O !Q O IL G� O ui ti c, S i Contractor: 7 U J ANTHONY PLUMBING HEATING & AIR CONDITI 72216 NORTH SHORE ST #101 THOUSAND PALMS, CA 92276 (760)328-8096 Llc. No.: 777794 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 woLperrwhich 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 Id become subject to the workers' compensation provisions of Section 3700 the Labor Code, I shall forthwith comply with hose provisions. Date: 4! �'140, 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 aAlawsngtobuilding construction nd hereby authorize representatives of on the above -m n one prroperty for inspection purposes. Date:�NSignature (Applicant or Agen FINANCIAL •1• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0. $1.00 $0:00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Desi ipLiuii: ARREDONDO / CHANIE OUT MINI SPLIT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/30/2016 SKH Approved: 6/30/2016 SKH Parcel No: 604513014 Site Address: 44631 LIBERTY AVE LA QUINTA,CA 92253 Subdivision: TR 24197-4 Block: Lot: 49 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,200.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT (1) 14SEER/78AFUE MINI SPLIT [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS Applied to Approved Printed: Thursday, June 30, 2016 10:28:44 AM 1 of 2 t SYSTEINS INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INFORMATION CL ID DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID. BY BY BSAS SB1473 FEE 101-0000-20306 0. $1.00 $0.00 Total Paid for BUILDING 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 for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Thursday, June 30, 2016 10:28:44 AM 2 of 2 ,,, SYSTElviS BOND INFORMATION ATTACHMENTS Printed: Thursday, June 30, 2016 10:28:44 AM 2 of 2 ,,, SYSTElviS Bin # Qty Of La Quinta Building 8L 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: 1 Owner's Name: & p -Q 1Z e loeW o A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Address: p % :..........:::.: .....:::.. . Tele hone:%:>?::<;:>�«:>:><:#A:;:::::»:»:;. ProjectDescription: City, ST, Zip: 72216 NORTH SHORE ST STE 101 '� Telephone: THOUSAND PALMS CA ....:::.........:...:,:,..:,.....:..:.. : : : l L State Lie. # :T71 7 9 City Lie. # Q 5/ Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P r >`>::::::,.: •..::.,..:•,..:.:....: s:::;:•:;:.;>:.;.::.::;:;::.�::::::>::>::»::; Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair. Demo Name of Contact Person: I Jit? fJ Sq. Ft.: # Stori: # Units: Telephone # of Contact Person: Estimated Value of Project:4Y 40Z O APPLICANT: DO NOT WRITE BELOW THIS LINE t# 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 Cala. Plans picked up Construction Flood plain plan 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:- '"' Reyiew, ready for correctionsTssue . 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 Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: arredondo I Date Prepared: CF1R-ALT 02-E (Page 1 of 3 ) 2016-06-30 A. General Information CHR -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 arredondo 02 Date Prepared 2016-06-30 03 Project Location 44631 liberty ave 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name arredondo 07 Zip Code 92253 08 Dwelling Unit Conditioned 1250 Installirrg Installing Installing Floor Area (ft2) Location or Area by this SC `ducted c ntaining system R x Number of space conditioning entirely w 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? e feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information n �" 01 02 0304 1'rj_0!fl 1! 061 II 07'l 08 [1 09 10 3 );Is the SC"'-" _ 'I telling a SC System SC System CFA served '.system a�--, re rf igerant iInstalling new SC Installirrg Installing Installing Identification or Location or Area by this SC `ducted c ntaining system R x more than 40 entirely w entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1250 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 216-A0244260A-000000000-0000 Registration Date/Time: 2016-06-30 09:51:19 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-30 09:51:28 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CUR -ALT -024 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) O1 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 Dud Length R -Value Outdoor This field or This field or System 1 Central gas Gas furnace AFUE 78 Central split condensing SEER 14 Setback section is not section is not furnace AHU _ AC unit applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF211-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: <_ 15%, 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, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2:300 CFM/ton required when MCH -25 is required. Exceotions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. do Air Flow MCH Refngeran't'Charge MECH=2S� -Heating-only systems and Air Handler/Furnace changes not require verification of -23; or Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duct Leakage Testing requiremerits. ErC 0 r��. E. Entirely New or Complete Replacement Duct -System, with or without; Equipment Changeout (Sections 150.2(b)lDiia and,150.2(b)lE, 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-A0244260A-000000000-0000 Registration Date/Time: 2016-06-30 09:51:19 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-30 09:51:28 Schema Version: 0.5555DD CERTIFICATE OF COMPLIANCE CFIR-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:/Joee/�(�JLs7BfY/ Robinson, Kevin /� Company: Signature Date: J ANTHONY PLUMBING HEATING & AIR CONDITIONING 2016-06-30 09:51:19 Address: CEA/ HERS Certification Identification (if applicable): , 72216 NORTH SHORE ST #101 City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-343-2121 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 11 v== 4. The building design features or system design features identified on this Certifcate of Compliance are consistent with the informatio111n��provided on[jother applica/Stile compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 'i. �' J f , Y. L 5. 1 will ensure that a registered copy of this Certificate of Compliance shall'be made'available with the building permit(s) issuetl for the;building, and.made available to'the;enforcement agency for all applicable r inspections. I understand that a registered copy of this Certificate of Compliance,is:required to be included with the„d.ocumentation,the builder provides tothebuilding owner at occupancy. Responsible Designer Name: `' i # >w. if A m, Responsible Designer Signature: if'= - %RlJGX4B�fi Robinson, Kevin KP.!/G!r/ Company: Date Signed: - J ANTHONY PLUMBING HEATING & AIR CONDITIONING 2016-06-30 09:51:19 Address: License: 72216 NORTH SHORE ST #101 777794 City/State/Zip: Phone: THOUSAND PALMS CA 92276 1760-343-2121 a. 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: 216-AO24426OA-000000000-0000 Registration Date/Time: 2016-06-30 09:51:19 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-30 09:51:28 Schema Version: 0.555SDD