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BMCH2014-105878-495 CALLE TAMP.ICO D VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: BMCH2O14-1058 Owner: Property Address: 54370 EISENHOWER DR DIANA ORTIZ APN: 774253005 54370 EISENHOWER DR Application Description: CHANGE OUT 3 TON HEAT PUMP A/C SYSTEM 14 SEER LA QUINTA, CA 92253 Property Zoning: Application Valuation: �J D Applicant: Contractor: AIR PRO SERVICES AIR PRO SERVICES 0 OUTSIDE CITY LIMITS Q, AUG 2 6 2014 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 /� S% LA QUINTA, CA 92253 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT (760)343-5500 Llc. No.: :LIC -0003078 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. Lic nse Class: _ License No.::LIC-0003078 Date: �—�� Iu Contractor: OWNER -BUILD ECLARATION 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: Date: 8/26/2014 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 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D�dte:plicant: ((WARNING: FAILURE TO SE RE WORKER 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon above• mentioned propert for inspec ' n purposes. D e: �� l S' nature (Applicant or Agent . FINANCIAL INFORMATION DESCRIPTION' ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $35.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $59.58 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # • CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 Description: CHANGE OUT 3 TON HEAT PUMP A/C SYSTEM 14 SEER Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 8/26/2014 MFA Parcel No: 774253005 Site Address: 54370 EISENHOWER DR LA QUINTA,CA 92253 Approved: Subdivision:. SANTA CARMELITA AT VALE LA QUINTA Block: 300 Lot: 19 Issued: UNIT 27 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, August 26, 2014 10:50:24 AM 1 of 2 cjmw rents CHRONOLOGY FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT CONDITIONS PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $35.75 $0.00 CONTACTS NAME TYPE NAME ADDRESSS CITY STATE ZIP PHONE FAX EMAIL' APPLICANT AIR PRO SERVICES 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 ( Printed: Tuesday, August 26, 2014 10:50:24 AM 1 of 2 cjmw rents FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $35.75 $0.00 PACKAGED UNIT Printed: Tuesday, August 26, 2014 10:50:24 AM 1 of 2 cjmw rents INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42600 0 $23.83 $0.00 PACKAGED UNIT PC Total Paid forCHANGEOUT: $59.58 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 Total Paid forPERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" Printed: Tuesday, August 26, 2014 10:50:24 AM 2 of 2 CN?W SYSTEMS Bin # Qty of La Quinta Building SL Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quirita, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: S><,?7a Owner's Name: D N 12L A. P. Number: Address: 6' `13 70 E� 'S t/t- �2• Legal Description: City, ST, Zip: LR .L�a 92.E -S l Contractor. r 4: U SP,e✓i [es "' Telephone: Address: 57� S t E Project.Description: w (- City, ST, Zip: 406t S.44/ Telephone: % -3 -5501.. r'"::.,<;>:•;::.:,.�..::,,:... .,... State Lie. # : 8 Q City Lie. C. 3 0 %$ Arch., Engr., Designer: Address: City., ST, Zip: Telephone: -;c?;:<;r:;•:::;r; h :;;< ;:<;<:: ^>-:;.:...,.:.: •.::.>,.::;;;:..:<:.; Construction Type: Occupancy: State Lic. #: Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: J e 2� C� f Sq. FL: # Stories: # Units: Telephone # of Contact Person: _ Estimated Value of Project: �= APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Recd TRACKING PERMIT FEES, Plan Sets "Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 Cales. 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 Decd Plans picked up S.M.I. H.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 Fecs CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to,Space Conditioning Systems (formerly CF -IR -ALT -HVAC) • - (Page 1 of 4 ) Project Name: DIANA ORTIZ Date Prepared: 2014-08-25 A. General Information CF111-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CRR -ALT -02 document for each dwelling unit.: 01 Project Name: DIANA ORTIZ 02 Date Prepared: 2014-08-25 03 Project Location: 54370 EISENHOWER DRIVE 04 Building Type: Single family 05 CA City: La Quinta 06 Dwelling Unit Name: DIANA ORTIZ 07 Zip Code" 92253 08 Dwelling Unit Conditioned 1434 components?f duct system Floor Area (ft2): Number of space conditioning accessible Climate Zone: 15 10 (SC) systems being altered in 1 �91 condensing unit, Installing this dwelling unit.: system's q.a _ B. Space Conditioning (SC) Systeformation�� .�t�� a- y 01 02 a z :, 03 a.e r ggg '�' 04 ° . y. x`t � 05 { ? 7= +& 06 /?` ' �� u... ..xg F 07 max :. , _ 08 09 10 Z , Installing newt" _ ` els the entire f ' 41 components?f duct system (packaged unit, or accessible Are all of the condensing unit, Installing for sealing, system's Is the :altered Altering or or more than 40 and is more components or. installed installing a cooling/heating linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or the duct or replaced? Identification or Location or Area by this SC ducted containing air -handling unit, replacement system new (entirely new Name Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type System 1 WHOLE HOUSE 1434 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: 214-AO0828998-000000000-0000 Registration Date/Time: 2014-08-25 18:21:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-25 18:20:42 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)3E 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 Dud or Name • Type Components Type Value System Type Components Type Value Type Dud Length R -Value Outdoor Less than or System 1 Central split Fancoil AHU AFUE 0.78 Central split condensing SEER � 14.5 Setback equal to 40 R-8 HP HP unit feet Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Dud 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 in ducted systems, or when more than 40 ft of dud length is replaced. -Leakage rate compliance: 5 15%, or 510% leakage to outside, or.seal all accessible leaks. CF2R-MCH-25-H & MR -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/tori required when MCH 25 is required Exceptions:e,r,yy`p� -Duct systems registered with HERS provider as prewously sealed are exempt from MCH 20 Duct Leakage Testing requirements �t Heating -only Air Handler/Furnace changes do a Air Flow MCH or Refrigerantharge MECHi25 systems and not req venfication of -23 -Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH 20 Duct Leakage Testing requirements`.Z' E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) ' xi This section does not apply to this project. Registration Number:'214-A0082899B-000000000-0000 Registration Date/Time: 2014-08-25 18:21:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-25 18:20:42 i CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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. Registration Number: 214-A0082899B-000000000-0000 Registration Date/Time: 2014-08-25 18:21:03 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-25 18:20:42 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (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: d� Priest, Michelle Company: Signature Date: AIR PRO SERVICES CORPORATION 2014-08-25 18:21:03 Address: CEA/ HERS Certification Identification (if applicable): P 0 BOX 1120 City/State/Zip: Phone: CATHEDRAL CITY CA 92235 (760) 343-5502 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State o'Kalifornia: ti `. 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business. and d.Professions Code'to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). '3.^ < +1 :.. V vY . !}pwy,,, i.. 3. That the energy features and performance specifications, mate nals,'components and manufactured devices for the bwlding design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part land Part 6 of the California Code of RegulationsD �.�,®,:,.-.�. Y^Y.: ':�, ts' - epi. 4. The building design features or system -design features identified on this Certificate of Compliance are consistent with;the uiformation provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted;to the enforcement agency for approval,wrth this building permit application" -2>^ 9Yr e•e., w }.., - a�.r.-. nc a` t puildmg, and made,available to the enforcement agency for all applicable 5. I will ensure that a registered co of -this Certrtficate of Com liance shall be made available with the buildin ermtt s issued for the g PY P g P O available .. „t : ` inspections. I understand that a registered copy of this Ceitificate.of Comptiance.is required to be included wrth the documentation.the liuilder provides to the building owner at occupancy. Responsible Designer Name: :' Responsible Designer Signature: Priest, Michelle Company: f' Date Signed: AIR PRO SERVICES CORPORATION 2014-08-25 18:21:03 Address: License: P 0 BOX 1120 780198 City/State/Zip: Phone: CATHEDRAL CITY CA 92235 (760) 343-5502 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-A0082899B-000000000-0000 Registration Date/Time: 2014-08-25 18:21:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-25 18:20:42