BMCH2015-008478-495'CALLE TAMPICO
T 4 aw
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
.BUILDING PERMIT
Date: 3/23/2015
Application Number:
BMCH2O15-0084
Owner:
Property Address:
48390 VISTA CALICO
FRANCIS SAUVE
APN:
602190030
WHITE ROCK BC
Application Description:
SAURE HVAC CHANGE OUT
CANADA V413, A3 92253
Property Zoning:
Application. Valuation:
$1,400.00
Applicant:
BEST IN THE WEST AIR CONDITION
255 N ELCIELO ROAD #140-125 .
PALM SPRINGS, CA 92262
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.
License Class: C20, C388 License No.: 967982
ate: �' � �'� l iContractor:
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 (Chapte4 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 forX
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
( 11, 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.).
(1 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.).
(_) lam 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: Q.
Lender's Address: lit
Contractor:
BEST IN THE WESF AIR CONDITION
255 N ELCIELO ROAD #140-125
PALM SPRINGS, CA 92262
(760)343-1002 _
Llc. No.: 967982
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one d 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' ompensation insurance, as. required by
Section 3700 of the Labor Code, for the perfo -mance of the work for which this permit
is issued. My workers'.compensation insuran•:e carrier and policy number are:
Carrier: _ Policy Number: _
I certify that in the performance oll the work for which this permit is issued, I
shall not employ any person in any manner sc 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.
p6K J/Z/ pplicant:
WARNING: FAILURE TO SECURE WORKERS' 00MPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00). 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 & is 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 tathe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app;ication becomes null and void if work is
not commenced within 180 days from date cf 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 orJinances and state laws relating to building
construction, and hereby authorize represertatives of this city to enter upon the above-
m�ate:
/tigned property for inspection purposes.
D 2� S S' ature (Applicant or Agen .
FINANCIAL •• •
DES4h � �¢ zY, .�:.
IP¢TION z t �.' 4: > 'ACCO AMOUNT6,r ' PAIDt8 PAIDDATE'
r�` r.:,CR& _ ;;QTY
BSAS SB1473 FEE
• 101-0000-20306
0 $1.00
PAID:-BY � ' •
'METHOD,.RECEIPT
# ' ;CHECK # a 4x
CLTO BY
-.�.. KS'Y4 i a"18� F i�'S ES •
A.
S 3 "ci'"
tt
g J Vna C.. �w.'�i'yb'a ,.:•
5�
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA( $1.00 $0.00
, �S� f� t4, ;
aA000UNT §` j
�` AMOUNT
PAID �
496 .DESCRIPzTION ,
4-...
.:
.pe4 W V14rQTY�
s.
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID<BY a
✓, METHOD a�3a
••+2.
` as„'RECEIPTR#
' `CHECK #
' CLTO. BY
,,
.. 4 :..?.,ci-i:.�v'�v"£'{l..'..16_
, ,
.,�•^#�bc.h.,t.
a _ is •
=DESCRIPTIONs�=ft r�
`g,ACCOUNT,,Y��
QTY'
n�AMOUNT�
PAID;PAIDOATEy
z
#,;4r�
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42600
0
$4.83•
$0.00
PC
a
44-
fc 'PAID BYMETHOD
RECEIPT # a�
CHECK #
CLTD BY
H
Total Paid forCHANGEOUT: $16.92 $0.00,
” �! DESCRI?TION ' { ` cAr g s
ry i' ACCOUNT �i
?
§ AMOUNT'
kr
4g
;QY
Te
s
,PAID x �n.'PAID
DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
x11,
METHOD'S
RECEIPT #�'r
CHECK #*r
CLTD BY;
a.
u,
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
• •• • �•
r
4
s.
r
a _ is •
a
r
4
s.
r
Description: SAURE HVAC CHANGE OUT
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 3/23/2015 KHE
Approved:
Parcel No: 602190030 Site Address: 48390 VISTA CALICO LA QUINTA,CA 92253
Subdivision: TR 29306
Block: Lot: 30
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,400.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: INSTALL REPLACEMENT 4 TON SCROLL COMPRESSOR FOR A/C LIVINGROOM UNIT 2013 CODES.
FINANCIAL INFORMATION
Printed: Monday, March 23, 2015 2:38:10 PM 1 of 2
SYSTEh15
........ .....
....... . .......
s :iii.PA
. . ... ....... .
7'
CLTD,'
17777771'
fCEIPT#
.AC7
BSAS 5614 73 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
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600.
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $16.92 $0.00
PISSUANCE---F
ERMIT
-
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $109.77 so.do
PARENT PROJECTS
................. .. .
. ... .. ..... .... ..............
- WIII
... ........ ......
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF4R-ALT HVAC) (Page 1 of 3 )
Project.Name: Sauve.48390.1 Date Prepared: 2015-03-23
J
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
Sauve.48390.1
02
Date.Prepared
2015-03-23
03
Project Location
48390.1 Vista Calico
04
Building Type
Single family
05 .
CA City
La Quinta
06
Dwelling Unit Name
Sauve.48390.1
07
Zip Code
92253
081600
Dwelling Unit Conditioned
Floor Area (ft2)
SC System .
SC System
CFA served
i. f
system a
�
refrigerant °Installing
Number of space conditioning
s's'ee Y u
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
- .
ducted
li,
h
more than 40
unit.
entirely new
B. Space Conditioning (SC) System' lnformation �x� x .� h
01
02
= 03
04A
0506
07
08
09
10
Ss
s the SC
k e a
fnstalling a
SC System .
SC System
CFA served
i. f
system a
�
refrigerant °Installing
dr: "5c R'^'c-
new,SC
�
s's'ee Y u
Installing
'°"e'
Installing>Installing
tri:.
.
-
Identification or
Location or Area
by this SC
- .
ducted
containing
�:
system
more than 40
entirely new
entirely new
:Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system? .
Alteration Type
Altered space'
System 1
- Living
1600
Yes
Yes '
Yes
No
No
No
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: 215-A0075349A-000000000-0000 Registration Date/Time: 2015-03-23 09:23:17
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-03-23 09:22:47
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC)
CFiR-ALT 02-E
(Page 3of3);,„
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: rr���
Hansen,lamie
�amie d-tansen
Company:
Signature Date: -.
Best in the West Air Conditioning & Heating Inc
2015-03-23 09:23:17.
Address:
CEA/ HERS Certification Identification (if applicable):
ti
31225 Plantation Dr
City/State/Zip:
Phone:
Thousand Palms CA 92276
1(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.the Buslr ess 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 Regulatl""ons.
AA
4. The building design features or system design features identified on;this Certificate of Compliance are consistent witfisthe informatioprovided on! other appca�ble compliance documents, worksheets,
{rti r3 x•y� s�
calculations, plans and specifications submitted to the enforcement{agency for-approvalkwith this building permit application. �`
Issued forthe bwldin and, made available toaheenforcement agency for all applicable
S. I will ensure that a registered copy of this.Certificate of Compliance shall be made available with the buildtng;permit(s);, g pP
documentationbthegbuilder prow des to,the building owner at occupancy.
inspections. I understand that a registered copy of this C rtfficate of ComPlKance,,,is req aired to be,lncludedrwith the,
Responsible Designer Name: Y CZ— 1
Respon Ible Des(g er SlgnaAure: V Y; rri��- g -
amte O
Hansen, Jamie
ansen
Company:
Date Signed-,
Best in the West Air Conditioning & Heating Inc-
2015-03-23 09:23:17
Address:
License:
31225 Plantation Dr
967982
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343.1002
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: 215-A0075349A-000000000-0000 Registration Date/Time: 2015-03-23 09:23:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 09:22:47
Schema Version: 0.555SDD
#
City, of- La Quinta
• Bulang & Safety Division
Box 1504, •78-495 Calle Tampico
ta.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application• and Tracking Sheet
Permit AP.O.
Project Address: NO D I 1 C
Owner's Name:.
A. P. Number.
Address: y�
Legal Description:
Contractor.S , °�� �Ne.
City, ST, Zip: 1 A �S 3.
Telephone: Q �' 033 3
Address: q 25,5 jv- 61 j eje P/qi3 l go -12 5
Project D=ription ( G[
• •
City, sr, zip: s' r; P 7ze z-
n Sozil Cc M
Telephone:(vG -343- JUO Z :Vi
State Lia # : �6 City Lir, 4;
Arch., Engr., Designer
Address:
City., ST, Zip: '
Telephone: Construction Type:. /Z OccWaacy:
State Lie. #: Project type (circle one): New Ad CAI Repair Demo
Name of Contact Person: / .(t: V J,pOt U.C/- Sq. Ft: j&66 # Stories: I # UniW f
Telephone # of Contact Person (Q(' • jL{ 3 1 Q a
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Rte'd
TRACIS.IIHG
:PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Dq"t• .
Truss Cala.
Called Contact Person
Pian Cheek Balance.
Title 24 Calcs.
Plans picked up
Constrncdon
Flood plain plan
Plans resubmitted.' •
Mechariicai
Gi ading plan
2`` Review, ready for correc6oneasste
Electrical
Subeonmetor List
Called Contact Person
plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IPI HOUSE:-
'"' Review; ready for eorreeHonsAssucDeveloper
Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees