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BMCH2015-046478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: c&t1t .4 4� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BMCH2O15-0464 52066 AVENIDA MARTINEZ 773232003 ROSAS / REPLACE EXISTING ROOFTOP HEAT PUMP $2,700.00 Applicant: CAVANAUGH ELECTRIC DBA CAVANAUGH ELECTRI 83-231 HIWAY 111 INDIO, CA 92201 U V DEC 2:8 2015. f CIr� 0 0-r- L;-wUINTA COMMUNITYOE!IELOPk1[In DEPAfl'VENT LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20, C10 License No.: 28866936 Date: 112o2g_ 1$ Contractor: C�a7c�� LZGCr%�� 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 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 11111111111111111111 32 VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 12/28/2015 Owner: LETICIA ROSAS 52066 AVENIDA MARTINEZ LA QUINTA, CA 92253 Contractor: CAVANAUGH ELECTRIC DBA CAVANAUGH ELECTRI 83-231 HIWAY 111 INDIO, CA 92201 (760)347-3608 Llc. No.: 286936 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 oft 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, 1 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. Date: " Applicant: C �G 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date -,2_261—/5 Signature (Applicant or Agent): Ra— FINANCIAL INFORMATION DESCRIPTION ACCOUNT: QTY 'AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CAVANAUGH ELECTRIC DBA CAVANAU CHECK R11783 21360 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $36.26 $36.26 12/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY, CAVANAUGH ELECTRIC DBA CAVANAU CHECK R11783 21360 SGU -DESCRIPTION ACCOUNT _QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $36.26 $36.26 12/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CAVANAUGH ELECTRIC DBA CAVANAU CHECK R11783 21360 SGU Total Paid for CHANGEOUT: $72.52 $72.52 DESCRIPTION ACCOUNT CITY, AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 12/28/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CAVANAUGH ELECTRIC DBA CAVANAU CHECK R11783 21360 SGU Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: ROSAS / REPLACE EXISTING ROOFTOP HEAT PUMP Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 12/28/2015 SGU Approved: Parcel No: 773232003 Site Address: 52066 AVENIDA MARTINEZ LA QUINTA,CA 91253' Subdivision: SANTA CARMELITA VALE. LA QUINTA Block: 95 Lot: 20 Issued: UNIT it Lot Sq Ft:.O Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,700.00 Occupancy Type:. Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: REPLACING EXISTING ROOFTOP HEAT PUMP. 14SEER/80AFUE CENTRAL PACKAGED SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE. ZIP PHONE FAX* EMAIL - APPLICANT CAVANAUGH ELECTRIC DBA CAVANAUGH ELECTRI 83-231 HIWAY 111 INDIO CA 92201 CONTRACTOR CAVANAUGH ELECTRIC DBA CAVANAUGH ELECTRI 83-231 HIWAY 111 INDIO CA 92201 OWNER LETICIA ROSAS , 52066 AVENIDA MARTINEZ LA QUINTA CA 92253 Printed: Monday, December 28,'2015 9:11:06 AM 1 of 2 (rff?LJ L./ SYSTEtitS � LLl N J0 Gi. u S 6Ar OF'i'L�t'� + _ -- CLTD DESCRIPTIONS ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY BY CAVANAUGH BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/28/15 R11783 21360 CHECK ELECTRIC DBA SGU' CAVANAU Total Paid for BUILDING STANDARDS ADMINISTRATION _ $1:00. $1.00 BSA: CAVANAUGH HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $36.26 12/28/15 R11783 21360 CHECK ELECTRIC DBA SGU OTHER EQUIPMENT CAVANAU HVACCAVANAUGH HANGEOUT - 101-0000-42600 0 $36.26 $36.26 12/28/15 R11783 21360 CHECK ELECTRIC DBA SGU OTHEROTHER EQUIPMENT PC CAVANAU Total Paid for CHANGEOUT: $72.52 $72.52 CAVANAUGH PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 12/28/15 R11783 21360 CHECK ELECTRIC DBA SGU CAVANAU Total Paid fnr PERMIT ISSUANCE:. $91.85 $91.85 TOTALS: $165.37 $165.37 INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, December 28, 2015 9:11:06 AM 2 of 2 CN? NAP SYSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: L.Rosas I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2015-12-22 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 CF111-ALT-02 document for each dwelling unit. 01 Project Name L.Rosas 02 Date Prepared 2015-12-22 03 Project Location 52-066 Avenida Martinez 04 Building Type Single family OS CA City La Quinta 06 Dwelling Unit Name House 07 Zip Code 92253 08 Dwelling Unit Conditioned 1128 refrigerant containing-- Installing new SC --� system it m, re than 40 Installing entirely new Floor Area (ft2) Name Served Number of space conditioning component?� 09 Climate Zone 15 10 (SC) systems in this dwelling 1 I ,SYstem-(ft2) unit. B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 OS 09 10 r Is the SCInstalling a ..t - "� SC System Identification or SC System : Location 1 Area CFA served,/ ,by f h SCS system a ducted'""`"' refrigerant containing-- Installing new SC --� system it m, re than 40 Installing entirely new Installing entirely new Name Served system? component?� components? =feet ofkducts? duct system? SC system? Alteration Type I ,SYstem-(ft2) Entirely new or System 1 House 11288 Ye U.3. Energy Yes R Yes ters Asso Yes iation Yes Yes complete replacement space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib) This section does not apply to this project. Registration Number: 315-A1017681A-000000000-0000 Registration Date/Time: 2015-12-22 07:46:53 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-22 07:47:17 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) This section does not apply to this project. 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) 01 02 03 04 05 06. 07 08 09 10 it Heating Cooling System Heating Minimum Cooling Minimum Required Identification or Heating System Altered Heating Efficiency Efficiency Cooling Altered Cooling Efficiency Efficiency Thermostat New Duct Name Type Component Type Value System Type Component Type Value Type R -Value System 1 Central packaged All new heating AFUE 80.00 Central All new cooling SEER 14 SetbackTher R-8 HP components packaged HP components mostat Required Documentation: CF2R-MCH-01-E - SpaceConditioning Systems Dutcts and Fans Duct insulation requirement for new plenums: R6. - - CF2R & CF3R-MCH-20!H Duct Leakage Verification required.11 ] -Leakage rate compliance:15 6%. CF211 & CF3R-MCH-22�Fan Efficacy Verification t l CF2R & CF3R-MCH-23SysteAir Flo Rat Veri�catio�n Compliance: Fan Efficacy�s 0.58'W/cfm�and System Airflow2 3cfm/to1. - Alternative Compliance: CF2R-&-CF3R-MCH-28 Return-Duct_Design Verification-is-awalternative'to'MCH-22 and MCH=23 verification. CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when retyeraa t cant ' i o encs a e}i ss 11 do o,(�alterrod j Itc�b a dii, 8 -IS'. 8 g q j&g ) Exceptions: v.y• =II`I g� [i /1.��7V�ilQ��V! 1 Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements. ote• An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage Registration Number: 315-A1017681A-000000000-0000 Registration Date/Time: 2015-12-22 07:46:53 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-22 07:47:17 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -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: Rod Cavanaugh Documentation Author Signature: Red �� Signature Date: Company: Cavanaugh Electric & Air Conditioning 2015-12-22 Address: CEA/ HERS Certification Identification (if applicable): 83-231 Highway 111 286936 City/State/Zip: Phone: Indio CA 92201 760-347-3608 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. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure -that a registered -copy of this,Cdrtificate,of Compliance-shall-be•made avallable•with,the�building permit(s)-issued-for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered. copyof his Certificate$of.Compliance.is required-to<be,incl�ded with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: ` Responsible Designer Signature: OO� /' �� L—a{� Rod Cavanaugh R Company: Date Signed: , Cavanaugh Electric,& If COfId tion)m `"`""'� """"�"' 2015:12- 2 Address: U.S.License: 83-231 Highway 111 SEnergy Ra W698Association City/State/Zip: Phone: Indio CA 92201 760-347-3608 v "This digital signature is provided in order to secure the content of this registered document, and in no A way implies Registration Provider responsibility for U.S. Energy Raters AsswAatlon the accuracy of the information." Registration Number: 315-A1017681A-000000000-0000 Registration Date/Time: 2015-12-22 07:46:53 HERS Provider: USERA CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-22 07:47:17 Schema Version: 0.555SDD Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 �l Building Permit Application and Tracking Sheet Permit # M C141,U5 Project Address: — a Ve�� Mar fa v Owner's Name: L e iC •a RdC.�s A. P. Number: Address: 52_ Y Legal Description: City, ST, Zip: �u�h/ a4, Contractor: C1/a a e / & � Telephone: j- 0 Address: 83 — 3 /-��,(J Project Description: City, ST, Zip:Zn �p 6,q. 9��0/ Re laced e�ri5¢ih Telephone: %� _ �¢7 34 a e State Lic. # : City Lic. #X&V Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo / Name of Contact Person: %?pd ccvV,5%7 VZ4,7%- Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: $ —77LT °D APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' 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 VA