BMCH2015-040478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tit�p 4 s(Pa"
COMMUNITY DEVELOPMENT DEPARTMENT
11111111111111111111
73
VOICE (760) 777-7125
FAX (760) 777-7011
TIONS (760) 777-7153
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 d Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 954337
Date: to I 20 Contractor: IQ
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. Q.
Lender's
Lender's
(760)834-106.4
Llc. No.: 954337
15
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 Uye/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 bc come subject to the
workers' compensation provisions of Section 3700 oft a Labdr Code, I shall forthwith
comply with those provisions.
Date: 10 %T Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C V E IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D 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 infor do "s correct.
I agree to comply with all city and county ordinances and state laws reli tin to building
construction, and hereby authorize representatives of this cit enters p n the
above -me tioned property for inspection purposes.
Date: Signature -(Applicant or Agent):
BUILDING PERMIT
Dater
4pplication Number:
BMCH2O15-0404
Owner:
Property Address:
78172 SAN TIMOTEO ST
BRUCE GARRETSONCIV
z
APN:
646160021
958 MITCHELL CT r� ,. n
Application Description:
GARRETTSON / 16SEER/78AFUE
BLOOMFIELD HILLS, MI 92253 m
Property Zoning:_
V ca
Application Valuation:
$9,740.00
Q)
Applicant:
Contractor:
ALL DAY HEATING & COOLING
ALL DAY HEATING & COOLING'
82578 PISA CT
82578 PISA CT
INDIO, CA 92203
INDIO, CA 92203
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 d Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 954337
Date: to I 20 Contractor: IQ
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. Q.
Lender's
Lender's
(760)834-106.4
Llc. No.: 954337
15
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 Uye/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 bc come subject to the
workers' compensation provisions of Section 3700 oft a Labdr Code, I shall forthwith
comply with those provisions.
Date: 10 %T Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C V E IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D 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 infor do "s correct.
I agree to comply with all city and county ordinances and state laws reli tin to building
construction, and hereby authorize representatives of this cit enters p n the
above -me tioned property for inspection purposes.
Date: Signature -(Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
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
ACCOUNTQTY
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
A 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:•0
Description: GARRETTSON / 16SEER/78AFUE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 10/20/2015 SKH
Approved:
Parcel No: 646160021 Site Address: 78172 SAN TIMOTEO ST LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 2 Block: Lot: 21
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,740.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE -
NAME
ADDRESS1
FAX
EMAIL . ...' : .
CITY
STATE
ZIP PHONE
APPLICANT
ALL DAY HEATING & COOLING
82578 PISA CT
INDIO
CA
92203
CONTRACTOR
ALL DAY HEATING & COOLING
82578 PISA CT
INDIO
CA
92203
OWNER
BRUCE GARRETSON
958 MITCHELL CT
BLOOMFIELD
HILLS
MI
92253
Printed: Tuesday, October 20, 2015 1:36:43 PM 1 of 2
` SYSTfnAS
INSPECTIONS
BOND INFORMATION
Printed: Tuesday, October 20, 2015 1:36:43 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
BOND INFORMATION
Printed: Tuesday, October 20, 2015 1:36:43 PM 2 of 2
SYSTEMS
Bin #City
of La Q rein to
Building 8i Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:•. — lam`) S ! S
Owner's Name: 3w
A. P. Number:
Address:
Legal Description:
City, ST, Zip: �, Q 42 -ZZ
act r
Co ntro . Gov l
Tele h
Po . ne•
Address: g
Project Description:
City, ST, Zip:<o �a� v 3
PrC ?—�cr+—��v`
Telh e o e:
P o
�b C`3
C o
State Lic. # :
City Lia #:
Arch., Engr., Designer:
C:—& -c R
Address:®a
Z. L C c 1 t t—►ti
City., ST, Zip:
h one:
Telephone:
an•
Con tructi n Type: Occupancy:
cY
Lic. #:
ct hPa (circle one • New Add'n Alter RepairairStoto
Pr Je Demo
Name of Contact Person: �� , , 5���
Sq. Ft.: 1 5-0c7
# Stories:
ts: 3
Telephone # of Contact Pers y— t "'.4.E
Estimated Value of Project: ��y O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check'submitted
Item
Amount
Structural Calcs.
—
Revictived, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up.
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
If-O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
W
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
78-172 San Timoteo I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-10-15
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
78-172 San Timoteo
02
Date Prepared
2015-10-15
03
Project Location
78-172 San Timoteo
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78-172 San Timoteo
07
Zip Code
92253
08
Dwelling Unit Conditioned
1500
`� U
`J "
Floor Area (ft2)
SC System
CFA served
'`ts4ystem a�—,
re rf igera t
•Installing new SC
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information/ (?�
01
02
03
, 04
OS �
�U6 � ��
07 �'�
�� 08
09
10
��
_
�.
FIs the SC
ylnstalling ate"
`-"-� " "
`� U
`J "
SC System
SC System
CFA served
'`ts4ystem a�—,
re rf igera t
•Installing new SC
(Installing V
Installing
ylnstalling
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (112)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
living area
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A6358597A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-10-15 07:20:00
Report Version: 2013-1.006
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-10-15 07:20:01
CERTIFICATE OF COMPLIANCE CF111-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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
MR -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: 515%, or s 10% 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 & MR-11VICH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCHt20 Duct Leakage Testing requirements..` r____ -
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-234or Refrigerant Charge MECH-25.�
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. It C:
1l I I 1I r. I1 It 1'- k
E. Entirely New or Complete Replacement Duct System, with or without, Equipment Changeout -(Sections 150.2(b)iDiia and.150.2(b)1E, F)
"I%% D -F 0-d t�. 11 SAV » it 4 L— t}tf
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 215-A6358597A-000000000-0000
Registration Date/Time: 2015-10-15 07:20:00
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-15 07:20:01
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-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:
SANCHEZ, MIGUEL
Company:
Signature Date:
MIGUEL SANCHEZ
2015-10-15 07:20:00
Address:
CEA/ HERS Certification Identification (if applicable):
83947 Moonlit Drive
City/State/Zip:
Phone:
Coachella CA 92236
760-834-1064
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 Re ulations.
4. The building design features or system design features identified on &s Certificate of Compliance - are�consistentl with the information provided on f ther pa plicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with_this building permit application. 1 I I i `€
f
,fi \ N 1- 4 4 1 l," \ 1, f k I 1 t
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available 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 copy of this Certificate of Compliance is required to be included with the documentation the buiider provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: V
SANCHEZ, MIGUEL
Company:
Date Signed:
MIGUEL SANCHEZ
2015-10-15 07:20:00
Address:
License:
83947 Moonlit Drive
954337
City/State/Zip:
Phone:
Coachella CA 92236
760-834-1064
Digitally signed by Ca10ERTS. 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-A6358597A-000000000-0000 Registration Date/Time: 2015-10-15 07:20:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-15 07:20:01
Schema Version: 0.555SDD