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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