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BMCH2014-111178-495 CALLE !AMPICO LA QUINTA; CALIFORNIA 92253 tApplication Number: BMCH2014-1111 Property Address: 55455 PEBBLE BEACH APN: ' 775130006 Application Description: HVAC CHANGE -OUT Property Zoning: Application Valuation: $4,000.00 Applicant: PALOMA AIR CONDITIONING P O BOX 3501 PALM DESERT, CA 92261 In T;,y 4 1w 4914& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT OCT 15 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/15/2014 Owner: JOHIN' Rjp eLD'—� 55455 PEBBLE BEACH LA QUINTA, CA 32253 Contractor: PALOMA AIR CONDITIONING P O BOX 3501 PALM DESERT, CA 92261 47-1212 a.Sf�rt- � �'A LIcONo.619091 LICENSED CONTRACTOR'S DECLARATION I hereby affirrrunder penalty of perjurythat I am licensed under provisions of Ch 9 (commencing with Section 7000) of Division 3 of the Business and Professie and my License is in full force and effect. License ClasP.20 License No619091 ate: V 1 1' 1 VContractor: WORKER'S COMPENSATION DECLARATION I hereby affirrrunder penalty of perjurpne of -.he following declarations: I have and will maintain a certificate of consent to self -insure for worke compensation, as provided for by Section 37.00 of the Labor Code, for the perfon of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required Section 3700 of the Labor Code, for the perormance of the work for which this p is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier:_ Policy Number_ I hereby affirrrunder penalty of perjur)that I am exempt from the Contractor's Stat I certify that in the performance oe the work for which this permit is issu License Law for the following reason (Sec. 7031.5, Business and Professions Cc shall not employ any person in any manner 5o as to become subject to the work( city or county that requires a permit to construct, alter, improve, demolish, or rep; compensation laws of California, and agree Iffdtshould become subject to the any structure, prior to its issuance, also requires the applicant for the permit to fib workers' compensation provisions of Section 3700 of the Labor Code, I shall .fortl signed statement that he or she is licensed pursuant to the provisions of the comply with those provisio S. Contractor's State License Law (Chapter 9 (commencing with Section 7000) �aKate: of the Business and Professions Code) or that he or she is exempt therefrom 0pplicant: basis for the alleged exemption. Any violation of Section 7031.5 by any appli permit subjects the applicant to a civil penalty of not more than five hundred doll( WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE ($500).:. AND SHALL SUBJECT AN EMPLOYER TC CRIMINAL PENALTIES AND CIVIL C_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE C( compensation, will do the work, and the structure is not intended or offered for sa COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE (Sec. 7044, Business and Professions Code: The Contractors' State License Lav INTEREST, AND ATTORNEY'S FEES. apply to an owner of property who builds or improves thereon, and who does the himself or herself through his or her own employees, provided that the improvem APPLICANT ACKNOMEDGEMENT are not intended or offered for sale. If, however, the building or improvement is E IMPORTANT: Application is hereby made to the Building Official for a permit subje within one year of completion, the owner -builder will have the burden of proving 1 the conditions and restrictions set forth on tt-is application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at wl (_) I, as owner of the property, am exclusively contracting with licensed contra request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contr issued as a result of this application , the owner, and the applicant, each agrees State License Law does not apply to'an owner of property who builds or improve shall defend, indemnify and hold harmless the City of La Quinta, its officers, ages thereon, and who contracts for the projects with a contractor(s) licensed pursuan employees for any act or omission related tc the work being performed under or the Contractors' State License Law.). following issuance of this permit. �) I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a result of this apolication becomes null and void if wo not commenced withiri80 days from date of issuance of such permit, or cessation work for 180 days will subject permit to cancellation: Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction. lending agen the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: I certify that I have read this application and state that the above information is a I agree to comply with all city and county or-Jinances and state laws relating to b constructi6n, and hereby authorize representatives of this city to enter upon the ( mentioned property for inspection purposes_ pate: J ��� , �:dfanature (Applicanr or Agent): CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 ) Project Name: , 1 Jhon Morrow Date Prepared: 2014-30-13 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 Jhon Morrow 02 Date Prepared 2014-10-13 03 Project Location 55455 Peabble Beach 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Jhon Morrow 07 Zip Code 92253 08 Dwelling Unit Conditioned 2400 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 2 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04. 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing 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 living living 1600 Yes Yes No No No No Altered space conditioning system kitchen kitchen 500 Yes Yes No No No No Altered space 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: 214-A0115803A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-10-13 08:32:24 Report Version: 2014-03-31 Schema Version: 0.5515DD HERS Provider: CalCERTS Report Generated: 2014-10-13 08:30:57 CERTIFICATE OF COMPLIANCE CUR -ALT -02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC). (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 11 12 HeatingCooling 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 living Central gas All new heating AFUE 0.78 Central large Indoor coil SEER 13 Setback Less than or equal to 40 R-8 furnace components packaged AC feet' -Central split Central large No cooling This field or This field or Less than or kitchen HP Fancoil AHU HSPF 7.7 packaged AC component section is not section is not Setback equal to 40 R-8 altered applicable applicable feet Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: RE.- CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or'cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: <_ 15%, or 5 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 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required. . Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. 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. Registration Number: 214-A0115803A-000000000-0000 Registration Date/Time: 2014-10-13 08:32:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-13 08:30:57 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE ' CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) - (Page 3 of 4 ) irely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) _ This section does not apply to this project." Registration Number: 214-A0115803A-000000000-0000 Registration Date/Time: 2014-10-13 08:32:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03-31 • Report Generated: 2014-10-13 08:30:57 Schema Version: 0.551SDD aw P a • CERTIFICATE OF COMPLIANCE ' CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) - (Page 3 of 4 ) irely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) _ This section does not apply to this project." Registration Number: 214-A0115803A-000000000-0000 Registration Date/Time: 2014-10-13 08:32:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03-31 • Report Generated: 2014-10-13 08:30:57 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -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: 77%arlL%!/ �L2 i'.4' Paredes, Herman Company: Signature Date: PALOMA AIR CONDITIONING 2014-10-13 08:32:24 Address: CEA/ HERS.Certification Identification (if applicable): P 0 BOX 3501 City/State/Zip: Phone: PALM DESERT CA 92261 (760) 347-1212 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 designerj. 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 Certificate of Compliance shall be made available with the building permits) 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 builder provides to the building ownner-�at occupancy. Responsible Designer Name: Paredes, Herman Responsible Designer Signature: Company: Date Signed: PALOMA AIR CONDITIONING 2014-10-13 08:32:24 Address: License: P 0 BOX 3501 619091 City/State/Zip: Phone: PALM DESERT CA 92261 (760) 347-1212 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: 214-A0115803A-000000000-0000 Registration Date/Time: 2014-10-13 08:32:24 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 . Report Generated: 2014-10-13 08:30:57 Schema Version: 0.551SDD OCT 1 2014 TYC1 pF Lp.OUINTA COMMUNITY DEVELORMENT QEPARTMENT FINANCIAL INFORMATION ` 'DESCRIPTION 4 `€, E ACCOUNT=4`- QTY AMOUNTI PAID' ;xyg rPAID�DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID `s �F'' s gti v METHOD a iMz,� x RECEIPT #rCHECK BYE' �f� Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 A` x�"DESCRIPTION°' _ r € `' w<:QTY �b� ACCOUNT t+ AMOUNT"`'�, ' _ PAID' �' f 1PAID, DATE y. s HVAC CHANGEOUT - FURNACE ONLY 101-0000-42402 0 $36.26 $0.00 PAID.BY*_,, *'"`�`:METHOD4x".RECEIPT#Y CHECK#� ': �CLTDBYe f...::tw, .. ,+s4 r 'qdRljg DESCRIPTIONX ` f'e ACCOUNT 't,AMOUNTF �r' �T PAID«; PAID DATE f`sQTY� s` a HVAC CHANGEOUT - FURNACE ONLY PC 101-0000-42600 0 $24.17 $0.00 }T? PAID..BY f: zt 'f+ RECEIPT%#� E "Y E CHECK`#CLTD BY ..� #METFIODb �... �. T� �s. *'DESCRIPTION' ACCOUNT s AMOUNTS ry PAID PAID. DATE 3:� �'` HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 Fps; PAID;BY ` E j � ' METHOD J zck„{ -RECEIPT # x ` v� CHECK # CLTD BYff R ... f K,' � r s� : � . ” ACCOUNT �T ' QTY AMOUNT E PAID X 4 PAID DATE: .`Y'DESCRIPTION? Rr g HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42600 } . 0 $4.83 $0.00 PC wr PAID BY `_ MET,HOD sa REC EIPT#+ ." : Total Paid forCHANGEOUT: $77.35 $0.00 € ' % ;r ACCOUNT QTY AMOUNTsc }r ' PAID PAID DATE' „FDESCRIPTION I s .`, PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 c METHOD �' "# RECEIPT .�ti CHECK # CLTD BY M Total Paid forPERM1T ISSUANCE: $91.85 $0.00 TOTALS:• 00 OCT 1 2014 TYC1 pF Lp.OUINTA COMMUNITY DEVELORMENT QEPARTMENT Bin # 1 Permit # ) �C 'Submittal Req'd Crty of D' Quinta, Building 8£ Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: � � G % Owner's Name: , 0 V Vii d IMQW' A. P. Number: Plan Check submitted Address: Legal Description: Amount City, ST, Zip: Contractor: � f /� • � � ( � Telephone: Address: -� (! Project Description: C City, ST, Zip: '- A rkw(9C p UPJI.V' e- ll r Telephone:Z 7' f State Lie. # : 0q1 I City Lie. #; Arch-, Engr., Designer: Construction Address: Plans resubmitted City., ST, Zip: Mechanical ]Fele hone: s>s`<>s > `>.?>':::, •;r;:z ..... Construction Type: Occupancy: 3tatc Lie. #: Electrical s'-^< ' - - •- : "-••----< --< Pro'ect type circle one): New Add n Alter Repair Demo lame of Contact Person: Sq. Ft.: # Stories: 4 Units: Celcphone #,of Contact Person: Grant Decd Estimated Value of Project: © ° APPLICANT: DO NOT WRITE BELOW THIS LINE # 'Submittal Req'd Rec'd TRACK[NG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan -Check Balance. Titic 24 Cala. Puns picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- '`d Review, ready for correct ionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fccs Total Permit Fees a PM