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BMCH2015-005978-495 CALLE TAMPICO 44w4�w LA QUINTA CALIFORNIA 9225'�—1,7 - ' ' ` COMMUNITY DEVELOPMENT DEPARTMENT Bl l EDW PERMIT Application Number: BMCH2O15-0059 Owner: Property Address: 56155 PEBBLE BEACH 8104 FEE 94 6 r APN: 775131080 z�ilJ Application Description: MITCHELL RESIDENCE/MECHANICAL CITY QUINTA Property Zoning: COMMUNIT'DEVELOP ENTRE MENTDEPgRTMENT Application Valuation: $1,850.00 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. C38 License9No.: 967982lei Date: Z — 2 �% - S Contra ctor:SJ !r" 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 contractors) 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. C.). - Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 2/27/2015 Contractor: BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD #140-125 PALM SPRINGS, CA 92262 (760)343-1002 Llc. No.: 967982 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 the 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 i sued. My workers' compensation insurance carrier and policy number are: Carrier:— Polity 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 become subject to the workers' compensation provisions of Section 3700 Labor Code, I shall forthwith c�mply with those provisions. 'Date: Z ?� 5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AWEMPLOYER 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. J/ Date: 7-7-7' 5 Signature (Applicant or Agent). 7� CERTIFICATE OF COMPLIANCE CF2R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -2R -ALT -HVAC) (Page 1 of 3 ) Project Name: Mitchell.Phil.56155.1 T Date Prepared: 2015-02-25 A. General Information CF1R-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 Mitchell.Phil.56155.1 02 Date Prepared 2015-02-25 03 Project Location 56155.1 Pebble Beach 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Mitchell.Phil.56155.1 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 4 •� �, t w . , Floor Area (ft2) SC System`- SC System - systema ' - Number of space conditioning - 09 Climate Zone,R" ' 15' 10 (SC) systems in this dwelling 1 �. `containing system more than 40 unit. entirely new. B. Space Conditioning (SC) SystemAnformatio O3 -02 03 F04 'j05 a 06. ,...'� € 07't; ' 08.t.:. 09. 10 r 'Is the SC' Installing a •� �, t w . , SC System`- SC System CFA served systema ' 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 , h System (ft2) system? component? components? feet of ducts? duct system? .: SC system? Alteration Type .- `System 1 Whole House 1600 - Yes' Yes - * Yes No No- ' -No, Altered space ' conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib) This section does not apply to this project. • Registration Number: 215-A0053525A-000000000-0000 Registration Date/Time:. 2015-02-25 14:20:50 - HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-25 14:20:45 Schema Version: 0.551SDD W CERTIFICATE OF COMPLIANCE CF111-ALT-024 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 Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type _Efficiency Value System Type Components Type Value Type Duct Length R -Value Central gas No heating This field or This field or Central split This field or This field or System 1 furnace component section is not section is not AC Indoor coil SEER 13 Setback section is not section is not altered applicable applicable applicable applicable Required Documentation: CF2R-MCH-01-E - space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-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%, ors 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 2 300 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 no Frequire 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)1Diia and 150.2(b)IE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 215-A0053525A-000000000-0000 Registration Date/Time 2015-02-25 14:20:50 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-25 14:20:45 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E 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: Documentation Author Signature: rr�� Jamie Hansen, Jamie o amen Company: Signature Date: - Best in the West Air Conditioning & Heating Inc 2015-02-25 14:20:50 Address: CEA/ HERS Certification Identification (if applicable): 31225 Plantation Dr City/State/Zip: Phone: Thousand Palms CA 92276 (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 Business and,Professions Code to accept,responsibilityfor the building -design or_system.design identified on this Certificate of Compliance (responsible designer). , 3. That the energy features and performs cn a specifications, materials, componentsand manufactured devices" for building design or system design identified on this Certificate of Compliance conform to the rthe requirements of Title 24, Part 1 and,Part 6 of the California"Code of Regulations. :, ' • f - ' 4. The building design features or system design features"identified on this.Certificate of Compliance ar consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specificaLoris sutimltted,tothe enf'orcemen't agency for approval with this building permit application.— ''" fi,`.R _ S. 1 will ensure that a registered copy of this Compliance be the building issued for.the building to the for Certificate of shall made available with permif(s) and made available enforcement agency all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with'the documentation the 6uildet provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: �� Hansen, Jamie �amie O�ansen Company: t , Date Signed:: Best in the West Air Conditioning & Heating Inc ' " 2015-02-25 14:20:50 ' Address: License: 31225 Plantation Dr 967982 City/State/Zip: Phone: c 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 no way implies Registration Provider responsibility for the accuracy of the information. _ 4 ; Registration Number: 215-A0053525A-000000000-0000 Registration Date/Time: 2015-02-25 14:20:50 HERS Provider: CaICERTS { CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015102-25 14:20:45 Schema Version: 0.551SDD FINANCIAL INFORMATION :DESCRIPTION `. °_ `-' ACCOUNT QTY AMOUNT`; 6 t .. PAID �' 'PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 METHOD L ;' RECEIPT # CHECK # ',CLTD BYE'; Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 �: ••.t . DESCRIPTION ._.. ,. A..C.COUNT QTY n .. AMOUNT` PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $36.26 $0.00 PAID.BY a METHOD c :RECEIPT # ro ' CHECK # CLTD BY ' . s.rACCOUNT s_t ,. ... ,... 'AMOUNT . P PAIDLLDATE HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $36.26 $0.00 E B _ d PAID BY x q.:-, „ ,, METHOD K'- �, ,.RECEIPT: # R z':` CHECK #� -". a CLTD BY Total Paid forCHANGEOUT: $72.52 $0.00 -DESCRIPTION f A000UNT r QTY AMOUNT. 3 t PAID rg PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 - `PAID BY +. a METHOD t RECEIPT# ,t ;; CHECK # , ', CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 11 i ~' PeC1111t Details PERMITzi NUMBER` City of la quints BMC I2 I I - I- 059 -. 0 Description: MITCHELL RESIDENCE/MECHANICAL Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 2/27/2015 MFA Approved: Parcel No:.775131080 Site Address: 56155 PEBBLE BEACH 8104 LA QUINTA,CA 92253 Subdivision: TR 20717-2A CM 057/192 CM 060/192 Block: -Lot: 22 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,850.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE COIL, FUSES AND DUCT TEST_ [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. 0 ADDITIONAL SITES Printed: Friday, February 27, 2015 11:08:11 AM 1 of 2 • sysrenns CHRONOLOGY CONDITIONS CONTACTS NAMETYPE� NAME'i-# �ADDRESSI {CITY STATE ZIP'.y ";PHONE=y FAX' EMAIL' E t APPLICANT BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262 #140-125 CONTRACTOR BEST IN THE WEST AIR CONDITION 255 N ELCIELO ROAD PALM SPRINGS CA 92262 #140-125 OWNER 1 . PHILIP MITCHELL 56155 PEBBLE BEACH LA QUINTA CA 92253 Printed: Friday, February 27, 2015 11:08:11 AM 1 of 2 • sysrenns 'DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE .;RECEIPT # "CHECK #j METHOD PAID BY ' LTD BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $0.00 OTHER EQUIPMENT HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 OTHER EQUIPMENT PC Total Paid forCHANGEOUT: $72.52 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $165.37 $0.00 INSPECTIONS SEQID INSPECTION TIf PE '- t= ' INSPECTOR ,: SCHEDULED, COMPLETED, RESULT,' _; REMARKS NOTES - _ DATE DATE , MECHANICAL FINAL"* PARENT PROJECTS Printed: Friday, February 27, 2015 11:08:11 AM 2 of 2 sysrr•Ms Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: - pe lQ Owner's Name: r i A. P. Number: I� I Address: St!p - �S 5 Pe 6& �P�e Legal Description: City, ST, Zip: le, 00i' d Contractor: ,� he Telephone: <> `_.'•::>:>:::r <;;<.s:; . :: ::: ............. Address:Z5 5 `C `re �G *ject Description: 070 d—/ City, ST, Zip -.,PC, l ye 5 P.'vr CA 22 6 . / 6100 GO 1, / to 1, 00C nC /C 'f' re Telephone: 7 314-l00 2 �'Yu � h/ CO ca!ek-640Y- rel,. State Lic. # : Cf (0 7 9 g- City Lic. #•: he� _ Arch., Engr., Designer: Address: City., ST, Zip: Telephone: {rJi 4^ " Construction TYPe: Occupancy: Stateshel. Project hPa circle one): New Add Repair Demo Name of Contact Person: R1 ,O t-✓'PGLv Sq. Ft.: # Stories: # Units: Telephone #:of Contact Person: _. O 0.7. O G Estimated Value of Project: � APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. 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 Subcontactor 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 correctionsrassue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees