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BMCH2017-0278i 78-495 CALLE TAMPICO D iIMUCl/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/3/2017 Application Number: BMCH2O17-0278 Owner: Property Address: 54595 AVENIDA CARRANZA PATRICIA PIERCE APN: 774274016 54595 AVENIDA CARRANZA Application Description: PIERCE RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253 ©' cv a Property Zoning: J �,D `Application Valuation: $13,997.00 Q �� � !,4 i,: Applicant: Contractor: '�LZ IE INC A -AVIS PLUMBING HE TLNG'&-ACJ C. 31225 LA BAYA OUTSIDE CITY LIMITS ���� E WESTLAKE VILLAGE, CA 91362 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: License No.: :LIC -764950 Date: Contractor: 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, ormy 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. 0 & . 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 Llc. No.: :LIC -764950 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 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: -J7. 3 �� Applicant: S:.� 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: t� Signature (Applicant or Agent): _S5 cT _ Cgrz� i Application Number: BMCH2O17-0278 Property Address: 54595 AVENIDA CARRANZA APN: 774274016 Application Description: PIERCE RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $13,997.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 Date: 7/3/2017 Owner.: PATRICIA PIERCE 54595 AVENIDA CARRANZA LA QUINTA, CA 92253 . Contractor: A -AVIS PLUMBING HEATING & AC INC. OUTSIDE CITY LIMITS Llc. No.: :LIC -764950 -------7----------------- --- ------------------------------------------------------------------ Detail: HVAC CHANGE OUT - 15 SEER/80 AFUE PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILD.ING.STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $25.33 Total Paid for CHANGEOUT: $63.33 DESCRIPTION ACCOUNTQTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for. PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 1 .$5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin.# City, of La Quinta Building 8L Safety Division P.O. Box 1504,*78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Applicatlon' and Tracking Sheet Permit # Project Address: 54595 Avenida CarrahzaOwner'sName:.Patricia Pierce A. P. N.urriber. Address: 54595 Avenida Carranza Legal Description: Contractor A -Avis Plumbing Heating &Air City, ST, Zip: La Quinta, CA' 92253 Telephone: 71243�s N INE Project Description: Replace 3.5 ton package unit Address: 600 E Valley Blvd City, ST, Zip: Colton, CA 92324 Telephone: 909-825-3600 ' �' "C' V '_wa City Lic. M. State Lie. #: 630503 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: Steven Schnierer Sq. Ft: #Stories : # Unitg: Telephone # of Contact Person: 818-735-7876 Estimated Value of Project: $13,997..00. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKIlNG PERMrr FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mecharilcal Giading plan r! 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 M HOUSE:- '^' Review; ready for corrections/issue Developer Impoet Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Pagel of 3) Project Name: PATRICIA PIERCE I Date Prepared: 2017-06-30 A. General Information CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CHR -ALT -02 document for each dwelling unit. 01 Project Name PATRICIA PIERCE 02 Date Prepared 2017-06-30 03 Project Location 54595 AVENIDA CARRANZA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name PATRICIA PIERCE SC System Dwelling Unit Conditioned CFA served 07 Zip Code 92253 08 Floor Area (ft) 1200 Identification or Location or Area by this SC Number of Space containing 09 Climate Zone 15 _ 30 Conditioning (SC) Systems in 1 Served System (ft) - component? this Dwelling Unit: feet of ducts? B. Space Conditioning (SC) System Informationii 01 02 03 04 OS 66 07d yu 08 09 10 'Is the SCS' I Lalli g'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 (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1200 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020224018A-000-000-0000000-0000 Registration Date/Time: 2017-06-30 14:26:07 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-30 14:25:57 Schema Version: rev 10%16 CERTIFICATE OF COMPLIANCE CF1R-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)lE 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 All new Central All new This field or This field or System 1 packaged HP heating AFUE 8 packaged HP cooling SEER 15 Setback section is not section is not components components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <=15% or <=10% leakage to outside; or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per 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 A r Flow MCH=23 or Refrigerant'Charge MCH=25*' -Existing duct systems constructed, insulated or sealed with asbestos exemptfrom MCH=20"Duct;Leakage Testing requirements. -are •^.. N�: '`� .__f1" _ € Ii �': _ _. tt_..__. Iy N.� Ii. ,. ;lk, 11. 111.k. _,.. E. Entirely New or Complete Replacement Duct,System, with or without- Equipment Changeout (Sections 150.2(b)1Diia-and.150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) This section does not apply to this project. Registration Number: 217-A020224018A-000-000-0000000-0000 Registration Date/Time: 2017-06-30 14:26:07 HERS Provider: CalCERTS CA Building Energy Efficiency Standards.- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-30 14:25:57 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE C01R-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: �I � Jacoby, Ian cyan �acobJr Company: Signature Date: i PERMIT E RATERS 2017-06-30 14:26:07 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 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 RegulaYon r) -a 4. The building design features or system design features identified on this Certificate of Compliance are consistent with -the information: provided on othersapplicable compliance documents, worksheets, t` 5 ,.- € h i b R- — R ,, s i p . calculations, plans and specifications submitted.too�t�he enforcement agency for approvalwith this building permit application. ; �.t. A , It .Yp.w4 11_- , k4 if ��� s r S. I will ensure that a registered copy of this Certificate of.Compliance shall'be,m 3tle.available with the bwldmgipermit(s),issued foothe building, and_made available,to the,nforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Complliance is.requfired to be included with the documentation the builder prow des to -the building owner at occupancy. Responsible Designer Name: `' tf Responsible Designer Signature: V t its,..� • Jacoby, Ian c9an �acobJt Company: Date Signed: i PERMIT E RATERS 2017-06-30 14:26:07 Address: License: 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 Easy to Verify �� 0 at CaICERTS.com Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility fr the accuracy of the infonM LJ .. Registration Number: 217-A020224018A-000-000-0000000-0000 Registration Date/Time: 2017-06-30 14:26:07 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-06-30 14:25:57 Schema Version: rev 10/16