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BMCH2017-013978-495 CALLETAMPICO - A R S AMERICAN RESIDENTIAL SERVICES OF C LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT 965 RIDGE LAKE BLVD MEMPHIS, TN 38120 BUILDING PERMIT Application Number: BMCH2O17-0139 Property Address: 45925 LAS COLINAS ' Qra APN: 604460011 Application Description: LAST NAME / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM Property Zoning: Application Valuation: $23,295.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 17 Owner: MATTHEW MERRICK 45925 LAS COLINAS LA QU I NTA, CA 92253 Applicant: t Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C A R S AMERICAN RESII 965 RIDGE LAKE BLVD SUITE 201 965 RIDGE LAKE BLVD MEMPHIS, TN 38120 MEMPHIS, TN 38120 (951)276-9744 LIc. No.: 765074 o D Qra jr ---------------------'------------------------------------------------------------------------ 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: C36, C10, C20 License No.: 76507 Date: . w 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, 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. C.). i Lender's Name: Lender's 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 rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sectio 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: LIBERTY INSURANCE CORPORATION Policy Number: WC7631508631 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. v" Cj Date: — O Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO 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: m� 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. i i i�—a LIJ Dater / Signature (Applicant or Agent): " a Date: 4/18/2017 Application Number: BMCH2O17-0139 Owner: . Property Address: 45925 LAS COLINAS MATTHEW MERRICK APN: 604460011 45925 LAS COLINAS Application Description: LAST NAME / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM LA QUINTA, CA 92253 Property Zoning: Application Valuation: $23,295.00 Applicant: Contractor: A R S AMERICAN RESIDENTIAL SERVICES OF C AR S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD SUITE 201 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, TN 38120 MEMPHIS; TN 38120 (951)276-9744 Llc. No.: 765074 Detail: HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 . CALIFORNIA BUILDING CODES. a DESCRIPTION ACCOUNT CITY AMOUNT' BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT:- SPLIT -SYSTEM. 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $114.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404`, 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY. AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $216.27 9 I- I t Bin 1/ Permit 7; Project Address:415 /1215�Z, City of La Quinta Buifding &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2 Building Permit Application and Tracking Sheet /�� Owner's Name: �%/ri�% A. P. Number: Address:'q 5 / —5 h�� Co2vAil s Legal Description: 2 City, ST, Zip: 144-atllAf 1W CA yQ? J r o r Contractor: P �� Address: 3 ` i � . Project Description: City, ST, Zip: je- 05 9�� /. �5 T� fist rev �9�T> l5f- Tele h n /^ P0�/�� M &)o D State Lic. # : (��. 2 "C b 2 City Lic- #':0/05373 Arch., Engr., Designer: Address: City, ST, Zip: Telephone'. - Occu an cY•Con truction Type : Y a #• State to Lic_ Add'n Alter Repairair Demo 0 tyPa (circle one): New Project Name of Contact Person: � Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:( l&"(t,;J^(�* Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Ilalae cc. Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Gran( Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'rd Review, ready for corrections/issue Developer Impac- Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date of permit issue School Fees, 1 Total Permit re" Jiri�yr i.r+ur r.�.�r. Al TFRATIONS - HVAC Frei! 3Y`3 G,EC-GFIR-ALT-04-E Revised 01h6 CALIFORN A ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site, hdress: 59a S L-� $ "011/14$ Enforcement Agency: Date -Prepared: - -/1, /7 Permit#: Yf <-A Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Concltioned . Floor Area (ft) Thermostat ❑ Packaged ❑ Evaporator Coil01O IAFUE COP 1;QR-6 (CZ 1-10, 12&13) Ducts ServEd by system ❑ Setback System ❑ Condensing Unit ❑ R-8' (CZ 11, 14-15) Ducts ft2 (If not already plit System ❑ Compressor :ffEER HSPF ❑ > R-2.8 Lineset° present, must ❑ Mini Split ❑ Lineset be installed) ❑ Furnace ❑ TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allow --d) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Ah Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2 Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H', MCH -25-H2 Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or <_10% to outside, or seal all accessible leaks), Air Flow ;-> 300 CFM/ton, iRefrigerant Charge. Exempted from duct leakage testing if: R1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ] ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H' CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H' Mini Splits regWre CF111-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3t) MCH -25-H Installer Requirement: Duct leakage:S S%, Fan Efficacy (O.SBW/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge 103. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CFIR-ALT-02-E replaced:'Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -2S -H Compressor, TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H Installer Requirement: Duct leakage:S 5%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H Installer Required to: Duct leakage (:-S_15% or, 510% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs_5-10, 12 &13. and R-6 insulation when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25 ' All New Ducts is when at least 75%of the duct system is new duct material,.and up to 25%may consist of reused parts from the dwelling. unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) " R-2.8 W' thick insulation) for linesets 1" and less. Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the inforarnation on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 CCR. 5. 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 submittej to the enforcement agency for approval with this building permit application. Responsible Dei er Name: Responsible Designer Signature: Date Signed: J! / Qe �~ o License:76 / Company: '� ?ryl�' Ad ress: o3c �S S7' ci St e/Zip: n % C', �a�3 PFo qAS 6 `6 S For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300