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BMCH2018-038178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 c&ty/ 4 e(P Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT MECHANICAL/ BMCH2O18-0381 58745 QUARRY RANCH RD 766060037 QUARRY HOUSE LLC / HVAC CHANGEOUT $8,800.00 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 License No.: 1013139 Date: C1 Z``E $ 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 ($500).: () I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his'or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). () I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 t-- ❑at 9/2018 Owner: Q QUARRY HOUSE LLC 00 w 58745 QUARRY RANG o col LA QUINTA, CA 92253 N a. v r0— C:1 ! i Cn U 4r� Contractor: a CHAMPION HVAC LLJ 77899 WOLF ROAD SO I I E Tu3 p PALM DESERT, CA 92211 (760)360-7500 Llc. No.: 1013139 WORKER'$ COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and wilt maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, far the performance of !pWrk for which this permit is issued. I have and wlIt Mal ntaln workers' compensation Insurance, as required by Sectian 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensatlon insurance carrier and policy number are: Carrier: NONQUARD INSURANCE DMPANY Polley Number: CHWC905876 I certify that in the performance of the work for which this permit is Issued, I shall not employ any person fn any manner so as to became subject to the workers' cam pen saton laws of California, and agree that, It I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall Forthwith comply with those pro0sions. Date:' Appiicant��- • ����� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AHD 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 BulldingOfficial for a permit subject to the condItians and restrict [on s set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose henefit 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:`-' I Signature (Applicant or Agent).���' r Date:-9/2,4/2018 Application Number: BMCH2018-0381 Owner: Property Address: 58745 QUARRY RANCH RD QUARRY HOUSE LLC APN: 766060037 58745 QUARRY RANCH ROAD Application Description: QUARRY HOUSE LLC / HVAC CHANGEOUT LA QUINTA, CA 92253 Property Zoning: Application Valuot! n`.. '$8,400.00 Applicant: Contractor: IE INC CHAMPION HVAC 31225 LA BAYA 77899 WOLF ROAD SUITE 103 WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211 (760)360-7500 ---------------------------------------------------------------------------------------------- Llc. No.: 1013139 Detail: HVAC CHANGE OUT- 16 SEER/80 AFUE (5) TON SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION 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 $39.01 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $78.02 Total Paid for CHANGEOUT: $117.03 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) Project Name: CHIP MARSLAND j Date Prepared: CF1R-ALT-02-E (Page 1 of 3) 2018-09-12 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 CHIP MARSLAND 102 Date Prepared 2018-09-12 03 Project Location 58745 QUARRY RANCH RD 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name CHIP MARSLAND Dwelling Unit Conditioned 07 Zip Code 92253 08 Floor Area (ft) 1700 Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: 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 SYSTEM 1 WHOLE HOUSE 1700 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: 418-A020070376A-000-000-0000000-0000 Registration Date/Time: 2018-09-12 07:34:36 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-12 07:34:35 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-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 gas All new Central split All new This field or This field or SYSTEM 1 furnace heating AFUE 80 AC cooling SEER 16 Se back 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 percent or <= 10 percent 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 Air Flow MCH-23, or Refrigerant Charge MCH-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)lE, F) This section does not apply to this project. I F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) 1 Registration Number: 418-A020070376A-000-000-0000000-0000 This section does not apply to this project. Registration Date/Time: 2018-09-12 07:34:36 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-12 07:34:35 Schema Version: rev 20180426 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: Jo Anne Orona J&Anwte,0roruv Company: Signature Date: I Permit E Raters 2018-09-12 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive City/State/Zip: Phone: Westlake 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 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 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 builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Michael Ley Michae,Ley Company: Date Signed: Champion HVAC 2018-09-12 Address: License: 77899 Wolf Road Suite 103 1013139 City/State/Zip: Phone: Palm Desert CA 92211 (760) 360-7500 Digitally signed by CHEERSTM. 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. Registration Number: 418-A020070376A-000-000-0000000-0000 Registration Date/Time: 2018-09-12 07:34:36 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-12 07:34:35 Schema Version: rev 20180426 tev 09;4�+IW — GEM ofdi DESEKr — PERMIT # PLAN LOCATION: Project Address: 58745 Quarry Ranch Road Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Replace 5 ton complete HVAC system Applicant Name: Steven Schnierer Address: 31225 La Ba a Drive Suite 213 City, ST, Zip: Westlake Village, CA 91362 Telephone: 818-735-7876 Email: swschnierer@roadrunner.com Valuation of Project $ 8,800.00 Contractor Name: Champion HVAC New SFD Construction: Address: 77899 Wolf Road Suite 103 Conditioned Space SF City, St, Zip Palm Desert, CA 92211 Garage SF Telephone: 760-360-7500 Patio/Porch SF Email: Fire Sprinklers SF State Lie: 1013139 City Bus Lie: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie: Property Owner's Name: PO 44LY ��+ryd _ t-1- c New Commercial / Tenant Improvements: Address: 58745 Quarry Ranch Road FE MTq`NED Total Building _ SF City, ST, Zip La Quinta, CA 92253 Construction Type: Occupancy: Telephone: 917-628-7878 [Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 R lrror Quarry House Lic 58745 Quarry Ranch Rd La Quinta, CA 92253 , Riverside County APN: 766-060-037 Buitt: 2004 Sq Ft: 4,280 Type: Residential I SFR Reds: 4 Baths: 5 ' I' Report Name Combined Report Property Profile Transaction History Comparable Sales L� Order Customer Service CostsFirsi"•' Add to Farm List i Actions Avaitable Allowance Edit I Run Run 89 i 100 i Run 91 100 Edit Run 99 100 Recording Requested By First American Title Company Recording Requested By: Holland & Hart LLP 5441 Kietzke Lane, 2nd Floor Reno, NV 99511 When Recorded Return To and Mail Tax Information To: Quarry House LLC 58745 Quarry House Road La Quinta, CA 92253 APN: 766-060-037-7 t Li-2-r-sz:-sw%4*-� - �Q • b"Lo-tom Title: GRANT DEED Documentary Transfer Tax $ 1, L-1 8 S7• U 0 X Computed on Full Value of Property Conveyed, or _ Computed on Full Value Less Liens & Encumbrances Remaining at Time of Sale Signature 9979952A DOC # 2017-03416O6 08/17/2017 02:02 PM Fees: $24.00 Page 1 of 4 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "This document was electronically submitted to the County of Riverside for recording- Receipted by: MARY #880 Recording Requested By: Holland & Hart LLP 5441 Kietzke Lane, 2nd Floor Reno, NV 89511 When Recorded Return To and Mail Tax Information To: Quarry House LLC 58745 Quarry Ranch Road La Quinta, CA 92253 APN: 766-060-037-7 GRANT DEED DOG #2017-0341606 Page 2 of 4 The undersigned Grantor declares under penalty of perjury that the following is true and correct: Documentary transfer tax is $ ® computed on the consideration or full value of property conveyed. FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DESERT HOUSE, LLC, a Delaware limited liability company, does hereby GRANT to QUARRY HOUSE LLC, a California limited liability company, whose address is: 58745 Quarry Ranch Road, La Quinta, CA 92253, all of Grantor's right, title and interest in and to that certain real property in the County of Riverside, State of California, described in Exhibit "A" attached hereto and incorporated herein by reference. DATED as of the 9th day of August, 2017. DESERT HOUSE, LLC, a Delaware limited liability company NA Ju •• a" 9879952v4 2 DOC #2017-0341607 Page 5 of 5 EXHIBIT "A" LEGAL DESCRIPTION PAW prcPlY its the CRY of La Quints, County Of Rwer'side, Slate Of California, described as folbwx LOT 16 OF TRACT NO.30651, AS SHOWN BY MAP ON FILE IN BOOK 346 PAGE 62. THROUGH 68, OF MAPS, RECORDS OF RIVERSIDE COUNTI/, CALIFORNIA, , EXCEPT NG THEREFROM ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES AND ALL MINERALS, WHETHER METALLIC O.R NON-METALLIC; IN, UNDER, OR ON, OR WHICH MAY BE PRODUCED, EXTRACTED OR REMOVED, AS CONTAINED IN THE DEED RECORDED OCTOBER 15, 1951 IN BOOK 1310 PAGE 289 OF OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA; ALSO EXCEPT ONE-fiALF OF ALL Olin, GAS, AND OTHER HYDROCARBON SUBSTANCES AND ALL MINERALS, WHETHER METALLIC OR NON-METALLIC WHICH MAY BE ECTRACIED OjR REMOVED PROVIDED, HOWEVER, THAT THE SAID GRANTOR, HER SUCCESSORS OR ASSIGNS, SHALL NOT USE THE SURFACE OF SAID LAND OR ANY PART OR PARTS WITHIN 500 FEET OR SURFACE THEREOF AND IN THE ©(ERC(5E OF SUCH RIGHTS SHALL NOT DISTURB THE SURFACE OF SAID LAND OR ANY IMPROVEMENTS THEREON, OR IMRE OR IMPAIR THE'LATERAL OP. SUBJACENT SUPPORT OF SAID LAND OR ANY IMPROVEMENT THEREOF, AS RESERVED IN THE DEED FROM ETHEL S. 50KOLDW,.A MARRIED WOMAN, RECORDED SEPTEMBER 20, 1960 AS INSTRUMENT NO.81986 OF RIVERSIDE COUNTY, CALIFORNIA; ALSO EXCEPTING THEREFROM CERTAIN MINERAL RIGHTS AS EVIDENCED IN DOCUMENT RECORDED DECEMBER 29, 1992 AS INSTRUMENT NO 493002. OF OFFICIAL RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. EXCEPTING THEREFROM ALL OIL, MINERALS, GAS, PETROLEUM, OTHER HYDROCARBON SUBSTANCES IN OR UNDER OR WHICH MAY BE PRODUCFO FROM THE LAND WHICH UNDERLIES A R-ANE PARALLEL TO 500 FEET BQOW THE PRESENT LAND SURFACE FOR ANY MEANS WHATSOEVER, THE OWNER SHALL HAVE NO RIGHT TO ENTER UPON THE SURFACE OF THE ABOVE DE5CRISM LAND NOR TO USE ANY PORTION OF THE LAND ABOVE THE PLANT' PARALLEL TR AND 500 FEET BELOW THE PRESENT SURFACE OF THE LAND FOR ANY PURPOSES WHATSOEVER. THIS DEED IS MADE AND ACCEPTED UPON THE EASEMENTS, C4VE]MM, CONDITIONS AND RESFR MONS SET FORTH IN THE DEIrL.ARATION OF RESTRICTIONS RECORDED OCTOBER 23, 2003 AS INSTRUMENT NO, 2003-835454 AND RERECORDED DECEMBER 11, 2003 AS INSTRUMENT NO. 2003-9M74 IN THE OFFICE OF THE COUNTY RECORDER, RIVERSIDE COUNTY, CALIFORNIA, AND ANY AMENDMENTS THERETO NOW OF RECORD, ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE TO SAID DECLARATION WITH THE SAME EFFECT AS THOUGHT FULLY SET FORTH HEREIN. APW 766-060-037-7 DOC #2017-0341606 Page 3 of 4 Any notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Nevada } } County of She } On _,+ ____, 2017, before me, i11ii[,irlell �5 �_ , a Notary Public, personally appeared who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his/her/their authorized capacity, and that by his/her/their signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Nevada that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ~• Mick�u.>= M�nrsoN _ - i ray • s� a r�.�� $ � _ JlppeYWnnt Rmrdd h WIINoe Cawy s H0: f63�742 - �ypires Aupusl 1, 2626 (Seal)._..�.............,..�..,.....,._.,...H_......_..,....,.__w,�„ Signature 9879952v4