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BMCH2019-031778-495 CALLE TAMPICO D "'ifAJ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: MECHANICAL/ Application Number: BMCH2O19-0317 Property Address: 80523 PEBBLE BEACH APN: 775131023 Application Description: PETERSON / 2 HVAC CHANGE OUTS-16 /17SEER/80AFUE SPLIT SYS. Property Zoning: Application Valuation: $8,000.00 � n Applicant: D CLAIRE BACHUS AUG 0 6 2019 77825 DELAWARE PLACE PALM DESERT, CA 92211 CITY OF IAOUINTA DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class:.Q& License No.: 756658 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, 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. Q. Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/6/2019 Owner: ROBERT PETERSON 80523 PEBBLE BEACH DR LA QUINTA, CA 92253 Contractor: VIC'S AIR CONDITIONING INC P 0 BOX 215 THOUSAND PALMS, CA 92276 (760)343-5033 LIc. No.: 756658 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 thre.� rk for which this permit is issued. ?f 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: EVEREST NATIONAL-IR,i,JjM6NCE COMPANY 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 wf h i ose provislons. Date Ze2&T Applicant: 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 prop ty for inspection purposes. Date- I Signature (Applicant or Agent) Date: � 8/6/2019 Application Number: Property Address: APN: Application Description - Property Zoning: Application Valuation: Applicant: CLAIRE BACHUS 77825 DELAWARE PLACE PALM DESERT, CA 92211 BMCH2019-0317 80523 PEBBLE BEACH 775131023 PETERSON / 2 HVAC CHANGE OUTS-16 /17SEER/80AFUE SPLIT SYS. $8,000.00 Owner: ROBERT PETERSON 80523 PEBBLE BEACH DR LA QUINTA, CA 92253 Contractor: VIC'S AIR CONDITIONING INC P 0 BOX 215 THOUSAND PALMS, CA 92276 (760)343-5033 Llc. No.: 756658 Detail: (1) 4-TON 17 SEER/80AFUE AND (1) 5-TON 16 SEER/80AFUE HVAC SPLIT SYSTEM CHANGE OUTS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $80.04 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $160.10 Total Paid for CHANGEOUT: $240.14 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 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 ter Qa&ra PERMIT # [ C ti L• O / —+ PLAN LOCATION: Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: k 5 P Yrl loin Applicant Name: �1 4-o n 7 p, r Address: 0ye')awl' ca- City, ST, Zip: Telephone: 66 2 Email: I / Valuation of Project $4. On Contractor Name: Vi�� A G New SFD Construction: Address: Q Conditioned Space SF City, St, Zipsouspqnd •. -7 C Garage SF Telephone: - n Patio/Porch SF Email: ��� Fire Sprinklers SF State Lie: 7� 6 6 srg City Bus Lie: , Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Bedrooms: Stories: 1 # Units: Telephone: Email: State Lie: City Bus Lie: Property Owner's Name: &,B r o 2 New Commercial / Tenant Improvements: Address: U��S ` BG a t f Total Building SF City, ST, Zip s• Construction Type: Occupancy: Telephon G _ so-? �J Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 CF1R-ALT 02-E CERTIFICATE OF COMPLIANCE (Page i of 3) Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) 2019-08-06 Project Name: 80-23 Pebble Beach Drive Date Prepared: A. General Information CF111-ALT 02 is applicable to multiple space conditioning systems contained Wthin a singledwelling urit. When multiple dwelling units must be documente ,use o ne CF1R-ALT-02 document for each dwelling unit. Ol Project Name 80-523 Pebble Beach Drive 12 Date Prepared 2019-08-06 03 Project Location 80-523 Pebble Beach Drive 14 Building Type Single family 05 CA City La Quinta 16 Dwelling Unit Name 90-523 Pebble Beach Drive Dwelling Unit Conditioned 3000 07 Zip Code 92253 08 Floor Area (ft2) Numbei of Space 10 Conditioning (SC) Systems in Z 09 Climate Zone 15 this Dwelling Unit: 1 i B. Space Conditioning (SC) System Information 01 02 03 04 05 06 01 08 09 SC System SC System CFA servedInstalling Is the SC system a Installing a refrigerant Installing new SC Installing new Installing entirely new Identification or Location or Area by this SC ducted containing system more than 40 feet of ducts? entirely duct system? Sc system. Alteraton Type Name Served System (ft) system? component? components7 No No NO 46*mad space c�riditioning system System 1 Living Area 2000 Yes Yes Yes Altered space No NO NO conditioning system System 2 Bedrooms 2000 Yes Yes Yes C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1DIik)) This section does not apply to this p roject. HERS Provider: CaICERTS Registration Number: 219-A020174665A-000-000-0000000-0000 Registration Date/Time: 2019-08-06 11:16:14 Report Generated: 2019-08-06 11:08:36 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.C101 --- Ana onn7G CERTIFICATE OF COMPLIANCE CFiR-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)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 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 as g All new CentrAaCsplit All new Less than or System 1 furnace heating AFUE 80 cooling SEER 16 Setback equal to 40 R-8 components components feet Central gas All new CentrAaC split All new Less than or System 2 furnace heating AFUE 80 cooling SEER 17 Setback equal to 40 R-8 components components feet Reauired 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. CF211 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 CF311-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)lDiia and 150.2(b)lE, 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: 219-A020174665A-000-000-0000000-0000 Registration Date/Time: 2019-08-06 11:16:14 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-06 11:08:36 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) CF111-ALT 02-E (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: Bachus, Tom //��Gsy Company: Signature Date: MLC Building Performance 2019-08-06 11:16:14 Address: CEA/ HERS Certification Identification (if applicable): 77825 Delaware Place City/State/Zip: Phone: Palm Desert CA 92211 1760-836-0066 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: Bachus, Tom ///�GQ' Company : Date Signed: MLC Building Performance 2019-08-06 11:16:14 Address: License: 77825 Delaware Place 756658 City/State/Zip: Phone: Palm Desert CA 92211 760-836-0066 Easy to Verify 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 0-0Registration Provider responsibility for the accuracy of the information. Registration Number: 219-A020174665A-000-000-0000000-0000 Registration Date/Time: 2019-08-06 11:16:14 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-06 11:08:36 Schema Version: rev 20180426 U city or 4a Quinva Depaftment of bufldi4 and'; 78495 Cajt� Tampico La Quin taa ca, 92301 ntgr Permit Office: I hereby authorize MLC Test mechanical hermit for any PP Addrss: 80523 Pebble'Beac Fame of property Qwnel•: Property owner signature: Date �' Vi , Air Conditioning PO BOX 215Thousand Palms, CA 92276 United States A?wcCl.vq .4,r Zr.rr.I Owe r"'t'dauoe aC =,t 'r::-,: (760)343-5033 Billing Address JANE AND BOB PETERSON 80-523 PEBBLE BEACH DRIVE LA QUINTA, CA 92253 Estimate Details XR17 SPLIT SYSTEM Task # Description 5 TON XR17 5 TON XR17, SEER: 16.00, 1= CONDENSER: 16 SEER STIR COOL 2 STAGE COND UNIT 1= FURNACE: 5 TON XV80 2 STG VAR SPD FURNACE 1= COIL: COOLING COIL YES (HORIZONTAL) 4 TON XR17, SEER: 17.00, 1=CONDENSER: 17 SEER STR COOL 2 STAGE COND UNIT 1=FURNACE:4 TON XV80 2 STG VAR SPD FURNACE COIL: 1= COOLING COIL YES (HORIZONTAL) T-STAT • 2= XL824 T-STAT CONDENSER PAD: NO NEW REFRIGERANT LINES: NO WARRANTY: CONDENSER: 10 YEARS PARTS, 10YEARS COMPRESSOR COILS: 10 YEARS PARTS FURNACE: 10 YEARS PARTS AND LIFETIME HEAT EXCHANGE LABOR: ONE YEAR COMFORT/HEALTH ENHANCEMENT: AIR SCRUBBER: NO CLEAN EFFECTS: NO FILTER RACK.5" OR 2": NO DUCT CLEANING: NO EQUIPMENT AND PERMITS CRANE- LARGE: YES CITY PERMIT: YES HERS TESTER: YES ELECTRICAL DISCONNECT: YES POWER CORD: YES ELECTRICAL WHIP: YES NEW LOW VOLTAGE WIRING: NO NEW FUSES: YES CONDENSATE NEW DRAIN PAN 36X36: YES NEW 3/4 P-TRAP: YES NEW CONDENSATION SAFETY-T-SW ITCH: YES NEW PVC FITTINGS AT THE COIL AND DRAIN PAN: YES NEW DBLWL FLEX FLUE PIPE: YES NEW FLUE PIPE CONNECTOR: YES NEW GAS SEDIMENT TRAP: YES Estimate 5193741 Job 5195631 Estimate Date 8/1/2019 Customer PO Job Address JANE AND BOB PETERSON 80-523 PEBBLE BEACH DRIVE LAQUINTA, CA 92253 Quantity Your Price Your Total 1.00 $21,215.00 $21,215:00 Ails DISTRIBUTION REPLACED SUPPLY AIR REGISTERS: NO. REPLACED RETURN AIR REGISTERS: NO BALANCED AIR FLOW THROUGHOUT SYSTEM: NO INSTALLED MANUAL BALANCING DAMPERS: NO DUCT WORK, PLENUMS, AND SEALING NEW INSULATED RETURN AIR PLENUM: YES DUCT SEALANT: YES INSTALLED DUCT -WORK: NO INSTALLERS ARRIVE ON TIME INSTALLERS ARE COURTEOUS & PROFESSIONAL MAINTAIN CLEAN WORK AREAS REMOVE EXISTING EQUIPMENT RECYCLE EXISTING EQUIPMENT COMPLETE SYSTEM START-UP A COMPLETE SYSTEM PERFORMANCE CHECK: YES OUR WORKERS ARE FULLY COVERED BY WORKMAN'S COMPENSATION INSURANCE COMPLETE WORK PERFORMED IN A WORKMAN LIKE MANNER ACCORDING TO INDUSTRY STANDARDS S_qOPE OF WORK: REMOVE TWO EXISTING COMPLETE AC AND HEATING SYSTEM. CONDENSERS ARE ON ROOF AND FURNACE ACCESS IS ALSO ON ROOF. WE WILL USE A CRANE REMOVE OLD EQUIPMENT AND INSTALL NEW SYSTEMS, WE WILL REPLACE 25' OF 10" DUCT IN ATTIC. CITY PERMITS AND HERS TESTER IS INCLUDED. EIS Alteration or deviation from the above specifications involving extra costs will be executed only upon written work order Note: This proposal may be withdrawn by us if not accepted within 30 days Acceptance of proposal for the above price, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made in full upon completion. YOU WAIVE YOUR THREE DAY RIGHT TO CANCEL. TOTAL: $23,461.00 VICS DISCOUNT: $2,246.00 NEW TOTAL: $21,215.00 IID REBATE: $2,200.00 WHEN REBATE IS RECEIVED YOUR COST WILL BE $19,015.00 Sub -Total $21,215.00 Tax $0.00 Total $21,215.00 Thank you for choosing Vic's Air Conditioning THIS IS AN ESTIMATE, NOT A CONTRACT FOR SERVICES. The summary [above] is Furnished by Vicfs Air Conditioning as a good faith estimate of work to be. per formed at JANE AND 606 PETCRSQN[Vie location described above] and is based on our evaluation and does not include material price increases or additional labor and materials which may be required should unforeseen problems arise after the work has started. I understand that the final cost of the work may differ from the estimate, perhaps materially. THIS IS NOT A GUARANTEE OF THE FINAL PRICE OF WORK TO BE PERFORMED. I agree to the estimate and authorize [the contractor] to perform the work as summarized and on these estimated terms, and I agree to pay the full amount for all work performed. Not Responsible for any stucco , drywall, paint or floor repairs.