BMCH2019-037778-495 CALLE TAMPICO T4ht D "i" Qum& VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/18/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0377 RYAN MUNSEY
Property Address: 49015 CEDROS CIR 49015 CEDROS CIR
APN: 646210007 LA QUINTA, CA 92253
Application Description: MUNSEY / HVAC CHANGE OUT 16SEER/80AFUE SPLIT
Property Zoning:
Application Valuation: $8,000.00
Applicant: Contractor:
CLAIRE BACHUS -AUSTIN SIMMONS DBA SIMMONS AIR CC NDIT N AUSTIN SIMMONS DBA SIMMONS AIR CONDITION
PO BOX314 /.I --=,\.. P0BOX 314
LA QUINTA, CA 92247D LA QUINTA, CA 92247
SEP 18 2019 (760)863-5254
0 Llc. No.: 780534
CITY OF LAQUINTA
----------------------------------N�QaVMQeUkTAfPARTMENT----------------------------------
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: C20 License No.: 780534
rI
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. C.).
Lender's Name;
Lender's Addre:
WORKER'S COMPENSATION DECLARATION
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'
ompensation, as provided for by Section 3700 of the Labor Code, for the performance
if trk for which this permit is issued.
in I have and will maintain workers' compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit is
ssued. My workers' compensation insurance carrier and policy number are:
:arrier: ST6TE FARM GENERAUN&BANCE COMPANY Policy Number: 90EJU2601
I certify that in the performance of the work for which this permit is issued, I
hall not employ any person in any manner so as to become subject to the workers'
ompensation laws of California, and agree that, if I should become subject to the
corkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
omply with t ose pr visions.
late: ` 1 : Applicant:
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
,ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
INE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
VTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
APORTANT: Application is hereby made to the Building Official for a permit subject to
-le conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
aquest and for whose benefit work is performed under or pursuant to any permit issued
s a result of this application, the owner, and the applicant, each agrees to, and shall
efend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any actor omission related to the work being performed under or
)Ilowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
:)mmenced within 180 days from date of issuance of such permit, or cessation of work
x 180 days will subject permit to cancellation.
-ertify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
instruction, and hereby authorize representatives of this city to enter upon the above-
ientioned pr perty f r inspection purposes.
ate: Signature (Applicant or Agent_
Date: 9/18/2019
Application Number:
BMCH2019-0377
Property Address:
49015 CEDROS CIR
APN:
646210007
Application Description:
MUNSEY / HVAC CHANGE OUT 16SEER/80AFUE SPLIT
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
CLAIRE BACHUS - AUSTIN SIMMONS DBA SIMMONS AIR CONDITION
P 0 BOX 314
LA QUINTA, CA 92247
Owner:
RYAN MUNSEY
49015 CEDROS CIR
LA QUINTA, CA 92253
Contractor:
AUSTIN SIMMONS DBA SIMMONS AIR CONDITION
P 0 BOX 314
LA QUINTA, CA 92247
(760)863-5254
Llc. No.: 780534
Detail: HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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
Credit Card Fee
101-0000-43505
0
$4.30
Total Paid for Credit Card Fee: $4.30
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.50
Total Paid for MECHANICAL CHANGEOUT 2019: $120.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
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
--WG EM nfrhr DESERT --
PERMIT #'-
PLAN LOCATION:
Project Address: G f 15 S /' _�
l�
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
o �VIC ✓l 1j-i �'
Applicant Name:
Address: 11%` 15 Q�1G�►-1 �4�
City, ST, Zip:' ,Zr
Telephone:
Email: Q,
Valuation of Project $
Contractor Name: �`
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip Lo Y l O� CJ g33q- ,-3
Garage SF
Telephone Va� 6C� AIL
Patio/Porch SF
Email: / A
Fire Sprinklers SF
State Lic: q 6 � City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: a /mil um
New Commercial / Tenant Improvements:
Address Q fS 1 S
Total Building SF
City, ST, Zip 0
Construction Type: Occupancy:
Telephone:661q) 6 ��'_
Email:ZIX
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
.THREE-DAY" RMN_T_TG..CANLEL:
You, the buyer, have the right to cancel this contract within three business days. You may cancel by e-mailing, mailing,
faxing, or delivering a written notice to the contractor at the contractor's place of business by midnight of the third business
day after you received a signed and dated copy of the contract that includes this notice. Include your name, your address, and
the date you received the signed copy of the contract and this notice. If you cancel, the contractor must return to you anything
you paid within 10 days of receiving the notice of cancellation. For your part, you must make available to the contractor at
your residence, in substantially as good condition as you received it, any goods delivered to you under this contract OF sale.
Or, you may, if you wish, comply with the contractor's instructions on how to return the goods at the contractors expense
and risk. If you do make the goods available to the contractor ,and the contractor does not pick them up within 20 days of the
date of your notice of cancellation, you may keep them without any further obligation. If you fail to make the goods available
to the contractor, or if you agree to return the goods to the contractor and fail to do so, then you remain liable for
performance of all obligations under the contract.
M ECKAN lCS'. L.l EN.WARN 1 NG:
Anyone who helps improve your property, but who is not paid, may record what is called a mechanics' lien on your property.
A mechanics' lien is a claim, like a mortgage or home equity loan, made against your property and recorded with the county
recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who helped to improve your
property may record mechanics' liens and sue you in court to foreclose the lien. If a court finds the lien is valid, you could be
forced to pay twice or have a court officer sell your home to pay the lien. Liens can also affect your credit. To preserve their
right to record a lien, each subcontractor and material supplier must provide you with a document called a'20-day
Preliminary Notice. This notice is not a lien. The purpose of the notice is to let you know that the person who sends you the
notice has the right to record a lien on your property if he or she is not paid. The Preliminary Notice can be sent up to 20 days
after the subcontractor starts work or the supplier provides material. This can be a big problem if you pay your contractor
before you have received the Preliminary Notices. You will not get Preliminary Notices from your prime contractor or from
laborers who work on your project. The law assumes that you already know they are improving your property. You can
protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers that work
on your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered
goods or materials. Then wait 20 days, paying attention to the Preliminary Notices you receive. One way to protect yourself is
to pay with a joint check. When your contractor tells you, it is time to pay for the work of a subcontractor or supplier who has
provided you with a Preliminary Notice, write a joint check payable to both the contractor and the subcontractor or material
supplier. For other ways to prevent liens, visit CSLB's website at www.csib.ca.gov or call CSLB at 1-800-321-CSLB (2752).
Remember, if you do nothing, you risk having a lien placed on your home. This can mean that you may have to pay twice or
face the forced sale of your home to pay what you owe.
Options Selected: It fjZ S�a
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Authorized Party Name: 7�lx V SAY
Authorized Party Signatu ate: <-- iL4/( q
AUSI/AS/MMOOS
SAWAIWOS'ONOO.CO► V
760-578-5993
pg. 2
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 1 of 3)
Project Name: 49015 Cerdos Cir I Date Prepared: 2019-09-13
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 49015 Cerdos Cir
02 Date Prepared
2019-09-13
03 Project Location 49015 Cerdos Cir
04 Building Type
Single family
05 CA City La Quinta
06 Dwelling Unit Name
49015 Cerdos Cir
07 Zip Code 92253
08 Dwelling Unit Conditioned
2000
Floor Area (ft2)
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 CIA 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 2000 Yes
Yes
Yes No
No No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDOb)
Registration Number: 219-A020198948A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-09-13 11:11:41
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-13 11:11:32
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)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 I
Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type
Value Type Duct Length R-Value
Central as All new All new
System 1 g heating AFUE 80 Central
Systemsplit cooling SEER
furnace
Less than or
16 Setback equal to 40 R-8
components components
feet
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)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 219-A020198948A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-09-13 11:11:41
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-13 11:11:32
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Bachus, Tom
Company:
MLC Building Performance
Address:
77825 Delaware Place
City/State/Zip:
Palm Desert CA 92211
Responsible Person's Declaration statement
Documentation Author Signature:
Signature Date: /
2019-09-13 11:11:41
CEA/ HERS Certification Identification (if applicable):
Phone:
760-836-0066
CF1R-ALT 02-E
(Page 3 of 3)
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:
Bachus, Tom
Company:
MLC Building Performance
Address:
77825 Delaware Place
City/State/Zip:
Palm Desert CA 92211
Responsible Designer Signature:
Date Signed:
2019-09-13 11:11:41
License:
780534
Phone:
760-836-0066
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of rids registered document, and in noway implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 219-A020198948A-000-000-0000000-0000 Registration Date/Time: 2019-09-13 11:11:41
Easy to Verify
at CaICERTS.com
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-09-13 11:11:32
Schema Version: rev 20180426