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BMCH2019-0464
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: CLAIRE BACHUS 77825 DELAWARE PLACE PALM DESERT, CA 92211 MECHANICAL/ BMCH2O19-0464 50025 CALLE ROSARITA T4t�t 4 4v Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 658250039 JOHNSON / HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: DEBORAH & LARRY JOHNSON 50025 CALLE ROSARITA LA QUINTA, CA 92253 Contractor: SIMMONS AIR PO BOX 314 DEC 16 2019 LA QUINTA, CA 92247 CITY OF LAQUINIA (760)863-5254 Llc. No.: 780534 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: C20 License No.: 780534 Date: Contractor: A 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).: (_) 1, 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 Address: Date: 12/16/2019 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe 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. 4!1 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: UME FARM GENERALJWURANCE COMEONY Policy Number: 90EJU2601 _ 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: /G 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. 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: .� Signature (Applicant or Agent): Dated 12/16/2019 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: CLAIRE BACHUS 77825 DELAWARE PLACE PALM DESERT, CA 92211 BMCH2019-0464 50025 CALLE ROSARITA 658250039 JOHNSON / HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM Owner: DEBORAH & LARRY JOHNSON 50025 CALLE ROSARITA LA QUINTA, CA 92253 Contractor: SIMMONS AIR PO BOX 314 LA QUINTA, CA 92247 (760)863-5254 Llc. No.: 780534 Detail: 5 - TON HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION INFORMATION 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 QTY 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 - GEM f,hr 171'_.NERT - PERMIT#�GH��� PLAN LOCATION: Project Address: E5C)0g.5 (� p � �rI 1� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: WC rbohnot it tolU ov 1 2�v l Applicant Name: u l y'c Qe VS Address: 7 7 - ?, r � � ` I City, ST, Zip:nj) Telephone: F.'-nail: / a red Cc C S i'� C10 . G,, P71L Valuation of Project $ Z'oao_ — Contractor Name: a d New SFD Construction: Address: Po C{ Conditioned Space SF City, St, ZiLl CZ, q -7 Garage SF Telephone: �`�� ©1 �- Patio/Porch SF Email: � Fire Sprinklers SF State Lic 7 'ity Bus Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Construction Type: Grading: Bedrooms: I Stories: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 Occupancy: # Units: CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) Project Name: 50025 CALLE ROSARITA I Date Prepared: CF1R-ALT 02-E (Page 1 of 3) 2019-12-12 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 CF111-ALT-02 document for each dwelling unit. 01 Project Name 50025 CALLE ROSARITA 02 Date Prepared 2019-12-12 03 Project Location 50025 CALLE ROSARITA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 50025 CALLE ROSARITA 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 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 Systerra 1 WHOLE HOUSE 2000 Yes Yes Yes No No No Altered space 1111 conditioning system C. Extension of Existing Ducat System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 219-A020258595A-000-000-0000000-0000 Registration Date/Time: 2019-12-12 08:26:32 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-12 08:26:26 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-IR-ALT-•HVAC) CF1R-ALT 02-E (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 1.0 it 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 All new Central split Less than or System 1 furnace hearing AFUE go cooling AC SEER 16 Setback equal to 40 R-8 components i 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 (U 1-10, 12 and 13) and R8 (CZ 11 and 14-16i 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 NlCH-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 Ali 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 oir without Equipment Changeout (Sections 150.2(b)1Diia 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-A020258595A-000-000-0000000-0000 Registration Date/Tinne: 2019-12-12 08:26:32 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-12 08:26:26 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE CHR-Ali Alterations to Space Conditioning Systems (formerly CF-IR-ALT-lli (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 Company: Signature Date: MLC Building Performance 2019�-12-12 08:26:32 Address: CEA/ HERS Certification Identification (if applicable): 77825 Delaware Place City/State/Zip: Phone Palm Desert CA 92211 760-836-0066 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 responsibilityIor 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, Responsible Designer Signature: 4rr�G�� Tom Company: Date Signed: MLC Building Performance 2019-12-12 08:26:32 Address: License: 77825 Delaware Place 7805:34 City/State/Zip: Phone: Palm Desert CA 92211 760-836-0066 Easy to Verify at CalCERTS.com e e f Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of This registered document and in no way implies a Registration Provider responsibility for the accuracy of the inforrr ation. Registration Number: 219-Aa020258595A-000-000-0000000-0000 Registration Date/Time: 2019.12-12 08:26:32 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-12 08:26:26 Schema Version: rev 20180426 7 REE-_QAr_RIG.HTTQ-GA C€t= You. the buyer, have the right to cancel this contract within three business days_ You may cancel bye -mailing. mailina. faxing, or delivering a written notice to the contractor at the contractor's place of business by midnight of the third business day after von! received a signed and elated copy of the r_ontrart that includes this notice. Inrtude 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 ou paid within 10 days of receiving the notire of rancei!atinn, Fnr volir Hart ynti mucit make ayail?hle to the contractorat your residence, in substantially as good condition as you received it, any goods delivered to you under this contract or sale. Or, you may, it you wish, dimply with the coE'ntr3Cror'c ipStrlijElinnc on hnyu to re turn the yCanrlc at the C!Entractt r'S sx ease 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 tf:em :a�ithoul any further obli-ation Er.,.�u fait t ; Make the ^yt:az,'s available y ., l to the contractor, or if you agree to return the goods to the contractor and fail to do so, then you remain Gable for perforMance of all obligations under the cnntract. 1 r- n l w w l e+ r- • r .. t w R - l i_.S+.FiHivi�...�__I,Ic�_JitfartPSiv.G; 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, tike a mortgage or home equity loan. made against your property and recorded with the county recorder. Even it 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 Gen is valid. you could be forced to pay twice or have a court officer sell your home to paythe 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 hon. The purpose of rho notice is to lest 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 uft�rtii- Saibcv:itr-1 .. Starts A. _A0 rt %ou lice '�r��iucS.i�otc ria t. T~is Ca'il uc ii bi•' rvbt%:i. if -,Cunw r `4nFra`fnr r;p t+ g p r > >v... before you have received the Preliminary Notices. You will not get Preliminary Notices from your prime contractor or from tabus ers whu wiui k un yuuE pi ujeci. iiie iaw assumes that you already know They die imps uvil ly yuul- _PrGPei iy. {uu Ldl-I protect yourself from liens by getting a list from your contractor of atl the subcontractors and materiat suppliers that work on your protect. Find out tram your contractor when these subcontractors started work and when these suppliers aetiverea 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.cstb.ca.gov or call CSLB at 1-800-321-CSLB (2752)- Rememher if vnll do nnthinn vnu rick havinn a (ion nlarerl lln Vnllr hgmP. This ran mPdo that VnIJ maV have to ❑aV tWIfE' Or face the forced sale of your home to pay what you owe. Options Selected Auiolized l al ►r 11al lllle: Authorized Party Signature Date: f 1' 49r4r� pg. 2