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BMCH2020-000978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: CLAIRE BAUCHUS 77825 DELAWARE PLACE PALM DESERT, CA 92211 T-Mf 4 44 a" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT MECHANICAL/ B MCH 2O20-0009 77692 AVENIDA MADRUGADA 773340061 MYERS / HVAC CHANGE OUT - 17SEER/80AFUE SPLIT SYSTEM $8,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/14/2020 Owner: MICHELLE MYERS / ELOIS COATNEY 77692 AVENIDA MADRUGADA LA QUINTA, CA 92253 Contractor: DP DSIMMONS AIRJAN 1 2020 PO BOX 314 IYLA QUINTA, CA 92247 CITY OF LAQUINTA (760)863-5254 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 780534 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.: 780514 Date: ra,ractor: ell I 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 Add 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 the work for which this permit is issued. c4i,.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: STATE FARM GENERAL INSURANCL_COMPANY 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 hose Prc isions. Date: ` 0Applicant: 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- mentlone proper y for inspection purposes. Date Signature (Applicant or Agent . Date 1/14/2020 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: CLAIRE BAUCHUS 77825 DELAWARE PLACE PALM DESERT, CA 92211 BMCH2O20-0009 77692 AVENIDA MADRUGADA 773340061 MYERS / HVAC CHANGE OUT - 17SEER/80AFUE SPLIT SYSTEM $8,000.00 Owner: MICHELLE MYERS / ELOIS COATNEY 77692 AVENIDA MADRUGADA LA QUINTA, CA 92253 Contractor: SIMMONS AIR PO BOX 314 LA QUINTA, CA 92247 (760)863-5254 Llc. No.: 780534 Detail: 4 - TON HVAC CHANGE OUT - 17SEER/80AFUE SPLIT SYSTEM._CARBOIV�MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2019 CALIFORNIA BUILDING CODES. I 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 $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 PERMTT #tev Qa�Kra — c;ena ,f,n, DFSFRT — PLAN LOCATION: Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 9 fic".0 11 , e, ?'Y'- G Applicant Name: �,11(�� _ - GYl � Address:-�Qi�0.Wclt,� laGv City, ST, Zip: Telephone:] f • S Email: 114 Valuation of Project $ Contractor Name: s 'in c ns New SFD Construction: Address: Po BO� Conditioned Space SF City, St, Zip L Garage SF Telephone: f o �.-, `s� Patio/Porch SF Email: I-11A Fire Sprinklers SF State Lie: City Bus Lie: Arch/Eng Name: Construction Type: Occupancy Address: Grading: City, St, Zip Bedrooms: Stories: # Units: Telephone: Email: State Lie: City Bus Lie: Property Owner's Name: l r New Commercial / Tenant Improvements: Address:' Total Building SF - City, ST, Zip L CL j y\{^()L G4 Construction Type: Occupancy: Telephone: ( Email: A 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) Project Name: 77692 Avenida Madrugada I Date Prepared: CF1R-ALT 02-E (Page 1 of 3) 2020-01-14 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 77692 Avenida Madrugada 02 Date Prepared 2020-01-14 03 Project Location 77692 Avenida Madrugada 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 77692 Avenida Madrugada 07 Zip Code 92253 08 Dwelling Unit Conditioned Floor 1600 Area (ft) Number of Space Conditioning 09 Climate Zone 15 10 (SC) Systems in this Dwelling 1 Unit: B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 09 09 10 SC System ID or SC System CIA served by this Is the SC system a Installing a refrigerant Installing new SC Installing more Installing entirely Installing entirely Name Location or Area z SC System (ft) ducted system? containing system than 40 feet of new duct system? new ducted SC Alteration Type Served component? components? ducts? system? Altered space System 1 Whole House 1600 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 220-A020006384A-000-000-0000000-0000 Registration Date/Time: 2020-01-14 06:35:40 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-01-14 06:35:28 Schema Version: rev 20191201 CERTIFICATE OF COMPLIANCE CUR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT HIVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) O1 02 03 04 05 06 07 08 09 10 it 12 13 SC System Heating Cooling Description Altered Heating Minimum Altered Cooling Minimum Required New or System ID/ of Area Heating Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct Name Served System Type Components Type Value System Type Components Type Value Type Duct Length R-Value Central gas All new Central All new Less than or Systemsplit System 1 Whole House furnace heating AFUE 80 cooling SEER 17 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)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: 220-A020006384A-000-000-0000000-0000 Registration Date/Time: 2020-01-1406:35:40 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-01-14 06:35:28 Schema Version: rev 20191201 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: Bachus, Tom Documentation Author Signature: ���� Company: Signature Date: MLC Building Performance 2020-01-14 06:35:40 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 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 Ti�a��ray Company: Date Signed: MLC Building Performance 2020-01-14 06:35:40 Address: License: 77825 Delaware Place 780534 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 M Registration Provider responsibility for the accuracy of the information. Registration Number: 220-A020006384A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2019 Residential Compliance Registration Date/Time: 2020-01-1406:35:40 Report Version: 2019.1.002 Schema Version: rev 20191201 HERS Provider: CaICERTS Report Generated: 2020-01-14 06:35:28 Client: Myers Properly: Ave. Madrugada Date: January 4, 2020 i Pp Box 314 La Quinta. CA 92247 Ph:7da-863-5254 License m780534 Pto��tili+�_rk0.ptivns: A. 4-Ton York 17-SEER YXT/TL8 System - $6,954 i) 10YR Manufacturers Warranty with 2YR Labor Warranty (Qualifies for IID Rebate) ii) Includes York YXT (Two -Stage) condenser. AHRI rated evaporator coil, York TL8 (Single -Stage Heating) Low- NOx furnace, Venstar380Q Explorer thermostat, new service disconnect, line -set flushing, 2'/2" finer base, furnace gas sediment trap, addition of second return grille at base of platform, municipal permit and HERS fees, gratis maintenance for new system for length of labor warranty 0p ionalAvse,9_s r1e_*; 1) Venstar Explorer Wi-Fi Module - Included i) Module to enable Wi-Fi connection to Explorer Thermostat Ramat Owner sha€l pay Contractor the Fixed sum of options selected (the "Contract Price") for the work to be performed under this Contract, subject to additions and deductions pursuant to change orders agreed upon in writing by the parties with payment due upon completion. Exi:Lusi"s; Any alteration or deviation from the above specifications involving extra cost of material or labor will be executed upon written orderforsame and will become an extra charge over the mentioned in this contract. Ail agreements must be made in writing, Warranties apply to new equipment only with regular maintenance. Expenseslwork for patching/repair. energy reports, smoke and carbon monoxide detectors not included or covered. This proposal is valid for30 days from above date. Bysigning/accepting, the prices, specifications and conditions are satisfactory and are hereby accepted. Authorizing/signing party endorses work to begin as agreed upon and payment will be made as outlined above. Prices are subject to change with fluctuation of economy and production, --DAY R[GHTTO CANCEL: You. the buyer, have the right to cancel this contract within three business days. Yo u may cancel bye -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 underthis contract or 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 underthe contract. MECHAN.M !EN _ NING: 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 [oar, made against your property and recorded with the county recorder. Even if you pay your contractor in futt, unpaid subcontractors, suppliers, and laborers who helped to improve your property may record mechanics' liens and sue you in court to foreclose the lien. pg• 1 If a court finds the lien is vat id. 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 subcontractorand mate Hat supplier must provide you with a document catled 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 arfrom taborers 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 an your project. Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials. The n wait 20 days, paying attention to the Preliminary Natices you receive. One way to protect yourself is to pay with a joint check. When your contractorteIIs you, it is time to pay forthe 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.cs[b.ca.gov or calf 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. Authorized Party Name�' Authorized Party Signatu '� ' Oate: AUSYR Simon 04MIIBRSi1 pg. 2 . .