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BMCH2017-0110DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Mechanical BMCH2O17-0110 51277 EISENHOWER DR 773091013 $1,615.00 Declaration / Acknowledgement BUILDING PERMIT Ottigta CALIFORNIA PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 04/03/2017 ISSUED DATE: 04/03/2017 Owner: GERALDINE TODD 87 BLUE RIVER, PALM DESERT, CA 92253 Applicant: CARRERA AIR P 0 BOX 6193, LA QUINTA, CA 92248 Contractor: CARRERA AIR / 959853 P 0 BOX 6193, LA QUINTA, CA 92248 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS' COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided 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. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 2/13/24 1:10 am Page 1 of 3 BUILDING PERMIT Permit Type: Mechanical Permit Number: BMCH2O17-0110 Property Address: 51277 EISENHOWER DR Use of Permit SWAP OUT 3 TON HP PKG UNIT ** Construction Details Amount of Packaged 1 unit(s) Valuation Details Type Group Sq Ft Value Financial Information Invoice No. PERMIT-BMCH2O17-01' 0 Fee HVAC CHANGEOUT - PACKAGED UNIT PC TECHNOLOGY ENHANCEMENT FEE HVAC CHANGEOUT - PACKAGED UNIT Credit Card Fee BSAS SB1473 FEE PERMIT ISSUANCE Total for Invoice PERMIT-BMCH2O17-0110 Fee Amount Amount Paid $25.33 $25.33 $5.00 $5.00 $38.00 $38.00 $2.98 $2.98 $1.00 $1.00 $96.27 $96.27 $168.58 $168.58 Grand Total for Permit $168.58 $168.58 Workflow / Inspections Workflow Step / Action Name Inspections v.1 MECHANICAL FINAL** v.2 MECHANICAL FINAL" v.1 Action Type Inspection Inspection Start Date End Date 04/03/2017 0:00 Inspections Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Certificate of Occupancy A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Printed: 2/13/24 1:10 am Page 2 of 3 BUILDING PERMIT Permit Type: Mechanical Permit Number: BMCH2O17-0110 Property Address: 51277 EISENHOWER DR Service Utilities A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 2/13/24 1:10 am Page 3 of 3 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 1 of 3) Project Name: 51277 Eisenhower Dr Date Prepared: 2017-04-03 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 51277 Eisenhower Dr 02 Date Prepared 2017-04-03 03 Project Location 51277 Eisenhower Dr 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 51277 Eisenhower Dr 07 Zip Code 92253 08 Dwelling Unit Conditioned Floor Area (ftZ) 1080 09 Climate Zone 15 10 Number of Space Conditioning (SC) Systems in this Dwelling Unit: 1 B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 SC System Identification or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC system a ducted system? Installing a refrigerant containing component? Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new duct system? Installing entirely new SC system? Alteration Type System 1 Location 1 1080 Yes Yes Yes No No No Altered space 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: 217-A020105539A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 12:42:39 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Schema Version: rev 10/16 Report Generated: 2017-04-03 12:42:22 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-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 System Identification or Name Heating System Type Altered Heating Components Heating Efficiency Type Heating Minimum Efficiency Value Cooling System Type Altered Cooling Components Cooling Efficiency Type Cooling Minimum Efficiency Value Required Thermostat Type New or Replaced Duct Length New Duct R-Value System 1 Central gas furnace All new heating components AFUE 81 Central packaged HP All new cooling components SEER 13 Setback This field or section is not applicable This field or section is not applicable Required Documentation: Systems 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) Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced <= 10% leakage to outside, or seal all accessible leaks. Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). >= 300 CFM per ton required when MCH-25 is required. provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. CF2R-MCH-01-E - Space - Duct insulation requirement CF2R and CF3R-MCH-20-H -Leakage rate compliance: CF2R and CF3R-MCH-25-H CF2R and CF3R-MCH-23 Exceptions: Conditioning for the - Duct Leakage <= 15% or Refrigerant Airflow Rate with HERS and Air Handler constructed, insulated - Duct systems registered - Heating -only systems -Existing duct systems 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) This section does not apply to this project. Registration Number: 217-A020105539A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 12:42:39 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-03 12:42:22 Schema Version: rev 10/16 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. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Carrera, Andrew Documentation Author Signature: ��(/ �`Z a/rP% Company: CARRERA AIR Signature Date: 2017-04-03 12:42:39 Address: 78-970 SONESTA WAY CEA/ HERS Certification Identification (if applicable): City/State/Zip: LA QUINTA CA 92253 Phone: 760-343-6675 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. I 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. I 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 thebuildingowner at occupancy. Responsible Designer Name: Carrera, Andrew Responsible Designer Signature: ��// (/`2 e/ Company : CARRERA AIR Date Signed: 2017-04-03 12:42:39 Address: 78-970 SONESTA WAY License: 959853 City/State/Zip: LA QUINTA CA 92253 Phone: 760-343-6675 Digitally signed by CalCERTS. 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: 217-A020105539A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 12:42:39 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-03 12:42:22 Schema Version: rev 10/16