BMCH2017-008778-495 CALLE TAMPICO 4 .• �:.
LA gUINTA, CALIFORNIA 92253 DESIGN& DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:.
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
VOICE (760) 777-7125
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
BMCH2O17-0087 wner:
55421 OAK HILL ICHAEL HARP
775161023 5421 OAK HILL
HARP RESIDENCE / HVAC CHAN E UT MAR 23 2011 QUINTA, CA 92253
$14,746.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
Date: 3/23/2017
DESIGN ASI CDEVELOPMENT UINTA .
DEPARTMENT contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter'I hereby _affirm under;'penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Sectior%,3700 of the Labor Code, for the performance
License Class: C36, C10, C20 License No.: 765074 of the work for which this permit is issued.
_ Z /+ I have antl will maintain workers' compensation insurance, as required by
ate —9 CContcactor: /,0% 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:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that lam exempt from the Contractor's State
License law for the following reason (Sec. 7031.5r 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.Divisiorc
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
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. , 1
(Sec. 7044, Business and Professions Code: The Contractors' State. License Law does:not
apply to an owner of property who builds or improves thereon, andwho 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 contractors) 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
Carrier: LIBERTY INSURANCE CORPORATION Policy Number: WC7631508631
I certify that:in-the performance of the work for which this permit is issued, I
shall not employ anyperson;many 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 tabor Code, I shall forthwith
comply with those provisions.
WARNINGl.FAILURE TO SECURE,WORKERS' COMPENSATI • N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AMEMPLOYER TO CRIMINAL PENAL IES 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 onthis application.
1. Each person upon whose behalf this.application is made, each person at whose
request and for whose benefitwork 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,, in demnify 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
I
ollowing issuanceof.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.
Aagree to comply.with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter Opon-the
above-mentioned property for inspection. purposes.
Dat -3-/` ig"nature?(ApplicantoAgent)
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2017-0087
55421 OAK HILL
775161023
HARP RESIDENCE / HVAC CHANGE OUT
$14,746.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
Date: 3/23/2017
Owner:
MICHAEL HARP
55421 OAK HILL
LA QUINTA, CA 92253
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
JI!J11111111IR 11
DESCRIPTION.._. " .. 'ACCOUNT .. s
QTY
AMOUNT
BSAS S131473 FEE
101-0000=20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT ,^
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM ,.
101=0000-42402
0
$76.00
DESCRIPTION
ACCOUNT, t
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT:
$114.00
DESCRIPTION.
'ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0.
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
DESCRIPTION"
ACCOUNT'
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 r
'0
$5.00
a ,
, Total 'Paid for TECHNOLOGY, ENHANCEMENT FEE:
$5.00
•
.Bill it 4 _ a e _ .
City of .b QuInt'a
Building SF Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) .777-701,2
Building Perirmit Application and Tracking Sheet
Project Address QA%&,%ei IM ,3: Ow.ner's Name',/11.,7C
A. P. Number:
Address:
Legal Description:
..City, ST, Zip:Z 614141�w n�
Contractor: l �
/ C�
n ".
Tele ho e 8 � . 7
P 3 7
Address: 3p36.. T2s c5
Project Description:
City,. ST, Zip: C�
Telephon , . 0l 6a6l%7 5
State Lic. #:
.Arch.,`Engr., Designer:
Address:
City, ST, Zip:
Telephone:
an
Construction TY t% Occupancy:
cY
: Pe. .
State L ic. #
Repairair
'ProJ ecf type (circle one): Nev Add n Alter Demo
Name of Contact Person: A� .,. �
Sqy Ft.: j/ 7�
# Stories:
# Units:
Telephone # of Contact Person(,qO)) 75
Estimated Value of Project: U J
APPLICANT: DO NOT'WRITE BELOW THIS LINE
M
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
'-Plan Check submitted
Item
Amount
Structural Calcs.
.Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called.Cdntact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction.
Flood plain plan
Plans resubmitted
Mechanical
Grading plan .
'2°' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up'
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
'"''Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees.
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: HARP Date Prepared: 2017-03-23 .
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
CFIR-ALT-02 document for each dwelling unit.
01
Project Name
HARP
02
Date Prepared
2017-03-23
03
Project Location
55421 OAK HILL
04
Building Type
Single family
05
CA City
LA QUINTA
06::
Dwelling Unit Name
CONDO
SC System
SC System
'-
system a
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
92253
1 `psi %t
08
.fir
.'
Floor Area (ftz)
4276
by this SC
ducted
containing
system
.Number of Space
entirely new
09
Climate Zone. ....
15
10 .
Conditioning (SC) Systems in
1.
component?
components?
feet of ducts?
x
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
66',),
07
08
09
10
CFA
Is the SCnri
3tL:J � � vi
2q w0l hI'4i i?ffritj
SC System
SC System
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
Altered space
HVAC1
4276'
4276 ....
Yes
....
Yes
Yes
No
No
No
.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
r
Registration Number: 417-A020086546A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-03-23 08:59:36
Report Version: 2016.1.0 05
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-03-23 08:59:39
CERTIFICATE OF COMPLIANCE CFiR-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)lE 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 gas
All new
Central split
All new
Less than or
HVAC1
furnace
heating
AFUE
0.81
AC
cooling
SEER
14
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% or <= 10% 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)lDiia 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)lC)
This section does not apply to this project.
Registration Number: 417-A020086546A-000-000-0000000-0000 Registration Date/Time: 2017-03-23 08:59:36 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-23 08:59:39
. Schema Version: rev 10/16
Documentation Author's Declaration Statement
1. 1 certify that this Certificate.of Compliance documentation is accurate :and complete.
Documentation Author Name:.
Documentation Author Signature:
Jim McEligot
TI�WtiICFL%�(T
Company: .....
Signature:Date: ....... .. ... ..... . .
Ri,ghtime Home Services:.:
_.
2017-03-23 .
Address::
CEA/ HERS Certification Identification (if applicable):
965 Ridge;lake Blvd, Suite 201
City/State/Zip'
Memphis TN 38120
Phone:
X951 276-9744
.... .... ... ..... ... .....
ti . r .r .....
Responsible. Person's Declaration. statement .
I certifff
y¢he following under penalty'of perjuryunder the laws of the State of California: .ter
1 The information provided on this Certificate of Compliance is true and correct:
2. I am eligible under Division'A of the Business end Professions Code to accept responsibility�for,th , wilding 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 agericy'for-approdal,with this building permit application....
�� ....
registered applicable
5. 1 will ensure that a 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
"ori c " h Zi *,y ' .
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: t
'tlwht�l
Resport! ible.Designer Signature:
r
Jim McEligot:::
..... .... .... .... ....
p
.. .... .....
Company: .
Date Signed:
Rightime Home Services
2017-03-23
.Address:..
License:
965 Ridge lake Blvd, Suite 201
765074
City/State/Zip: :..
Phone:
Memphis TN 38120
951-276-9744
RS"" This Digitally signed by GHEE •s digits(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: 417-A020086546A-000-000-0000000-0000 Registration Date/Time: 2017-03-23 08:5q:36..HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-23 08:59:39
Schema Version: rev 10/16