BMCH2015-024478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t.Y 4.4 Qu&&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0244
Property Address: 44850 SEELEY DR
APN: 604226002
Application Description: LOCKRIDGE / CHANGE OUT (1) 5 TON AIR CONDITIONING UNIT
Property Zoning:
Application Valuation: $5,000.00
Applicant:
A R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed und& provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C36. 110. C20 License No.: 765074
Date: d<
�'-kG 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. Q.
Lender's Name:
Lender's Addre!
VOICE (760) 777-7125
FAX (760) 777-7011
IN5PECTIONS (760) 777-7153
Owner:II II
MARGARET LO RI GE'' �` 02 2015
72185 MAGNESIA FhL-S.DR._
RANCHO MIRAGE, CA 923t530FLA0J;jNTA
' !""In,�1Tb Ot:VELOP&IEt4T1YEPdATA sffrff
Contractor:
A R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120 -
(951)276-9744
Llc. No.: 765074
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 wor r which this permit is issued.
ve 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: _ Policy Number:_ .
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: 1'�-i S 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.
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•
mentioned property for inspection purposes.
Date: 1�a- 5 Signature (Applicant or Agent j
i
' a DESCRIPTION Tx'' ''.•
FINANCIAL •R •
ACCOUNT x c:.
' ,.QTY
CITY
^h y
AMOUNT
J"4 4
_ PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
:"PAID -BY, wr- ,.
, a :METHOD � a �- • ECEIP,T # `�;:�
•: .� �•Rt+
CHECK # {LTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00. $0.00
DESCRIPTION ,' n
AO
CCUNT'
QTY,
' `. -AMOUNT= :-
a PAID = '' •
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26
$0.00
PAIDBYY , ' `,.
T - METHOD = '
X RECEIPT #
CHECK #
„ CLTD BY
DESCRIPTION '.
- ACCOUNT
QTY+
;AMOUNT,`
',PAID-'
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$0.00
PAID BY h ". �.., ,
METHOD M1'.
',. �, 'RECEIPT # ;'
,r CHECK # ..
'LTD BY
Total Paid forCHANGEOUT: $60.43 $0.00
�:.
SCD :
'AMOUNT -
PAI
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
" ^ . PAID BY
, METHOD • "'
RECEIPT # v
"'CHECK # , r: ^
,'' CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
i
' •x
a °i•
OF T
Description: LOCKRIDGE / CHANGE OUT (1) 5 TON AIR CONDITIONING UNIT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/1/2015 SKH
Approved:
Parcel No: 604226002 Site Address: 44850 SEELEY DR LA QUINTA,CA 92253
Subdivision: TR 23268 Block: Lot: 119
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - (1) 13SEER/78AFUE STON A/C UNIT SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
` !E NAME t ' w
` ; `y ADDRESSi ' -
CITY
STATE `
ZIP
EMAIL "
ti
7
APPLICANT
A R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD
MEMPHIS
TN
38120
SUITE 201
CONTRACTOR
A'R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD
MEMPHIS
TN
38120
SUITE 201
OWNER
MARGARET LOCKRIDGE
72185 MAGNESIA FALLS
RANCHO
CA
92253
DR
MIRAGE
Printed: Wednesday, July 01, 2015 8:29:10 AM 1 of 2 C
SYSTEMS
Permit Details PERMIT NUMBER
City of La Quinta BMCH2015t02 4 -.
e . DESCRIPTION
. 'ACCOUNT
QTY,
t :
AMOUNT.
PAID
K,
PAID DATE
RECEIPT #
»'
CHECK #
METHOD
r -; ;'
PAID BY
CLTD
BY'
_
r
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
CONDENSER ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
CONDENSER ONLY PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
INSPECTIONS
,SEQID 'INSPECTION TYPE :- INSPECTOR SCHEDULED 'COMPLETED
-,RESULT -REMARKS, NOTES
. �. #: t ' • DATE " . DATE
�c..:
MECHANICAL FINAL** BLD
y . PROJECTS
Printed: Wednesday, July 01, 2015 8:29:10 AM 2 of 2 C
SYSTEMS
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 }
Project Name: LOCKRIDGE Date Prepared: 2015.06-26
A. General information
0111 -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
LOCKRIDGE
02
Date Prepared
2015-06-26
03
Project Location
44850 SEELEY
04
Building Type
Single family
OS
CA City
La Quinta
06
Dwelling Unit Name
HOME
07
Zip Code
922S3
08
Dwelling Unit Conditioned
2162
Identification o
cation a :
by, ducted
Floor Area (ft2)
n�o�ore than 40
entirety new
entirety new
Number of space conditioning
09
Climate Zone
15
IO
(SC) systems in this dwelling
1
Aiteratlon Type
System 1
Ye
unit.
S. Space Conditioning (SC) System Information
01
02
03 04
OS
06
07
08
09
10
- fs eSC�'
a1'gstaIMg;a »
F
SCS em
yst
SCS m
y
FA servedar
� m a
refrige nt
InstaIling new SCS
Installing
installing
Installing
Identification o
cation a :
by, ducted
r conta5rtings3rstem
n�o�ore than 40
entirety new
entirety new
Name
3 m? `
cam one .
pnt7
components?
.few est of.ductsT
dud system?
SC system?
Aiteratlon Type
System 1
Ye
.�No
No
No
Altered space
'ye
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number. 315-A1008629A-000000000.0000 Registration Datefrime: 2015-06-26 15;41:34 HERS Provider. USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2D15.06-26 15:41:40
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CF1R-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
OS
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
System l
Central gas
No heeting
component
AFUE
.78
Central split
All new
cooling
SEER
13
Setback
Less than or
equal to 40
R-8
furnace
altered
AC
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and fans
-Ouct Insulation requirement for new plenums: A6.
CFZR-MCH.MH & CF3R-MCH40-H —Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 it of duct length is replaced.
-Leakage rate compliance: s 15%. or s 10%lea kage to outside, or seal all accessible leaks.
&2R-MCH<25-H & CF3R•MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH•23 & CF3R•MCHf 23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Drat Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Alt Flow MCH -23, or Refrigerant Charge MECH-25.
Exlsting duct systems constnrcted, Insulated or seated with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number: 315-A1008629A•0000000004)000
Registration Datefrime: 2015-06-26 15:41:34
HERS Provider: USERA
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2015-06-26 15:41:40
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:
Documentation Author Signature:
Jim McEligot
w
Signature Date:
'Companr.
RighTime Home Services
2015.06.26
Address:
CPA/ HERS Certification Identification (if applicable):
3030 Myers St
765074
Gty/State/Ztp:
Riverside CA 92503
Phone'
951-276-9744
Responsible Person's Declaration statement
certify the following under penalty of perjury, under the laws of the State of California:
1. 7M information provided on this Certlncate 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 bullding'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 ens a regist cppy oft ts•Cettt(ka�e �i Comptfance be made available with the building permits) Issued;for the building, and made available to the enforcement agency for all applicable
at .vvpt^ .W..-.
tttspectb I nderstand t F00�°C�ertt(iote of Cpmpparsceas re4utred to be Indudedwiththe documerrbtbn the builder provides to the building owner at occupancy.
' Re=Wrwible Deslgn5niure: ' (f�
Responsible Designerlaid I tM
Jim McEllgoe ok �.f
o—zkSlgr ' x
Company: ned � ,
RtghTtme Home 5 2-06 26,
Address:license:
U.S. Energy Ra d4ssociation
3030Myers St
City/State/Zip: Phone.
Riverside CA 92503 951-276-9744
if T AS102",Utir=4RI"
-Ms digihat signature Is provided in order to secure
the content of INs nrglstered document. and in no
way Implies Registration Provider responsibftRy for
U.S. Energy Rants At;sotladon the accuracy oltha Inlom►atkn."
Registration Number: 315-A1008629A-000000000.WI)D Registration Date/Time: 2015-0626 15:41:34 HERS Provider:. USERA
CA Building Energy Efficiency Standards - 2013 Residential Compnance Report Version: 2014-03-31 Report Generated: 2015-06-26 15:41:40
Schema Version: 0.555500
A
Bib,
QtY, of La Quints
Building &T Safety Divlsl6o
P.O. Box. 1504,14.495,catte Tampico
La.QuInta, CA 92253 - �(760) 71-7-7012
Building Peretti Application` and Tmekl0g.Sheet
Periwf#
P,*c1Add!c%: 44850 Seeley
'OW_nrr's.Narnet,,Maggie Lockridge
A-P.Nuinber 604-226-002
Address- 44850 SeeleLsgnLl)tay
W
citY, sT._zip:_ La Quinta, CA 92253
Contractor-. Riqhtime Home Services
Telephone:
_Mdress: 3030 Mvers St
............................
_Nect Descriptibri.
:_
MYX.40; Riversido. CA 9250
Telephone.. 951-276-9744
-
-Raplare 5 ton AMI unit
state-LIQ6:36507-4
city u� L112004
Arc&,.Engr., D-19nT. N/A
AOdr=:.
City, ST, Zip:
Telephone:
State-Lic. M.
Name ofContaqt Pem Jane Recktenwald'
Cons"cdo Type: -Occupancy:
Projtctvpqcwe one): New Addn. Alter Repair Demo'
S Ft'
q.
Unito:
Taephone0ofContact Person:
Ewmatqdvsi4_c of Project $5,000.00
APPLICANT:
DO NOT WRITE BELOW T9I$ LINE
won
Subuiltial Wd Reed
TRACKING
PERMIT FEES -
Pian Cheat submt1ted
Item Amount�
s"durd Copp.
Acvftweo, rcidy tor corrections
Ptan.6cckDi*h.
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Met barucal
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Electrical
Subcontactor List
PRIM COntactPergon
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Plans rtsobmiUcd
Gratd!nj
OUPPSE,:-
Ittyl ready for corrittionsAssuc
Developer Impact Pet
Planaln.gApproyst,
Called - : Contact I.on
Datcof pertilt Issue
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I.Tolal Permit Fits