BMCH2015-043678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tyl 4 4 Qubtm
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
65
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/18/2015
Application Number:
Property Address:
BMCH2O15-0436
47525 VIA MONTESA
Owner:
ROBERT SCHLICK
APN:
643120009
78365 HWY 111 NO 405 0
Application Description:
SCHLICK /CHANGE OUT (1)14SEER/78AFUE COIL AND 5TON A/C UNIT
LA QUINTA, CA 92253 t
Property Zoning:
C::)
Application Valuation:
$9,998.20
o�
Applicant:
off, c�
q
Contractor: p N
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R S AMERICAN RESIDENTIAL SE.RUA ES OF C
965 RIDGE LAKE BLVD SUITE
201
965 RIDGE LAKE BLVD SUITE 201q='
MEMPHIS, TN 38120
MEMPHIS, TN 38120 \�t✓r
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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,
C36, C10, C20 License No.: 765074
Date: 'Y��_6 1 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.1s 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 Name:
Lender's
(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 w for which this permit is issued.
e and will maintain workers' compensation insurance, as required by
Section 700 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: 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.
1 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: l �1 Signature (Applicant or Agent):
FINANCIAL .1•
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
PAID BY METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
-AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$9.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $33.84 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• 1 • ••
Description: SCHLICK / CHANGE OUT (1)14SEER/78AFUE COIL AND 5TON A/C UNIT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 11/18/2015 SKH
Approved:
Parcel No: 643120009 Site Address: 47525 VIA MONTESA LA QUINTA,CA 92253
Subdivision: TR 26152 Block: Lot: 237
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,998.20 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14SEER/78AFUE COIL AND 5TON A/C UNIT [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
'EMAIL"
APPLICANT
A R S AMERICAN RESIDENTIAL
SERVICES OF C
965 RIDGE LAKE BLVD
SUITE 201
MEMPHIS
TN
38120
CONTRACTOR
A R S AMERICAN RESIDENTIAL
SERVICES OF C
965 RIDGE LAKE BLVD
SUITE 201
MEMPHIS
TN
38120
OWNER
ROBERT SCHLICK
78365 HWY 111 NO 405
LA QUINTA
I CA
I 92253
FINANCIAL INFORMATION
Printed: Wednesday, November 18, 2015 3:53:57 PM 1 of 2 ZRAF
CRE"SYSTEMS
Permit Details PERMIT NUMBER
..' City of La Quinta BMCH2O1+5=0436
INSPECTIONS
Printed: Wednesday, November 18, 2015 3:53:57 PM 2 of 2
RW.,YS TEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
$24.18
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$9.66
$0.00
REPAIR/ALTERATION PC
Total Paid for CHANGEOUT: $33.84 $0:00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
Printed: Wednesday, November 18, 2015 3:53:57 PM 2 of 2
RW.,YS TEMS
�.
.1
`'�S..am,�„tr.`s`e'ji:. ,'�." `9 :i{Ir;' .�•,Er
••t°' .-.—,yaa.q—aai�µ.yr.'}�{f naMMi•F:'J +Tt ` .i..weYriw!•M:.w�+...�w�--rte
_ `�...��.•.'"`21.<�- . 'y°'.j'iir .- 7r.� ,�.A'' thnv ;�J�F"Y..
City o ouffi to
•Building 8L Safety DIvIs10n
Perink #
P.O. Box [504, 7&495 Calle Tampico
i
4.Quinta, CA92253--(766).777-7012,
Building Permit.•Application and Tracking Sheet
(•
Projeet;Addrc3s: 47525 Via Montesa Owner'sNwnc:
i
aF'.Numbec 643-120-099
Address: 47525. Via
L -gal Descrippon:
City,,ST,Zip: La Quints CA 92253
Contractor: Ri htime Home
Services Tclephonc: 760-409-1935
Address:M�
3030 sSt
e
Pro1 ect Description:
city"n Zip: Riverside CA 92503Re lace 5 ton seer C
it
1
Telephone . ' 51.-276-9744
a disconnect
State Me. 4:- 76507.4
City Llc. 8-112004
Arch:, Brig., et N/A
Address:
city, ST, Zip,
Teltsphonc: I
Construction Type: Occupancy:
State Lir—N: I .:
y
' ProJecltype(circleone): New .Add'n Alter Repair
Demo ,
}
Name ofConSnetImon:. Jane Recktenwald' Sq. Ft.: 0Storlis NUnito:
Tcicphonc i1 ,f Contact Person: 714-336-6159Estimntcii Valuaof l'rof ect
APPLICANT: DO NOT WRITE BELOW THIS LINE
R Submlt M Req'd 'Reed TRACKING PERMIT FEES^
Plan Sts
Plan Check subtattted Item
Amount
s
3tructutal Ca.
Acylewed, ready for t orreettons Plan Check Deposit, .
?
Trus Cafes.
Called Contact Pcr3oU Plan C,teek Balance.
;
1
TigeT4 Calci.
Plans plaed up Construction
'
Plood.pl&W plan
flans resubmi'ded MechariIal
Giading pldn
.2` Review, ready for correctionsliasut. Electrical
Subcontactor List
Caticd Coma Pw on.Plutnbing
-
•
c
Gmnt Deed
Plass plcked.up S.tvLL
iLO.A., ppmval
Plansresubmilkd Gradin'
1k.H06S
s'`Rtvlen; ready for eorrectlonsAssue Developer, impact Fee
Plsnnl Approv:b
Caittd Contact Person A.LP.P.
i
Pub. NY -Aper
Date. ofptrtnitissue
"
i
Sehool�ces
.
Total PermitTees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
SCHUCK I Date Prepared:
CF111-ALT=02-E
(Page 1 of 3 )
2015-11-17
A. General Information
CFIR-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
SCHLICK
02
Date Prepared
2015-11-17
03
Project Location
47525 VIA MONTESSA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
f17.
Zip Code
92253
08
Dwelling Unit Conditioned
2000
refrigerant
SC
Floor Area (ft2)
Identification
WARM—'
Syste"t
Number of space conditioning
coatainM�
Ai
09
Climate Zone
15 - '–
10
(SC) systems in this d% elling
i
S
sy tem?
unit.
�mponents
S. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC Sys _)
QF�rve
IWea SC�
�In�laaSC
Insta111ng new
� � Installing
Installing
installing
System
systema
refrigerant
SC
Identification
option a
WARM—'
Syste"t
"dtxte
coatainM�
Ai
cyst em "�
more.than 40
entirely new
y
entire new
h
Name
S
sy tem?
compo
�mponents
! ducts?
duct system?
SC system?
Alteration Type
A --�--
Yeses
0 5
Yes
� r,
Yes
)NI
No
No
n Altered space
System 1
. •
conditioning system
V - .-4i.ItiI. fir V MJ`7Vt�t !V -
C- Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDlib)
This section does not apply to this project.
Registration Number: 315-A101S69SA-000000000-0000
Registration Date/Time: 2015.11-17 10:02:39
HERS Provider. USERA
CA Building Energy Effidency Standards - 2013 Residential Compliance Report Version: 2013.1006 Report Generated: 20I S-11-17 10:03..05
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CFIR-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)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
System 1
Central gas
Indoor coil
AFLIE
.78
Central split
All new
cooling
SEER
14
Setback
Less than or
equal to 40
R-9
furnace
AC
components
feet
CFZR-MCH-02-E - Space Conditioning Systems Ducts and Fara
-Duct insulation requirement for new plenums: 96.
CF2R-MCH-20-H & CF3R-MCH-20•H— Duct leakage testing required when heating or coding components are installed In ducted systems, or when more than 40 ft of duct length H replaced.
-Leakage rate compliance: 515%, or s 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-2S-H & CF3R-MCH-ZS•H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable In CZ 2, 8-151.
CF2RCF3R-MCH-23 & CF3R-MCH-Z3 Air Flow a 300 CFM/ton required when MCH -25 is required.
Exreptlons�
-Dud systems registered with HERS provmer as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handier/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
Registration Number. 315-AlOIS695
Registration DateRme: 2015-11-17 10:02:39
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 20IS-11-17 10,03:05
Schema Version: O.SSSSOD
CERTIFICATE OF COMPLIANCE CF1R-AtT 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
Signature Date:
Company:
RighTime Home Services
2015-11-17
Address:
CEA/ HERS Certification Identification (lf applicable):
3030 Myers St
765074
City/State/ZIP:
Phone:
Riverside CA 92503
1951-276-9744
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of Califomla:
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 Cade to accept responsibility for the building design or system design identified on this Cenincate of compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the buildling design or system design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part i and Pan 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 bulfding permit application.
S. I will ens that a registe�oopy oft Is f ante shall be erode avdlable-with the building permit(s) issuedwfor the building, and made available to the enforcement agency for all applicable
jC.ompti.
Inspectl �� rstand • re teptroF ertinmte`of ComPBancc is required to be lod&A with the dogimerttation the builder provides to the building owner at occupancy.
RespOmit>te Desi .�.
Ener
Respo sible DesignerSignature: ��/
�7
Jim MCEligot
Company:
""T""`�' 4t
.Igned:
201511-17,
RighTime Home
Addr�
U.S. Energy Ra
lkense:
4Assocation
3030 Myers St
aty/State/Zip:
Phone:
Riverside CA 92503
951-276-9744
Registration Number. 315-A1015695A-OOOOOOOO1�
FL7
-This dtW signature u pnwfded in order to secure
Me content of Ws registered document. and In no
"" MM—+ — "`�"" "`" the accuracy of the
U.S. Energy ROM Association
Registration Date/Time: 2015-11-17 10:0239
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-17 10:03:05
Schema Version: O.SSSSDD
Stephanie Khatami
From: Jane Recktenwald <janerccps@att.net>
Sent: Wednesday, November 18, 2015 2:29 PM
To: Stephanie Khatami
Subject: Re: 2 orders
Use what is on the CF1R please.
Thank you!
From: Stephanie Khatami
Sent: Wednesday, November 18, 2015 2:08 PM
To: mailto:janerccps(cDatt.net
Subject: FW: 2 orders
The Hacienda is off on the application and energy form too...
Stephanie Khatami I Permit Technician
City of La Quinta
78495 Calle Tampico La Quinta, CA 92253
Ph. 760.777.7019
skhatami@la-guinta.org
From: Stephanie Khatami
Sent: Wednesday, November 18, 2015 2:08 PM
To: 'Jane Recktenwald'
Subject: RE: 2 orders
Hi Jane,
The application for Via Monteso documents 17seer but the energy form is 14. I need to know what one to
use and if it's 17 please send a new energy doc.
Thank you,
Stephanie Khatami I Permit Technician
City of La Quinta
78495 Calle Tampico o La Quinta, CA 92253
Ph. 760.777.7019
skhatami@la-quinta.ore
From: Jane Recktenwald [mailto:janerccps(d)att.net]
Sent: Wednesday, November 18, 2015-1:26 PM
To: Stephanie Khatami; Philip Juarez
Subject: 2 orders
Hello!
1
I have two orders and I will be in tomorrow (Thursday) hopefully before lunch.
Thankyou!
Jane Recktenwald
Contractor's Choice Permit Service
714-336-6159
i
R