BMCH2016-030478-495 CALLE TAMPICO C� � 0 D �NMU�il/
LA`QUINTA; CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0304
Property Address: 49215 RANCHO POINTE
APN: 602320001
Application Description: TRELIVING / HVAC CHANGE OUT
Property Zoning: _
Application Valuation: $5,000.00
Applicant:
RUSSELL AIR CONDITIONING INC
P O BOX 1351
DESERT HOT SPRINGS, CA 92240
p /� • 0
AUG 12 2015
CITY 0'i- LA Qui ITA
COt,iMUNIT(DEVELCr: EPITDc-F,RTP.;EiiT
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: C20, C38 License No.: 960094 _
Date: -b 1 /G( 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. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/12/2016
Owner:
JIM TRELIVING
49215 RANCHO POINTE
LA QUINTA, CA 92253
Contractor:
RUSSELL AIR CONDITIONING INC
P O BOX 1351
DESERT HOT SPRINGS, CA 92240
(760)363-2032
Llc. No.: 960094
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 tbLe work for which this permit is issued.
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: TWIN CITY FIRE INSURANCE COMPANY Policy Number: 76WEGER8610
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. n
Date: N111- t t & 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: SI Signature (Applicant or Agent): _ .
Date: 8/12/2016
Application Number: BMCH2016-0304
Owner:
Property Address: 49215 RANCHO POINTE
JIM TRELIVING
APN: 602320001
49215 RANCHO POINTE_
Application Description: TRELIVING / HVAC'CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $5;000.00
Applicant:
Contractor:
RUSSELL AIR CONDITIONING INC
RUSSELL AIR CONDITIONING INC
P 0 BOX 1351
P O BOX 1351
DESERT HOT SPRINGS, CA 92240
DESERT HOT SPRINGS, CA 92240
(760)363-2032
-------------------- ------------------------------------------------------------------------
Lic. No.: 960094
Detail: HVAC CHANGE OUT - 14SEER/7.7HSPF SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
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
$72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION ACCOUNT CITY AMOUNT
PERMIT ISSUANCE 101-0000-42404 0 $91.85
Total Paid for PERMIT ISSUANCE: $91.85
i
#
CJty. Of LCI QuIntd
Building Br Safety Division
P.O. Box 1504,78-495 Caffe Tampico
La.Qufnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Permit #
Project Address:
Owner's Name:. r
1
A. P. Number.
ss:
Address:
Legal Description:
City, ST, Zip: 111e w
QDq
Contractor. "C.
Telephone: "%
Project Description:. e -
a�. R
Address: 9C)2
City. ST, Zip:
-1/ 9 Z zM.
P 2�-Q
;Tele hone: (� —�7Z
State Lic. # : g (2(.c>9
City Lie'. #.: 9.(e6Ocl
Arch., Engr., Designer.,
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Y •�ca ..
;~
" ie 4 . ,
S
Construction Type:. Occupancy
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person:
(p�. " Z.� ��
Estimated Value of Project s 6C50 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMrr FEES
Plan Sets
Plan Check submitted
item,
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit.
.
TrUSS.C21cs•
Called Contact Person
Pian Chick Balance
Title 24 Cales.
Pians picked up
Construction
Flood plain plan
Pians resubmitted.'.
Mechanical
Grading plan
2'' Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Graut Deed
Plans picked up
S M L
H.O.A. Approval
Plans resubmitted
Grading
W HOUSE:-
'^` Review; ready for correcdo'nsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
;t
r
%loun ficate.:P, r'o'd U`ct Rat 1 n
AHRI Certified Reference Number: 7489174<' Date�8/11/2016 .
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source'
Outdoor Unit Model Number: RP1424AJ1'
Indoor Unit Model, Number: RH1T2417STAN
Manufacturer: RHEEM SALES COMPANY, INC.`,
:Trade/Brand name: RHEEW RUUD
.Series name:``
Manufacturer,responsible for the rating of this system Combination, is'RHEEM SALES COMPANY, INC.
Rated as•follows in accordance with AHRI Standard 210/240 -2008 -for Unitary Air -Conditioning and Air -Source
m
Heat Pup Equipmentand subject to Verification of rating accuracy by AHRI sponsored, Independent, third
party testing v
i -max �5 R 1 X. .. t
,pA,!t i�y'-�T" ��- '°�ry`F xt -p h•'}� rtr 5i f�`�'>r .
0y�y�' r yyaa k
`xCoyoling Capacltyi(Btuh) 23800? 3
,o. i#'y `d•c<Itr
gt� t - )�»S 1 Ell
SEER Rating (Cooling) t - �;yfi. ON- y x.:
SEMEN' RON,
ERRatmg;(0.01 CoolinlgMW
)1Air
0��gy#,
'' M 3' t�`� i�rg f��.l+�,y �'c�'
1-leating Capac10 ,lty(Btuh)�@�47�F
4
IN ,$� �zti"'�dt� b -'E='°. T• �'' A"j. �"}. -M1 5 t•f .
ReglonI F SPF Ratlmg (Heat)ng)`., X8 20 3 M z Y:
Heatl"ng�,. d'dlty(Btuh)'@ 97s'F f`` 1260.0
S .,
Ratings followed by an asterisk (7 Indicate a voluntarycerate of previously published data, unless accompanied vnth a WAS, which indicates an Involuntary re le.
a
'DISCLAIMER - +Y
AHRI does not -endorse the product(s) listed on this Certlflcate and makes no representations, warrantles or guarantees as to, and assumes no.responsibllity for,
the product(s) listed on this Certificate. AHRI disclaims all liability for damages of any kind arising out of the use.or performance of the product(s), or the
unauthorized alteration of data listed on.this Certificate. Certified ratings are valid only for models and.configurations listed In the
directory at www.ahrldirectory.org: '
TERMS AND CONDITIONS
This Certificate and Its contents are proprletary`products of AHRI. This Certificate shall only be used for Individual, personal and
confidential reference purposes. The contents'of this Certificate may not, In whoie or In part, be reproduced; copied; disseminated;,
entered Into a computer database;,or otherwise utilized, ln.any form or manner or by any means, except for the user's IndlAdual;,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATIONINSTITIITE'
The Information for the,model cited on this certificate.can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make life better^
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
t which Is listed above, and the Certificate No., which Is listed at bottomright.
62014 Air -Conditioning, Heating; and' iRef rigeration'lnstitute�C�ER�TtIFICATE' NO 13115432965607x1392
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
CF1R-ALT-02-E
(Page 1 of 3 )
Treliving, Jim I Date Prepared: 2016-08-12
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
Treliving, Jim
02
Date Prepared
2016-08-12
03
Project Location
49215 Rancho Point
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Treliving, Jim
07
Zip Code
92253
08
Dwelling Unit Conditioned
456
SC
Installing
j
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
'
c ntaining
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information-<-
nformationOl
01
02
!,031'04N
OS
f-06
07)
Q$
09
10
Z" '�
-3 �Is the SC`""
-stia' l- a- .
Installing
.. a
�, t...�
SC System
SC System
CFA servedystem
a+--
refrigerant fInstalling:new
SC
Installing
Ialli7
Installing
Identification or
Location or Area
by this SC
ducted
c ntaining
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
456
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: 216-A0300881A-000000000-0000
Registration Date/Time: 2016-08-12 10:11:09
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-12 10:11:19
Schema Version: 0.555SDD
9
CERTIFICATE OF COMPLIANCE CF111-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)IE 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 split
All new
Central split
All new
Less than or
System 1
heating
HSPF
7.7
cooling
SEER
13
Setback
equal to 40
R-8
HP
components
HP
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6'/
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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-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-MCH-23 Air Flow z 300 CFM/ton required when MCH -25 is required.
Exceptions: -_ -- -'7"
-Duct systems registered with HERS provider apreviously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require venficatio of Air Flow MCH-23!r'Re-ffigerant Charge fvIECH=25
Existing duct systems constructed, insulated or sealed withasbesto's-are exempt,frorn MCW20 Duct leakage Testing requiremerits.
C
*� �► �t iC Jt I[ i� tf kf 1A fk r t — U 1R it tk
E. Entirely New or Complete Replacement Duct,System, with or without,Equipment Changeout (Sections150.2(b)1Diiai and 150.2(b)1E, F)
! ! '� 1 l� � � �•�° � il: � `� i' it ti 7i iiI(a3'
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 216-A0300881A-000000000-0000 Registration Date/Time: 2016-08-12 10:11:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-12 10:11:19
Schema Version: 0.555SDD
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:
Documentation Author Signature: Cj�Gdde AA�
Soto, Russell
Ro//
Company:
Signature Date:
RUSSELL AIR CONDITIONING INC
2016-08-12 10:11:09
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 1351
na
City/State/Zip:
Phone:
DESERT HOT SPRINGS CA 92240
760-363-2032 X123
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�Regulationst{ `j"(
4. The building design features or system design features identified on this Certificate of Compliance are,consistent_with4 information provided on other,.applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit aplp{kation. tt
)il
S. I will ensure that a registered copy of thi i E f t it c , 1 +
s Certificate of Compliance shall be,made,ayai0 , with , -the building permit(s),iss I F forahe building, and 1 a0 av ble to th(i enforcement agency for all applicable
inspections. I understand that a registered copy of this 4ertificate of Compliance is.req red to be included with the documentation the builder provides tothe building owner at occupancy.
Responsible Designer Name: ' IrA I ... 11 A %J
Responsible Desigrier Signature: V II*,-.04r�W�
Soto, Russell
Company:
Date Signed:
RUSSELL AIR CONDITIONING INC
2016-08-12 10:11:09
Address:
License:
P 0 BOX 1351
960094
City/State/Zip:
Phone:
DESERT HOT SPRINGS CA 92240
760-363-2032 X123
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0300881A-000000000-0000 Registration Date/Time: 2016-08-12 10:11:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-12 10:11:19
Schema Version: 0.555SDD