BMCH2016-028278-495 CALLE TAMPICO C` 0 U �wNffCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0282
Property Address: 52785 CLARET COVE
APN: 770330010
Application Description: KAREN SCHOEWE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $26,038.00
F& n -An
Applicant: !Q0W
="-
A R S AMERICAN RESIDENTIAL SERVICES OF C s�
965 RIDGE LAKE BLVD SUITE 201 AUG ® 2 X016
MEMPHIS, TN 387.20
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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. C10, C20 License No.: 765074 QOA
D`e contracto A
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 propertV 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: 8/2/2016
Owner:
TM SCHOEWE
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
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 th work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Secti n 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: 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 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. I - "In
Date: `— ip—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: Signature (Applicant or Agent):
I'—
Date: 8/2/2016
Application Number: BMCH2O16-0282.
Owner:
Property Address: 52785 CLARET COVE
TM SCHOEWE
APN: 770330010
Property Zoning:
Application Valuation: $26,038.00
Applicant:
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS; TN 38120
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT -2 - 14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIbE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
c
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$145.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$72.52
Total Paid for CHANGEOUT:-
$217.56
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE:
$91.85
I U I ALJ: $311.41
Description: KAREN SCHOEWE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 8/2/2016 RSE
Approved: 8/2/2016 RSE
Parcel No: 770330010 Site Address: 52785 CLARET COVE LA QUINTA,CA 92253
Subdivision: TR 28.867 Block: Lot: 46
Issued: 8/2/2016 RSE
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,038.00 Occupancy Type: Construction Type:
Expired: 1/29/2017 RSE
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -2 - 14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
Printed: Tuesday, August 02, 2016 3:21:42 PM 1 of 2
ff?srsruins
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD "
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
8/2/16
R17568
005623
CHECK
A R S AMERICAN
RSE
RESIDENTIAL SER
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $2.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
. $145.04
8/2/16
R17568
005623
CHECK
A R S AMERICAN
RSE-
SPLIT-SYSTEM
RESIDENTIAL SER
HVAC CHANGEOUC. -
101-0000-42600
0
$72.52
$72.52
8/2/16
R17568
005623
CHECK
AMERICAN
RSE
SPLIT -SYSTEM PC
R
RESIDENTIAL SER
Total Paid for CHANGEOUT: $217.56 $217.56
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/2/16
R17568
005623
CHECKFRE
S AMERICAN
RSIDENTIAL
SER
Total Paid for PERMIT ISSUANCE: $91.85. $91.85
TOTALS: $311.41
$311.41
INSPECTIONS
BOND INFORMATION
ATTACHMENTS
Printed:. Tuesday, August 02, 2016 3:21:42 PM 2 of 2
' 9?SYSTf: iNS
Iain #
City of La Quinta
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address 7e C(R�r C��`, 1
Owner's Name:
A. P. Number:
Address:
Legal Description:.
City, ST, Zip: L,4 6,1tnl T en
Contractor:r. E� Tl a
�4
TeleP ho e•
Address: �>C")v®
Project Description:
City, ST, Zip -.F. 1 G � C �?�
•.
- 5 a co1� t
ele h n
TP0 . Yj .D -0675
..
MEN
—1 !� CCS T T
State Lie. # : 7
City Lie. #--.0/C1.5 -?7
J
t
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
e• an
Con Construction on TYP Occupancy:
C cY:
State Lie. #:
Project hPe (circle one):: New Add'n Alter r ReP air Demo
Name of Contact Person:
Sq. Ft.: 5 c / /
# Stories:
# Units:
Telephone # of Contact Person: DZ1 - �� %�
Estimated Value of Project:�1�3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 CAcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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
IN HOUSE:-
'"! 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
.,r
IC fIFICATE OF COMPLIANCE
rations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
IF ect Name:
be
C
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SCHOEWE I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3 )
2016-08-01
eneral Information
2 -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
one CF111-ALT-02 document for each dwelling unit.
Project Name
SCHOEWE
02
Date Prepared
2016-08-01
Project Location
52785 CLARET COVE
04
Building Type
Single family
CA City
La Quinta
06
Dwelling Unit Name
HOME
Zip Code
92253
08
Dwelling Unit Conditioned
5399
SC Systeme
CFA e8Y
Floor Area (ft2)
refrigerant—
stalling new SC
Installing
Installing
Number of space conditioning
Climate Zone
15
10
(SC) systems in this dwelling
2
E containing—
system
'7
mo eythan 40
unit.
entirely new
Pace Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
l
;trT
Is the SC
Installing a
al �
C System
SC Systeme
CFA e8Y
systema
refrigerant—
stalling new SC
Installing
Installing
Installing
itification or
Location or Area
by hi3-SG
ducted "
E containing—
system
'7
mo eythan 40
entirely new
entirely new
Name
Served
-(ftp )
system?°
component?–
comp
wfeet.of�ducts?
duct system?
SC system?
Alteration Type
*System
iystem 1
121_54..•��i
Ye_s
Y;es,,YesNo
t,
No
No
Altered space
conditioning system
),ystem 2
3857
3857
Yes
Yes
No
No
No
Altered space
conditioning system
IC (tension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
CThis section does not apply to this project. ,
R tration Number: 316-A1030354A-000000000-0000
C jilding Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-01 10:37:33
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: USERA
Report Generated: 2016-08-01 10:37:36
V
Ic rIFICATE OF COMPLIANCE
Fi rations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
I
I(
Re
CF
-D
CF
-Li
CF
CF
Ex
-D
-H
-E:
=s'r1f
CFIR-ALT 02-E
(Page 2 of 3 )
Itered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
istem
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
tification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
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
stem 1
furnace
heating
AFUE
.80
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
stem 2
furnace
heating
AFUE
.80
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
ed Documentation:
ACH-01-E - Space Conditioning Systems Ducts and Fans
nsulation requirement for new plenums: R6.
ACH-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.
;e rate compliance: 5 15%, or15 30% leakage to outside, or seal all accessible leaks.
ACH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
311-1VICH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
ions:
ystems registered -with HERS provider as previously -sealed are exempt-from.-MCH-20-Ductleakage»Testing-requirements.
ig-only systems:and Air Handler%Furnace changes.danot req�re verification of,Air,Flo1.w MCH-23,_or,Refrigerant Charge MECH-25.
ig duct systemsconstructed, insulated or healed with asbeslos areexempt from MCH -20 Duct Leakage Testing requirementFs.
E itirely New or Complete Replacement Duct System, with or without Equipment Changeout (.
This section"does not apply to this project.
U.S. }
F itirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
R tration Number: 316-A1030354A-000000000-0000
Registration Date/Time: 2016=08-01 10:37:33
HERS Provider: USERA
C jilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-01 10:37:36
Schema Version: 0.555SDD
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rIFICATE OF COMPLIANCE CF111-ALT-02-E
rations to Space Conditioning Systems (formerly CF -111 -ALT HVAC) (Page 3 of 3 )
umentation Author's Declaration Statement
ertify that this Certificate of Compliance documentation is accurate and complete.
ientation Author Name:
Documentation Author Signature:
IcEligot
Signature Date:
ny:
'ime Home Services
2016-08-01
:s:
CEA/ HERS Certification Identification (if applicable):
Myers St
765074
ate/Zip:
Phone:
side CA 92503
951-276-9744
onsible Person's Declaration statement
y the following under penalty of perjury, under the laws of the State of California:
The information provided on this Certificate of Compliance is true and correct.
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).
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.
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.
I will ensure that a registeped copy of thisCertlficate„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 registere).copy-of this Certificate-of-Complianceeis required to.be.included with the domentation the builder provides to the building owner at occupancy.
M� L. � 6cud
isible Designer Name:di
�•-..e...r.`t
Responsible Desiigner Signature:
/ �
��-"°
1cEligot
.. r-�#
1 _._
my : ��
'ime Home S ce's ""'
”
'"
yDaYe�Signed
2016'08-01
ry "+
:s: w
Myers St U.S..'Energy Ra
License:
74Association
ate/Zip:
Phone:
side CA 92503
951-276-9744
U
RA,
"This digital signature is provided in order to secure
the content of this registered document, and in no
way implies Registration Provider responsibility for
U.S. Energy Raters Association the accuracy of the information."
R tration Number: 316-A1030354A-000000000-0000
Registration Date/Time: 2016-08-01 10:37:33
HERS Provider: USERA
C jilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-01 10:37:36
Schema Version: 0.555SDD