BMCH2015-000178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/7/2015
Application Number:
BMCH2O15-0001
Owner:
Property Address:
78451 CALLE SEAMA
DAVID SEDGWICK
APN:
646192004
78451 CALLE SEAMA
c
Application Description:
REPLACE (3) TON PACKAGE HVAC UNIT
LA QUINTA, CA 92253
3
Property Zoning:
z
�r
Application. Valuation:
$7,500.00
3
D
rMr
Applicant:
Contractor:S
Cit
RIGHTIME AIR CONDITIONING AND
RIGHTIME.AIR CONDITIONI
m
N
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
a
o
LA QUINTA, CA 92253
LA QUINTA, CA 92253
C
(951)276-9740
Llc. No.: :LIC -01b5373
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: License No.: :LIC -0105373
`
Date: (;AS 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 0
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: 40
Lender's
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 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: _ 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: i �S'�S Applicant-. �r —
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)
F . - CERTIFICATE OF COMPLIANCE
-
CFMA1T-0.24'.
- -
Alterations to Space Conditloning Systems (formerly CF-IR-ALT HVAC)
(Pale i of 3 i
-
: - -
ProjeR.Name: s
SEDGWICK
Date Prepared:
2014.12-29
A. General Information,
CHR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When
t
•
multiple dwelling units
documented, use one MR-ALT-02 document for each.dwelling unit. _
must be
1 -
•
01
Project Name
SEDGWICK
02
Date Prepared
2014-12-Z9
'
`
03
Project location
784S1 CALLE SEAMA
04
Building
gYVpe
Single family
-
c h
05
CA Gry
la Quints
06
Dwelling Unit Name
HOME
•'
07
Zip Code
92253
08
Dwelling Unit Conditioned
_ L
T
Floor Area (ft2)
2561
e
09
Cillosis Zone
15
Number of space conditioning
-
10
(SC) systems In this dwelling
1,
-
unit.
`
s '
B. Space Conditioning (SC) System Information
pl .02 03 04 OS
06 07 0g 09
-
IO
SC System
w nsta#176 a;K
~
Identification o
,
SCS
tattoo a ( servsd! system a refrigerant
urted wrttaining
n
Instg!(#g new SC-i fling Installing
than 40
installing
Name
ystem )1 system? comps nentT
s►em entirely new
components? ..feet of ducts? duct s ystem?
entirely new
SCsystem?
_
System l 25' r
At y
r
s Yes r' M
Alteration Type
Altered space
c
Vo
No
..
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
- Registration Number: 314-A1003506A-0000000oo-o60o Registration Date/Time: 2014-12•-29 09:32:59
HERS Provider: USERA
CA euMing Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Report Generated:
Schema Version;0,5515DD
2014.12-29 09:33:06
f
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
D. Aitered Space Conditioning System (Sections 1S0.2(b)1E and F)
01 02 03 04 05
06
Heating
I MM
System
Ider►tification
Heating
System
Altered
Heating
Heating
Efficiency
Minimum
Efficiency
Cooling
Altered Coding
o ng
Minimum Required
New or
or Name
Type
Components
Type
ry
Value
System Type
Cooling Efficiency
Components Type
Efficiency Thermostat
Value Type
Replaced
Duct Length
System 1
Central large
packaged HP
All new
heating
AFUE
0.78
Central
All new
cooling SEER
Less than or
component
packaged AC
13 Setback
equal to 40
'R *,-AIDocumental"
components
feet
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6 -
CFM -MCH -20•H & CF3R-MCH-20-H — Dud Leakage testing required when heat" or cooling components are installed in ducted systems, or when more than 4012 of duct length is teplaced.
-Leakage rate compliarsce: 5 25%. or,S 10% leakage to outside, or seal all accessible leaks.
CF29-MCH-ZS•H & CF3R-MCH-2S-H Refrigerant Charge Venficatwn required when refrigerant containing components are installed or altered tapclicable In CZ 2, &1S).
CF2RCF3R-MCH-23 & CRA -MCH -23 Air Flow t 3W CFM/ton required when MCH -ZS is regWred.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements-
-Heating-oniysystems and Air Irandler/Fumace changes do not require verifkation of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems Constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing
p B t 8 requirements.
L Entirely
F. Entirely New or Complete Replacement Space
Registrat'on Number: 314-A1003506A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
with
to
This section does not apply to this project.
150.2(b)iD1ia and 150.2(b)1E, F)
Registration Date/Time: 2014-12.29 09:32:59
Report Verslon: 2014-03,31
Schema Version: O.SS1SDO
-------------
CF1R-ALT-02-E
(Page 2 of 3 )
12
New Duct
R -Value
R$
HERS Provider: USERA
Report Generated: -2014-12-29 09:33:06
CERTIFICATE OF COMPLIANCE
Alteration$ to Space Conditioning Systems-(formerty CF -3R -ALT 14VAC)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentat2on Author Name:
Jim McEligot Documentation Author Signature•-
RighT•rme Home Services
3030 Myers St
C ty/State/Zip:
Riverside CA 92503
Person's Declaration statement
Signature Date:
201412-29
Phone:
Certification Identification (If applicable):
CF1R-AtT-02:E
(Page 3of3)
1 certify the following under penalty of perjury under the laws of the Shte of catifornla:
1. The information provided on this Certrlicate 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 TTtle 24, Part 1 and Part 60f the Q1,10rma Code of Regulations
4- The bu+tdEng design features or system design features identified on this Cert;rrcate of Compliance are consistent with the. Information provided on other a
calculations, Plans and specifications subrmtted to the enforcement agency for approval with this bupd' rmil application.
applicable compliance documents, worksheeb
S. 1 vAll ens a reglsteardoopy, oft i<t res. Pe Vp
;� ►� ertt sha!ibe mads! avata6k.w idt thebuild) permit(s) id for the buikl;ng and merle available to the enforcement a
respect 1 erstandt i r 4 n8 ( )
Responsible Designer " ' r, ContpfAriie jzre4uired be sisc;ttdeQwith the doettmenitation the builder Provides to the building owner at occupan�K for all applicable
JimMeEfigot _ _,"""•"" or�t�sibseoestgie`;stanacore .VCc )il
t-omparry :
RighTime Home
Myers St
Riverside CA 9ZS03
U.S. Energy Ra
Phones
Iation
19' RA
M M Willft§1'fists ftffaf signature is Provided 0 order toIQ secure
tAo content of 6rts regJstered document, and fn no
way implies Regisfrafion Provider rospevisibltilty for
U.S- Energy ROWM Arseodabon the as —cy of the kewntatlon.-
Registration Number; 314-A3003506A-000000000.Oo0o
CA 8uifding Energy Efficiency Standards - 2013 Residential Compliance
Reglstrat:on Datetrme. 201442.29 09;32:S9
Report Version. 2014-03.31
Schema Version-0,SS1SDD
HERS Provider: USERA
Report generated: 20]412-29 09:33:06
k
FINANCIAL •R •
' ,DESCRIPTION', t t'ACCOUNT! ;€4`• �'� '.QTY ;' .-AMOUNT '':. PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID. BY ..w.- ,r : ;,METHOD ? q yt RECEIPT # CHECK # - CLTD'BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT ,.. t
QTY
AMOUNT -. "°
PAID
PAID;DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
' ' • PAID BY ..; ' .
r ;; METHOD._,
RECEIPT_# ' .
CHECK #`
CLTD BY
P
I '
DESCRIPTION
ACCOUNTr
QTY:
AMOUNT •;
'PAID '
PAID'DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY . x
1 ,s METHOD
s ;' 'A;
RECEIPT #
.i .. ,
'CHECK #' •-:•
CLTD BY .
Total Paid forCHANGEOUT: $60.43 $0.00
DESCRIPTION
ACCOUNT `
`QTY
? AMOUNT
PAID
PAID DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
. -,PAID BY.�'rMETHOD
.,
R =RECEIPT # t
;w,.f HECK #,, `
CLTD BY
`
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
P
`
t
Description: REPLACE (3) TON PACKAGE HVAC UNIT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/7/2015 PJU
Approved:
Parcel No: 646192004 Site Address: 78451 CALLE SEAMA LA QUINTA,CA 92253
Subdivision: TR 3448 Block: Lot: 44
Issued:
Lot Sci Ft: 0 Building Sci Ft: 0 Zoning:
Finaled:
Valuation: $7,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDITIONAL SITES
Details: ONE (3) TONHVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA LBUILDING CODES.
. - t••-"'
NAMEx
r
ADDITIONAL SITES
APPLICANT
RIGHTIME AIR CONDITIONING AND
r -
LA QUINTA
CA
92253
(760)771-9973
CONTRACTOR
RIGHTIME AIR CONDITIONING AND
0 OUTSIDE CITY LIMITS
CHRONOLOGY
CA
92253
(760)771-9973
OWNER
DAVID SEDGWICK
78451 CALLE SEAMA
LA QUINTA
CA
92253
(760)771-9973
CONDITIONS
CONTACTS
14"
" *
"STATE
74
'. ZIP
PHONE''•
• FAX EMAI
;NAME TYPE
NAMEx
r
APPLICANT
RIGHTIME AIR CONDITIONING AND
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)771-9973
CONTRACTOR
RIGHTIME AIR CONDITIONING AND
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)771-9973
OWNER
DAVID SEDGWICK
78451 CALLE SEAMA
LA QUINTA
CA
92253
(760)771-9973
r
DESCRIPTION= aACCOUNT j, CITY PAID PAID DATE RECEIPT#f f CHECK# METHODPAID BY CBL BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, January 07, 2015 8:45:43 AM 1 of 2 CIT
SYSTEMS
77
DESCRIPTION
`� ':' ACCOUNT
., QTY
:.AMOUNT
_,, PAID
PAID DATE.
RECEIPT #.
` CHECK W ,
METHOD
:L.
PAID BY. , ,
CLTD>
; .
:BY
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT-
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT 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
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, January 07, 2015 8:45:43 AM 2 of 2
CRWV
r -
Total Permit Pees
Qty'ofLa Qulnta
Building ar Safety Dtvbkn
P.O. Boz 1504,78.493 Glie Tampico
U.Qutnta, CA 92233 ••(760) 777-7012
Building Permit Application and Tracking Sheet
Permit tY
Project,Addpw: 78451 Calle Seama
owner's Name: '
A. P. Number: 646-192-004
Address: 78451 C;311p. Spam
Leo Oacription:
Contractor. RI htime Air
city, sT, zip: La. Quints :CA 92253
-Telethon e: --
Address: 3030 Myers St
NegDescription:
city, sT, Trp:
Telephone: 951-276-9744
Sate L;c• t : 878533
92503.
city Lit:. 6:
Arch,, Eng, Desiper. N/A
Address:
City, ST, Zip:
Telephone:
State iia 0'
Construction Type. , O—panty:
Project type (circle one): New Add'n Alter Repair Demo
Nome of Contact Person:
Sq. Ft.:
d Storii"x --To
Units:
Telephone d, of Contact Person:
&stimated Value of Yrojcu: 7,500.00
APPLICANT, DO NOT WRITE BELOW THIS LINE
Y Submittal Req'd
Recd TRACMG PH+RMtT FEES
Pita Sets
Plan Cheek submitted Item Amount
Strut uil C}Ics.
Reviewed, ready for eortectloits PunChcc4DepWt,
True C21ta,
Called Cootaet Person Pian Cheek Balsact•
Mile 24 Cates.
Plant piekid up Construction
Flood plata plan
Plans resubmitted Mccbarital
Giadiag plan
24! Rcvtew, ready for eorrectioasdUsue Eleetrieal
Subeontactor List
Called Contact Peron Plumbing
Grant Deed
Plant pleked up S,M,I,
IL.O.A. Approval
Plass resubmitted cradia ,
IN HOUSES-
Rt hew, ready fbr rorrecliontlissue Dev* Japer impact Pee
Planning Approval
Catted Contact Person
Pub. Wks, Aper '
Dau of permit Issue
ScboblFees
.
Total Permit Pees