BMCH2016-0373-o78-495 CALLE TAMPICO
,LA QUINTA, CALIFORNIA 92253
Tit�p 4 4 QuiRro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0373
Property Address:
54600 AVENIDA JUAREZ
APN:
774263005
Application Description:
CORRION / CHANGE OUT (1)145EER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$13,752.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE
201
MEMPHIS, TN 38120
LICENSED CONTRACTOR'S DECLARATION
1 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.,: 76507
Date. 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/17/2016
Owner:
CARRION
54600 AV EN I DA J UAREZ
LA QUINTA, CA 92253 0
c
a
o� C7 J�✓J
Contractor:
A R S AMERICAN RESIDENTIAL $E iRVICES OF
n- C3.4 A 3
965 RIDGE LAKE BLVD -SUITE 201a
MEMPHIS, TN381201Dj
(951)276-9744 z
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 tk 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: 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.
Date: L����.Applicant: � f -
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 —�(ro Signature (Applicant or Agent):
-
Application Number:
BMCH2016-0373
Property Address:
54600 AVENIDA JUAREZ
APN:
774263005
y Application Description:
CORRION / CHANGE OUT (1)14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$13,752.00
Owner:
CARRION
54600 AVENIDA JUAREZ
LA QUINTA, CA 92253
Date: 10/17/2016
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.- 14SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
Bin It
Permit ;;
Yv4'�Vl (�UU
1,0
Project Address E' 1
•le
Qty of La Qu' oto
Building a Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Applicatidn and Tracking Sheet
Owner's Name: a I/'9 ���y
A. P. Numbcr:
Address: s ' E 06 xwNiAll
Legal Description:
City, ST, Zip:�� G(� 69
Contractor:
ry
[
Tele hon -- (
! lingo=
Address: � 0 A VQX5 S �
Project Description:
City` ST, Zip:F, v.rzs1 411�_
ew 9a5z 3
Telephone://i b 1/ to 7-5
: >ff: > '" "t `' a`:; ,+:y •<:»; .;; ,.:<
State Lie. # : 76 56
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
e
Tlehne
P o .
Cos o Type:Occupancy:
to , .
S to Lic. # •ProJect
Repairai
tye • New Alter r Demo
0P cit le n
Name of Contact Person: ��V
/�CC
S Ft.:Stories:
# Units:
Telephone # of Contact Person:
ff �649
�Qt�(F�
Dstimated Value of Project: / <7
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING.
.PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21CS.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmi(ted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
-
SubcontactorLisl
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
M.O.A. Approval
flans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. AVJ s. Appr
Date of permit issue
School Fccs,
I
Total Ycrmit Fccs
tE-A'—'
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
CARRION I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-10-17
A. General Information
CF1R-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
CARRION
02
Date Prepared
2016-10-17
03
Project Location
54600 AVENIDA JUAREZ
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
07
Zip Code
92253
08
Dwelling Unit Conditioned
1513
Installing
Installing
Installing
Floor Area (ft2)
,Location of Area
Serve
by this -SC
(#2�)
}ducted"""'""
system? '"`
i containing
component?-
system
component
Number of space conditioning
entirely new
duct system?
09
Climate Zone
15
10
(SC) systems in this dwelling
1
unit.
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the SCS
�Installing�a a
a--�
SC System ,
SC Syst m .
CFA a ed/
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or 4
Name
,Location of Area
Serve
by this -SC
(#2�)
}ducted"""'""
system? '"`
i containing
component?-
system
component
more,than 40
Meet of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
*System
1513
(_
�
Ykes,,,,�Yes,�:,�
No
No
Altered space
System 1
1513
..
.;Yes
.1No
conditioning system
L%sl L LLIL%1I v r-zvvvv.u��va ■
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 316-A1035227A-000000000-0000
Registration Date/Time: 2016-10-17 08:02:12
HERS Provider: USERA
�A Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-17 08:02:20
U; Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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)1E 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
AFUE
,80
cooling
SEER
14
Setback
equal to 40
R-8
HP
components
AC
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: 5 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 & CF311-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/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 Duct Leakage Testing requirements.
Registration Number: 316-A1035227A-000000000-0000 Registration Date/Time: 2016-10-17 08:02:12 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-17 08:02:20
Schema Version: 0.555SDD
J
CERTIFICATE OF COMPLIANCE CFIR-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:
Jim McEligot
Signature Date:
Company:
RighTime Home Services
2016-10-17
Address:
CEA/ HERS Certification Identification (if applicable):
3030 Myers St
765074
City/State/Zip:
Phone:
Riverside CA 92503
951-276-9744
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 oir 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 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.
5. 1 will ensure that a registened,copy of this -Certificate -of Compliance -shall -be -macre available-with,the�building permit(s),issued-,for the building, and made available to the enforcement agency for all applicable
inspections. l understand that a-registered.copy-of this certificate.of Complianceis required4obe-indudedwith the documentation the builder provides to the building owner at occupancy.
-
Responsible Designer Name:
w
�;
ReponsibleDesigner9.gnature: �,C/ V/�-lY>^
�M
Jim McEligot
� -w�,,•
I [ MCELIGOT Oct 17 2016
Company :�,�� �,,�
"� "
Daie signed-/ '
2016=.0-17
RighTime Home SeryiCes
Address: "
3030 Myers St U.S.:Energy Ra
License:
&s�,m4ssociation-
City/State/Zip:
Phone:
Riverside CA 92503
951-276-9744
TM
"This digital signature is provided in order to secure
the content of this registered document, and in no
way implies Registration Provider responsibility for
the accuracy of the information.'
U.S. Energy. Raters Association
Registration Number: 316-A1035227A-000000000-0000 Registration Date/Time: 2016-10-17 08:02:12 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-17 08:02:20
Schema Version: 0.555SDD