BMCH2017-0207&tp
78-495 CALLE TAMPICO C 4'-cv
LA QUINTA, CALIFORNIA 92253:DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760).777-7011
INSPECTIONS (760) 7774153
Application Number: -
BMCH2O17-0207
Owner:
Property Address:
80772 SPANISH BAY
STAN.YARBRO
APN: r
775310015
121 PARK -PL
Application Description:
YARBO RESIDENCE / EVAP COIL CHANGE OUT
PISMO BEACH, CA 92253
Property Zoning:
Application Valuation:
$380.00
Applicant:
Contractor:
SCOTT BARNETT
BARNETT'S A/C
51390 AVENIDA NAVARRO
51390 AVENIDA NAVARRO
LA QUINTA, CA 92253
LA QUINTA, CA 92247
(760)391-0350'
Llc. No.: 936600
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 License No.: 936600
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 Name
Lender's
Date: 6/2/2017
. 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: EXEMPT 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 applicationbecomes 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):
'
Date: 6/2/2017
Application Number:
BMCH2O17-0207
Owner:
Property Address:
80772 SPANISH BAY
STAN YARBRO
APN:
775310015
121 PARK PL
Application Description:
YARBO RESIDENCE / EVAP COIL CHANGE OUT
PISMO BEACH, CA 92253
Property Zoning:
Application Valuation:
$380.00
Applicant:
Contractor:
SCOTT ,BARNETT
BARNETT'S A/C
51390 AVENIDA NAVARRO
51390 AVENIDA NAVARRO
LA QUINTA; CA 92253
LA QUINTA, CA 92247
(760)391-0350
----------------------------------------------
--------------
Llc. No.: 936600
-.-----------------
Detail:
----------------
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
HVACCHANGEOUT - OTHER EQUIPMENT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000742600.
0
$38.00
Total Paid for CHANGEOUT: $76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$3.21
Total Paid for Credit Card Fee: $3.21
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE •
.10120000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0 ,
$5.00
Total Paid for TECHNOLOGY'ENHANCEMENT FEE: $5.00
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
hertel I Date Prepared:
CF11R-ALT-02-E
(Page 1 of 3)
2017-06-01
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
hertel
02
Date Prepared
2017-06-01'
03
Project Location
80772 spanish bay
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
hertel
'
Dwelling Unit Conditioned
.Installin a
07
Zip Code
92253
08
Floor Area (ft2)
2000 .
SC System .
CFA served
I
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Number of Space
by this SC
09
Climate Zone
15""
10
Conditioning (SC) Systems in
1
Name
Served
System (ft2)
this Dwelling Unit:
component?
^1 .r .�+`A^"."" I F 1.4-1w,-- _— i..{ ....,.,.o- I !' .....k'i. -117-.% r--- e - el-- -w 8 F
B. Space Conditioning (SC) System Information i In.
... ).
01
02
•' 03 ;
04
�
05
. ;� �..,.6 ems ,
0
..# �107 1,..
t :;
"108
.m ,,9
0
10
,
SIF i
ski: Y
wm' :wMw'3 }s!emyy
aW1�+:.. f9 !A;
'
T1s the SC -1-1
.Installin a
1-1,
k.0 V ii
L.110 C
M.
SC System
SC System .
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area,
by this SC
ducted
containing
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
2000
Yes
Yes
No.
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: 217-A020185105A-000-000-0000000-0000 Registration Date/Time: 2017-06-01 16:54:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-01 16:55:03
Schema Version: rev 10/16
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)lE and F)
01
02
03
04
05
06
07
08
09
30
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 gas
No heating
This field or
This field or
Central split
Less than or
System 1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems y
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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 and CF3R-MCH-25-H Refrigerant Charge verificatioA required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >=.300 CFMper 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 ven ication of Air Flow MCH -23; or Refrigerant Charge MCH 25:
-Existing duct systems constructed, insulated or sealed with asbestos Aare exempt from MCH=20 Duct{Leakage Testing -requirements.
_w 1 l 111 Vt "1'V ,a
''� ; .: '� '"'�r'M• ' .,.X+x ...z+ .,..: i. ��,.®.:r r„r wya q.+ `*w:; '- cif ; ' �d . s;r. '.....A .."o
E. Entirely New or Complete Replacement Duct,System, with or without Equipment Changeout (Sections 150.2(b).1Diia.and 150.2(b)1E, F)
w This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 217-A020185105A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-01 16:54:47
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated 2017-06-01 16:55:03
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: LIL��l�?iIGGGf/
Barnett, Scott
J
Company:
Signature Date:
BARNETT'S A/C
2017-06-01 16:54:47
Address:
CEA/ HERS Certification Identification (if applicable):
51390 AVENIDA NAVARRO
City/State/Zip:
Phone:
LA QUINTA CA 92253 E
760-391-0350
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 Regulations.
I
y' re rte»
4. The building design features or system, design feati resd entified on this Certificate of Compliance are consistent with%the information -provided on othet,applicabiZTompliance documents, worksheets,
,app't ngp Y 4. oZ E
calculations, plans and specifications submitted totheenforcement agency for approval with this building permit application.
- • ( 't< a , I ;!:'a , i t '.� 8 ' lk . �; , ' yf i, ,. aw- ..:,o:
5. I will ensure that a registered copy of this Certificate of Compliance shall be,made available with the buildingpermit(s)„issued for, he building, and made availableto the enforcement agency for all applicable
g
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the,builder provides to the building owner at occupancy.
Responsible Designer Name: `F
Responsible De'sig'ner Slgnature: V !
�j� LGGV
Barnett, Scott
Company:
Date Signed:
BARNETT'S A/C
2017-06-01 16:54:47
Address:
License:
51390 AVENIDA NAVARRO
936600
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-391-0350
Easy to Verify
at CaICERTS.com
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider
Est
responsibility for the accuracy of the information.
Q
Registration Number: 217-A020185105A-000-000-0000000-0000
Registration Date/Time: 2017-06-01 16:54:47
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-06-01. 16:55:03
Schema Version: rev 10/16