BMCH2015-025878-495 CALLE_TAMPICO
LA QUINTA, CALIFORNIA 92253
j
:;Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
BARNETT'S A/C
P 0 BOX 741
LA QUINTA, CA 92247
t44
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0258
79452 S SUNRISE RIDGE DR
604110005
DIXON / CHANGE OUT (1) 14SEER AIR HANDLER AND CONDENSOR
$5,600.00
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 DECLARAT ON
I hereby affirm under penalty of perjury that I am exempt rom 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)•:
( ) 1, 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:
Owner:
RUTH DIXON
S SUNRISE DR
LA QUINTA, 92253
VOICE (760) 7774125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
BARNETT'S A/C
P 0 BOX 741
LA QUINTA, CA 92247
(760)391-0350
Llc. No.: 936600
Date:
7/8/2015
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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.
_,e, I have and will maintain workers' compensation insurance, as required by
Sec ? 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 sho 1 becomesu jectto the
workers' compensation provisions of Section 3700 of.t Tabor Code shall forthwith
comply with those provisions.
Date: ���� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E 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 up n the above•
mentioned property for inspection purposes.
Date:" ' Signature (Applicant or Agent)'
FINANCIAL INFORMATION
:` *,: s'a. ACCOUNT ` r a r
x x QTY k, AMOUNT PAID PAID DATE:
.DESCRIPTION h.
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
z PAID..BY z* �'x $
� ? '. METHOD A-' � x ` RECEIPT #�I � �.. CHECK # *: CLTD BY:
�4
��
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
"yyr7� DESCRIPTION x aF '
;ACCOUNT Y `'QTY
"AMOtUNT
PAID
`PAID DATE
E- ..`.. X
uy..
F+A gid. -t
w
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26
$0.00
` PAID ^BY "
E
K METHODx
RECEIPT #
�` s CHECK #
CLTD BYf "
;.4
&, i
` DESCRIPTION 6.Wµ
ACCOUNT=Y
aQTY`
AMOUNTr�
PAID DATE
." T'f
4
T,r�PAID
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$0.00
BY xx
METHODS`
RECEIPT #
CH ECK #
CLTD BYa
;PAID
,%xg¢� ,
¥4u r,;
' DESCRIPTION
T
QTYq
; 'AMOUNT `
�� PAID
PAID:DATE`
H{'
HVAC CHANGEOUT -REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
FPAID BYE a;t
a METHOD r `' ?
3 " u „RECEIPT
CHECK # +
CLTD BYr
�s
DESCRIPTION,
ACCOUNT `
'QTY
„ AMOUNT M.e =
a.. PAID hFi s
;PAID DATE;:
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42600
0
$4.83
$0.00
PC
PAID*BYE
`
CHECK # �`
CLTD BY,;
t
:.
}
Total Paid forCHANGEOUT: $77.35 $0.00
'sbDES CRIRTION s f ` �
ACCOUNT °$
QTY
- AMOUNT
PAID'DATE.
t
,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
,f `
PAID
-
.:3
METHOD. -.,*,,.s ��,`
RECEIPT # `g
CHECK #`
CLTD BY
s. ._ _ m -.-- ._.•,-4.. ate, .. � s.,,.
..a w�h�. ,
��: :cr,.
-1i
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
1
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1
Description: DIXON /CHANGE OUT (1) 14§EER AIR HANDLER AND CO.NDENSOR'
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/8/2015 SKH
Approved:
Parcel No: 604110005 Site Address: 79452 S SUNRISE RIDGE DR LA QUINTACA 92253'
Subdivision: TR 19903 Block: Lot: 33
issued:
17,1`7 NAM E
Valuation' $5,600.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT 14SEER CONDENSOR AND COMPRESSOR SPLIT SYSTEM 12013 ENERGY) CARBON MONOXIDE A.LARM(S� TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING -CODES.
-
17,1`7 NAM E
ATE
PHONE',
APPLICANT
BARNETT'S A/C
P 0 BOX 741
LA QUINTA.
CA
92247
CONTRACTOR
BARNETT'S A/C'
P 0 BOX 741
LA QUINTA
CA
92247
OWNER
RUTH DIXON
S �UNRISE DR
LA QUINTA
.92253
-
S
.............
DESCRIPTION
ACCOUNT,
0 L
;:.'PAID
TE
DATE
'�CHECKI
,
.ry
0,
:J" "M
q,
Iw
NN
B
HVAC CHANGEOUT
101-0000-42402
0
$36.26.
$0.00
CONDENSER ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
CONDENSER ONLY PC
HVAC CHANGEOUT -
-101-0000-42402
0
$12.09
$0.00-
-
REPAIR/ALTERATION
HVAC CHANGEOLIT-
101-0000-42600
0
$4.83
s6.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOLIT: $77.35 $0.00
PERMIT ISSUANCE
101-0000-42404
0-
$91.8S
0
'$0- 0
Total Paid for PERMIT ISSUANCE: $911.85 $0.00
TOTALS: ..... ... ..
. . ......... . ..........
.. . ......... . ....
S TYPE'.' INSPECTOR ;SCHED,ULED ; =COMPLETED g: RESULT..: REMARKS NOTES _
{
MECHANICAL FINAL" BLD
CERTIFICATE.OF COMPLIANCE- CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page 1 of 3
Project Name: dixon Date Prepared: 2015-07-08
A. General Information
CFMALT-02 is applicable to.multiple space conditioning systems contained within a single.dwelling unit. When multiple dwelling units must be
documented, use one CF111-ALT-02 document for each dwelling unit.
01,
Project Name
dixon
02
Date Prepared
2015-07-08
03
Project Location
79452 s sunrise ridge
04.
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
dixon
a
07
Zip Code
92253.
08
Dwelling Unit Conditioned
1200
Floor Area (ft2)
SC System
SC System
CFA served
sl� stem a
Efr igdra�nt 4
Number of space conditioning
Urista
,tai
09.
Climate Zone
15 r10
Identification or
(SC) systems in this dwelling
1
ducted
. .
containing
6
system
more than 40
unit.
entirely new
B.'Space Conditioning (SC) System 1riformation.4,
PAW
0i
02
A� do'
04
t
&qq %,
0 6pf
0. #i
t 09
10
w
-is the
Installing a
SC System
SC System
CFA served
sl� stem a
Efr igdra�nt 4
'Anstallifi&n ew-
J, Of
Urista
,tai
risiallin
, g.
Installing
�R
Identification or
Location or Area
by this SC
ducted
. .
containing
6
system
more than 40
entirely. new
entirely new
Name
Served
System (ft2)
system?
components?
feet of ducts?
duct system?
SC system?
'Alteration Type
System 1
Location 1
120.
Yes--[
Yes
No
No
No
Altered space
.0
.-No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b) 1 Diib)
This section does not apply to this project.
Registration Number: 215-A0186909A-600000000-0000
CA Building Energy Efficiency Stariclards - 2013 Residential Compliance
Registration .Date/Ti me: 2015-07-0 - 8 15:54:14
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-08 15:54:33
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)lE 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
No heating
This field or
This field or
Central split
All new
Less than or
System 1
HP
component
section is not
section is not
HP
cooling
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
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 & CF311-MCH-20-11 — 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 510% leakage to outside, or seal all accessible leaks.
CF211-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant con_ taining components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 3D0 CFM/ton required when MCH725 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are'ex mpt fro'm�20 Duct Leakage,Testing req�uir�ements.
-Heating-only systems and Air Handler/Furnace changes do not squire verificat on of Air FIMMCj"23 dor Refrigera,r�t Charge MECH-252
�
Existing duct
nr
systems constructed, insulated or sealed with`asbestossaare exempt from MS�QQ�D u 'Leakage Testin requirements.
;;��: `+tea. •-•--. --° __ _. --.�_ .-,....-.� ....- .-,- ,.� � � ... .... -.s.r �.
E., Entirely New or Complete Replacement Duct System, with or withoutif gt4ment Changeout (� Se tions 150.2(b)1Diia�and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150Z(b)lC)
This section does not apply to this project.
Registration Number: 215-A0186909A-000000000-0000
Registration Date/Time: 2015-07-08 15:54:14
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-08 15:54:33
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:
Barnett, Scott
Company:
Signature Date:
BARNETT'S A/C
2015-07-08 15:54:14
Address:
CEA/ HERS Certification Identification (if applicable):
51390 AVENIDA NAVA RRO
City/State/Zip:
Phone:
LA QUINTA CA 92253
(760) 391-0350
Responsible Person's Declaration statements
I certify the following under penalty of perjury, under thwl'&s.'of the State of California:
S3' IA.
1. The information provided on_this.Certificate of Compliance is true and correct.
H3��i tea!-y:j't. _riV(�;S'iReii4FUW^^v,....
2. 1 am eligible under Division 3 of t 6'Qiness and Professions Code toaccept responsibility for the building design or system:design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, mateiiils;eornponents, and manufactured devices for the buildingdesign or system design identified on this Certificate of Compliance conform to the
of the Califfomia'Code of Rulatwns..
requirements of Title 24, Part 1 and Part eg
Vii'
d qac w- part
4. The building design features design featutes identified on1his Certificate,of Compliance are consistent with the iriformatibn,provided on otherfapplicable`coinpliance documents, worksheets,
or system
,tet* 4.:-�''�.! ySN .rnFt3ti7 -" +_ ... .iAi rYit
calculations, plans and specifications submitted to the enforcement.agency for. -approval -with this building permit application.
1
AS 1 i +e► w ^ra ,+ i � •
5. I will ensure that a registered copy of this Certificate�of shall be)made,avail.able wit gthe build�n,'g permit(s),lssued for�fhe b.uild�i�ng, andEmade available to'th4enforcement agency for all applicable
mpliance
inspections. I understand that a registered copy of this 4:01s ifcate of Co# plAance its requited to be,included:with the docume�ntbtion the builder Pry ovi_ des to the building owner at occupancy.
Responsible Designer Name: F-3 -0
Respons b Designer S gmature: V I mil
Barnett, Scott
Company :
Date Signed:
BARNETT'S A/C
2015-07-08 15:54:14
Address:
License: .
51390 AVENIDA NAVARRO -
936600
City/State/Zip:
Phone:
LA QUINTA CA 92253
(760) 391-0350
Digitally signed by CaICERTS. 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.
ZC
t
Registration;Number: 215-A0186909A-000000000-0000 Registration Date/Time: 2015-07-08 15:54:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07.08, 15:54:33
Schema Version: 0.555SDD
Bin #
'
City of b • Quinta
Building & Safety Division
P.O. Box 1504,78-495'Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: r
A. P. Number:
Address: G S426
Legal Description:
City, ST, Zip:, -
Contractor: At?�i` 1 C C
telephone:
Address: Adx
Project Description:
City, ST, Zip: G��J
Telephone:
O
.............................................
State Lic. # City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
�>
Construction n TY e• Occupancy:
P :
.State Lic. #• .
Pr J ect hPe (circle one • New Add'n iter Repairair De mo
Name of Contact Person: AZ4Sq.
Ft.:/,)W.
Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: �5_d66
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets.
Plan Check submitted
Item
Amount
Structural Calcs.
�
Reviewed, ready for corrections
Plan Check Deposit
r
Truss Calcs.
Called Contact Person
Plan Check Balan ce
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan .
2pd 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