BMCH2016-0255r
F -
78-495 CALLE TAMPICO ,
LA QUINTA; CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0255
Property Address: 54007 SOUTHERN HILLS
APN: 775101033
Application Description: DOONEY RESIDENCE / HVAC
Property Zoning:
Application Valuation: $5,678.00
Applicant: -
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
VOICE (760) 7.77-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/12/2016
Owner:
DOONEY
54007 SOUTHERN HILLS
LA QUINTA, CA 92253
I C�
Oq
Contractor: 4
A R S AMERICAN REStIDEN VIAL SERVICEt
965 RIDGE LAKE BLVD SUITE -201J
MEMPHIS, TN 381204_--�
C
0
(951)276-9744
Llc. No.: 765074
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C36, CSO, C20 License No.: 765074 '
of the wo for which this permit is issued.
�P
I have and will maintain workers' compensation insurance, as required by
Date: G( `h Contractor:I
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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is,issued, I
License Law for the following reason (Sec. 7631.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct; alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers'. compensation provisions of Section 3700'of the Labor Co e, I shall forthwith
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
comply with those pro vis. s.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: 1 (�% Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COM NSATION COVERAGE 15 UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF '
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT .
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this.city o enter upon the
the performance of the work for which.this permit is issued (Sec. 3097, Civ. C.).
above-mentioned property for inspection purposes.
Lender's Name: t
Date:
Signature (Applicant or.Agent):
Lender's Address:
0
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'-BSAS-SB1473TEE'',
:101.0000-20306.
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.I�P BY �LWK
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R CEIPT
DECK M.
CLTD BY '
Total Paid for BUILDING; STANDARDS ADMINISTRATIgN BSA: $1 OU
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$0.00
u _ #��DESCRIP�TION Q
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PAxID :,AID
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z'Total'Pai,d for,CHANGEOUT: '$60 43�
$000
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'WIODESCRIPTION
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A(NOUNT�
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PERMITiSSUANCE '
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RECEIPT # "'
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Total Paid for.°PERMIT ISSUANCE ' $91''85• _
$0:00
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Description: DOONEY RESIDENCE / HVAC
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/12/2016 MFA
Approved: .
Parcel No: 775101033 Site Address: 54007 SOUTHERN HILLS LA QUINTA,CA 92253'
Subdivision: TR 22432-3 Block: Lot: 6
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,678.00 ' Occupancy Type: Construction Type: '"
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -CON DENSOR OF 14SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
-INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
,. ;.
FINANCIAL INFORMATION `
-,. -, ;rc
Printed: Tuesday, July 12, 2016 2:50:40 PM 1 of 2
SYSTEMS
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ACHINIIIENTS
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DESCRIPTION:
<4 NT-
PA16-
PAID
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$36.26
$0.00
CONDENSER ONLY
HVAC CHANGE6UT-
101-0000-42600
0-
$24.17
$0.00
CONDENSER ONLY PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE—
--�0000-42404
101
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1
$9 -EIS
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
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Printed: Tuesday, J . uly 12, 2016 2:50:40 PM 2 of 2 c0?WyS7rmS
CERTIFICATE OF COMPLIANCE, CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page,1 of 3 )
Project Name = - a _ _ DOONEY Date Prepared: 2016-0711
A. General Information .
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
-use one CFI11-ALT-02 document for each dwelling unit. .. - • - - �-•
01
Project Name . _
DOONEY _ . , ,�
02..
Date Prepared, - , r
2016-07-11
03=?
Project Location - -
54007 SOUTHERN HILLS=
04-
Building Type - - =
Single family
05
CA City '.
La Quinta�
06
Dwelling Unit Name
HOME
SC System
+'SC System I
Dwelling Unit Conditioned
system a
07
Zip Code
92253
U8
Floor Area (ft2) _ _ _
3450
"
Identification or
'
YNumber
it ...:.
by this SCS
of space conditioning
;K
containing
09
Climate Zone
15
10
(SC) systems in this dwelling -
1
Served -'
Syf —stem (ft2)
system?
unit.
components?;
.B. Space Conditioning (SC) System Information _
02
- 03'
04
'' 05
06
07
,08
09
10
�,j``*
r Is the°SC
Installing a
wIAInstalling
- -
SC System
+'SC System I
PCFA served,
system a
refrigerant
a,..
Installing new SC
Installing
Installing
-
"
Identification or
i t
location or Area .
it ...:.
by this SCS
. r, .....
ducted
;K
containing
system
morethan 40
entirely ne w
entire) new
y
Name
Served -'
Syf —stem (ft2)
system?
"'component?-
components?;
{feet of.qducts?
duct system?
SC system?,
Alteration,Type .
System 1
3450
3450
rt
Yes,;,
Yes,
;' '
Noy •
No
No +
Altered space
„,,Yes
�,
-
conditioning system
� YJ.V. {..CLGt 1'La��+r .7 ;t••a.�.�va+�u[av� � C. Extension of Existing Duct System, Greater Than 40 Feet (Section B0.2(b)1Diib)
- • - + This section does not applyto this project. * _
Registration Number: 316-A1028771A-000000000-0000� Registration Date%Time: 2016-07-11 09:31:05""' ''. 'HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-11 09:31:10
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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 gas
No heating
Central split
All new
Less than or
System 1
furnace
component
AFUE
.80
AC
cooling
SEER
14
Setback
equal to 40
R-8
altered
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%, ors 10% leakage to outside, or seal all accessible leaks.
CF211-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Dud 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 Dud Leakage Testing requirements.
Registration Number: 316-A1028773A-000000000-0000 Registration Date/Time: 2016-07-11 09:31:05 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version:.2013 Rev 1.007 Report Generated: 2016-07-11 09:31:10
Schema Version: 0.555SDD
. Documentation Author,'s Declaration Statement -
tatement1.1
1. 1certify that this Certificate of Compliance documentation is accurate and complete..
Documentation Author Name: '•.
Documentation Author Signature:
Jim McEligot r
i
Signature Date:. -LI • Y
Company:
RighTime Home Services
2016-07-11 '
Address:
CEA/ HERS Certification Identification if applicable):
3030 Myers St -
765074 t
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.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.
"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. "
S. I will ensure•that a registered -copy of this,Certificate of Complianceshall be,,mad'e available witMhe=building permit(s)issued-for the building, and made available to the enforcement agency for all applicable
inspections:1. understand that a registered:copy-oftthis� Certificatesof,Compliance�is required to,be;indu�dedlwith the d ocumentation the builder provides to the building owner at occupancy. .
a:�
Responsible Designer Name:
w ►'
f
jResponsible Designer Signature:
/N
Jim McEligot ;
.:.: ,- ..-=Y•`
z _' -L Ar
Com an 1 7
Date Signed
2016`07
RighTime Home Servevice`s}3f _
Address: . , -.
�.. U.S.'Energy Ra
License ;• +
1�5��4�4ssoclatvon
3030 M ers`St ,
y
City/State/Zip:. 4
Phone: ,
Riverside CA 92503 -
951-276-9744 r -
e eThis,digital signature is provided in orderto secure -
the•content of Utis registered document, and in no
way:implies Registration Provider i'esponsibitity for
�S the'accuracy of the information.
:U.S. Energy.RatefsAssoclatlon
Registration Number:316-A1028771A-000000000-0000 Registration.Date/Time: 2016-07-11 09:31:05 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-11 09:31:10
•Schema Version: 0.555SDD
Bin # Clay of La Quin to
Building 8t Safety Division
Permit # 78' 495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
� w Building Permit Application and Tracking Sheet
Project Address: SOUf�N I �'� Owner's Name: 'X O N
A. P. Number:
Address: 15400 wv�1-liF-fLN
Legal Description:
City, ST, Zip: �A tLi Ca
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Contractor. \
P
Telephone: b(o
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Address:. _Vy- I�� 5�
Project Description: S) ri (N.0 Q
City, ST, Zip:
Telephone•( 00
State Lic. # : 1
City Lie. #•:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
n tr ti
Co s uc on Type: O ccu anc
YP Y:
P
State Lic.
(circle one • weAn Alter
0dd'
Project type Repair Demo.
Name of Contact Person:' l 1L
_Y1FX_VWJ
Sq. Ft.:
# stories
F# Units:
Telephone # of Contact Person: L
Uk
Estimated Value of Proiee& S L1 g
APPLICANT: DO NOT WRITE BELOW-THIS LINE
f!
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed; ready for. corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for-corrections/issue
Electrical
Subcoritactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I{.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
`' Reyiew, ready for corrections/issue
Developer'Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
t
School Fees,
Total Permit Fees