BMCH2015-016978-495 CALLE'TAMPICO
LA QUINTA, CALIFORNIA 92253
T-i&r 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0169
Property Address:
78483 CALLE HUERTA
APN:
646182013
Application Description:
MONTGOMERY/CHANGE OUT (1) 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
78483 CALLE HUERTE
Application Valuation:
$10,000.00
Applicant:
z
FRIENDLUM INC DBA DIRECT
HOME
14252 CULVER DRIVE #A213
IRVINE, CA 92604
any structure, prior to its issuance, also requires the applicant for the permit to file a
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(714)559-4649
Llc. No.: 985723
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION•
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I 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,
Date:
5/14/2015
Owner:
License Class- B. C17, C20 License /No.: 723
f th rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
JAMES MONTGOMERY
Se ion 3700 of the Labor Code, for the performance of the work for which this permit
78483 CALLE HUERTE
OWNER -BUILD R DECLARATION
Carrier: Policy Number:
LA QUINTA, CA 92253
z
License Law for the following reason (Sec. 7031.5, Business and Professi ode: 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 Sec*OOoftheLabo ode, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.Contractor's
o O
P—►
of the Business and Professions Code) or that he or she is exempt therefrom and the
p (
bpi.
Contractor:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IWFUL,
FRIENDLUM INC DBA DIRECT HOMC4
o
14252 CULVER DRIVE #A213
;Cl!
compensation, will do the work, and the structure is not intended or offered for sale.
IRVINE, CA 92604
I �
- ,
(714)559-4649
Llc. No.: 985723
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION•
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I 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 a certificate of consent to self -insure for workers'
and my License is in full force and effect.
co pensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class- B. C17, C20 License /No.: 723
f th rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date:�`l iContractor: /
Se ion 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 -BUILD R DECLARATION
Carrier: Policy Number:
I hereby affirm under penalty of perjury that.I am exempt from the Contr o State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professi ode: 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 Sec*OOoftheLabo ode, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.Contractor's
State License Law (Chapter 9 (commencingwith Section7000) of Division 3
t
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: ! 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 WORKERSCOMPENSATION COVERAGE IWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S UP TO
( 11, 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
(1 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:
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 Address:
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 <
construction, and hereby authorize representatives of
mentioned property for inspection purposes.
D�'+, �� Signature (Applicant or Agen
r
FINANCIAL INFORMATION
DESCRIPTION- ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSAc • $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
- ACCOUNT
QTY
AMOUNT
PAID.
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY:
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: MONTGOMERY/CHANGE OUT (1) 14SEER/80AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 5/14/2015 SKH
Approved:
Parcel No: 646182013 Site Address: 78483 CALLE HUERTA LA QUINTA,CA 92253
Subdivision: TR 3448 Block: Lot: 35
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT-14SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
FRIENDLUM INC DBA DIRECT HOME
14252 CULVER DRIVE
#A213
IRVINE
CA
92604
(
CONTRACTOR
FRIENDLUM INC DBA DIRECT HOME
14252 CULVER DRIVE
#A213
IRVINE
CA
92604
(
OWNER
JAMES MONTGOMERY
78483 CALLE HUERTE
LA QUINTA
CA
92253
(
FINANCIAL INFORMATION
Printed: Thursday, May 14, 2015 12:58:07 PM 1 of 2 c
' SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #'.
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402.
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
BOND INFORMATION
Printed: Thursday, May 14, 2015 12:58:07 PM 2 of 2.
CN?WYSTIMS
"
INVOICE #
o
City of La QuintaINV-214
78-495 Calle Tampico
Date Due: 6/13/2015
��FdroFrs+�°�
La Quinta,CA 92253
FRIENDLUM INC DBA DIRECT HOME
14252 CULVER DRIVE #A213
Invoice Date: 5/14/2015
Record # Record Type
Fee Group Fee Description
Quantity Amount
LIC -762799 CONTRACTOR
A OR B, ANNUALLY
0 $100.00
SB -1186 STATE FEE
0 $1.00
$101:00
b
f
Please send your payment to this address:
Invoice Total: $101.00
Printed: Thursday, May 14, 2015 12:54 PM 1 of 1 0?
SYS TEM S
STATE OF CALIFORNIA
ALTERATIONS - HVAC
GEC-CFIR-ALT-04-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site dress:C
kg;
Enforcement Agency:
Date Prepared:
Permitil:
Equipment.Type
Equipment Efficiency •
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor'Area (sq ft)
❑ Packaged System
9r-fvaporator Coil
AFUE
COP
FR -6 (CZZ 8-13) Ducting
Served by system
Setback
�11
Split System
❑ Mini Split
ondensing Unit
CompressorSEER
❑ R-8' (CZ 11, 14, IS) Ducting
i cod sgft
not already
HSPFpresent
❑ R-6 (all CZ's) Plenums
must
13 Furnace
Lineset
11EER R-5 or R7.5) Lineset°
be installed)
TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment, -
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS;
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS"
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Dud leakage (<.15%, or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge:
Exempted from dud leakage testing if:
❑ 1. Dud system registered with HERS provider as previously sealed, or ❑ 2. There is -less than 40 linear feet of dud in unconditioned space, or
❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Duds'
CFIR-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow Z 350 CFM/ton (or alternative), Refrigerant Charge
[13. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts-' and one or more of the following CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts3 CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:S_15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-25/8", 2.5-3T-2'/<", 3.5 to 4T-2%", 5T-4'/"
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance Acuments, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building pe(mi applic do
Res onsible Designer Name:
R spd i sig r Signature:
Dai $]gned: '
UTsk,,7
�z
Company:
fl E. S.
A rens:
/ Y l 4 P�7
City/State/Zip:
1
For assistance or questions regarding the Energy Standards, contact the Energy Hotlini at: 1-800-772-3300
Bin #
City of La Quinta
Building st 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: '7g O N%L 14V612 -1 -IT—
Owner's Name: It'I
A. P. Number:
Address: 0 3 O1 u e— Iv V
Legal Description:
Contractor: D �P r�Tl �iL Y
G aN S
City, ST, Zip:
T ele n
ho
P
Address: C^ LA- PA -LMA �6-. ti P
Project Description: A
City, ST, Zip: fn cA y0j,
Telephone .!
one 6
P G
Iv L. cx�a�► crJ Er,
State Lic. # : � 23
City Lie#•:
��/,�, � ,
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
hone:
Con structi n Type:. e:. Occupancy:
Y P ane Y:
State Lic. #•
ProJe ct hPa (circle one):: New Add'n Alter Repairair Demo
Name of Contact Person: Kms) L+ G G
Sq. Ft.:
# Stories:
# Units: '
Telephone # of Contact Person: Qv –
Estimated Value of Project: 10 d ov
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.l.
H.O.A. Approval
Plans resubmitted ,
Grading
IN HOUSE:-
3a 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