BMCH2015-014978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY D
Bui
Application Number: BMCH2O15-0149
Property Address: 47775 DANCING BUTTERFLY
APN: 600420070
Application Description: CINOTTA / REPLACE (1) 13SEER CONDENSOR
Property Zoning:
Application Valuation: $5,979.00
T-itit 4 4v Q"
Applicant:
A R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
EVELOPMENT DEPARTMENT
WING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C36, CSO, C20 License No.: 765074
Date: �— "�S 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. BAP.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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/30/201
Owner:
LC
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ALBA CINCOTTA
Idi
47775 DANCING BUTTERFLY
o
LA QUINTA, 92253
o
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Contractor:
Q
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A R S AMERICAN RESIDENTIAL
SER
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
(951)276-9744
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 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:
Carri Policy Number: _
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: "—'�7 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 peimit 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'�ai -lam Signature (Applicant or Agent)
'i ,-" � cfninnirsm tnirnonnwrinm
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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
'HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $60.43 $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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
Description: CINOTTA / REPLACE (1) 13SEER CONDENSOR
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/30/2015 SKH
Approved:
Parcel No: 600420070 Site Address: 47775 DANCING BUTTERFLY LA QUINTA,CA 92253
Subdivision: TR 31311 Block: Lot: 97
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,979.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16SEER CONDENSOR [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
A R S AMERICAN RESIDENTIAL SER
965 RIDGE LAKE BLVD
SUITE 201
MEMPHIS
TN
38120
(
Printed: Thursday, April 30, 2015 7:57:50 AM 1 of 2 Cps"
=7
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
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
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
ULM
Printed: Thursday, April 30, 2015 7:57:50 AM 2 of 2
COV LJ SYS iEMS
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: CINCOTTA Date Prepared: 2015-04-28
A. General Information
CFI11-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFIR-ALT-02 document for each dwelling unit.
01
Project Name
CINCOTTA
02
Date Prepared
2015-04-28
03
Project location
47775 DANCING BUTTERFLY
04
BuildingType
Single Family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
07
Zip Code
:92253
0s
Dwelling Unit Conditioned -
1348
Name !
Se S
Floor Area (ft2)
.components?:
fe�of�ducts?
duct system?
SC system?
Alteration Type
Number of space conditioning
09
Climate Zone
15
10
(SC) systems In this dwelling
1
System 2
{system?"
.L.;Yes .
unit.
`Yes,+._
B. Space Conditioning (SC) System Information
01
0z 03
04
05
06
07
08
09
10
SC System
SC Sy 'jOFA serve
th. _
ts'tieeSC
system a
Nista lige
i r_ '
refrigerant
^* v
"z 1
Installing new SC
Installing
�-
Installing
Installing
Identification o
motion ea
, Il i�i'
td"uttedr"
t
containln -r
g
`
.. �, system f
f
mora than 40
entirely new
entirety new
Name !
Se S
co{{mpoata
.components?:
fe�of�ducts?
duct system?
SC system?
Alteration Type
System 2
{system?"
.L.;Yes .
{»t?�
i Ycs. 1,
`Yes,+._
Na
No
Altered space
conditioning system
�• F tui ♦7%7v Vi l
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Numbtr: 315-A1006550A-000000000-0000 Registration batejr"ime: 201S-04-28 15;34:26 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03.31 Report Generated: 201S•04-28 15:34:58
Schema Version: 0.55501)
CERTIFICATE OF COMPLIANCE MR -ALT -02-E
Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page 2 of 3 )
0. Altered Space Conditioning System (Sections iS0.2(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
.78
AC
cooling
SEER
13
setback
equal to 40
R-8
altered
components
feet
Renuir cementation:
MR -MCH -034 - Space ConditionAg Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MRWCH•20-H — Duct leakage testing required when heating or cooling components are installed in ducted systems, of when more than 40 ft of duct length is replaced.
-leakage rate compliance: S 15%, or s 10% leakage to outsde, or seal all access.ble leaks.
CF2R•MCH-25-H & MR -MCH -25-H Refrigerant Charge Verification required when refrigerant conta:ntng components are installed or altered (applicable in C2 Z 8.15).
CF2RCF3R-MCH-23 & CF3R-MCN-23 Air Fbw 2300 CFM/ton required when MCH -25 is required.
Eis<eotions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct leakage Testing requirements.
,Heating -only systems and Air Handier/Furnace changes do not require verification of Air Flow MCH -23. or Refrigerant Charge MECH-25.
I.Existing duct systems constructed, insulated of sealed with asbestos are exempt from MCH -20 Duo Leakage Testing requirements.
) E. Entirely
with
to
1SD.2(b)iDiia and M.2(b)3E, F)
I F. Entirely New or Complete Replacement Space Co t�it�rnii�� R2(C�ociation i
Registration Number: 315-A3006550A-OOODODOOG-OM
This section does not apply to this project.
Registration Date/Time: 2015-04-28 15:34:26
HERS Provider: USE RA
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03.31 Report Generated: 2015-04.28 15:34;58
Schema Version: 0.55550D
CERTIFICATE OF COMPLIANCE CFIR-ALT 02•E
Alterations to. Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentatlon Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Jim McEligot
Documentation Author Signature:
Companr
Signature Date:
RighTime Home Services
2015-04-28
Address:
CW HERS Certification Identification (if applicabie):
3030 Myers St
765074
C1ty/State/Zip:
Phone:
Rivetside CA 92503
951.276-9744
Responsible Person's Declaration statement
I certify the follaivtng under penalty ciperjury, under the taws 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 Wslness and Professions Code to accept responsibility for the building design or system des±gn identified on this Ceruticate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the buitdngdeslgn or system design identir{ed on this Certificate of Compliance conform to the
requirements otTitle.24, Pan 1 and Pan 6 of the California Code of Regulations.
4. The building design featurei or system design features identified on thls.Certificate of Compliance are consistent with the information provided on other applicable compWrice documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 wi11 errs t a regtstead e�opy oil ' te of Cor++pbenixfe avabJe Wing permit{s) for the bulldiny and made available to the enforcement agency for all applicable
' Understand t i� Con+pifarwe required to with the dowmentatlon the bitiidei to the building owner at
inspectiox regi s ertlt0 of a lobe provides occupancy.
ResponsibleDeslgrter. "" .
ResponsiWeDesigner5ijnattire:
Jim McEligot-
Company:
I
2015-04'28 F
RlghTime Home S4i.
=0
Address:
Myers St U.S. Energy Ra
4icenset
Association
3030
City/State/Zip:,
Ohonrl:
Riverside CA 92503
951-276=9744
-This digital signature is provided In order to secure
RA the cortfent of this mgWered document. and In no
may kr4"s Registration Provider raspons+tirtity for
tl.S Rates At3aodat3o» the ammcy of the iMormation,'
ErK?81►. _
Registration Number:315-A3006SSOA-000000000-0000 Registration Date/Time: 2015-0428 15:3416 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Verslon: 2014-03-31: Report Generated: 2025-04-28'15:34,58
Schema version:0.555SOD
Qty .'Of' La QUIhia
-Building ar Safety Divlsl6n
P.O. Box 1504,78.495 Calle Tampico
Li.Qutnta, CA 92255 -.(160) 777-7012
Building Permit Application and Tracking Sheet
permit #
Pmject.Addr=: 47775 Dancing
Bu MY
Owner'sNamF: Alba .Cinotta
A-P.Numla-. 500-420-G70
Addrcw: 47775 Dancing Butterfly. -
Legal Description.-
Contractor Rightime'Home Services
City, ST, Zip: La Qui6ta. 'CA 2225Z
Telephone:
Address: 3030 M'yers St
Pmject Dvuriptfon:
city. Lzip: Riverside,- CA 92503
Re lace 3Y2 ton A/C unit on side vard-
Telephone: Q,'jL-2Z6-9744
City Llc. #11, W4
State Lit #: 765074
Arch..
ArclL. Engr.. Dmdper- N/A
Address:
City, ST. Zip:
Teliphonc:
Construction Type:. Occupancy:
State Lia:
De 0
Projeettype (circle onc): New Add'n Alter Repair Demo
Name of Contact Person: Jane R'
Sq:Ft.: SqFt.: J
Stories:
Unitp..
Telephone4ofContact Pemon: 714-336-6159
Estimated Value of Project: $ 5,979.00
APPLICANT: DO NOT WHITE BELOW THIS LINE
N Submittal REV Rec'd
Plan Stu
TRACMG PERMIT FEES
Ma Check subtattttd Item Amount
Structural Colt&
Reviewed, ready for Cofirectloos Pl&uC)3cckDcp*3'it,
Truss C21ct.
Called Contact Person Platt Check Salantt,
Mile 24 Cates.
Plant picUtd up Con3tMetion
Flood. plain plan
Gisdiag plan
2" , Review, ready ior correctionsrissue Electrical
Subcontactor list
Called :Contact 'Person . Plumbing
Grant Deed
flans picked up SALL
ILOA. Approval
Plans rcsqbm1ttcd Grading
IN HOUSF...
Rcylew, ready for correctionsftut Developer Impact Fee
Pisnaing Approval,
Called Contact Person
Pub. %Yb. Appr
Date, of ptrialt (slue
School Few