BMCH2014-111078-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
T4&t 4 lwQ"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O14-1110
Property Address:
60573 WHITE SAGE DR
APN:
764330028
Application Description:
REPLACE 4 TON 13 SEER A/C UNIT
Property Zoning:
Application Valuation:
$4,251.00
Applicant:
RIGHTIME AIR CONDITIONING AND
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
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: _ License No.: :LIC -6105373
Date: 16 — 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/14/2014
Owner:
COMPTON DICK
60573 WHITE SAGE
LA QUINTA, CA 42253
Contractor:
RIGHTIME AIR CDNDITIONING AND
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(951)276-9740
Llc. No.: :LIC -0105373
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one o, 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 --arrier 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 should become subject to the
workers' compensation provisions of Section =700 of the Labor Code, I shall forthwith
comply with those provisions.
Date 10—(�—�� 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). N ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F03 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 appli:ation 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 if La Quinta, its officers, agents, and
employees for any act or omission related to Lne 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 representEtives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: %0-%qA Signature (Applicant
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
CITY 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
CITY
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
CITY
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
CITY
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
• ••
Description: REPLACE 4 TON 13 SEER A/C UNIT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 10/14/2014 PJU
Approved:
Parcel No: 764330028 Site Address: 60573 WHITE SAGE DR LA QUINTA,CA 92253
Subdivision: TR 30023-1 Block: Lot: 72
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,251.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE FOUR TON 13 SEER A/C UNIT .2013 MECHANICAL CODE2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES DESCRIPTION
ADDITIONAL SITES
CHRONOLOGY
DESCRIPTION I ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CLLYD
BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Tuesday, October 14, 2014 12:14:49 PM 1 of 2 CRW"".,
Permit Detal�5 PERMIT N.U.MBER
City of La Quinta BMCH2O14-1114
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
0
Printed: Tuesday, October 14, 2014 12:14:49 PM 2 of 2 �`�LJI� LlU cycTFuc
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
VDM O ma
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
0
Printed: Tuesday, October 14, 2014 12:14:49 PM 2 of 2 �`�LJI� LlU cycTFuc
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
MECHANICAL FINAL"
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
0
Printed: Tuesday, October 14, 2014 12:14:49 PM 2 of 2 �`�LJI� LlU cycTFuc
Bin, #
City, of, La Quinta
Building 8i Safety Division
P.O. Box 1504,'78.495 Calle Tampico
la..Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Perinit #
Project Address: OCj
Owner's Name:
A. P. Number.
Address: SCJ 4
Legal Description:
City, ST, Zip: may` S23
Contractor:
Telephone: b "5(q — 40N,�'
W
• .Jl. t` :Y.
Address: U
Project Description:
City, ST, Zip: Q
-
Telephon —1
1'`p `>
j S 1- C 5 K.
�/X 1� 1
I C ' ur ` c
State Lic. I/: J[j <Cj zj—�j
City Lie. i.; i OE;
Arch., Engr., Designer: N
Address:
City, ST, Zip:
Telephone:
State Lic.
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add' a Alter Repair Demo
Sq. Ft.:
#Stories: 11 Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'dReed
TRACKING
PERMITTEES
Plau Sets
Piau Check submitted
Iteut Amount
Structural Cala.
Reviewed, ready for corrections
Plan Cl+ccg Deposit. .
Truss Cala.
Caned Contact Person
Pian Check Balance
Title 24 Cates.
Plans pickid up
Construenbn
Floud plain plan
Plans resubmitted. ,
Mecltari[cxi
Grading plan
2'4 Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Phrus picked up
5.111.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval.
Called Contact Person
A,LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
s��Z
CERTIFICATE OF COMPLIANCE I CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) I (Page 1 of 4 )
Project Name: Compton Date Prepared: 1 2014-10-07
A. General Information .1 .I
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 MR -ALT -02 document for each dwelling unit.! ' I �
v
01
Project Name:
Compton
02
Date Prepared:
2014-10-07
03
Project Location:
60573 White Sage Dr
04
Building Type:
Single family
05
CA City:
La Quinta !
06
Dwelling Unit Name:
Nome '
07
Zip Code:
92253
08
1
Dwelling Unit Conditioned
Floor Area (ft2):
1939 j
t
?
`
Is thealtered
Number of space conditioning
condensing unit
morean 40 and TS more
09
Climate Zone:
15
1�
(SC) systems being altered in
1 s
^or
NA
coming/heng
linearet of than 7596 of
and ducts new
I
I
this dwelling unit.:
system a i
UWa.E
refrigerant
nagy:-0—l'1814469
B. Space Conditioning (SC) System information E..
01
02
03
04
0506
07 `O8
' 09
i
f
F[Installing new
4 co'omm►ponents?
Is the entire
duct system
(padtag d unit, or
*r a
..� accessible
Installing for sealing,
%Are all of the
system's
?
`
Is thealtered
AlteriFtg�or'
condensing unit
morean 40 and TS more
,icomponents
>f
ledstali
oc Install,
(iti
^or
NA
coming/heng
linearet of than 7596 of
and ducts new
SC System
Identification or
ystem
Location or Area
sery
by this SC
system a i
UWa.E
refrigerant
nagy:-0—l'1814469
coil, or
new or the duct
�;j(+ nt system new
or replaced?
'(entirely new
Name
Served
System (ft2)
system?
component?
} etc)
ducts? or replaced?
system)
Alteration Type
System 1
I
1939 I
Yes
Yes
Yes
No No
1
No
Altered space
conditioning system
..
-1939
1
C. Extension of Existing Duct System, Greater Than 40 Feet (Sect1on150.2(b)1Diib)
This section does not apply to this project. } '
I
i
Registration Number. 314-A10020SIA-000000000.0000 Registration Date/Time: 2014-10-07 15:10:53 HERS Provider: USERA
] 1
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 +Report Generated: 2014-10.07 15:13:05
CERTIFICATE OF COMPLIANCE I j CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 }
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
0S
j 04
07
02
04
In
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
I Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
No heating
i
All new
Less than or
System 1
Central gas
component
AFLIE
0,78
CentACl split
cooling
SEER
13
Setback
equal to 40
R-8
furnace
altered
components
feet
fleput{raef Qecr�roe+-n_Ltfaat:i
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Dud insulation requirem!nt for new plenums: R6. I
CF2R-MCH-20-H & CF3R- CH -20-H— Dud Leakage testing required when heating or cooling components are,inst lied in ducted systems, or when more than 40 tt or duct length is replaced.
-Leakage rate compliance s 15%. or 510%leakage to outside, or seal all accessible leaks. !
CF2R-MCH-25-H & CF3R- CH -25-H Refrigerant Charge Verification required when refrigerant containing compone nts are Installed or altered (applicable in Q 2, g -15j.
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow 2 300 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 nequlrements.
-Heating-only systems and Air Handler/Fumace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct leakage Testing requirements.
E. Entirely New6Complet 'Rept ent Du System, with or without Equipment Changeout (Sections 1S0.2(b)iDiia and 150.2(b)lE, F)
—_`'�� _ .i
i TliiS section does not app to chi :project
U.S. Energy Raters Association
I
Registration Number: 314-A1002051A-000000000.0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
I
Registration Date/Time: 2014-10-07 15:10:53
t
Report Version: 2014.03-31
I
i
HERS Provider. LISERA
Report Generated: 2014-10.07 15:13:05
{i �
CERTIFICATE OF COMPLIANCE I ; CFSR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) I {Page 3 of 4
4
i
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does no, apply to this project.
_ f
U.S. Ener(
Registration Number: 314-A10020SIA-000008000-0000
CA Building Enerjg EHidency Standards - 2013 Residential Compliance
i
i
9
y Raters Association
Registration Date/rime: 2014-10-07 15:1053
I
Report Version: 2014.03.31
1
I
t�
1
i
1
HERS Provider. USERA
} Report Generated: 2014.10-07 15:13:05
CERTIFICATE OF COMPLIANCE I CFiR-ALT 02•E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC( t (Page 4 of 4 j
+
Documentation Author's Declaration Statement +
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Jim McEligot )
Signature Date:
Company.
RighTime Home Services I
2014-10-07
Address: '
CEA/ HERS Certification Identification (if applicable):
3030 Myers St {
878533
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. i
2. 1 unser Division 3 of the Business and Professions Code to accept responsibillty for the building design or system design Identified on this Certificate of Compliance (responsible designer).
am eligible
devices for the building design or system design identified on this Certificate of Compliance conform to the
3. That the energy features and performance specifications, materials, components, and manufactured
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. i li
4. The building design features or system design features identified an 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.
5. 1 will ensUny of t Is Cerpfka t CompRanc a shall be mad! available with the building permitis) issued for the building, and made available to the enforcement agency for all applicable
Inspecti regis�`ropy of fj�ih ertiflate of Com`pllanc Is re' r 0 to' be QtLded,with the dowmentatlon the builder provides to the building owner at occupancy.
Responsible Designe' �----y i RespoMible Designe S+gnCature:aG T
Jim McEI lgot_ �I.s laoor led v. t.►
Company:
{ Data Signed
Home
201M10 07,
201 7RighTime
Address: U.S. Energy Ra UCeOSQ�3Assoeiation
3030 Myers St
City/State/Zip: ` Phone:
Riverside CA 92503 951-276.9744
Tlu
'This digital signature is pmvided in order to secure .
the content of this registered document. and hi fro
way implies Registration Provider iesponft sib for
l
U.S. Gr&%y Raters AssOelatlon
the accuracy of the intonnadon.'
i r
Registration Number: 314-A2002051A4)00000000.0000 Registration Date/Time: 2014-10-07 15:10:53 HERS Provider. USERA
CA Building Energy EMdency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-07 15:13:05
i