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BMCH2014-1076Q�i VOICE (760) 777-7125 7.8-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/10/2014 I `Application Number: BMCH2O14-1076 Owner: 'L -Property Address: -- — :47595 VIA MONTIGO JAMES ADAMS APN: 643120029 47595 VIA MONTIGO Application Description: REPLACE (2) HVAC SPLIT S LA QUINTA, CA 92253 Property Zoning. D Application Valuation: $15,888.00 SEP 10 2014 Applicant: Contractor: VENVEST BALLARD INC DBA RIGHT `d CM OF LAOUINTA VENVEST BALLARD INC DBA RIGHTI 3030 MYERS STREET V COMMUNITYDEVELOPMEN"EPARTMENT 3030 MYERS STREET RIVERSIDE, CA 92503 �i, 31VERSIDE, CA 92503 951)276-9744 Llc. No.: 878533 LICENSED CONTRACTOR'S ECLARATION WOR,:ER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penal... 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. compensation, as provided for by Section•3700 of the Labor Code, for the performance License Class: C20 License No.: 878533 of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Date: — Contractor Section 3700 of the Labor Cede, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DtRAT Carrier: Policy Number: I hereby affirm under penalty of perjury that I m 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. 703nd 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 Code, 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the ate: �' `�� Applicant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant f a permit subjects the applicant to a civil penalty of not more than five hundred dollars . ( WARNING: FAILURE TO SECUitE WORKERS' COM ENSA N COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENAL S AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND D XLARS ($100,000). I ION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES FS 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'F_ES. 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 restriction=- 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 benefitwork 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 hdd 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 actor omission related to the work being performed under or the Contractors' State License Law.). following issuance of this pernit. (_) I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a res At of this application becomes null and void if work is not commenced within 180 dais from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. nim• n,.,..o� 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: I certify that I have read this ap;?lication and state that the above information is correct. I agree to comply with all city aid county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above men�t nned property for inspect5"urposes. aD ter `�, gnafure (Applicant or AgenA. qv,� Permit Number: BMCH2O14-1076 Description: REPLACE (2) HVAC SPLIT SYSTEMS Applied: 9/10/2014 Approved: Site Address: 47595 VIA MONTIGO Issued: Finaled: City, State Zip Code: LA QUINITA, CA 92253 Status: APPROVED Applicant: VENVEST BALLARD INC DBA RIGHTI Parent Permit: Owner: JAMES ADAMS Parent Project: Contractor: VENVEST BALLARD INC DBA RIGHTI Details: REPLACE (2) HVAC SYSEMS (2) 80,000 BTU FURNACES, (1) 4 TON A/C & COIL AND (1) 31/2 TON A/C & COIL ,r Bin # ty of La Quinta Building 8r Safety Division P.O.. Box 1504, 78-495 Cale Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #X10 w4 [Ae Project Address: �-A-••t c,a 0 b ynAl Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: n Contractor: � .� �� Telephone:' -�� '� ::>�-.y<•r Sea.<:x.: >: �Y Addres Project Description: (n� City, ST, Zip:C11Z. Telephone: c�G�J xu;:,, 3 : wjj,a<,;x��y�: 4 k2;lt;!ni State Lic. # : �,Cj-j-j City Lie. 411 r Arch., Engr., Designer: � � � O° I 1 . Address: -----+ City, ST, Zip: 'i:J'�t:�S:T:..'9'fi..22�� b:3t Tr4 r'}�•: Telephone: P State Lic. #: - z^�s}^�vss^': , r Name.of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'm Alter Repair Demo Sq. Ft.`#. stories: # Units: Telephone # of Contact Person: , - ',)-I(p _Ot -1 Estimated Value of Project: t APPLICANT: DO NOT WRITE BELOW THIS LINE k Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections PIan.Check Deposit. Truss Cairn. Called Contact Person. Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"° Review, ready for eorrectionslissue :31eetrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue i-eveloper Impact Fee Plan ningApproval Called Contact: Person A.I,P-P, ' Pub. Wks. Appr Date or permit issue School Fees Total Permit Fees A. General Information C12111 -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be 5t 01 Project Name: lames Adams 02 Date Prepared: 2014.09-05 03 A. General Information C12111 -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: lames Adams 02 Date Prepared: 2014.09-05 03 Project Location: 47595 Via Montigo 04 Building Type: Single family 05 CA City: La Quinta 06 Dwelling Unit Name: James Adams 07 Zip Code: 92253 08 Dwelling Unit Conditioned 2624 components? duct system Floor Area (ft2): Number of space conditioning 09 Climate Zone: 15 30 (SC) systems being altered in 2 + Installing this dwelling unit.: system's B. Space Conditioning (SC) System Information 01 02 i 03 , a i 04' 05"` ' : i' +O6 07 ,- 08 . 09 10 t ) Installin`g new Is -the entire components? duct system (packaged unit, or accessible Are all of the condensing unit, Installing for sealing, system's Is the altered Altering or or more than 40 and Is more components or Installed InstallhIg a 'cnnling/heating linear feel ur thatt`75%6 of and ducts new SC Sygtgm SC System CPA serve® system a refrigerant coil, or new or the duct ' or replaced? Identification or Location or Area by this SC ducted containing air -handling unit, replacement system new (entirely new Name . Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type System 1 Location 1 1400 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 . 1600 Yes - Yes Yes No . No No Altered space conditioning system J Registration Number: 214-A00138876A-000000000.0000 Registration DateNme: 2094-09-05 09:47:36 CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014.03-31 i . r f,. s HERS Provider: CaICERTS . ' t Report Generated: 2014.09-05 09:48:01 ' f r 1 1 F I t s t ) r f,. s HERS Provider: CaICERTS . ' t Report Generated: 2014.09-05 09:48:01 ' f r 1 s t � 3 r f,. s HERS Provider: CaICERTS . ' t Report Generated: 2014.09-05 09:48:01 ' f r f F • i O. Altered Space Conditioning System (Sections 150.2(b)IE and F) r � - 01 02 03 04 05 06 07 i t 10 11 12 r } i O. Altered Space Conditioning System (Sections 150.2(b)IE and F) f i 01 02 03 04 05 06 07 08 09 10 11 12 r Heating Cooling w; 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 All new All new This field or This field or System 1 Central gas heating AFUE 0.78 Central split cooling SEER 16 Setback section is not section is not furnace components AC components applicable applicable Central gas All new + x., r 1 .x�t Central split - r All new '"- - ^-� , -4;- "~ ' : This field or is This field or is System 2 heating AFUE 0 78 ' ''AC cooling SEER 16 Setback section not section not furnace components ,d r } components iH... applicable applicable Required Documentation: CF2R•MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums- R6: MR -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: S 15%, or 51D% leakage to outside, or seal all accessible leaks. MR -MCH -25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15). CFMRMR-MCH-23 & CON -MCH -23 Air Flow x 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct 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 Duct Leakage Testing requirements. Registration Number: 214-AOO88876A-OOOOOD000.0000 Registration Date/Time: 2014-09-05 09:47:36 HERS Provider: CaICERTS r , CA Building Energy Efficiency Standards • 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-0905 09:48:01 + f i i' Registration Number: 214-AOO88876A-OOOOOD000.0000 Registration Date/Time: 2014-09-05 09:47:36 HERS Provider: CaICERTS r , CA Building Energy Efficiency Standards • 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-0905 09:48:01 + .. is i i' s.„ Registration Number: 214-AOO88876A-OOOOOD000.0000 Registration Date/Time: 2014-09-05 09:47:36 HERS Provider: CaICERTS r , CA Building Energy Efficiency Standards • 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-0905 09:48:01 + .. is i s.„ r x w; i t Registration Number: 214-AOO88876A-OOOOOD000.0000 Registration Date/Time: 2014-09-05 09:47:36 HERS Provider: CaICERTS r , CA Building Energy Efficiency Standards • 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-0905 09:48:01 + .. is i Registration Number: 214-AOO88876A-OOOOOD000.0000 Registration Date/Time: 2014-09-05 09:47:36 HERS Provider: CaICERTS r , CA Building Energy Efficiency Standards • 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-0905 09:48:01 + �.iC i j . 4 E i Registration Number: 214•A0088876A400000000-0000 Registration Date/Time: 2014-09-05 09:47-36 HERS Provider: CaICERTS ♦ 6 CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014.03.31 Report Generated: 2014.09.05 09:48:01 . - ' - - t McEligot, Jim �'6aYYi Company. Signature Date: ` VENVEST BALLARD INC dba RIGHTIME AiR CONDITIONING AND HEATING 2014-09-05 09:47:36 ..; : r 3030 MYERS ST City/State/Zip: Phone: { CERTIFICATE OF COMPLIANCE , - CFIR-ALT 02-E r Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 4 of 4 ) Documentation Author's Declaration Statement , 1.1 certify that this Certificate of Compliance documentation is accurate and complete. ' i t McEligot, Jim �'6aYYi Company. Signature Date: ` VENVEST BALLARD INC dba RIGHTIME AiR CONDITIONING AND HEATING 2014-09-05 09:47:36 ..; : r 3030 MYERS ST City/State/Zip: Phone: .c (951) 276.9744 Responsible Person's Declaration statement I certify the following under penalty of perjury, 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 Business and Professions Code to accept responsibility for the budding design or system design Identified on this Certificate of Compliance (responsible designer). 3. That the energy features and perfom+ante specifkatlons, mateiiafi tort ponenu and manufactured devices'hir the bullding design or system design identified on this Certificate of Compliance conform to the f design featureentified of this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets. 4. The bulWing design features or syste-in ss id calculations, plans and specifications;uhmitted to the enfoicement agency for approval with this buil%ding permit application ' ` t#1 S. I will ensure that a registered copy of this Certificate of Compiiance shall be made available with the building permit(s) issued fnr,the bullding, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the bf/uuillddiinnggg owner at occupancy. Responsible Designer Name: Responsible Designer Signature: McEligot, Jim } Company: Date Signed: VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING 3014 00-05 09:47.30 ' License: t Documentation Author's Declaration Statement , 1.1 certify that this Certificate of Compliance documentation is accurate and complete. ' Documentation Author Name: Documentation Author Signature: McEligot, Jim �'6aYYi Company. Signature Date: ` VENVEST BALLARD INC dba RIGHTIME AiR CONDITIONING AND HEATING 2014-09-05 09:47:36 ..; Address: CEA/ HERS Certification Identification (if applicable): 3030 MYERS ST 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 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 Business and Professions Code to accept responsibility for the budding design or system design Identified on this Certificate of Compliance (responsible designer). 3. That the energy features and perfom+ante specifkatlons, mateiiafi tort ponenu and manufactured devices'hir the bullding 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 flegulations 3 design featureentified of this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets. 4. The bulWing design features or syste-in ss id calculations, plans and specifications;uhmitted to the enfoicement agency for approval with this buil%ding permit application ' ` t#1 S. I will ensure that a registered copy of this Certificate of Compiiance shall be made available with the building permit(s) issued fnr,the bullding, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the bf/uuillddiinnggg owner at occupancy. Responsible Designer Name: Responsible Designer Signature: McEligot, Jim Company: Date Signed: VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING 3014 00-05 09:47.30 ' License: t AJJIoa. J 3030 MYERS ST 878533 City/State/Zip: Phone: RIVERSIDE CA 92503 (951) 276-9744 ` fi 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 t " t;. information. - £. - Registration Number: 214•AOOB8876A-00000DOW-0000 Registration Date/rime: 2014-09-05 09:47:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014.09-05 09:48:01 i t. j_ l t' - F fi 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 t " t;. information. - £. - Registration Number: 214•AOOB8876A-00000DOW-0000 Registration Date/rime: 2014-09-05 09:47:36 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014.09-05 09:48:01 FINANCIAL I N FORMATION + >s rd ;DESCRIP,TION i vii ACCOUNT �X QTYa y AMOUNT ' PAID ,! .. PAID DATE: BSAS SB1473 FEE 101-0000-20306 0 ., $1.00, $0.00 PAID BY , y , tM, `d"' f METHOD r��+; ; , K� RECEIPT;# ¢ �; ; CHECK #a CLTD BYE; Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00: $0.00 m j p DESCRIPTION +r ACCOUNT '}mak QTY A *,;.PAID! PAID DATE' HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $143.00 $0.00 PAID BY G, F at q %; ,' METHOD tx. Gv ter. _,RECEIPT #� x CHECK #SX, ",,CL BY.; �} zrDESCRIPTIONN ` 4 ., .� ACCOUNT x ,?.QTYh T'AMOUNT# 'PAIDA� PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $71.50 $0.00 of x ,PAID BY ? . „s.X A:; ` f k &... 3 METHOD °; F� w� , 4 ' h 2`' RECEIPT # 9 ' 1, a. CHECK•# 4 �` :'Ati.' S' CLTD BY `; _ Total Paid forCHANGEOUT: $214.50 = $0.00 D •nf+ .1 #+. i .S ... ,. i.';.. .Tf }s DESCRIPTION ".: w : A x , .. k3 _^ i�r a 'ACCOUNT .. QTY r .y+Xt� :. �,, , . AMOUNTS '�S f 3t., y s� •:PAID�£r M r. PAID DATE . PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 �.k{i.. ,� •. PAID BY E ; ' $• .4 _'�•. METHOD ' RECEIPT:#� �' � t q .CHECK# . •'.••(-.'l CLTD.:BY � ` Total Paid forPERMIT ISSUANCE: $90.57 $0.00 FINANCIAL I N FORMATION ' K .. r f 9 i FINANCIAL I N FORMATION