BMCH2015-046378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 .
Application Number:
BMCH2O15-0463
Property Address:
55825 CONGRESSIONAL
APN:
775241055
Application Description:
WHITE RESIDENCE HVAC
Property Zoning:
Application Valuation:
$13,000.00
Applicant:
RIGHT AWAY AIR CONDITIONING INC
PO BOX 752
PALM DESERT, CA 92261
T4ht 4 XP Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
DUT
EDEC 2 3 2015
CITY OF LA QUINTA
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: C20 License No.: 967263
Date: /y, -J3-/", 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 Name:
Lender's Address
31
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/23/2015
Owner:
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIR
PALM DESERT, CA 0
Contractor:
RIGHT AWAY AIR CONDITIONING INC
PO BOX 752
PALM DESERT, CA 92261
(760)408-0280
Llc. No.: 967263
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 rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
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:
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 3700 of he Labor Code, I shall forthwith
;ate�:
mply those provisions.
JG—Z5 ��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 OFTHE 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 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 rep sentatives of this city to enter upon the
above�entioned property for ins ion purposes.
Date: Signature (Applicant or Agen
- P4 ae}h r4ri^w
DESCRIPTIONS �? PAID DATE;
ACCOUNT��QTYAMOUIVT,y z°' PAID
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 12/23/15
y'.: rg-ti -. 'G -i,z."" ':.` bu,�zjaY.,�.�'-, r� �G��S,:r`'":'°
PAID BY METHODa
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RECEIPT #, CHECK #CLTD BY
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RIGHT AWAY AIR'CONDITIONING IN " CHECK
MR251 1622 AZA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. '$1.00 $1.00
4.
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DESCRIPTION
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kPAID
ACCOUNTQTEYAMOUNT
. -C
PAID+k
DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$72.52.
$72.52
12/23/15
1? XT.: - S '3k +
PAID BY
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CHECK
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HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
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$48.34
$48.34
12/23/15
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CHECK " .
MR251
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Total Paid for CHANGEOUT: $120.86 $120.86
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PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$9185
$91.85
12/23/15
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CHECK
MR251
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Total Paid for PERM IT ISSUANCE: $91.85 $91.85
Description: WHITE RESIDENCE HVAC CHANGE -OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 12/23/2015 AZA
Approved: 12/23/2015 AZA
Parcel No: 775241055 Site Address: 55825 CONGRESSIONAL LA QUINTA,CA 92253
Subdivision: TR 21381-2 CM 064/031 CM 067/001 Block: Lot: 1
Issued: 12/23/2015 AZA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,000.00 Occupancy Type: Construction Type:
Expired: 6/20/2016 AZA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - REPLACE TWO (2), THREE (3) TON PACKAGE UNITS 15SEER/80AFUE [2013 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, December 23, 2015 10:55:36 AM 1 of 2
SYSTEMS
CHRONOLOGY
CONDITIONS
NAME TYPENAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP . PHONE FAX- EMAIL
APPLICANT
RIGHT AWAY AIR CONDITIONING INC
PO BOX 752
PALM DESERT
CA
92261
CONTRACTOR
RIGHT AWAY AIR CONDITIONING INC
PO BOX 752
PALM DESERT
CA
92261
OWNER
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIR
PALM DESERT
CA
0
Printed: Wednesday, December 23, 2015 10:55:36 AM 1 of 2
SYSTEMS
ATTACHMENTS
Printed: Wednesday, December 23, 2015 10:55:36 AM 2 of 2rp
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.
BY
HVAC.CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
12/23/15
MR251
1622
CHECK
RIGHT AWAY AIR
AZA
PACKAGED UNIT
CONDITIONING IN
HVAC CHANGEOUT -
RIGHT AWAY AIR
101-0000-42600
0
$48.34
$48.34
12/23/15
MR251
1622
CHECK
AZA
PACKAGED UNIT PC
CONDITIONING IN
Total Paid for CHANGEOUT: .$120.86 $120.86
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
12/23/15
MR251
1622
CHECK
RIGHT AWAY AIR
AZA
CONDITIONING IN
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $213.71 $213.71
ATTACHMENTS
Printed: Wednesday, December 23, 2015 10:55:36 AM 2 of 2rp
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Jim White I Date Prepared:
CFIR-ALT-02-E
(Page Iof3)
2015-12-21
A. General Information
CF1R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Jim White
02
Date Prepared
2015-12-21
03
Project Location
55825 Congressional
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Jim White
07
Zip Code
92253
08
Dwelling Unit Conditioned
2500
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
2
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04,,'
05
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
,system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1500
Yes
Yes
No
No
No
No
Altered space
conditioning system
System 2
Location 2
1000
Yes
Yes
No
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Sectionl50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 215-A6497237A-000000000-0000
Registration Date/Time:
2015-12-21 10:28:00
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-21 10:28:02
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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 Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R -Value
Central
No heating
This field or
This field or
Central
No cooling
This field or
This field or
Less than or
System 1
packaged HP
component
section is not
section is not
Packaged AC
component
section is not
section is not
Setback
equal to 40
R-8
altered
applicable
applicable
altered
applicable
applicable
feet
Central
No heating
This field or
This field or
Central
No cooling
This field or
This field or
Less than or
System 2
packaged HP
component
section is not
section is not
ackaed AC
Pg
component
section is not
section is not
Setback
equal to 40
R-8
altered
applicable
applicable
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-2D-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: 515%, ors 10% leakage to outside, or seal all accessible_ leaks.
CF2R-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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
1 1,
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.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 215-A6497237A-000000000-0000
Registration Date/Time
2015-12-21 10:28:00
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-21 10:28:02
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
` �_,
Documentation Author Signature: ����'TGGK
Thompson, Patrick
Company:
Signature Date:
RIGHT AWAY AIR CONDITIONING INC
2015-12-21 10:28:00
Address:
CEA/ HERS Certification Identification (if applicable):
73965 Santa Rosa Way
inspector Felix
City/State/Zip:
Phone:
palm Desert CA 92260
760-275-7365
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, and specifications submitted to the enforcement agency for approval'with this building application.
plans permit
i A I t 1 4 J! Xi , } a i j
5. I will ensurethat a registered copy of this Certificate of. Compliance shall be;made avallable with the building permits) issued for -the building, 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.documentationtlie builder provides to -the building owner at occupancy.
Responsible Designer Name: , i g tt;. .:J
Responsible Desier Signature: V it 'L,4' tL `r N
gn
Thompson, Patrick
��
Company:
Date Signed:
RIGHT AWAY AIR CONDITIONING INC
2015-12-21 10:28:00
Address:
License:
73965 Santa Rosa Way
967263
City/State/Zip:
Phone:
palm Desert CA 92260
760-275-7365
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 information.
Registration Number: 215-A6497237A-000000000-0000 Registration Date/Time: 2015-12-21 10:28:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-21 10:28:02
Schema Version: 0.555SDD
Bin #
Permit #
Project Address: I!Plrs,02
City of La Quinta
Building 8F Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
140100k Owner's Name:
A. P. Number:
Address: s"
Legal Description:
City, ST, Zip:)
Contractor:
aa�
Coni a
e:
Telephone:
hon /� �3 _ Y r
Address: .0 D s�7--
Project Description: v 0'
IC/4_-�P
City, ST, Zip: elr�
G{o —
TclP h
e one: w0 _ —
Z r7 Sf a"8'
State Lic. # : (Q 3
City Lic. #•
Arch., Engr., Designer:
Address:
City, ST, Zip:
Occupancy:Telephone:
Con tructi n Type:
State Lic. #:
air De mo
Project t type circle one): New A dd'n Alter Repair
Name of Contact Person: a
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Q� -Q �Cf�
Estimated Value of Project:13 COO, oa
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
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 corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Reyiew, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. NVks. Appr
Date of permit issue
School Fees,
Tota- Permit Fees