BMCH2015-042857
O �i
78-495,CALLE TAMPICO D �ivN1�Cl/` VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/5/2015
Application Number:
BMCH2O15-0428
Owner:
Property Address:
54265 INVERNESS WY
HERRICK
APN:
775101032
54265 INVERNESS WY
Application Description:
HERRICK / CHANGE OUT (1) CONDENSOR
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$800.00
Applicant:
Q
Contractor: o c
BARNETT'S A/C
BARNETT'S A/Ci N
P O BOX 741
P O BOX 741 o
LA QUINTA, CA 92247
LA QUINTA, CA 922,47 p
(760)391-0350{
Llc. No.: 936600
O
' U
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: C20 License No.: 936600
Date:S —�— Contractor: Q—
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.).
( )1, 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 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:
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 foi workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
oft pk for which this permit is issued.
VJI 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:
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 SecA3700abor Cod shall forthwith
comply with those provisions.
Date: J Applicant:WARNING: FAILURE TO SECURE WORKECOVERAGE 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 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 representatives of this city toter upory he
above-mentioned property for inspection purposes. r
Date: Signature (Applicant or Agent)
e• •
DES, RIP.TIFON A � NT AIIAOUNT= PAID £ PAID DATE
,. x ;
BSAS SB1473 FEE 101-0000-20306. 0 .$1.00 $0.00
BY�METHOD zRECE PT# = H CKf# �CLTDBY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: • $1.00 $0.00
DESCRIPTION x''
§�' Z'.4K^ ` a
ACCOUNT
C N
qTY
. Sx„d..”
- xAIVIOU T
PAIDs
PAIDDATE
Q
w& F ..
t.-3 W. AY a aH"'�i4 'St A9..
�wi.1c��..
S�k_ t7,
HVAC CHANGEOUT - CONDENSER ONLY
.101-0000-42402
0
$36.26
$0.00
r x ` PAID BY '
MET OVD
n RE PTS# k
r
CLTD B1F
DESCRIPTION,
�,�
ACCOUNT:,Y
AMOUNT
'. PAI„D�
PAIDDATE
.? . ...;
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24:17
$0.00
six e,,,,.,• k �' mc_ xi”- "` Y
r PAIgBY� k
V.
METIOD��RECEIPT
CRE!#
M�
CHECK #
�CLTD BY
Q,
.k ..A. �y s` e
.2 tK11 v.
;:a..arz"k.,
Total Paid for CHANGEOUT: $60.43 $0.00
st; " DESCRIPTION �
�; ACCOUNT ;
Qjlf�+�
A� OUN? z
PAID
PAIWIS
F.Y���3s
,cr.-Ct:..v?�. x✓`rs's'v dX
c
�3Y.*Ffs,
.t+.4u.r.:
PERMIT ISSUANCE
10170000-42404
0
$91.85,
$0.00
``
P;.A.mT'DRECEHET
n�
.*w
.a�A".011w:
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TO$0f4 •o
Description: HERRICK / CHANGE OUT (1) CONDENSOR
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 11/5/2015 SKH
Approved:
Parcel No: 775101032 Site Address: 54265 INVERNESS WY LA QUINTA,CA 92253
Subdivision: TR.22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 7
Issued:
FOR CMS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $800.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - CHANGE OUT (1) CONDENSOR [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, November 05, 2015 3:13:01 PM 1 of 2 CRsrsTEMs
DESCRIPTION
ACCOUNT
; QI Y
�gAMOUNT
PAIb
= PAIM,DATE
RECEIPT #
CHECK # `
METHOb
d` x PAID BY
;,
r'
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 for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
1 $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS.�•
Printed: Thursday, November 05, 2015 3:13:01 PM 2 of 2 CR?w"YSTEMS
Bin
City of La Quinta
Building Sz Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner'sNarrie:
A. P. Number:
Address: 4aL
Legal Description:
City, ST, Zip: C
Contractor:
Telephone:
Address:
Project Description
City, ST, Zip:
IA41
S
h one:
Telephone: P
State Lic. # : 6
001
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
......................................................
CTelephone: on tructi n Type: Occupancy:
Stato Lic. #•
Project ttYP (circle one): Ad o Atter Repair air Demoo
Name of Contact Person:
Sq. Ft.:
# Storie :
# Units:
Telephone # of Contact Person:Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE _
ti
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 Cates,
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 correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.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. \Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Alteied Space Conditioning System (Sections 150.2(b)lE 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
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER'
13
Setback
section is not
section is not
altered
applicable
applicable
unit
applicable
applicable
Reouired Documentation:
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF211-MCH-20-1-1 & 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: <_ 15%, or <_ 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.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH. -20 Duct Leakage Testing requirements.
Air Handler/Furnace do verification Air Flow MCN.23 gr'Refrigerant Chae IVIECH-25:
-Heating-only systems and changes not require of
-Existing duct systems constructed, insulated or sealed with asbestos are exempt�:from. MCH -20,,D uct-,Leakage Testl,ng,weGuice�ments.
•,+ �.;.�.: ,.�,:.,. .. --+.;...� rw,�-,a.a: erre• ws :zx s..ra5.
E. Entirely New or. Complete Replacement Duct -System, with or without,Equipment Changeout (Section sx150.2(.b)1Diia:and 150.2(b)1E, 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-A6380818A-000000000-0000 Registration Date/Time: 2015-11-03 12:31:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-03 12:31:10
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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: sL��G(/
Barnett, Scott
iJI�TiJGGW
Company:
Signature Date:
BARNETT'S A/C
2015-11-03 12:31:20
Address:
CEA/ HERS Certification Identification (if applicable):
51390 AVENIDA NAVARRO
City_/State/Zip:
Phone:
LA QUINTA CA 92253
760-391-0350
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 or�his Certificate of Compliance are,c"o�nsistent he i ation,.provided on othe plicable' ompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement,agency forapproval;wl h this building permlt plication.
+ +t fit X41, U, 101 io t4 } )iir . E
.
S. I will ensure that a registered copy of this Certificate of Compliance shall,be madelavailable with the building pe�mit(s),issued for the,,blld�ng, and:made ava•ilable,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 building owner at occupancy.
k-_
ar..a -�as,_.a, dr ;+ :r-'*,. r7 tc^,
Responsible Designer Name: ..
Responsible De"sig er signature: 't f
Barnett, Scott
�L'L�i�llJL1Ge°/
Company:
Date Signed:
BARNETT'S A/C
2015-11-03 12:31:20
Address:
License:
51390 AVENIDA NAVARRO
936600
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-391-0350
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-A6380818A-000000000-0000 Registration Date/Time: 2015-11-03 12:31:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-03 12:31:10
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
herrick I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3 )
2015-11-03
A. Genera! Information
CFIR-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
herrick
02
Date Prepared
2015-11-03
03
Project Location
54265 inverness way
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
herrick
07
Zip Code
92253
08
Dwelling Unit Conditioned
1600,
�.:.� a �
v �».r
�}
fi, u �►
� � •s
Floor Area (ft2)
SC System
SC System
CFA served
ystem a
ref nge ant
Number of space conditioning
�nstallNng
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
�^„
01
02
03
'04"`05".
lir 06 ';'.
}
081 "
t 09
10
l r l� .��ti
.i
�;`s the SC""�'
t
Installing a�
�.:.� a �
v �».r
�}
fi, u �►
� � •s
SC System
SC System
CFA served
ystem a
ref nge ant
installing new SC
�nstallNng
Inns*alling
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
1600
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A6380818A-000000000-0000
Registration Date/Time: 2015-11-03 12:31:20
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-03 12:31:10
Schema Version: 0.555SDD