BMCH2015-043078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0430
Property Address:
77395 CALLE SINALOA
APN:
773163001
Application Description:
BOOTH/ CHANGE OUT (1) PACKAGE UNIT AND (7) DUCT RUNS
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
FRIENDLUM INC DBA DIRECT
HOME ENERGY SOL
14252 CULVER DRIVE #A213
IRVINE, CA 92604
D
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: B. C17, C20 License No.: 985723 L c
Date: Z Contractor: �l�eli"Ii L.
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).:
(_J 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 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:
_ . 59 _
VOICE ,(760) 7774125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
KENNETH BOOTH
79395 CALLE SINALOA
LA QUINTA, CA 92253
Contractor: I z
FRIENDLUM INC DBA DIREff-HC
14252 CULVER DRIVE #A213
IRVINE, CA 92604
(714)559-4649
Llc. No.: 985723
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 lr>rferwhich 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:
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 the Labor Code, I shall forthwith
comply with those provisions.
c
Date: l✓ Applicant: , r t
cAiaounA_
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 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 to enter upon the
above-/m/en •oned property for inspection purposes.
Date: /` s_ Signature (Applicant or Agent)
Date -1-1/12
2015
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Contractor: I z
FRIENDLUM INC DBA DIREff-HC
14252 CULVER DRIVE #A213
IRVINE, CA 92604
(714)559-4649
Llc. No.: 985723
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 lr>rferwhich 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:
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 the Labor Code, I shall forthwith
comply with those provisions.
c
Date: l✓ Applicant: , r t
cAiaounA_
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 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 to enter upon the
above-/m/en •oned property for inspection purposes.
Date: /` s_ Signature (Applicant or Agent)
F1NANC,1,A.C,1 i
DESCRIPTION Q,
2y ;ACCOUNTS <
,L.
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
f+E ,-,{�EA�.:: .:i
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: .$1.00 '_ $0.00
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£PAID DATE
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ia;
HVAC CHANGEOUT - PACKAGED UNIT
'101-6000-42402
0
$36.26
$0.00
1P�
METHO
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� RECEIPT#*
'CHECK #M
CLTD BY s
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-'DESCRI?TION'' A''ACCOUNT��
�TYk"AMOUNTS`
PAID'�y
PAID'DATE
:"a`
*`s4{n�.-k4fr+t.d'ar.'s'3.sn``�R_a`f4<x„d,4i.;fi
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HVAC CHANGEOUT - PACKAGED UNIT PC'
101-0000-42600
0
$24.17 _
$0.00
PAID.;B,Yy
SLP RECEIPT#
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CHECK# r
k✓ h.'.'. rs:..
CLTD�BY
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WMETH�OD
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Total Paid for CHANGEOUT:, $60.43 $0.00
DESCRIPTION x�WE!�t
715 �>., .�"?�:f+ �' ,x*�;L'Yi''�'°'°� cH':.e
ACCOUNTS
?v t k+?
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PAID DATE”
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:S!�g ec,,:�
sAMOUNT��
x.�� �:$YHF�
PERMIT ISSUANCE
101-0000-42404
0
$91.85 •
$0:00
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PAID`BY
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RECEIPT #
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-
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MEM#
.:`,CHECK
Total Paid for PERMIT ISSUANCE:, $91.85 $0.00 '
• $0.90
Bin # -
Cit} of lei Quinta
Building 8T Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
t IJ Building Permit Application and Tracking Sheet
Permit #
OD 1
Project Address:'
Owner's Name: I�h �-1 CJ`
A. P. Number:
Address:? 7J -(e J C—CC l,lto Sinaloa -
t' aLegal
Legal Description:
City, ST, Zip: Q
ntra t
Co c or.
Telephone: -
ele P
Address: 2
Project Description: C C
City, ST, Zip:�Sakv�a
Ano,' 12 U C
V T w f
Telephone: —
t�
6
State Lic. # :q4572!-3City
Lic. #;�7'DL&4rune,
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction n T e: ane
s o Occupancy:,
Y P Y•.
State Lic. #:
ne • New Ad d'n Alter Repairair Demo
ProJecttYP �circle
Name of Contact Person
Sq. Ft.:
# Stories: %
# Units:
Telephone # of Contact Person: '- - 2
Estimated Value of Project: /
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready forcorrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
I-I.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
Description: BOOTH / CHANGE OUT (1) PACKAGE UNIT AND (7) DUCT RUNS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 11/12/2015 SKH
Approved:
Parcel No: 773163001 Site Address: 77395 CALLE SINALOA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block:.35 Lot: 24
Issued:
UNIT 2
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
._ -CITY
Details: HVAC CHANGE OUT- 14.SSEER/80AFUE PACKAGE SYSTEM AND 7 DUCT RUNS [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
FRIENDLUM INC DBA DIRECT HOME
ENERGY SOL
14252 CULVER DRIVE
#A213
IRVINE
CA
92604
(760)564-7597
CONTRACTOR
FRIENDLUM INC DBA DIRECT HOME
ENERGY SOL
14252 CULVER DRIVE
#AZ13
IRVINE
CA
92604
(760)564-7597
OWNER
KENNETH BOOTH
79395 CALLE SINALOA
I LA QUINTA
I CA
92253
1 (760)564-7597
FINANCIAL INFORMATION
Printed: Thursday, November 12, 2015 1:37:28 PM 1 of 2 C
sysrenns
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
'CLTD
BY
BSAS.SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION,
$1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
INSPECTIONS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Thursday, November 12, 2015 1:37:28 PM 2 of 2 CR
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
KENNETH BOOTH I Date Prepared:
CF1R-ALT 02-E
(Page 1of3)tj
2015-11-12
A. General Information
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 CF1R-ALT-02 document for*each dwelling unit.
01
Project Name
KENNETH BOOTH
02
Date Prepared
2015-11-12
03
Project Location
77395 CALLE SINALOA
04
Building Type
Single family .
05
CA City
La Quinta
06
Dwelling Unit Name
KENNETH BOOTH
07
Zip Code
92253
08
Dwelling Unit Conditioned
1644
Instellin
more
Installin
Installin
ntirely
.
Floor Area (ft!)
Location or Area
by this SC
ducted
containing `
system
Number of space conditioning
entirelynw
09
Climate Zone
15 } ,
10
(SC) systems in this dwelling
1 t
componentf
components?
feet of ducts?
duct system?
unit.
Alteration Type
v
B. Space Conditioning (SC) System Information n 5 -
01
02
03
�' 041A
fi" 3 05 I k�
I f061
1 07
11 08 1
ft 09
10
13 Its the SE"-
R -Installing a
SC System
SCS stem
CFA served
''',systema
refrigerant
wlnstallin new SC
Instellin
more
Installin
Installin
ntirely
.
Identification or
Location or Area
by this SC
ducted
containing `
system
th n 4
entirelynw
new
Name
Served
System (ft2)
system?
componentf
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System .1
Location 1
1644
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A6392565A-000000000-0000
Registration Date/Time: 2015-11-12 13:52:29
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-12 13:52:08
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered 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
Dud Length
R -Value
Central
All new
Central
All new
This field or
This field or
'section
System 1
packaged HP
heating
AFUE
0.78
ackaed AC
pg
cooling
SEER
14.5
Setback
section is not
is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Duds and Fans
-Dud insulation requirement for new plenums: R6. -
CF2R-MCH-20-H & CF3R-MCH-20-H — Dud 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%, ors 30% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-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..
-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 requi'e"meets.
f( 11It W 11 fl )E 31 i! — I[ ti! 11 Li
',%, - ten.- Vie• — ,.y. �- ..-+wrw J -p - a.- —
.E. Entirely New or Complete Replacement Duct=System, with or without,Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
�.. %i•+ ,•rC' ilr lt- t� � ` � ? �► Ihd'
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
.This section does not apply to .this project.
Registration Number: 215-A6392565A-000000000-0000
Registration Date/Time: 2015-11-12 13:52:29
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report -Version: 2013-1.006 Report Generated: 2015-11-12 13:52:08
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:
White, Michelle
Company:
Signature Date:
FRIENDLUM INC
2015-11-12 13:52:29
Address: �
CEA[HERS Certification Identification (if applicable):
14252 CULVER DRIVE #A213
City/State/Zip:
Phone:
IRVINE CA 92604
714-559-4649
Responsible Person's Declaration statement -
I certify the following under penalty of perjury, under the laws of the State of California:
s
I. 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 ofd eg lat on, i �"'
r
4. The building design features or system design features identified on this Certificate of Compliance are consistent with -the information ovided on other, applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for11, approval with this building permit application. 2j {E {j
z + � �T
/fix k T e _ ! �' / f , R �'Y" 1 ■ � f � Y • ,we ��
5. 1 will ensure that a registered copy of this Certificate of;Compliance shall be made'available with the building issued forthe.buiId' and made available,to the enforcement agency for all applicable
inspections. I understand that a registered copy of this1Certifcate of Compliance is required to be included with the documentation, theybuilder provides to the building owner at occupancy.
,.
Responsible Designer Name: '` f IVB
F.r.
Responsible Designer Signature: V 1-r0, 1'
White, Michelle
Company:
Date Signed:
FRIENDLUM INC
2015-11-12 13:52:29
Address:
License:
14252 CULVER DRIVE #A213
985723
City/State/Zip:
Phone:
IRVINE CA 92604
7147559-4649
Digitally signed by Ca10ERTS. 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-A6392565A-000000000-0000 Registration Date/Time: 2015-11-12 13:52:29 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -.2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-12 13:52:08