BMCH2017-000478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O17-0004
Property Address:
78665 DESCANSO LN
APN:
646340006
Application Description:
IVEY/ HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$10,339.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
D VOICE (760) 777-7125
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
cn
rate: 1/1734B2)
Owner: Z '
WILLIAM IVEY C -)J c_
D
92253 m OT ?
Cz
rn o
Contractor: rn
A R S AMERICAN RESIDENTIAL SEQCES rr
965 RIDGE LAKE BLVD SUITE 201 M
MEMPHIS, TN 38120 Z
(951)276-9744
Lic. No.: 765074
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: C36, C-300, C20 License No.: 765074
e.:�� / Contractor:
OWNER -BUILDER DECLARAT N
.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).:
(1 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 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
1 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 df the Labor Code, for the performance
of th rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sectio 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: LIBERTY INSURANCE CORPORATION Policy Number: WC7631508631
('certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so asto become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3707 of the Labor Code, I shall forthwith
comply with those provisions.
Date: I - Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM FENSATION COVERAGE IS U WFUL,
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 III SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Euilding 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-mentioned property for inspection purposes.
Date: LO -a. Signature (Applicant or Agent
Date: 1/13/2017
.Application Number: BMCH2017-0004
Owner:
Property Address: 78665 DESCANSO LN
WILLIAM IVEY
APN: 646340006
Application Description: IVEY / HVAC CHANGE OUT
92253
Property Zoning:.
Application Valuation: $10,339.00
Applicant:
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R.S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
MEMPHIS, TN 38130
(951)276-9744
----------------------------------------------------------------------------------------------
Llc. No.: 765074
,Detail: HVAC CHANGE OUT - 14SEER/8HSPF SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES..
DESCRIPTION
FINANCIAL •R •
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
ofTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
oTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
' Total Paid for CHANGBOUT:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0.
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
Bin
Permit #
Project Address: p
O �'C
arty of La Quinta
Building 8t Safety Division
78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-701,2
Building Permit Application and Tracking Sheet
l A QU i M -T-.
meq. 9 Owner's Name: �j/� 'Ey
A. P.' Nwriber-
Address: S L
Legal Description:
City, ST, Zip: e' 0?S�
Contractor:17/
v/
Address: CA.5
.S,(
Project Description:
City- ST, Zip:06-
Telephone Ki 6 5
State Lic. # :ZteSD %
City Lie. #c ZVOS-373
Arch., Engr., Designer:
Address:
City, ST, Zip:
telephone:
-
anc
Construction T e- Occupancy:
Y P Y•
State ic. #
S te L .
Project ecttYPe (circle one): New Add'n Alter Repair.air Demo.
Name of Contact Person:
Sq. Ft.: 5 .3 % J#
Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 1Q 33 �
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Bala :ce.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontacl'orList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. '
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks- Appr
Date or permit issue
School Fees,
I
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: IVEY Date Prepared: 2017-01-13
A. General Information
CF111-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
IVEY -
02
Date Prepared
2017-01-13
03
Project Location
78665 DESCANSO LN
04
Building Type
Single family
05
CA City
LA QUINTA _ , _ ,.,
06
Dwelling Unit Name
HOME
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
i
Dwelling Unit Conditioned
Served
07
Zip Code
92253 "`i
08 r
2
Floor Area (ft )
3373
SC system?
Alteration Type
Number of Space
09
Climate Zone
15 -:":
' 10
Conditioning (SC) Systems in
1
HVAC1
3373
3373
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information r
01
02
03
04 i
05
66a yes:
07
08
09
10
SC System
SC System
CFA served
Is the SC,
systema' { t
Installing a, .it
`"refrigerant V+
Installing new SCD
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
HVAC1
3373
3373
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020003924A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-01-13 07:56:58
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-01-13 07:56:58
CERTIFICATE OF COMPLIANCE CF1R-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 Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central split
All new
Central split
All new
Less than or
HVAC1
HP
heating
HSPF
g
HP
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation: x •' -
CF2R-MCH-01-E - Space. Conditioning Systems 1 '
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1'10, 12 "and: 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per 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 MCH -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 withoufEquipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, F)
This section does not apply to this roject.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
T
Registration Number: 417-A020003924A-000-000-0000000-0000
Registration Date/Time: 2017-01-13 07:56:58
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-13 07:56:58
Schema Version: rev 10/16
-0
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:
Jim McEligot
Company:
Signature Date:
Rightime Home Services
2017-01-13
Address:
CEA/ HERS Certification Identification (if applicable):
965 Ridge lake Blvd, Suite 201
765074
City/State/Zip:+! ..Phone:
Memphis TN 38120 ."1951-276-9744
Responsible Person's Declaration statement y
I certify the following under penalty of perjury, under the laws of the State of California: i
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, plans and specifications submitted to the enforcement agency for -approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made.available with the building permit(s)'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�incliided widh the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
..Ir fx�.' �# I rj 'a Jr'+":
Responsible Designer Signature:
%.. -el V j L✓,- 1
Jim McEligot
Company:
Date Signed:
Rightime Home Services
2017-01-13
Address:
License:
965 Ridge lake Blvd, Suite 201
765074
City/State/Zip:
Phone:
Memphis TN 38120
951-276-9744
Registration Number: 417-A020003924A-000-000-0000000-0000
Digitally signed by CHEERSTM. This digital signature is provided in order
to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Date/Time: 2017-01-13 07:56:58
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-13 07:56:58
Schema Version: rev 10/16