BMCH2018-00511ti
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
qty' °P'+�u'�wxfw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777 -7011 -
INSPECTIONS (760) 777-7153
Date: .3/1/2018
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O18-0051
CHRISTOPHER KERLEY
Property Address:
53680 EISENHOWER DR
APN:
774131009
92253
Application Description:
kerley / 3.5 HEAT PUMP CHANGEOUT
Property Zoning:
Application Valuation:
$15,000.00
D
Applicant:
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
MAR 01 2018
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD #201
_
965 RIDGE LAKE BLVD #20.1
MEMPHIS, TN 38120
CITYOFLAQUINTA
MEMPHIS, TN 38120
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.
LicenseCClass: C36, C10, C20 License No.: 765074
Date: & Contractor:
. 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).:
(� 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 )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 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 Na
Lender's Address:
(951)276-9744
Llc. No.: 765073
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificace of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of th w rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sect' 3700 of the Labor Code, for the performance of the work for which this permit is
issue . My workers' compensation insurance carrier and policy number are:
Carrier: LIBERTY INSURANCE CORPORATION Policy Number: WA763DS08631017
-I certify that in the performance ollthe work for which this permit is issued, I
shall not employ any person in any manner seas 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 oft a Labor Code, I shall forthwith
comply with those provisions.
Date:-� O Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKN O W LEDGEMENT
IMPORTANT: Application is hereby made to tie Building Official for a permit subject to
the conditions and restrictions set forth on the application.
1. Each person upon whose behalf this appecation 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 Cityof La Quinta, its officers, agents, and
employees for any act or omission related to -he work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appl"eation becomes null and void if work is not
commenced within 180 days from date of issmance of such permit, or cessation of work
for 180 days will subject permit to cancellatian.
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 ord-nances and state laws relating to building
construction, and hereby authorize represent3ti4es of this city to en er upon the gkove-
mentioned property for inspection purposes. / ,
Date: (3-1-1 Signature (Applicant or Agent)
Date: 3/1/2018
Application Number: BMCH2O18-0051
Owner:
Proppi 'Ai dress- '' ''53580 EISENHOWER DR
CHRISTOPHER IKERLEY
APN: 774131009
Application Description: kerley / 3.5 HEAT PUMP CHANGEOUT
92253
Property Zoning:.
Application Valuation: $15,000.00
Applicant:
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD #201
965 RIDGE LAKE BLVD #201
MEMPHIS, TN 38120
MEMPHIS, TN 38120
(951)276-9744 1
--------------------------------------------------------------------------------------------
Llc. No.: 765074
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE 3.5 TON PACKAGE UNIT. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
c
•
...DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $65.02
DESCRIPTION
ACCOUNT
AMOUNT
Credit Card Fee
101-0000-43505
!QTY
0
$3.24
Total Paid for Credit Card Fee: $3.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: .$98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 '
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE.
502-0000-43611
0
.$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
a
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PERMIT# AA A101-1— Wei
City, St, Zip
........... __—
1.
Co.�a �
PLAN LOCATION:
Project Address:'�'ASE�'
Lin,- 12-l4 01-105-S_
roject Description: Pool, Remodel, add't, Elect, Plumb, Mech
APN #
-
JPP
Applicant Names
Y City Bus Lic: olO5,7�
Address:"!!5
- -
_
City, ST, Zip: v �� C� 99�SD
T e I e p h o e: iUC�P'O � 7S
,
Email:
Valuation of Project $
Contractor Name:
i��—
S �2�j lc�`�•
-New SFD Construction: .
Address: . ' 2
City, St, Zip
Conditioned Space SF .
City, St; Zip
Co.�a �
Garage . SF
TelephoneC2
(n (----7
Patio/Porch SF
Email:
-
Fire Sprinklers SF ,
State Lic:7(,jSb7
Y City Bus Lic: olO5,7�
Arch/Eng Name:
Construction Type: A\vP c Occupancy:.: ,
Address:. i •
Grading:
City, St, Zip
Telephone:.
P
Bedrooms:
Stories:
# Units: .'
Email:
State Lic: City Bus Lic:
-
kA
/64y5 (,ALLt IAMPICU
ti LA QUI NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
•Rec'd
Plan Sets
Structural Calcs
! �+
.► f`� i 1 w� j `S
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Wotks approval .
Fire approval
.f
City Business License
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: KERLEY Date Prepared: 2018-03-01
A. General 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.
O1
Project Name
KERLEY
02
Date Prepared
2018-03-01
08
09
10
03
Project Location
53680 EISENHOWER DR
04
Building Type
Single family
05
CA City
La Quinta Z
06
Dwelling Unit Name
HOME
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
iS
Dwelling Unit Conditioned
'
more than 40
07
Zip Code
92253 _
086`
Floor Area (ftz)
1248
system?
component?
components?
feet of ducts? ,
duct system?
SC system? .
Alteration Type
PACKAGE UNIT
1248
k
Number of Space
Yes
09
Climate Zone
15 `fi •.f Tr+ci
" 10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04•x'
05
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
PACKAGE UNIT
1248
1248
Yes
Yes
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: 418-A020012481A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-01 07:39:40 .
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-03-01 07:39:41.
I
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
CF1R-ALT 02-E
(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
Duct Length
R -Value
PACKAGE UNIT
Central
_ All new
heating
HSPF
8
Central
All new.
cooling
SEER
14
This field or
This field or -
packaged HP
g
components
packaged AC
Setback
section is not
section is not
components
applicable
applicable
Required Documentation:s#.,.;M
CF2R-MCH-01-E - Space Conditioning Systems * ''
-Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums j 6 (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 Irl8ducted systems, or when more than 40
ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to putside, or seal all accessible leaks '
h, .a
CF211 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing comPoVe ts.are,lnstalled or altered (applicable in CZ
CF2R and CF3R-MCH-23 Airflow Rate.>= 300
2, 8-15).
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 Test ng 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 Wiihout Equipment Changeout (Sections 150.2(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)1C)
This section does not apply to this project.
Registration Number: 418-A020012481A-000-000-0000000-0000
Building Energy Efficiency Standards - 2016 Residential Compliance
vilipp—
Registration Date/Time: 2018-03-01 07:39:40 - HERS Provider: CHEERS
Report Version: 2016.1.006 Report Generated: 2018-03-01 07:39:41
Schema Version: rev 10/16
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:
Christina Calhoun
chr�attna.cailouw
Company:
Signature Date:
Rightime Home Services
2018-03-01
Address:
CEA/ HERS Certification Identification (if applicable):
965 Ridge lake Blvd, Suite 201
City/State/Zip:
Phone:
Memphis TN 38120
951-276-9744
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, 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 shallbemade available with th"d 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 requir'Wto be included witti`the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Christina Calhoun
0WC4 Ca71•wur,
Company:
Date Signed:
Rightime Home Services
2018-03-01
Address:
License:
965 Ridge lake Blvd, Suite 201
765074
City/State/Zip:
Phone:
Memphis TN 38120
951-276-9744
Digitally signed by CHEERS'". This digital signature is provided in order to secure the content ofthis registered
document, and in no way implies Registration Provider. responsibility for the accuracy of the information.
Registration Number: 418-A020012481A-000-000-0000000-0000
Registration Date/Time: 2018-03-01 07:39:40
HERS Provider: CHEERS
rt CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-01 07:39:41
Schema Version: rev 10/16