BMCH2017-0064'78-495'CALLE
4a& a rCl/
VOICE (760) 777-7125
TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/20/2017
Application Number: BMCH2O17-0064
Owner:
Property Address: 79427 HORIZON PALMS CIR
JACQUELINE DOYLE
APN: 604110004 .
Application Description: DOYLE / HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM
92253 z
Property Zoning:
UJ
Application Valuation: $12,700.00
¢ w
Z �
ZLuApplicant: Contractor:
31NL%B
CLEARVIEW HOME IMPROVEMENTS INC DBA CLEA
CLEARVIEW HOME IMPROV `64155
E LA PALMA AVE STE 500
4155 E LA PALMA AVE STE 5
ANAHEIM, CA 92807
ANAHEIM, CA:32807z
(714)729-0680 p� a
Llc. No.: 838720
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 License No.: 838720
Date: 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 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 Add
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37)0 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the,perfc rmance of the work for which this permit is
issued. My workers' compensation insuranc° carrier and policy number are:
Carrier: OAK RIVER INSURANCE COMPANY Policy Number: CLWC609101
_ I certify that in the performance o=the work for which this permit is issued, I
shall not employ any person in any manner sa as to become subject to the workers'
compensation laws of California, and agree bat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labqr Code, I shall forthwith
comply with those provisions.
Date:
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 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, ane 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: Signature (ApplicantorAgent):
Date: 3/20/2017
Application Number: BMCH2017-0064 Owner:
Property Address: 79427 HORIZON PALMS CIR JACQUELINE COYLE
APN: 604110004
Application Description: DOYLE / HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM 92253
Property Zoning:
Application Valuation: $12,700.00
Applicant: Contractor:
CLEARVIEW HOME IMPROVEMENTS INC DBA CLEA CLEARVIEW HOME IMPROVEMENTS INC DBA CLEA
4155 E LA PALMA AVE STE 500 4155 E LA PAL VA AVE STE 500
ANAHEIM, CA 92807 ANAHEIM, CA 92807
(714)729-0680
Llc. No.: 838720
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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 - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Iain #
Permit 7;
Project Address:Owner's
Qty of La Quin to
Building SF Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
Name: 1 '
A. P. Number:
Address: —1.,11421 �_n
Legal Description:
t -t
� . C �
City, ST, Zip:
n \\
Co tract r
0
J
Telephone:
Address:' a.,/
Project Description:
City_ ST, Zip:,
��
,.� �n
Telep h0 ne-.
c�
State Lic. # : `�
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
an
Cnstructi n Type: Occupancy:
P cY:
,.
State te L,c- #
tyPe circle one � New Ad d'n Alter Repair. Demo
Name of Contact Person: Vo e-
C�
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: irz 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact person
Plan Check I3alan.ce.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2.d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`d Reyicw, ready for corrections/issue
Developer Impac: Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
I
Total Permit Fee:
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Pagel of 3) I
Project Name:
1ACKIE DOYLE I Date Prepared:
2017-03-17
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
1ACKIE DOYLE
02
Date Prepared
2017-03-17
03
Project Location
79427 HORIZON PALM CIR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
1ACKIE DOYLE
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253
08
Floor Area (ft)
1220
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
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
1220
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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: 217-A020085729A-000-000-0000000-0000
Registration Date/Time: 2017-03-17 12:29:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-17 12:29:06
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-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)lE and F)
01
02
03
04
05
06
07
08
09
10
it
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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- 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, 8-1S).
CF2R and CF3R-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.,
-MCH
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow -23, or Refrigerant Charge -25.
`MCH
-Existing duct systems constructed, insulated or sealed with asbestos are exempt'from MCH -20 Duct:Leakage Testing requirements 9 i
n Sr
t .
...` 'd. _- i - _.. •. ... ... ,:. . --..T• ...v. •.r iF.J w..Ri..+r' f i :n 0.,N Nrr ^•. ...:r 1/
E. Entirely New or Complete Replacement Duct System, with or without 4Equipment Changeout (Sections 1f540.2(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: 217-A020085729A-000-000-0000000-0000 Registration Date/Time: 2017-03-17 12:29:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-17 12:29:06
Schema Version: rev 10/16
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 Aut & SIghature'.
Ogden, David
GCL
Company:
Signature Date:
CLEARVIEW HOME IMPROVEMENTS INC
2017-03-17 12:29:08
Address:
CEA/ HERS Certification Identification (if applicable):
4155 e lapalma ave suite 500
City/State/Zip:
Phone:
anaheim CA 92807
714-729-0680 216
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 desiig 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 informationprovidedori other p licable-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 permits) issued forthe 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 documentation_the.buiider provides to,the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signat'u're:lrx� i Y
Ogden, David
Company :
Date Signed:
CLEARVIEW HOME IMPROVEMENTS INC
2017-03-17 12:29:08
Address:
License:
4155 e lapalma ave suite 500
838720
City/State/Zip:
Phone:
anaheim CA 92807
714-729-0680 216
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: 217-A020085729A-000-000-0000000-0000
Registration Date/Time
2017-03-17 12:29:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-17 12:29:06
Schema Version: rev 10/16
HOMEOWNER:
ADDRESS: % �? �� % !lv✓ t'C;,Ie
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