BMCH2018-0070r nCt 0 D ��
78-495 CALLE TAMPICO . VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT,
Date: 3/19/2018
Permit Type/Subtype: MECHANICAL/ ner:
Application Number: BMCH2O18-0070 I HOFFMAN
Property Address: 81490 JOSHUA TREE CT CT 5 0 JOSHUA TREE CT
APN: 764790048 INTA, CA 92253
Application Description: HOFFMAN RESIDENCE / HVAC CPGGETMAR 1 9 2018
Property Zoning:
Application Valuation: $8,000.00 0111, OF LA QDiNTA
DESIGN AND D
Applicant: EVELOPMENT DEPARTMENTitractor:
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
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: C 6. C10 C20 License N . 4 /
Date: _Cnntrart _ v
OWNER -BUILDER DECLARATION V
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 ) 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 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
.Lender's
(951)276-9744
Llc. No.: 765074
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'
7fensation, as provided for by Section 3700 of the Labor Code,.for the performance
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 performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Zarrier: LIBERTY INSURANCE CORPORATION Policy Number:
WA763D508631017
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 37 f t Labor Co hall f wi
comply wi those pjbvisions.
Date:plicant:
WARNING: FAIL RE TO SECURE WORK PAPENSATION 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 law elating t u' i
construction, and hereby authorize representatives of this city entyr up
above -m tione property for inspection purposes.
Date: yr rpplicant or Agent)-
Date: 3/19/2018
Application Number: BMCH2018-0070
Owner:.
Property Address: 81490 JOSHUA TREE CT CT
NEIL HOFFMAN
APN: 764790048
51490 JOSHUA TREE CT
Application Description: HOFFMAN RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,000.00
Applicant:
Contractor;
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R S AMERICAN F ESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD #201
965 RIDGE LAKE BLVD #201
MEMPHIS, TN 38120
MEMPHIS, TN 38.120
(951)276-9744
------------------------------------------------------------------------------------------------
LIc. No.: 765074
Detail: CONDENSER & COIL CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE.ALARM(S) TO BE INSTALLED PRIOR TO FINAL.INSPECTION.
PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
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 - CONDENSER ONLY
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600'
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- REPAIR/ALTERATION PC
101-0000-42600'
0
.$5.20
Total Paid for CHANGEOUT: $83.22
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
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3) ,
Project Name: HOFFMAN Date Prepared: 2018-03-16
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.
01
Project Name
HOFFMAN
02
Date Prepared
2018=03-16
03
Project Location
81490 JOSHUA TREE CT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Installing new SC
07
Zip Code
92253
08:;
2
Floor Area (ft )
1965
by this SC
ducted
containing
.Y
Number of Space
entirely new
09
Climate Zone
15
10Conditioning
(SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04 ''
s. 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
HVAC1
1965
1965
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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: 418-A020016188A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-16 07:19:39
Report Version: 2016.1.006 -
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-03-16 07:19:40
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)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
Central split
All new
This field or
This field or
HVAC1
furnace
Indoor coil
AFUE
0.81
AC
cooling
SEER
14
Setback
section is not
section is not
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems r.
-Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums:'R6.(CZ 1-1. 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 jr,ductedsystems, 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 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.
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 withouf Equipment Changeout (Sections 1501(b)1Diia and 150.2(b)lE, 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-A020016188A-000-000-0000000-0000 Registration Date/Time: 2018-03-16 07:19:39 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:. 2016.1.006 Report Generated: 2018-03-16 07:19:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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
ChrWC+ t CaUWV.vi. .
Company:
Signature Date:
Rightime Home Services
2018-03-16
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 r w -
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.
Yl
1 that a registered copy of this Certificate of Compliance shall be made:available with the building permits) issued for the building, and made available to the enforcement agency for all applicable
5. will ensure
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.
Responsible Designer Name:
Responsible Designer Signature:
Chn%ttnwcaihouvv .
Christina Calhoun
Company:
Date Signed:
Rightime Home Services
2018-03-16
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 of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 418-A020016188A-000-000-0000000-0000
Registration Date/Time: 2018-03-16 07:19:39
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-16 07:19:4.0
Schema Version: rev 10/16
Bin .#
QtY Of La Qu%ni�
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # .
Project Address: tq90;Yb%$A�x�► 'k p�,
Owner's Name:.
A. P. Number.
Address: z,
Legal Description: C
City, ST, Zip
Contractor:
Telephone:
Project Description:
Address:..
City, ST, Zip:
4 Tb
Telephone: $00 ��° , -":'
State Lic. #: -*5 0.7q City Lie. 0:
Arch., Engr., Designer:
aC X11
Address:
City., ST, Zip:
Telephone: �. .N
State Lic. #: r,
Name of Contact Person:
Construction Type:. k{v At(! Ocatpancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: --T#—Units:
Telephone # of Contact Person:
Estimated Value of Project >
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN IIIIUSE.-
'^' Review; ready for correetionsPissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Perink Fees