BMCH2018-002678-495-CALLE TAMPICO
LA QU.INTA, CALIFORNIA 92253
Permit Type/Subtype: MECHANICAL/
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O18-0026
Property Address:
55093 TANGLEWOOD
APN:
775152067
Application Description:
MALET / CONDENSER AND COIL CHANGEOUT
Property Zoning:
Application Valuation:
$7,268.00
Applicant: D Q
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD #201 IAN 31 2018
MEMPHIS, TN 38120
CITY
COMINllNITY NTA
EO(p QNTpEPARTWNT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
-my License is in full force and effect.
License Class: C36,{10. C20 License No.: 765074.
,_. -3 r_ v
Date: 11 Contractor:
OWNER -BUILDER DECLAR ON
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($S00).:
(_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:).
(� 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/31/2018
Owner:
MIKE MALET
55093 TANGLEWOOD .
LA QUINTA, CA 92253
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD #201 -
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
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 of the Labor Code, for the performance
of th w for which this permit is issued.
31 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: 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 3700 of the Labor Codej shall forthwith
comply with those provisions.
batc.: v�� Applican :
WARNING: FAILURE TO SECURE WORKERS' COMPENATION 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-
mentioned property for
'Sign` ainspection purposes.
Dail f_ / ` tOre•(Ppplicant o Age ):
0
r
Date: 1/31/2018
7�.
Application Number: BMCH2O18-0026
Owner:
Property Address: —A 55093 TANGLEWOOD
MIKE MALET
APN: 775152067
55093. TANG LEWOOD
. Application Description: MALET / CONDENSER AND COIL CHANGEOUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,268.00
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
Llc. No.: 765074
Detail: HVAC CHANGE OUT - 14 SEER 81AFUE SPLIT SYSTEM OUTSIDE CONDENSER AND INDOOR COIL. CARBON MONOXIDE ALARM(S) TO BE INSTALLED.
PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
0
r
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
ACCOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
AMOUNT
PERMIT ISSUANCE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
0
$98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DESCRIPTION
ACCOUNT
Credit Card Fee
101-0000-43505
0
$3.57
502-0000-43611
0
Total Paid for Credit Card Fee: $3.57
Total Paid for TECHNOLOGYENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000=42402
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5:20
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$26.01
Total Paid for MECHANICAL: $83.22
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
$10.00
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 TECHNOLOGYENHANCEMENT FEE: $5.00
BIR #
City of La Quinta
Bullding 81• Safely Division
P.O. Box 1504,78-495 Calle Tampico
I.a.Qi inta, CA 92253.:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:35 d
Owner's Name:.�/fgigt E'
A. P. Number:
Address:4-1E�OC1L )
Legal Description envCAJ��pl/Sc� t✓
J
Contractor.FIqLtt'44E✓�6 UI C�"S
City, ST, Zip:
Telephone: ^ •
Address: 30 30 M e-"
Project Description:
City, ST, Zip: qf' , t1fK ,(, Ci' 9O9 ,5*o 3
r TD /ll . CION 6N Sgt ..
Telephon �(ea^ OCP%
State Lie. #: & �jb �% City Lie. #.: M'S 3.3
Arch., Engr., Designer:
LID C-1
�v
Address:
City., ST, Zip:
Telephone: ',,
'Y.
State Lie. #:
Name of Contact Person:
'
Construction Type:. C Occupancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: 1 a2
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req>d
Rec>d
TRACE3NG
PERMrrFEES
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 Cates.
Plana picked up
Construction
Flood plain plan
Plans resubmitted..
MCC1121ilcal .
Grading plan
tad Review, ready for correctionslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'k' Review; ready for correctionVIssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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:
Christina Calhoun
Ch.ri ff*La,Cadhou+v
Company:
Signature Date:
Rightime Home Services,
2018-01-31
Address:
CEA/ HERS Certification Identification (if applicable):
965 Ridge lake Blvd, Suite 201
City/State/Zip:
Memphis
Phone:
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. aitl e
&�
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility forYthe building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and mariufactured.devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land 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
lding , emit application.
5. PV,
1 will ensure that a registered copy of this Certificate of Compliance'shall be made available with tti'e building'permit(s) issued for the building, and made available tothe enforcement agency for all applicable.
inspections. I understand that a registered copy of this Certificate of C mpliance isrequited-to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Christina Calhoun
0W4ffna1CaULcu*v
Company:
Date Signed:
Rightime Home Services
2018-01-31
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-A020005986A-000-000-0000000-0000 Registration Date/Time: 2018-01-31 08:15:08
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006.
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-31 08:15:09
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems.(formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: MALET Date Prepared: 2018-01-31
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
MALET
02
Date Prepared
2018-01-31
03
Project Location
55093•TANGLEWOOD
04
Building Type
Multi -family
05
CA City
La Quinta .. g",`'
'06
Dwelling Unit Name
HOME
SC System
SC System
CFA served.
,, system a
refrigerant
Installing new SC
Installing
Installing
Installing
::Dwelling Unit Conditioned
Location or Area
07
Zip Code
92253•
P _
08
Floor Area (ft?)
1492
entirely new
k
$a
Number of Space
system?
09
Climate Zone
15 ti
107
Conditioning (SC) Systems in
1
COND /COIL
1492
1492
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04
05 ►
: 06i
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
COND /COIL
1492
1492
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-A020005986A-000-000-0000000-0000 Registration Date/Time: 2018-01-31 08:15:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Rpsidential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-31 08:15:09
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CF1R-ALT-02-E
(Page Z of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01'
02
03
04
OS
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
COND COIL
Central gas
furnace
Indoor coil .
AFUE
0.81
Central split
AC
All new
Cooling
SEER
14
Setback.
This field or
section is not
this field or
section'is not
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':!R& 2 an and R8 (CZ -11 and 14-16)
CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling component f -11 "t''O'mstems, or when more than 40
-Leakage rate compliance: <= IS% or <=10% leakage to outside, or seal all accessible leaks.
ft of duct length is replaced
CF2R and CF3R-MCH-25-H Refrigerant Charge verificatioin require ',rs . d when refrigerant containing PQ e sIr i' lied 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 Leakagi ing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH 3, or Refrigerant Charge MCH -25-
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
V.-
116"
E. Entirely New or Complete Replacement Duct System, with or without EtIUipffient Chahgedut (Sections 150'.2(b)lDiia 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.
%gistration Number: 418-A020005986A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-01-31 08:15:08
Report Version: 2016.1.006.
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-31 08:15:09