BMCH2014-1052-78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`&hyof4v4,u«rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O14-1052
Property Address: —79850 WILLIAM STONE WAY
APN: 604492001
Application Description: REPLACE 2 COMPLETE SYSTEMS
Property Zoning:
Application Valuation: $14,561.00
Applicant:
VENVEST BALLARD INC DBA RIGHTI
3030 MYERS STREET
RIVERSIDE, CA 92503
a o
AUG 21 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 878533
Date: Contractor:Yyi�V1/�e
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).:
(_) 1, 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
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/2014
Owner:
DAVID WALTON
79850 WILLIAM STONE WAY
LA QUINTA, CA 92253
Contractor:
VENVEST BALLARD INC DBA RIGHTI
3030 MYERS STREET
RIVERSIDE, CA 92503
(951)276-9744
Llc. No.: 878533
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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is Issued.
ve and will maintain workers' compensation insurance, as required by
Sectlan ffoo 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:_ Policy Number:_
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 Code, I shall forthwith
complywiththose provisions.
Date: a� 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, 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 1property
[,for inspection purposes.
Date: /��"1"� Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$71.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$47.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $119.16 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:• •0
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$71.50
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$47.66
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT:
$119.16
$0.00
PERMIT ISSUANCE
101-0000-42404
1 0
1 $90.57
$0.00
Total Paid for PERMIT ISSUANCE:
$90.57
$0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE
DATE
MECHANICAL FINAL"
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, August 21, 2014 7:51:17 AM 2 of 2 CI?arsTEMS
ein if
I IIy Of La Quinta
'Building 8i Safety Division
P.O. Box 1504,`78-495 Ctllc Tampico
Pemllc ►1
La.Quinta, CA 922SS- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 79850 William Stone Way Owuer'sNunw. David & Kimberly Walton
dstems.
A.1'.Number. 604-492-001
Address: 79850 William Stone Way
Lcgad Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Rightime Air
Tcicphonc;
Address: 3030 Myers St
Project Descriptlow Replace 2 cam lete H
City, ST, Zip: Riverside, CA 92503
1 - 2'/2 ton A/C unit, Furnace & Coil
Telephone: 951-276-9744
"1" iN 1 - 3 ton A/C unit; Furnace &Coil
WNIMI
--
State Lic.#: 878533
city Uc.4,105373 1 -Disconnect Box
Arc(:., Eagr., Designer; N/A
Address:
City, ST, Zip:
Telephone:
�= ? •'+b » �- rt' :, Construction Type: Occupancy:
State Lic. 9:
t z; Project typc (circle one); New Add'n Alter Repair Demo
Name ofcontaet Pcrsoll:
Sit. Ft.: 11 stories: it Y1nits;
Telcpltonc+l ❑I'Cttnh,Ecl I'etsou:
L'stinu%Icd Vuhic of Project: $ 14,561.00
APPLICANT: Da NOT WRITE BELOW THIS LINE
tl
Submittal Req'd
Rce'd TRAClQhc
z'liRhTC7 l E i S
flanScis
PlrurChecltsUI)IRI cd
firm Antuunt
Structural Cates.
Itevitwed, ready for currcctiow
Plan Chcck Deposit
TrnSrCalcs.
Called Contact Person
Plan Clitcl, Balance
71Ut24 Calce.
flans picked up
Construction
Flood plain plan
Plans rrsubmilted
Mechildeal
Grading plan
V11tvitw,ready for correeflons,tssuc
Electrtcnl
Subcontoctor Lisl
Called ContactPcrson
Plumbing
Grnut ❑ccU -F
flans picked lip
1I.0,4. Approvat
Plans resubmitted
Grading
INTIOIJSE!-
"Ttey4ve,readyforcorreciionslssue
Developer Impact rte
Planning Approval
Calicd Contact Person
Pub. S1'Ys. Appr
Dateorpermit Issue
School Fees
1'ataf I'crmitFccs
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 4 )
Project Name: DAVID WALTON Date Prepared: 2014-08-15
A. General Information
MR-AILT-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:
DAVID WALTON
02
Date Prepared:
2014-08-SS
03
Project Location:
79850 WILLIAM STONE WAY
04
Building Type:
Single family
05
CA City.
La Quinta
06
Dwelling Unit Name:
DAVID WALTON
07
Zip Code:
92253
08
Dwelling Unit Conditioned
2215
Floor Area (ft2):
Number of space conditioning
09
Climate Zone:
is
10
(SC) systems being altered in
2
this dwelling unit-:
B. Space Conditioning (SC) System Information
01
OZ
03
04
05
06
07
OS
09
10
Installing new
is the entire
components7
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
is the altered
Altering or
or
more than 40
and Is more
components
or Installed
Installing a
cooling/heating
linear feet of
than 75%of
and ducts new
SC System
SC System
CIA served
system a
refrigerant
toll, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
System 1
Location 1
1000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1215
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Registration Number: 214-A0076236A-00000000040000
Registration Date/Time: 2014.0 I S 15:38:12
HERS Provider: CaICERTS
CA Building Energy Effidency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014.08-iS 1539:05
I CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E I
I Alterations to Space Conditioning Systems (formerly CF-IR-AUHVAC) (Page 2 of 4 ) I
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dilb)
This section does not apply to this project.
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
tooting
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling I
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R-Value
Central gas
All new
Central spilt
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
coaling
SEER
16
Setback
section is not
section Is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnacecomponents
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
applicable
applicable
Reoulred Oocumentallon:
0311-MCH-01-E - Space Conditioning Systems Ducts and Fens'
-Duct insulation requirement for new plenums: RG.
CF2111-MCH-20-H & MR-MCH-20-H — Duct Leakage testing required when heating or cooling components are Installed In ducted systems, orwhen more than 40 it of duct length is replaced.
-Leakage rate compliance- S 15%, ors 10% leakage to outside, or seal all accessible leaks.
CFIR-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Vedficatkm required when refrigerant containing components are Installed or altered (applicable In CZ 2. 8-15).
CFZRCF3R-MCH-23 & CF3111-MUh23 Air Flow a 300 CFM/ton required when MCH-25 is required.
Eaceolloas:
-Duct systems registered with HERS provideras previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handier/Fumace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MECH-25.
-Exlsthtg duct systems constructed, Insulated orsealed with asbestos are exempt from M01140 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Dud System, with or without Equipment Changeout (Sections 150.2(b)iDlla and 150.2(b)IE, F)
This section does not apply to this project.
Registration Number: 214-AO07623SA-000000000.OM
Registration Datefnme: 2014.08.1515:38:12
HERS Provider. CaICERTS
CA Building Energy Ef lcfencyStandards- 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-08-1S 15:39:OS
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 214-0076236A04000000.0000
Registration Date/Time:
2014-08-1515:38:12
HERS Provider: CalCERTS
CA Building Energy EflidencyStandards -2013 Residential Compliance Report Version: 2014-0331 Report Generated: 2014-08-15 15:39:05
I CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E +
E Alterations to Space Conditioning Systems (formally CF-iR-ALT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Dow=rtatlonAuthor Name :
Documentation Author Signature:
McEligot, Jim
Company:
Signature Date:
VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING
2014-08-1515:38:12
Address:
CEA/ HERS Certification Identification Of applicable):
3030 MYERS ST
City/State/21p:
Phone:
RIVERSIDE CA 92503
1(951) 276-9744
Responsible Person's Declaration statement
I certify the following under penalty of perms under the laws of the State of California:
2. The Information providad on this Cettifkate of Compliance is true and correct.
2. I am eligiWe under Division 3 of the Bustnass and Proressions Code to accept Fes pon:lbiIlly for the bulldtne design or system design Wentliiad on this Certincate of Compliance Iresponslble designer).
3. That the energy fstaturas and perfarman[o specifications, mater4s$, components, and manubdimred devices for the building design or system design identined an this CertJRcato of Compliance conform I the
require men is of That 24. pan s and Part fiof the California Code of RrgulatForks.
4. The butIding design features or system design features Identined on this Cenlfkate afCompllance are consistent with the Infarmalton provided on other applicable complianre documents, worlaheeis,
calculations, plans and specincatioris submitted to the anf =marrt agency for approval with this bAling permf application.
S. I wfll ensure that a registered copy of this CartMi+ate of Compilance shall be made av*fabiewith the building permit(xl Issued Ior the Ruffling, and made available to khe enfarcoment agaory far all ap$cable
Inspediow. I understand Ihat a registered copy of this Certificate of Gompliance Is regofred to be Included with the documentation the bsdider provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
McEligot, Jim
G�
company:
Date Signed:
VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING
2014-08-15 16:38:12
Address:
license:
3030 MYERS ST
878533
CITY/State/Zip:
Phone:
RIVERSIDE CA 92503
(951) 276-9744
Aigltally signed by Cn10ER7S. This digital signalure Is provided in order to secure the content of fh/s registered docrmreitt and its noway kt*s Registration Jsruvfderresponsi6r7<ty far the accuracy of the
information.
Registration Number. 214-A0076236A4*0W0000.0000 Registration Date/nme: 2014-MIS 1SMA2 HERS Provider: CaICERTS
CA Building Energy EHidency Standards - 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-M-15 1S:39:05