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BMCH2019-033478-495 CALLE TAMPICO C� 0 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: MECHANICAL/ Application Number: BMCH2O19-0334 Property Address: 56485 RIVIERA APN: 762022009 Application Description: JONGDAE / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM Property Zoning: Application Valuation: $8,000.00 Applicant: KENNY PEERY - A R S AMERICAN RESIDENTIAL SE V CE IFCI 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 AUG 19 2019 DI CITY OF LA QUINTA DESIGN & 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C36. C10, C20 License No.: 4 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.). (_) 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 N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/19/2019 Owner: JOHN JIN JONGDAE & KYU MYONG 56485 RIVIERA 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 I hereby affirm under penalty of perjury one of the following declarations: 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 w k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti 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: WA763D508631018 -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 37.00 of the Labor 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, 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 ro erty Fo inspection purposes. Date: ignature (Applicant or Agent): Date: P`/1912019 Application Number: BMCH2019-0334 Property Address: 56485 RIVIERA APN: 762022009 Application Description JONGDAE / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM Property Zoning: Application Valuation: $8,000.00 Applicant: KENNY PEERY - A R S AMERICAN RESIDENTIAL SERVICES OF C 965 RIDGE LAKE BLVD. #201 MEMPHIS, TN 38120 Owner: JOHN AN JONGDAE & KYU MYONG 56485 RIVIERA 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 Detail: 5-TON HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $80.05 Total Paid for CHANGEOUT: $120.07 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Project Address: 'C "85 q,>q v F-4?A APN #: Applicant Name: M� Address: City, ST, Zip( - Telephone: gbo t (P(po., v (P �{ Email: Contractor Name Address: City, St, zip e Telephone:130D," Email: State Lic:-77 City Bus Lie: Property Owner's Name.{ .1 Address: I� t) t City, ST, ZipJ . duly I xf FA © Telephon<cf6 ►) `?43-4211(5 Email: PERMIT # 2-0(0/ — d 3-3 PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech COIL Valuation of Project $ Z New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) Project Name: JIN, JOHN J Date Prepared: CF1R-ALT-02-E (Page 1 of 3) 2019-08-19 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwe ling unit. When multiple dwelling units must be documented, use one CF111-ALT-02 document for each dwelling unit. 01 Project Name JIN, JOHN 02 Date Prepared 2019-08-19 03 Project Location 56485 RIVIERA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name JIN, JOHN 07 Zip Code 92253 08 Dwelling Unit Conditioned 3060 Floor Area (ftZ) Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: 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 (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 3060 Yes Yes Yes No No No Altered space conditioning 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: 419-A020089443A-000-000-0000000-0000 Registration Date/Time: 2019-08-19 09:42:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 09:42:17 Schema Version: rev 20180426 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) O1 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 System 1 Central as Central split All new Y g Indoor coil AFUE 0.8 cooling SEER 14 Setback furnace This field or This field or AC section is not section is not components applicable applicable Required Documentation: MR-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R5 (CT 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CUR and CF38-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: a= 15 percent or,- 10 percent leakage to outside, or seal all accessible leaks. CUR and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and MR-MCH-23 Airflow Rate— 300 CFM per ton required when MCH-25 is required. Excce tions: 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 without Equipment Changeout (Sections 150.2(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: 419-A020089443A-000-000-0000000-0000 Registration Date/Time: 2019-08-19 09:42:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 09:42:17 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) Documentation Author's Declaration Statement I. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Diana McGinnis r-. , _ _ Company: ARS American Residential Services of CA dba Rightime Home Services Address: 965 Ridge lake Blvd, Suite 201 City/State/Zip: Memphis TN 38120 Responsible Person's Declaration statement Signature Date: 2019-08-19 CEA/ HERS Certification Identification (if applicable): Phone: 951-276-9744 CF1R-ALT-02-E (Page 3 of 3) 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 shall be made available with the 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 required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Diana McGinnis _ _ Company: Date Signed: ARS American Residential Services of CA dba Rightime Home Services 2019-08-19 Address: 965 Ridge lake Blvd, Suite 201 License: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: 419-A020089443A-000-000-0000000-0000 Registration Date/Time: 2019-08-19 09:42:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 09:42:17 Schema Version: rev 20180426 ' • �=yaavr y,.l rl+a rr4r�af�rra• rl a/uti yr rrl •• Ir.. •..r r11:J111111F RICH '��� ~ADDRESS BELOW All the Time 3030 Myers St., Riverside CA 92503 L241' 7/365 IiVME .f 9vIces AIR CONDITIONING & HEATING 951-328-5980 Corporate Customer c. CaU today and help is on the ways gh #765074 Relations www.RighTimeServices.com (866) 803-0879 Propo a Su miM T Io Date. �l $ as — Srraet i ingt Street uob llxar'Ivrr, If I7i eni)OA R City, State, Zip C e City, State, Zip Cade f fA c +'°► �3_ Phone: 130 _i .0 U U (A <� Phone: We hereby submlr specilicalions and estimates For: D BRONZE VER [7 GOLD ❑ PLATINUM ❑ DIAMOND • • •+ COSTING EQUIPMENT Remove ►�utdoor Unit door Coil SYSTEM PIPING AND MISC. _Wall Furnace _Furnace —Ductwork _Floor Furnace _Emergency Overflow Drain Pon Drain Hook-up Secondary _Thermoslat —Air Handler —Swamp Cooler _Condensate _.Primary Refrigerent Piping Liquid Line Suction Line _ Package Unit _Condensote Pump Explain__ _Lineset Wall Cover EXISTING LOCATION:I&.AT ❑ CLS ❑ GRG ❑ RF GRD —Gas Piping NEW LOCATION: ❑ AT El CLS ❑ GRG ❑ RF ❑ GGRD —Vent Pipe Raa# Flashing Roof Curb NEW EQUIPMENT _,Other \kOuldoor Unit �It►UCJt� CONTROLS AND ELECTRICAL evaporative Coil 0 Prog- H/C Thermostat Model uclwork _NON Programmable Thermostat Model —Breakers FEurnace to Existing Service Model Unit _Install New amp Electrical Service & Panel —Package Handler —New 220V disconnect switch box w/fuses, weather proof _Air conduct and connectors at condensing unit. —Equiprnenr Water Heater -309al.-409al.-509al. -NGas -LPGas -MH —New Power Circuit _Reconnect power circuit —1 10V SEER EER J AFUE _New Power Circuit _Reconnect power circuit 220V AIR DISTRIBUTION- DUCTWORK- WARRANTIES ItRarls Warranties 51 l_ New Flex Duct System ❑ Standard ❑ Premium __# Of New Supply Ducts Labor Warranties S I` V IF i—°- One Year Warranty on all Root Preparations _ _# OF New Return Ducts _# Supply Grills ADDITIONAL PRODUCTS & SERVICES _Sidewoll _Floor —Precast reinforced condenser slab size =Ceiling !1 Now Return Air Grills Other Ceiling _Sidewoll _Size oo to existing system: —Membership* ❑ 1 Year ❑ 2 Year ❑ 3 Year _Add• Subcontractor Needed INDOOR AIR DUALITY New Filtration System _ RighTime is not responsible for testing or removal of asbestos or of —Ultraviolet Air Cleaning System hazardous substances Filter Sire Contract Price 5!�j nM. G"-� WE HEREBY PROPOSE TO FURNISH COMPLETE AS ABOVE SPECIFIED, FOR THE SUM OF Book Price I (Contract Price): $- jj=0a Ua Previous Ropair Credit: $ 0OCk Drscouritc $ Notes. 0 �_') f I ]Do A.) _ CQlt A� *%%r 0 hi r Tax: ❑Cosh 0 Check edit Card The Attached Payment Schedule Shall Apply To This Contract 0 Financed Thru (CA NOTICE 2) Approximate Start Date: Qg-) 14Qi� _ 14 Approximate Completion Date: Qn t A j rj p Can,mencement of work listed above shall constitute substantial commencement. The law requires that the contractor give you a notice explaining your right to cancel. Initial the ch~ kbox if the contractor has given you a "Notice of the Three -Day Right to Cancel." You are entitled to a completely filled in copy of this agreement, signed by both you and the contractor, before any work may be stabled. Written customer aulhorlzohon will be obtained belole beginning any unforeseen additional work. I acknowledge that my right to cancel has been explained to mdorb(ly and in writing, and without waiving my right to cancel, I authorize the performance of th rk act to emis and Conditions set forth rev rse side her�f,.ptus tales upon completion, Print Name. n SigEffective Date: Registered Salesperson: �` isfrption #