BMCH2019-045878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH 2O19-0458
56485 RIVIERA
T,ihj,4lwQ"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
762022009
AN / FURNACE CHANGEOUTIN ATTIC
$6,200.00
Applicant: U
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120
DEC 11 2019
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: / License No.:65074
Date:1�^� / Contractor:
OWN ER-BUILDERO TION
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 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 Address:
VOICE (760) 777-712S
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/2019
Owner:
Jin John Jongdae / Jin 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:
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 rk for which this permit is issued.
I have and wIll malntain workers' compensation insurance, as required by
Secti n 3700 of the Labor Cade, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: 08LI11y INSURANCE CORPORATION Policy Number: WA763D508631019
I certify that in the performance of the work For which this permit is issued, I
sha no employ any person in any manner so as to become subject to the workers'
c Ipensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of a Labor Code, I shall forthwith
comply with those provisions.
Date: / ^ // / ' Applicant: ` r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS U WFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN 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 thLitynter upon the above -
mentioned property far inspection purposes.
Ut,4a4
Date: �.�� �Signature(ApplicantorAgen :
Date: 1,2/11/2Q19
Application Number:
BMCH2019-0458
Property Address:
56485 RIVIERA
APN:
762022009
Application Description:
AN / FURNACE CHANGEOUTIN ATTIC
Property Zoning:
Application Valuation:
$6,200.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD. #201
MEMPHIS, TN 38120
Owner:
Jin John Jongdae /Jin 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: HVAC CHANGE OUT - 80AFUE SPLIT SYSTEM ATTIC FURNACE ONLY. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
INFORMATIONFINANCIAL
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 - FURNACE ONLY
101-0000-42402
0
$40.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - FURNACE ONLY PC
101-0000-42600
0
$26.83
Total Paid for MECHANICAL CHANGEOUT 2019: $67.08
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
1
CITY
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
i
Za
PERMIT #
i-yI11=iELR/rl—W
Project Address:
APN #:
Applicant Name: t j 1::Ld �
Address: 6 ��'-~
City, ST, Zip:'�'� S/ L�& CA,-
Telephone: ' - 4 (Q O _ O (o 7S
Email:
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
— — k CA11
51k
I 04--It-
Valuation of Project $ 2 0c)
Contractor Name 44t rktc New SFD Construction:
Address: Conditioned Space
City, St, Zip C-R-51 bJ, (qon-So Garage
Telephone: f0c:�, Patio/Porch
Email: Fire Sprinklers
State Lic: 7(o,5p74 City Bus
Lic:+010a27
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
Property Owner's Name: 1
Address: ] 1 5t� 12— ii q
City, ST, Zip 16LI& &,(A tAJ l k CA, 919 •
c
Telephone:
Email:
Construction Type:
Grading:
Bedrooms: I Stories
SF
SF
SF 4
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
(Page 1 of 3)
Project Name:
JIN, JOHN Date Prepared:
2019-12-09
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 JIN, JOHN
02 Date Prepared
2019-12-09
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
Dwelling Unit Conditioned
08
1530
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 1530 Yes No
L
Yes No
7
No No
Altered space
-7
1
1
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
Registration Number: 419-A020135124A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-12-09 10:23:40
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-09 10:23:46
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC)
(Page 2 of 3)
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 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
All new No Cooling This field or This field or
This field or This field or
Centrals lit
p Component section is not section is not Setback
System 1 Central gas heating AFUE 0.8
section is not section is not
AC
furnace Altered applicable applicable
components pP
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)
CF211 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 percent or <= 10 percent 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 MR-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 without Equipment Changeout (Sections 150.2(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)
Registration Number: 419-A020135124A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-12-09 10:23:40
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-09 10:23:46
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Diana McGinnis
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
Documentation Author Signature:
Signature Date:
2019-12-09
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,--%, _ 1 . ,
Company:
Date Signed:
ARS American Residential Services of CA dba Rightime Home Services
2019-12-09
Address:
965 Ridge lake Blvd, Suite 201
License:765074
City/State/Zip:
Phone:
Memphis TN 38120
951-276-9744
Digitally signed by CHEERSTM. 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-A020135124A-000-000-0000000-0000 Registration Date/Time: 2019-12-09 10:23:40
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-09 10:23:46
Schema Version: rev 20180426