14-1065 (MECH)c&ty/
D VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA 4UINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
_
Date: 9/4/2014
Application Number:
BMCH2O14-1065
j1 h
Owner:
Property Address:
49005 BALADA CT CT
UU
PAUL HILLEN
APN:
646290057
SEP 0 4 2014
1763 ALBERNI ST
Application Description:
REPLACE (2) 3 TON 13 SEER A/C
I'
VANCOUVER BC CANADA V6G, G8 92253
Property Zoning:
Application Valuation: $7,000.00
Applicant:
VENVEST BALLARD INC DBA RIGHTI
3030 MYERS STREET
RIVERSIDE, CA 92503
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: C20 License No.: 878533
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.).
(_) 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
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.
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:
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
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 property for inspection purposes.
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
9/4/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VENVEST BALLARD INC DBA RIGHTI
CHECK
R969
5349
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$143.00
$143.00
9/4/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VENVEST BALLARD INC DBA RIGHTI
CHECK
R969
5349
MFA
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$71.50
$71.50
9/4/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VENVEST BALLARD INC DBA RIGHTI
CHECK
R969
5349
MFA
Total Paid forCHANGEOUT: $214.50 $214.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
9/4/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VENVEST BALLARD INC DBA RIGHTI
CHECK
R969
5349
MFA
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS:0.00.•
Bin # City of La Quinta
Building U Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 49005 Balada Crt Owner'sNiune: Paul Hlllerl
A.P.Number 646-290-057 Address: 49005 Balada Crt
Legal Description: I City, ST, zip: La Quinta, CA 92253
Contractor: RI htime Air
Telephone: _ _
Address: 3030 Myers St
Project Description: R I
City, sT, zip: Riverside, CA 92503 A/C units
Telephone: 95�-276-9744
i5'u�s{,��h���x�����M�s�.
,
Stale Lic. it : 878533
city Lie. #:
Arch., Lritgr., Designer: N/A
Address:
City, ST, Zip:
Telephone:
State Lic. #:s,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Pt.: # Stories: iJ Uttit�:
Telephonc # of Contact Person:
Estimated Value of Project:
$ 7 000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Ree'd TRACIUNG
PERMIT FEES
Plan Sets
flan Check submitted
[feet Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plait Cltcck Balance.
pTiti.pd2l Calcs.
Plaits picked up
Construction
lain plan
Plans resubmitted
Mechanlcal
Grading plan
r, Review, ready for corrections/issue
Electrical
Subcontactor List
Cnllcd Contact Person
Plumbing
Gran( Deed
flans picked up
S.M.l.
ILO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctlonsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Taial Permit Fees
Description: REPLACE (2) 3 TON 13 SEER A/C UNITS
Type: MECHANICAL Subtype: Status: APPROVED Applied: 9/4/2014 MFA
Parcel No: 646290057 Site Address: 49005 BALADA CT CT LA QUINTA,CA 92253 Approved: 9/4/2014 MFA
Subdivision: TR 21555 Block: Lot: 24 Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled:
i
Valuation: $7,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: TWO 3 TON, HVAC CHANGE OUT - 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
ADDITIONAL SITES
CHRONOLOGY
Printed: Thursday, September 04, 2014 9:58:00 AM 1 of 2 i7w
sysrenns
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
l
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
9/4/14
R969
5349
CHECK
VENVEST BALLARD
MFA
INC DBA RIGHTI
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$143.00
$143.00
9/4/14
R969
5349
CHECK
VENVEST BALLARD
MFA
SPLIT -SYSTEM
INC DBA RIGHTI
HVAC CHANGEOUT -
101-0000-42600
0
$71.50
$71.50
9/4/14
R969
5349
CHECK
VENVEST BALLARD
MFA
SPLIT -SYSTEM PC
INC DBA RIGHTI
Total Paid forCHANGEOUT: $214.50 $214.50
PERMIT ISSUANCE
101-0000-42404
1 0
$90.57 $90.57
9/4/14
R969
5349
CHECK VENVEST BALLARD
MFA
INC DBA RIGHTI
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS:0.$306.07
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL**
ATTACHMENTS
Printed: Thursday, September 04, 2014 9:58:00 AM 2 of 2
�SYST[!4S
CERTIFICATE OF COMPLIANCE
CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
(Page 1 of 4 )
Project Name:
PAUL HILLEN
I Date Prepared:
2014-09-02
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 CF1111-ALT 02 document for each dwelling
unit.:
01 Project Name: PAUL HILLEN
02 Date Prepared:
2014-09-02
03 Project Location: 49005 BALADA COURT
04 Building Type:
Single family
05 CA City: La Quinta
06 Dwelling Unit Name:
PAUL HILLEN
Dwelling Unit Conditioned
08
2400
07 zip Cade: 92253
Floor Area (112):
Number of space conditioning
09 Climate Zone: 15
10 (SC) systems being altered in
2
this dwelling unit.:
B. Space Conditioning (SC] System Information
01 02 03 04
05
06 07
08 09
10
Installing new
Is the entire
components?
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 7S% of and ducts new
SC System SC System CFA served system a
refrigerant
coil, 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
GOODMAN Location 1 1200 Yes
Yes
Yes No
No No
Altered space
conditioning system
GOODMAN Location 2 1200 Yes
Yes
Yes No
No No
Altered space
conditioning system
Registration Number: 214-A0086957A-000000000-0000 Registration Date/Time; 2014-09-02 15 50:53 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-02 1S:S1:30
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
CFIR-ALT-02-E
(Page 2 of 4 )
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
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 3.2
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
No heating This field or This field or Central split All new
tooting SEER 13 Setback
This field or This field or
section is not section is not
GOODMAN Boiler component section is not section is not AC
applicable applicable
altered applicable applicable components
No heating This field or This field or Central split All new
cooling SEER 13 Setback
This field or This field or
section is not section Is not
GOODMAN Boiler component section is not section Is not AC
applicable applicable
altered applicable applicable components
Reouired Documentation:
MR-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH•20-H - Duct Leakage testing required when heating ar cooling components are installed In ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: S 15%, ors 109E leakage to outside, or seal al accesslbte leaks.
CF2R-mCH-I5-H & CF3R-MCH-25-11 Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (appllcable in CZ 2, 8-151.
CF2RCF3 R- MCH-23 & CF3R-MCH-23 Air Flow t 300 CFM/tan 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-vnly systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MECH-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.
Registration Number: 214-A0086957A-000000000-0000
Registration Date/Time: 2014-09-02 15:50:53
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-02 15:51:30
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR ALT HVAC)
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 214-A0086957A-000000000-0000
CA Building Energy Efficlency Standards - 2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time:
Report Version 2014-03-31
2014-09-02 15 50:53
CFIA-ALT-02-E
(Page 3 of 4 )
HERS Provider: CaICERTS
Report Generated: 2014-09-02 15:51:30
I CERTIFICATE OF COMPLIANCE CF111-ALT-02-E I
Alterations to Space Conditioning Systems (formerly 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.
Documentation Author Name:
Documentation Author Signature:
McEligot, Jim
Company:
Signature Date:
VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING
2014-09-02 15:50:53
Address:
CEA/ HERS Certification Identification (if applicable):
3030 MYERS ST
City/State/Zip;
Phone:
RIVERSIDE CA 92503
(951) 276-9744
Responsible Person's Declaration statement
I certify the following under penaltyof perjury, under the laws of the State of California:
1. The infomnation provided on this Certificate of Compllance 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 an 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.
S. I will ensure 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
inspections. I understand that a registered copy of this Certificate of Compliance i s required to be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
McEligot, Jima//(
Company:
Date Signed:
VENVEST BALLARD INC dba RIGHTIME AIR CONDITIONING AND HEATING
2014-09-02 15:50.53
Address:
Ucerne:
3030 MYERS ST
878533
City/State/Zip;
Phone.
RIVERSIDE CA 92503
(951) 276-9744
Digitally signed by cafCERTB. This digital signature is provided in order to secure the content of this registered doctmtent, and in noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 214-A0086957A-000000000-0000 Registration Date/Time: 2014-09-02 15:50 53 HERS Provider: CaICfRTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2014-09.02 15:51:30