BMCH2015-0321 (MECH)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t�p 4 XP QuIRZ
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0321
Property Address:
43616 ALBA CT
APN:
609542019
Application Description:
BROWN RESIDENCE REPLACE HVAC &
Property Zoning:
Application Valuation:
$6,900.00
Applicant:
AIR EXPERTS AIR CONDITIONING
-H
PO BOX 94
LA QUINTA, CA 92247-0094
A
AUG 18 2015
111111111111 III11111111171
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BROWN RESIDENCE
43616 ALBA COURT
LA QUINTA, CA 92253
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT Contractor:
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 Licens is in full force and effect.
License Class: 20 License No.: 725
Date: ` J� 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 Divisi
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 f a
permit subjects the applicant to a civil penalty of not more than five hundred dolla s
($500).:
I ) 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 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
Date: 8/18/2015
AIR EXPERTS AIR CONDITIONING -H
PO BOX 94
LA QUINTA, CA 92247-0094
(760)7.77-1724
Llc. No.: 725283
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 beco bject to the workers'
compensation laws of California, and agree that, if ould b ome subject to the
workers' compen -ation ovisions of Section 37 0 of the or Code, I shall forthwith
ply wit
e provi ions.
f) -Ste: t Applicant:
WARNING: F11LURE t 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 cc ply w th all city and county ordinances an a laws relating to building
construction, nd h reby authorize representatives of is cit o enter upooezrt ove.
menti ed ope for inspection purposes. -
i' l
DD, ' Signature (Applicant or Agen
DESCRIPTION
FINANCIAL
ACCOUNT QTY 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
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD •
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: BROWN RESIDENCE REPLACE HVAC & FURNACE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/18/2015 PJU
Approved:
Parcel No: 609542019 Site Address: 43616 ALBA CT LA QUINTA,CA 92253
Subdivision: TR 28458-1 Block: Lot: 57
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,900.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE CENTRAL SPLIT A/C & FURNACE 13 SEER 0.8 AFUE 5 TON UNIT 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Tuesday, August 18, 2015 3:06:45 PM 1 of 2 C>
SYSTEMS
DESCRIPTION
ACCOUNT _._
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
-
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT PROJECTS
BOND INFORMATION
Printed: Tuesday, August 18, 2015 3:06:45 PM 2 of 2
SYSTEMS
Bin #
Qty of is Qulnta
Building 8&• Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and .Tracking Sheet
Permit #
Project Address:
Owner's Name:
A. P. Number:
Address: Ll 3 l I*(3A Q.5F
Legal Description:
City; ST, Zip:
Contractor•
. nq !�
T le h ne:
e o
P
Address: 2-0,_-c 9q
Project Description:
`QG
City, ST, Zip: L/<�L QcN�l� �Z2_q
Ki `r
Telephone: 0
u n.
State Lic. # :
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
L
Telephone:
e one:
a
...........................................�.
Construction Type: ane
Con Y Occupancy:
P O Y•
to
Ste Ltc. #•
Project tYPa circle ne • New- Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:?�
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: C4
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2ad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.0.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or 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 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
Efficlency
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
Central gas
All new
Central split
All new
This field or
This field or
Home
furnace
heating
AFUE
0.8
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF211-1VICH-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 or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -2S Is required.
Exceptions: {; , — . ,
HC 20,Duct Leakage eT sting requirement ts;f
-Duct systems registered with HERS as sealed are exempt from MCH-20'
provider previously
-Heating-only systems and Air Handler/Furnace changes do not require verificaiion of Air Flow MCH -23 or Refrigerant Charge MECH
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct'Leakage Testing requirements. t f
F t F
E. Entirely New or Complete Replacement Duct System, with'or without:Equlpment Changeout (Sections 150.2(b)1Diia:and;1S0..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)
This section does not apply to this project.
Registration Number: 215-A6293808A-000000000-0000
Registration Date/Time
2015-08-17 13:04:45
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-17 13:04:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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: ��j��!
Van Vlymen, Paul
� oilf/
Company:
Signature Date:
Air Experts Air Conditioning
2015-08-17 13:04:45
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
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.
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 app a
5. I will ensure that a registered copy of this Certificate of.Complfance shall be ma, available with the building permit(s):issued for;the'building,avd made avallable 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,thebuilder provides to -the building owner at occupancy.
Responsible Designer Name: - .y -
Responsible Desigrier Signature: V r
Van Vlymen, Paul
Company:
Date Signed:
Air Experts Air Conditioning
2015-08-17 13:04:45
Address:
License:
PO Box 94
725283
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6293808A-000000000-0000 Registration Date/Time: 2015-08-17 13:04:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version: 2014-03-31 Report Generated: 2015-08-17 13:04:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Brown I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-08-17
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFIR-ALT 02 document for each dwelling unit.
01
Project Name
Brown
02
Date Prepared
2015-08-17
03
Project Location
43616 Alba Ct.
04
Building Type
Single family
05
CA City .
La Quinta
06
Dwelling Unit Name
Brown
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
Floor Area (ft2)
SC System
SC System
CFA served
4 { �
`t system a
,e--- � �
refrigeRaMntInstallirig
Number of space conditioning
,r �
Installing '
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
I ;, , •-r
01
02
03'
04°„
05
) 06�
07
08
09
10
_
CJs the SC
'lnstalli.ng a-..
SC System
SC System
CFA served
4 { �
`t system a
,e--- � �
refrigeRaMntInstallirig
,�.�..
new SSG
,r �
Installing '
-..,.. aw++
installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
I Served
System (ft2)
1 system?
I component?
I components?
feet of ducts?
duct system?
SC system?
Alteration Type
Home
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A6293808A-000000000-0000
Registration Date/Time:
2015-08-17 13:04:45
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-17 13:04:48
Schema Version: 0.555SDD