BMCH2014-104678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4wr 4 lwQu&ro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O14-1046
Property Address: 77895 AVENIDA MONTEZUMA
APN: 773101005
Application Description: REPLACE 1- 13 SEER 78AFUE SPLIT SYSTEM Q
Property Zoning: l l�
Application Valuation: $9,940.00 /
Applicant:
ALL KNIGHT HEATING & AIR CONDI
P 0 BOX 5232 AUG 12 2014
LA QUINTA, CA 92248
CITY OF LA0>J— IMAJ
fYD�PMEN 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 Busines and Professions Code,
and my License is in full force and effect.
License.Class: C20 License No.: 771254 A
Date ^12" 47 Contracto
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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/12/2014
Owner: '
MICHAEL FISCHER
112 E CHAPMAN AVE STE E
ORANGE, CA 92253
Contractor:
ALL KNIGHT HEATING & AIR CONDI
P 0 BOX 5232
LA QUINTA, CA 92248
(760)772-4947
Llc. No.: 771254
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 370 f the ab r Code, I shall forthwith
comply with those provisions.
Date: _ I Applican .
.l
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 rect.
I agree to comply with all city and county ordinances and state laws relating building
construction, and hereby authorize representatives of this city to ter up the above•
mentioned property for inspection purposes.
Date: � (� Signature (Applicant or Agent .
FINANCIAL INFORMATION
`DESCRIPTIOW;, ACCOUNT <, QTY 'AMOUNT,, PAID : ` PAID•DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY a ', ";METHOD RECEIPT# ' J'.CHECK # CLTD BY r.
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
$71.50
$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
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #.. 4
.CLTD BY. .
Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION ' . ; :
„" : ACCOUNTs
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:• 00
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Description: REPLACE 1- 13 SEER 78AFUE SPLIT SYSTEM
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Type: MECHANICAL Subtype:
Status: SUBMITTED
Applied: 8/12/2014 SKH
Approved:
Parcel No: 773101005 Site Address: 77895 AVENIDA MONTEZUMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 133
Lot: 9
Issued:
NO 14
• •Colic,
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $9,940.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
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Details: HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
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NAME TYPE
NAME` -
ADDRESS1
CITY
tSTATE
ZIP
PHONE
FAX ,
'EMAIL'`
APPLICANT
'ALL KNIGHT HEATING & AIR CONDI
P O BOX 5232
LA QUINTA
CA
92248
CONTRACTOR
ALL KNIGHT HEATING & AIR CONDI
P O BOX 5232
LA QUINTA
CA
92248
OWNER
MICHAEL FISCHER
112 E CHAPMAN AVE
ORANGE
CA
92253
STE E
Printed: Tuesday, August 12, 2014 3:28:47 PM 1 of 2
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Printed: Tuesday, August 12, 2014 3:28:47 PM 2 of 2 CRw
SYSTEMS
,
RETURNED,
STATUS
REMARKS
REVIEW E-
,,SEQIDt INSPECTION TYPE
INSPECTOR
'SCHEDULED COMPLETED,
RESULT
REMARKS NOTE S
NOTES'
�DATE DATE
CLTD
DESCRIPTION
ACCOUNT
CITY t.
AMOUNT
PAID
PAID DATE
RECEIPT.#
CHECK #
METHOD
','PAID BY
BY
HVACCHANGEOUT-
101-0000-42402
0
$71.50
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$35.75
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $107.25 $0.00
PERMIT ISSUANCE
101-0000-42404----F—O
$90. 7
5
$0.00
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
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Printed: Tuesday, August 12, 2014 3:28:47 PM 2 of 2 CRw
SYSTEMS
,
RETURNED,
STATUS
REMARKS
REVIEW E-
,,SEQIDt INSPECTION TYPE
INSPECTOR
'SCHEDULED COMPLETED,
RESULT
REMARKS NOTE S
NOTES'
�DATE DATE
DATE
MECHANICAL FINAL"
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Printed: Tuesday, August 12, 2014 3:28:47 PM 2 of 2 CRw
SYSTEMS
,
RETURNED,
STATUS
REMARKS
REVIEW E-
REVIEWER
SENT DATE:
DUE DATE
NOTES'
DATE
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: Camp Run A Mutt Date Prepared: 2014-08-12
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:
Camp Run A Mutt
02
Date Prepared:
2014-08-12
03
Project Location:
77895 Avenida Montezuma
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Camp Run A Mutt
07
Zip Code:
92253
08
Dwelling.Unit Conditioned
2000
duct system
Floor Area (ft2):
(packaged unit, or
Number of space conditioning
accessible
09
Climate Zone:
15
10
(SC) systems being altered in
1
condensing unit,
installing
for sealing,
this dwelling unit.:
B. Space Conditioning (SC) System Informatio"n
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 75% 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
Lobby Area
Lobby
1800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This, section does not apply to this project.
Registration Number: 214-A0073437A-000000000-0000
Registration Date/Time: 2014-08-12 14:22:06
HERS Provider: CaICERTS
CA Building'Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 14:22:35
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
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
Central split
All new
Central split
All new
This field or
This field or
Lobby Area
heating
AFUE
0.78
cooling
SEER
13
Setback.
section is not
section is not
HP
components
HP
components
applicable.
applicable
Required Documentation:
CF2R-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 or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or <_ 10% 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 >_ 300 CFM/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 venfication: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)lE, F)
This section does not apply to this project.
Registration Number: 214-A0073437A-000000000-0000 Registration Date/Time: 2014-08-12 14:22:06
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2014-08-12 14:22:35
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 214-A0073437A-000000000-0000 Registration Date/Time: 2014-08-12 14:22:06
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
e
HERS Provider: CalCERTS
Report Generated: 2014-08-12 14:22:35
CERTIFICATE OF COMPLIANCE CUR -ALT -02-E
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:pril CJCn�Kt
Knight, April
Company:
Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING
2014-08-12 14:22:06
Address:
CEA/ HERS Certification Identification (if applicable):
P O BOX 5232
City/State/Zip:
Phone:
LA QUINTA CA 92248
(760) 772-4947
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 Uie information provided on other applicable compliance documents, worksheets,
calculations, plans and specificationi submitted to:the.enforcement agency for approval with this budding permit application.
S. I will ensure that a. registered'copy of this Certificate of.Comphance 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 is required to be included with;the documentation the builder provides to the building owner at occupancy. .
Responsible Designer Name:
Responsible Designer Signature:
( /JC
Knight, April _
�ht
nL
p
Company:
Date Signed:
ALL KNIGHT HEATING & AIR CONDITIONING
2014-08-12 14:22:06
Address:
License:
P O BOX 5232
771254
City/State/Zip:
Phone:
LA QUINTA CA 92248
(760) 772-4947
Digitally.signed by Ca/CERTS. 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: 214-A0073437A-000000000-0000 Registration Date/Time: 2014-08-12 14:22:06 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 14:22:35
77. 77
ermitTRAK
198.82
.:BUILDING STANDARDS ADMINISTRATION BSA
CHANGEOUT,.
'-$i07.25
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-A2402
0
$71.50
ISSUANCE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
�. .�
�
^`
. �
^
'
Date Paid: Tuesday, August 12, 2014
Paid By: ALL KNIGHT HEATING &A|R CONDI
-
. . �
CashiecSKH
Pay Method: CHECK G1
� .
Printed: Tuesday, August 12, 2014 3:54 PIVI 1 of 1
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