BMCH2015-0271Applicant: U Contractor:
ALL KNIGHT HEATING & AIR CONDI ��;N1A 1 ALL KNIGHT HEATING & AIR CONDI
1L2_rL1T
P 0 BOX 5232 �� rw�1 DEPAAj"'EN
P 0 BOX 5232
LA QUINTA, CA 92248 1r'(0� 1-1,' "=� I LA QUINTA, CA 92248
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under'visions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busines nd Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 771 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
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($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.).
(__j 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. Q.
Lender's
Lender's
(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 b5xome subject to the
workers' compensation provisions of Section 37 of the L 6or Code, I shall forthwith
comply with those provisions.
r
Date-/ Applicant•
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,isp rrect.
I agree to comply with all city and county ordinances aneienter
s relating building
construction, and hereby authorize representatives of thup the above
paentioned property for i pection purposes.
Dater ^ / �ignature (Applicant or Aged
O�i
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT (160) 777-7153
BUILDING PERMIT
Date: 7/14/2015
Application Number:
BMCH2O15-0271
Owner:
Property Address:
44305 MONTICELLO AVE AVE
WARE & ROSENBAUM RESIDENCE
APN:
604502027
44305 MONICELLO
Application Description:
Property Zoning:
REPLACE SPLIT SYSTEM 13 SEER
LA QUINTA, CA 92253
A
A lication Valuation:
$8,600.00
�nt
Applicant: U Contractor:
ALL KNIGHT HEATING & AIR CONDI ��;N1A 1 ALL KNIGHT HEATING & AIR CONDI
1L2_rL1T
P 0 BOX 5232 �� rw�1 DEPAAj"'EN
P 0 BOX 5232
LA QUINTA, CA 92248 1r'(0� 1-1,' "=� I LA QUINTA, CA 92248
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under'visions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busines nd Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 771 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
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($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.).
(__j 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. Q.
Lender's
Lender's
(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 b5xome subject to the
workers' compensation provisions of Section 37 of the L 6or Code, I shall forthwith
comply with those provisions.
r
Date-/ Applicant•
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,isp rrect.
I agree to comply with all city and county ordinances aneienter
s relating building
construction, and hereby authorize representatives of thup the above
paentioned property for i pection purposes.
Dater ^ / �ignature (Applicant or Aged
JINANCIAL INFORMATION
DESCRIPTION ;'xv� ` „� : } �''• ACCOUNT y `zd QTY •,,w `AMOUNT PAID PAID DATE
71.
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
a + ¢ ,,PAID BY , is _j , ' f
,� , {METHOD ' ^'` ` ,< RECEIPT;# x ,'' x CHECK # "
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
:
Description: REPLACE SPLIT SYSTEM 13 SEER
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 7/14/2015 PJU
Approved: 7/14/2015 PJU
Parcel No: 604502027 Site Address: 44305 MONTICELLO AVE AVE LA QUINTA,CA 92253
Subdivision: TR 24197-5 Block: Lot: 32
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,600.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
{,PAID DATE RECEIPT # CHECK # METHOD" PAID BY
Details: REPLAVE HVAC SYSTEM SPLIT SYSTEM 13 SEER .78 2013 CALIFORNIA BUILDING CODES.CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION
ADDITIONAL
CHRONOLOGY
CONDITIONS
INFORMATION
'.
CONTACTS
PAID
{,PAID DATE RECEIPT # CHECK # METHOD" PAID BY
'?'� - ' i" W-DDRESSl T �' CITY
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APPLICANT ALL KNIGHT HEATING & AIR CONDI P O BOX 5232 LA QUINTA
CA
92248
(858)342-2943
Total Paid forBUILDING STANDARDS ADMINISTRATION
CONTRACTOR ALL KNIGHT HEATING & AIR CONDI P O BOX 5232 LA QUINTA
CA
92248
(858)342-2943
OWNER WARE & ROSENBAUM RESIDENCE 44305 MONICELLO LA QUINTA
CA
92253
(858)342-2943
Printed: Tuesday, July 14, 2015 11:51:39 AM 1 of 2 R srsrEMs
FINANCIAL
INFORMATION
'.
t. ;DESCRIPTION` x ,;- ACCOUNT ;'; 'QTY' AMOUNT
PAID
{,PAID DATE RECEIPT # CHECK # METHOD" PAID BY
z
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00 F
BSA: -
Printed: Tuesday, July 14, 2015 11:51:39 AM 1 of 2 R srsrEMs
,.
DESCRIPTION;
4.
; ;,' ' ACCOUNT
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PAID DATE
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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
1 0
1 $91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
Printed: Tuesday, July 14, 2015 11:51:39 AM 2 of 2
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CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: Ware Rosenbaum Date Prepared: 2015-07-14
A. General Information
CFIR-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
Ware Rosenbaum
02
Date Prepared
2015-07-14
03
Project Location
44305 Monticello
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Ware Rosenbaum
07
Zip Code
92253
08
Dwelling Unit Conditioned
1879
ldnstalling:new:SC
Installing
more
f �
llnstalling
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
—J � _.
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information''�
01
02
f rt r 03
04k�.
! OS d W
i 06
4 07
Q8
09
10
NIs the SC—
Installing a
Mme,.
+� �
�- ,v
w
SC System
SC System
CFA served
system a
refrigerant i
ldnstalling:new:SC
Installing
more
jlnstalling
llnstalling
Identification or
Location or Area
by this SC
ducted
containing
system
than 40
entirely w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1879
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniS0.2(b)iDiib)
This section does not apply to this project.
Registration Number: 2,15-A0192458A-000000000-0000
iR
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-14 10:44:00
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-14 10:44:28
CERTIFICATE OF COMPLIANCE - C01R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) _ t (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F) •
s
r
01-
02
03
04
05
06
07
08.
s 09
.10 .
^` 11. Y
-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 gas
All new r
�AFUE
Central split
All new
_ "
This field or
This field or`
System 1
furnace
heating
,
0.78
AC
cooling
SEER . -
.13 . •
Setback
section is not
section is not
,
components
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF211-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:!g 15%, or 510% leakage to outside,'or seal all accessible leaks.
r
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).
MRMR-MCH-23 & CF3R-MCH-23 Air FIow,4 300 CFM/ton required whheen`MCH-25 is required "
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from,MCH-20 Duct LeakagerTesting requirements.
Flow
y
r
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air MCH r23, or Refrigerant Charge-MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct leakage Testing requirements: F nr
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout!(Sections 150.2(b),1Diia°and 11 0.2(b)1E, F),
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 215-A0192458A-000000000-0000
T^y
CA Building Energy Efficiency Standards - 2013 Residential Compliance
a _ ,
Registration Date/Time: 2015-07-14 10:44:00
Report Version: 2014-03-31
Schema Version: 0.555SDD ,
HERS Provider: CalCERTS
Report Generated: 2015-07-14 10:44:28
CERTIFICATE OF COMPLIANCE CFiR-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: ra /n`
Knight, April
p (9( c
Company:
Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING
2015-07-14 10:44:00
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 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 Lode of R g lations.
4. The building design features or system design features identified on this Certific of Compliance are consistent with the information provided on other pa plicable oc mpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
lte . r r ,.
5. I will ensure that a registered copy of this Certificate of Compliance shall be:made1t.avaT.ila'bleA wi�th the building permits) issued fortihe ;building, and,made available.tother 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:r } .► �
Responsible Designer Signature: V ` / f
Knight, April
v�pril cJCn�ht
Company:
Date Signed:
ALL KNIGHT HEATING & AIR CONDITIONING
2015-07-14 10:44:00
Address:
License:
P 0 BOX 5232
771254
City/State/Zip:
Phone:
LA QUINTA CA 92248
(760) 772-4947
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-A0192458A-000000000-0000 Registration Date/Time: 2015-07-14 10:44:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-14 10:44:28
Schema Version: 0.555SDD