BMCH2016-045978-495 CALLE TAMPICO D 4.{Ii16f(/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0459
Property Address:
44725 CLL SANTA BARBARA
APN:
604382041
Application Description:
ALDERRON RESIDENCE/ HVAC
Property Zoning:
Application Valuation:
$2,100.00
Applicant:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
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.: 1008665
<Dat,AZ Z 7—%'6 1Contacor.
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 Address:
v
to ( .> 7125
Z FA ( 0 7011
ASPECTIONS -7153
C:7
v n t=
mo Re: 7/2016
Owner: CD1 ✓�
ALDERRON ig p QO
44725 CALLE SANT2q� ARAr-
LA QUINTA, CA 92R o�
n
m
Contractor: -Zi
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
(760)397-3438
Llc. No.: 1008665
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: NORGUARD INSURANCE COMPANY Policy Number: LUWC739940
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 or Code, I shall forthwith
comply with those provisions.
Date 2 Z ('r 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 enterupon he
above-mentioned property for inspection purposes.
Date:—Z7— 4t!, Signature (Applicant.orQgent
v
Application Number:
BMCH2016-0459
Property Address:
44725 CLL SANTA BARBARA
APN:
604382041
Application Description:
ALDERRON RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$2,100.00
Applicant:
AIR EXPERTS AIR CONDITIONING
& HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
Date:. 12/27/2016
Owner:
ALDERRON
44725 CALLE SANTA BARBARA
LA QUINTA, CA 92253
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
(760)397-3438
Llc. No.: 1008665
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
i
DESCRIPTION
4 -
ACCOUNTQ
- TY
AMOUNT
BSAS SB1473 FEE
101.0000-20.306 0
$1.00
Total Paid.for,BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION.
ACCOUNT
CITY
AMOUNT.
HVAC CHANGEOU,T - SPLIT -SYSTEM
°
101':0000-42402
0
$76.00
DESCRIPTION
-.ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT-SPLIT-SYSTEM•PC
101=0000-426000
$38.00
Total Paid foe CHANGEOUT:
$114.00
DESCRIPTION :�
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
-101-0000-42404.
0.
$96.27
Total Paid f6r0ERMIT ISS.UANCE:.
$96.27
• 1
Bin #
Permit #
Project Address: �J
..City of La Q uiti to
Building U Safety Division
. - 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name:
A. P- Number:
Address: -1 z -C `!u
Legal Description:
City, ST, Zip: `� vOh
Contract
or: •� V 5
Telephone:'� •
Address: etjk>`w 6160�
Project Description:
City- ST, Zip: C ,LkL�Ck-k
Q,7-2-36—
Tel e hone: o- 16
P h 3 �l 3 H 3
State Lic- # : OO�
City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e one:
P
Occupancy:
aneY
:Con
structi
n Type: e• VC.
State Lic- #- •PtoJect
Repairai
type one): w Add 'nt r Demo
Name of Contact Person: L VAS `iG
S Ft.: Z
# Stories:
#Units:
Telephone # of Contact Person: 76 o 3--t 7-29,8
Estimated Value of Project: '(M'00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
'TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan•Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.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 of permit issue
School Fees,
Total'Permit Fees
CERTIFICATE OF COMPLIANCE
CFiR-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF-IR-ALT=HVAC) (Pagel of.3) I
Project Name:
Alderson james ( Date Prepared:
2016-12-27
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
Alderson james
02
Date Prepared
2016-12-27
03
Project Location
44-725 Calle Santa Barbara
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Alderson james
07
Zip Code
92253
08
Dwelling Unit Conditioned
2100
7. 30,
77Z74�ls
_
4a�-kxw:System
Floor Area (ft2)
SC System
CFA servedystem
a
rgqe,fngerant
Number of space conditioning
Installing
09
Climate Zone
15
30
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC)System Information
03
02
03
04
05
06
0T
08,
09
10
the SC``
Installng a,
7. 30,
77Z74�ls
_
4a�-kxw:System
SC System
CFA servedystem
a
rgqe,fngerant
$Installin&new;S44C
Installing
-Installing
' Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project,
Registration Number: 216-A0476325A-000000000-0000
Registration Date/Time: 2016-12-27 09:30:02
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-27 09:29:23
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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)lE 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 gas
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
unit
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: RE.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testingssrequired 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 ouiside '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 Ai'r'F,low 2 300;CFIVI/ton re quire when -MCH -25 is required.,
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements
-'. M. +a��Tr§t`ty t" u+'''"'�'
-Heating-only systems and.Air Handler/Furnace changes do not requve verification of Air Flow MCM. Refrigerant Charge MECH 25$ ' "
kA
Existing duct systems constructed, insulated or sealed with asbestos are exemp from MCH 20 Duet Le jkage Test gzr•,egw
a A W. N &
-111 e—. �.;5'.v.,;_• '4S`7rur.: .i?:a .�e.+.s4+4�.✓n:.r..e�. a: r zwn vsy; w,.tva: w. i5x '�r.i,'hKt±° gess
E. Entirely New or Complete Replacement Ducts item, .with o • � r without Equipment Changeout (Sections;l'50.2(b)lDiia-and�150.2(b)lE,.F)
�' A A# 9 . W
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: 216-A0476325A-000000000-0000
Registration Date/Time: 2016-12-27 09:30:02
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-27 09:29:23
crhpma Vprcinn• n SSSCnn
CERTIFICATE OF COMPLIANCE CFMALT-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:
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-12-27 09:30:02
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 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 tq 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 manufactuured dev� for the buiilldding or system design identified.on this Certificate of Compliance conform to the
,
requirements of Title 24, Part 1 and Part6 of the Califorma Code of Reg lotions,. FcC F
4. The building design features or system design featiiresidentified ornsthis Certificate of Compliance areconsistent with the mformation�prowded on other applicable compliance documents, worksheets,
enforcementagency approval with {`
p
calculations, plans and specifications suBmitt. d t, he for this building rmit pp�lication:
available
5. 1 will ensure that a registered copy of this_Certificate of mpliance shall be'mb'de rthjthb btuilding'.pe�mit(s) issued for`the buildg an aAilable�to the=enforcement agency for all applicable
inspections. I understand that a registered copy of thisGe4rtificate of Co�mplliance is_req aired to b@, ,included with thetdocum�ntaation.the�builder provides to�the building owner at occupancy.
Responsible Designer Name: . 5 f >..
Responsible Designer Signature: V
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-12-27 09:30:02
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by CaICERTS. 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: 216-AO476325A-000000000-0000 Registration Date/Time: 2016-12-27 09:30:02 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-27 09:29:23
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