BMCH2014-102178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O14-1021
Property Address:
78435 CRESTVIEW TER
APN:
643193015
Application Description:
HVAC REPLACEMENT
Property Zoning:
Application Valuation:
$11,000.00
Applicant:
ALL KNIGHT HEATING & AIR CONDI
P 0 BOX 5232
LA QUINTA, CA 92248
Twit 44,Quiirw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 an Professions Code, and
my License is in full force and effect.
License Class: C20 ,/-License No.: 7712
Date: `f' 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
Lender's
Owner:
NANCY TURNEI
78435 CRESTVI
LA QUINTA, CA
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: n 7
JUL 16 2014
CITY OF LA QUINTA
TY DEVELOPMENT DEPARTMENT
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
Secti n 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 theLabor '6de, I shall forthwith
complywiththose pro vi ' ns.
g�—
Date: //`j' / 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 uilding
construction, and hereby authorize representatives ofthis city enter the above
mentioned property for inspection purposes.
Date: -/� Signature (Alplicant or Ag
DESCRIPTION
FINANCIAL .• 1•
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
$71.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
r
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 #
CLTD BY
Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION
ACCOUNT
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
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1
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
Nancy Turner I Date Prepared:
AM
CF1R-ALT-02-E
(Page 1 of 4 )
2014-07-16
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwellinuQ,�t .�Ullhen multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit..
02
01
Project Name:
Nancy Turner
02
Date Pr rrq jd
2014-07-16
03
Project Location:
78435 Crestview
04
Buil 'n' ype:
Single family
05
CA City:
La Quinta
06
bQWe I(gUnit Name:
Nancy Turner
07
Zip Code:
92253
0
,e ling Unit Conditioned
1525
duct system
;Foor 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.:
AM
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
I 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
CF 3'e ed
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Are
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
tRystern (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
Whole House
Whole Fuse
1525
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-A0056076A-000000000-0000 Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
HERS Provider: CaICERTS
Report Generated: 2014-07-16 07:46:33
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
08,060,09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
® ogll�r g
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling 4
i e cy
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Componer tea,
* pe
Value
Type
Duct Length
R -Value
Whole House
Central gas
Gas furnace
AFUE
0.78
Central split
All ne
co9li
SEER
18
Setback
This field or
section is not
This field or
section is not
furnace
AHU
AC
c*gnn, %e is
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 componerits " installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or15 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant o taining 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 requi ed.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt fro ct Leakage Testing requirements.
%120,.
Heating -only systems and Air Handler/Furnace changes do not require verificatio MCH 23, or Refrigerant Charge MECH-25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt fromoi CH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duc.LSyst�e"�m�ith or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
Registration Number: 214-A0056076A-000000000-0000
This section does not apply to this project.
Registration Date/Time:
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-16 07:46:33
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) . (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) A"®—" I
This section does not apply to this project.
Registration Number: 214-A0056076A-000000000-0000
Registration Date/Time:
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-0341 Report Generated: 2014-07-16 07:46:33
CERTIFICATE OF COMPLIANCE CF1R-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 Si U e
Knight, April
®�
Company:
Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING►.
Address:
CEA/ HERS • rt' i7ca ion Identification (if applicable):
P 0 BOX 5232
City/State/Zip:
Pk6f e.
LA QUINTA CA 92248
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 trueand correct. , ;.
-res
2. 1 am eligible under Division 3 of the Business and Professions Code to accept bility for the building design or system design identified on this Certificate of Compliance (responsible designer).
n ' anufectured devices for the building design or system design identified on this Certificate of Compliance conform to the
3. That the energy features and performance specifications, materials,, compoQe.
requirements of Title 24, Part 1 and Part 6 of the California Code of R lot4.
The building design features or system design features identified on t 's� a of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
t agencyor approval with this building permit application.
calculations, plans and specifications submitted to the enforceA-c
5. I will ensure that a registered copy of this Certificate of Complihall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this C�tifi�pmpliance is required to be included with the documentation the builder provides to the building owner at occupancy,
Responsible Designer Name:
Responsible Designer Signature:
Knight, April .+.
Company:
Date Signed:
ALL KNIGHT HEATING & AIR CONDITIONING
Address:
License:
P 0 BOX 5232
771254
City/State/Zip:
Phone:
LA QUINTA CA 92248
(760) 772-4947
Registration Number: 214-A0056076A-000000000-0000
Registration Date/Time:
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-16 07:46:33