BMCH2017-043578-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ALL VALLEY AIR
81300 AVENIDA ALAMITOS
INDIO, CA 92201
4
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING •PERMIT
MECHANICAL/
BMCH2O1770435
57960 TROON WAY
762360013
SMITH / HVAC CHANGEOUT 15SEER/81 AFUE SPLIT CHANGEOUT
$3,200.00
D Q �
SEP 29.2011
CITY OF LA QUINTA
coMMUNITYDEVELOPMENTDEPARTMENT
VOICE (760) 777-7125 "
FAX (760) 777-7011
INSPECTIONS -(760) 777-7153
Owner:
LISA SMITH
3791 WINFORD DR
TARZANA; CA 92253
Contractor:
ALL VALLEY AIR
81300 AVENIDA ALAMITOS
INDIO, CA 92201.
(760)773-3629
Llc. No.: 859431
Date: 9/29/2017
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
1 hereby affirm under penalty of perjury one of the following declarations: '
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
_ I have and will maintain a certificate of consent to self -insure for workers'.
my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 859431
of the Work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Date:
Section 00 of the Labor Code, for the performance of the work for which this permit is
�IAon
1hat
issued. My workers' compensation insurance carrier and policy number are:
WNER-BUDECLARATION
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA005081
I hereby affirm under penalty of perjury, am exempt from the Contractor's State
_
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
_ I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair any
shall not employ any person in any manner so as to become subject to the workers'
structure, prior to its issuance, also requires the applicant for.the permit to file a signed
compensation'laws of.Californ6, and agree that, if I should become subject to the
statement that he or she is licensed pursuant to the provisions of the Contractor's State'
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
comply with those provisionsivcCim
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
Date .
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
I, as owner of theproperty, or my employees with wages as their sole
WARNING: FAILURE TO SECUPENSATION COVERAGE IS UNLAWFUL,
compensation, will do the work, -and the structure is not intended or offered for sale.
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
apply to an owner of property who builds or improves thereon, and who does the work
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
himself or herself through his or her own employees; provided that the improvements
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
or she did not build or improve for the purpose of sale.).
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
(1 I, as owner of the property, am exclusively contracting with licensed contractors to
the'conditions and restrictions set forth on this application. '
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
1. Each person upon whose behalf this application is made, each person at whose
License Law does not apply to an owner of property who builds or improves thereon,
request and for whose benefit work is performed under or pursuant to any permit issued
and who contracts for the projects with a contractor(s) licensed, pursuant to the
as a result of this application, the owner, and the applicant, each agrees to, and shall
Contractors' State License Law.).
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
(_) I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
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:
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 enter upon the above-
mentioned property for inspection purposes.. / I ,
BSAS SB1473 FEE•
101=0000-20306 0
$1.00 ;
3 FINANCIAL
r
INFORMATION
'DESCRIPTION
BSAS SB1473 FEE•
101=0000-20306 0
$1.00 ;
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00 '
'DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM .
10i-0000-42402' .
0
$76.00 •
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC. CHANGEOUT-SPLIT-SYSTEM PC
,
101-0000-42600
0
$38.00 '
,Total Paid for CHANGEOUT:
$114.00.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE.;
101-0000-42404
0
$96.27' -
Total Paid for PERMIT ISSUANCE:
$96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
.$216.27
•
,
r
•
#
City Of La Qulhta
BuMay 8t Safety DNhl6rf
P.O. Box 1504,78-495 Cale Tampico
4.Quinta, CA 92253.:(760) 777 7012
15 Building Permit Application and Tracking Sheet
Permit #
�wlcHa.oe-Z = d
Project Address:g '�
Owner's Name:. S
A. P. Number. a
Address:
Legal Description:
City, ST, Zip: S
Contractor
Telephone:
Address: J e i'v
Project Description:
City, $T, Zip:
V .
y
Telephone: 7(Q(}.7
State Lic. # : -iS_qd43J I City Lic
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: Construction Type:.. Occupancy:
State Lia #: Project type (circle one): New Add'n ter. Repair Demo
Name of Contact Person: % C Sq. Ft.: 3;-rju # Stories: 11Units:
Telephone # of Contact Person: -.3 (Q
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS. LINE
H
Submittal
Req'd
Recd
TRACMG
PERMIT FEES-
Plan Sets
Pian Cheek submitted
Item '- Amount'
Structural Cates.
Reviewed, ready for corrections
'Plan Check Deposit. .
Tress Calcs.
Called Contact Person
Plan Check Balance.
Tide24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Girding plan
2'd Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans Oicked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
114 HOUSE:.
''" Review; ready for correetionsrssre
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P'.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
A. General Information
Mli-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
Lisa Smith
02 .
Date Prepared
2017-09-29 '
03
Project Location ' •
57960 Troon Way - ' F
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name •
Lisa Smith .'
Dwelling Unit Conditioned
Iala ,
nstli g
07
Zi p Code �.
•
92253 :...
x
� �
08
Floor Area (W),��::
1600
SC System.
CFA served
.>.
refrigerant
Number of Space
-
09
Climate Zone
=15`"`'' '-r':' �:::: '
10
Conditioning SC Systems in
1 '
ducted
z
"W If
'this
Dwelling Unit:
entirely new
Name
Served
System (ft2)system?
component?
B. Space Conditioning (SC) System IAY
nformation -
w tJ . (: - ..... ....-.. ..
01
02 `
z y I
r - r 03
! - .:.._,.
04 � .. '
d', ,f1 ;q�
OS ".
,q
06 '
moi; 'wr i^r
07
4 i
OS
+... '-:�' -'
09
10
'
3�*>'
Y+�
.4is?h! *.ddp,- .k
s:Ah 5R� , aA''•a
w!_T;•-9n.fi. .YA`'-' 41
642�;Gn.. ;L+xtR
etk'AE..
""'Is the SCS
Iala ,
nstli g
• 1"0" M
SC System
SC System.
CFA served
system a
refrigerant
Installing new SC
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{
_ -
1600
Yes
Yes
Yes ' .
No
No
-
No
Altered space
conditioning system
Registration Number: 217-A020337100A-000-000-0000000-0000 Registration Date/Time: 2017-09-29 06:56:16 HERS Provider: CaICERTS _
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-29 09:55:57 ,
• Schema Version: rev 10/16 ,
D. Altered Space Conditioning System, (Sections 150.2(b)IE and F) .
tS
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 asp
All new
' _
CentrAaCl split
All new,
Less than or=
System 1
furnace
heating
AFUE
gp
cooling
SEER
154
Setback.
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems ;.
- Duct insulation requirement for the new portions of supplyES>
air and return -air ducts or plenums: R6 (CZ 1-30, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required whenth'eating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside; or seal all accessible leaks. -
CF211 and CF3R-MCH-25-H Refrigerant Charge verificationrequired when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
=
.max:.
CF2R and CF3R-MCH-23 Airflow Rate >=i3000FM peto `required whenMCH-25: is required..
Exceptions:�y:7:fxri-k::,;•:>.
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 reguirevenfication of Air Flow MCH -23 or Refngerant'Charge MC..H 25
Existing duct systems constructed, insulated or sealed with asbestos are exempi from MCH O Duff Le kage Test g;re�qui� ri'rts.
-
Registration Number: 217-A020337100A-000-000-0000000-0000 Registration Date/Time: 2017-09-29 06:56:16. HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006. Report Generated: 2017-09-29 09:55:57
Schema Version: rev 10/16. '
�
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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: �/
McIntyre, Amanda
ma a c nyre
Company:
Signature Date:
All Valley Air
2017-09-29 06:56:16
Address:
CEA/ HERS Certification Identification (if applicable):
77899 Wolf Road
City/State/Zip:
Phone:
Palm Desert CA 92211`:
760-773-3629
Responsible Person's Declaration statement�f
I certify the following under penalty of perjury, under the 1a'w4: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.13Usiness`and Professions Code to,accept_ responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
r
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 Cahfornia'Code of Reg lations. -.' .'
4. The building design features or system design features'identified on this Certific� Si of Compliance are consistent with the mformatlon,provide d on other, applicable^compliance documents, worksheets,
3 .^ k.� *41. }' vddra�y F 5 Ae4"�,•r,. +#'z+ut �a' . �+
calculations, plans and specifications submitted to the enforcemenYagency foc;approval:wlththls build permit application.
-1 -
r. _ P # *1 4,-* *A F max. 40' '
5. I will ensure that a registered copy ofhi; Certificate of Compliance btmade available wlththe bwldirig.permit(slkissued forRthe bwld�ng, and matle available to theenforcement agency for all applicable
shall
inspections. I understand that a registered copy of thisCertificate of Compl ance is requ�ed to eRinduded w� itch the documene.tation the builder p vides to the building owner at occupancy.
Responsible Designer Name: ' �? `, �c aawa
Responsible Designer Signature > '�: �+. /J
c.Tl.mancla C c nNre
McIntyre, Amanda
Company:
Date Signed:
All Valley Air
2017-09-29 06:56:16
Address:
License:
77899 Wolf Road.
859431
City/State/Zip:
Phone:
Palm Desert CA 92211
760-773-3629
Easy to Verify O� 0
at CaICERTS.com ;
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: 217-A020337100A-000-000-0000000-0000 Registration Date/Time: 2017-09-29 06:56:16 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-29 09:55:57
Schema Version: rev 10/16