BMCH2016-028578-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0285
Property Address: 78330 VIA PAVION
APN: 604600035
Application Description: KNIGHT RESIDENCE % HVAC CHANGE OUT
Property Zoning:
Application Valuation: $18,000.00
Applicant:
ALL KNIGHT HEATING & AIR CONDITIONING IN
P 0 BOX 5232 '
LA QUINTA, CA 92.248
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.: 771254
Date: r � ` � ' Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 1
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).:.
(1 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:
VOICE (760) 777-7125
' AXE( PO)777-7011
I NSP,ECTIONS_17601777?7.153
/'
DAA? /3/;
Owner:
BRIAN & APRIL KNIGHT
PO BOX 5232
LA QUINTA, CA 92248
Contractor:
ALL KNIGHT HEATING & AIR CONDITIONING IN
P 0 BOX 5232
LA QUINTA, CA 92248 "
(760)772-4947
LIC. 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: NORGUARD INSURANCE COMPANY Policy Number: ALWC742126
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 Labor CodVI shall forthwith
comply with those provisions.
v�
DG ,C,m I�App(icant:.
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 ci to enter up the
above-mentioned property for inspection purpose
Date'I� f SignatuKre nt o en
\
Date: 8/3/2016
Application Number: BMCH2O16-0285
Owner: "
Property Address: 78330 VIA PAVION
BRIAN & APRIL KNIGHT
• APN: 604600035
PO BOX 5232
Application Description: KNIGHT RESIDENCE / HVAC CHANGE,OUT
LA QUINTA, CA'92248
Property Zoning:
Application Valuation: $18,000.00
Applicant:
Contractor: "
ALL KNIGHT HEATING & AIR CONDITIONING IN
ALL KNIGHT HEATING & AIR CONDITIONING IN
P 0 BOX 5232
P O BOX 5232
LA QUINTA, CA 92248
LA QUINTA, CA 92248
(760)772-4947
Llc. No.: 771254
-------------------
Detail: (2) HVAC CHANGE OUTS :13 SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON
MONOXIDE "ALARM (S) TO BE JNSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION..' • ACCOUNT
Yr
QTY AMOUNT .
BSAS SB1473 FEE ;101-0000-20306
.0
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
HVAC CHANGEOUT:- SPLIT -SYSTEM
101-0000-42402
0-
$145.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT —SPLIT -SYSTEM PC
101-0000-42600 •
0
$72.52
Total Paid for CHANGEOUT: $217.56
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Description: KNIGHT. RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status:. ISSUED
Applied: 8/3/2016 MFA
Approved: 8/3/2016 MFA
Parcel No: 604600035 Site Address: 78330 VIA PAVION LA QUINTA,CA 92253
Subdivision: TR 30521-2 Block: Lot: 45
Issued: 8/3/2016 MFA
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $18,000.00 Occupancy Type: Construction Type:
Expired: 1/30/2017 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (2) HVAC CHANGE OUTS - 13 SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
�7"�ONDITICINS
NAMETYPE
,. NAME ..:_ ADDRE5S1, ;CITY STATE ZIP PHONE FAX EIVIAII.:::
_;, .: .;,, „M :;
APPLICANT
ALL KNIGHT HEATING & AIR
P 0 BOX 5232
LA QUINTA
CA
9224.8
(760)200-6356
CONDITIONING IN
CONTRACTOR
ALL KNIGHT HEATING & AIR
P 0 BOX S232
LA QUINTA
CA
92248
(760)200-6356
,
CONDITIONING IN
OWNER
BRIAN & APRIL KNIGHT
PO BOX 5232
LA QUINTA
CA
92248
(760)200-6356
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT
QTY QTY
AMOUNT
�:o:
777
T
�,,.PAID.DA _E'
RECEIPT.
".iCHECXA�.',�,
METHOD'
7,
PAID BY
CLTD:
By
BSAS SB1473 FEE
161-0000-20306
0
$1.00
$1.00
8/3/16
R17592
3135
CHECK
ALL KNIGHT HEATINGMFA
& AIR CONDI
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$145.04
$145.04
8/3/16
R17592
3135
CHECK
ALL KNIGHT HEATING
MFA.
SPLIT -SYSTEM
& AIR CONDI
HVACCHANGEOUT-
101*0000-42600
0
$72.52
$72.52
8/3/16
R17592
3135
CHECK
ALL KNIGHT HEATING
MFA
SPLIT -SYSTEM PC
-
& AIR CONDI
Total Paid for CHANGEOUT: $217.56 $117.56
PERMIT ISSUANCE00-42404
101-00
07
$91.85
$91.85
8/3/16
R17592
3135
CHECK
ALL KNIGHT HEATING
MFA
&AIR CONDI
Total Paid for PERMIT ISSUANCE: $91.85 $91.85 -
Printed: Wednesday, August 03, 2016 112:30:17 PM 2 of 2
Bin. #
. %ty' Of La Q[ll : to
BtdkrLpg 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
fa.Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
n
ProjectAddress: '173 30 `\) c, rc..,\f Z t'S n
Owner's Name:. .
A. P. Number
Address:
Legal Description:
Contractor .(w 1�Vci V,� - >� � t'-
City, ST, Zip �.JC7�- -1`� -VT IV4
Telephone:
Address: �i1 ;y�; (�) 1V� 3
Project Description:
City, ST, Zip: CA A VZV 1
- C_
Telephone: 1 bb 11 Z-yCjy
M�
State Lia #: `11 j -,x Sq
City Lk- !R (3 Q
At•dfi , EW., Designer
Address:
City, ST, Zip:
Telephone:
Construction Type: 1 Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: a # Stories: # Unita:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person: -1160_ j -J'DL'_ - j
I Estimated Value of Project: 1 eS-000
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Wd
Reed
TRACIMG
PERMIT FEES
Plan Sets
Plan Cheng submitted
Item Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Caks.
Called Contact Person
Plat Check Balance:
Tide 24 Calci.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechatilcal
Grading plan
2'a Review, ready for correctionsfkssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S hLL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review; ready for correctionsflssue
Developer Impact Fee
Planning Approval
Called Contact Person
AALP.P'.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name: Knight Residence Date Prepared: 2016-08-02
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
Knight Residence
02
Date Prepared
2016-08-02
03
Project Location
78330 Via Pavion
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Knight Residence
07
Zip Code
92253
08
Dwelling Unit Conditioned
2443
:.,.,w.
�:�Is the SiC
v ':-. + ; .� 'K.s
Installing a
aril +4m.,•-- .F� *4 "'A
Floor Area (ft2)
SC System
SC System
CFA served
Numberof space conditioning
f
refrigerant f
09
Climate Zone
15 ik! `; i .
10
(SC) systems in this dwelling
2
Location or Area
by this SC
ducted
:.w
containing
unit.
more than 40
B. Space Conditioning (SC) System Information
.
as°
f (
01
02
03
04v:
05
?66{� ��i�
� 0"-
09
10
� �
._.. �,
:.,.,w.
�:�Is the SiC
v ':-. + ; .� 'K.s
Installing a
aril +4m.,•-- .F� *4 "'A
SC System
SC System
CFA served
`"ystem as
s
f
refrigerant f
Ylnstallingnew SCInstalling
u
Installing
Installing
Identification or
Location or Area
by this SC
ducted
:.w
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
Main Living Area
1222
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedroom
1220
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0287482A-000000000-0000 Registration Date/Time: 2016-08-02 09:30:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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)1E and F)
01
02
03
04
05
06
07
08
09
30
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
All new
Central split
All new
This field or
This field or
System 1
heating
AFUE
78
AC
cooling
SEER
13
Setback
section is not
section is not
furnace
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
heating
AFUE
78
AC
cooling
SEER
13
Setback
section is not
section is not
furnace
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Duds and Fans
-Dud 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 510% 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 a 300 CFM/ton required when MCH -25 is required`
_
Exceptions: v, i
-Dud 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 verification 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 Leakag'e,Testing requirements
-
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New. or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0287482A-000000000-0000 Registration Date/Time: 2016-08-02 09:30:22 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-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:
Knight, April
Company:
Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING
2016-08-02 09:30:22
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 statemm
I certify the following under penalty of perjury, under the aws`:'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`6f the Business'and Professions Code to. accepuresponsibility 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 deviceess for the bui ng dessignn. stem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part hof the Califorma`Code of Regulations.:'1
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information, provided on:other"Iicabi compliance documents, worksheets,
.4 Acalculations, plans and specifications submitted to the enfo.101
rcement:agency fotapproval;,with this building permit application. f
. "r a 1' y v� 3' •
5. 1 will ensure that a registered copy of hisCertificate of Compliance shall be made available with the building permit(s),issued for,'the building and).66 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 p ov des to#e building owner at occupancy.
r ., � t M -v; entea.
Responsible Designer Name: �°Ei I . Ill k
Responsible Designer Signature: �7/�
"Ai1ZcJCn6-ht
Knight, April
Company:
Date Signed:
ALL KNIGHT HEATING & AIR CONDITIONING
2016-08-02 09:30:22
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0287482A-000000000-0000 Registration Date/Time: 2016-08-02 09:30:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 09:30:32
Schema Version: 0.555SDD