BMCH2014-104778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tv, 4 4Qutqrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O14-1047
Property Address: 48527 VIA ENCANTO Q i,
APN: 646091017-- —
Application Description: FURNACE & COIL CHANGE 0 A
PropertyZoriing: AUG 1$ 2014
Application Valuation: $1,000.00 fF
Applicant:
ALBER OLALDE
81891 SANDY COURT
INDIO, CA
—'WY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 Cl : C20. License No.: 743185
Date: Contract • , l -
VOICE (760) 777-7125
- FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/13/2014
Owner: .
NICHOLAS HILL
48527 VIA ENCANTO
LA QUINTA, CA 92253
Contractor:
ALBERT OLALDE DBA A AND G AIR
81891 SANDY COURT
INDIO, CA 92201
(760)342-0100
Llc. No.: 743185
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:
OWNER -BUILDER DECLARATION
Carrier:— Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply wit tho r visions.
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 alleg
Date: Applicant's-����
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).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
compensation, will do the work, and the structure is not intended or offered for sale.
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT:Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, and
as a result of this application , the owner, and the applicant, each agrees to, and shall
who contracts for the projects with a contractor(s) licensed pursuant to the Contractors'
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
State License Law.).
employees for any act or omission related to the work being performed under or
�) 1 am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
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:
11
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 pr erty f inspection purposes.
Date: 45�Signature (Applicant or A64zag
i'FINAN
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DESCRIP,TION�a ACCOUNT',�-', - •
: ACCO
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AMOUNt . ti PAID oaf PAID DATE
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BSA5581473 FEE
BSAS 561473 FEE
101-000
101-0000-20306
DESCRIPTION mi
$1.00
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
xNDESCRIPTION;. r ` z
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QTY
AMOUNT. x
PAID.4S
PAID DATE
#
HVAC CHANGEOUT -FURNACE ONLY
101-0000-42402
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$35.75
$0.00
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HVAC CHANGEOUT - FURNACE ONLY PC
101-0000-42600
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$23.83
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Total Paid forCHANGEOUT: $59.58 $0.00
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PAID
PAID DATE
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PERMIT ISSUANCE
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Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS: $1S1.1S $0.00
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Bin #
Cit} Of La Q uin to
Building &r SafetyDivision "
P.O. Box 1504, 78-495 Calle 'Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking ShEet
Permit #
Project Address: %
Owner's Name:
A. P. Number:
AddresskLI
Legal Description:
City, ST, Zip:
Contractor
Telephone:
Address:AIM
Project Description;
City, ST, Zip:
...:::::........
Telephone. ""'` ' "^
State Lic. # :
City Lic. M.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
s>::: :::::
................................
Construction Type: Occupancy:
Lic. #:
RepairairState
ProJ e ct
hPa (cir leone : New Add'n Alter Demo
Name of Contact Person:
Sq. Ft.:2
# Stories:nits:
#U
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depc•sit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impa::t Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fess
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 4 )
Project Name: Nick Hill Date Prepared: 2014-08-13
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling_ units must be
documented, use one MR -ALT -02 document for each dwelling unit.:
01
Project Name:
Nick Hill
02
Date Prepared:
2014-0843
03
Project Location:
48527 Via Encanto
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Nick Hill
07
Zip Code:
92253
08
Dwelling Unit Conditioned
2100
Is'the entire
Floor Area (ft2):
"components?'
Number of space conditioning
duct system
09
Climate Zone:
15
10
(SC) systems being altered in
1
(packaged unit, or
accessible
this dwelling unit.:
B. Space Conditioning (SC) System I'pformati.on'' a
01
02
03
X04 2 .=
05'°•
06.'
075
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
Is the' -altered
Altering or
or
more than 40
and is more
components
or.nstalled
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant.
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new'
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
Trane
Whole House
2100
Yes
Yes
No
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: 214-A0073989A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-08-13 10:00:47 HERS Provider: CaICERTS
Report Version: 2014-03-31 Report Generated: 2014-08-13 10:01:27
FICATE OF COMPLIANCE CF1R-AL1
tions to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2
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
Central large .
No cooling
This field or
This field or
Less than or
Trane
furnace
Compressor
AFUE
0.78
packaged AC
component
section is not
section is not
Setback
equal to 40
R-8
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF213-MCH-20-11 & 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: s 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 z 300 CFM/ton required when MCH 25 is required
Exceptions:'
-Duct systems registered with HERS provider as previously sealed are :exempt frgm MCH -20 Duct Leakage Testing requirements. "
-Heating-only systems and Air Handler/Furnace do not requfie verification._of Air Flow MCH -23, or,RefrigeranLCharge MECH 25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt:from MCH 20 Duct, Leakage Testing requirements
Registration Number:.214-A0073989A-000000000-0000 Registration Date/Time: 2014-08-13 10:00:47 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 , _ Report Generated: 2014-08-13 10:01:27
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space'Conclitioning System (Section 1S0.2(b)1C)
This section does not apply to this project.
Registration Number: 214-A0073989A-000000000-0000 Registration Date/Time: 2014-08-13 10:00:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 '10:01:27
3 <' f
j
X
_
J
Registration Number: 214-A0073989A-000000000-0000 Registration Date/Time: 2014-08-13 10:00:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 '10:01:27
CERTIFICATE OF COMPLIANCE CFiR=ALT 02-E
Alterations to Space Conditioning Systems (forrrierly CF -1R -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 Signature:
Olalde, Albert
CWA
Company:
Signature Date:
Albert Olalde
2014-08-13 10:00:47
Address:
CEA/ HERS Certification Identification (if applicable):
81891 sandy Court
City/State/Zip:
Phone:
Indio CA 92201
760 342 0100
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. .I am eligible under Division 3 of the Business and Professions Code.to accept responsibility for the building design orsystem design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components and manufactured device; for the;: build Ingdesign orsyst`em design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part:6 of the California..Code of Regulations
4. The building design features of system=design features identified on th s�Certificate of Compliance are,,cor&stenf with the.'information provided on other applicable complf_ance documents, worksheets,
calculations, plans and specificatlons submitted,.to the enforcement..agecy for approva6withthis budding'l;ir application. w
S. ` I will ensure that a registered copy of this Certificate of Comp lance shall be.rriade available With :the building permk(s).issued for the building andmade;available to.the enforcement agency for all'appl'icable
inspections. I understand that a registered copy of this Certificate of£ompliance is required to be.iricluded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
M"
Olalde, Albert
c9Mett
Company:
Date Signed:
Albert Olalde
2014-08-13 10:00:47
Address:
License:
81891 sandy Court
743185
City/State/Zip:
Phone:
Indio CA 92201
760 342 0100
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: 214-A0073989A-000000000-0000 Registration Date/Time: 2014-08-13 10:00:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 10:01:27