BMCH2017-016578-495 CAL LE TAMPICO
4 4vQ*Z
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT.
Application Number: BMCH2O17-0165
Property Address:
48559 VIA ENCANTO
APN:
646091001
Application Description:,
LANE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$9,950.00
Applicant:
NICOL CONSTRUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL
DESERT HOT -SPRINGS, CA 92241
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/3/2017
Owner:
DOTTIE LANE j
'--� 48559 VIA ENCANTO
LA QUINTA, CA 92253
l' I """ 0 3 2017 0L
CINOF�QUINT_ q� Contractor:
COMM�ryCE`/Elopi Ehi7DEPAR7MEtJT NICOL CONSTRUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL
DESERT HOT SPRINGS, CA 92241
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: B. C120 License No.: 878070
tDate:�� / f 4_�..C-ontracto—
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that l 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:
(760)567-2811
Llc. No.: 878070
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 ofthe work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: WESCO INSURANCE COMPANY Policy Number: WWC3242024
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 Code, I shall forthwith
comply with those provisions. (�.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 JN 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, ea3ch person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a resulYof 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 enter upon the
above-mentioned property for inspection purposes. -
Date: / 3 I }
1- Signature (Applicant or Agent)!
Date: 5/3/2017
Application Number: BMCH2017-0165 Owner:
Property Address: 48559 VIA ENCANTO DOTTIE LANE
APN: 646091001 48559 VIA'ENCANTO
Application Description: LANE RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: .$9,950.00
e
Applicant: Contractor:
NICOL CONSTRUCTION INC DBA NICOL CLIMATE " NICOL CONSTRUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL 67851 OCOTILLO TRAIL
DESERT HOT SPRINGS, CA 92241 DESERT HOT SPRINGS, CA 92241 `
(760)567-2811
Llc. No.: 878070
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE \
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
I
FORMATION,
DESCRIPTION ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE.* ,. 101-0000720306
0
$1.00.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM
101-0000-42402
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
aTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
I
•
f
k
v
CERTIFICATE OF COMPLIANCE " ' ♦ - CFIR-ALT-02•E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ° (Page 1, of 3)
Project Name: - Dottie LaneDate Prepared: 2017-05-02
A. General Information
CFSR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
y
01
Project Name
�
a
Date Prepared.
2017-05-02
03
Project Location
48559 Via Encanto
04
Building Type
Single family
05
CA City
La Quinta n
06
Dwelling Unit Name
House
¢
CERTIFICATE OF COMPLIANCE " ' ♦ - CFIR-ALT-02•E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ° (Page 1, of 3)
Project Name: - Dottie LaneDate Prepared: 2017-05-02
A. General Information
CFSR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CFIR-ALT-02 document for each dwelling unit. `
01
Project Name
Dottie Lane
02
Date Prepared.
2017-05-02
03
Project Location
48559 Via Encanto
04
Building Type
Single family
05
CA City
La Quinta n
06
Dwelling Unit Name
House
¢
system
refrigerant
07
Zip Code
92253 I ,
08
Dwelling Unit Conditioned
1852
Location or Area,
by this SC
ducted
r
2
Floor Area (ft)
more than 40
entirely new
entirely new
t ri-f-
ICT
Numberof5p ace
System (ft)
09
Climate Zone
15 tiL "
10
Conditioning (SC) Systems in,
1
Alteration Type
Unit #1
home
I/a
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
o0o# of
g Kos �6w
4** Oti"Ili, -t
07
08
09
10
SC System
SC System
CFA served
Is the SCS
a
„,Installing a Vi
,f• , (fiiOOritt
¢
system
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Unit #1
home
1852
Yes
Yes
Yes
No
No
No
Altered space.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project. r
Registration Number: 417-A020092058A-000-000-0000000.0000 Registration Date/Time: 2017-05-02 17:45:39 HERS Provider: CHEERS _
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05,02 17:45:40
Schema Version: rev 10/16.
CERTIFICATE OF COMPLIANCE ' ' {F1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
• :.f
Cooling
r
System
Heating
Altered
Heating
i
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
Less than or
Unit #1
furnace
heating
AFUE
0.81
AC
cooling
SEER
14
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 supply -air and return -air ducts or plenums: R6 (CZ 1-30, 12 and!13) and R8 (C211 and 14-16)
-
-
CF2R and CF3R-MCH-20-H - Duct leakage Test required when heating or cooling components are ,installed inducted iystems, or when more than 40 it of duct length is replaced
-leakage rate compliance: <=15%or <=10% leakage to outside, or seal all accessible leaks. ('1."`�i;
-IV}7y
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componentsare instalied or altered (applicable In CZ 2, 8-15).
+'
CF2R and CF3R-MCH-23 Airflow Rate>= 300 CFM per ton required when MCH -25 is required.
Exceptions:
- Duct systems registered with HERS provider as previously sealed are etiempt from MCH -20 Duct LeakageTesting requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
r
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
CERTIFICATE OF COMPLIANCE ' ' {F1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
All new
Central split
All new
Less than or
Unit #1
furnace
heating
AFUE
0.81
AC
cooling
SEER
14
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 supply -air and return -air ducts or plenums: R6 (CZ 1-30, 12 and!13) and R8 (C211 and 14-16)
-
-
CF2R and CF3R-MCH-20-H - Duct leakage Test required when heating or cooling components are ,installed inducted iystems, or when more than 40 it of duct length is replaced
-leakage rate compliance: <=15%or <=10% leakage to outside, or seal all accessible leaks. ('1."`�i;
-IV}7y
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componentsare instalied or altered (applicable In CZ 2, 8-15).
+'
CF2R and CF3R-MCH-23 Airflow Rate>= 300 CFM per ton required when MCH -25 is required.
Exceptions:
- Duct systems registered with HERS provider as previously sealed are etiempt from MCH -20 Duct LeakageTesting requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
r
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
rc . -
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
U9Thls se Lion doesoapply to tlil 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: 417-A020092058A-000-000-0000000.0000 Registration Date/Time: 2017-05-02 17:45:39 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 20.17.05-02 17:45:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE _ - 3 CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement K
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. ,
Documentation Author Name:.
Documentation Author Signature: - -
Dana Nicol .
Daeta.N6co1. `
Company: - -
Signature Date:
Nicol Climate Control
2017-05-02
Address: - ,.
CEA/ HERS Certification Identification (if applicable):
67851 Octollio Trail
City/State/Zip:
Phone:'
*
760-1567-0397
t
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 or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and mamufactu etl 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 California Code of Regulations.
4. The building design features or system design features Identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents, worksheets,
CERTIFICATE OF COMPLIANCE _ - 3 CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement K
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. ,
Documentation Author Name:.
Documentation Author Signature: - -
Dana Nicol .
Daeta.N6co1. `
Company: - -
Signature Date:
Nicol Climate Control
2017-05-02
Address: - ,.
CEA/ HERS Certification Identification (if applicable):
67851 Octollio Trail
City/State/Zip:
Phone:'
Desert Hot Springs CA 92241'
760-1567-0397
Responsible Person's Declaration statement ��Yp
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 or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and mamufactu etl 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 California Code of Regulations.
4. The building design features or system design features Identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents, worksheets,
• calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. -
5. I will ensure that a registered copy of this Certificate of Compliance shall be.madeFavailable with the building.permit(s) 04 issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of�Compliance isrequiied to beincluded withthe documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Dana Nicol I, Ie�mn4tC11E�f15^IVICc.�,
Responsible, Designer Signature: '
NICO�r
,
Company: - - N,
Date Signed: --
Nicol Climate Control
2017-05-02
Address: -
License: -
67851 Octollio Trail
878070 ~
City/State/Zip:
Phone:
Desert Hot Springs CA 92241 -
760-567-0397
t
Digitally signed by CHEERS'". 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. r
Registration Number: 417-A020092058A-000-000-0000000-0000 Registration Date/Time: 2017-05-02 .17:45:39 r HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-02 17:45:40
r Schema Version: rev 10/16
t _
Ir
1 -
r
r ..