BMCH2016-032078-495 CALLE TAMPICO C� 0 D Cl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0320
Property Address: 50330 VIA PUENTE
APN: 776290036
Application Description: BORCHARDING / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $8,559.00
Applicant:
FIRST CHOICE A / C & HEATING INC
79-747 CASSIA STREET
LA QUINTA, CA 92253
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.: 968138
Date: b Contractor:
OWNER-BUILDEUR O CLAI TAN
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MARTY BORCHADING
50330 VIA PUENTE
LA QUINTA, CA 92253
Contractor:
FIRST CHOICE A
79-747 CASSIA'
LA QUINTA, CA
Date: 8/19/2016
(760)989-2369
Llc. No.: 968138
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 or which this permit is issued.
ave andwill maintain' workers' compensation insurance, as required by
Sect on 700 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: MID-CENTURY INSURANCE COMPANY Policy Number: A09478960
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.
I9aIte.: PKv / 1U Applican
WARNING: FAILURE TO SECURE WORKE ,C MPE YYT N 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 city to en upon the
above-mentioned property for inspection purposes.
Date: /Cl 11 Signature (Applicant or Agent
Application Number:
BMCH2016-0320
Property Address:
50330 VIA PUENTE
APN:
776290036
Application Description:
BORCHARDING / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$8,559.00
Owner:
MARTY BORCHADING
50330 VIA PUENTE
LA QUINTA, CA 92253
Date:. 8/19/2016
Applicant: Contractor:
FIRST CHOICE A / C & HEATING INC FIRST CHOICE A / C & HEATING INC
79-747 CASSIA STREET 79-747 CASSIA STREET ,
LA QUINTA; CA 92253 LA QUINTA, CA 92253
(760)989-2369
Llc. No.: 968138
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
0
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE:
$91.85
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Borcharding I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3 )
2016-08-18
A. General Information
CF111-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
Borcharding
02
Date Prepared
2016-08-18
03
Project Location
50330 VIA PUENTE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Borcharding
07
Zip Code
92253
08
Dwelling Unit Conditioned
4000
`'
__ _` j%
Floor Area (ft2)
SC System
SC System
CFA served
\ ystem at--
reffrige`ant c
Number of space conditioning
,'histallirng
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted +
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information �— r '�
c
01
02
03
041.
� 05I
06 i ��
i4 07 �
US
09
10
h
*;
ills the SC
'Ini6iling ate"
`'
__ _` j%
SC System
SC System
CFA served
\ ystem at--
reffrige`ant c
Zinstalling ew SC
,'histallirng
'I�talli g
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
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: 216-A0309813A-000000000-0000
Registration Date/Time: 2016-08-18 16:19:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 16:19:11
c'ti— n rrrcnn
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)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
Gas furnace
Central split
All new
This field or
This field or
System 1
furnace
AHU
AFUE
80
AC
cooling
SEER
16
Setback
section is not
section is not
components
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 components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: s 15%, or:5 10% 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:
-Duct systems registered with HERS provider as previously sealed are exempt fromMCH-20Duct Leakage Testing requirements..., r�
5��
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH=23,,or""Refrigerant Charge MECH-2l
4
-Existing duct systems constructed, insulated or sealed with asbestos are exempt'Jrom MCH=20 DuctjLeakage Testingregwre ts.
.,•� �� tip, fl �! ri L�. it it �•+ l; j� ., tr it l� ��
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout .(Sections,150.2(b)1Diia and 1S0.2(b)lE, F)
ti l i ice- i "�. ii✓✓ r—C t) t v--
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-A0309813A-000000000-0000
Registration Date/Time: 2016-08-18 16:19:18
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 16:19:11
%1 , n ccccnn
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:
�ot
Both, Atila
c-Rtda
Company:
Signature Date:
FIRST CHOICE A / C & HEATING INC
2016-08-18 16:19:18
Address:
CEA/ HERS Certification Identification (if applicable):
79-747 CASSIA STREET
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-989-2369
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. 1 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 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 California Code of 11 g lation v�' l f_. �--,
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. �� I
5. I will ensure that a registered copy of this Certificate of Compliance shall be made,available with the building pe�mit(s),issued forahe building, and made available to:the;enforcementagency 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 provides to the building owner at occupancy.
Responsible Designer Name: 1 ! — --
Responsible Designer Signature: H; JI+%/ may— C
Both, Atila
c-R&Ta of
Company:
Date Signed:
FIRST CHOICE A/ C & HEATING INC
2016-08-18 16:19:18
Address:
License:
79-747 CASSIA STREET
968138
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-989-2369
Digitally signed by Ca/CERTS. 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: 216-A0309813A-000000000-0000 Registration Date/Time: 2016-08-18 16:19:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 16:19:11
c'ti— %1.—;,,.,. n ccccnn
A
L
Bin #
Qty of La Quinta
Building E -z Safety Division
, _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
O3� Building Permit Application and Tracking Sheet
Permit ##
C,F7Ol�
Project Address:
Owner's Name:. A
A. P. Number.
Address: Tj U3� C} �/ P Q. ►'\ —�
LegalMscripfion:
City, ST, Zip:
oII,.
Cntractor: \ LJ�
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ddress: ''�� �
Project Description:
City, ST Zip:
elephone:'
f4?yz rr
NOMM
tate Lic, # :Q 1.3
City Lia #;
Arch., Engr., Designer:
,
Address:
City, ST, Zip:
Telephone:
i
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Construction Type: Occupancy:
State Lic.#
Project type (circle one): New Add'n Alter Repair Demo
ame of Contact Person: 'Ptl h 96,6+(n
Sq' Ft.;
# Stories.
# Units:
Telephone # of Contact Person: ' p [3
stimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE "
N
Submittal
Req'd
Recd
TRACiQNG
PERMIT FEES
Plan Se(s
Plan Check submitted "
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check 1321ance
,
Title 24 Cates.
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 Deed
'
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit. issue
Total Permit Fees
ti -
J