BMCH2014-114378-495 CALLE TAMPICO
( LA QUINTA, CALIFORNIA 92253 '
haw .
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O14-1143
Property Address:
48109 VISTA CIELO
APN:
646100053
Application Description:
HVAC CHANGE OUT- 13SEER/78AFUE
Property Zoning:
of the work for which this permit is issued. -
Application Valuation:,
$7,500.00
Dia/te: f Contractor
t� ✓
Section 470bofthe Labor Code, for the performance of the work for which this permit
is issued. orkers' compensation insurance carrier and policy number are:
Applicant -
Carrie"r: - — Policy Number:_
AIR EXPERTS AIR CONDITIONING
-H
PO BOX 94
shall not employ any person in any manner so as to become subject to the workers'
LA QUINTA, CA 92247-0094
VOICE (760) 777-7125
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 11/13/2014
Owner:
KURT FAHLMAN
Contractor: o N
AIR EXPERTS AIR CONDITIONING -H
PO BOX 94 ca
LA QUINTA, CA 92247-0094
AVL O
(760)777-1724 "12L
LIC. No.: 725283
LICENSED CONTRACTOR' �.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury th am licensed u er provisions of Chapter,
I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Di Sion 3 of the Q mess and Professions
1ave and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect /
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Clas : C20 License No.: 72 83
of the work for which this permit is issued. -
1'
I have and will maintain workers' compensation insurance, as required by
Dia/te: f Contractor
t� ✓
Section 470bofthe Labor Code, for the performance of the work for which this permit
is issued. orkers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrie"r: - — Policy Number:_
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
i %° 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
compensation laws of California, andagree that, i ould b ome subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3 0 of the La r Code, I shall forthwith,
signed statement that he or she is licensed pursuant to the provisions of the
comply with t ose pr visions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
/r�;
of the Business and Professions Code) or that he or she is exempt therefrom and the `
Date: ! 3 I Applicant:
basis for the alleged exemption. Any violation of Section 7031.5, by any applicant for a
'', el/
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: 1 1 . .
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_J I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not'
INTEREST, AND ATTORNEY'S FEES.
apply to an owner of property who builds or improves thereon, and who does the work
I himself or herself through his or her own employees, provided that the improvements
APPLICANT. ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
I thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors'. State License law.).
following issuance of this permit.
(� I am exempt under Sec. . B.&P.C. for this reason
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.
Date: Owner:
I certify that I have read this application and state that th2informa on is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances andg to building
I hereby affirm under penalty of perjury that there is a construction fending agency for
constructionppn, and hereby authorize representatives of thin the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
mentioned roperty for inspection purposes.lender's
Name:
Date: �1P/ Signature (Applicant or Agent)
Lender's Address:
FINANCIAL INFORIVIATION
° ;�":. ACCOUNT � ' QTY g$ AMOUNT
KF �.
%°
PAID` DATE
,DESCItIPT10N
„
tiu`F £PAID
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
K."�
• PAIUBY ?
:7 vsMETHOD
`CCTD BY_
sr
r
.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00. $0.00
"grrc`DESCRIPTION .E
ACCOUNT, t *
QTY
`'"'AMOUNT
PAID DATE.
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID•BY `¢
rig
5 RECEIPT#
't;'tiy
CLTD BYk
pyx'
y ,METHOD
�CHEGK4#
c : p DESCRIPTION , R
ek
AMOUNa'Q
>PAID— DATE:
�z . 7gMrj1 ..<
x
iPAI_D
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
*PAID BY _"'
'`vga METHOD £ " °" a€
fRECEIPT #
`x :CHECK # ` '
`'CLTD BY
A - F! 7e.
Total Paid forCHANGEOUT: $108.78 $0.00
UNTACCO,
Q
rt
PAID,DATE:
f �
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
-
��--PAID'BYa'METHOD
> r
p RECEIPT #;4
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 0•
Description: HVAC CHANGE OUT- 13SEER/78AFUE
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 11/13/2014 SKH
Approved: 11/13/2014 SKH
Parcel No: 646100053 Site Address: 48109 VISTA CIELO LA QUINTACA 92253
Subdivision: TR 20052-1 Block: Lot: 53
Issued:
Lot Sq Ft: 0 Building SqFt: 0 Zoning:
Finaled:
Valuation: $7,500.00 > Occupancy Type: Construction Type:
Expired:
No., Buildings: 0 No. Stories: 6 No. Unites: 0
Details: HVAC CHANGE OUT
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
r Applied to Approved i4
ADDITIONAL SITES
........,-CHRONCILOGY
. . ..... ....
CONDITIONS
..........
. ....... ..
... . .... .. . ............ CONTACTS'
135EER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
NAME TYPE__NAME . SS11. CITY. .. STATE � I
'
APPLICANT AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA CA 92247-
• 0094
CONTRACTOR AIR EXPERTS AIR CONDITIONING -H PO BOX 94 LA QUINTA CA 92247-
0094
OWNER KURT FAHLMAN 4064 HURON
T
FINANCIAL INFORMATION..
AVE CULVER CITY CA 92253
Printed: Thursday, November 13, 2014 3:55:09 PM 1 of 2 Orw"YSTEMS
i,
T
FINANCIAL INFORMATION..
AVE CULVER CITY CA 92253
Printed: Thursday, November 13, 2014 3:55:09 PM 1 of 2 Orw"YSTEMS
-INSPE
.
'
.
....... ............. . ........ ............. ... ... .... . .....
CLTD
PAI
'101
Y
BSAS SB1473 FEE
.101-0000-20306
0
$1.00
$0.00.
Total Paid forBUILDING STANDARDS ADMINISTRATION
MECHANICAL FINAL'FAKENT
101-0000-42402
$72.S2
$0.00
SPLIT -SYSTEM .
PROJECTS'REVIEWSJaATTACHMENTS
HVACCHANGEOUT-
101-0000-42600
O
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78
PERMITISSUANiCE
101-0000-42404,
0
$91.8S
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
-INSPE
.
'
.
'101
MECHANICAL FINAL'FAKENT
PROJECTS'REVIEWSJaATTACHMENTS
Printed: Thursday, November 1�2Ol43�S�9PK8 ' ' 2ofZ � _ .'
_ ' CIR~~~~ ^~'~~
^ . .
^
Bin.#
city* 'f. La Quinta
Building at Safety Division
P.O.-Box 1504,78-495 Carte Tamptco
" La.Quinta, G4 92253.- (760) 777-7012
Building Permit Application' and Tracking Sheet :
Permit #
Project Address:
Owner's Name:. �U 0 �/�i�//►1 /1%
A. P. Number.
Address: �C�� ✓t5�'-t if �(�,
Legal Description:
L�
City, ST, Zip: �Q i V , � 9 ZZ S
Telephone: , `
MI. > .ilk. d Nr
Project Description:
/�
Contractor. / lLX P� ,
Address: P0 OX
City, ST, zip: LA - Qu• N 714 e!',- 4 22 y
-lf�c�' A err.
Telephone: -7 7 "� fir% a
Z :=
t
_
State Lic. 4: %Z- SS Z O21 City Lic. #,
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
, 'Y. a "°
g';r
% ,<
cum.
Construction Type:. Occupancy:
State Lic. #:
Project a circle one): New Addn Alter R mo
J Repair De
type )' '?-
Sq. Ft.: # Stories: # Units:
Name of Contact Person:
Telephone* of Contact Person:
CXW
Estimated Value of Project: -7- 0—
"—APPLICANT:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan.Sets
Plan Cheek submitted
Item
Amount
Structural Cabs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cslcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'
Mechanical
Grading plan
2" Review, ready for corrections%ssue .
Electrical
Subcoutattor IA stied
Contact
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE.-
'"` Review', ready for corrections/issue
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
CFIR-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
i
Kurt Fahlman ` r ' "
02
Date Prepared
2014-11-12
A. General Information
CFIR-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 '' t
Kurt Fahlman ` r ' "
02
Date Prepared
2014-11-12
03
Project Location
48109 Vista Cielo •
04
Building Type _
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
KurtFahlman . .. -
.
"
`,08
t ` = •
.+.. •1a'i{'
Dwelling Unit Conditioned
may,. yt
Installing a
07'
Zi Code"
Zip
`. , .,... r.
Floor Area (ft2)
2000
SC System
CFA served
system a >
refrigerant '^
Installing new SC
Installing
Installing
Installing
j
Identification or
Number of space conditioning
by his SC
09 .
Climate Zone -
15 , ' .
10
($C) systems in this dwelling,
1
Name
Served 1.:
System (ft3)
system?
component?
components?
feet of ducts?
1•�
SC system?
unit:
System 1 '
B. Space Conditioning (SC) System Information s y
!j L^�`,� �'•r..�• �ci%t. 3�Y •F �tY � 7i. .5 .. �1•. ....11[W^
01
02 r
p 0
04 t
05 r
` � 06.
7
08 8 {:
09
10
- _-
X .
�e •`'
;07 .
.
• •
.+.. •1a'i{'
Tho.
Is the SG`
may,. yt
Installing a
Q ''N' :5.
�a.
!�'
A„ "=
!�. .{'F?.' }S.�i. '`•qr,:'.
SC System' •
SC System
CFA served
system a >
refrigerant '^
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by his SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served 1.:
System (ft3)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1 '
.Location 1
2000 *-
Yes'
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project. -
` Registration Number: 214-A0138408A-000000000-0000 - Registration Date/Time: .2014-11-12 16:43:58
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
+ Schema Version: 0.551SDD
E
HERS Provider: CalCERTS
Report Generated: 2014-11-12 16:44:43 .
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4)
D. Altered Space Conditioning System (Sections 150.2(b)IE 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
C
All new
This field or
This field or
-
System l'
furnace
heating
AFUE
0.78' '
y• AC
cooling
SEER
13
Setback
section is not
section is not
components
components'
.. -
} _
_
applicable
applicable
Required Documentation: - • _ ' - '
_
MR -MCH -01-E -Space Conditioning Systems Ducts and Fans.
,,"' `
-Duct insulation requirement for new plenums: R6.� ,` ; -` ••. ' _ , `,
_ ,
CF211-MCH-20-H & CF311-MCH-20-H — Dud Leakage testing required when heating or cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, ors; 30%1eakage to outside,'or seal all accesslble leaks. -
CF211-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).
s `
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow t 300 CEM/ton required when MCH -25.', required
Exceptions: ts� 3{
x
Leakage.Testing
-Dud systems reglstered with HERS provider as previously sealed are exempt from MCH 20 Dud requirements. d
s� w
Heating:only systems and Air Handler/Furnace-changes do not rrequiirefver itattion:of Air Flow MCH -23 or Refngerant:CHarge MECH 25 s x
Existing dud systems constructed, insulated or06aled withh,,asbesttos are.exempt from MCH 20 Dud Leakage Testing requirements:; "' +`� K
,f
' • .. "' � �°* �•xcF'`.L�: wr+S`�t"'��.a%rei�a rti.'t «fa ,`�*a7�»�,+�*3Y'..:.�'"k""kii�':"%.,..:�h�Ya'��''.i°�'�A�' - . . 'e
E. Entirely New or Complete Replacement Duct System, with o'r'without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
•, .. `Y . -_ - - • ••..fin -_�•- - .' �{ ' ~'•.r'y' • • '•'• ' •�- ,- ' �.. ••Z,• -
41
Registration Number: 214-A0138408A-000000000-0000 ` Registration Date/Time: 2014-11-12 16:43:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-12 16:44:43
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
f . . k•
* . 't • 'r - r .. '.- tit- +' trr 's' -^ .., ..
§' ` L ' •L i ♦ /� -� ` • - A (, lV�Y f�.f'... 4f.r t - •! ~ I ' •. .. �• •�; ry .. wT`F' - � f• '.. _ y
. 7 F4
i• a - - v r
M.,
L � '� - r � 1 !�a � � j ��`F� � m^�'k •.ri y,r !�. ,YS -!o' 'rp+r � A' (; 0 '^Y fir �'�i��� .... - I.
f.• . r !� a r.: r• ..Wd ir-"'�'9'nhx..'. rFa`"Y�' :R.:. ,.,e :S...>• t..o\ 'Srm.,�g r"-
Registration Number: 214-A0138408A-000000000-0000 Registration Date/Time: 2014-11-12 16:43:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 20.13 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-12 16:44:43
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E'
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) )Page 4 of 4) F
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: v ''
Documentation Author Signature:
-
Van Vlymen; Paul -
Company:
Signature Date: 1 r t
Air Experts Air Conditioning ` '
2014-11-12 16:43:58 -
Address:. ,. ?
CEA/ HERS Certification Identification (if applicable):
PO Box 94 -
T �
City/State/Zip: v "
'
Phone: a • , • f ., : +
La Quinta CA 92247 ' + .�'� rX �+�,• • .
h
760-777-1724 �•'
J
Responsible Person's Declaration statement, ye
I certify the following under penalty of perjury, under the..laws"of the State of California: ,a "
1. •1 The information provided on this Certificate of Compliance Is true and correct.
2., I am eligible under Division 3 of the Business andProfessions Code to a pt responsibllltyifortlie building design or sysstem design identified on this Certificate of Compliance (responsible designer). `
w i , !..
.:3, That the energy features and performance specifications, materials,` co mponen6, and manufactured dewces for the bullding design or system design identified on this Certificate of Compliance conform to the
r. requirements of Title 24, Part 1 and Paii 6 ofthe California Code of Regulations.{�c „
'Regulation:r_. .,. �4"'Y,w,is.
;'r; .. ., ,. ....,, - ..
4 ._� + The building design features or system design features identified on tl �s Certificate of Compliance are consistent withrthe informatiorrprovided'on other apIp '61e.compliancedncuments; worksheets, -
1% calculations, plans and specifications submitted toahe enforcement agency for. approval with this.bullding permit application.,"'" �` , .fir _ i ''• . , y -
..
� ,.+*'/ •��" ,.fir 3 ��;� , .�°` ,h a +�
S."- - I will ensure that a registered copy of this°Certificate of Compliance Sh6il be made available with the:buildmg'permit(s) issued for the building antl made 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 tFie;documentation the`.tiulliier provides to the building owner at occupancy. -
Responsible Designer Name { ; + s ``
' d�
Reeponsible°Designer Signature , n' ' „ • a r`j
�l�ii" LILXi%ewv
Van Vlymen, Paul -
�5:.
Company:
Date Signed:. t ,Tui
Air Experts Air Conditioning _.� ..�. � -
"'`
2014-11-1216:43:58 - -'
Address: r
License:
PO Box 94 '
725283
City/State/Zip: E
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by CaICERTS.• 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: 214-A0138408A-000000000-0000 Registration Date/Time: 2014-11-1216:43:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-12 16:44:43 '
Schema Version: 0.551SDD,