BMCH2017-015578-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0155
Property Address: 81914 COUPLES CT
APN: 764060008
Application Description: COUPLES / HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT SYSTEMS
Property Zoning:
)Application Valuation: $16,300.00
Applicant:
MLC TESTING
77825 DELAWARE PL
PALM DESERT, CA 92211
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.: 756658
Contractor:
. OWNER -BUILDER DECLARATION
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).:
(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 Addre!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/2017
Owner:
JIM ALERECHT
81914 COUPLES CT
LA QUINTA, CA 92253
C
O No
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z
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3
0
Contractor:
'
VIC'S AIR CONDITIONING
.`
�-
P0BOX 215
er
c3,
THOUSAND PALMS, CA 9 276
1
(760)343-5033
Llc. No.: 756658
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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
_ I certify that in the performance ofthe 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.
Date: 2� ( Applicant: �� ✓�
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 city to enter upon the above-
mentioned property for inspection purposes.
Aw
Dat �r Signature (Applicant or Agent
0
o
Date: 4/27/2017
Application Number:.
BMCH2O17-0155
Owner:
Property Address:
81914 COUPLES CT
JIM ALERECHT
APN:
764060008 -
81914 COUPLES CT
Application Description:
COUPLES / HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT SYSTEMS
LA QUINTA, CA. 92253
Property Zoning;
Application Valuation:
$16,300.00
Applicant:
Contractor:
MLC TESTING
VIC'S AIR CONDITIONING INC
77825 DELAWARE PL
P 0 BOX 215
PALM DESERT, CA 92211
THOUSAND PALMS, CA 92276
(760)343-5033
--------------------------------------------------------------------------------------------
Llc. No.: 756658
Detail: HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
0
o
FINANCIAL INFORMATION.
DESCRIPTION ACCOUNT •
QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101=0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $330.27
f
Bina
City. of La Quinta
BtdMMg a Safety Division
P.O. Box 1504,'76-495 Calle Tampico
La.Qidnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet/
Permit #
Project Address: /
Owner's Name:.
A. P. Number.
Address:
Legal Description:
r
Contractor. �(; S j�
City, ST, Zip:
Telephone: (g O — 4, ?,Y 9O(e
Address: 0' 6 z —
Project Description:
City, ST, Zip: r C-4
07 .-F0 P, to. 11� v siloLIZ f'S !�
Telephone: 3 ^S Q3
State Lic. #: S cityLic #,
Arch, Bttgr., Designer.
Address:
City, ST, Zip:
Telephone:
Construction Type:. Oecr�:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Utrit
Name of Contact Person: P/-" i�
Telephone # of ContactPerson: ,0 97C)( 0'9b`
Estimated Valine of Project:
APPLICANT: Do NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
'Reed
TRACKING
'ERM r FEES
Plan Sete
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cales.
Called Contact Person
Plan Check Srilance
Title 24 Calci.
Pians picked up
Construction
Flood plafu plae
Plans resubmitted. ,
Mechanical
Grading plan
2'! Review, ready for cormetionsrasue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE}
''d Review; ready for eorreedonslissae
Developer Impact Fee
Planning Approval
Called Contact Person
A I.P.P.
Pub. YI b. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: Jim Alerecht Date Prepared: 2017-04-26
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
Jim Alerecht
02
Date Prepared
2017-04-26
03
Project Location,
81914 Couples Ct
04
Building Type
Single family t
. 4r=
05
CA City
La Quinta
06
Dwelling Unit Name
Jim Alerecht
_
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft
2400
SC System
SC System
CFA served
Number of Space
refrigerant
09
Climate Zone
15
10
Conditioning (SC) Systems in
2
Location or Area
by this SC
ducted
containing
this Dwelling Unit:
more than 40
B. Space Conditioning (SC) System Informationf
01
02
03
04
SOS
06
W
08
09
10
_
-"fs the SC7"
Installing a
SC System
SC System
CFA served
system a
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
System 1
bedrooms
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Altered space
System 2
Living Arca
1300
Yoc
Yoc
YosNo
Pio
pig
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: 217-A020136513A-000-000-0000000-0000 Registration Date/Time: 2017-04-26 12:00:49 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 12:00:50
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-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
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
Less than or
'
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF211-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 (CZ 11 and 14-16)
CF211 and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced
-Leakage rate compliance: <=15% or <=10% leakage to outside, or seal all accessible leaks. a
.rw'�` ]"' f4+, ax+4M4�•. <'!d'rS"
..t-"'cohhtalning installed in CZ 2, 8-15). x
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigetaMcomponents are
ortaltered (applicable
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. st
Exceptions; �1,} i
i(
Duct systems registered HERS as sealed are exempt from MCH Duct LeakagejgsVng,requirements 5,, #
with provider previously -20 ,;
..t
-Heating-only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23�, or Refrigerant Charge MCH -25.
� 0
-Existing from MCW20 Duct Leakage"Testing requifements: f `
-Existing duct systems constructed, insulated or sealed with asbestos are
�
�{
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, 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: 217-AO20136513A-000-000-0000000-0000 Registration Date/Time: 2017-04-26 12:00:49 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-26 12:00:50
Schema Version: rev 10/16 . - -
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:
Bachus, Tom
Company:
Signature Date:
MLC Building Performance
2017-04-26 12:00:49
Address:
CEA/ HERS Certification Identification (if applicable):
77825 Delaware Place
City/State/Zip:
Phone:
Palm Desert CA 92211
1760-836-0066
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 fteg latlons �""� , �( �`�
4. The buildin design features or stem desi n features Identified on this Certificate of Compliance are -consistent with'the information provided on otherlapplicable'compliance documents, worksheets,
g g system g dt
... _@
calculations, plans and specifications submitted to the enforcement agency for.approval with building permit application. o ;
5. 1 will ensure that a registered copy of this Certificate of„Compliance shall, be°made:available with the building permits) Issued foQhe wilding, and made avallable.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 prrov.'des to,.the.bulldjing owner at occupancy.
Responsible Designer Name: . $ --
Responsible Designer Signature: V -- A
Bachus, Tom
Company:
Date Signed:
MLC Building Performance
2017-04-26 12:00:49
Address:
License:
77825 Delaware Place
City/State/Zip:
Phone:
Palm Degert CA 02211
760 836 0066
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: 217-A020136513A-000-000-0000000-0000
Registration Date/Time
2017-04-26 12:00:49 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-04-26 12:00:50
Schema Version: rev 10/16