BMCH2017-0198.� VOICE (760) 777-7125
78•-495 CALLE TAMPICO Q�i ; • Ct D .
LA QUINTA, CALIFORNIAAX (760) 777-7011RNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: BMCH2O17-0198 Owner:
Property Address: 81881 DANIEL DR PAMELA PROBST
APN: 764360038 81881 DANIEL DR
Application Description: PROBST RESIDENCE/ IL & CQIV'DENSE LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $5,900.00-.�
Applicant: Contractor:
BETTER AIRC11YOF(,q I _ BETTER AIR
OUTSIDE CITY LIMITS COTiMUNITypEVECO� QNTDTA E ARTMENT 80-817 MARY LANE
INDIO, CA 92201-
(760)48573390
LIc. No.: :LIC -764976
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: _ License No.: :LIC -764976
D�EIS,Date: _ Contractor: y""a
OWNER -BUILDER DECLA ATION
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 foi 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
Date: 5/26/2017
WORKER'S COMPENSATION DECLARATION
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: Policy Number: _
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 370p�g"P the ar C�ec�� I s 1 forthwith
comply with those provisions. �� /
- 26-/l
WARNING: FAILURE TO SECURE WORKCRS' COM16ENSATION 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 ismade, 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 up K he
above-mentioned property for inspection purposes. � 77�
Agent):
Date: 5/26/2017
Application Number: ,BMCH20i7-0198
Owner:
Property Address: 81881 DANIEL DR
PAMELA PROBST
APN: 764360038
81881 DANIEL DR
Application Description: PROBST RESIDENCE / COIL & CONDENSER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $5,900.00'
Applicant:
Contractor:
BETTER AIR
BETTER AIR
OUTSIDE CITY LIMITS
80-817 MARY LANE
INDIO, CA 92201
(760)485-3390
-------------------------------------------------
Lic. No.: :LIC-764976
--------------------------------------------
Detail: COIL AND CONDENSER CHANGE OUT ONLY- 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S)TO BE INSTALLED PRIOR TO FINAL-
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
ry
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 - CONDENSER ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT.- REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07*
Total Paid for CHANGEOUT: $81.07
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
O.
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E I
I Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3)
Project Name:
PROBST RES. I Date Prepared:
2017-05-25
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
CF111-ALT-02,document for each dwelling unit.
01
Project Name
PROBST RES.
02
Date Prepared
2017-05-25
03
Project Location
80881 DANIEL DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
PROBST RES.
07
Zip Code
92253
08
Dwelling Unit Conditioned
1250
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
.,y,.♦_:; -
B. Space Conditioning (SC) System Information { 1-
Ol
02
03
04 k
Y �05
-�' 06'p
07K
m U8 _-
-09
10
'Is the SCa._W;
CERTIFICATE OF COMPLIANCE'
CFiR-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)1E 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 split
All new
This field or
This field or
System 1
furnace
Indoor coil
AFUE
81
AC
cooling
SEER
14
Setback
section is not
section is not
components
applicable
applicable
Required Documentation:
MR -MCH -01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R 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 duct length is replaced.
-Leakage rate compliance: <=15%or <=10% leakage to outside, or seal all accessible leaks.
CF2R and CF311-MCH-25-1-1 Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH43 Airflow Rate >= 300 CFM.per_ton required.when MCH -25 is required.
Exceptions:
-'Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. .,
Heating -only systems and Air Handler Furnace changes do not require venficatlon of Alr Flow MCH,23xpr Refrigerant Charfe MCH 25'
-Existing ducts stems constructed, Insulated or sealed with asbestos -are exem Ufrom MCH -20 4uctA;leaka a Test]ng rgguire e[its.��s,;
g Y pg g Iln:
_
y _ _
1. .
t, '!:?w. .. Pa, .1=1 4111 Z°i.,. _ ?t. It ZM. .Z.ti: ,_ /T i:} It 141-
tF •:a:. xay.;r .'s=••
E, Entirely New or Complete Replacement DudSy$tem, with or tthout Egwpment Changeout (Sections 150 2(b) Dua,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-A020175774A-000-000-0000000-0000 Registration Date/Time: 2017-05-25 17:34:30 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-25 17:34:33
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:
Johnston, Dave S
-6ave csd hnston
Company:
Signature Date:
A and R Energy Solutions
2017-05-25 17:34:30
Address:
CEA/ HERS Certification Identification (if applicable):
61879 VALLEY VIEW CIRCLE
City/State/Zip:
Phone:
JOSHUA TREE CA 92252
1760-567-0082
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 rpanufactured devices for the building design or system design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part.6 of the California "Code oftegsulations. f` t *,rt fig, JJIyL s
4. The building design features or system design features identified on, this CertificYate 4f Corripllance are consistent with"the iformatlon:provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submittgd to the enforcement agency for approval with this build 'ng"permit -" Ii atiori. f,
s n y � X11
.. a ,f 4ti C
S. I will ensure that a registered copy of this:Certificate of Compliance shall be:made available witklthe bulldlrig permits) issued for the building, and made available to theenforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliances required to be,lncluded„with the documentation�the,builder pyoyides to;the building owner at occupancy.
y. 11
Responsible Designer Name: "° 'k I 1:... t-lt �
Responsible Designer signature: ., /t� �";l
Johnston, Dave S
o[ lave cs-hnston
Company:
Date Signed:
A and R Energy Solutions.
2017-05-25 17:34:30
Address:
License:
61879 VALLEY VIEW CIRCLE
City/State/Zip:
Phone:
JOSHUA TREE CA 92252
760-567-0082
Easy to Verify
at CaICERTS.com
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
a
responsibility for the accuracy of the information.
Registration Number: 217-A020175774A-000-000-0000000-0000
Registration Date/Time:
2017-05-25 17:34:30 HERS Provider: CaICERTS •
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-25 17:34:33
Schema Version: rev 10/16
Bin #
City of La Quint
Building ff Safety Division
78-495 Calle Tampico
La Quinta, CA.92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
~Project Address: g O ,4-rG
Owner's Name:
A. P. Number:
Address: 80
Legal Description:
Ci ST, Zip:
p'
Contractor:e rr '
r
f �
a
Telephone:
le ne•
P
Address: go
Project Description: Cp�ci�N�Pd C✓li �,,�.�✓
City, ST, Zip: 11C4 i D C, 22 D
Of Q
Tele h n
oe 7 6 O
P q15---3 3
State Lic. # :9 Y // 9
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State ic. #• .......................................
Name of Contact Person: Sa (/Q�oY �� �irA/Cc f
Construction n T
o e:
Type: Occupancy:
Project ect type (circleroleone New Ad d>
o Alter Repair Demo
Sq. FL: # Stories: # Units:
Telephone # -of Contact Person: 7 U 0
-Estimated Value of Project: O of
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
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 correctionsfissue
Electrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees