BMCH2017-047378-495 CALLE TAMPICO C` D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEV-OPM1 ENT DEP.A TMENT
INSPECTIONS (760) 777-7153
BUIL t ERM T�
Date:. 11/9/2017
Permit Type/Subtype: MECHANICAL/ NOVO ✓ ZO1TEIY RhP
Application Number: BMCH2O17-0473
Property Address: 76940 AVENIDA FERNANDOP 62 IS BEL AVE
APN: 658240019 CITY OF LA QUINTATHERTON, CA 92253
Application Description: STONY RESIDENCE / HVAC CHANGE OUT
DESIGN AND AEU I.OP^�!F_NT DEPARTMENT
Property Zoning:
Application Valuation: $6,000.00
Applicant: Contractor:
ALBERT OLALDE DBA A AND G AIR SERVICES ALBERT OLALDE DBA A AND G AIR SERVICES
81891 SANDY COURT 81891 SANDY COURT ,
INDIO, CA 92201 INDIO, CA 92201
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.: 743185
Date%, -q `Contra-ct cn
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).: '
(� I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure isnot 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.).
(_) 1, 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:
(760)342-0100
Llc. No.: 743185
WORKER'S COMPENSATsON 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 370C of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' cc npensation 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: NORGUARD INSURANCE COMPANY Policy Number: ALWC947238
_ I certify that in the performance of %he 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. n
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 FORiIN 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 appliotion 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 th 2 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 i!!suance of such permit, or cessation of
work for 180 days will subject permit to cancelli tion.
I certify that I have read this application and sta-e that the above information is correct.
I agree to comply with all city and county ordin:ences and state laws relating to building
construction, and hereby authorize representat ves of this city to enter upon the
above-mentioned property for inspection purpcses.
Drage,; " K ^ Signature (Applicant cr Agent).
Date: 11/9/2017
Application Number: BMCH2017-0473
Owner:
Property Address: 76940 AVENIDA FERNANDO
STEINY PROP
APN: 658240019
62 ISABELLA AVE
Application Description: STEINY RESIDENCE / HVAC CHANGE OUT
ATHERTON, CA 92253
Property Zoning:
Application Valuation: $6,000.00
Applicant:
Contractor:
ALBERT OLALDE DBA A AND G AIR SERVICES
ALBERT C LAUDE DBA A AND G AIR SERVICES
81891 SANDY COURT
81891 SANDY COJRT
INDIO, CA 92201
INDIO, CA 92201
(760)342-0100
Llc. No.: 743185
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
.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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGIEOUT: $117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS'MANAGEMENT FEE
101-0000-42416
0
$10.00 .
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000=43611,
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $231.86
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: steiny res Date Prepared: 2017-11-09
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
MR -ALT -02 document for each dwelling unit.
01
Project Name
steiny res
02
Date Prepared
2017-11-09
03
Project Location
76940 avenida Fernando
04
Building Type
Single family
OS
CA City
La Quinta
06
Dwelling Unit Name
steiny res
07
Zip Code
92253 jjjr
k.TY
08
Dwelling Unit Conditioned
Floor Area (ft2)
2000
09
Climate Zone
15''">►-
10
Number of Space
Conditioning (SC) Systems in
this Dwelling Unit:
1
B. Space Conditioning (SC) System Information�
Ilk( W� -� P 11,f -M )1
1
;r/r're, i-1 -
01
02
03
04
'69' -
' 'b&w
W 407 ^
SOS
1`69
10
'Is the SCS'
In Lalling a <
> r-
V 1
4..00 11--
! ��
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 i
SC system?
Alteration Type
System 1
living room
2000
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.
Registration Number: 217-A026529405A-000-000-0000000-0000 Registration Datefrime: 2017-11-09 05:53:29 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-09 08:53:59
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-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
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E- Space Conditioning Systems A
'
- 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 repaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside; or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate — 300 CFM per ton required when;MCH35 is required.
Exceptions: - r
iM�C�Ht
• Duct systems registered with HERS Drovid� viously sealed are exempt from"' 20 Duct Leakage Testing requirements.
- Heating -only systems and Air Handler Furnace changes do not require verificatiiin of'Av Flow MCW23 or Refrigerant Charge MCH -25.
-
-Existing duct systems constructed, insulated or sealed with asbestosare exempt-rfrom MCH=20 Duct Leakage Testing requiiements.,�i
kms.. _ #Ti It ai #V A# — #F Wt IF. Vk
R / '`i,# � `•.er-�' 4r"'+•, le.: `mac+:.+,.. tia -�--s a;m u. .�� �� gd .� .�, y -
E. Entirely New or Complete Replacement DuctSystem, with or without Equipment Changeout (Sections-150.2(b)IDtla,and-150.2(b)lE, F)
All# 9W�N N '_ #� tF k k Ai! II U 2 li►w MFrC
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-A026529405A-000-00D-0000000-0000 Registration Date/Time: 2017-11-09 05:53:29
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
i -
i
i
HERS Provider: CaICERTS
Report Generated: 2017-11-09 08:53:59
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://� 1
ff&t
Olalde, Albert
CCLCGPi
Company:
Signature Date:
Albert Olalde
2017-11-09 05:53:29
Address:
CEA/ HERS Certification Identification (if applicable):
81891 sandy Court
City/State/Zip:
Phone:
Indio CA 92201
760-342-0100
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the state of California:
y + i
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division iof 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, matenais,1cc' ponents, and manufactured devices for the building design or system design identifieclon this Certificate of Compliance conform to the
requirements of Title 24, Part land Part hof the California Code of Rig lailons / k'"j `
-w+u
4. The building design features or system design features identified on this Certificate of Compliance are consistent.with the information provided on othecapplimble compliance documents, worksheets,
calculations, plans and specifications submitted.to the enforcement agency for approvaltw�itli this building permit appaication. tt
R Sf tv y'.f i If R
a .!�€.ta s\ Ka
S. I will ensure that a registered copy of this Certificate of,Compliance shall'be made.available with'rlie building pgrmit(s),issued forahe building, and;made avaiI l le,to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance.!srequ�red to be.induded with the documentationahe builder provides to the ouiiding owner at occupancy.
`
Responsible Designer Name: a' , ��� III rA
Responsible Designer Signature: V It N*, �%,A
Olalde,Albert
_
C�((i3e/Ll� CUL'C(P�
Company:
Date Signed:
Albert Olalde
2017-11-09 05:53:29 i
Address:
License:
81891 sandy Court
743185
City/State/Zip:
Phone:
Indio CA 92201
760-342-0100
Easy to Verity �.
at CaICERTS.com
Digitally signed by CalCFRTS This digital signature is provided in order to secure the content of this registered document and in no way implies
O
Registration Provider responsibility /or the accuracy o/ the information.
Registration Number: 217-A026529405A-000-000-0000000-0000 Registration Date/Time: 2017-11-09 05:53:29 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-09 08:53:59
Schema Version: rev 10/16
3/
PERMIT #
PLAN LOCATION
Project Address:._:.Lis ^
'� J�v ��
Project Desai tion: Pool Remodel, Add't Elect Plumb
j P > Mech
APN
Construction Type: Occupancy:
�'�
Conditioned Space SF
Applicant Name:
���
Address: �j ` '� S ,
Telephone:
City, ST, Zip: D.
Telephone: `��(� ' .. 61'(D (7
Email:
Email:
Valuation of Project $aoc
Contractor Name:
Construction Type: � Otu' c
T
New SFD Construction:
Address:
Construction Type: Occupancy:
�'�
Conditioned Space SF
City; St, Zip �
���
Garage SF
Telephone:
State Lic: City Bus Lic:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: •� C.
City.Bus Lic:
Arch/Eng Name:
Construction Type: � Otu' c
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:Stories:
Email: -
#Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: \
New Commercial / Tenant Improyennents:
Address: �
Total Building SF
City, ST, Zip a, � , �
Construction Type: Occupancy:
Telephone:
Email: -
78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000