BMCH2017-018878-495 CALLE TAMPICO CtIv
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0188
Property Address:
50825 CALLE GUAYMAS
APN:
770102006
Application Description:
ODELLE / HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT SYSTEMS
Property Zoning:
Application Valuation:
$33,000.00
Applicant:
ALL KNIGHT HEATING & AIR CONDITIONING IN
P O BOX 5232
LA QUINTA, CA 92248
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 ofessions Code, and
my License is in full force and effect.
License Class: C20 License No.: 771254
Date: �J �/ , �� / Contract
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, 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 ) 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 Addres
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DEBRA ODELLE
50825 CALLE GUAYMAS
LA QUINTA, CA 92253
Contractor:
ALL KNIGHT HEATING &
P 0 BOX 5232
LA QUINTA, CA 92248
(760)772-4947
Llc. No.: 771254
FM
G� L.
L ;
�. 11
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 worjf for which this permit is issued.
ave 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: NORGUARD INSURANCE COMPANY Policy Number: ALWC824024
_ 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 bor Code, I shall forthwith
comply with those provisions. (�/
Date: — 11 —/7 Applicar>Icf_ � �—
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 e upo a above-
mentioned property for inspection purposes. 2 r
Date: _ Signature (Applicant or Agen
,
Date: 5/19/2017
Application Number: BMCH2017-0188.
Owner:
Property Address: 50825 CALLE GUAYMAS
DEBRA ODELLE
APN: 770102006
50825 CALLE GUAYMAS
Application Description: ODELLE / HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT.SYSTEMS
LA QUINTA, CA 92253
Property Zoning:
., Application Valuation: $33,000.00
Applicant:
Contractor:
ALL KNIGHT HEATING & AIR CONDITIONING IN
ALL KNIGHT HEATING & AIR CONDITIONING IN
P 0 BOX 5232
P 0 BOX 5232
LA QUINTA, CA 92248
LA QUINTA, CA 92248
(760)772-4947
Llc. No.: 771254
Detail: HVAC CHANGE OUT - (2)14SEER/81AFUE SPLIT SYSTEMS. DOUBLE FEES AS WORK WAS STARTED WITHOUT PERMIT. CARBON MONOXIDE.ALARM
(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
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
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-4266o..'
0
$76.00
Total Paid for CHANGEOUT: $456.00
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
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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: Odelle Date Prepared: 2017-05-19
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
CFIR=ALT-02 document for each dwelling unit.
01
Project Name
Odelle
02
Date Prepared
2017-05-19
03
Projed1ocation
50825 Calle Guaymas Road
04
Building Type
Single family
O5
CA City
to Quinta
06
Dwelling Unit Name
Odelle.
�07�
Zip Code
92253
'J.D.welling-Unit.Conditioned
08
�Is'the SCI .
__..__ ..
t;.,t
�..
Floor Area (ftZ)
SCS stem
Y
CFA `served
system a
Y..
refri erant;
g
Installing new SC
g
Number of Space
Installin g
09
Climate Zone
35 _
10
Conditioning (SC) Systems in
2
containing
system
more than 40..:
entirely new
this Dwelling Unit:
,rt'.r- - Fri !.r"'".. .� S 1...,_, l:i..-...., 1-1-11-:._ rr., " 3r.
B.Space Conditioning (8C) System Information , cj,
Ol
02
03' �'
04' �..
05
�'06
.,07„
U8 M
09
10
...
;.
..
�Is'the SCI .
Installi`:'
t;.,t
�..
SCS stem
Y
SCS stem
Y
CFA `served
system a
Y..
refri erant;
g
Installing new SC
g
Installing
g
Installin g
Instali n g'
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
living area
1200
Yes
Yes
Yes
No,
No
No
Altered space
conditioning system-
System.2
sleeping area
1200
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-A020167495A=000-000-0000000-0000 Registration Date/Time: 2017-05-19 08:56:09, HERS Provider: CalCERTS
CA Building Energy Efficiency Standards'- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-19 08:55':S9
Schema Version;'reV 10%i6
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)' jPage 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 Dud
or Name
Type
:Components
Type
Value
System Type
Component sType
Value
Type
Duct Length
R -Value
Central gas
All new:
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
•
81
AC,components
cooling
SEER
14
Setback
section is not
section is not
components
applicable
applicable
Central: gas
All new
Central split
All new
This field or
This field or
System 2
�. `.�
---furnace---
heating
�--_- _
;,AFUE
81
AC—
:�
cooling
SEER
14
Setback
section is not
section is not
•
components
�`!
com`ponents-""'"""`--'
-""" -'`-'•
--"T--�'----
— --___----
--applicable---
--applicable•--
Required Documentation: '
'
CF2R-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)
MR and.CF3R-MCH-20-H'- Duct Lea kage.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: <_ S% or <=',10%leakage to outside or seal all acc ss`ible leaks.
CF2R and. CF3R-MCH-25 H Refrigerant Charge venficationrequired when refrigerant contamin components are Installed or altered'(applicable in CZ.2, 9-15 ..
CF2R and CF3R=MCH-23 Airflow Rate >- 300 CFM, per ton regwred when MCH � '
- 5 is required.
Excen
I Z)f
Ductts stems re istered with HERS provider as previous sealed are exem t fro .
systems, � P p y p rn'MC1120-Duct Leakage Testing requirements
'
- Heating -only systems and Air Handler Furnace changes do' not regwre:verlfiaation
qui e. Flow MCH -23 or Refrigerant Charge MCH=25.
4.ofAir
-Existing duct systems constructed insulated or sealed with asbestos are,exempt'from MCH=20 Duct -Leakage,T.esting.requltements. !f V' ;
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 1S,0.2(b)1Diia and 150.2(b)1E, 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.
Refistration Number: 217-A02016749SA7000-000-0000000-0000 Registration Date/Time: 2017-05-1.9 08:56:09. HERS Provideri:CaICERTS
CA Building Energy El iciency Standards - 2016 Residential Compliance. Report Version: 2016:1.005 Report Generated: 2017-05=19 08;55:39'
Schema.Version; rev.10/16
'CERTIFICATE OF COMPLIANCE CF1R-ALT-027E
Alterations to Space Conditioning Systems (formerly CF4R-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:
Knight, April
Company: Signature Date:
ALL KNIGHT HEATING & AIR CONDITIONING 2017-05-19 08:56:09
Address: CEA/ HERS Certification Identification (if applicable):
P 0 BOX 5232
LA QUINTA CA 92248
Phone:
760-772-4947
Responsible Person"s Declaration statement
I certify the following under penalty of perjury, under the laws -of the State of California:
1
1.The information provided on this Certificate,of Compliance is true and correct.
2 1 I,arn eligible under Division 3o the Bu'sineis-,zind Pr6fesslo-n`$�- Code to accept responsibi lity: for.. the building design or system design identified.;on this Certificate, of. Comp.1 ian ce, (rqsponisible designer):
3. That the energyfiaivres and performance specifications, materials, � compon I e I nt. s, andman6fattureddevices for the building'design;qr system ,design identified on this Certificate of Complianceconform io
the.
requirements ofrii:14.24,, Part 1and-Part 60fIrie'callfornii dode,ofkireu'IaMons.
io p documents,: ts
4. The building design features or system design features identified. orjUis,Certificatelbf Co Olxa sr. ce are consistent i 'I r at' n. rovid d her, applica bI6'tohrpI lance d cum nts,,workshee'
09
hbuilding
tr
U,
calcul tions:, Olans'and: specifications s6biinitted to the Porcerneftagency for:ap it ihis perapplication:
.proval
-avai6ble'w'llkh thei Al, In e s;is u thje�buil i a 't
5. 1 will ensure that a registered copy o(i.his,C&riific�jt��oi,(OTP!Iance shjIj.,4e:madhe d i for and vpllable�tq, he"inforcement agency for all applicable:
:I'n,spqciion*s..l understand :that a registered copy ofthis i Icate of CojnplIancejsrequjred to be Included with 'the,dqqc ntation0e,buil er provides to the building owner,at occupancy.
p pesigner Name: V
Resppnsibl . s Respons'16ie Designer Signature:
Knight, April rd'
Company:
ALL kN'IdH-r HEATING' &. AIR CONDITIONING
Pate Signed:
:20.17-05-19 08:56:09,
Address:
License:
P o Bb)(5232
771254
.City/State/Zip:'
Phdhei,
LkO.0 I NTA CA 92248
760-772'-494-7'
Digitally signed byCaICERTS- TJ is Oigi!al,signatuie.is proWded 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: 217-A020167
495A-..000
Registration Date/Time: 20117-05w119 08:56.:09
HERS Provider: CaICEM
.CA Building. Energy Mciency-Stanclards - 2016 Adsidential,C . ompliarim Report Version -'2016.1.005 Report Generated: 2017-05-11 0-8-5539,
S.chema Version:: rev10/16