BMCH2017-0230aw
78-495 CALLE TAMPICO Q�i D VOICE (760) 777-7
' FAX (760) 777-7011011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/9/2017
Application Number:
BMCH2O17-0230
Owner:
Property Address:
52185 AVENIDA MARTINEZ
CATALINA PI NA
I—
APN:
773231020
52217 AVENIDA MARTINEZ
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Application Description:
PINA / HVAC CHANGEOUT 14 SEER/81AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
¢ri
Application Valuation:
$6,000.00
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Applicant:
Contractor:
C3 ��
ALL KNIGHT HEATING & AIR CONDITIONING IN
ALL KNIGHT HEATING & AIR
0
ITIONUbG IN
C
P O BOX 5232
LA CA 92248
P O BOX 5232
Z
C>
Q
QUINTA,
LA QUINTA, CA 92248
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(760)772-4947
Llc. No.: 771254
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisi ns of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of the Business and Pro ssions Code, and _ 1 have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C 0 License No.: 771254 of the work for which this permit is issued.
/ _�% ,I have and will maintain workers' compensation insurance, as required by
Date: 6 / Con 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:
OWNER -BUILDER DECLARATION Carrier: NORGUARD INSURANCE COMPANY Policy Number: ALWC824024
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State -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 any compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3700 of he LaZrCodhallforthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with tFjOse provisions.
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business "(/l `
and Professions Code) or that he or she is exempt therefrom and the basis for the Date:lJ�'- / Applicant:
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
y�
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts.for the projects with a contractor(s) licensed pursuant to the defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State. License Law.). employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. B.&P.C. for this reason 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
Date: Owner: for 180 days will subject permit to cancellation.
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 Na
Lender's Address:
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 er upon th ove-
mentioned property for inspection purposes. ,
Date: _lam ` 1 / Signature (Applicant or Agent)
Date: 6/9/2017
Application* Number: BMCH2017-0230 Owner:
Property Address: 52185 AVENIDA MARTINEZ, CATALINA PINA
APN: 773231020 52217 AVENIDA MARTINEZ
Application Description: PINA / HVAC CHANGEOUT 14 SEER/81AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,000.00
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
LIc. No.: 771254
---------------------------------------- -- ------------------ - - - - -- - - - - - - - - - - - - - - - - - - - - -
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL / a
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
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
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
06/09/2017 09:45 FAX
06/09/2017 FRI 7114 FAX
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City, ST, Zip:
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Coaasfruatlon Type:
La Quint, CA 92253 - (760) 777-701.2,
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Building Permit Application and Tracking Sheet
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CERTIFICATE GF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -WAC) • . {Page 2 of 3)
Project Name: Rn,a Date Prepared: 2017-06-08
A. General Information
CF1R ALT -02 is applicable to multiple space conditioning systems.00ntalned 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
Pina
02
Date Prepared
2017-06-08
03.
Project Location
72185 Avenida Marti,ez
04
Building Type
Singie family
05
CA City
La Quinta
06
Dwelling Unit Name
Pina
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Cade
92253.
00
Floor Area (ftz)
2100
location or Area
bythis SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SCI Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
0. Spare Conditioning (SC) System Infarmation
01
02
03
04
05
06
07
08
09
10
is the SC
Installing a
SC System
SC System
CFA served
systern.a
refrigerant
installing new SC
Installing
installing
Installing
Identification or
location or Area
bythis SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ftz)
system?
component?
components?
feet of ducts?
duce sysrtem?�
SC system?
Alteration Type
Altered space.
System 1 .
Whole House
2100
Yes
Yes
Yes
No
No
NO
conditioning system
C. Extension of Existing Dud System, Greater Than 40 feet (Section150.2(b)1D0b) I
This section does not apply to this project.
Registration Number. 217,AD20194193A-0*000-0Oo0000-00M
,CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Da.te/Tme: 2017.06-06 19:20:51
Report Version: 2016.1.005
Schema Version: rev. 10/16
HERS Provider, CaICERT5
Report Generated: 20:17=06-W 19:21:00
Registration Number: 217-A020194193A Registration Date/Time: 2017-06-08 19:20:51 HERS Provider: CaICERTS
CA Building Energy Efficiency St2ndards - 2016 Residential Compliance Report Version: 2016.L005 Report Generated: 201746-08 19 21:00
Schema Version: rev 10/16
CFIR-ALT-02-E
CERTIFICATE OF COMPLIANCE
Page 2 of 3)
to Spam COndlitiOning Systes (formerly CF -IR -ALT -HVAC)
Mtrratiors; m
D. Altered Space Conditioning System (Sections 150.2(b)lE and .F)
01 02 03 Ori 05 06 07 08 09 to.
11 12
Heating Cooling
System Beating Altered Heating Minimum Aiterad Cooling Mlnlmurn Required
Cooling Efficiency Efficiency Thermostat
New or
Replaced Nein Duct
Ition Sysiern Heating Efficiency Elf1Ciency Cooling
Value System Type Components Type Value Type
Dad Length R -Value
or iJarne 1\►pe Components Yype
This fleld or This field or
All new
Central Central split Setback
B&s hea 81 cooling SEER 14
section is not section is not
ing AFUE
gyy 1 AC
furnace compornents
applicable applicable
components
CF2114KK-01-E -Space Conditioning Systems
- Duct insutxtian requlrernem for the new portions of supply -air and retuma7r ducts or plenums: R6 (CZ 1-I0,12 and 13) and RS (CZ 11 a�sd f4.16y
insialed in ducted systems, or when more than 40 ft of duct length is replaced
CFZR and CF3R-MCH-20-H -Duct leakage Test required when heating or cooling Components are
-teakate rata compkance: a 15% or <=10% leakage to outside, or seal all accessible leaks. .
components are instaFled or altered [applicable in CZ 2, 5-15).
Mit and CF394ACH-25-H Refrigerant chargevertr=tion required when refrigerant containing
CF2R and MA -MCH -23 Ahfsow Rate >- 300 CFM per tan required when MCH -25 is required.
- Duct systems registered with HERS provider as preyiousty sealed are ezen+pt from MCK-20 Duct leakage Testing requirements.
do not require verificaim of Air Flour MCH43, or Refrsgerant(large MCH -25.
-Heatfngoniy grstemsand Air Mandlerfurrime changes
-Existing duct q(vwms consaucted, insulated or sealed with asbestos are exempt from MCH -20 Duct leafage Testing requirements,
without Chartgeout (Sections 150.2(b)Mla and 150.2.(b)IF, F)
E. Entirely New or Complete Replacement Duct System, whit or Equipment
This section does nbt 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-A020194193A Registration Date/Time: 2017-06-08 19:20:51 HERS Provider: CaICERTS
CA Building Energy Efficiency St2ndards - 2016 Residential Compliance Report Version: 2016.L005 Report Generated: 201746-08 19 21:00
Schema Version: rev 10/16
CERTIFICATE Of. COMPLIANCE
I Alterations to Space Conditioning Systems (formerly CF-lR-ALT HVAC)
Documentation Author's Declaration Statement
1. l certify that, this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Sfgnalure:
Knight, April v
Signature Date:
Company: 2017-06-08 19:20:51
ALL KNIGHT HEATING & AIR CONDITIONING
CEA/HERS Certification Identification (if applicable):
Address:
P O BOX 5232
City/State/Zip:
LA QUINTA CA 92248
Responsible Person's Declaration statement
Pfior►e:
760-772-4947
cm -ALT -02-11E
(Page.3 of 3)
1 certify the foBowitg under penalty of perjury, under the laws of Use State of California:
i. The information provided on this Certificate of Compliance is true and correct.
2. I am efipjoie under Divbion 3 of the Business and Professions Code to acct Pt resporaibility for the budding design or system design identified d this Certificate of Compliance on CerffK(respote of l an a conform to the
3. That the energy features and performance specifications, materiah, components, and manufactured devices for the building design or System design
requirements ofThde 24, Part I and Part 6 of the Caiifamia Code of Regutatlons• ovlded on other appbcable compliance documents, worlrsf►eets,
4. The building d=sigjr features or system design featuresidentified on this Certificate of CornO ice are comiste+f<` Ah the information pr
calculations, plans and specifications submitted to the Worcernertt agency far approval with this budding permit application.
5. t will ensure that a registered.rnpy of this Certificate of Complance shall be made available with the butidhtg permit(o issued forthe badLng, and made available to the enforcement agency for ad applkahle
i.--+:,,,,. i .,newrctand that a resistered copy of this Cettifirate of Compliance -1.5 required to be Indudied vinh the docurnenadon the builder pny ides to the building owner at occupancy.
Responsible Designer Name:
Knight, April
Company:
ALL KNIGHT HEATING & AIR CONDITIONING
Address:
P O BOK 5232
City/State/mp:
LA QUINTA CA 92248
I potabk pesigne Signature: ,�Q„rz"l �n�4lti
Date Signed:
2017-06-08 19:20:51
License:
771254
Phone:
760-772-4947
&gYWr7y w.qn ed bfCalCMn Ms dqW sygrrat— rs p—,ded in order to seowe rhe corKent of this regrslered d --t. and in no way+mpffs Regisiration Provrdev responsrbrW
Registration Number; 217-A020194193A Registration Oate/rIme: 20117-06-08 19:20:51
CA Building Energy Efficiency Standards - 2016 Residential Compliance ReWrt Version: 2016. 1.005
Schema Vetslon: rev 10/16
❑ O
T1�1►1'� - ;'1
+C
y .fin.
HERS Provider: C:aICERT-5
Report Generated: 2017-06-08 13:21:00