BMCH2017-046878-495 CALLE f!>MPICO
LA QUINTA,_CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2Oi7-0468
Property Address:
54469 OAK HILL
APN:
775071010
Application Description:
AUSTIN RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$10,700.00
Applicant:
BLAIR AIR INC DBA BLAIR HEATING & AIR
6S3 OLEANDER ROAD
PALM SPRINGS, CA 92264'
:OUT
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 -f License No.: 953427"a t 07 Q j ' 1
1 �� 17 &C"ontractor: _Q I Q d! tiles_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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
i
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/6/2017
Owner:
RICK AUSTIN
54469 OAK HILL
LA QUINTA, CA 92253
Contractor:
i! BLAIR AIR INC DEA BLAIR HEATING & AIR'
653 OLEANDER TOAD
PALM SPRINGS, CA 92264
(760)537-1120
Llc. No.: 953427
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one c<f the following declarations:
I have and will maintain a certifica-e of consent to self -insure for workers'
compensation, as provided for by Section 37CD 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. Myworkers' compensation insurance carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64378260
I certify that in the performance o- the work for which this permit is issued, I
shall not employ any person in any manner sc. 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. R
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL 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 tne.Building Official for a permit subject to
the conditions and restrictions set forth on the application.
1. Each person upon whose behalf this appFication 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 owrer, and the applicant, each agrees to, and
shall defend,. indemnify and hold harmless th 2 City of La Quinta, its officers, agents, and
employees for any act or omission related to :he work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appl cation becomes null and void if work is
not commenced within 180 days from date c ` 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 atate that the above information is correct.
I agree to comply with all city and county onfinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection pu¢)oses.
op
DSI/ SLgKa7W0fe Applicant or Agent)
V
Date: 11/6/2017
.Application Number: BMCH2O17-0468
Owner:
Property Address: 54469 OAK HILL
RICK AUSTIN
APN: 775071010 —
S4469 OAK HILL
Application Description: AUSTIN RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 9,2253
Property Zoning:
Application Valuation: $10,700.00
Applicant:
Contractor:
BLAIR AIR INC DBA BLAIR HEATING & AIR
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)537-1120
Llc. No.: 953427
Detail: HVAC AND DUCTS CHANGE OUT- 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
V
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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSL1ANCE: $98.83.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMEMT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00
TOTALS: $231.86
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Rick Austin I. Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3)
2017-11-03
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
Rick.Austin
02
Date Prepared
2017-11-03
03
Project Location
54469 Oak Hill
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
54469 Oak Hill
07
Zip Code
92253
08
Dwelling Unit Conditioned
1500
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area.
by this SC
ducted
7
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?
B. Space Conditioning (SC) System Information
r
01
02
03
04''
05 —
06
07
08
09
10
Is the SC
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1500
Yes
Yes
Yes
Yes
No
No
Altered space .
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020126350A-000-000-0000000-0000 Registration Date/Time: 2017-11-03 14:00:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-03 14:00:52'
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 1S0.2(b)1E and F)
01
02
03
04
0S
06
07
08
09
10
it
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
System 1
Central gas
All new
heating
AFUE
81
Central split
All new
cooling
SEER
14
Setback
Greater than
R-8
furnace
components
AC
components
40 feet
Required Documentation: ;
CF213-MCH-01-E - Space Conditioning Systems Y,
- Duct Insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6,(CZ'1-10; 12 andi 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 inducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <=15% or <= 30% leakage to outside, or seal all accessible leaks.
CF2R and CFA -MCH -25-H Refrigerant Charge verification required when refrigerant containing components are.in''sfalled or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 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 verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing ductsystems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or withoui14u1pment Chi ngeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to thisproject.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020126350A-000-000-0000000-0000 Registration Date/Time: 2017-11-03 14:00:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-03 14:00:52
Schema Version: rev 10/16
C.
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Marc-Antuan Enriquez
Mar int'uan,Fnrtqu 1k
Company:
Signature Date:
The Energuy
2017-11-03
Address:
CEA/ HERS Certification Identification (if applicable):
1215 K Street
City/State/Zip:
Phone:
Sacramento CA 95814 Y ,",,.
877.-600-0123
Responsible Person's Declaration statement'• ,
we_
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 Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for -approval with this building permit application.
S. I.will ensure that a registered copy of this Certificate of Compliance shall be made available"with the buildingpermit(s) Issued for the building, and made available to the enforcement agency -for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included witfi`the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible, Designer Signature:
Adam Fuson - i
Ma+,�Av►tuavtri;,gc.Caudw►;d.)
Company:
Date Signed:
Blair Heating & Air
2017-11-03
Address:
License:
653 Oleander Road
953427
City/State/Zip:
Phone:
Palm Springs CA 92264
760-537-1120
Digitally signed by CHEERS'". This digital signature is provided 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: 417-A020126350A-000-000-0000000-0000
Registration Date/Time: 2017-11-03 14:00:51
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report. Generated: 2017-11-03 14:00:52
Schema Version: rev 10/16
rx m
C144-4-1 ,(/
PERMIT #
PLAN LOCATION
Address:
Project Address: lb Lf
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
City, St, Zip S CA
C
SF
Telephone: =7(
G. C i ` /u
Applicant Name: }Z� �' n
--1 _
Fire Sprinklers
Address: SL.H(A k Add
State Lic: C} �y City Bus Lic:
City, ST, Zip:
Telephone:
Email: .
Contractor Name:2F
New SFD Construction:
Address:
Address: �5 3 d
Conditioned Space
cf SF
City, St, Zip S CA
Garage
SF
Telephone: =7(
Patio/Porch
SF
Email:
Fire Sprinklers
SF
State Lic: C} �y City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: 14.Vc- Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Owner's Name: R �.�k A US-�
New Commercial /tenant Improvements:
Address: c�
Total Building SF
City, ST, Zip Les N4 5-�
Construction Type: 14.Vc- Occupancy:
Telephone: C+ _ , - 6
Email:
O. <[ O, �� ^