BMCH2019-025678-495 CALLETAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0256
51400 AVENIDA MARTINEZ
773093002
FORD/ HVAC CHANGEOUT
$13,203.00
Applicant:
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
P
QU
juNzs 2019 D
CITY OF IAQUINTA
DESIGN & DEVELOPMENT DEPARTMENT
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 Y�License No.: 953427
contractor: zQ
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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/26/2019
Owner:
Ford Thomas L & Sally E
51400 AVE MARTINEZ
LA QUINTA, CA 92253
Contractor:
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
(760)537-1120
Llc. No.: 953427
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 work for which this permit is issued.
Aetj,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: ACE AMERICAN INSURANCE COMPANY Policy Number: C66014447
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 Labor Code, I shall forthwith
comply with those provisions.
Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO AGE 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state I ws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C;). construction, and hereby authorize representatives of this city enter ❑ the
above -mentioned property for inspection purposes.
Lenders NaMe;
Dale:rt Signature (Applicant or Agent):
Lender's Address:.
Date: 6/26/2019
Application Number:
BMCH2019-0256
Property Address:
51400 AVFNIDA MARTINF7
APN:
773093002
Application Description
FORD/ HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$13,203.00
Applicant:
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
Owner:
Ford Thomas L & Sally E
51400 AVE MARTINEZ
LA QUINTA, CA 92253
Contractor:
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
(760)537-1120
Llc. No.: 953427
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. REPLACE DUCT WORK GREATER THAN 401-F.R-8 VALUE. CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. `
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
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
Architect/Engineer Name: Construction Occupancy:
Address: Grading:
City, St, Zip
Telephone:
Email
State Lic
City Bus Lic:
Property Owner's Name: -1-OK pok
Address: -0 "o-L
City, ST, Zip Z�cr L
Telephone: 7,�a
Email:
Bedrooms: I Stories:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal Required Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
i
Landscape Plan
Subcontractor List
Grant Deed
i I
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
5 ton 16 SEER System and Duct Replacement Proposal
LENNOX "ELITE" -- SPLIT GAS
SYSTEM (UP TO 16 SEER)
CUSTOMER DETAILS
Michele Gallagher
i 51400 Avenida Martinez
La Quinta, CA 92253
P: 760-262-4128
E
LINE ITEMS
5011
Lennox Plus 5 T Split Gas
Lennox Condenser
Lennox Furnace
Lennox Upflow/Horizontal Evaporative Coil
Upgraded filter rack w/ filter
Tie onto the existing thermostat Thermostat
(1) Year Labor Warranty
(10) Year Parts Warranty
(10) Year Compressor Warranty
(20) Year Heat Exchange Warranty
(1) Year Preventative Maintenance Agreement
Eco-Friendly R410A Refrigerant
Up to 16 SEER Efficiency
COMPANY DETAILS
Blair Heating and Air
653 Oleander Rd
Palm Springs, CA 92264
P: 760-537-1120
F: 760-992-0172
W:...
E:
$1,000 IID Mail In Rebate ( check will be mailed directly to homeowners)
M62
60,000 btu complete (R-8) duct replacement: 5-ton system
WIS
Bar -Type Supply Register
18
Permit Fees
By signing this purchase agreement, you agree to the following Terms and Conditions:
1 $8,691.00
1 $3,812.00
10 $50.00
1 $700.00
Savings: $500.00 Total: $13,203.00
Notice of Right to Cancel - You, the buyer, may cancel this transaction at any time prior to midnight of the third business day following the
date of this transaction. To cancel this transaction, mail or deliver a signed and dated copy of a "written" cancellation notice to: Blair
Heating and Air 653 Oleander Rd Palm Springs, CA 92264. You, the buyer, may waive your right to cancel in order to execute an
EMERGENCY installation necessary within the allowable 3 business days.
Mechanic's Lien may be placed on the property If balance Is not paid in full upon completion.
All labor is to be performed during tompany's.regular business hours, unless otherwise stated on this agreement. Warranty work is to be
performed during regular business hours.
The Company shall ndt be responsible for any damages incurred due to the Inability of the building structure to property support the
installed equipment, or for the expense incurred in removing, replacing or refinishing part of the building structure necessary for the
performance of any service or installation, unless otherwise noted In this proposal.
The Company shall not be liable far the identificarion, detection, abatement, encapsulation, storage, removal, or transportation 0("
regulated or hazardous substances may include, but are not limited to, asbestos, certain refrigerants and refrtgerant coils.
This Agreement contains the entire understanding betwaen the Corn pany and the Customer, any changes must be in writing and signed
by both parries.
This proposal may be withdrawn by the Company if not accepted within 30 days.
No rebates will be guaranteed by the Company. Rebates will be approved at the sole discretion and availability of the rebate entity of
origin.
SIGNATURE
Please sign below t ac.cep or decline this proposal option, y
& ►4 C Q U 1 RE POWERED BY POINTMAN
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
Michele Gallagher J Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2019-06-21
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
CF11R-ALT-02 document for each dwelling unit.
01
Project Name
ry
02
Date Prepared
2019-06-21
03
Project Location
51400 Avenue Martinez
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
51400 Avenue Martinez
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ftz)
2000
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2000
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: 419-A020064234A-000-000-0000000-0000
Registration Date/Time: 2019-06-21 17:56:38
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-21 17:57:06
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF111-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
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
40feet
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)
CF211 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 percent or <= 10 percent 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 Rave >= 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 duct systems 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 without Equipment Changeout (Sections 150.2(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.
Registration Number: 419-A020064234A-000-000-0000000-0000
Registration Date/Time: 2019-06-21 17:56:38
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-06-21 17:57:06
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Liz Longeway
Company:
The Energuy
Address:
1215 K Street
City/State/Zip:
Sacramento CA 95814
Responsible Person's Declaration statement
Documentation Author Signature:
Lfik Longv,way
Signature Date:
2019-06-21
CEA/ HERS Certification Identification (if applicable):
Phone:
877-600-0123
CF1R-ALT-02-E
(Page 3 of 3)
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.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(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 with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name
Adam Fuson
Company:
Blair Air Inc dba Blair Heating & Air
Address:
653 Oleander Road
City/State/Zip:
Palm Springs CA 92264
Responsible Designer Signature:
Adam. i=wbory
Date Signed:
2019-06-21
License:
953427
Phone:
760-537-1120
oigitally 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: 419-A020064234A-000-000-0000000-0000 Registration Date/Time: 2019-06-21 17:56:38
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-06-21 17:57:06