BMCH2019-046778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T4hf 4 44 Qailkm
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH 2O19-0467
50715 ELDORADO DR
777290012
LEON / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM
$14,816.00
Applicant: Z&
DANIEL BRIZUELA - BLAIR AIR INC DBA BLAIR HEA IQ IR
653 OLEANDER ROAD PALM SPRINGS, CA 92264 DEC 1
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/2019
Owner:
ROBERT & DEBRA LEON
50715EL DORADO
LA QUINTA, CA 92253
Contractor:
BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
2 PALM SPRINGS, CA 92264
CITY OF LA QUINTA (760)537-1120
DESIGN & DEVELOPMENT DEPARTMENT LIc. No.: 953427
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 jjClass: C2^07 f License No.: 953427
Date: l2 /f `�+ Contractor:
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.).
(_) 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 Name:
Lender's Addre!
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.
!la:, -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. My workers' compensation insurance carrier and policy number are:
Carrier: 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: rz�it? r' Applicant;
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
:ommenced within 180 days from date of issuance of such permit, or cessation of work
`or 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
:onstruction, and hereby authorize representatives of this city to enter ove-
rentioned property for inspection purposes.
r"1 IN
]ate: I ����� Signature
Date: 12/17/2019
Application Number: BMCH2019-0467
Property Address: 50715 EL DORADO DR
APN: 777290012
Application Description: LEON / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $14,816.00
Applicant:
DANIEL BRIZUELA - BLAIR AIR INC DBA BLAIR HEATING & AIR
653 OLEANDER ROAD
PALM SPRINGS, CA 92264
Owner:
ROBERT & DEBRA LEON
50715EL DORADO
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: 3-TON HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
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
$40.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.50
Total Paid for MECHANICAL CHANGEOUT 2019: $120.75
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
taQaiKra
— c e:w I b, D LSF R F—
PERMIT # ��t� 2-619 r OT (o
PLAN LOCATION:
Project Address: 70 _7 L1 O
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
`� \G� �1 �- l� �7�t
Applicant Name: Dn n 3 2,tA-e l
Address: a( 'a IG 42,+ FC IOCI(Z k
City, ST, Zip: '50L0_+-- (,YY) e n fr_/ GA" q sl�d
Telephone: 0 q7 W o
Email:
Valuation of Project $_�T(
Contractor Name: A / �P�'t c ���
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip VVI r Cb�
Garage SF
Telephone: ,10 6 J 3 `_7a b
Patio/Porch _ SF
Email:
Fire Sprinklers SF
State Lic:gS 3 q�.ity Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Grading:
Address:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone: o
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
Project Name:
SG715 El Dorado Drive I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2019-12-13
A. General Information
MR-ACT-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
50715 El Dorado Drive
02
Date Prepared
2019-12-13
03
Project Location
50715 El Dorado Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Duelling Unit Name
50715 El Dorado Drive
07
Zip Code
92253
OS
Dwelling Unit Conditioned
1�0
Floor Area (fe)
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
OS
09
10
Is the SC
installing a
SC System
SC System
CIA 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 (ftz)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1900
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section150.2(b)3Diib)
This section does not apply to this project.
Registration Number: 419-A020137992A-0DO-
Registration Date/Time: 2019-12-13 16:09:50
HERSProvider. CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-13 16:09:57
CERTIFICATE OF COMPLIANCE CFIR-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)
O1
02
03
04
OS
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identffm=ion
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R-Value
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
81
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF211-MCH-014 - Space Conditioning Systems
- Dud insulation requirement for the new portions of supply -air and retum-air ducts or plenums: R6 (CZ 1-10,12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCW20-H - Dud Leakage Test required when heating or cooling components are hwtalled In ducted systems, or when more than 40R of dud length is replaced
-Leakage rate compliance: <=15 percent or <=10 percent leakage to outside, or seal all accessible leaks.
CF211 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 MCH-25 Is required.
Exceptions:
Dud 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 Arc 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 Dud 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)iC)
This section does not apply to this project.
Registration Number: 419-A020137992A Registration Date/Time: 2019-12-13 16:09:50 HERS Provider. CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-13 16:09:57
CERTIFICATE OF COMPLIANCE CFIR-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:
Marc-Antuan Enriquez
Marc-AntuaNV Enj
Company:
Signature Date:
The Energuy
2019-12-13
Address:
CEA/ HERS Certification Identification (if applicable):
1215 K Street
City/State)Zip:
Phone:
Sacramento CA 95814
877-600-0123
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
L 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 budding permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the budding permit(s) issued for the building, and made available to the enforcement agency for all appficabte
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:
Responsible Designer Signature:
Adam Fuson
Ad
Company:
Date Signed:
Blair Air Inc dba Blair Heating & Air
2019-12-13
Address:
License:
653 Oleander Road
953427
City/State/Zip:
Phone:
Palm Springs CA 92264
760-537-1120
Digitally signed by CHEERST" 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-A020137992A
Registration Date/Time. 2019-12-13 16:09:50
HERS Provider. CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-12-13 16,09:57