BMCH2016-034651053 Marbella Ct
BMCH2016-0346
78-495 CALLE TAMPICO U .
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0346
Property Address: 51053 MARBELLA CT CT
APN: 777320005
Application Description: LEAVELL / CHANGE OUT (2) SPLIT SYSTEMS
Property Zoning:
Application Valuation: $19,800.00
Applicant:
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
PALM DESERT, CA 92211
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 Clas : C2) License No.: 374937
la9 t/
Date: lAl b Contractor: 1A/ it
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 Na
Lender's Address:
t l
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MICHAEL LEAVELL
51053 MARBELLA
LA QUINTA, CA 92253
Date: 9/13/2016
i' c r
Ips
C -Z
r
c
Contractor:61
PALM DESERT AIR CONDITIONING -CO INC DBA
42-081 BEACON HILL F
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
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 th/g/yv ork 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. My workers' compensation insurance carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5029447
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 sh forthwith
comply with those pr visions. G
Date: Applicant: 7
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 buildin
construction, and hereby authorize representatives of this city to enter upon the
above-mengonel property for inspection purposes. C
Date: Signature (Applicant or Agent):
Application Number: BMCH2016-0346
Property Address: 51053 MARBELLA CT CT
APN: 777320005
Application Description: LEAVELL / CHANGE OUT (2) SPLIT SYSTEMS
Property Zoning:
Application Valuation: $19,800.00
Applicant:
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
PALM DESERT, CA 92211
Date: 9/13/2016
Owner:
MICHAEL LEAVELL
51053 MARBELLA
LA QUINTA, CA 92253
Contractor:
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
Detail: HVAC CHANGE OUT - (2)185EER/8AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 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
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600.
0
$72:52
Total Paid for CHANGEOUT: $217.56
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
LEAVELL, MICHAEL I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-09-13
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
LEAVELL, MICHAEL
02
Date Prepared
2016-09-13
03
Project Location
51-053 MARBELLA CT.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
LEAVELL, MICHAEL
07
Zip Code
92253
08
Dwelling Unit Conditioned
2800
_Jnstallin new SC
Installin
;:Installing
i _'Installing
Floor Area (ft2)
Iderrtif cation or
Location or Area
by this SC
ducted
co aining
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information 101
01
02
03 rti
x 04 ,
/0<09' `( +
1t 06; r'"''
) 07'' p
08 )i
s` 09
10
Is the SC "."
" .Installing ate"
Sq System
SCS stem
CFA served
s stem a°
r ria nt `
_Jnstallin new SC
Installin
;:Installing
i _'Installing
Iderrtif cation or
Location or Area
by this SC
ducted
co aining
system
more than 40
entirely ew
entirely new
dame
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
LIVING SPACE
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
BEDROOMS
1200
Yes
Yes
Yes
No
No
No
Altered space .
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this project.
-Registration Number: 216-A0337618A-000000000-0000
CA Building Energv Efficiencv Standards - 2013 Residential Compliance
Registration Date/Time: 2016-09-13.12:17:16
Report Version: 2013 Rev 1.008
HERS Provider: CaICERTS
Report Generated: 2016-09-13 12:17:03
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1
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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
g
AC
cooling
SEER
18
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
g
AC
cooling
SEER
18
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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%, ors 10% leakage to outside, or seal all accessible leaks. , r-Mw V►-. . -
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification containing components in CT2,i 8-15).
required when.refngerant
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required )) +r
Exceptions: j[ i
are installed
{
or altered,(applicable
t S' ;rpi
+
-Duct systems registered with HERS provider as previously sealed are exempt from'MCH;20 Duct.Le6akagewjee ting requirements.
-Heating-only systems and Air Handler/Furnace changes do not require' verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 2 Duc 'Leel akage TTesting req remen s i ..
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia 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: 216-A0337618A-000000000-0000 Registration Date/Time: 2016-09-13 12:17:16 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 ' Report Generated: 2016-09-13 12:17:03
CERTIFICATE OF COMPLIANCE CF111-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:
`7/G li/G'liB
McCoy, William
Company:
Signature Date:
Palm Desert Air Conditioning Co
2016-09-13 12:17:16
Address:
CEA/ HERS Certification Identification (if applicable):
42-081 Beacon Hill
City/State/Zip: r
Phone:
Palm Desert CA 92211
760-346-0677
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The in 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
F —.
requirements of Title 24, Part 1 and Part hof the California Code of Regulations.;Cancet"itherlappllcab le compliance
.4. The building design features or system design features identified on this Certifc of Complre consistent with the information.provided o documents, worksheets,
calculations, plans and specifications submitted to the en forcemen' agency for.approval wit( this building permit application. 7
PP
5. 1 will ensure that a registered copy ofihis'Certificate of Compliance shall be made available wiih;the building permit(s),issued forthe building, and made available to the'enforcement agency for all applicable .
inspections. I understand that a registered copy of thTis Certjficate of Ccmplliance iis,requireed to be -included with the: datum enttation the builder provides to. the building owner at occupancy.
Responsible Designer Name: ` , S
Responsible Designer Signature: V _ f ,« " /
Mal;W/01
McCoy, William
Company:
Date Signed:
Palm Desert Air Conditioning Co
2016-09-13 12:17:16
Address:
License:
42-081 Beacon Hill
374937
City/State/Zip:
Phone:
Palm. Desert CA 92211
760-346-0677
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
i
Registration Number: 216-A0337618A-000000000-0000 Registration Date/Time: 2016-09-13 12:17:16 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-13 12:17:03
srr,.
Qty Of .U. Qulhta
Building 8t Safety Division
P.O. Box 1504,78-49S Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
Address: 51-053 MARBELLA CT..
Owner's Name:. LEAVELL, MICHAEL
[Project
A. P. Number.
Address: 51-053 MARBELLA CT.
Legal Description: RESIDENTIAL
City, ST, Zip: 92253
Contractor. PALM DESERT A/C CO. INC.
Telephone: 760-771-6107 .tem mss'
. , ;
Address: 42-081 BEACON HILL
Project Description: Change out of (2) HEATING AND
City, ST, Zip: PALM DESERT CA. 92211.
COOLING SYSTEMS, THE FIRST IS A (3) TON, THE
Telephone: 760-346-0677
r 1j. V " - r
,a z,;' 'Z
SECOND IS A (4) TON: BOTH ARE A (18) seer AND (13) EE
State Lic. # : 3.74937
City Lie'. #; LIC-0100886
AMERICAN STANDARD AND BOTH ARE HORIZONTAL
Arch, Engr., Designer.
SYSTEMS. THERMOSTATS- PROGRAMMABLE/ WI FI,
Address:
$19,800.00 .
City., ST, Zip:
Telephoner
State Lic. #:r%
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: # Stories:
# Univ:
Telephone # of Contact Person:
Estimated Value of Project: ill)0 `
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG PERMIT FEES
Plan Sets
Plan Check submitted item Amount
Structural Calm
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cales.
Called Contact Person Plan Check Balance.
Title 24 Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted.. Mechanical
Grading plan
2ad Review, ready for correctionsfissue Electrical
Subcoatactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"' Review; ready for correcdons/issue Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees