BMCH2016-012955415 Medallist Dr
BMCH2016-0129
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0129
Property Address:
55415 MEDALLIST DR
APN:
767510006
Application Description:
CASTIES / CHANGE OUT (3)
Property Zoning:
Application Valuation:
$38,539.00
Applicant:
DESERT AIR CONDITIONING
INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DUANE CASTIES
7306 MODESTO WY.
'$7'* STEMS YAKIMA, WA 98908
AP
R Contractor:
U f' DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
MEUINTq f EPARr (760)323-3383
— FNT Llc. No.: 276586
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: License No.: 276586
Date: "1 ` Z, t `lJ/ Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurj 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 riot 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 wh'o 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
the performance of the work for which -this permit is issued (Sec. 3097, Civ. C.)..
Lender's Na
Lender's
Date: 4/28/2016
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 orkI for which this permit is issued.
':1 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: _
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, 1 shall forthwith
comply with those provisions.
Date: Y4" t f/L.t 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 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 building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: X1'4- 1 Signature (Applicant or Agent):
FINANCIAL •• •
rT,.aDESCRIPTION,,rS g
ACCOUNTS ` E; QTY I AMOUNT ': "' PAIDy- `PAID DATE t
g,.'
BSAS S81473 FEES 101-0000-20306 0 $2.00 $0.00
PAIDBY v *METHOD k * yRECEIPT # a= CHECK #k CLTD BY
§
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00. $0.00
'DESCRIPTION
"<
QTY
' AMOUNTS%
`= JPAIDtPAID':DATE'
t ,ACCOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
.101-0000-42402
0
$217.56
$0.00
x PAID,BY x
METHOD
t na,
CHECK#y 'CLTDBYi
;
sx. a
x+ f4s.RECEIPT#s'?
=DESCRIPTION '
rACCOUNT '
t'.QTY
AMOUNTa-
& PA1DJi
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$108.78
$0.00
t
A 7! Arn PAID BY 4
`ro< y ,RECEIPT#
'N
CLTD BY$:
rvHw,METHOD
,CHECKi1
Total Paid for CHANGEOUT: $326.34 $0.00
" 'a .DESCRIP.,TION a * i 3`
t ACCOUNTS ` '
SµQTYr
AMOUNT
PAIDno,s
rPAID GATE.
<r
,
PERMIT ISSUANCE
301-0000-42404
0
$91.85
$0.00
METHOD
RECEIP # r
. CHECK #
CLTD BY
'a a•.
,- ».ate.,
r.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CASTIES CHANGE OUT (3) 20SEER/78AFUE SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/28/2016 SKH
Approved:
Parcel No: 767510006 Site Address: 55415 MEDALLIST DR LA QU`INTA,CA 92253
Subdivision: R 29657 Block: Lot:6
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $38,539.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
III 'PHONE`' `-FAX_
Details: HVAC CHANGE OUT- (3)20SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
WA 98908 (425)766-0953
OWNER DUANE CASTIES. 7306 MODESTO WY YAKIMA
. . . . . ..........
FINANCIAL INFORMATION
Printed: Thursday, April 28, 2016 8:34:25 AM 1 of 2
CIRSYSTEMS
'CONTACTS
. .. ...
........ .. ADDITIONAL
E 'NAM ADD tSK
R
OC iTy.EMAIL
STATE-
III 'PHONE`' `-FAX_
SITES
4;';
APPLICANT
—CHRONOLOGY
S90 WILLIAMS ROAD
PALM SPRINGS
CA
92264
..... ......... . ... ...... .....
LUIVUII
1UNs
. ..... .. . . ... ........ ...... .
WA 98908 (425)766-0953
OWNER DUANE CASTIES. 7306 MODESTO WY YAKIMA
. . . . . ..........
FINANCIAL INFORMATION
Printed: Thursday, April 28, 2016 8:34:25 AM 1 of 2
CIRSYSTEMS
'CONTACTS
. .. ...
77
E 'NAM ADD tSK
R
OC iTy.EMAIL
STATE-
III 'PHONE`' `-FAX_
4;';
APPLICANT
DESERT AIR CONDITIONING INC
S90 WILLIAMS ROAD
PALM SPRINGS
CA
92264
(425)766-0953
Nwatson@d6sertairps.
com
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
'(425)766-09S3
Nwatson@desertairps-.
com
WA 98908 (425)766-0953
OWNER DUANE CASTIES. 7306 MODESTO WY YAKIMA
. . . . . ..........
FINANCIAL INFORMATION
Printed: Thursday, April 28, 2016 8:34:25 AM 1 of 2
CIRSYSTEMS
.`
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
^
Printed: Thursday, April 28, 2016 8:34:25 AM' 2 of 2
r PT
DESCRIPTIO
Y4
BYO
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total.Paid for BUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-
101-0000-42402
6.
$'217.S6
$0.00
HVACCHANGEOUT-
101-0000-42600
0
$108.78
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $326.34 $0.00
PERMIT ISS
10 - 1-0000-42404 7171
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.06
TOTALS: $0.00
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
^
Printed: Thursday, April 28, 2016 8:34:25 AM' 2 of 2
CERTIFICATE OF COMPLIANCE C -FIR -ALT -02-E
.Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC-) (Paged of 3
Project Name.- 55415 MEDALLIST DR Date Prepared: 2016-04-27
A. General information
MR-ALT-02:is applicable tomultiple space conditioning systems contained within a -single dwelling unit. When multiple dwelling units.must be do'ccimehted,
use one C17111-ALT-02Aocuryient for each dwellinggunit.
01
Project Name r
55415 MEDALLIST DR
OZ.
Date Prepared
2016-04-27
03
Project Location
55415 MEDALLIST DR
04
Building TypeSingle
family
05
CA City
La Quintal
06
'Dwelling Unit Name
55415 MEDALLIST DR
07
Zip Code
92253
08
Dwelling Unit Conditioned
3410
Floor Area (M)
SC System
SC System
CFA served
`systemrefrigerant
af
ri e6k.
Ig
Number of space conditioning
t Installing. r.
09
Climate Zone
is
10
(SC) systems In this dwelling
3
ducted
ducted
containing
system
more than 40!`entirelyn'
unit..
'entirely new
B. Space Conditioning (SC) System'ln'formation
01A
02
03
04o
%0
06
08
09
10
=f
4 Is the SC
Installing a
SC System
SC System
CFA served
`systemrefrigerant
af
ri e6k.
Ig
t Installing. r.
Instaluin"g,
Installing
Identification or
Location or Area
by this SC
ducted
ducted
containing
system
more than 40!`entirelyn'
w
'entirely new
Name,
Served
System (ft2)
system?
component?
components?
feet of -ducts?
.duct system?
SC system?
Alteration Type
.System 1 OF 2
Location I
1600
Yes
Yes
Yes
No.
No
No
Altered space
conditioning system
System 2 OF 2
Location 2
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3 - HEATLoc.ation'3
goo
Yes
Yes
Y es
No
No
No
Altered'spacei
Pump
.
conditioning system
C. Extension of Existing.Duct System, Greater Than 40 Feet (Section 150.2(b) I Diib)
This section does not apply to this project.
Registration Number: 216-A0158048A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential compliance
Registration Date/Time: '2016-04-27:15:43:36
Report Version: 2013 Rev 1.007
Schema Version: 0.555501)
HERS Provider CaICERTS
Report Generated: 2016-04-27 15:43:27
.CERTIFICATE OF COMPLIANCE CFiR ALT 02=E
Alterations to Space Conditioning Systems (formerly 'CF -IR -ALT HVAC) (Page2:of 3 )
D. Altered Space "Conditioning System (Sections 150.2(4)1E and F)
01
02
03
04'
OS
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
orName
Type
Components
Type
Value
System Type.
Components
Type
Value
Type
Duct Length
R -Value
' System 10F 2
Central gas
furnace
All:new
heating
AFUE
0:78
Central spilt
All'new
cooling
SEER'
20
Setback
Less than or
equal to 40
Ft -B
components
AC'
components
feet
Central gar
All new
Central split
All new
Less than or
System 2 OF 2
furnace
heating.
AFUE
0.78
A
cooling
SEER
20
Setback
equal to 40
R-8
components
components
feet
System.3 -HEAT
Central gas.
All new
Central split
All new
less than or
PUMP
furnace
heating
AFUE
0.78
AC
cooling
SEER
20
Setback
equal to 40
R-8
components
components
feet
3eauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans °Yay"ti
-Duct Insulation requirement for new plenums: R6... .• ii { r ty ;
CQR,MCH-.20-H & CF3R=MCH-20-H when
,7 4
— Duct, Leakage' testing required heat) g or cooling, components are install d m ducted systems, or when"more than q0 h'of duct length is replaced.
Leakage rate compliance: 5 15%, or 5 10% le to outside; obr seahall accessiljle 1ea,ks i" ` '; µ "
z.xrt N lmo
CF2R-MCH-25•H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerantcontaining components are. installed or altered (applicable
in CZ 2, 8-15):
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow k 300 CFM/ton requlreY4` en NIGH-25:is requfred.
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.MECH-25.
-Existing duct systems constructed, insulated orsealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacemerit Duct System, with or without Equipment Changeout (Sections-150:2(b)iDiia and 150.2(b)IE, F)
This section does not apply to this project.
F. Entirely New or Com Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0158048A-000000000-0000 Registration Date/Time: 2016-04-27.15:43:36 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version:'2013 Rev. 1.007 Report Generated: 2016-04-27 15:43:27
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space: Conditioning Systems (formerly CF-R=ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration, Staterrient
1. 1 certify that this. Certificate of Compliance documentation;is accurate and complete.
Documentation Author Name:
Watson, Nicolewmw
Documentation'Author Signature:
Company:
Signature Date:
Desert Air Conditioning Inc.
2016-04-27 15:43:36
Address:
CEA/ HERS.Certification Idenfification (if applicable):
590 Williams Road
8103565, 8550431
City/Statej2ip:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
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 t "rue and'coirect.
2. I am eligible underbivision 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:energy7eatures and performance specifications, materials cornponents, 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 Carrfornla Code of Regulabon5. 4
4. The building design features:or system design features identified on his Certificate of Comp lance are5conslsten t he Inform tlon.provided on'other applicabte compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for approval with this building permit apphcatlori.i ` T ;.
S. I will ensure that a registered copy ofthis.Certlficate ofrCompliance sfialLbe.made available with the building -permits) issued for thebuilding and ade available toahe;enforcement agency for all applicable
inspections. I understand that a registered *Copy this Certificate of Comphance,is required to be, included wit{h`the documentationjthe builder provides to/t hhe building owner at occupancy.
Responsible Designer Name: t'
Watson, Nicole
Responsible Designer Signature:
Company:
Date Signed:
Desert Air Conditioning Inc.
2016-04-27'15:43:36
Address:
License:
590 Williams Road .
276586
City/State/Zip:
Phone:
Palm Springs CA 92264 '
760-323-3383
Digitally signed byCa10ERTS. This digital signature is provided in.orderto secure the content of this registered document, and in noway. implies Registration Provider responsibility for the accuracy of the information.
Registration Number:2I6=A0158048A-000000000-0000 Registration Date/Time: 2016-04-2715:43:36 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016.04-27 15:43:27
Schema Version: 0.555SDD
f3,n #City
Of La Quintd
BU11 rig 8t Safety Dtvlsion
P.O. Box 1504,78-49S Calle Tampico
U.Qutnta, CA 92253 -:(760) 777.7012
Building Permit • Application°andTracking Sheet
Permit #
Project Address: 55415 Medallist DrOwna'sName:.Duane
Castles
A. P. Number.
Adder: 7306 Modesto Way
Legal Description:
City, ST, Zip: Yakima, WA, 98908 '
Contractor-. Desert Air Conditioning; Inca
Telephone: 425-766-0953 s
Address: 590 Williams Rd.
Project Description: Replace (2) 4 ton split systems and (1) 2 ton split
City, $T, Zip: Palm Springs, CA 92264.
system on ground, like for like.
Telephone, 760-323-3383
4 y
State Lic. # : 276586
City Lie. o, 363
Arch., Engr., Designer. N/A
Address:
City, ST, Zip:
Telephone:
State Lia #:
Name of Contact Person: t 0.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Der no
Sq. FL: # Stories: # i7ttit9:
Telephone of Contact Person: 760-323=3383
Estimated Value of project: 38,539.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
0
Submittal
Req'd
'Ree'd
TRACX3NG PERMIT FEES -
Plan Sets
i
Plan Cheek submitted
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Depositvs
Trs Cates.
Called Contact Person
Plan Cheek Balance.
Title 24 Cates.
Pians picked up
Construction
Flood plata plan
Plans resubmitted
Mechs6lical
Gi -.ding plan
2'! Review, ready for corrections/issue
Electrical
Subeontaetor List
Called Contact Person
Plumbing.
Grant Deed
Plans picked up
S.M.L '
HOA Approval
Plans resubmitted
Grading
IN HOUSE:-'''
Review; ready for eorreetlonslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
AJJ'.P.
Pub. Wks. Appr. -
Date of permit issue
School Fees
Total Permit Fees