BMCH2016-0101i1
78-495 CALLE TAMPICO D �i4MICl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0101 Owner:
Property Address:
79346 W MISSION DR GAIL OTTER
4PN:
602250013 6802 S E 3•Q
Application Description:
OTTER / CHANE OUT (1) SPLIT SYSTEM MERCE I
Property Zoning:
Application Valuation:
$5,986.00
VOICE (760) 777-7125
,FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date: 4/13/2016
n.�
Applicant: Contra or: APR 21 2,0"6
DESERT AIR CONDITIONING INC DESER AIR CO D� ITIONING INC
590 WILLIAMS ROAD 590 W LLIAMS ROAD
PALM SPRINGS, CA 92264 PALM INGS, c!Co�I3FLAQUINTA
� Y Usi' DEVELQP4 NTDEf
(760)323-3383 — '--
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: _1 License No.: 276586
Date: ~) Contractor: %
Ta
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, atter, 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
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
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.
AA 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: _
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: " /� ` 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.. 4 d
Date: �' Z" `' / N Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT t[TYAMOUNT
PAID
PAIQDATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00 .
* PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total'Paid for BUILDING STANDARDS'ADMINISTRATION BSA:. .$1.00 $0.00
.. DESCRIPTION
ACCOUNT
QTY
AMOUNT,.
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID*BY
IM.ETHO.D' .
RECEIPT #
..CHECK # `
CLTD.BY' .
DESCRIPTION ..`
ACCOUNT ' -
QTY
AMOUNT -
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION'
ACCOUNT
QTYAMOUNT
PAID
PAID DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #.
CLTD. BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• •0
Description: OTTER / CHANE OUT (1) SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/13/2016 SKH
Approved:
Parcel No: 602250013 Site Address: 79346 W MISSION DR LA QUINTA,CA 92253
Subdivision: Block: • Lot: 50
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,986.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
DESERT AIR CONDITIONING INC
Details:. HVAC CHANGE OUT - 14SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Wednesday, April 13, 2016 10:26:26 AM 1 of 2. CRImF
Sys Trms
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
Nwatson@desertairps.
com
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
Nwatson@desertairps.
com
OWNER
STEPHANIE MEYER
108 CROSSROADS BLV
CARMEL
CA
92253
FINANCIAL INFORMATION
Printed: Wednesday, April 13, 2016 10:26:26 AM 1 of 2. CRImF
Sys Trms
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS__777REMARKS NOTES
DATE '
BOND INFORMATION
Printed: Wednesday, April 13, 2016 10:26:26 AM 2 of 2
cff?w.1ysTrms
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
,BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS__777REMARKS NOTES
DATE '
BOND INFORMATION
Printed: Wednesday, April 13, 2016 10:26:26 AM 2 of 2
cff?w.1ysTrms
CERTIFICATE OF COMPLIANCE
CF111-ALT62-E
Alteration's to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page I of 3
Project Name: 79346MISSION DRIVE WEST I Date Prepared: 2016-04-1.3.
A. General Information
CFIR- . ALT -02 is'applicable to multiple space.coniditioning,systems contalhed.wlthin a single dwelling unit. When. multiple dwelling units must be' docurneinted?.
use one CFlR-.ALT-02 document for each dwelling. unit.
01
Project Name
79346 MISSION DRIVE WEST
01
Date Prepared,
2016=94-13
03.
Project Location
79346 MISSION DRIVE WEST
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79346. MISSION DRIVE WEST
SC System
SC System
08
Dwelling Unit Conditioned
2914-
07.
Zip Code.
92253
—Installing
i N.
Floor Area (W).
Identification or
Location or Area
by this SC
ducted
I— �,
ng
containing
Number of space conditioning
W
more than 40
09-
Climate Zone
15
10.
(SC) systems in this dwelling
1
system?
component?
components?
I feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
01
02
03
�tn a
0 , 6 (-',)1
68 1,11
0 9.
10
'Is the SC'-
)Kitallinga
SC System
SC System
CIA served
'system
iefrige'ra--nt
-InStallIrg.he%rSC
IllIhsta"IlAg
i-n;tallQ,
i-.
—Installing
i N.
Identification or
Location or Area
by this SC
ducted
I— �,
ng
containing
�,
system
W
more than 40
- I,
I new
'entirely n
entirely new
Name
Served
System (ft2)
system?
component?
components?
I feet of ducts?
duct system?
SC system?
Alteration Type
Altered space.
Systern 1.
Location 1
1200
Yes
Yes
Yes
No.
No
No
conditioning ivistern
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1SM2(b)lDiib)
This.sectJon does not applyto this pr6ject:
Registration Number: 216-A0137181A-000000000.0000 Registration Date/Time: 2016-04-13,09:00`.24 HERS- Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report, Generated: 2016-04-13 09:00:42
Schema Version: 0.5555DI)
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-1R=ALT HVAC) (Page 2 o 3 ).
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
0S
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
All new
All new
This field or.
This field or
System 1
Central gas
heating
AF.UE
0.78
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
RReouired Documentation:,
CF2R-MCH-01-E - space Conditloning Systems Ducts and Fans .
-Duct:lnsulation requirement for new plenums: R6.
MR -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 46 ft of duct length is replaced.
-leakage rate compliance: s SS%, or 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR,MCH-25-11 Refrigerant Charge Verification required.when refrigerant containing components are installed or altered (applicable. in CZ 2; 8.15).
CF2RCF3R-MCH-23 & CF3117MCH-23 Air Flow 230q CFM/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 -�1
Heating -only systems and Air Handier/Furnace 'changes do hot requlre verification' of Air.Flow MCH 23,;or Refrigerant Chaige ECH-25.'! !
Testing requirements.
;
Existing duct systems constructed; insulated or sealed with asbestos ere exempt..from MCH=20 Dud Leakage
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sectio�ns.150.2(b)10iia and.1S0.2(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: 216-A0131181A-000000000-0000 Registration Date/Time: 2016-04-13 09:06:24 HERS Provider: Ca10ERTS
CA Building Energy Eff)clency Standards -2013 Residential Compliance, Report Version:.2013 Rev 1:007 Report Generated: 2016-04-13 '09:00:42
Schema Version:0.555SDD
CFIR-ALT 02-E
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Watson, .Nicole
Company:
Signature Date:
2016-04-13 09:00:24
Desert Air Conditioning Inc.
CEA/ HERS Certification Identification (if applicable):
Address:
590 Williams Road
6991216
City/State/Zip:
Phone:
760-323-.3383
Palm Springs CA 92264
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
1. The'lnformation provided on this -Certificate -of Compliance is true and correct.
3 the Business and Professions Code to accept responsibility for the building design orsystem design identified on this Certiticate.of Compliance (responsible. designer).
2: 1 am eligible under Division of
the features and specifications, materials, components, and manufactureddevices forthebuilding design_orsy-stem dessgn Identified an this Certificate of Compliance conform to the
3. That energy performance
requirements of Title 24, Parti and Part 6 of.the California Code of ftegulations
the information provided on other applicable' compliancedocumenfs, worksheets,
4. The building design features or system design features identified on this Certlficate of Compliance are,conslstent,with
to the 4nforcement agency for approva(with this building permiat application. A
calculations, plans and specifications submitted
this Certif tate Compliance shall,be made availableAwith the buiiding P4 Wilt) issued for thebullding, and made avallable�to the en%rcement agency for all applicable
5: 1 will ensure that a registered copy of of owner at occupancy.
inspections, i understand that a registered copyof this Certificate of Complianceis required to be.included with the documentation._the builder.pro�viiddeess'to the
Responsible Designer Name: r- a -
�building
Responsible Designer Signature:
Watson, Nicole
Company:
Desert Air Conditioning Inc.
Date Signed:
2016-04-1309:00:24
Address:
License:
590 Williams Road
276586
City/Siate/Zip:
Phone:
760=323-3383
Palm Springs CA 92264
Digitally signed by CafCEATS. This digital signature fs provided in order to secure the conteniof this registered document: and in no way implies Registration Provider responsibility for.the accuracy of the information.
Registration Number: 216-AO137181A-000000000-0000 Registration Date/Time'. 2016-04-13 09:00:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev. 1.007 Report Generated: 2016-04-13 09:00:42
Schema Version: O.SSSSD
of La Q *nta
P.O. Box 1504,78-495 Calle Tampico
- La.QuInta, CA 92253 -4760) 777-7012
Bultding Permit AOplicatlon and Tracking Sheet
Permit #
,00i� ho
A. P. Number:
Address:
Legal Desa*OA:
Contramr. Des e*rt Air Conditioning, Inc.'
Address: 590 Williams Rd.
Project Description:
City, ST, Zip: palm Springs, CA 92264.
Telepho— 76G-323-3383
lcit!yu
StatzLic.#: 276586
363
Arc -E4 Engr., Dwipw. N/A
Teliphone:
State Lic.
Construction Type. 0--P-cy*,
Pmjcd (pircle one): New Add'n. Alter Repair 'Derno
APPLICANT* DO NOT. wRrrE BELOW THIS LINE
PERMIT
Plan Sets
run Check submitted.
Item Amociat
Truss Qks.
CAlled Coutact Person
Plan Check Balance.
Mile 24 Calm
Plans picked up
ConstmIction
Flood plain plan
Plans resubmitted
Mech2idcal'
Or2ding plan
2'! Review, mdv for correctionsrissue
Electrical
Grout Deed
Plans picked up
SALL
IMAL Approval
Plans resubmitted
Grading
PlannIng Approval
Called Contact Person
A.LP.P.
Pub. lyks. Appr
Date of perm It Issue
School Fees
Total Permit Fees,