BMCH2015-0335VOICE (760) 777-7125
78-495 CALLE TAMPICO
U FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVE ENT D INSPECTIONS (760) 777-7153
BUILD G Pll"NL�T®2 2015
.a`
_- Date: 8/31/2015
Application Number: BMCH2O15-0335 COMMON1Typ�O pp�q INTA Td w r.
Property Address:. 50165 MOUNTAIN. SHADOWS RD RD 6@ GE HANOVER
APN: 776011004 50165 MOUNTAIN SHADOWS RD
Application Description: HANOVER / CHANGE OUT (1)14SEER/8AFUE SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $12,110.00
Applicant: Contractor:
DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD ` 590 WILLIAMS ROAD
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264
(760)323-3383
Llc. No.: 276586
------------------------------=--------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty:of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C43 License No.: 27658 of the rk r which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date: ^ �— Contractor: 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:
OWNER -BUILDER DECLARATION Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that) am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 f the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 7 J/.
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 Date: Applicant:
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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale., If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner=builder will have the burden of'proving.th'at the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit.work is performed under or pursuant to. any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason 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.
Date
Owner:
CONSTRUCTION LENDING AGENCY
1 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 Address:
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 enA upon the above-
mentioned property for inspection purposes.. /
Date: �'�� Signature (Applicant or Agent)
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HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
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PAID DATE:
k A'ZMOUNT
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PERMIT ISSUANCE
101-0000-42404
0
$91.85
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Total Paid forPERMIT ISSUANCE: $91.85 $0.00
}
Description: HANOVER / CHANGE OUT (1)14SEER/8AFUE SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/27/2015 SKH
Approved: 8/27/2015 SKH
Parcel No: 776011004 Site Address: 50165 MOUNTAIN SHADOWS RD RD LA QUINTA,CA
92253
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Subdivision: TR 25429 Block: Lot: 04
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,110.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTRACTOR
Details: HVAC CHANGE OUT- 14SEER/8AFUE.SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONTACTS
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NQMEyy�TY:PE"�.<��;::��r�NAME�,�' r;. �µ�,a�'�AQDRESSl•,' :� y' -,�• STATE_, ;"�� ;�;._,.�. M,
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APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS CA
92264 (760)564-4150
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS CA
92264 (760)564-4150
OWNER
GEORGE HANOVER
50165 MOUNTAIN
LA QUINTA CA
92253 (760)564-4150
SHADOWS RD
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Monday, August 31, 2015 7:39:06 AM 1 of 2
SYSTEMS
s�
OC
TYk
DESCRIPTION'
ACCOUNT
CITY
AMOUNT
PAID
DATE
RECEIPT#
I CHECK#
METHOD. '
PAID BY
CITD
1PAID
BY
HVAC C HANGEOUT-
'
SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
HVAC C HANGEOUT-
'
SPLIT-SYSTEM PC
101-0000-42600
0
$36.26
$0.00
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
REVIEWS
RETURNED STATUS REMARKS
REVIEWER SENT DATE DUE DATE
REVIEW TYPE NOTES
, r
DATE
BOND INFORMATION
Printed: Monday, August 31, 2015 7:39:06 AM 2 of 2 CR?WYSTEMS
Bla.#
City of La Quinta
Building ar Safety Division
P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
eerinit #
Project Address: 50165 MOUNTAIN SHADOWS RD.
Owner's Name:. GEORGE HANOVER
A P. Number.
Address: 50165 MOUNTAIN SHADOW RD.
Legal Description:
Contractor: Desert Air Conditioning, Inca
City, ST, Zip: LA QUINTA, CA 92253
Telephone: 760-564-4150 v
Address: 590 Williams Rd.
ProjectDescription: Replace one 4 tons lits stem on
City, ST, Zip: Palm Springs, CA 92264.
ground like for like.
Telephone: 760-323-3383
#; 363
ly!
State Lie. #: 276586
Arch., Engr., Designer. N/A
Address:
City., ST, Zip:
Telephone:
State Lic. #: :
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Keri Skov
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760-323-3383
Estimated value of Project: $12,110.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Recd
TRACKING
PERM T FEES
Plan Sets
Plan Cheek submitted
Item Amount
Stmctural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cake.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Giadlag plan
2a0 Review, ready for correctionsfissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
H.O.A. Approval
Plans resubmitted
Grading
IPI ROUSE:-
'"' Review, ready for correctionsllssue
Developer Impact Fee
Planning Approval
Cailed Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
50165 MOUNTAIN SHADOWS RD. I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-08-26
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
50165 MOUNTAIN SHADOWS RD.
02
Date Prepared
2015-08-26
03
Project Location
50165 MOUNTAIN SHADOWS RD.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
50165 MOUNTAIN SHADOWS RD.
07
Zip Code
92253
08
Dwelling Unit Conditioned
3400
i.� 4.,„.r✓
'SN' Niki iP
`1+si.i ,k
Floor Area (ft2)
SC System
CFA served
system a
r f ige a t
_Installing ew SC
Number of space conditioning
1n talling
09
Climate Zone
15 ;
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information '0� f ')CT �
01
02
03p,
A 0'�
05 t �
6
07 i
US
09
10
,'j
y -
�Is the SC'""
Y 4 '1t�k ''.< a1r
Installing
-�� hnr.a-+%.f 'RL til
i.� 4.,„.r✓
'SN' Niki iP
`1+si.i ,k
SC System
SC System
CFA served
system a
r f ige a t
_Installing ew SC
stallin14 g
1n talling
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
V4 SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
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: 215-A6304659A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-26 14:55:40
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-26 14:55:33
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)lE 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
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
0.8
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
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: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 0 CFM/ton required when MCH -25 is required.
30
Exceptions: m,MC'1 f"��
HERS from�MCH-20 Leakage Testing
-Duct systems registered with provider as previously sealed are exempt regwrements.
-Duct Duct
+fi «Roti + t >t mr
Heating -only systems and Air Handler/Furnace changes do not requio re verification n of Air FIS , 0H 3, or Refrigerant CFia ge MECH-25..
-Existing duct systems constructed, insulated or sealed with as estos are exempt from MCH -20 DuctJLeakage Testing requirements. i f
E. Entirely New or Complete Replacement Duct System, with or withoutyEquipment Changeout.(Secttons 150.2(b)iDiia;andJ150.2(b)H, 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.
cka
Registration Number: 215-A6304659A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-26 14:55:40
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-26 14:55:33
CERTIFICATE OF COMPLIANCE CF1R-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: 0"
Skov, Skov, Keri
Company:
Signature Date:
Desert Air Conditioning Inc.
2015-08-26 14:55:40
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
City/State/Zip:
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 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 Regula nom. r�
r
4. The building design features or system design features identified on this Certificate of Compliance are consistentwith-the information,provided on otherapplicable-compliance documents, worksheets,
ar n• ' t 7n -.p .
calculations, plans and specifications submitted to the enforcement agency for approval;with this building permit'application. `''� g
�
�. I- t 'A� i( 9r.��� h* a� vi �E, d i !
5. 1 will ensure that a registered copy of this Certificate of Compliance shall bfmade available with'the building permit(s),issued for,"theb,1ing, and,made available to -the enforcement agency for all applicable
inspections. I understand that a registered copy of this"Certificate of Complliance=is.,requirreed to be included with the documentation hem builder p ov des to the building owner at occupancy.
Responsible Designer Name: -4 %:: A
Responsible Designer Signature:'V' t ICS
Skov, Keri
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-08-26 14:55:40
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Digitally signed by Ca10ERTS. 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.
�1
.� Registration Number: 215-A6304659A-000000000-0000 Registration Date/Time: 2015-08-26 14:55:40 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-26 14:55:33
Schema Version: 0.555SDD
Q
DES"I T
GfJr`II?fI?fQtVLNG,' '
�Sorviiyi tlin �aceficf�R, Vufiby Sm.cc r�;q ,,,.
REQUEST FOR PERMIT
590 Williams,Rd.
Palm Springs; CA 92264
760-323-3383
760-323-8983
To: Philip Juarez
Email: pjuarez@la-quinta.org
Phone Number: 760-777-7050
Fax Number: 760-777-_7011
Date: 8/26/2015
Pages: 5
Re: Permit application = 50165 MOUNTAIN SHADOWS RD.
r
Notes/ Comments:
Replace one 4 tonsplit system on ground like for,
like.
Thank You,
Keri Skov, ,