BMCH2015-0224r
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
I
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O15-0224
77906 LAGO'DR
: � � VOICE (760).777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT . INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/24/2015
Owner:
JOHN ADAMS
658270026
ALSO REFERENCE ADDRESS 49815 LAGO DR
$12,500.00
Applicant:
PREFERRED AIR CONDITIONING DBA
P 0 BOX 5120
PALM SPRINGS, CA 92263
Li
v 2 4 2015
0�
1 CITY OF IA QUINTA
i COMMU(VITY D NELOPAIENT DEPARTf"ENT
. LICENSED CONTRACTOWS 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: C36, C16, CSO, C20 License N 45 4 �
(Date: FJW IlI (Contractor:
OWNER -BUILDER D RATION
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 ) 1, 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 11, 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. 13097, Civ. C.).
Lender's Name:
Lender's Address:
Contractor:
PREFERRED AIR CONDITIONING DBA
P 0 BOX 5120
PALM SPRINGS, CA 92263
(760)863=0832.
Llc. No.: 457554
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.
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 or Code, I shall forthwith
comply with thos''''e"""" provisions.
Date: UP 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 relati g to building
construction, and hereby authorize representatives of this city to e)�er on the above-
mentioned property for inspection purposes. te
1
Date: (AW41 41 r Signature (Applicant or Agent)
FINANCIAL • a
DESCRIPTION: ACCOUNT CITY' AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $1.00 6/24/15
PAID BY METHOD RECEIPT # CHECK # CLTD BY
ROBERTBACHUS CHECK R7296 7172 EVA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$145.04
6/24/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ROBERTBACHUS
CHECK
R7296
7172
EVA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE'
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$72.52
6/24/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ROBERTBACHUS
CHECK
R7296
7172
EVA
Total Paid forCHANGEOUT: $217.56 $217.56
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE'.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/24/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ROBERTBACHUS
CHECK
R7296
7172
EVA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
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Permit # P.O. Box 1504,78-495 Ca& Tampico
Ea.Qt►Qlta, CA 9225 - (760) 777-7012 •
6 M �N 2c� t S. 02-Z'-t Building Permit Application and Tracking Sheet
PrajWAddrm-. "71Qo6Lago Drive LO 92253. pwna•sNerne: John Adams
A P. Number
Legal Description:
Contramr.. Preferred Plurnbing.Heating & Air
City, S.I., zip;
telephone.
ProjeciDmiption: Replace existing split systems,
Address: PO Box 5120
aty, $T, zjpPalm Springs CA 92263
Telpbo=760-836-0832
State Lia # : 457554 CAY Lie. #;
like for like, 2 each 16.seer 3 ton on the
ground.
-
Arch., &Sr., Designer
City.. ST, Zip:
Telephone:
State Lic. #:
cw truaionTyl Alteration 000u ley: -
Project typo (circle one): New Add'n Alter Repair Rano
2332
Sq. Ft; tY 3torits: #Units: 2
Name ofconzdPemn: Robert Bach us
760-55
Telephone # of Contact Pereon: 1-8
Esdinabcd Value of Project:
APPLICANT: DO NOT WRITE BELow THIS UNE
N
submittal
]Req'd
Recd
.
TRACING
PlbRWrFEESS
Plan Sett
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Sttvctaral Calea
itevtewed, ready for castecdow
Plan Cherie Deposit_
Trust Cake.Called
Caabtet Pereoa
Plan Cheek Balaaee .
T16e 24 Cala.
Firm pithed up
Construction
Flood plain plan
Giadiag plea
Plans resubodtkd.'.
2`! Review, mdy for correctiourmue
Mechaakal
Electrical
SabeostrctorList
caltedcunhetperson
Fhm+blttY '
Grant Deed
Ptans pkked up
9.D4.L
H.O.A. Approval
Flans raubmitted
Gradlag
Pik uous i.-
Review, ready for earrectioaaflssoe
Developer impact Fee
Funning Approval.
WiledContaetPanoa
Pub. Wka. Apps
Date of pertait l"M
School Fees
Tobi Permlt Fees
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CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF. -IR -ALT -HVAC)
Project Name:
49815 Lago Drive I Date Prepared:
CFI R -ALT 02-E
(Page 1 of 3 )
2015-06-24
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Is the SC
system a
ducted
system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
SC system?
Alteration Type
System 1
Location 1_
1166
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 1
location 2
1166
Yes
Yes
Yes
No
No
.
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
Registration Number: 215-A0170301A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
This section does not apply to this project.
Registration Date/Time
Report Version: 2014-03-31
Crk- %farcinn• A SCCCr)r)
2015-06-24 12:30:01
HERS Provider: CaICERTS
Report Generated: 2015-06-24 12:25:01
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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 li 12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered.
Cooling
Minimum
Required
New or
Identification i
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
System 1
Centrals
furnaces
All new
heating
AFUE
0.78
CentACl split
All new
cooling
SEER
13
Setback
Less than or
equal to 40
R 8
components
components
feet
All new All new
Central gas Centrals Irt
System furnace heating AFUE 0.78 p cooling SEER
Less than or
13 Setback equal to 40 R-8
AC
components components
feet
Required Documentation:
MR -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: 5 159b, 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).
MRCF311-MCH-23 & CF311-MCH-23 Air Flow 2:300 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.
-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 -20 Duct Leakage Testing requirements.
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: 215-A0170301A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-24 12:30:01
Report Version: 2014-03-31
Crhama %14rcinn- n GCSCnn
HERS Provider: CaICERTS
Report Generated: 2015-06-24 12:25:01
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CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 j
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Bachus, Robert
r
Company: Signature Date:
Advancing Home Performance, Inc. 2015-06-24 12:24:50
Address: CEA/ HERS Certification Identification (if applicahie):
74998 Country Club Drive.
City/State/Zip: Phone:
Palm Desert CA 92260 760-851-8648
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
N 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 building pprmlt application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
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:
O'Toole, Patti U�
Company: Date Signed:
PREFERRED AIR CONDITIONING 2015-06-24 12:30:01
Address: License:
P 0 BOX 5120 457554
City/State/Zip:
Phone:
PALM SPRINGS CA 92263
(760) 863-0832
Digitally signed by CaICERTS. 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: 215-A0170301A-000000000-0000 Registration Date/Time: 2015-06-24 12:30:01 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Crhpma v.mi— n GSSCr)r)
Report Generated: 2015-06-24 12:25:01
Description: ALSO REFERENCE ADDRESS 49815 LAGO DR
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/24/2015 AZA
Approved: 6/24/2015 EVA
Parcel No: 658270026 Site Address: 77906 LAGO DR LA QUINTA,CA 92253
Subdivision: TR 4418 & INT COMMON AREA Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $12,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CA
Details: HVAC CHANGE OUT - 13 SEER/ 2 SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES
NAME:TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
PREFERRED AIR CONDITIONING DBA
P 0 BOX 5120
PALM SPRINGS
CA
92263
(650)863-3987
CONTRACTOR
PREFERRED AIR CONDITIONING DBA
P O BOX 5120
PALM SPRINGS
CA
92263
(650)863-3987
OWNER
JOHN ADAMS
11 OAK RD
SAN MATEO
CA
94402
(650)863-3987
Printed: Wednesday, June 24, 2015 3:11:34 PM 1 of 2 ,
SYS7Gh1S
INSPECTIONS
SEQID: INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE neTF NOTES
Printed: Wednesday, June 24, 2015 3:11:34 PM 2 of 2 #? .,
SYSTGiv1S
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$145.04
6/24/15
R7296
7172
CHECK
ROBERTBACHUS
EVA
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$72.52
6/24/15
R7296
7172
CHECK
ROBERTBACHUS
EVA
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $217.56
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/24/15
R7296
7172
CHECK
ROBERTBACHUS
EVA
Total Paid for PERMIT ISSUANCE: -$91.85 $91.85
TOTALS:i40.4
INSPECTIONS
SEQID: INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE neTF NOTES
Printed: Wednesday, June 24, 2015 3:11:34 PM 2 of 2 #? .,
SYSTGiv1S