BMCH2016-025378-49S CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O16-0253
79451 LIGA
Tiht 4 al
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/12/2016
Owner:
776180030
ANDERSON / CHANGE OUT (2) 16SEER/80AFUE SPLIT SYSTEMS
$23,920.00
DEAN ANDERSON
r�
;_
0
N
Applicant: Contractor: I'll
DESERT AIR CONDITIONING INC DESERT AIR CONDITION GING Oki
590 WILLIAMS ROAD590 WILLIAMS ROAD
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264 Q
(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: C20. C43/// -- License No.: 2765
I--,'
Date: ` �� �/ V Contract
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).:
(_) 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, 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
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 thgtvgrk for which this permit is issued.
wV4(/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: S ' I— _1 b 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-mentionedpropertyfor inspection purposes.
( y
Date: v L��bSignature (Applicant or Agent):
• DESCRIPTION
FINANCIAL •• •
ACCOUNT QTY AMOUNT
PAID PAID DATE
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
$145.04
$0.00
PAID BY.
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
PAID BY.
METHOD
RECEIPT #.
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $217.56 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
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: ANDERSON / CHANGE OUT (2) 16SEER/80AFUE SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/12/2016 SKH
Approved: 7/12/2016 SKH
Parcel No: 776180030 Site Address: 79451 LIGA LA QUINTA,CA 92253
Subdivision: TR 24890-6 Block: Lot: 58
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $23,920.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: CHANGE OUT (2) 16SEER/80AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(5) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
FINANCIAL INFORMATION
Printed: Tuesday, July 12, 2016 10:40:35 AM 1 of 2
SYS Tf-N1S
INSPECTIONS
Printed: Tuesday, July 12, 2016 10:40:35 AM 2 of 2 sysr�nns
CLT --
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
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
Printed: Tuesday, July 12, 2016 10:40:35 AM 2 of 2 sysr�nns
Sin #
` _ LaQuinta
Qty
Req,d
: Building er Safety Divhion
P.O. Box 1504,•78-•44S Caffe Tampico
Permit
15"
La.Quinta, CA 92253 »-(760) 777-1012
Permit Sheet
l.lQ'
Building Application, and Tracking
Project,Addm=%'* 79-451 Liga
QwncesName: Dean Anderson
A: P. Number.
Address:
I.eegal n,sctiption:
City, ST, Zip- :
Title .24 Cake.
Contractor. Desert Air Conditioning, Inc.:
Telephoto:
Address: 590 Williams. -Rd.
ProjegDesol•iption: Replace 4 & 5 ton split systems, on.gr41ike.
Plans resubmitted,'. Mechatiltal
City, ST, zip: Palm Springs, CA 92264,
for like.
Telephone: 760-323-3383
Subcoutattor Ust
State.Lic. #,:,. 276.586 City
Lic. gf 363
_Grant Deed
Arch:, L'ngr., Designer. NIA
Plans picked up SM L
Address:
Pians resabmitted Grading
City, ST, Zip:
IN HOUSE;-
Telephone:
Construction Type: Oceapeatcy:
Planning Approval
State Lic: M
Projecttypc (a►rd c one): New Add'n Alter Rzpair Demo
Name of Contict Perso:� C.:�\�,
G Sq. FL:
#Stones: #Units:
Telephone of Contact Person: 760-323-33$3 Estitnated'Value of Project: 23,920.00
APPLICANT: DO NOT. WRME BELOW TITS UNE
P
Submittal
Req,d
Reed T'RACJMG PERKrr FEES -
Plan Sets
Plan Check submitted. Item Amount
StrnetuCal Calm,
Reviewed, ready for corrections Plan Chid, Deposit. .
'T'rus's Calfs.
Called Contact Person Plan Cheep Balance_
Title .24 Cake.
Plans picked up Constrnetiou '
Flood plain plan
Plans resubmitted,'. Mechatiltal
Giading plan
21! Review, ready for correctioas/issue Fdeetrical
Subcoutattor Ust
Called ContactPeraon Pluntbiag
_Grant Deed
Plans picked up SM L
MOA. Appiovai
Pians resabmitted Grading
IN HOUSE;-
'"` Review; ready for eorrectionvIssue Developer Impact Pee
Planning Approval
Called. Coutaec Pcrson AJ-P.P.
Pub..Wks. Appr• •
-
Date of permit issue
ScbW it es
Total Permit Fees
CF1R-ALT 02-E
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 j
Project Name: 79-451 LIGA Date Prepared: 2016-07-11
B. Space Conditioning (SC) System I
Q1
02
04 `,
Sc System
Identification or
Name
SC System
Location or Area
Served
l 07 `1
System 1 of 2 - 4
TON
Location 1
10
System 2 of 2 - 5
TON
-Location .2
nformation
• s"�'� i i . s a
03
04 `,
r!:. , Ob t '4 ,
, 05; �,�
l 07 `1
' 08{
E 09
10
CFA served
%the SC
• � system a w
'.Installing a'
refrigerant `
Installir gnew SC
Installirig- t
InsEalling%
- Installing.
b th' Cr
~ducted
containing
system
more than 40
entirely new
entirely new
IF IS
System (ft2) system? component?. components? feet of ducts? duct system? SC system? Alteration Type
Altered space
411.1 Yes Yes Yes NorNoNO conditioning system
Altered space
No conditioning system
,4111. I Yes Yes Yes No No
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)lDiib)
This section does not apply to this project.
Registration Number: 216-AO25645SA-000000000-0000 Registration Date/Time: 2016-07-11 15:41:22 • HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016 07-11 15:4.1.:45
Schema Version: O.SSSSDD
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
H, eating
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
System 1 of 2 -4
Central gas
All new
Central split
All new
Less than or
TON
furnace
heating
AFUE
78
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
System 2 of 2 - 5
Central gas
All new
Central split
All new
Less than or
TON
furnace
heating
AFUE
78
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
MR -MCH -20-H & CF311-MCH-20-1-1 - Duct Leakage testing required when heating or coati ng. compo rents 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 & COR -MCH -25-H Refrigerant Charge verification required when refrigerant contal ring components. are installed or aitered,(applicabie in CV2 8-15).
CF2RCF3R•MCH•23 & CF3R-MCN-23 Air Flow 2:300 CFM/ton required when MCH -25 is requited: 4 l.. S i• S •--•.� ^-
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH,20 Duct. Leakage Testing requirements,
-Heating•oniy.systems and Air Handler/Furnace changes do not require'verification of Air Ffow MCH -23 or Refrigerant Charge MECH 25,
-Existing duct systems constructed, Insulated or sealed with asbestos are`exempt. frpm MCHT20 Duct: Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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-A0256455A-000000000-0000 Registration Date/Time: 2016-07-11 15:41:22 HERS Provider CaICERTS
CA Building Energy:Efficlency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-11 15:41:45
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Documentation Author`s Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Watson,.Nicole
Company:
Desert Air Conditioning Inc.
Address:
590 Williams Road
City/State/Zip:
Palm Springs CA 92264
Responsible Person's Declaration statement
Dacumentat€on Auihor.Signature:
Signature Date:
2016-07-11 15:41:22
CEA/ HERS Certification Identification (if applicable):
6685048:6885189
Phone: -
760 -323-3383
.CFiR-ALT -02-E
(Page3 of 3. )
I.certify the following under penalty of perjury, under the laws of the State of California:
1. The infurrriation pruvided 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 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 approvafmith this building permit application.
5, I will ensure that a registered copy of this Certificate of Compliance shall be madeavaifabie vuith the building permits) Issued foethe buildirig and trade available ap the enforcement.agency forall applicable.
inspections: #understand that a registered copy of this Certificate of Comppance is required to be included with the documentation the builder prov+dr
es to the building owner occupancy..
h
Responsible Designer Name:
Watson, Nicole
Company:
Desert Air Conditioning Inc.
Address:
590 Williams Road
City/State/tip:
Palm Springs CA .92264
y # .... t 'd ..- Responsible Deiigner Signature: 'l
Date Signed:
2016-07-11 15:41:22
License:
27658.6
760-323-3383
Digitalty signed by CafCERTS. This'dfgital signature is provided in order to secure. theeonfent of this registered document and in noway implies Registration Provider responsibffify for the accuracy of the information.
Registration Date/Time: 2016-07-11 15:41:22 HERS Provider: CaICERTS
Registration Number: 216-A025645SA-000000000-0000 g
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report.Generated: 2016707-11 15:41:45
Schema Version: 0.555SDD