BMCH2015-0014h
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tyl 4 4v Qu!Ar(u
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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.: 27658
Date.1-� " Contractor:
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).:
( ) 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 contractors) 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 Address:
(760)323-3383
Llc. No.: 276586
Date: 1/14/2015
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'
ccmpensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the La or Code, I shall forthwith
comply with those provisions.
Date:it ` �.� • 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
bove•
mentioned)prope/rty for inspection purposes.
Date: ' F� + (< Signature (Applicant or Agent):
Application Number: BMCH2O15-0014 J
Owner:
Property Address: 79718 LIGA
DARRELL MCNEEL
APN: 776180012
79718 LIGA
Application Description: CHANGE OUT 5 TON SPIT SYSTEM
LA QUI NTA, CA 92253
Property Zoning:
Application Valuation: _ $7,986.00
Applicant:
Contractor:
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
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.: 27658
Date.1-� " Contractor:
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).:
( ) 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 contractors) 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 Address:
(760)323-3383
Llc. No.: 276586
Date: 1/14/2015
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'
ccmpensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the La or Code, I shall forthwith
comply with those provisions.
Date:it ` �.� • 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
bove•
mentioned)prope/rty for inspection purposes.
Date: ' F� + (< Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) • (Page 1 of 3 )
Project Name: 79718 LIGA Date Prepared: 2015-01-14
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
79718 LIGA
02
Date Prepared
2015-01-14
03
Project Location
79718 LIGA
04
Building Type
Single family
05
CA City
La Ctuinta
06
Dwelling Unit Name.
79718 LIGA
07
Zip Code
92253
08
Dwelling Unit Conditioned
3900
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
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?
SC system?
Alteration Type
System 1
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does- not apply to this project.
Registration Number: 215-A0017928A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-01-14 15:29:39
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2015-01-14 15:29:50
CERTIFICATE OF COMPLIANCE
CfiR-ALT-02-E
Alterations to Space Conditioning Systems (formerlyCF-1R-ALT-HVAC)(Page
2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
MinimumRequired
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
Central as
g
All new
heating
AFUE
0.73
Central split
All new
cooling
SEER
This field or
This field or
furnace
components
AC
13
Setback
section is not
section is not
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: <_ 15%, 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 2:300 CFM/ton required when MCH -2S 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)1Diia 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-A0017923A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-01-14 15:29:39
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2015-01-14 :5:29:50
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.
CFIR-ALT-02-E.
(Page 3 of 3 )
Documentation Author Name: Documentation Author Signature: //ff
Skov, Keri.
Company: Signature Date:
Desert Air Conditioning Inc. 2015-01-14 15:29:39
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
1 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 (responsibie 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 approval with this building permit application.
5. 1 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:
Skov, Keri, e"C;_XV -
Company:
Desert Air Conditioning Inc.
Address:
590 Williams Road
City/State/Zip:
Palm Springs CA 92264
Date Signed:
2015-01-14 15:29:39
License:
276586
Phone:
760-323-3383
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-AO017928A-000000000-0000 Registration Date/Time: 2015-01-14 15:29:39 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01=14 15:29:50
Schema Version: O.SSISDD
01/14/2015 WED 15:43 FAX 760 323 8983 Desert Air 'Conditioning 000//005
REQUEST FOR PERMIT
590 Williams Rd.
Palm Springs, CA 92264
760-323-3383
760-323-8983
r
To: Philip Juarez
Email:
Phone Number: 760-777-7050
Fax Number: 760-777-7011
Date: 1./14/201.5
Pages: 6
Re: Permit application — 79718 Liga
Dotes/ Comments: '
Replace one 516n split system..
Thank You,
Keri Skov
1
CITY AMOUNT PAID
PAID DATE
FINANCIAL ,
DESCRIPTION 'ACCOUNT
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
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 forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
CITY
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:• • 00
Description: CHANGE OUT 5 TON SPIT SYSTEM
Type: MECHANICAL
Subtype: Status: UNDER REVIEW
Applied: 1/14/2015 PJU
Approved:
Parcel No: 776180012 Site Address: 79718 LIGA LA QUINTA,CA 92253
Subdivision: TR 24890-6
Block: Lot: 35
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,986.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REPLACE ONE (5) TON SPLIT SYSTEM ON GROUND .78 13 SEER 2013 CALIFORNIA MECHANICAL CODE.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
DESCRIPTION I ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CBL YD
BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, January 14, 2015 5:33:23 PM 1 of 2
RWSYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, January 14, 2015 5:33:23 PM 2 of 2 Cg? SYSTEMS
CL
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK # .
METHOD
PAID BY
BY
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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: a $91.85 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, January 14, 2015 5:33:23 PM 2 of 2 Cg? SYSTEMS
01/14/2015 WED 15:44 FAX 760 323 8983 Desert Air Conditioning
t
A '
12002/005
Qin 7!
1 V i LY of LA Quf f t61
Rcc'd TRACKING
PERMITFEES
Building &r Safety Division
l°ixtrScArPlan
Permit #P.O.
Box 1504,78-495 tulle Tampico
La.QathU,
Amouaf
�_OV7
+� e1
CA F225Y- (7017,77-7012
Building
Reviewed, ready for corrections
Plan Clieck Deposit
Permrt-Application and Tracking Sheet
ProiectAddress: 7,9718 "GA
0w) r'sNA-n ,nARREZL MCNE.5Z
plan ChccAiialance
A. P. Number:
Address: 79718 LIGA
Title 24 Calcs.
Plans picked up
Construction
Legal Description:
City, ST, lip: LAUIN rTR CA 922
Plans resubmitted.
Contractor: Desert Air Conditioning, Inc.''
9 Telephone:
S`
'� c
„;,.
Grnding plan
H«ter
,�
"LE
Address: 590 Wiliiams Rd.
Project Description:
,
City, sT, zip: Palm Springs, CA 92264
on murld 16ke for like
Called Contact Person
Telephone: 760=323-3383
Grant Deed
Plans picked up
State Lic. 4: 276586
City Lic. ti.: 363
H.O.A. Approval
'Arch., Engr., Designer: N/A
Grading
Address:
i
"Review, ready for correetionsrssue
City, ST, zip:
Telephone:
Construction Type: Occupancy:
A.T.P.P.
State Lic. #:<
r *.. r�.� ;Nh
'x: v�h✓.< .:. 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 1 Estimated Value of Project: $7,986-.00
School Fees
APPLICANT: DO NOT WMrtc nrl nW rule 1 role
#
SubmSttal Rcq'd
Rcc'd TRACKING
PERMITFEES
l°ixtrScArPlan
Check su0mitted
ffein
Amouaf
Structural Coles.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Calcs.
I Called Cantact.Pcrvon
plan ChccAiialance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.
Mechanical
Grnding plan
2'a Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
fi 90M'E:-
"Review, ready for correetionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.T.P.P.
Pelt Wks A
Date of Perini: isratie
School Fees
Total Permit Fees