BMCH2015-036178-495 CALLE AMPICO
LA QUINTA, CALIFORNIA 92253
T4,t4r 4 XP Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application N6mber: BMCH2O15-0361 D
Property Address: 53885 EISENHOWER DR
APN: 774165020
Application Description: DONES RESIDENCE / HVAC CHANGE )[r
Property Zoning: , SEP 2 2 2015
Application Valuation: $7,102.00
Applicant:
CITY OF LA QUINTA ALLIANCE AIR CONDITIONING SERVICES COMMUNITY DEVELOPMENT DEPAR'
42335 WASHINGTON ST STE F 334
PALM DESERT, CA 92210
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 License No.: 987235
Date: L a < 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/22/2015
NE DONES
885 EISENHOWER DR
QUINTA, CA 92253
ALLIANCE AIR CONDITIONING SERVICES
42335 WASHINGTON ST STE F 334
PALM DESERT, CA 92210
(760)534-3423
Llc. No.: 987235
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 polity 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 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. 1.%
Date: 7/045 Signature (Applicant or Agent):
FINANCIAL •!.
" 7, DESCRIPTION ACCOUNTFOAMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
$1.00 $1.00 9/22/15
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
ALLIANCE AIR CONDITIONING SERV CHECK
R9402 1450 MFA
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
$72.52
$72.52
9/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ALLIANCE AIR CONDITIONING SERV
CHECK
R9402
1450
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
9/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ALLIANCE AIR CONDITIONING SERV
CHECK
R9402
1450
MFA
Total Paid for CHANGEOUT: $108.78 $108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
-PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ALLIANCE AIR CONDITIONING SERV
CHECK
R9402
1450
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
Description: DONES RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED Applied: 9/22/2015 MFA
Parcel No: 774165020 Site Address: 53885 EISENHOWER DR LA QUINTA,CA 92253 Approved: 9/22/2015 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 246 Lot: 9 Issued: 9/22/2015 MFA
UNIT 23
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $7,102.00 Occupancy Type: Construction Type: Expired: 3/20/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
__j Applied to Approved
--jApproved to Issued
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CONTACTS
...._ _.......... .
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ALLIANCE AIR CONDITIONING
SERVICES
42335 WASHINGTON
ST STE F 334
PALM DESERT
CA
92210
(310)386-2805
CONTRACTOR
ALLIANCE AIR CONDITIONING
SERVICES
42335 WASHINGTON
ST STE F 334
PALM DESERT
CA
92210
(310)386-2805
OWNER
RENE DONES
53885 EISENHOWER DR
LA QUINTA
I CA
1 92253
1 (310)386-2805
Printed: Tuesday, September 22, 2015 3:55:05 PM 1 of 2
SYS TEtiAS
Printed: Tuesday, September 22, 2015 3:55:05 PM 2 of 2 r7w"YSTEMS
-]
- ----- ---
cam-
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
I
$1.00
9/22/15
R9402
1450
CHECK
ALLIANCE AIR
MFA
CONDITIONING SERV
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$72.52
9/22/15
R9402
1450
CHECK
ALLIANCE AIR
MFA
SPLIT -SYSTEM
CONDITIONING SERV
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$36.26
9/22/15
R9402
1450
CHECK
ALLIANCE AIR
MFA
SPLIT -SYSTEM PC
CONDITIONING SERV
Total Paid for CHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/22/15
R9402
1450
CHECK
ALLIANCE 7 AIR
CONDITIONING SERVMFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $201.63 $201.63
Printed: Tuesday, September 22, 2015 3:55:05 PM 2 of 2 r7w"YSTEMS
C
Bin #
Permit #1
roject Address:,..��
City of La Quinta
Building 8i• Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
�� ner's Name: ADd E;
A. P. Number:
Address:
Legal Description:
Contractor: o.
City, ST, Zip: aZ
i Telephone: .
Address:roject
Description: Q
City, ST, Zip:
Telephone:
b 3
o�
State Lic. # : <,P?a _,5—
Arch., Engr., Designer:
City Lie. #.:
Address.-.
City, ST, Zip:
Telephone:
Sta to Lic. #:
Name of Contact Person:
.i Con
tructi Co
s on Type: Occupancy:
YP
z Pr eject tYPa (circle one • New Add'n Alter Re pair Demo
Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person:
Q 0
tS Q'- ^ 3 timated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
3" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
JJ
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name:
Rene Dones I Date Prepared:
2015-09-21
A. General Information
MR -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
Rene Dories
02
Date Prepared
2015-09-21
03
Project Location
53885 Eisenhower Dr.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Rene Dories
07
Zip Code
92253
08
Dwelling Unit Conditioned
1980
Floor Area (ft2)
SC System
SC System
CFA served
'--;system a
refrigerant
Number of space conditioning
InstallingInstallin�Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System' Information
Ol
02
03
04y`,,^
"� 05 t ; i`.
; _'06 e ,.,
a , 07
_, 08
09
10
4.
` is the SC'
Installing a
SC System
SC System
CFA served
'--;system a
refrigerant
Installing new—SC
InstallingInstallin�Installing
II
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
1980
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-A6332446A-000000000-0000
Registration Date/Time: 2015-09-21 12:08:21
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 12:06:06
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
30
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
section is not
components
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 & CF311-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 It of duct length is replaced.
-Leakage rate compliance: 515%, ors 10% 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 -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' NISCH-25
Existingducts stems constructed, insulated or sealed with asbestos are exem tfrom MCH -20 Duct Leakage Testin re uirements.'
E. Entirely New or Complete Replacement Duct System, with or without. Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-A6332446A-000000000-0000 Registration Date/Time: 2015-09-21 12:08:21 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 12:06:06
Schema Version: 0.555SDD
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:
_- __ D/_
Documentation Author Signature: %�%��%�GO`�(/G
Rhoton, Preston
�/tO' wv
Company:
Signature Date:
ALLIANCE AIR CONDITIONING SERVICES
2015-09-21 12:08:21
Address:
CEA/ HERS Certification Identification (if applicable):
42335 WASHINGTON STREET
City/State/Zip:
Phone:
PALM DESERT CA 92211
1(760) 534-3423
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 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 availablerwith the building permit(s) issued focthe 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.
-V
Responsible Designer Name: . i,' «+. *; °b ..
Responsible Designer Signature:
I/-
Rhoton, Preston
�-A
Company:
Date Signed:
ALLIANCE AIR CONDITIONING SERVICES
2015-09-21 12:08:21
Address:
License:
42335 WASHINGTON STREET
987235
City/State/Zip:
Phone:
PALM DESERT CA 92211
1(760) 534-3423
Digitally signed by Ca/CERTS. 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.
Registration Number: 215-A6332446A-000000000-0000 Registration Date/Time: 2015-09-21 12:08:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 12:06:06
Schema Version: 0.555SDD