BMCH2015-0031.78-495,CA.LLE TAM:°ICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
a& QuiNrcu
Tjbt 4 _N
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0031
48619 PASEO TARAZO
646082010
REPLACE ONE 5 TON FURNACE & COIL ON GROUND
$4,101.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD.
PALM SPRINGS, CA 92264
FEB 0 2 1015
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.: 276586
Date:�' ' — 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
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 fa
permit subjects the applicant to a civil penalty of not more than five hundred Bolla s
($500).:
() I, as owner of the property, or 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
I'VSPECTIONS (760) 777-7153
Date: 2/2/2015
Owner:
FARAH JARRAULT
48619 PASEO TERRAZO
LA QUINTA, CA 9225=
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 9264
(760)323-3383
Llc. No.: 276586
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 tc become subject to the workers'
compensation laws of'California, and agree that, if i should become subject to the
workers' compensation provisions of Section 370 f the Labor Code, I shall forthwith
comply with those provisions. �
Date: / G Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P=NALTIES'AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN _TCTION 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 app ication.
1. Each person upon whose'behalf this application is made, each person at whose
request and for whose benefit work is performed u ider or pursuant to any permit
issued as a result of this application, the owner, anj the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City )f 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 applicatior 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 representativesof this city t nter upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
r
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name: 48619 PASEO TARAZO Date Prepared: 2015-03-26
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
48619 PASEO TARAZO
02
Date Prepared
2015-01-26
03
Project Location
48619 PASEO TARAZO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
48619 PASEO TARAZO
07
Zip Code
92253
08
Dwelling Unit Conditioned
1850
Floor Area (ft2)
SC System
SC System
CFA served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
`, �• n �,�`.` �+ L .' A-;� ('_s . � "' 1. f
B. Space Conditioning (SC) System Information
01
02
03
{ A64�
07 '-.
ax08 ..
09
10
,�`
,4� .f�04 ._
X05:" i
x
X
5r
Istfie SCS'.".
Installing
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 (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration�Number: 215-A0027597A-000000000-0000 Registration Date/Time: 2015-01-26 16:20:59 HERS Provider: Ca'ICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-26 16:20:59
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFlR-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)3E 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
Central gas
All new
Central split
This field or
This field or
System 1
furnace
heating..
AFUE
0.8
AC
Indoor coil
SEER
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 & CF311-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 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 >_ 300 CF,M/tomrequired when MCH-25,Isrequired
Exceptions: � �' � K- �` r � • , : � ,
f/ro
-Duct systems registered with HERS provider as previously sealed are exempt � CH -20 Duct Leakage, estingfegwrements �e .
-23;
Heating -only systems and Air Handler/Furnace changes do not require:venficabon of Air Flow MCH or Refnge'ran[ Charge MECH 25.
Existing duct systems constructed, insulated or sealed with.astiestos are exempYfrom MCH -20 Duct Leakage Testing requirements Y, Ab ar"
+
.;,.;+»... ..,. r. - -- - :Y; c.. .:. ,*•s ass�.:r^>Y..,. .-.-., +qw •-. w.• . -,may„r .. - u .. .,
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)1C)
This section does not apply to this project.
Registration Number: 215-A0027597A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-01-26 16:20:59 HERS Provider: CaICERTS
Report Version: 2014-03-31 Report Generated: 2015-01-26 16:20:59
Schema Version: 0.551SDD
t CERTIFICATE OF COMPLIANCE - CF1R-ALT OZ -E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) y (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:
Skov, Keri
Company:
Signature Date:
Desert Air Conditioning Inc. y
2015-01-26 16:20:59
Address: -_
CEA/ HERS Certification Identification (if applicable): '
590 Williams Road
City/State/Zip: z
Phone: .•
Palm Springs CA 92264 - _
r
760-323-3383 - -
Responsible Person's Declaration statement •
I certify the following under penalty of perjury, under the laws of the State of California:' t -
1. The information provided on this'Certificate of Compliance is true and correct. -
2: I 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). -
.4 SY ,9i. -
-"V .ra' - iaFs•-.- ..v 6 ha'�.."' r 4✓
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 they
requirements of Title 24, Part 1 and Part 6 of the California:Code o'f Regulations. �; :' tFi "
_ 4. . The building design features or system;iiesign features identified on this Certificate of Compliance are consistent with the, information -provided on other. applicable compliance documents, worksheets,
-
calculations .'tans ands ecifications submitted to the enforcement agency fora roval:with this buildin � ermrt a hcation. ,
S. I will ensure that a registered copy ofthisyCertificate:of Compliance shall be made available,with the bwlding 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 -
Company:
Date Signed:
Desert Air Conditioning Inc. -
2015-01-26 16:20:59
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA92264
760-323-33233
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-A0027597A-000000000 0000 Registration Date/Time: -2015 01-26 16:20:59 HERS Provider: CaICERTS '
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 ' - ' Report Generated: 2015-01-26 16:20:59
Schema Version: 0.551SDD '
FINANCIAL , .
7a#QTY rr y P46.71AID.DATE
jDESCRIPTION x..ACCOUNT MOUNT -la, v,
n xtr' p
BSAS 561473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY
CHECKV
CLTD BY-
Total Paid forBU1LDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
'DESCRIPTION " I `�
�- ACCOUNT, g" `
'QTY
r AMOUNT
PAID; G -
PAID DATE
,.
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
-'PAID BY
METHOD ��,"
. RECEIPT #
:CHECK # "
CLTD BY '
�•?, Yx
-
,
DESCRIPTION
... ° F u `ACCOUNT
QTY
.: ?;, yAMOUNT k
`,- PAID +.'
PAID DATE.
:,.r5f
.;1' _ z _
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY k s::. 'F
, '' METHOD � L : "
N 'RECEIPT # " "
'" CHECK #
'IjCLTD BY;:,
k,
Total Paid forCHANGEOUT: $108.78 $0.00
+�4DESCRIPTION ^� 6 L '
�.: ''ACCOUNT
''QTY
" * AMOUNT a
fi ° :PAID x''°
PAID DATE`
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
i' zzyPAID BY
FMETHOD
'j f r x RECEIPT:#
CHECK #
CLTD BYn"
_
r.Ty
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TO•0
a
{
}
a
{
Description: REPLACE ONE 5 TON FURNACE & COIL ON GROUND
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 2/2/2015 PIU'
Approved:
Parcel No: 646082010 Site Address: 48619 PASEO TARAZOLA QUINTA,CA 92253
Subdivision: TR 20052-4 Block: Lot: 36
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,101.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 ,
101-0000-20306 0
Details: REPLACE ONE CENTRAL SPLIT GAS FURNACE AC SYSTEM LIKE FOR LIKE & INDOOR COIL 13 SEER 2013 CALIFORNIA MECHANICAL
CODES.2013 MECHANICAL CODES CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION
CRIPTION'.�
- ACCOUNT QTY
AMOUNT'
PAIDV` y"
1. kDES
PAIDDATE 'RECEIPT# CHECK -METHOD.' *,,PAIDBY -, GLTD
CHRONOLOGY
101-0000-20306 0
$1.00
$0.00
Total ILDI Paid f rB
a o U NG STANDARDS ADMINISTRATION O
CONDITIONS
CONTACTS
$1.00
NAME
"w,'hL
}
ZIP
-PHONENAMEYPE"
FAX
APPLICANT
DESERT AIR CONDITIONING INC .
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
(310)528-5207
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
(310)528-5207
OWNER
FARAH JARRAULT
48619 PASEO TERRAZO
LA QUINTA
CA
92253
(310)528-5207
CRIPTION'.�
- ACCOUNT QTY
AMOUNT'
PAIDV` y"
1. kDES
PAIDDATE 'RECEIPT# CHECK -METHOD.' *,,PAIDBY -, GLTD
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
Total ILDI Paid f rB
a o U NG STANDARDS ADMINISTRATION O
$1.00
$0.00
BSA:
Printed: Monday, February 02, 2015 11:00:25 AM
1oft
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ti "moi!•
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s,.,
`
:�. i '.n+..
- r DATE ,,
_x +-'s-'.. .,
...
DESCRIPTION
' '' ACCOUNT , "'.
E QTY--,
AMOUNT
PAID`-` '"
PAID DATE
. RECEIPT #
!CHECK #
METHOD
PAID BY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
J
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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
INSPECTIONS
SEQID INSPECTION TYPE' INSPECTOR '. .SCHEDULED COMPLETED
—RESULT ` REMARKS NOTES T�
y
DATE
- r DATE ,,
_x +-'s-'.. .,
MECHANICAL FINAL"
Printed: Monday, February 02, 2015 11:00:25 AM 2 oft
SY57EM5
iBin.# ..
CIty Of La QUlnta
Building S Safety Division
P.O. Box 1504,78-493 Calle Tampico
La.Quinta, CA 92233 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
48619 PASEO TERAZO
Owner's Name:. FARAH JARRAULT .
ENbedc
Address: 48619 PASEO TERAZO
n:
Contractor: DESERT AIR CONDITIONING, ING.
City, sT, zip. LA QUINTA, CA 92253
Telephone: 310-528-5207 =K�`
Address: 590 WILLIAMS RD.
Project Description: replace one 5 ton furnace & coil on ground.
City, sT, zip: PALM SPRINGS, CA 92264
like for like.. .
Telephone: 760-323-3383
State Lie. #: 276586. Ciry Lia #; 363
Arch., Engr., Designer. N/A
Address:
City, ST, zip:
Telephone: Construction Type:. Occuoancy:
State Lic. #: <. .: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: KE R I S KOVSq. Ft.: # Stories: #Units:
Telephone # of Contact Person: 760-323-3383
Estimated Value of Project: $4,101.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N Submittal Req'd Recd TRACMG ?ERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Dqposit, .
Trus.¢ Cafes.
F
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsrmue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees