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BMCH2014-1024M 78-495 CALLE TAMPICO It' D Qui4tr V VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/21/2014 Application Number: BMCH2O14-1024 Owner: Property Address: 79750 RANCHO LA QUINTA DR LOUIS CASSANI APN: 602210016 6206 TOBRUK CT Application Description: HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM LONG BEACH, CA 92253 Property Zoning: Application Valuation: $8,586.00 Applicant: DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD 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.: 276586 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.). (1 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 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: Contractor: DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS, CA 92264 (760)323-3383 Llc. No.: 276586 WORKER'S COMPENSAT©N DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of theyro!J for which this permit is issued. f 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.tie work for which this permit is issued, I shall not employ any person in any manner so a 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 3 00 of the Labor Code, I shall forthwith comply with those provisions. Date �� I v Applican t:--� 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 iesuance 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 representat7ves of this city toe er upon the above mentioned property for inspection purposes. �f Date' / x / ' Signature (Applicant crAgent)' FINANCIAL • 1. h, = 3 `LACCOUNT t ` `r b� TY 'M r AMOUNT e PAID s«Ft tPAID DATE` DESCRIPTIONS. �' ,� ate* `"• BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 rPAID.BY 'Arx;x METHODS _ rkRECEIP7 #'' CHECK # s CLTD BY x& E; r 1 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION x ACCOUNT w Ar AIVfOUNT DATE; ' .QTY pPAID $PAID HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $71.50 $0.00 METHOD .:._ RECEIPT #� y �x CHECK # J _ A CLTD BYE std, : r� Y DESCRIPTIOA000UNT "'y t3,,QT,Y 4'PAIDPAID,DATE r. •. hi _ ar, s _w' , -m* A. s -T, r.. 5'.s.rro grAMOUNT``.` HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $35.75 $0.00 PAID:BYs`$�',«METHOD' ' RECEIPT#" CHECK # CLTD BY �r s,x .s+. x.` Total Paid forCHANGEOUT: $107.25 $0.00 ` `DESCRIPTION ` ACCOUNT `16 � Q TY rix AMOUNT *` € PAID�� PAID: DATE a_ .. ,. .. _ ;k �a,t fir..„ .. . PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID:BY �t `' £`"METHOD >' RECEIPT #r CHECK #� p';CLTD BY g ,. M Total Paid for PERMIT ISSUANCE: $90.57 $0.00 ;:;TOTALS:. 00 r Description: HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: ISSUED Applied: 7/21/2014 AOR Approved: 7/21/2014 AOR Parcel No: 602210016 Site Address: 79750 RANCHO LA QUINTA DR LA QUINTA,CA 92253 Subdivision: TR 29457-1 Block: Lot: 15 . Issued: 7/21/2014 SKH Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,586.00 Occupancy Type: Construction Type: Expired: 1/17/2015 SKH No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, July 21, 2014 1:33:50 PM 1 of 2 CLVWSYSTEMS BOND INFORMATION Printed: Mnnday, July Z1,2O141:3J:5OPK4 2nf2 1 PAID DATI METHOD PAID:BY;: 101-0000-42402 0 $71.50 $0.00 SPLIT -SYSTEM HVACCHANGEOUT- 101-0000-42600 0 $3 5.75 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $107.25 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 Total Paid forPERMIT ISSUANCE: $90.57 $0.00 BOND INFORMATION Printed: Mnnday, July Z1,2O141:3J:5OPK4 2nf2 1 iai Qty. Of' La Quffita Bu11d1n9 8t Safety Division Pefinit 9 P.0. Box 1SO4, 78495 Calle Tarnplco LR.Qu?nta, CA 92233 -060) 777-7012 `t Building Peank-AMication'and Tracking Sheet PmjectAddtew 79-750 RANCHO LA QUINTA DR., OwncesName;. JOAN CASSANI Girding plan A.P.Nlunbm Addrem, 79-750 RANCHO LA CIUINTA DR. 7"'Review, ready for correctionslisave F�eetrle�# Legal D tion: City, ST, Zip: LA QUINTA, CA 92253 Sobeantaotor List Contmetor. Desert Air Conditioning; Inc." Telephone: ProjeetDescription: replace 4 ton split system on ground Address: 590 Williams Rd. City, sT, zip. Palm Springs, CA 92264. like for like. Telephone: 760323-3383 t; . Stag I,ic. d ; 276586 C Ile,. #, 363 Places raubmlteod Gxadiog Arch., Bngr., Daslgner. N/A lk 130" M.- Addmw. "° Raylew; ready for corrrctlonafietue Developer'Impact Fee City., ST, Zip: Telephousm- '' ' Const a aType. • Occepmcy: Stato Lic. #: r,' . project type (circle one): New Addn Alter Repair Demo Name of Coma Person: Ked Skov Sq. Ft.: # stades: it 'Unto; 8,58E.00- Telephone # of Corttsct Person:. 760-323-3383 EStitzzWd value of Project: $8,58E.00- APPLICANT: DO NOT WRITE BELOW THIS LINE APPLICANT: M Submittal RzWd Ree7d IRAG�CD�iG i'ERMIPIrEI!S Called Contact PCFSOn AJX.P. Plall Sei9 Pub. Wks. Appr ' PIaP. Check submitted Item Am04At Date of. permit ttaue 3trgctnrai Calcs. &b661, Fees Reviewed, ready fer correettous Ptah Cbe-k Aepoait. . Trm Calm Called CuptactPermll Pira Cherk Salanee_ Total Permit Fees Title 24 Cslcs. Plans picked up Cattafradivn Flood plata pias Plaza resuboiltted ' 1►IecLari}:al Girding plan 7"'Review, ready for correctionslisave F�eetrle�# Sobeantaotor List Called ContectPeraan pluntDita; Grant Deed Plans picked up S vx.I H.Q.A. Approval Places raubmlteod Gxadiog lk 130" M.- "° Raylew; ready for corrrctlonafietue Developer'Impact Fee s Planoletg Approval. Called Contact PCFSOn AJX.P. Pub. Wks. Appr ' Date of. permit ttaue &b661, Fees Total Permit Fees sFavarw Z40 coacKcdSa vaakv VREIr 09154 REQUEST. FOR PERMIT J - 590 Williams Rd. Palm Springs; C.A. 92264 760-323-3383 760-323-8983 To: Philip Juarez Email: 'uarez la- uinta.or Phone dumber: 760-7777050 Fax Number: 760-777-7011 Date: 7./17/2014 Pages: 6 .. Re: Permit application — 79750 Rancho La Quinta Notes/ Comments: k Replace 4 ton. split system on ground like for like. ..,.'Thank You, Keri Skov t CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 ) Project Name: JOAN CASSANI Date Prepared: 201407-17 A. General Information MR -ALT -02 is applicableto multiple space conditioning systems contained within single dwelling unit. When multiple dwelling units must be documented, use•one CFIR-ALT 02 document for each dwelling unit - 01 Project Name: JOAN CASSANI 02 tate Prepared: 2014-07-17 03 PmjectLocation: 79-750 RANCHO LAQUINTADR. 04 Building Type: Singlefamily 05 CA City: La Quinta 06 Dwelling Unit Name: JOAN CASSANI 07 Zip Code: 92253 09 Dwelling Unit Conditioned 2500 dud system Floor Area (ft2): (packaged unit, or Number of space conditioning accessible 09 Climate Zone: 15 10 (SC) systems being altered in 1 condensing unit, Installing for sealing, this dwelling unit... 8.5pace Conditioning (SQ System Information 01 02 03 '04 ; 05. ` ' 06 07 .708 - 09 10 lhstolling new Is the entire components? dud system (packaged unit, or accessible Are all of the - condensing unit, Installing for sealing, system's Is the altered Altering or or more than 40 and is more components or installed Tnstalling a cooling/heating, linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or 'the duct or replaced? Identification or Location or Area by this SC ducted containing air -handling unit, replacement system new (entirely new Name Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type 10F1 NORTH 1600 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1DHb) This section does not apply to this project , Registration Number: 214-A0058043A-000000000-0000 CA Building Energy Efficiency Standards -.2013 Residential Compliance Registration Date/Time: 2014-07-17 16.46:47 Report Version: 2014-03-31 HERS Provider: CaICERTS Report Generated: 2014-07-17 16:47:00 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)1E 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 Effidency Cooling Cooling Efficiency Efficlency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Cen tra! gas All new Central split All new This'field or 1 OF 1 - heating AFUE 0.78 AC cooling SEER 13 Setback section. is not R-8 furnace components components applicable Required Documentation: , MR -MCH -01.6 - Space Conditioning Systems Ducts and Fans - -Duct insulation. requirement for new plenums: R6. ' CF2 R -MCH -20-14 & CF3R4kH-20-H —Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced: -Leakage rate compJfance: 515%, or 510% Leakage to outside, or seal all accessible leaks, CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant contatning components are installed or altered (applicable in CZ 2, 5-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow Z 300 CFM/ton required when MCH -25 is required. Exeeotions: = -Duct systems reglstered with HERS provider as previousfy sealed are exempt'from MCH•20 Duct Leakage.Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not requite ierification of Air Flow M CNZ3; or Refrigerant Charge MECH=25. -Existing duct systems constructed, insulated or sewed witkasbesws'are exempt from h1CH-20 Duct Leakage Testing iequ)rements-.: 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. Registration Number: 214-AD05804SA-000000000-0000 Registration Datel7ime: 2014-07-17 16:46:47 - HERS Provider: CaIC€RTS CA Building Energy EfficieneyStan.dards -2013 Residential Compliance Report Version: 201,4-03-31 Report Generated: 2014-07-17 36:47:00 CERTIFICATE OF COMPLIANCE CF111-ALT-02- Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 4 ) F. Entirely New or Complete Replacement Space Conditioning System (Section 150.21b)1C) This section does not apply to this.project. CERTIFICATE OF COMPUABICE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) CHR -ALT -02-E (Page 4 of 4 ) Documentation Author's Declaration Statement t 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: /' ee -, q{7 Skov. url - _. Company: Signature Date: Desert Afr Conditioning Inc. 2014-07-17 16:46:47 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 1. The information provided on this.Certificate of Compliance is true. and correct. ; 2. I am eligible under Divislon 3 of the Business and Professions Code to accept.responsiblllty. for the building design or.system design identifled 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 5 of the Califomia.Code.af Regulations, 4. The building design features at system'design features'idEntified on this Certificate of Corrtpthnce are: oorisistent with the Information provided on other applicable compliance documents, wnrloheets, calculatfons, plans and speciRcations submitted tothe enforcement agency for approval vith this building pennft application. ' 5. f wi II ensure that a registered copy of this certlflcate of Cornplia.rice sh4ll be made avail 4i th-the buifd.ing: permit{s) issued for the baildfng; and'made available to the enforcement agency for a II applicable inspections, f understand that a registered copy ofthis CerdflcaWof Comfillance is requfred to be included with the documentation the builder provides to the building ovine: at occupancy. Responsible Designer Name: Responsible Designer Signature.- ignature:Skov, Skov,Keri Company : Date Signed: Desert Air Conditioning Inc. 2014-07-17 16:46:47 Address: Dcense: 590 Williams Road 276586 City/Statel p: Phone: Palm Springs CA 92264 760-323-3383, Digitally signed by CaJCERTS. This digital signature is provided in order to secure the content of this registered documen4 and in noway implies Registration Provider responsibility for the accwacy of the information. Registration Number, 234-A0058045A-000000000-0000 Registration Date/Time: 2014-07-1716:46:47 HERS Provider: CaICERTS • CA Building Energy Etf"iciencvStanclards-:2013Residential compliance Report Version;2D1403-31 Report Generated: 2014.07-17 16:47:00 r