BMCH2016-018178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0181
Property Address:
57600 BLACK DIAMOND
APN:
762380029
Application Description:
FRANCE DONNA/ HVAC RE
Property Zoning:
Application Valuation:
$1,250.00
Applicant:
AIR EXPERTS AIR CONDITIONING
& HEATING
84-160 MEADOWS LANE
COACH ELLA, CA 92236
Q
M.4Y 2 5 2C'.5
CITY Of LAQUINTA
COMLvSUiJITY DEVELOPMENT �EPARTME�
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.: 1008665
�Datle�� 2 Sof '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 of 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 improvemerit 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 Address
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/25/2016
Owner:
GREGORY FRANCE
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
(760.)397-3438
Llc. No.: 1008665
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.
1�., I have and will maintain workers' compensation insurance, as required by
:lection 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 oft Labor Code, I shall forthwith
comply with those provisions.
Dam tM �2-S (�A� ppli ant:
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 per 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
rot 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. 1-11
Date:.. !' I0S Signature-(Applicanto-rAgent)-lkm4
DESCRIPTION
INFORMATION
ACCOUNT
QTYr 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
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD,RECEIPT
#
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EVAPORATIVE COOLER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MECHANICAL: $24.18 $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:• ••
Description: FRANCE DONNA/ HVAC REPAIR
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 5/25/2016 RSE
Approved: 5/25/2016 RSE
Parcel No: 762380029 Site Address: 57600 BLACK DIAMOND LA QUINTA,CA 92253
Subdivision: TR 29147-2 Block: Lot: 84
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $1,250.00 Occupancy Type: Construction.Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
AIR EXPERTS AIR CONDITIONING &
HEATING
Details: CHANGE OUT COIL UNIT - 16.SSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
..........
.. _ .-.......
NAME
ADDRESSl•
CONTACTS
CITY
STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
.HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
OWNER
GREGORY FRANCE
120 N LAS FLORES DR
NIPOMO
CA
92253
Printed: Wednesday, May 25, 2016 12:20:15 PM 1 of 2 it
sysrcMs
INSPECTIONS
PARENT PROJECTS
BuIVU ilYF(I IVIA I ION
ATTACHMENTS
Printed: Wednesday, May 25, 2016 12:20:15 PM 2 of 2
SYSTEti1S
CTD
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:
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$0.00
EVAPORATIVE COOLER
101-0000-42600
0
.$11.09
$0.00
PC
Total Paid for MECHANICAL: $24.18 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
Total Paid for PERMIT ISSUANCE:. $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
BuIVU ilYF(I IVIA I ION
ATTACHMENTS
Printed: Wednesday, May 25, 2016 12:20:15 PM 2 of 2
SYSTEti1S
Bin `#
Permit #
Project Address: e aiz) S (A
City of La Q urli to
Building 8i: Safety Division
78-495 Calle-Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
r Owner's Name:�—')oT\xxk
A. P. Number:
Address:57-GOO
Legal Description:
City, ST, Zip:r
Cly ' \-n�Cc
Contractor: M
Telephone:hone: �
Address: �� -� 6 M�ez
`�
Project Description: or
i
City, ST, Zip: Co CnC�z \� l / 4 c i-:.� r,
O t t� QOA irA \k-
Telephone:
P hone n�r
0�t i
State Lie. # : ( a ) •b -Q
City Lie. #.;
Arch., Engr., Designer:
'
Address:
City., ST, Zip:
ele h
Telephone:
P
-
_
Cn tructi
oon Ty Pe:Occupancy:
�
roject
AaiPhPe circle one): n r
Re Demo
0
S tato Lie. #
Name of Contact Person:
Sq. F[.: 1
#Stories: \
#Units: C
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
Submittal
Req'd
Rcc'd
TRACHM11G
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plait Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A.'Approval
Plans resubmitted
Grading
IN HOUSE:-
`Reyiov, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.T.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -2R -ALT -HVAC) (Page 2 of 3 )
IProject Name: DONNA L FRANCE I Date Prepared: 2016-05-24 I
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
DONNA L FRANCE
02
Date Prepared
2016-05-24
03
Project Location
57-600 BLACK DIAMOND
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DONNA L FRANCE
07
Zip Code
9225308
CFA served
Dwelling Unit Conditioned
1100
Installing nSC e
; stalling
f n talli g
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
r
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
I component?
I components?
feet of duds?
unit.
SC system?
Alteration Type
System 1
BED ROOM
1100
Yes
Yes
B. Space Conditioning (SC) System Infrormation'`J �pC
01
02
I / 03' �
��
` 't ; 5 t
06 i
.6-7-N-
8 t `
09
10
FIs the SC"
tnstalhng a
SC System
SC System
CFA served
'--,s ystem 4!
re rf ige nt t
Installing nSC e
; stalling
f n talli g
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2) J
system?
I component?
I components?
feet of duds?
duct system?
SC system?
Alteration Type
System 1
BED ROOM
1100
Yes
Yes
No
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-AO19342OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-05-24 18:12:52
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-05-24 18:13:27
�p5- s359'Z22q
1��
.le
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
1
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
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R -Value
Central gas
No heating
This field or
This field or
C
Central split
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
13
Setback
section is not
section isnot
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans,
-Duct insulation requirement for new plenums: R6. � A
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing feQuired when heating or cooling components 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 & CF3R-MCH-25-H Refrigerant Charge Verificition required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow;:300 CFM/ton required'when MCH -25 is required.
Exceptions:
=Duct
-Duct systems registered with HERS provider asp viously sealed are exempt from MCH -20 Testing requirements..
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23r'RefngeranfCherge IVIECH 2
Existing duct systems constructed, insulated or sealed with .asbestos are exempti75.
from MCH 20 Ouct{Leakage Testmgyregwrements
1.. I .J' r 'f '9-1 N161 -11 04* 1 1 %V, .. ti' %A A 0 3 k > 1 k .ai; 1. f ty f t AA,
E. Entirely New or Complete Replacement Duct:System, with .or without,Equipment Changeout (Sections1 14.150.2(b)1Diia.and 150.2(b)1E, F)
�._ . ,- a __. .
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-A0193420A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-05-24 18:12:52
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-05-24 18:13:27
CERTIFICATE OF COMPLIANCE
CFiR-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:
Documentation Author Signature:
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-05-24 18:12:52
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247 A
1760-777-1724
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 Part6'of the California -Code ofd g lat ons 0°`y.'" "�
�"""'f'
4. The building design features or, system design features identified on this Certificate of Compliance are consistInEwi%th-Cheinformation-provided on otherapplicalile compliance documents, worksheets,
.4 e . t,'
calculations, plans and specifications submitted,to the enforcement agency for approval with this bwldi —g permtt application.
5. - I will ensure that a registered copy of this"Certificate of Compliance shall be.made available withmthe building peemit(s)assued for the; uilding, and _made available,to the enforcement agency for all applicable
inspections. I understand that a registered copy ofthis-Certificate of Complance-is required to be induded with the documentationtheQbuilder provides to the building owner at occupancy.
Responsible Designer Name: r 1117-4 . IFA -a
Responsible Designer Signature: V .1
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-05-24 18:12:52
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
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: 216-AO19342OA-000000000-0000 Registration Date/Time: 2016-05-24 18:12:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 _ Report Generated: 2016-05-24 18:13:27
Schema Version: 0.555SDD