BMCH2015-0339F
rr kms'. V-1 .S
78-495 CALLE fAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
3MCH2O15-0339
Property Address:
55727 BRAE BURN
.APN:
775280008
Application Description:
LEONARD / (1) 3TON 14SE
Property Zoning:
Application Valuation:
$7,306.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/2015
Owner:
RAY LEONARD
P 0 BOX 3691
MAMMOTH LAKES, CA 92253
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(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 k for which this permit is issued.
ZI 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'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of he Labor Code, I shall forthwith
comply with those provisions.
Date: 1 — L J 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 tor upon the above.
en
mentioned property for inspection purposes. A
Date: g —� —� Signature (Applicant or Agent)
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT PAID PAID DATE
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
QTY
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
QTY
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
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
• • ••
Permit 1-w 11 ils PERMIT NUMBER
City of La Quinta BMCH°2015-0339
Description: LEONARD / (1) 3TON 14SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/31/2015 SKH
Approved:
Parcel No: 775280008 Site Address: 55727 BRAE BURN LA QUINTA,CA 92253
Subdivision: TR 28341-2 Block: Lot: 8
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,306.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
r _. �,.
Details: HVAC CHANGE OUT - 14SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
y7i=cmY i� e%�, iy�4'
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NAME TYPE
NAME ADDRESS1
CITY
STATE ZIP
PHONE
FAX
EMAIL
APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
OWNER
RAY LEONARD
P O BOX 3691
MAMMOTH
CA
'92253
LAKES
t • t • of r
fC>
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Monday, August 31, 2015 5:13:17 PM 1 of 2
CON91YSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
CLTD
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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Monday, August 31, 2015 5:13:17 PM 2 of 2 CiR SYSTEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Monday, August 31, 2015 5:13:17 PM 2 of 2 CiR SYSTEMS
B. Space Conditioning (SC) System Information
01
02
CF1R-ALT-02-E
CERTIFICATE OF COMPLIANCE
:, 0g
09
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
;:- Is theSC,
(Page i of 3 )
Project Name:
55727 BRAE BURN Date Prepared: 2015-08-28
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 CFIR-ALT 02 document for each dwelling unit.
Location or Area
by this SC
ducted
Project Name
55727 BRAE BURN
02
Date Prepared
2015-08-28
01
55727 BRAE BURN
04
Building Type
Single family
03
Project Location
05
CA City
La Quinta
92253
06
Dwelling Unit game
55727 BRAE BURL
OS
Dwelling Unit Conditioned
Floor Area (ft2)
3700
07
Zip Code
Number of space conditioning
09
Climate Zone
1.5
10
(SC) systems in this dwelling
unit.
1
B. Space Conditioning (SC) System Information
01
02
03
04:,
:, 0g
09
liistalliitg a
ref:igeFant
;:- Is theSC,
SC System
SC System
CFA served
system a
Identification or
Location or Area
by this SC
ducted
Name
Served
System (ft2)
system?
System 1
Location 1
1200
Yes
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib)
This section does not apply to this project.
10
Alteration Type
Altered space
conditioning system
Registration Date�me: 20'15-08-28 14:51:33 HERS Provider: CaICERTS
Registration Number:215-Afi3076D4A-OODDO00W-0000 �
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-23 14:51:41
Schema Version: 0.555SDD
05
06'
07 .
:, 0g
09
liistalliitg a
ref:igeFant
installing hev SC
-
installing
.
Installing
Installing
containing
system
more than 40
entirely new
entirely new
component?
components?
feet of ducts?
duct system?
SC system?
Yes
Yes
No
I No
No
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib)
This section does not apply to this project.
10
Alteration Type
Altered space
conditioning system
Registration Date�me: 20'15-08-28 14:51:33 HERS Provider: CaICERTS
Registration Number:215-Afi3076D4A-OODDO00W-0000 �
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-23 14:51:41
Schema Version: 0.555SDD
CFlLR-ALT-02-E
CERTIFICATE OF COMPLIANCE
(Page 2 of 3 )
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
D. Altered Space Conditioning Sj stem (Sections 150.2(b)lE and F)
41 02 03.. 04 05 06 07 08 D910 11 12
Heating
I
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Efficiency
Required
Thermostat
New or
Replaced
i New Duct
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Value
Type
Duct Length
R -Value
or Name-
Type
Components
Type
Value —
5
System Type
YP
Components
l?°.
Type
All new
cool. R
SEER
14
Setback
This field or
section is not
This field or
section is not
'
Central gas
All new
Central split
System 1
furnace
heating
AFUE
0.713
AC
components
applicable
applicable
app
Required Documentation _ _ MR -MCH -01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-NICH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components arc installed in ducted systems, or when more than 40 h of duce length is replaced.
-Leakage rate compliance: 515%, or <_ 10% leafage to outside, or seal all accessible teals.
CF.2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when'refrigerant containing oomponentr are installed or altered (applicable in CZ 2, 8 15).
CFZRCF3R-MCH-23 & CF3114MCH-23 Air Flow z 300 CFWton required when MCH -25 is requited.
Exceptions:
-Duct 5}rtems 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 nGoi MCH -23r or RehlgeYanLCharge MECH-25:
-Existing duet systems constructed, insulated or sealed with asbestofare'exempt from MCW-2Pbuct Leakage Test-irig requirements,
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 Plumber. 215-A6307600-000000000-0000 Registration Date/Time: 2095-06-28 14:59:33
HERS Provider. CaICERTS
Report Version: 2014-03-31 Report Generated: 201.5-08-26 14:51:41
CA Building Energy Efficiency Standards- 2013 Residential Compliance P
Schema Version 0.555SDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Documentation Author's Declaration Statement
l.1 certify that this Certificate of Compliance documentation is accurate and complete.
Dowmentatlon Author Signature: /0
Documentation Author Name:
Skov, Keri
Signature Date.
Company: 2015-08-28 14:51:33
Desert Air Conditioning Inc.
CEA/ HERS Certification Identification (if applicable):
Address:
59D Williams Road
cwstate/Zip:
Palm Springs CA 92264
Responsible Person's Declaration statement
Phone:
760-323-3383
CF1R-ALT 02-E
(Page 3 of 3 )
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.
esign identified on this Cert tate of Compliance (responsible designer).
2. 1 am eligible under Division 3'of the Eusiness and Professions Code to accept responsibility for the building design OT system d
icatlons, materlaCs, components, and manufactured devioesforthe building design or system design identified on this Certificate of Compliance c
3. That the energy features and performance spedfonform to the
requirements of Title 24, Part i.and Part of the Wfornla Code of Regulations.
4. The building design features or system design features identified orithis Certlfl'cate of Condphance ate consistek.w.0 the i4ormation provided ori•other applicablR oomplfonts documents, worksheets,
calcuiations, plans and specifications submitted to the enforcement agency for approval vrith this building permit application.
5. 1 will ensure that a registered Dopy of ti,is Certificjte'of. Compliance shall.be rnt ode availible with the building pdrmit(s) issued fort* building, and imde available too the enforcement agency for all applicable
inspections_ I understa nd that a registered copy of Chis Certificate of Compliance is required to be included with the documentation the buildeo prgvides to the building owner at occupancy.
Responsible Designer Name: Responsible DeslgnerSignature: /e0iv-A
Skov, Keri /C
Company :
Desert Air Conditioning Inc.
Address:
590 Williams Road
Cty%State/Zip:
Palm Springs CA 92264
Date Signed:
2015-08-28 14:51:33
Ucerm:
276586
Phone:
760-323-3383
0,�haAy signed by Ce10ERTS. TMs digital signature is provided in order to secure the content of this repfeered dxuorent. and M no Nsy implies 9egfslrsti- Provider responsfbib2y for the accuracy of the information.
Registration Date�me: 2015-08-28 14:5133
HERS Provider: CaICERTS
Registration Number: 215-A6307604A-UQOOD0000-0000
Report Version; 2014-03-31 Report Generated: 2015-08-28 14:51:41
CA Building Energy Efficiency Standards - 2013 Residential Compliance p
Schema Version: 0.55,550D
Bin
.$ \✓i of /.ti Qlai1[
Rqd
Bulldfng a Safety Division
TRACMG PFs[2Tr rFEW .
P.O. Box 1504,18495 Calle Tampico
P1411Seb
Pemlir fl La..Qulnta, CA. 92253 •:(x"60) 777-7012
B wilding Permit-Appliicarlon, and Trading Sheetddrew,
55727 BRAE BURN pwner•sNamr,RAY& JULIE LEONARD
mb= Address: 55727 BRAE BURN
Reviewed, reads Ibr correction Plan Chcek Deposit. .
acaiptlaCity, a, Zip: LA QU INTA, CA 922253
Truss C2100.
r; Desert Air Conditioning; Inc.- 'Telephone:
FAddrw
590 Williams Rd. PMjectDescription: Re lace one 3 tons lits stem on
Zip. Palm Springs, CA 92264. round like for like.
to: 760-323-3383 ; _ -
j
•Ci Lia ta!,
StataLie. # : 276586 'City 363
.. - .
A.tcEL, Eng;., Dwigu=. NLA
1
Plans resubmitted,' . Mec!►atilral
Addtws:
Cary., ST. zip:
Telepbope: : f Construction `type'. Occupancy:
i
State Lie, a: Project type (circle one): New Add'n Alter Repair Demo
Name of Contort Person: Keri Skov Sq. FL: # 5toribs: # Unit9:
Called ContaO Person Plumblag
Telepbone # of Contact Person: 760-323-3383 Value of Project: $7,306.00 -
i
APPLICANT: DO NOT WRITt: BELOW THIS LINE _
9
Submittal
Rqd
Rce'd
TRACMG PFs[2Tr rFEW .
P1411Seb
Blau Check salamitied Item AmouaC
Shvctural Cake.
Reviewed, reads Ibr correction Plan Chcek Deposit. .
Truss C2100.
Caned Contact Person. PlattCheek Balance,
Title 24 Cale.
Plans picked up t3onstwtttotr
Mood plain plan
Plans resubmitted,' . Mec!►atilral
Gi adiug plan
2'a Rwitw, ready for corrections/tssue Electrical
Subcontacror z.let
Called ContaO Person Plumblag
Grant Deed
Plans packed up s x•
ILOA .Approval
elaoSregobmitted Grading
lift IROMP:-
"° Review; ready for corrcctions/issue Dtveloper Impactl�ee
Planning Approval,
Called Contact Pcrson
Pub. N? ks. Appr •
Date of permtt lswt
Scho6l Fees
Total Permit Foca
stn.#
Cit Of U. QUi(1td
Building et Safety Division
P.O. Box 1504,78-495 Calle Tampico
la.Quinta, C4 92233 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddtess: 55727 BRAE BURN'
Owner's Name:. RAY & JULIE LEONARD
A. P. Number.
Address: 55727 BRAE BURN
Legal Description:
Contractor. Desert Air Conditioning., Inca
City, Si', Zip: LA QUINTA, CA 92253
Telephone:
Address: 590 Williams Rd.
Project Description: Replace one 3 tons lits stem on
City, ST, Zip: Palm Springs, CA 92264.
ground like for like.
Telephone: 760-323-3383
Lie'. #; 363
State Lic. # : 276586City
Arch., Engr., Designer. N/A
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories: #Units:
State Lie. #: :
Name of Contact Person: Keri Skov
Telephone # of Contact Person: 760-323=3383 '
Estimated Value of Project: $7,306.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMTP FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calls.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2i4 Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Ptans picked up
S 1VLL
H.O.A. Approval
Plans resubmitted
Grading
E4 HOUSE:-
'^' Review; ready for correcdo*nsAme
Developer Impact Fee
Planning Approval •
Called Contact Person
A.LP.P.
Pub. Wks. Appr, ,
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
55727 BRAE BURN I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3) ,.
2015-08-28
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFIR-ALT 02 document for each dwelling unit.
01
Project Name
55727 BRAE BURN
02
Date Prepared
2015-08-28
03
Project Location
55727 BRAE BURN
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
55727 BRAE BURN
07
Zip Code
92253
08
Dwelling Unit Conditioned
3700
I
I sn tailing
Rnstalling
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 /� t 1 � F i f 31 �� f
O3
02
03
04��
05
1 f-06,1 F-1\
11 07
J j
09
10
T1s the SC"
`Installing a�
- "
`" ``"` Ll
SC System
SC System
CFA served
,system a
re rf ige ar nt t
.Installing new SCnstallirig
I
I sn tailing
Rnstalling
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
1200
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-A6307604A-000000000-0000
Registration Date/Time: 2015-08-28 14:51:33
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-28 14:51:41
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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)IE and F)
01
02
03
04
0S
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
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14
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. 7 - -
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%, 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: J-1-4 n �� ��
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage,Testing requirements. ��
-23,
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH or Refrigerant Charge MECH-25.'
are
nn (r
-Existing duct systems constructed, insulated or sealed with asbestos exempt from MCH -20 Duct Leakage Testing requirements. r
E. Entirely New or Complete Replacement Duct System, with'or without Equipment Changeout (Sections 150.2(b)1Diia and1150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 215-A6307604A-000000000-0000
Registration Date/Time:
2015-08-28 14:51:33
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-28 14:51:41
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Skov, Keri
Company:
Signature Date:
Desert Air Conditioning Inc.
2015-08-28 14:51:33
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
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: egulations�r I I rr� r� �
'applicable
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval'with this building permit application. � + 11 if � f l
" 1� Il le
i4 f \ � [t : i
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for.the building, and made available to the enforcement agency for all applicable
V
oves to the building owner at occupancy.
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder prid
_
-V
Responsible Designer Name: i 1 g... i 1 .
Responsible Designer Signature: I—of (1
Skov, Keri
K
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-08-28 14:51:33
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Digitally signed by CaICERTS. 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-A6307604A-000000000-0000 Registration Date/Time: 2015-08-28 14:51:33 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-28 14:51:41
Schema Version: 0.555SDD
a
I
llL�7:.Li� ��dl
cc�u�E�•co�c�rc, r,�re
Sorvnt�j, tleo Gaetfic(la_ 9�c�Iluy.Srncc rS7S9
REQUEST FOR PERMIT
590 Williams Rd.
Palm Springs, CA 92264
760-323-3383
760-323-8983
To: Philip Juarez
Email: pjuarez e,la-quinta.org
Phone Number: 760-777-7050
Fax Number: 760-777-7011
Date: 8/28/2015
Pages: 5
Re: Permit application — 55727 BRAE BURN
Notes/ Comments:
Replace one 3 ton split system on ground like for
like.
Thank You,
Keri Skov