BMCH2016-0075t L
1
Ce
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
C-) Date: �
Application Number: BMCH2O16-0075
Owner:
Property Address: 78411 W DEACON DR
BEVERLY HUBERT
APN: 770210020
v
Property Zoning:
� O G
Application Valuation: $6,162.00
{O
Applicant:
Contractor:
1Zi q
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING
CO
I'
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264rn
v
(760)323-3383
Llc. No.: 276586
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
Dater o�
r b Contract�i(V
v
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 they,
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. . BAP.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:
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 ork 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 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: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
ANO 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
no- 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.
Date:q - Y__ &a- Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL • 1
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 for BUILDING 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 for CHANGEOUT: $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
TOTALS:• 00
Description: HUBERT / CHANGE OUT (1) HVAC SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/31/2016 SKH
Approved: 3/31/2016 SKH
Parcel No: 770210020 Site Address: 78411 W DEACON DR LA QUINTA,CA 92253
Subdivision: TR 28611 Block: Lot: 6
Issued:
Lot Sci Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $6,162.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details: HVAC CHANGE OUT- 16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
7777 --
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, March 31, 2016 2:56:08 PM 1 of 2 C��srSrEMS
EMAIL
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
Nwatson@desertairps.
com
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
Nwatson@desertairps.
com
OWNER
BEVERLY HUBERT
5 HAWTHORNE CT
I MORRISTOWN
NJ
92253
FINANCIAL INFORMATION
Printed: Thursday, March 31, 2016 2:56:08 PM 1 of 2 C��srSrEMS
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
CLTD
DESCRIPTION
ACCOUNT
CITY
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:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Thursday, March 31, 2016 2:56:08 PM 2 of 2
RWYS TEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Thursday, March 31, 2016 2:56:08 PM 2 of 2
RWYS TEMS
CERTIFICATE OF COMPLIANCE CFTR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF- R -ALT_ HVAC) (Page 1 of 3
Project Name: 78411 DEACON DR WEST Date -Prepared: 2016.03-31
A. General Information
CFTR=ALT 02 is applicable to multiple space conditioning,systerns contained within a 'single dwelling unit.'When multiple dwelling units must be documented,
use one CFTR-ALT.-02.do6urnent for each dwelling unit.
01
Project Name
78411. DEACON DR WEST
02
Date Prepared
2016-03=31 '
03
Project Location
78411 DEACON DR WEST
04
Building Type
Single family
05
CA City
La Quinta:
06
Dwelling Unit Name
.78411 DEACON DR WEST
07
Zip Code
92253
08
Dwelling Unit Conditioned
3714
No
No
No.
Altered space
conditioning system
Floor Area (ft2)
Number -of spaceconditioning
09.
Climate Zone
15
10
(SC) systems In this. dwelling
1
unit.
B. Space Conditioning (SC) System Information
01
0203
4 04
05
(" 06
yr I 07 `;'
t' 08 .
09
10
SC System
Identification or
Name
SC System
Location or Area
Served
"
CFA served
by this:SC
System (ft2)
:k..,t15the .S. `,'Installinga�
system 4--a
hutted.
system?
refrigerant;installing
containlrig
component?
newSCinstalling
system -
components?
rethan 40
-feetof ducts?
iinitalling
entirely:eiN
duct system?
��-��•• installing
entirely new
SC -system?
Alteration Type-
..System 1
location l
800
Yes
Yes
Yes
No
No
No.
Altered space
conditioning system
C: Extension'& Existing Duct 'System, Greater Ttian 40 Feet.(Section1S03(b)1Diib)
This section does not apply to this project.
Registration.'Number: 216=40120483A-000000000 0000 Registration, Date/Time: 3016-03-31 11:01:13 HERS.Provider. CaiCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 2013 Rev 1.007 Report Generated: 2016=03=31 14:01:19.
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE C lWXT=D2-E
Alterations to Space Conditioning Systems (formerly CF -111 -ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F) .
01
02
.03
04
OS
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 spilt
All new
This field or
This field or•
System 1
furnace
heating
AFUE
-0.38
AC
cooling
SEER
16
Setback
section is not
section Is not
components
components
applicable
applicable
Reauired Documentation:
CF2 R -MCH -01-E - Space Conditioning Systems Ducts and Farts
-Duct Insulation'requlrement for new plenums: R6.
cr2R-1v1CH-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: 515%, or 510% leakage to outside, or seal all accessible leaks.
MR -MCH -25-1-1 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (appIlcable.in C22, 8-15).
CQRCFMMCH-23 &CF3R-MCH-23 Air Flow,13000FM/ton required when MCH -25 is required;
Exceations; —
Duct systems registered with HERS.provider as previously seated are exempt from MCNr20 Duct Leakage Testing requirements,
-Heating'-only systems and Air Handier/Fuinace changes do not require verification of Air Flow MCH 23, a RefrigerantFt harge H-25..
Existing
Existing duct systems constructed; insulated or sealed with asbestos. are exempt from MCH 20 Duct Leakage.Testlhg requirements.
}
�ri 51 17 JK "k .r
E. Entirely New or Complete Replacement Duct Systern, with or without Equipment 4hangeout Sections..150 2(b)Dila and150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning; System (Section 150.2(b)iC)
This section does not apply to this project,
Registration Number: 2167AO120483A-000000000-0000 Registration Date/Time: 2016-03-31 11:01:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards.- 2013 Residential•Compliance Report Version: 2013 Rev 1.007 Report Generated: 2616.03•31 11:01:19
Schema Version:O:SSSSDD
CERTIFICATE OF COMPLIANCE CFlR-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 docuinentati6n is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Watson, Nicole
Company:
Signature Date:
Desert Air Conditioning Inc.
2016-03-31 11:01:13
Address:
CEA/ HERS Cenification Identificafion (if applicable):
590 Williams Road
8329922
City/State/21p:
Phone:
Palm Sp6ngs'CA 92264
760-323-3183
Responsible Person's Declaration statement
I certify the -following under penalty of:perjuM underthe laws oftheState of California:
1. The information provided on this Certificate of Compliance is true.and correct.
2' 1 am eligible under Division 3 of the Bus I iness an I d 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 arid performance spiciflcatlons, materials, components, and manufactured devices for the 'b ulldlng cleslgn or, system design ldentlflecl.on this Certificate of Compliance conform to the-
he-reclulrements
requirementsof Title 24, Part I and Part 6.ofthe California Code of RQUIiii;ns
The buildin a�6rnrxr"paieoiidedo*ntiothe-r�fa^p��pilca'b'te'.compliance documents, worksheets,
4. f Compliance g lies: or system ci�siign feat6res ld6tified o4his'Certificate o Comp lance aiewnsist6rit wittthe information
bullaliti'permit app - ica - tion..
�calculatio* e enforcement agency,tor 4
ns, plans and specifications submitted to the f Z. 34
- .. I . -
5. 1 will ensure tfia a registered eopY.of this Cettlifle5—t�e46f.eerh�llahce..sh�alI btilding p'e enforcement agency for all applicable.
rmiti's) lssulei'd *for the�biilldliij, and fhade available to the'
Inspections.1 understand that a registered copy of 61kancate of Compliance lis.recigired to be'Included wfith. thqORFumematlon the bul Ider. provides to, the building owner at. occupancy.
Responsible Designer Name;
Responsible Designer Signature:
Watson, Nicole.
Cornpany:
Date Signed:
Desert Air Conditioning Inc.
2016-03-31 '11:01:13
Address:
License:
590.Williams.RoSd
276586
city/stale/zip.:
Photie:
Palm 5prings.CA 92264
1760-323-3383
Pi4itelly.#gnedby.,OaICERT& This digital signawriis proivi*dih order to secure the content of this, registered d6cum6rit'and In no way implies Re Motion Provider responsibility for the accuracy of the iddrimalion.
Registration Number; 216-A0120483A-001000000()-0000 Registration Date/Tirrie: 101 6=03-31 11,0113 HERS Provider: CaICERTS
CA BuildingEpergy Efficiency Standards - 2013 Reside ntial.Compliance Report Version: 2013 Rev 1..007 Report Generated: 2016.03-31 11:01:19
Schema Version: 0.555SDD
Bin #
City of i,a Quina
Building at Safety. Div�
P.O. Box .1504,'78-495 Gife Tampico
La.Qtliata, CA 922S3 :,(760) 777-7012
Building Permit -Application, and Tracking Sheet
Permit #::
Project•Addt_=:' '1?j' y1
Owner's Name:
A. I°: Numbs: -
Address:
Legal Description:
City. Sir Zip. `
Conttadar
Telephonel1j.
Project Description:
Address:
City. $T, Zip::\CA faqbL4
Telephone.--� �.ts7'
State Lic..#:: '1 City Lie. #,
,
Arck, Ew., Designer.
Address:
City, ST.
Telephone
C*nstntdion Type—Occupancy,
Projed bpc (circk one): New Add'a Alter Repair Demo
Statc Lia. #: - '
Name of Contac Penson G
Sq. Ft :
# Stories:
# Unitg
TcUpbone # of Contact Person°"Atc0• -
EWmatcd Value of Proj _ ip C
APPLICANT: DO NOT WRITE BELOW THis.UNE
#
submittal
Reqld
-Reed
TRACMG
PERMIT FEES,
Plan Sets
Pias Cheek submitted.
Item
Anneal
Strltctatsi Coles.
:P—kvfed, ready for corrections
Pian chtek Deposit
Tress Cala.
Called Contact Peron
Platt Check Balance'
T1tte 24 Calea.
Plans piektd up
constmcdon
Flood plain plan
Plans resubwttted..
Mecbatiieal
Grading plan
Z'! Revicw, ready for correctionsfcssue
Electrical
Subcoatactor fast
Carted ContpctPersoa
Yinmbing '
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resabmitted
Grading
IN KOBE:-
'"` gevlew; ready for cormcdo'nslissue
Developer Impatt Fee
Planning Approval.
Called contact Pelson
A.I P.P.
Pub. Wks. APpr -
Date of permit issue
School Fees
Total Permit Feea