BMCH2014-102778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
-� 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O14-1027
Property Address: 54020 AVENIDA CORTEZ
APN: 774192001
Application Description: HVAC CHANGE OUT-13SEER/78AFUE:SPLIT SYSTEM
Property Zoning:
Application Valuation: $13,352.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264•
LICENSED CONTRACTOR'S DECLARATION
J 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 infull force and effect.
License Class: C20_C43 License No.: 276586 .
Date: 1 2— o � 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 applicanYfor 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 applicant fora
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 isnot 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 orherown employees, providedthat 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, asowner of the property, am exclusively contracting,with licensed -contractors
to constructthe 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:).
(,J I am exempt under Sec. . B.&P.C. for this reason
Date: • Owner:
CONSTRUCTIONLENDING AGENCY
I hereby affirm under penalty of perjury there is a construction lending agency for
the performanceof 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
INSPECTIONS (760) 777-7153
Date: 7/21/2014
Owner:
BARBARA MARTINDALE
Contractor:
DESERT AIR CONDITIONING INC
599WILUAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Uc. 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 Woj*,forwhich.this permit is issued.
I have and will maintain workers' compensation insurance, as,required by
3700 of the Labor Code, for the performance of the work for which this permit
I. my workers' compensation Insurance carrier and policy number are:
_ Policy Number: _
_ I certify that'inthe performance of the work for which this permit, is issued, I
shall not employany personinany 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 3700.0 thejAorCode,;I shall forthwith
comply with those provisions.
7_ 2' tie
Date: Applicant:
'4��z
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, ANDATTORNEY'SFEES.
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.
Lcertify that I have read this applicationand 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 toter on the above•
mentioned,property for Inspection purposes. // /
Date: y Signature (Applicant or Agent):
FI NANCIAL INFORMATION
DESCRIPTION _ :ACCOUNT 4TY 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
$71.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK.#
CLTD BY
DESCRIPTION
ACCOUNT.' .
QTY-
AMOUNT
PAID
-VAID,I)ATE.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$0.00
•
PAID By,
METHOD:
RECEIPTS
CHECK:#
CLTD BY -
Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION
ACCOUNT'_
QTY
AMOUNT
PAID
'PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
-' RECEIPTS#.
CHECK #'
CLTD BY
Total Paid forPERMIT ISSUANCE: $90.57 $0.00
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Pem�it S P.O. Box 1504,:76-495 Calle Tatagtco
ia.Qtltia, CA 922S3,:(760) 777-7012
2014 • to 2-1 ftfi ag Permit Awficadotfand Traftg Sheet
PmjeaAddmxs: 54-020 AVENIDA CORTEZ wnwS14mm. BARBARA MARTINDALE
AP.I�umW-. ddrwr 54020 AVENIDA CORTEZ
LAi
Lagat non: ty, sT, zp: LA QU INTA,• CA 92253 '
Comractors Des6dAir Conditioning; Inc. . Tdmbw 760-851-8501
round
Addrms 590 Williams Rd. PMaaD don: �eplacd 4 ton split system 7c)nround g1
gT, Tap. Palm Springs, CA 92264. like for like
Telephozw 760-323-3383
State Lia -#• 276586 Caty.I,ia af< 363
Atd,.,.HnF,'> : NIA
Adds+ : t
City. ST, zip:
C.aa xnctionType: Occupancy.
state I-k- $: Projea WM (=do ato Naw Add'n . Ahw Rqw Demo
Name df Coat Persaa�: Keri Skav Sq. a: 4 Stones: lF Utdis:
Tftboa# of CeuW i umm: 760-323!-338!3' sdpaatvd Value of n9jam $13,352.00
APPLICANT: DO NOT WRIMAia..OW UM
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P[q�Seer
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Tow PermitFees
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REQUEST FOR PERMIT
590 Wilms Rd.
Palm Springs, CA 92264
760-323-3383
760-323-8983
To: Philip Juarez
Email-
Phone Number:
'Fax Number:
Date: 7/17/2014,
Pages: 6
Ate: Permit application -- 54020 Avenida Cortez
Notes/ Comments:
Replace 4 ton split system on ground like for like.
Thank You.,
Keri Skov
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -2 R -ALT -HVAC) JPage 1 of 4 )
Project Name: BARBARA MARTINDALE Date Prepared: 2014-07.17
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 MR -ALT -42 document for each dwelling unit.:.
01
Project Name:
BARBARA MARTINDALE
02
Date Prepared:
2014-07-17
09
Project Location:.
54-020AVENIDA CORTEZ
04
Building. Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
BARBARA MARTINDALE
07
lip Cade:
92253
OS
Dwelling Unit Conditioned
1500
duct system
Floor Area (ft2):
(packaged unit, or
Number of°space conditioning.
accessible
09
Climate Zone:
15
10
(SC) systems being afbered In
1
condensfng.unit,,
Installing
for sealing,
this dwehing unit.:
B. Space Conditioning (SC) System Information
OL
02
03 . -
' 04..: `.
Q5
:O6
07 • .:.
.:: 08 .. ,
09
10
lnst.atl_irig new'
_
is the enure
components?
duct system
(packaged unit, or
accessible
Are all of the
condensfng.unit,,
Installing
for sealing,
system's
Is the.altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
5C 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-handiingunk
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
1.0F 1
WHOLE HOUSE
1600
Yes
Yes
Yes
No
No
No
Altered spate
conditioning systern
C. Extension of Existing Duct System, Greater Than 40 Feet (5ection1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number. 214-A0058040A-000000000-0000 Registration Date/Time: 2014-07-1716:42:30 HERS Provider CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-01-31 Report: Generated: 2014-07-17 16:41:33
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E.
Alterations to Space Conditioning Systems (formerly CF -1R ALT HVAC) (Page 2 of 4 f
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
as
06
07
06
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
Cfurnceal p
All new
6entrCspilt
All new
This field or
1 OF 1
furnace
heating
AFUE
0,78
Cooling
SEER
13
Setback
section is not
R-0
components
components
applicable
Requlmd Documentation
CUR -MCH -014 -Space Conditioning Systems Ducts and Fans
-Duct Insulation requ irement for new plenums: RB:
CF211-MCH-200.11 8,-CF3R-ARCH-20-H — Duct leakage testing required when heating or cooling components are Installed in ducted systems, orwhen mare than 40ft of duct,lengtfi is replaced.
-leakage rate compliance: S 15%, or S 1096 leakage to outside, or seal all accessible leaks.
CFZWNICH-25-H & CF39-MCH-25=H Refrigerant Charge Verllication required when refrigerant containing components are i nstalled or albered:applicable in C22, 845),
CF2RCF3 R -MCH -23 & CF3R-MCH-13 Air Flow i 300.&U/ton,required when MCH 25 Is required. -
F>�
-Duct systems registered with If ERS provider as preiriouslysealed are.exempf from MCH -20 Duct leakage Testing requirements.
alleating onlysystemsand Air Handler/Fu mace dianSes do not qufie verlficatidn of Alr flow MCH. -23, orRehi®eranYCt►arge frtECH-25_
-Exlsting ductsysmms oonstructed, insulated orsealed with asbestos are exemptfmM SACH -20 Mct teakipTetttr� rigylremenis
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout.{Sections 150.2(b)IDiia and 150.2(b)lE, F)
Thissection does not apply to this project.
Registration Number: 214-A0058040A-000000000.0000
Registration Date/Time: 201407-1716:42:30
HERS Pravider:CaICERTS
CA Building Energy Efficiency Standards —2013 Residential Compllance Report- Version: 2014-03-31 Report Generated: 2014-07-17 16:42:33
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System {Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 21L4-AO058040A-000000000-ODDO Registration Date/Time: 2014-07-1716:42:3D HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 201403-31 Report Generated. 2014-D7-17 16:42:33
CERTIFICATE OF COMPLIANCE MR -ALT -02-E I
Ailberations to space Conditioning Systems (formerly CF -IR -ALT -HVAC) {Page 4 of 4 )
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.
2014-07-17 16:4230
Address:
CEA/ HERS Certification Identification (if applicabie):
590 Williams Road
City/State/tip:
Phone:
Palm Springs CA 92264
76D-323-3383
Responsible Person's Declaration statement
I certify, the following under penalty nP perjury, un der the9aws`ef the State of California.-
alifornia:i.
L.The information provided on this Certificate of Compliance is true and correct.
3. I am efi®ible under DWlsion 3 of the l3uslness and. Professions [ode to acceptresponsibi1ty I* the building design or system design fdentifled on this Certificate of Compilarxe, (responsible designer).
3. That the energy features and performance spWitadon% maberiars, components,; and manufactured devices for the building ftkor system design identified on this Certificate of Compfiance conform_ to the
requirements of Title -24, Part i and Pert 6 of the California Code of Regulations
4_ The building design features or_systent design features idtenciaed-on this Certificate of Eornpfiance are:sQosistent with the.infonmation--provided.on other applicable compliance documents, worksheets;,
calculatlonsy plans and spedlcstions submitted to the eniofxement:agencyfor approval. with this hulMfarg permit application.
5. 1 will ensure'that a registered copy of'this Cest3fic7te iii,6Mpllanceshall be.made:avallable wkfi the building permh(s) lasued fair th a build'+^S :and made aveliab[e to the enforcement a®encyfor all applicable
inspections. I understand that Aregistered copy of this Certificate -of camp)"Nance i%s required tdi be included with the documentation the builder prrnrfd es to the budding owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Skov, Ker(
Company:
Date Signed:
Desert AirConditioning Inc.
2014-07-1716:42:30
Addresr. -
License:
S90 Wiffiams Road
276586
City/Stat+e%Lp:
Phone.
Palm Springs CA92264.760-323-3383
DigW)ysi9ned byCa/CERTS This digital Signature is provided in order to secure the content of this registered docuinwit, and in no wayimpfes Registration Provider responsrbilityfor tha aeduracyof the
Wormation.
Registration Number;,214-A0058040A 0000000000000 Registration Wte/Time: 2D14 -07M 1842:30 HERS Provider: CalCERTS
C4 Building Eriergy Effidency Standards - 2013 Residential Compliance Report Version: 201403-31 ReportGenerated: 201461-17 16:42:33