BMCH2015-031378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0313
78181 CRIMSON CT
604024042
C017INGHAM REPLACE HVAC CHANGE OUT
$6,286.00
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 70001 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
P
ate: 9, 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).:
(1 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 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/13/2015
Owner:
GRANT COTTINGHAM
78181 CRIMSON
LA QUINTA, 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 work 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 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 of the Labor Code, I shall forthwith
fccomply with those provisions.
date: . I Applicant: J
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
1
construction, and hereby authorize representatives of this city to enter up n the above-
mentioned property for inspection purposes.
i /
Date: ° 4 Signature (Applicant or Agent):
ft r FINANCIAL INFORMATION
DESCRIPTION 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 forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: COTTINGHAM REPLACE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/13/2015 PJU
Approved:
Parcel No: 604024042 Site Address: 78181 CRIMSON CT LA QUINTA,CA 92253
Subdivision: TR 18915 Block: Lot: 10
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $6,286.00 Occupancy Type: Construction, Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE ONE THREE TON HP CONDENSER & AIR HANDLER ON GROUND LIKE FOR LIKE SYSTEM [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 21013 CALIFORNIA BUILDING CODES.
Printed: Thursday, August 13, 2015 1:49:18 PM 1 of 2
SYSTrMS
ADDITIONAL
' • • •
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
DESERT AIR CONDITIONING INC
590•WILLIAMS ROAD
PALM SPRINGS
CA
92264
(
Printed: Thursday, August 13, 2015 1:49:18 PM 1 of 2
SYSTrMS
1 11 RnNn INMIRMATION,
Printed: Thursday, August 13, 2015 1:49:18 PM 2 of 2 CR?W.1YSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK#
METHOD
PAID BY
BY
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
T_ 101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
1 11 RnNn INMIRMATION,
Printed: Thursday, August 13, 2015 1:49:18 PM 2 of 2 CR?W.1YSTEMS
I'Ve d'�'
Bin, #
d b aty of La Qurnta
Btrilding St Safely Division
l K0 Box 1-504,1849S01ie Tampico
La,Qlrinta, C4 9.2255 -:(760) 777--7012
Building Permit•AMication and Tracking Sheet
Permit #
ProjectAdOcss: 78181 CRIMSON
Owner'sName:.GRANT COTTINGMAIIA
A. P.'Nurober
A.ddrem: 78181 CRIMSON
Legal Desaiption:
City, ST, Zlp: LA QUINTA, CA 92253
Contmao,r Desert Air Conditioning, Inc--
Tclephonc: .s ;
Address: 590 Williams Rd.
1 0*Desoription: Replace one 3 ton HP condenser &
City, SL Zip: Palm Springs, CA 92264.
air handler. on ground like for like.
Telephonc:760-323-3383
qty Lir, #; 363
State Lir-# : 276586
Arch..,13W., Designer: N/A
Addrass:
City, ST, Zip,.
Telephotic:
State Lie #: r `
Name of Contact Person: Keri Skov
Construction "Gyps: Occnpuncy:
Project we (circle one): 'New Add'n Alter Repair Dano
Sq. Pt ; # storit s # Unix;::
Tel krone # of Contact Person: 760-323-3383
Estimated Valite of Project $6,286,00,
APPLICANT: 00 NOT WRITE BELOW THIS UNE
p
submittal
Re9ld
Recd
IIiAC)K11VG
PESMIPFE
Plgn Sets
Play. Check submitted-
Item Amount
St"eturai Calci.
77
Itevlewed, ready for corrections
Plan Geek Deposit. .
Truss Cal".
Called Contact Person
Plan Check Ralaace-
Title 34 (Iola
Pians picked up
Construction
Road plain plan
Plans resuDmkted '
Mtclt9tikal
Grading plan
211 Review, ready for correc$onsTssue
Eimtrieal
Subcontactor List
Called Contact Ptrson
Pltttribiltg
Grant Decd
Plana picked up
iLO.A. Approve
Plans resubmitted
Crabioy
IN HOUSED-
"° Review; ready for conwdowltssne
Qcvoioper Impact Fee
Planning Approval-
Called Contact Person
AXP -1?
Pub. lyks. Appr -
Date of permlt issue
Schod Fees
Total.permit Fees
Sor vnw frw coachclf" "VaI Y
REQUEST FOR PERMIT
590 Williams Rd.
Palm Springs, CA 92264
760-323-3383
760-323-8983
To. Philip Juarez
Email- .
Phone Number: 760-777-7050
Fax Number: 760-777-7011
Date: 8/11/2015
Pages: 5
Re: Permit application — 78181 CRIMSON
Notes/ Comments:
Replace one 3 ton HP condenser & air handler on
ground like for like.
Thank. You,
Keri Skov
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC)
CF1R-ALT-02-E
(Page 1 of 31
ProjectName: 78181 CRIMSON CT. I Date Prepared: 2015-08-12 j
A. General Information
CFlR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CRR -ALT -02 document for each dwelling unit.
01
Project Name
78181 CRIMSON CT.
02
Date Prepared
201548-12
03
Project location
78181 CRIMSON CT.
04
Building TyEse
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78181 CRIMSON CT.
07
Zip Code
92253
08
Dwelling Unit Conditioned
950
...Installing
Installing
Installing
Ftoor 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
component7
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
vl
02
03
04 -
: '::Os.
06
07
08
09
10
is the SC
instailing a
SC System
SC System
CFA served
-system a, -
refrigerant
.Installing new SC
...Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than aD
entirely new
entirely new
Name.
Served
System (ft2)
system?
component7
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 (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 21'5-A0223738A-000000000-D000
Registration Date/Time
2015-08-12 08:31:21
HERS Provider: CaICE.RTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-12 08:31:18
Schema Version: 0.55551)D
CERTIf1CATE OF COMPLIANCE CF1R-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)1E and F)
01
02
03
04
05
06
07
08
09
10
IL
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or.
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efffdency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central spilt
Gas furnace
Central spilt
All new
This field or
This field or
System 1
HP
AHU
AFUE
. 0.78
HP
cooling
SEER
14
Setback
section is not
section is not
components
applicable
applicable
Required Documentation;
CF211-MCH-01-E -Space Conditioning Systems Dulls and Fans
-Duct insulation requirement for new plenums: R6.
MR -PUCK -20-H & Cf3R-MCH-20-1-1 — Dust Leakage testing required when heating or eoofing components are installed In ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 1.5%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3114ACH-25-11 Refrigerant Charge Verification required when refrigerant containing components are installed oraltered (applicable in CZ 2, 8-15).
CF2RCF3R-NfCH-23 & 0311 -MCH -23 A1r Flow 2 300 CFM/ton required when 1ACH-25 is required.
Umptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -70 Duct Lez*a&-7esting requlremerrts.
-Heating-onlysystems and Alr Handler/Fumace rhanges do not require verification of Air Flowr MCH -23. or Refrig&ant Cha�ge.MECH-25:
Existing duct systems constructed, insulated orsealed with asbestosa.re exempt from MCH2O.Ducc Le�iage Testing requirements,
E. Entirely New or Complete Replacement Duct System, wiih or without Equipment Changeout (Sections 150.2(b)1Diia and 1M.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,
I
Registration Number: 215-AO22373SA-000000000-0000
Registration Date/Time. 2D1&O8-12 D8:31:211
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-12 08:31:18
Schema Version: 0.555SDD
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.
Do:umentation Author Name:
Documentation Author Signature:
Skov, Keri
Cornpany:
Signature Date:
Desert Air Conditioning Inc.
2015-08-12 08:31:21
Address;
CEAJ 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 lays of the State of Califomia:
1. The information provided on this Certificate of Complianoe Is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design Dr system design identified on this Certificate of Compliance (responsible designer).
3. That theenergy features and perfr✓,manre 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 Regulations.
4. The building design features orsystem design features identiffed'on this Certlfi'63 ,e.bf Compliance are io.nsistentwith the Information provided on'otherappllcable'66mpliance documents, worksheets,
calculations, plans and specifimtions submitted to the enforcement agency for.apptoval with this building permit application"
S. I will ensure -that a registered copy of this Certificafe.of Compliance shall be made available vAth the building permits) issued for the building, and irwd'e availabieto. the enforremeat agency for all applicable.
inspections. I understand that a registered copy of this Certificate of Compliance is required to be induded with the documentation.the builder provides to the building ourner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
eel
Skov, Keri
r, --514V
Company :
Date Signed:
Desert Air Conditioning Inc.
2015-08-12 08:31:21
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Dighafiy signed by CafCERTS. This dfgitaf signawre is pmyided in order to secure the content of this registered docrmrent and in no wsy lmpJies Registrati2n Pfovider'respons!J1V tyfa the accu+acy of. Ow information.
Registration Number: 215-AO22373BA-000DOOODO-0000 Registration Date/Time: 2015.08-92 08:31:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated.: 2015-08-12 08:31:18
Schema Version: 0.555SDD