BMCH2014-114178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9225Y #7
1
Application Number:
BMCH2O14-1141
Property Address:
78179 CRIMSON CT
APN:
604024031
Application Description:
HVAC CHANGE -OUT
Property Zoning:
its
Application Valuation:
$5,200.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
T-itit °& 4 Q"
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
/bate: 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*4
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 Name: �\
Lender's Address: Iy
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/12/2014
Owner:
KIM URBAN
78179 CRIMSON COURT
LA QUINTA, CA 92253
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Llc. No.: 276586
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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 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.
Jrbolicant:
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 to enter upon the above-
mentioned property for inspection purposes.
gnature (Applicant or Agent):
FINANCIAL •• a
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 - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $60.43 $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: HVAC CHANGE -OUT
CONDITIONS
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 11/12/2014 KHE
Approved:
Parcel No: 604024031 Site Address: 78179 CRIMSON CT,CA
Subdivision: TR 18915
Block: Lot: 9
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
$1.00
$0.00
Valuation: $5,200.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
CITY
Details: INSTALL NEW 3 TON 13 SEER HVAC SYSTEM AT GROUND LEVEL
ZIP
CHRONOLOGY
CONDITIONS
INFORMATION
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
CONTACTS
$1.00
$0.00
NAME TYPE.
NAME
ADDRESSI
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
KIM URBAN
78179 CRIMSON
COURT
LA QUINTA
CA
92253
Printed: Wednesday, November 12, 2014 2:26:14 PM 1 of 2
• i��SYSTEti1S
FINANCIAL
INFORMATION
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
BSA:
$1.00
$0.00
Printed: Wednesday, November 12, 2014 2:26:14 PM 1 of 2
• i��SYSTEti1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 -$0.00
TOTALS:••
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
Printed: Wednesday, November 12, 2014 2:26:14 PM 2 of 2 CR
SYSTEMS
CERTIFICATE OF COMPLIANCE CF11R-ALT 024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: 78179 CRIMS0N DR. Date Prepared: 2014-11-05
A. General Information
CUR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple 1welling units must be
docctmented, use one CFIR-ALT o2 document for each dwelling unit.
01
Project Name
78179 CRIMSON DR.
02
Date Prepared
2014-11-65
03
Project Location
78179 CRIMSON DR.
04
Building Type
Single family
05
CA City
La Ctuinta
06
Dwelling Unit Name
78179 CRIMSON
DR.
07
Zip Code
92253
08
Dwelling Unit Conditioned
900
Installing
Installing
installing
Identification or
Floor Area (ft2)
by this SC
ducted
containing
system
more than 40
entirely new
Dumber of space conditioning
Name
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ductsystem?
SC system?
Alteration Type
System 1
Location 1
unit.
Yes
Yes
S. Space Conditioning (SC) System Information
01
02
D3
04
05
06
07
08
09
10
Is the SC
installing a
SC System
SC Systern
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
installing
Identification or
Location orArea
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System(ft2)
system?
component?
components?
feetofdurts?
ductsystem?
SC system?
Alteration Type
System 1
Location 1
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of E4sting Duct System, Greater Than 40 Feet (Section150.2(b)1DRb)
I
This section does not apply to this project.
Registration Number: 2i4-A0133547A-0000OOOO6-0000
i
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time.:
Report Version: 2014-03-31
Schema Version: 0.5515DD
2014-11-.051498:59
HERS Provider. CaltERTS
Report Generated: 2014-11-05 14:09:24
D. Aftered Space Conditioning System (Sections 150.2(b)1E and i:)
,
01
102
03
04
OS
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minir*m
equired
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
TIP
ermostat.
Replaced
New Duct
or Name
'Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
Ali new
Central split
All new
ibis field or
This field or
System 1
furnace
heating
AFUE
0-78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Required Docvmentation_
MR -MCH -01-E- Space Cona""itioning Sptems Ducts and Fans
-Duttinsulation requlren-entfor new plenums: R6,
CT2R-MCH-2O-H & CF311MCH-2041 — Duct Leakage testing required when heating or tooting components are installed in ducted systems, or when mole than'4o it of duct
ength is replaced.
-Leakage rate compliance: s 15%, or15 10% leakage to outside, or seal all accessible leaks.
CMM -MCH -25-H Pc Cf3Ft-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applir'aUe In CZ.2, 8.15).
MRMR-MCH-23 & CF3R-MCH-23 Air Flow 2 3DO CFM/ton required. when MCH -25 is required.
Exceptions:
-Duct systems registered'i with HERS protiider as previously sealed are exempt from MCH -20 Duct Leakage Testing req'ulrements.
-Heating-only systems are Alr Handler/Furnace changes do not require ver-rticatloh ofAir Ffaw MGH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct Leabge TeOrg requlrements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)U, F)
Registration Humber:214-AO133547A-OOOD0000D-0000
This section does not apply to this project
Registration Date/rime:
2014-11-05148:59
HERS Provider: CaICERTS
CA Building Energy Efflclency Standards - 2013 Residential Compliance Report Version: 2014-03-31I Report Generated: 2014-11-05 14:09:24
Schema Version: 0.55101)
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-flVAC)
F. Entirely New or Complete Replacement Space Conditiarting System (Secteon'1502(b) LC)
This section does not apply to this project.
Registration Number. 214-A0133547A-000OOQD00-0000
CA Building Energy EffidenryStandards -1013 Residential Compliance
Registration DatetTlme:
Report VersJon: 2014-03-31
Schema Version: 0.551SDD
I
2D14-11-051408:59
CFIR-A1]=02-E
(Page 3 of -4 )
HERS Provider: CaICERTS
Report Generated: 2014-11.05 14:09:24
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (forrnerily CF -IR -ALT -HVAC)
(Page 4 of 4 )
Documentation Author's Declaration Statement
1. f certify that this Certifttcate of Compliance documentation is accurate and complete.
Dommentation Authoi-Name:
Skov, Keri
Documentation Author Signature:
Company:
Sfgnatwe Dane:
Desert Air Conditioning Inc.
2014-11-05 14:08:59
Address:
CEA/ HERS Certification identification {f applicable):
590 Williams Road
City/state/nP:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
i certify the following under penalty of perjury, under the lavrs of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. lam eligible under Division 3 of the Business and Professions Code to accept responslbJlity forthe building design or system design Identified on this Certifma
of Compliance (responsible designer).
3. That the energy features and performanon sinedficattons, materials, components, and manufactured de'Aces for the building design orsystern design identifyon
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 or system design features identified on this Certificate of Compliance are consistent with the information prrnided on other appli
ble compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval %%4th this building permit application.
5. 1tivill ensure that registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made avai
ble to Hie enforcement agency for all applicable '
inspections. i understand that a registered copy of this Certificate of Compliance Is required to be included with the documentation the builder provides to the
building avrterat occupancy.
Responsible Designer Name:
Responsible Designer Signature: ,f
Skov, Keri
Company :
Date Signed:
Desert Air Conditioning Inc.
2014-11-0514:08:59
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
764 323-3383
Digitally signed by Ca(C£RT& This d 9f7al signature is provided in order to secure the content of this registered dorunn ent and to no way implies
Registration Number: 214-AO133547A-MDODOOO-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-11-05
Report Version: 2014-03-31
Schema Version:0.S51SDD
Aw the accuracy of the inirunratron.
HERS Provider: CaICERTS
rt Generated: 2014-11-05 14.09:24
I7i." +11
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City
Of a Quin to
Bu11QUtg tat Safety DMW611
Permit ,yp►�
PA. Boz 1504,-78-495 Cate Tampico
fa•Quinta, CA 92253 - (760) 7777012
Burling Permit ,Application and Tracking Sheet
Projectmd as: �
YYl �� 1( �, OwnCr'sNaine:. ryi JA ' ,
A. P. Numbcr-
---------------
Address: —11!6 rM ext ` vy-, NK.ac.,
J egal Desdiptian:
Gib'. ST, Zip: -53
Contractor: Desert Air Conditioning; InC•'
phone: `�
Addrws: 590 WIlliamsRd.
PtojectDesplp8an:
City, ST, Zip: Palm Springs, CA 92264.
Tetcphone:760-323-3383
M.
8- 1
State Lic. #: 276586
City Lic i, 363
ArclL, Bug, Dovigncr: N/A
Address:
City, ST, Zip:
Telephone:
'
ConstxuctionType-
Project type (circle one)- New Add'a Atter Repair Demo
Name of Comrct Pcrson: Keri Skov; Storlcss: # �:
Tdephono # of Contact Person: 760-323=3383 ) Omnted Vaiire of Project -
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Snbmttlal Req'd
tisc'd TRAC iG i'ERN[rrFFES-
Flan Scts
Pian Check &abmkw4 Item Amount
Strgeturat caw.Revtewed,
ready for corrections
Plan Check Deposit. .
Truss Cake.
Called Contact Person
Flan,Check Balance
Title 24 CaW6
Plans picked up
Cat►stractlotr
Flood Plain pias
Ptaus resubmitted ' -
Mtchariical
Giading plan
r! xReyfew, ready for owretfiduermue
Electrical
$abcoetactor ListPlu
Calltd ConorctPttson
mbing
Grant Deed
Plana plcked up
5.A9u%
KO.A. Approval
flaw reaabmAted
Grading
liOUSE�
" ):review; ready for carractione/is* a
Dcvd" xmpatt Yee
Planning Approval.
Called Contact Person
Pub. Wks. Apgr
Date of permit Issue
School Fees
Total Permit Fees