BMCH2016-0440r
78-495 CALLE TAMPICO' Qum&:,
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 I FAX (760) 777-7011
DESIGN & DEVELO T DflRT FAX
777-7153
Application Number: BMCH2O16-0440
Property Address: 80859 SPANISH BAY
APN: 775310031
Application Description: KLATT RESIDENCE / HVAC CHANGE
Property Zoning:
Application Valuation: $15,000.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
UILD I
D
DEC g 2016
ORBERT KLATT
QUINTA 80859 SPANISH BAY
UINTA, CA 92253
DESIGN ANS DEVELOPMENT DEPARTM�`'�
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under. penalty of perjurythat 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: ,1 It . 1 6ontract6r:
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 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
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
LIC. No.: 276586
Date: 12/9/2016
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: BENCHMARK INSURANCE COMPANY Policy.Number: CSTS008762
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.
Uaate:�w (� ° / Applicant:-- '4�
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.
Date: % ' /� " SignV ature-(Applicant-or-Agenfj: O
'
Date: 12/9/2016
Application Number: BMCH2016-0440
Owner:
Property. Address: 80859 SPANISH BAY
NORBERT KLATT
APN: 775310031
80859 SPANISH BAY
Application Description: KLATT RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,000.00
Applicant:
Contractor:
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC
590•WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
• (760)323-3383
Llc. No.: 276586.
Detail: (2) HVAC CHANGE OUTS -'18 SEER/80AFUE.SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT QTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
.PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
TOTALS: $325.27
k
1
k
7
k
Bin.
Of La QU!h
WIding a Safety Diwtdon
P.O. Box 1604,78-495 Calle Tattiplco
1A.Quln4 CA 92253 -4760) 777-7012
Building Pennalt Application, and Tracfdng Sheet
Perinit #
.ms: 80-859 SPANISH BAY,
OwneesNmne:.NORBERT KLATT
EP.Number
A.
Address: 80-859 SPANISH BAYiption:
Contractor. DESERT AIR CONDITIONING, INC
City, ST, Zip: LA QUINTA, ,CA 92253 '
Telephone: 403-620-1762 t
Address: 590 WILLIAMS ROAD'
Prgje D scription. (1) 4 TON SPLIT SYSTEM AND
City, PT, zip: PALM SPRINGS, CA 92264
(1) 5'TON-SPLIT SYSTEM
Telephone: 760-323-3383
t
State Lir. m: 276586 City Lic. it;
Arch ,�•� fig+'
Address:
City, ST. Zip:
Telephone: Constnxtio Typc:. Oocnpancy:
State Lie #: Y' - Project type (circle one): Wcw Add'n Alter Repok Dao
Name Of Contact Person: Sq. Pt.: # Stotita: # Unita
Telephone # of Contact Person:
Estimated Value of P1ra jeot
APPLICANT: DO NOT WRITE BELOW THIS LINE
!�
9ubmlital
firm arts
Req'd
Reed
TR&CNING
Pias Chc& submitted-
PERMIT FEES -
It= Anzovat
Structural CAICS.
Revteftd, ready for corrections
Plan ChmkDeposit • .
Tnm dlcs•
0113w Contact PersonPlan
cbecic Balanceff .
Tidt Tit Cake,.
Plans picked up
CanatreGtioA '
Fuad plain plan
Plans resubmitted...
mechatilcal
Goading plan
2'a Review, ready for corm ionslime
Ele�trit9l
Subcontactor List
Called Contact Person
Pitta"
Grant Dted
Plaus pldmd up
II.O.A. Approval
Plans roubmltted
Grading
I* H0VSE•r
R view, ready for totredtousAmc
Developer Impact Fee
P1tnnlpgApproval.
Called ConuctPcrsgu
A,LP-p. '
Pulp, vVU, A,ppr -
Date of permit issue
Scho6i Fies
Total Permit Feet
CERTIFICATE OF COMPLIANCE CFIR-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3
Project Name:
8D-959 SPANISH BAY Date Prepared: 2016-12-09
A. General Information
CF111-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-
80-859 SPANISH BAY
02
Date Prepared
2016-12-09
03
Project Location
80-859 SPANISH BAY
04
Building Type
Single family
05
CA City
La Qulnta
06
Dwelling Unit Name
80-859 SPANISH BAY
07
Zip Code
92253
08
Dwelling Unit Conditioned
2973
Installing
Installing
; Installing
Floor Area (ftz)
Location or Area
bythis SC
ducted
containing
system
Number of space conditioning.
entirely new,
D9.
Climate Zone
35
10
(SC) systems In this dwelling
2
component?
components?
feet of duns?-.
dud system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
D1
02
03
04'`;
r05r:
;.
06 '"
07'''
08
09
10
Is the 5C •�
Installing a77
SC System
SC System
CFA served
' ' systema
refrigerant
Iristailing new3C
Installing
Installing
; Installing
Identification or
Location or Area
bythis SC
ducted
containing
system
more than 40
entirely new,
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of duns?-.
dud system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
2000
Yes
Yes
Yes
:No
N�
No �
Altered space.
.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Dii1b)
This section does not apply to this project.
Registration Plumber: 216-A0455427A-000000000.0000 Registration Date/Time: 2016:12-09 10;40;32 HERS Provider: CaICERTS
G4 Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.608 Report Generated: 2016-12.09 10:41:00
CERTIFwATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT•HVAC) (Page 2 of 3 )
D• Altered Space ConditioningSystem (Sections 150.2(b)1E and F)
01.'
02
03
D4
.05
06
07
0S..
09 :.
10
11
12
'
HeatTng
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
ldent"rfication
System
Heating
Efficiency
Efficiency..
Cooling
Cooling
Efficiency-
Efficienry
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type :t•;
, :. Value -
Type
Duct length
R -Value
System 1
Central gas
All new
AFUE
80
Central split
All new
cooling
SEER . �
` 16 -
Setback
Less than or
equal to 40
R -B -
Furnace
.heating.
components
AC
components
feet
Central gas
All new
Central split
All. new
Less than or
System 2
heating
AFUE
g0
cooling
SEER
IS
Setback
equal to 40
R-8
furnace
components
AC
components
feet
Reaulred Documentation:
MRWCH-01-E - Space Conditioning Systems Ducts and fans
'
-Duct insuiation requirement for neer plenums: R6.
CF211-MCH-20-H & CBR -MCH -20-H — Duct Leakage testing required when heating or cooling -components are Installed in ducted systems, or when morethan 40 ft of duct Length is replaced:
-Leakage rate compliance: 515%, or 510% leakage to outside, orseal all accessible leaks. -
CF2RWCH-25-H & CF311-MCH-25-11 Refrigerant Charge Veriflcatlon required whercrefrigerant containing odmponents are 1Rstallzd o� alteied (applltable In CZ 3, 8.15)-
CF2RCF3R-MCH723 & Cf3 R•h1CH-23 Air Flow a 300 CFMfton required when fACH-25 is required i....
Eme tions: `.i ..
-oust systems registered with HERS provider as preuiousiy sealeii aW' xempt froAi MCH -Z0 D.yct Leakage Testing req uirements.
•Heating -only systems and Air Handier/Furnace changes do not require.verification of Air Flaw MCH -23, or Refrigerant Charge MECH-25,
4xisting duct systems- constructed, insulated or sealed veith asbestos are,exempt frpm MCH -2D Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Nct System, with or without Equipment Changeout.(Sections 150.2(b)lDlia and 150.2(b)lE, F)
This section does not apply to this project. _
A
F. Entirely New or Complete Replacem ent Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project
Registration Number: 216-A0455427A-000000000-013D0
CA Building Energy Efficiency Standards -2.013 Residential Compliance
Registration DatellIme: 2016-1.2-03 10:40:32 HERS Provider: CaICERTS
Report Version: 2013 Rev 1.008. .. Report Generated: 2016-12-09 10:41:00
CERTIFICATE OF CiOMPUANCE CF1R-ALT Q2 -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 avid complete.
Documentation Author name:
Documentation Author Signature: �
Trefun, Michael
CW(cfure(c7re,4oz
Company:
Signature Date:
Desert Air Conditioning InC.
2016-12-09 10:40:32
Address:
CEA/ HERS Certification Identification (if applicable): .
5.90 Williams Road
5794297/5794404
City/State/Zip:
Phone:
Palm Springs CA 92264 r
760-323-3383
Responsible Person's Declaration statement
I certify the following under penalty of per) ury, under the laves of the State of California:
1: The information provided on this Certificate of Compliance is true and correct.
Z. I am eligible under Division 3 of the Business and Professions Code to acc.ept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That tine energy features and performance specifications, materials, components, and manufactured devices for the buildirig 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 or system design features ldentffled ori This CertifiCaie ofCompliante aretomisteiii%witl the information,provlded oreoth�r—i. icable compliance documents, worl:shee��,
calculations; plans and specifications submitted to the eliforcement agency figr appraval.wlih this building permit application.
5. 1 will ensure that a registered copy of this Certiflcate=pf C6rnpllance shall:be•rnadeaValt�bleVlftftthe bUllding permits) issued for+thoti'ulfd/rig, ondntadp avaifable:tothe.enforcement agency for all applicable
inspections. I understand that a registered copy of thi9.6ert#ficate of Campliance,Is required to be Included with the-49cumentation thie.bu"ilder lowdes to the building mvner at-occu pancy.
Responsible Designer Name:
Responslble De3igner Siignatlure:
Trefun, Michael
LXicftae��re raiz
Company :
Date Signed:
Desert Air Conditioning Inc.2016-12-09
10:40:32
Address:
License: 5r
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264 -
760-323-3383.
tbgrfaflysrgoedbyCelCEATS. This digitafsignatureisproMedinordertosecure.tJtecontentofthiaregistereddocument, and rnnoHrayimplresRegisrati-Froviderrespons;Nfity for tireaccuracyoffhein%rmation.
Registration Number; 216 A0455427A OOOOOOODO 0000 Registration Datefime: 2016-12-09 10:40:32 HERS Provider CaICERTS
CA Building Energy Efficiency 5ta nda rds 4013 Residential Compliance Report Version: 2013 Rev 1.008" .. Report Generated: 2016-12-09 10:41:00
Schema Version: n.5555nh