BMCH2017-011378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tw 44Q"Krw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0113
Property Address:
78860 SONESTA WAY
APN:
604151020
Application Description:
BOLES RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$8,820.00 .
Applicant:
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
PALM DESERT, CA 92211
1
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{y 7i -7125
coilAPR IQE S
-7153
U IY OF LA QUINTA Date: 4/3/202.7
DESIGN AND DEVELOPMENT DEPARTMENT
Owner:
BURTON BOLES
78860 SON ESTA WY
LA QUINTA, CA 92253
Contractor:
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
-------------------------------------------------------------------------------------
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 License No.: 374937 —
Date:— 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 la -
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
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 la ;
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: MID-CENTURY INSURANCE COMPANY Policy Number: A09489473
_ 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
WA:with thorovisicomply
DateAILURNIN RETOpons.
Aplicant:
SECURE WORKERS' COMPENSATION COVERAGE 'IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC
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 i^
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
9
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 built ing
construction, and hereby authorize representatives of this city to enter_ upon the
above-mentioned property for inspection purposes.
Date:- % __Signature.(Applicant or Ag gent): t):
Date:. 4/3/2017
Application Number: BMCH2O17-0113 t' Owner:
PropertyAddress: 78860 SONESTA WAY BURTON BOLES
APN: 604151020 78860 SONESTA WY
Application Description: BOLES RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application -Valuation: $8,820.00
Applicant: Contractor:
PALM DESERT AIR CONDITIONING CO INC DBA PALM'DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL 42-081 BEACON HILL
PALM DESERT, CA 92211 PALM DESERT, CA 92211
1 (760)346-0677
Lic. No.: 374937
----------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
1
i
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE 101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
2 Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
f
I
CERTIFICATE OF COMPLIANCE
Cf111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: BOLES, BURTON Date Prepared: 2017-04-03
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
CF1R-ALT-02 document for each dwelling unit.
.01
Project Name
BOLES, BURTON
02
Date Prepared
2017-04-03
03
Project Location
78-860 SONESTA WAY
04
Building Type
Single family
05
CA City
La Quinta
06 '
Dwelling Unit Name
BOLES, BURTON
07
Zip Code
92253
08
Dwelling Unit Conditioned
1563
Floor Area (ft2)
SC System
SC System
CFA served
system a
refrigerant
Number of Space
Installing
09
Climate Zone
15 '..
10
Conditioning (SC) Systems in
1
ducted
containing
system
more than 40
this Dwelling Unit:
entirely new
B. Space Conditioning (SC) System Information -t
+.
Ol
02
03
04
05
06
07 s
08
09
10
FIs the SCT
I s allOn" ,a s
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 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
HOME
1563
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 217-A020105861A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 14:56:29 HERS Provider: CaICERTS -
CA Building Energy. Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-03 14:56:13
Schema Version: rev 10/16
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
0
Registration Number: 217-A020105861A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 14:56:29
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Report Generated: 2017-04-03 14:55:13
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
CFiR-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)lE and F)
01
02
03
04
05
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
. System 1
Central as
g
All new
heating
AFUE
81
Central split
All new
Less than or
furnace
components
-
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
feet
Reouired Documentation
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF211 and MR -MCH -20-H - Duct Leakage Test 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: <=15% or <= 10% leakage to outside, or, seal
all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM required MCH
penton when -25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCW23 r Refr gerant'Cha(ge MCH -25'.A'
Existing duct systems constructed, insulated or sealed with asbestos•are exemotfrom MCH°'20 Du iLeakage Testing requirements. `f
'u, rn
NA
���
Entirely New or Complete Replacement Duct Sy96t.em, with or without�yEquipment Changeoyut (Sections 1'50.2(b)Mia�and 150.2(b)lE, F)
VI- : f li SIA Y
This section does not apply to this project. .
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
0
Registration Number: 217-A020105861A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 14:56:29
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Report Generated: 2017-04-03 14:55:13
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
McCoy, William
Company:
Signature Date:
Palm Desert Air Conditioning Co
2017-04-03 14:56:29
Address:
CEA/ HERS Certification Identification (if applicable):
42-081 Beacon Hill
City/State/Zip:
Phone:
Palm Desert CA 92211
1760-346-0677
Responsible Person's Declaration statemenf.
I certify the following under penalty of perjury, under thelaws'of the State of California:
1. The information provided on this, Certificate of Compliance is -true and correct.
2. 1 am eligible under Division 3 of the Business and 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 and performance specifications materials, components and des for.the building design or.system design identified on this Certificate of Compliance conform to the
tmanufactured
requirements of Title 24, Part land Part:6 of the California -Code of Regulations.4.g� #"
s f r .
4. The building design features or system design features identified on i is Certifies a of Compliance are .........nt,wrtfi the inform on.provided o ther,applicable compliance documents, worksheets,
nt wig+.. of
9ta e.4 h 5 f i .f ...�
calculations, plans and specifications submitted to the enforcement%agency for'approval witli this building permit application.}
asr 'S'�,�. ifc .x 'es'X c: � t .ys �� 4 r
5. I .will ensure that a registered copy of tFiis Certifica" a of_Compliance shall,beimade'available with;,the buildin..g permit(s)iJssued for=the building, and:made available to the;enforcement agency for all applicable
a r g;-
inspections. I understand that a registered copy of this Curti icate of Compliance is,requ�ired to be -included m`odnaheA,builder p tq the building owner at occupancy.
.wioxides
Responsible Designer Name: %•- 4
Responsible Desigrier Signature:+d� $ 1• "�/�
esti/
McCoy, William
ai11-
Company:
Date Signed:
Palm Desert Air Conditioning Co
2017-04-03 14:56:29
Address: i.
License:
42-081 Beacon Hill
374937
City/State/Zip:
Phone:
Palm Desert CA 92211
760-346-0677
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 217-A020105861A-000-000-0000000-0000 Registration Date/Time: 2017-04-03 14:56:29 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-03 14:56:13
Schema Version: rev 10/16
#
Cit}/ Of Quintd
Building 8r Safety Divisl'on
P.O. Box 1504,78-49S Calle Tampico
1.a.Qufita, CA 92233 -:(760) 777-7012
Building Permit •Application and Tracking Sheet
Permit #
Project.Address: 78-860 SONESTA.WAY owner's Name:. BOLES, BURTON
A. P. Number. Address: 78-860 SONESTA WAY
Legal Description: City, ST, Zip: LA QUI NTA CA.' 92253
Contractor: PALM DESERT AIR CONDITIONING Telephone: 760-808-0475
Address: 42-081 BEACON HILL Project Description: AMERICAN STANDARD 5
city, ST, zip: PALM DESERT CA. .92211 TON (16) SEER; (13) -EER AHRI# 8103523.
Telephone: 760-346-06770 CONDENSER ON GROUND AND THE FAU
state tic. # : 374937 City Lic. #; LIC -0100 386.1 IN THE ATTIC
WI I Arch., Engr., Designer
Address: Address:
City., ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: WILLIAM M CCOY
Sq, Ft : 1563
#Stories: 1 units:
Telephone # of Contact Person: 760-346-0677
Estimated Value of Project 8,820.00.
APPLICANT:
DO NOT WRITE BELOW THIS UNE '
#
Submittal
Req,d
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit. .
lyvss ca1cs•
Called Contact Person
Plan Check Balance
Title 24 CaW6
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Giading plan
2id Review, ready for correctionslissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Great Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review,' ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees