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BMCH2014-114978449 5 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O14-1149 c&tit 4 4 Qimr(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 54673 TANGLEWOOD 30 APN: 775051025 Application Description: HVAC CHANGE OUT- 13SEER/78AFUE SPLIT SYSTEM Property Zoning: Application Valuation: • $11,396.00 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 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.: 27658 V `Date: L Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Stare 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 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).: (_) 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 rk f r which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sectio 3700 of the Labor Code, for the performance of the work for which this perm:[ 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 issuer. 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 t Labor Code, I shall forthwith comply with those provisions. Date: / ^ Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUI„ 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, ar d 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 buildir g construction, and hereby authorize representatives of this city to enter upon the abo�.e- mentioned property for inspection purposes. Date: y 1 Signature (Applicant or Agent): Date: 12/2/2014 Owner: SUNRISE DESERT PARTNERS 300 EAGLE DANCE CIR PALM DESERT, CA 0 0 0 z C7 m C rif7 Contractor: o DESERT AIR CONDITIONING ING t� 590 WILLIAMS ROAD r PALM SPRINGS, CA 92264 0 M Dy (760)323-3383 m 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 rk f r which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sectio 3700 of the Labor Code, for the performance of the work for which this perm:[ 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 issuer. 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 t Labor Code, I shall forthwith comply with those provisions. Date: / ^ Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUI„ 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, ar d 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 buildir g construction, and hereby authorize representatives of this city to enter upon the abo�.e- mentioned property for inspection purposes. Date: y 1 Signature (Applicant or Agent): - '�,.- •t. j' ��.r•�`.'�.-tea, rra+C', INFORMATION -' 'DESCRIPTION<. a. rt 2r" -'ACCOUNT! r ; k � „ 'ACCOUNT � � -,QTY ;;a,.,sAMOUNT � � .PAID ,;iPAID.DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 tt`d� METHOD �. Y RECEIPT # 1 rig CHECK # CLTD B! >, Total Paid forBUILDING STANDARDS ADMINISTRATION BSA ' $1.00 $0.00 DESCRIPTION r �� i }.'A000.UNT, p??, fQTY''' AMOUNT 4 - r PAID r: PAID DA, HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 y.PAID BYCHECK # CLTDYBti �, t .1DE5CRIPTION +� .1 ACCOUNTS. QTY AMOUNT _ ,� .PAID £` "� , IL PAID'DAY E HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 'f,t'"'F•i" z 'rr PAID BY •• ' �:' . �w 1 *�� METHOD 3 rY RECEIPT # 1 � ..k 4 CHECK # CLTD BYE" . Total Paid forCHANGEOUT: $108.78 $0.00 jlr� x"r DESCRIPTION`" a ACCOUNT 4 'QTY* .. AMOUNT' t- i 'PAID PAID DA7E PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY ? 4 METHOD y Y � `RECEIP,T # �; t �� j ��r CHECK # y CLTD BY w Total Paid for PERMIT ISSUANCE: .$91.85 • $0.00 TOTALS:i •• 1� a 01 T32//?cp??100"&5AL632_§¶*!! ! 4 !O%PffPQeeK■--0<*o_EGZZGH\✓-*1 001 °uS✓ 00511 o61Eou 1 r" Description: HVAC CHANGE OUT _ 13SEER/78AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: APPROVED Applied: 12/2/2014 SKH . Approved: 12/2/2014 SKH Parcel No: 775051025 Site Address: 54673 TANGLEWOOD 30 LA QUINTA,CA - Subdivision: TR 21846-1 Block: Lot: 3 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $11,396.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PALM SPRINGS Details: HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO; FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. j 1 J Applied to t 5 .�W "' '-"tea,' � � -� •� ,� � T;. • 1. ADDITIONAL CHRONOLOGY- V ^� JL, . CONDITIONS Printed: Tuesday, December 02, 2014 2:38:03 PM 1 of 2 CB?WsYS'TEMS CONTACTS U ASS -PHONE FAX EMAILP? teNAME;fYP n e. 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 SUNRISE DESERT PARTNERS 300 EAGLE DANCE CIR PALM DESERT . . , CA 0 _ Printed: Tuesday, December 02, 2014 2:38:03 PM 1 of 2 CB?WsYS'TEMS 41 '0, -RECEIPT#,. 7771-77. '� 7-7-77 -PAID LTD DESCRIPTION C U tivAM UNT,�, P FAID, PA:1 D DATE CHECK# METHOD, BY u, BY, HVACCH-ANGEOUT- 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 101-0000-42404 ' 1 0 . $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $201.63 $0.00 Printed: Tuesday, December 02, 2014 2:38:03 PM 2 of 2 C§FWIYSTEMS Cir ouinta BulUm at safery bivisi n Permit # P -O. Box 1504,78-495 Carte Tamptco La.Quinra, CA 92253 -:(760) 777-7012 BuildIng• Permit ,Application'and Tracking Shut ProjectAdd.ws:54673 TANGLEWOOD' Owner•sI3mne: MIKE MALE A P. Niunbcr; Address: 54673 TANGLEWOOD x eo Desai don: Cid,, 5•, zip; LA QUINTA, GA 92253 Contracoor: DESERT AIR CONDITIONING, ING. Tetep one: 760-485-0399 -1 i r ,ado' s: 590 WILLIAMS RD. PMJactNsQ iPtiQA: REPLACE ONE 5 TON SPLIT SYSTEM , City, ST, zip: PALM SPRINGS, CA 92264 ON ROOF -LIKE FOR LIKE Telephone; 760-323-3383 ' WO Mil 6`0 Sato Lic. # : 2765L6. Am&, Baw•, Deseret: N/A City Lic #.. 363 Address: City., ST, zip: ToitSplwne: State Lic. #: Construction Ijrpe.. Occupancy: Nect type (oitote one): Nov Add'n Alter Repair Demo Name of ContactPersgn: K RI SKOV Sq. Ft-: #9tori #Unii�: Teleptione # of Contact Pemn; 760-323-3383 Estimated Value of pmjeCt: $11,396,00. APPLICANT: DO NOT WRITE BELOW THIS EINE submithl Pl4n Sets Rtq'd 'Reed TBAC Plan Check eubmlaed• Ph'ft1411'P FEZS, Item Amoaet structural CRIM Revi'ewtd,ftAd9 ror earrocHoas Plan Check Deposit. . Trw. Calw. Called Coatact Penon Plan Check Osdance- Title 24 Cela- Plans pieked up Conatrmcdon Fiaud platin plat Plans resubmitted.'. iltechanilal piading plan Z'' Review, ready for correctionomue Electtiral' Sobeontactor Ust Cnt" CoatectPer"n Plumbing Gnat Deed Plans picked up S.M.L lIOA Approval Fla usresubmitted Grtdigg tlUUSLt' '"` Review, ready for carrecdonsAssue neveloper Impact Fee Planning Approval Called Contact Person Pub. TNks. Appr hate of permit %site Scbool Fees Total Permit Pees CERTIFICATE OF COMPLIANCE Afterations to Space Conditioning Systems (formerly CF -1R -ALT KVAC) Project Name: 54673 TANGLEWOOD j Date Prepared: CF1R-ALT-02-E I (Page 1 of 4 ) 2014-11-26 - 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 CRR -AIT -02 dacument for each dwelling unit. 01 Project Name 54673 TANGLEWOOD 02 Date Prepared 2014-11-26 03 Project Location 54673 TANGLEWOOD 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 54673 TANGLEWOOD 07 Zip Code 92253 09 Dwelling Unit Conditioned 1400 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ducted containing system of space conditioning entirely new 09 Climate Zane 15 TNber systems in this dwelling 1 component? components? ' duct system? . " B. Space Conditioning (SC) System Information 01 02 03 04- 05 06 07 08 09 10 Is the SC 16stallirig'a SC System SC System CFA served systema 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 (ft2) system? component? components? feet of ducts? duct system? SL system? Alteration Type System 1 Location 1 16W Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section3S0.2(b)1Diib) This section does not apply to this project. Registration Number: 214-A0147785A-000000000.0000 Registration Datelrime: 201411-26 10:33:22 HERS Provider: CalCERT5 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 201411-26 10:34:00 . Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CFgR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-1R•AtT HVAC) (Page "2 of 4 ) 0. Altered Space Conditioning System (Sections 150.2(b)lE-and F) 01 02 03 44 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 Efficlency • Efficiency Thermostat Replaced New Duct or fame Type Components Type Value System Type Components Type Value Type Duct Length R -Value System 2 Centralgas furnace All new heating AFUE 0.78 Cent split Outdoor condensing SEER 13 ' Setback This field or section is not This field or section is not components unit applicable applicable Required Documentation: MR -MCH -01-E- Space Conditioning Systems Ducts and Fans -Dud insulation requirement for new plenums: R6. MRWCH-20-H & C1`311 -MCH -2041— Duct Lea"ge testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage retecompliance: 515 0, or510%leakage to outWe; orseal all accessible leaks. CF2R-MCH-25-H & C1`311 -MCH -25-14 Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 2-15). s CFMCF3R-fACH-23 &. CF3R-A1CH-23Air Flow2 301DUM/Inn required when MCHC -25 is required. 6:ce'otionsc , -Duct systems registered with HERS provider as previously sealed arc exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verlflca4lon of Air Flow MCH -23, or Refrigerant"Charge' M ECH-25. Existing dud systems constructed, insulated ar sealed with asbestos are exempUrDin MCH -20 C t ct Leakaoe Testing requirements, E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Dlia and 150.2(b)lE, F) This section does not apply to this project. Registration Number: 214-AO14779SA-000000000-0000 CA Building Energy Efficiency Standards -2013 Residential Compliance Registration Date/1-irrie: 2014-11-26 10:33:22 HERS Provider: CaICERTS Report Version: 2014-03-31 Report Generated: 201411-26 10:34:00 Schema Version: 0.551SDD [Alterations ERTIFICATE OF COMPLIANCE CFIR-ALT-02-E to Space Conditioning Systems (formerly CF: -1R -AU -HVAC) . Gage 3 of 4,) F. Entirety New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C)' This section does not apply to this project. Registration Number: 214-A0147785A-000000000-0000 Registration DatejTime: 2014-11-26 10:33:22 HEM Provider. Ca[CERTS CA Building Energy Efficlency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-26 10:34:00 Schema Version: 0.551561) CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) CFiR•ALT 02-E (Page 4 of 4.) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Docurnenlatian Author Name: Skov; Keri Docu mentat lon Author Signature: Company: Slgoawre Date: Desert Air Conditioning Inc. .2014-11-26 10:33:22 Address: CEA/ HERS Certification Identificatlon (if applicab)e)_- 590 Williams Road Qty/State/Zip: Phone: Palm Springs CA 92264 760-323-3383 Responsible Person's Declaration statement I certify the following underperialty of perjury, under the laws of the State of California: P. The information provided on this Cert:;ficale of Campllance, Is true and correct. 2. lain eligible under Dlthclon 3 of the Business and Professions Code tp accept responsibility for the building design or system design identified on this Certificate of of Compliance {responsible designer). 3. That the energy features and performarke specifications, materials, components, and manufactured devfces for the building desfgn,or system design identified on this Certificate of Compliance conform to the requirements of Trde 24, Part I and Part 6 of the California Code of Regulations. 4. The building design features or systetn design features identfffei on this Certificate of Complfance are cdinsistent-with the informatfon provided on other applicable compliance documents, worksheets, cakulations, plans and specifications'submfttedto1he enforroeinentagency forapp'roval with this building'pertnit applkat3on. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available. with:the buildi ng permft(s) Issued for the building, and rpade available to the enforcement agency for all a pplim6le inspections. I un dersta nd that a registered ropy of this Cerifficate of Compliance is required to be included with the documentation the builder provides to the building rnvner at occupa ncy. Responsible Designer Name: Skov, Keri Responsible Designer Signature: �v� Company: Date Signed: Desert Air Conditioning Inc. 2014-11-26 10:33:22 Address: License: 590 Williams Road 276,596 City/State/Zip: Phone: ,- Palm Springs CA 92264 760-323-3383 0igirallysrgnedbyGWCERTS This dgirais4,arwLaisproyidedinordertosecure MeoorrtentOfthis fei tereddocvmentand innowaybnpfksRegistraffonprovkWresportsibility for (heaccurasyoftheinfgmation. Registration Number: 214-A0147785A-000000000-0000 Registration Date/Tme: 201411-26 10:33:22 HERS Provider: CafCERTS CA Building Energy Efficiency standards.- 2013 Residential Compliance Report Version: 201403-31 Report Generabed: 2024-11-26 10:34:00 Schema Version: 0.551500