BMCH2015-004178-495 CALLE TAMPICO
c&',it 4 4, Qu&to
LA QUINTA, CALIFORNIA 92253 I COMMUNITY DEVELOPMENT DEPARTMENT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
r+
BMCH20IS-0G X _1
L1
53601 AVENIDA VELASCO
774124019
REPLACE 5 TON SPLIT SYSTEM
$17,838.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
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: 1020, C43 License No.: 276586
Date: '� i� ' 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).: '
(_J 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.).
(1 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
Lender's Addi
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/17/2015
Owner:
STEVEN RUMMONDS
53601 AVENIDA VELASCO
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 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.
Date: ''>. Applicant:
WARNING: FAILURE TO SECURE WORKE S' 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: V7-10 Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 53601 AVENIDA VELASCO Date Prepared: 2015 02 09
A. General Information
CF1R-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.
Ol
Project Name
53601 AVENIDA VELASCO
02
Date Prepared
2015-02-09
03
Project Location
53601 AVENIDA VELASCO
D4
Building Type
Single family
05
CA City
La Quinta
Oft
Dwelling Unit Name
53601 AVENIDA VELASCO
07
Zip Code
92253
08
Dwelling Unit Conditioned
1270
Installing .
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
dusted
'
system
Number of space conditioning
entirely new
09
Clir'nate Zone
15
10
(SC) systems in this dwelling
1
component?
components?.
feet of ducts?
duct system?
unit.
I Alteration Type
B. Space Conditioning (SC) System Information _
01
02
03
.04
05
Ob
07
08
09
10.
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing .
Installing
Installing
Identification or-
Location or Area
by this SC
dusted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?.
feet of ducts?
duct system?
SC system?
I Alteration Type
System l
Location 1
1200
Yes
Yes
Yes
No .
No
PJo
Altared space
•
conditioning system
C. Extension of Existing Duct System, Greater Than 4D Feet (Sect1[on150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0039888A-000000000-0000 - Registration Date/Time: 2015-02-09 16:50:16
CA Building Energy Efficiency Standards - 2013 Aesidentfal Compliance Report Version: 201403-31
Schema Version: 0.553SDD
HERS Provider: CaICERTS
Report Generated: 2035-02-09 16:50:13
CERTIFICATE OF COMPLIANCE CFiR-ALT 02 E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT=HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
.D1
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.
Effldency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type.
Components
Type
Value
System Type
I Components
Type
Value.
Type
Duct Length
R -Value
Central gas
Gasfurnace
Central split
All new
This field or
Th Is fie Id or
.System 1
'furnace
•AHU
HSPF
7.7cooling
HP'
SEER
13
Setback'
section Is not
section Is not
-
components
applicable
applicable
Required Documentation:
CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans 1
-Duct insulation requirement for new plenums: R6.
CF2R•MCH-20-H &.CF3R-MCH-20-H —,Duct Leakage testing required when heating of cooling components are installed in ducted systems, orwhen more than 40 it of duct length is replaced.
-Leakage rate compliance -:9 15%, ors 30:4 leakage to outside, or seal all accessible leaks-
—
CF2R-MCH-25-H & CF311-MCH-25-1`1 Refrigerant Charge Verification required when refrigerant containing components are_instailed or altered (applicable In CZ 2, 9-25).
CF2RCF3R-MCN-23 & MR -MCH -23 All Flaw z 300 CFM/ton required when MCV -25 is required. "
Exceptions
/
Duct srytems registered with HERS provideras previously sealed areexempt from MCH -20 Duct Lealage Testing requirements-
-Heatirig-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECR-25.
-Existing duct systems constructed, Insulated or sealed with asbestos are exempt from htCH•20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System; with or without Equipment Changeout (Sections 150.2(b)Mia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Numiaer: 215-AO0398UA-OOODDDODO-0000 /Registration Date/Time: 2015-)2-09,113:50:18 HERS Provider: Ca.ICERTS
CA Building Energy EfficiencyStandards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-09 16:50:13
Schema Version:0.551SDID
CERTIFICATE OF COMPLIANCE MR -ALT -02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) — (Page 3 of 3 i
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete:
Documentation Author Name:
Documentation AuthorS�gnature: /f
Skov,
Company:
Signature Date:
Desert.Air Conditioning Inc. -
2015`02-0916:50:18
Address:
CEA/ HERS Certification Identification (If applicable):
590 Williams Road
city/state/271p:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
I certify the folfawing under Pena Ity'of perjury, under the lays of the State of California:
1. The information provided on is Certificate of Compliance is true and correct.
2. 1 am e0gible under Divisfon 3 of the Business and Professions Code to accept responsibility for the building design or. system design identified on this Certif cafe of Cortipl la nce (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured red devices forthe building design or system design identified on this Certificate of Compl iance 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 Compl iance are consistent with the information provided on other applicable compliance documents, wortzheets,
carculadons, plans and specifications submitted to the.enforcement agency for approval with this building permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made available to the 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 owner at occupancy,
Responsible Designer Name:
Responsible Di--ignerSignature•
Skov, Keri
Company:
Date Signed:
D6ert Air Conditioning Inc,
2015-02-09 16:50:18
Address:
License:
590 Williams Road
276586
City/,5tate/2fP%
Phone:
Palm Springs CA 92264
760-323-3383
Diyit,* srgne iby CaIL*ERTS. This digital sryraatme is provided in order to secure Me content of this registered docwnen( and M no clay implies RegisiraGon Provider respansiMity for the accuracy of the information.
Registration Number: 2L5 A00398F,8A-000000000-0000 Registration Dateff-ime: • 2015-02-09 16:50:18 HERS Provider. CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Getierated: 2015-02-09 16:50:13
Schema Version: 0.551SDD
DESCINFORMATION
,. - ACCOUNT y QTY AMOUNT `,` s s wPAID PAID DATE,
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
. { PAID BYERECEIPT # 'yr CHECK #CLTD BY,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
(PTIONsDESCRI
zAcc0UNT<
:AMOUNT_, ..
r „PAID w
�PA.IO,.D
ATQYE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
OD "` 'RECEIPT
# F 4
.. - 3
CHECK # "
CLTD BY,
} DESCRIPTION; ��
?. z IKACCOUNT
QTY
`�4MOUNVi
'"'� PAID= ` -
$.PAID`�DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC '
101-0000-42600
0
$36.26
$0.00
PAIO'BY ' '
METHODk '
yRECEIPT #� r }
CFIECK #�CLTD.BY•,�
Total Paid forCHANGEOUT: $108.78 $0.00
< X ' _"'
'^DESCRIPTIONS z,-
u " A000UNT ? #;
QTY
Y;' AMOUNT
*`"` , PAID
PAIDbATE:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
RECEIPT
-TD BYK r,
-Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:
,1
Description: REPLACE 5 TON SPLIT SYSTEM
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 2/17/2015 KHE
Approved:
Parcel No: 774124019 Site Address: 53601 AVENIDA VELASCO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 229
Lot: 7
Issued:
UNIT 22
F
Lot Sq Ft: 0 Building Sq Ft: 0
-
Zoning:
Finaled:
Valuation: $17,838.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: REPLACE (1) 5 TON SPLIT SYSTEM, 13 SEER AT GROUND LEVEL, LIKE FOR LIKE, 2013 CODES..
Printed: Tuesday, February 17, 2015 9:37:37 AM 1 of 2
sysreivts
DESCRIPTION
ACCOUNT
QTY.1
• 'AMOUNT
'PAID
K,. :,rr.
PAID DATE,
•,.?
s.RECEI.PT#
CHECK#.
PAIDBY
CLTyD
x >.
Y
K
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
---
$36.26
$0.00
F
SPLIT -SC
YSTEM P
-
Total Paid forCHANGEOUT: $108.78 • $0.00 -
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
-
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
- i0
Printed: Tuesday, February 17, 2015 9:37:37 AM 2 of 2 CBFW.IYSTCMS
B►n #
Qty Of 1.Q Qwhra
�- RU114709 ff Saky Dlviston
P.O. Box 1504,76-495 Calle Tampico
La.QV1=, CA 92253 -:(760) 777=7012
Building Permit Application and Tracking Sheet :
Permit # 015 "
04015
ProjoctAddtess: 53601 .AVENIDA VELASCO
Owner'sNatna:. STEVE RUMMONDS
A P. Number.
A.ddrem. . 53601 AVENIDA VELASCO
Legal Descri tion:
Contractor. Desert Alr Conditioning.,Inc-- Inc -
City, ST, Zip: LA QUINTA, CA 92253
Telephone: 760-564-2672
A.ddrsss: 590 Williams Rd.
PmJw4DesDription: replace one 5 ton split system on ground.
City, $T, Zip: Palm Springs, CA 92264.
like for like
Telephone: 760-323-3383 x
State Lic. #: 276586 Ci LIc ►{ 363
Arch., Engr., Designm N/A
Address
QV, ST, Zip:
Telephone: t . ,s .
Consum iDn.Typo• Occupancy:
Pro}cat type (oitcle one): New Add'n Alter Repair Demo
Sq. FL; #Stories #Unite:
Name of Contact Person: Keri Skov
Telephone # of Contact Pelson: 7J50-323.3383
Esti.matcd'Value of Project: $17,838.00
APPLICANT. DO NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Rreo
TRACIMG
PERMiTFT13S
Plan Se#s
PIaa Chu& subm{tted
Item Amomt
Structural Calla.
Reviewed, ready for conwAons
Plan Check Deposit. .
Trues Ctifca.
Called Cauract Person
Plan (heck Balance.
Ti8e24 Catelt,
Plans picked up
Construcdon '
Flood plata plan
Plans resubsalttee
Mecbal{kal
Gi9ding plan
2'!'Rvvitw, mady }br eorrectiouarissuo
Electrical
Sabcozitactur Lust
Called ContactPersvn
Plumbing
I. Grant Deed .
Plans picked up
S.M't
MOO A. Approval
Haus resabmitted
Crad{og
HOUSE.-
'^' I2vv1ew; ready for cormcdonsAssae
Ilavatoper Impact Bce
Planning Approval.
Chlled Contact Person
A3.1P.P.
Pub. R'ke. Appr -
Uate of pormlt Issue
San, Fees
Total permit Fees