BMCH2014-1025D A�
78-495 CALLE TAMPICO , VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/21/2014
Application Number: . BMCH2O14-1025 Owner:
Property Address:. 54419 SHOAL CREEK WEINHOLD, PATRICIA A
APN: 775071051 54419 SHOAL CREEK
Application Description: HVAC CHANGE OUT- 13SEER/78AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $14,951.00
Applicant: Contractor: 7
DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD 590 WILLIAMS ROAD
PALM SPRINGS, CA 92264 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.: 276586
Die y� Contractor,'JJ
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).:
( 11, 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:
(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
ofth o 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 abo Code, I shall forthwith
comply with those provisions.
Date '' Z I ' I v Applicant:,
k/ ,i
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.
I. 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 law relating to building
construction, and hereby authorize representatives of this city to ter up he above-
mentioned property for inspection purposes.
Datt e: 1 • V� v Signature (Applicant or Agent)
V
-DESCRIPTION ACCOUNT a ' ,QTY AMOUNT,-. PAID , } ;PAID DATE
z. ?�
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
„- • PAID BY :METHOD
D
RECEIPT # y _-
s ;CHECK # "� •-` : CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION'
ACCOUNT -
QTY`
' .. ,AMOUNT,-, r
}`" PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$71.50
° $0.00
_• PAID BY •
METHOD • ,;
RECEIPTS# h
CHECK # ..
.CLTD BY ;
DESCRIPTION
-'-r ACCOUNT, t`.
:QTY
AMOUNT '° ,�.`
PAID :1 "
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$0.00
., .., M PAID'BY" .".
METHOD FF
.
; r
+ ,:RECEIPT#2.
;mss
" ; CHECK # '
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CLTD BY
Total Paid forCHANGEOUT: $107.25 $0.00
ck .. ...,DESCRIPTION t
r.;
f ACCOUNT ,x
QTY
1+`s AMOUNT
e
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
r _
f PAID BY
€. ,METHOD � �.^
;RECEIPT #' ;; tf'=
.-C HECK #
CLTD BY.. `
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
..BIRO
Pow pwo P"ns
City of U Quin ta
REQ9118, ar safety Divisibn
P.O. Box 1504,'78-495 CA Dillpfco
L;.Qvinta, CA 92253 -:(760) 777-7012
Building Permit Application* and Tracking Sheet
Perinit #
bww-jot-A
Prqj=tA,ddrm- 54-4119 SHOAL CREEK
owtteaN.Me. PATRICIA WEINHOLD
A. P. Xwnber.
Address: 54-419 SHOAL CREEK
Legal Description:
City, ST, zip: LA Q U I NTA, CA 92253
Called ContartPUMU Plumbing
cont-ddor. Des6rt Air Conditioning, Inc.
760-777-0640
Projea Dmripdon- replace 4 ton split system roof
on roof
on
Addram, 590 Williams Rd.
City, §T, zip. Palm Springs, CA 92264..
like for like
Telephone: 760-323-3383.
-
Plow resubmitted Gradlu 9
Stat, Uo-fi 276586
l 363
grykw. ready for tairreadmAme, Developer Ttapket yet
..City
At6, &W., Dasipar. NIA
PURRIng Approval,
Ad&w.
Called 4CQAt4et PC"QU
Clty., ST, Zip:
Pub. 'Wks. Appr -
Telephone. ConstracdonTypa: Occupancy:
fttr Lie. #: Prgjcct f— (Phde- arm)- New Add'a. Akff Repair D=0
Name of ConwPwom.- Keri . Skov I -Sq. . ft —I
# storkstories::
Tdcphone 9 of Contact person: 760-3233383 r4tizstud Valise of Project $14,95.1.00
APPLICANT., DO NOT WRITE BELOW THIS UNE
Submittal
Rcqld
'Rev'd
PIaa Sets
Plan Check Mbuxitmd IMM
stroictund cwm
ItcAtwed, ready ter oarrmfimm. Plan Check Depwit.
Tram Cates.
Called Contact Pcnax Pian Check Baluace-
'ntte Calet
ft"s Picked up
Pow pwo P"ns
Plans raubmiftV.
Grading plan
21! Review, mily for carrectlensrinue
SubCfttftttorL&t
Called ContartPUMU Plumbing
Grant Deed
Plans picked up
S.O.A.Appxoval
-
Plow resubmitted Gradlu 9
IN HOUSE-
grykw. ready for tairreadmAme, Developer Ttapket yet
PURRIng Approval,
Called 4CQAt4et PC"QU
Pub. 'Wks. Appr -
[
T ,otal Permit Fees
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: PATRICIA WEINHOLD Date Prepared: 2014-07-17
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 MR-AL7-02 document for each dwelling unit.:
01
Project Name:
PATRICIA WEINHOLD
02
Date Prepared:
2014-07-17
03
Project Location:
54-419 SHOAL CREEK
04
Building Type:
Single family
05
CA City:
La Quinta
05
Dwelling Unit Name:
PATRICIA WONHOLD
08
Dwelling Unit Conditioned
1400
07
Zip Code:
92253
Floor Area (ft2):
(packaged unit„ or
Number of spaoe conditioning
accessible
09
Climate Zone:
15
10
(SC) systems being altered in
1
condensing unit,
Installing
for sealing,
this dwelling unit.:
B. Space Conditioning (SC) System ]Worrhation
01
OZ
03
04
.07- . '=..
OS
09
10
installing rte+nrts.the
entire
components?
duct system
(packaged unit„ or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
roofing/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coif, or
new or
the duct
of replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(er(dretynew
Name
Served
System {ft2)
system?
componentt
etc)
ducts?
or replaced?
system)
Alteration Type
Altered space
1 OF 1
WHOLE HOUSE
1600
Yes
Yes
Yes
No
No
NO
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-AO05807OA-ODODD0000-0000
Registration Datefrime: 2014-07-17.f 7:20:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 17:21:07
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1 R -ALT -HVAC) (Page 2 oF4)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
OS
06
.07
.08 1
09
LO
11
12
Heating -
Cooling
System
Heating
Altered
Heating
Minimum
Altered
tooling
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
1 OF 1
Central as
g
All new
heating
AFUE
0.78
Central -split
All new
Cooling
SEER
13
Setback
This field or
section is not
R S
furnace
Components
AC
components
applicable
Required Documentation_:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and.Fans
-Dual insulation requirement for newplenuins: R6.
MR7MCH-20-H & CF3R-MCH-20-H —Duct leakage testing required when heating ar cooling components are Installed in ducted systems, or when more than 40 ft of duct length Is repfa ced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant contain bg components are installed or altered (applim ble In C2 2. 8-15).
CF2RCF3R-MCH-23 & CF311-14CH-23 Air Row 2 300 CFMjtan.regb6ed when MCH -25 is required. .
Exceetlons:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
'
-Heating•onfy systems and Air Hand ler/Furnace'changes do not requireverification of Air Flow MC1ri=23,'' Refrigerant Charge ME6H-25-
-Existing duct systems constructed, insulated or sealed vrith asbestos are exempt ftam MCH -20 Duct Leakage. Testing requirements,
E. Entirely New or Complete Replacement Duct System,_with or without Equipment Changeout" (Sections 150,2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Plumber: 214-AC05807OA-000000000.0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-D7-17 17:20:52
Report Version: 2014-03-31
HERS Provider: CaICERTS
Report Generated. 2014-07-17 17:21:07
CERTIFICATE OF COMPLIANCE CfiR-ALT-02-E
Alterations to Space Canditioni ng Systems (formerly CE -1R -ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 214-ACOSE07OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time. 2014-07-17 17:20:52 HERS Provider: CaICERTS
Report Version: 2014-03-31 Report Generated: 2014-07-17 17:21:07
CERTIFICATE OFCOM PUANCE MR -ALT -021
Alterations to Space Conditioning Systems {formerly CF-iR-AIT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Skov, Keri
Company:
Signature Date:
Desert Air Conditioning Inc.
201407-17 17:20:52
Address:
CFA/ HERS Certification Identification (if applicable): •
590 Williams Road
~ f
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Dedaration statement
I certify the following under penalty of perjury, under the lays of the State of California:
I. The information provided on this Certificate of Compliance is true and correct.
2. 1 Bm eligible under Division 3 of the Business and Professions Code to acceptresponsibility. for the building design or system desigii identified on this Certificate of Cofnpl iance (responsible designer).
3. That the energy features and performance specifications, mateiiats, components, and manufactured devices for the building desigrior system design identified on this Certifi rate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regula tons.
4. The building design features or system design features identified on this Certificate af-Coinpliance are conslsterit with the infoitnationprovided `on otherappticable compliance documents, worksheets,
calculations, plans and specifications submitted to -the. enforcement agency for appraisal vri[h this building -permit application. -.
5, will ensure that a registered copy of tfils.[er:ificate aFcompliance shall be made available with tkie buildinf penult{s)Issued forthe building and made available to the enforcement agency forall applicable
inspections. I understand that a registered copybf this Certificate of Compliance is required to be Included with the documernati on the builder piavides to the building owner at occupancy.
Responsible Oesigner Name:
Responsible Designer Signature:«v�
Skov, Keri
Company:
Date Signed:
Desert Air Conditioning Inc.
2014-07-17 17:20:52
Address: _ _ - - _ _—. _ _ _ _ - - _
License,.. -
590 Williams Road
276586
City/State/Zip: -
Phone:
Palm Springs CA 92264
760-323-3383
Digitally signed by WCFRTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Providerresponsibility for the accuracy of the
information.
Registration Nurnber:214-AD058070A-40U000000-0000 Registration Date/Time. 2014-07-1717:20:52 HERS Provider: CaICERTS
. i
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: I014-03-31 Report Generated; 2014-07-17 17:23:07