BMCH2015-0123_IC 4
QUM&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253`, COMMUNITY DEVELOPMENT DEPARTMENT
s
BUILDING PERMIT
.fes
Application Number: BMCH2O15-0113
Property Address: 57365 SPANISH HILLS LN
APN: 762210013
Application Description: CORBETT/REPLACE (1) 16SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $6,281.00
Applicant: `\
PALM DESERT AIR CONDITIONING C
42-081 BEACON HILL
PALM DESERT, CA 92211
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/13/2015
Owner:
WILLIAM CORBETT
57365 SPANISH HILLS LN
LA QUINTA, CA 92253
Contractor:
PALM DESERT AIR CONDITIONING C
42-081 BEACON HILL
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
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.
JL 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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
Date: 1 Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
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 N
Lender's Address:
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: Signature (Applicant or Agent)
CERTIFICATE OF COMPLIANCE ; CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 57365 Spanish Hills Ln, Data Prepared: 2015-04-07
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.
OS
Prolan Name 57365 Spanish Hills Ln.
02
Date Prepared
2015-04-07
Ota
Project Location 57365 Spanish Hills Ln.
04-
Building Type
Single family
OS
CA City La Quinta
06
Dwelling UnItName
57365 Spanish H ills Ln. '
07
Zip Code 92253
08
Dwelling Unit Conditioned
245D
CFAserved
systema
refrigerant
Floor Area (ft2)
Installing
Installing
Installing
Number of space tondkioning
Location a Area
09
Climate Zone7-`5
10
(SC) systems In this dwelling'
i
entirely new
entirely new
unit.
Served
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
as
.09
10
Is the Sc
Installinga'
'SCSystem '
SC System
CFAserved
systema
refrigerant
Installing mew SC
Installing
Installing
Installing
identification or
Location a Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
Systam(ft2)
system?
component?
components?
feet of ducts?
ductsyitem?
SC system?
Alteration Type
System.1
Main
2450
Yes
Yes
Yes
No
No
No'
Altered space ,
.
conditioning system
C. Extenslon of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1DiIb)
This section does not apply to this project.
Registration Number: 215-A0090026A-000000000-0000 Registration Date/Time: 2015.04-07 1158:36. HERS Provider: CaICERTS
CA Building'Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-07 11:58:44
Schema Version: 0.S55SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E.
.Alterations to Space CondltlonIng Systems (formerly CP -1R -ALT -HVAC) (page 2 of 3 )
D. Altered Space Conditioning System (Sectlons 150.2(b)1E and F)
01
02
03
D4
05
06
07
08
09
10
11
12
Hooting
Cooling
System
Heating
Altered
Heating •
Minimum
Altered
Cooling
Minimum
. Required
New or
identification
System
Heating
Efficiency
Efficiency
Coding,
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type'
Value
Type
Duct Length
R -Value
1
Yds
Central Fumare
All new
heat
AF UE
0.78
Central spliting
All new
coding,
SEER
16
Setback
Less than or
Systam
equal to 40
-R-8
components
AC
components
feet
.
Bpyulred Oocumentedon:
[F2R•MCH•OS-E-Space Conditioning Systems Ducts and Fens
-Duct Insulation requirement for naw plenums: R6. ..
CFZR-MCH•20-H 4 MR -MCH -20-H — Duct Leakage testing required when heating or cooling components are Installed in ducted systems, or when mora than 40 tt *(duct length a replaced.
-Leakage rare compliance: % IS%, ar S 10% leakage to outside, orseal all accessible leaks.
CFZR-MCH•25-H & CF3R•MCH•25-H Refrigerant Charge Verification requlred'when refrigerant containing components are Installed or altered (applinble In Q 2, 845)..
CF KOR-MCH-23 a CHR -MCH -23 Air Flow.a 300 CFM/ton required when MCH -25 is raqulrad.
Excobtlont•._
•Ouct 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 MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed• insulated or sealed wtth asbestos are exempt from MCH -20 Duct Leakage Testing requirements,
-
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2)b)1Dlla and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space -Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 215-A0o90026A-000000000-0000 Registration Date/Time: 2015-04-07 11:58:35 HERS_Provider. CaIGERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014.03.31 Report Generated: 2015-04-07 11:58:44 '
Schema Version:0.S555DD
Apr .11 2015 10:48PM AHP Testing 760-772-4656 page 4
i
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R•A17T-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:
McCoy, William
Documentation Author Signature: '
�G"fIIr1Y/
Company: _
Signature Date:
Palm Desert Air Conditioning Co
2015-0407 11:58:35
Address:
CEA/ HERS Certification ldemificaticn:H applicable):
42-081 Beacon Hill
Ctry/Stats/Zil: _
Phone:
Palm Desert CA 92211
760.346-0677
Responsible Person's Declaration. statement
I Cenify the fallowing under penalty of perjury, u nder the laws of the State of Callfom la:
1. , The Information provided on this Certillcats of Compliance Is true and comect.
2. 1 am eligible under DNbion 3 of the Business and Professions Code to accept respons bllhv for the building design or system design identified an this Certin"To of Compliance (responsible designer).
3. That the anetgy features and per'ormance speciRcatlonr, materials, components,'and manufactured davkas for the building design or system design identified on this•Cortifiote of Compliance conform to the
requirements of Title 24, pen 1 and part 6 of the California Code of Regulations - '
4. The building design features or iystem design features identified on this Certificate of Compliance are Consinerttwlth the Infornlatlon provided on other applicable compliance documents, worksheets,
alculatioro, plans and specifications submitted to the enforcement agency for approval with this building permit a pplicatbn. `
51 1 will ensure that a registered copy of this Cactifimte of Compllance shall be made swallablo with the bulldhg permltis) issued far the building, and made available to the enforcement agency for all applicable
Inspections. I understand that a reyistmd copy of this Csrtlflcate of Compliance is required to be included with the documentation the builder provides to the bu ild'ng owner at oeiipancy.
Rasponsible Designer Name: ' '
McCoy, William
Responsible Designer Sladaturs:
�Glliteal'i
Company: -
.Date Signed:
Palm Desert Air Conditioning Co
2015-0407 11:5835
Address; , - • ,license:
-
42-081 Beacon Hill
374937
CIN/Stale/Zip:
Phone:
Palm Desert CA 92211 t
760-346-0677
Dig/t"Y aignadby Ca1MTS. Th/sc digital.siynatune /e provided in order to cvcwv du content of We regia teied documehc and in no wryimpRm Rey/,tratim Piovider reopens "hy for the aocmcyof the infomwEion
Registratlon Number: 215-A0090026A-000000000-0000 Registration Date[Time:' 2015-04-07 11:58:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report version: 2014-03-31 Report Generated: 2015-01-07 11:58:44
Schema Version:0.555SDD 1
DESCRIPTION,' •,, a
FINANCIAL •• •
h
:,ACCOUNT.. F,` ti f : � »QTY AMOUNT Tt PAID,_
PAID DATE
BSAS SB1473 FEE ,
101-0000-20306
0 $1.00 $0.00
PAID BY, ". F •
fi 4�` •METHOD - '
w :RECEIPT,# _ + •CHECK # `
' CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTIONr•-• ' `
�'",+�€ ACCOUNT z
QTY••
;AMOUNT.';
' ' " = PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM " '
101=0000-42402
0
$72.52
$0.00
,PAID BYN
f ; s .METHOD `^r. ♦r,..,:
RECEIPT?# '_ " '
Y .
s. -
„CHECK # ' i,
CLTD BY
♦• :, , uDESCRIPTION
'" " ACCO UNT
QTY^
_ -
' Y.' :AMOUNT-
v
'PAID '_ :.PAID
DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26•
$0.00 .
PAID BY .• 1
ETHOD
;; RECEIPT #. `
3 ''CHECK # r, ';
,CLTD BY
Total Paid forCHANGEOUT: $108.78' $0.00
DESCRIPTION r7;: �''' *i
•:ACCOUNT :. �`
"QTY
'AMOUNT `
'°' 'j •PAID `
PAID DATE
PERMIT ISSUANCE - ,'-
101-0000-42404
0 -
$91.85
$0.00
PAID BY y ''
.'.METHOD
= y RECEIPT #
•CHECK #
CLTD BY
• Total Paid for PERMIT ISSUANCE: " $91.85 $0.00
TOTALS:i 00
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a
'F
Description: CORBETT/REPLACE (1) 16SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/13/2015 SKH
Approved:
Parcel No: 762210013 Site Address: 57365 SPANISH HILLS LN LA QUINTA,CA 92253
Subdivision: TR 28603-1 Block: Lot: 13
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,281.00 Occupancy Type: Construction Type:
Expired: -
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
1-1 1 . . . _. 1 1- 1, 1, . 4 , - - I . ; - -, .1 1 1 1 ., I I I � - . I , I
-4 CLTD
DESCRIPTION r ' 'ACCOUNT QTY 'AMOUNT '_za PAID a`x PAID DATE` .RECEIPT# CHECK#,. METHOD PAID BY.,`, BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Monday, April 13, 2015 11:50:43 AM 1 of 2 CB?
SYSTEMS
DDESCRIPTION,
ACCOUNT „' +
" QTY
AMOUNT
f. a
: ' PAID
PAID DATE :
RECEIPT #'
CHECK # '
METHOD
,.�.,
PAID BY __ r,
CLTD'
*8 Y
y
HVAC CHANGEOUT.-
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
, HVAC CHANGEOUT -
101-0000-42600 -
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid-forCHANGEOUT: $108.78 :$0.00 - _r
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:" $91.85 $0.00
TOTALS:• • ••
~SEQID, INSPECTION,TYPE ah ,INSPECTOR, c SCHEDULED COMPLETED-[ f'RESULT REMARKS` NOTES ,.
l -
'� '' f" _` � } µ;�: - •�: - DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
Apr 11 2015 10:48PM AHP Testing 760-772-4656
wmccoy@palmdesertac.com.
page 1.
kn.i�
QI� Off' . a QU111ta
HulfQlr>,o er Safety Divtrlon
P.O. Box f SO4,•78-49S Calle iamplte
La.Qublta, CA 92253 -:(760) 7777012
Building Permit'Application and Tracldng Sheet
Permit
O{Addtrss
Owner's Name:. ' a/
A. P. Number.
Address: 4-1 W11 ,51 WK
legal Description:
Contractor: Palm Desert Air Conditioning Co.
City, ST. zip: l "a
Telephone;
Address: 42-081 Beacon Hill
PtnjectDcscrhptWn: HVAC system change out.
City, ST, Zip: Palm Desert 92211 .
Telephone,: 760-346-0677
State Mr. # : 374937 CityLic. #.
Arch, Engr., Designer
Address:
City., ST, Zp:
Te:16pb°°° Cor>StrucdonType, Existing . oocupsacy. Occupied
Steffe Lic. #: Project type (circle one): New Add'n . Alger Repair Dano
Nemo of Contact Person: Robert Bachus Sq. FL: 1400 Stonex 1 # Unita: 1
Telephone # of contact Person: 760-851=8648
Estimated Valise of Project: 6,281.00
APPLICANT: DO NOT WRLTE BELOW THIS LINE
a
So6mitta!
Etcqld
Recd TBACICYIVG
PERMITFEES-
Plpn Sets
Plan C'heclr sabmitud•
Amon"
Structural Cites.
RevleWtd, ready for cos-ftedo*ae
Pian Check Deposit,
Tress Calcs.
Called Coutacl Person
Pian Cbeck Balance
MUe24 Calci.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted '
Metha�k�1
Goading plan
2" Review, ready for correcdoeslisaue
Electrical
Sabcoatietw List
Called Contact Person
Plumbing
Grant Deed
I Pians picked up
S.bLL
11.01AL Approval
Plans resOmitted
Grading
Fi0liS8t•
'"' ReyicK; ready for earreetions UNC
D eveloper Iopatt Fee
Planning Approval.
Caned ContaetPerson
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Tool Permit Fees