BMCH2014-1139I
78-495 CAL•LE TAMPI: o
LA QUINtA, CALIFORNIA 92253
Tiat 44C1umrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:��
BMCH2O14-1139 ,
Property Address: 57381 SPANISH HILLS LN
APN:
762210012
Application Description:
Property Zoning:
Application Valuation:
A/C CHANGE -OUT FURNACE, CON D. CQIILr z ��
3R `
$6,281.00 a•"'�"'�, ���� V'
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
FRED HINES
8625 EVERGREEN WAY STE 200
EVERETT, WA 92253
Date: 11/7/2014
Applicant: Contractor:
PALM DESERT AIR CONDITIONING C DEC 15 2014 PALM DESERT AIR CONDITIONING
42-081 BEACON HILL 42-081 BEACON HILL
PALM DESERT, CA 92211 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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 374937
�te: /0?� �'/�/ 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 31
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
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.).
( 11, 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: J
1 VK
Lender's Address: ,"
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.
ate: /d - / 5�'�/�Applicant: -t/ — �.
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.
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 actor 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.
nature (Applicant or Agent): 1
I
FINANCIAL INFORMATION
�„ ,
€ DESCRIPTION r. r EE* + ACCOUNTS QTY:=
,rn PAID�DATE
AMOUNT :PAIDi,Y
x M
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY � s� METHOD a € „k ms RECEIP,,T # , CHECK # " CLTD BYE
x > . ; �,; : ,Ea
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
p DESCRIPTION gay, }
`: ACCOIINTb �:
' QTY
AMOUNT
PAID k �r a
PAID `DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
.iz: BY z
PAID f
METHODw.#'d1 .;
: RECEIPT # ° Erb
: ` CHECK #
BY
=:<
��
,
,CLTD
w
x_ DESCRIPTIONa,s�
ACCO zAsx:
UNTO a
:QTYINIOUNT`�rPAIDDATE
a`
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PA
'D "k
ETHOD
1•• r> f }
RECEIPT#
pp
V%;8.., #V
.
C,.L. T_, DA3BYIDY
„
,
MCHECK
Total Paid forCHANGEOUT: $60.43 $0.00
ACCOUNT
M
A
PAID'DATE'DESCRIPTION
, A-
y
c
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
?
PAID BY+
METHOD pg Xk. ' ' '
' ` gR #
CHECK # ,
k CLTD f3Y
. ,
.,9 : tfi
R' A.SXe PX _.X'e, E•'rS
, *RECEIPT
ted. -}:
..'..
Total Paid forPERMIT ISSUANCE: $91.85 ' $0.00
TOTALS:00
I
t—
Description: A/C CHANGE -OUT FURNACE, COND. COIL
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 11/7/2014 KHE
Approved: 11/7/2014 KHE
Parcel No: 762210012 Site Address: 57381 SPANISH HILLS LN LA QUINTA,CA 92253
Subdivision: TR 28603-1
Block: Lot: 12
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:.INSTALL NEW 16 SEER FURNACE, CONDENSER & COIL. NO DUCTS. 2013 CBC
...... a
�;,, ��,���� ,v;•,,. „h , • „ .� ,,: ADDITI{iN/1L SITE3
.' ::i
SHR •...,,n h,,,.
ONOLOGY
Printed: Friday, November 07, 2014 11:25:47 AM 1 of 2
SYSTEMS
Printed: Friday, November O7,014ll:25:47 AM 2nf2 '
LTD
j.
HVACCHANGEOUT-
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVACCHANGEOUT-
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.8S
$0.00
Total Paid for PERMIT ISSUANCE: $91.8s $0.00
Printed: Friday, November O7,014ll:25:47 AM 2nf2 '
CERTIFICATE OF COMPLIANCE CFiR ALT OZ -E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page i of 4 )
Project Name: 57-381 Spanish Hills Date Prepared: 2014-11-07
A. General Information
CFiR-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
S7-381 Spanish Hills
02
Date Prepared
2014-11-07
03
Project Location
57-381 Spanish Hills
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
57-381 Spanish Hills
07
Zip Code
92253
system a
Dwelling Unit Conditioned
i4o0
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system .
Number of space conditioning
entirety new
09
Climate Zone
is
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
1 03
04
05
06
07
09
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
ducted
containing
system .
more than 40
entirety new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
_ No
No
No
Altered space
—
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet.(Sectlon1S0.2(b)1Diib)
This section does not apply to this project.
- Registration Number: 214-A0134890A-000000000-0000 Registration Date/Time: 2014-11-07 09:31:02 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-07 09:12:22
Schema Version: 0.551SDD
Nov 07 2014 07:07PM AHP Testing & Design 760-772-4656 page 1
Birt. #
•.
City of La Quin ta
811#09 at Safety Divcsron
�.0. Box 1504, '78-495 Cafle Tampico
LA..Qtdnta, CA 92233 .:(760) 777-7012
Building Permit APPlicatlon and Tracking Sheet
Periltl
PnojectAddress: 57-381 Spanish Hills La Quinta, CA 92253 Owr=,s Name:. Fre d* Hines
A. P. Number. Address: 8625 Evergreen STE 200
Legal Descrq»ion: Residential City, ST, Zip: Everettt,'WA 98208'
Contractor. Palm Desert Air Conditioning Co. Telephotos: 425-359-2415
Address: 42-081 Beacon Hill projripa: HVAC system Change out.
City, ST, Trip: Palm Desert 92211. 16 SEER furnace, Condenser & Coil Replacement. No Ducts
Telephone: 760-346-0677
State Lie. # : 374937 C9ty Lie. k
At d , Engr., Designer:
Address:
City, ST, Zap:
Telephone: ConstmG;on11 11e:.Exist! ng Occupancy: Occupied
State Lic. #: ) C]r Deana
Project type (circle one): New Add'n Alter
Name of Contact Person: Robert Bachus Sq. FL: 1400 #Stories: 1 #Units: 1
Telephone # of Contact Person: 760-851=8648.: Bstimetod Value of Project: 6,281.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
tt
Submittal
Rena
Recd
TBACYnNG
PEBM[I'FEFS
Plan Set,
plan Cheek aabntlued
�' 1
z�
Amr+aQ�
Structural t11es.
Reviewed, ready for con'eedum
Yom a" Deposit
Hast Gus•
' Qued Contact Person
Plan Cheek Balance
Title 21 Gla
Plant picked vp
Caastracdoa
Flood plain plan
Plan resubmitted...
Mechatiteal
Grading plan
2" Review, ready for eorrectwn/tsaue
Uectrieal
SubcantacWr List
Called Ceatact Person
Plumbing
Grant Deed
Plaas picked up
S ALL
H.O.A- Approval
Plans resabmttted
Grading
IN QoUSE:-
1n° Bevlew; rveady for correctlonPrasae
Developer lmpatt Fee
Planning Approval.
Called Contact Person
A.I P.P.
Pub. Wks.Appr '
Date of permit issue
School Fees
Total Permit Fees
0
0
r`
C
Ol
V)
a)
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to'Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Paige 2 Of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)IE 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
ntral as
g
urnace
Lf
All new
heating
AFUE
0.78
Central split split
All new
. cooling
SEER
16
Setback
This field or
section is not
This field or
section is not
components
components
appllcable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are Installed in ducted systems, or when more than 40 ftof duct length is replaced.
-Leakage rate compliance: _5 15%, or <_ 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-2S-H & CF3R-MCH-2S-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -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 MCH -23, or Refrigerant Charge MECH-25.
Existing duct systems constructed, insulated or sealed with 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)1Diia and 150.2(b)IE, F)
This section does not apply to this project.
06
C
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a
Q
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N Registration Number: 214-AO13489OA-000000000-0000
0
0 CA Building Energy Efficiency Standards - 2013 Residential Compliance
z
Registration Date/Time: 2014-17-07 09:31:02
Report Version: 2014-03-31
Schema Version: 0.5515DD
HERS Provider: CaICERTS
Report Generated: 2014-11-07 09:12:22
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4
F. Entirely New or Complete Replacement Space Conditioning System (Section iSO.2(b)iC)
This section does not apply to this project.
d
O
N Registration Number: 214-AO13489OA-000000000-0000 Registration Date/Time: 2014-11-0709:31:02 HERS Provider: CaICERTS
r
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CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-07 09:12:22
0 Schema Version: 0.55150D
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to'Space Conditioning Systems (formerly CF -IR -ALT -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:
Bach us, Robert
I
Company:
Signature Date:
Advancing Home Performance, Inc.
2014-11-07 09:11:49
Address:
CEA/ HERS Certification Identification (if applicable):
74998 Country Club Drive.
CC20OS69S
City/State/Zip:
Phone:
Palm Desert CA 92260
760-851-8648
Responsible Person's Declaration statement
I certify the fallowing under penalty of perjury, under the lawn of the State of California:
1. The information provided on this Certificate of compliance is true and correct.
2. I 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 manufactured devices for the building design or system design identified on this Certificate of Compliance 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 Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) 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:
McCoy, William
Responsible Designer Signature:
Company:
Date Signed:
Palm Desert Air Conditioning Co
2014-11-07 09:31:02
Address:
License:
42-081 Beacon Hill
374937
City/State/Zip:
Phone:
Palm Desert CA 92211
760-346-0677
Q
r Digitally signed by CaICERTS.- This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
O a
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N - Registration Number: 214-A0134890A-000000000-0000
r
6 Registration Date/Time: 201417-07 09:31:02 HERS Provider: CaICERTS
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CA Building Energy Efficiency Standards - 2013. Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11-07 09:12:22
0 Schema Version: 0.5515DD