BMCH2017-014578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0145
Property Address:
78302 TALKING ROCK TURN
APN:
770290014
Application Description:
LYON / HVAC CHANGE OUT - (1)21SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$11,664.00
Applicant:
8E
DESERT AIR CONDITIONING
INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
G f --
. 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 It
Date�L ' — �? 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).:
(1 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 Address:
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 k for which this permit is issued.
/� have and will maintain workers' compensation insurance, as required by
Section 700 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5008762
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.
Datf—` —') / — /? Applicant:O
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 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. - / .10
Date ` " ?/ —/7 Signature (Applicant or Agent)#—
i
Date: 4/21/2017
Owner:
DONNA LYON
ty
1406 N ASTOR ST
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CHICAGO, IL 92253
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Contractor:
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DESERT AIR CONDITIONING INC
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590 WILLIAMS ROAD
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PALM SPRINGS, CA 92264
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(760)323-3383
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Llc. No.: 276586
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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 k for which this permit is issued.
/� have and will maintain workers' compensation insurance, as required by
Section 700 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5008762
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.
Datf—` —') / — /? Applicant:O
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 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. - / .10
Date ` " ?/ —/7 Signature (Applicant or Agent)#—
i
Date: 4/21/2017
Application Number: BMCH2O17-0145
Owner:
Property Address: '78302 TALKING ROCK TURN
DONNA LYON
APN: 770290014
1406 N ASTOR ST
Application Description: LYON / HVAC CHANGE OUT - (1) 21SEER/83AFUE SPLIT SYSTEM
CHICAGO, IL 92253
Property Zoning:
Application Valuation: $11,664.00 '
Applicant: _
Contractor:
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD,
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)323-3383
---------------------------------------------------------------------------------------------
Llc. No.: 276586
Detail: HVAC CHANGE OUT- (1)21SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO,FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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HNANOAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE ` 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00'
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
r
stn.#
Cjtj/ Of is Quinta
Bonding 8i Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit •Application and Tracking Sheet
Permit #
ect Address: 78-302 TALKING ROCK TURN
Owner's Name:. DONNA LYON
FAA.. Number.
Address: 78-302 TALKING ROCK TURN
Legal Description:
City, ST, Zip: LA QUINTA, CA 92253
Contractor. DESERT AIR CONDITIONING, INC
Telephone: 312-255-1840
Address: 590 WILLIAMS RD
Project Description: INSTALL (1) SPLIT SYSTEMS
City, ST, Zip: PALM SPRINGS, CA 92262
`
Telephone: 760-323-3383
"_ :; '
State Lic. # : 276586
City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:�:�
State Lic. #:If, W17
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Candice Forsythe
Sq. Ft.:#Stories:
#Units:
Telephone # of Contact Person: 760-323-3383
Estimated Value of Project: $11,664.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT' FEES
Plan Sets
Plan Check submitted.
Item Amount
Strgctural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
214 Review, ready for correctionshssue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
ILOA. Approval
Plans resubmitted
Grading
1,1114 HOUSE-,
'^` Review; ready for eorrecdo'nulnue
Developer Impact Fee
Planning Approval.
Called Contact Person
Ad.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: 78-302 TALKING ROCK TURN Date Prepared: 2017-04-19
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
78-302 TALKING ROCK TURN
02'
Date Prepared
2017-04-19
03
Project Location
78-302 TALKING ROCK TURN
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78-302 TALKING ROCK TURN
.w �. r'R•.
.a1+r.. i I :R
+wwcti qtr^
}MM.
Dwelling Unit Conditioned
07
Zip Code
92253 ( l
j
08
Z
Floor Area (ft2)
7457
09
Climate Zone .`
__
15 r ` _ _
10
Number of Space
Conditioning (SC) Systems in
1
system a
refrigerant: -
r
Installing
this Dwelling Unit:
Installing
B. Space Conditioning (SC) System lnformat * Pn) I I I r::3 11 "1
�(
1 111 tlt(C
-
—
Ol
0203
04
05
06
07
08
09
10
�
A
M+}W�
.w �. r'R•.
.a1+r.. i I :R
+wwcti qtr^
}MM.
AIs the SC47
Installing a e
` n
%4 o V 1
C.0 V --
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
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1200
Yes
Yes
Yes
No
No '.
_
No
Altered space
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: 217-A020128124A-000-000-0000000-0000 Registration Date/Time: 2017-04-19 14:21:27 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 - • Report Generated: 2017-04-19 14:21:33
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3)
D: Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
5 02
03
04
05 ::
06
07 '1
08 .
09
10
11
12
,Heating
i
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;.
Component's':
Type.,
Value,=^
System Type
Components
.Typ'e
.Value
4 Type
Duct Length
R -Value
Central gas
All new
c .
Central split
All new
: •=
-
This field or
This field or
System'.1-
furnace
heating.
AFUE••..,,,,
81
AC
cooling
:SEER •
21"
Setback
section is not
section is not
components
components
; . .- -
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or'plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH=20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <=.15% or <= 10% leakage to outside,,or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >=,300 CFM per ton required when MCH -25 is required.
Exceptions: J - ,
Duct systems registered with HERS provider a p eviously sealed are exemp ro;_MCH-20 Duct Leakage Testingrequirements. �
Heating-only•systems and Air Handler Furnace changes do not require verification of Air Flow MCH'23, or Refrigerant Charge N1CH=25:
i6 � c� ' i i' }s.
Existing duct insulated or sealed with asbestos are exemp from MCH -20 Duct{Leakage Testing
systems constructed, quirements.
4k il•. ff 1t ft N\ II If it Af ]I 74 it
E..Entirely New or Complete Replacement Duct�System, withorwithout Equipment Chan geout.(Sections•150.2(b)1Diia;.and,150.2(b)lE, F)
This section does not apply to this project.
t
;F., Entirely:New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) °
t
t .
.:,",This section does not apply to this project.
i:J Registration:Number:217-A020128124A-000-000-0000000-0000.:
"CA Building'E-nergy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-04-19 14:21:27 HERS Provider: CalCERTS
Report Version: 2016.1.005 • �- ' - Report Generated: 2017-04-19 14:21:33
Schema Version: rev 10/16
,Documentation Author's Declaration Statement
1..1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: ' t r': r
Documentation Author Signature: r��/ % /��
Trefun, Michael
tc ae re un
Company: % '..
Signature Date:
Desert Air Conditioning Inc.
I
2017-04-19 14:21:27 -
Address: ", c £r - r : s r _: '• .s' : ,yn .. c
CEA/ HERS Certification Identification (if applicable):
590 Williams Road ?' : '
8275622
City/State/Zip:
Phone: t
Palm Springs CA 92264
760-323-3383 ! '
Responsible Person's Declaration statement\
I certify the following under penalty of perjury, under the law's of the State of California: {
1. The information provided on this Certificate of Compliance is true and correct. t
2. •. 1 am eligible under Division 3'of the Business and Professions� ode to 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 land Part6 of the California Code ofR egula ns. 1 p � '
The building design features or system design features on this Certificate of Compliance are consistent_with•the information provided on other applicable compliance documents, worksheets,
�.4. identified
calculations, plans and specifications submitted -to the enforcement agency for''approval with this building permrt application.
a to
�� .irK fir.« �� -,.
5:: 1 will ensure that a registered copy of this Certificateof Compliance shallYbe_made,ayailable with-th"e building: Permit(s).,issued for& building; and made 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 d cumentationT6 builder provides to the building owner at occupancy.
Responsible Designer Name: ' , ' , ~' rr w.. i w
•
Responsible Designer Signature: V V 1��^ �'
:+.. re n
�isae``T h
Trefun, Michael
, ,
Company:
Date Signed: '
Desert Air Conditioning lnc. 4".` ' - ' ..� ;_? •.
2017-04-19,14:21:27-
Address: ,
License:
590 Williams Road
276586
City/State/Zip: '
Phone:
Palm Springs CA 92264 ' r
760-323-3383
<r -y • < .:•y Digitally signed by CalCERTS. 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. '
!; Registeation Number: 217-A020128124A-000,000-0000000-0000 " 111 f "'Registration Date/Time: F •2017-04-19 14:21:27-= ='•fir^ ; HERS Provider: CaICERTS
=CA BuildineEnergy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 " •'' �'= 4' :'-" Report Generated: 2017-04-19 14:21:33
Schema Version: rev 10/16