BMCH2015-032678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
I
4 :aw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0326
Property Address:
79958 N PARKWAY ESPLANADE
APN:
609630003
Application Description:
DEWEY DONALD REPLACE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
PALOMA AIR CONDITIONING
P 0 BOX 3501
PALM DESERT, CA 92261
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.: 619091
Date: 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).:
(� 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 buildor improve for the purpose of sale.). .
(_J 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 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/20/2015
Owner:
DONALD DEWEY
79958 N PARKWAY ESPLANADE
LA QUINTA, CA 92253
Contractor:
PALOMA AIR CONDITIONING
P 0 BOX 3501
PALM DESERT, CA 92261
(760)347=1212
LIC. No.: 619091
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjuryone 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 polity 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 WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the,Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result.of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any._permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
E'-y,(�ss ., v..� C>.5''s. ""c`. . .,,...-...z'<<--: nip Yc^t: :i.:.-'"':r:4;��<*. �iTr.:�
,� ah P _ +{DESCRIPgTION°� ., ACCOUNT' QTY�AMOUNTv.YP.AIDpPAIQFDATE
L
.. <, .. T
': kiss L.-$'-PSC.« r< is.ESk".;4; Y'S<..T`,3;s'duC 2:m'*:=
BSAS 5614731FEE 101-00d.. ,
0' <. $1.00 $0.00
4 rvkx :P .;.`r,�Sa0.u"+nc,.'. '""5.;..:'p3.E!,
?��, c=yP,AID'BY " .� aW. Y 'METHOD
�§5'"":.`'R'@..'.r.._�- ::`�..,.Rst fa-z-"r w'r�,. r`
..
RECEIPT # ,E ynnCHECK�#� CL�TD'BY.
�"rh,2 :s�"„':.k,,?s. ,bx.r.=a. �t>...':.v..:?a!t,:.htirx°,''<[6L.:u:.4;;.;:�E:.r:'¢::s'@'7z,_.
Total Paid forBUILDING STANDARMADMINISTRATION BSA _ $1.00 $0.00
'-` _& = :YL:� X:Y .:- h.�` °Y`.�'{;. " S?iZ>$ �:'11W �.
z
�� DESCRIPTIONa +
��:.>
E', •' t"'S : -.. , s"s�$
ACCQ.UNT� .'QTY_
MA �-rx4i.:'.:.H'•.`x_E<�"t�'xx'YR,:
"�'AMOUNTs
+'.:ua:'
PAID99� ,
PAIDDATE*
HVAC CHANGEOUT - SPLIT-SYSTEM,
101=0000=42402;0
_
$72.52•
$0.00
>i XF ':, tF '.4�Xt` .Ji � �Y4R r,
S. P,AIDxBY �: § ��"
a-M'F�.'uVN�:>':W'xµ.'��e6'.$et9°s�-C.'X?avc3y
Y >a: Siv ..
5 �METk10D
<:«.Fvt.,'aAC€.{i'[KP ?'
e i e
. RECEIPT #y�
L�Y:ay.`t
CHECK #
-k
:.§"'
CLTD BY
..§§��
', a3 t <n:.: 3;. Y$�£ `.?SR"A'S ". '.' .'r tf .':@ •e;; -V.
@ T r "DESCRIPTION v
gaga
M $*'�
$.-..{ K"#e"-.]?:
`ACCOUNT
•- rJ�<i.�.�$`+`.�x. 5"•Y6e�� � e"q.
-49".
�.-c�!� '4i¢x,�1.1T..a.4 ?k . R3"�
F
iY` � �� '3i
AAE
HVAC CHANGEOUT - SPLIT-SYSTEM:PC
10170000-42600
.0`
.-$3.616.-
$0.00
.-..'.w y+„'!-S.`3,... �• .�.,**aC,'-3x.
��� �M�H0D
'4-x§ ?';
:
�
RECEI.P�T #
'-yhkaazo°^ti3e'.2ttmPrfn.:�:,�...b
g'vhrka*��`Pt:;'
CHECK # f
WIN
: �H."-i..{k�l.iw.r3N'.
�CLTD BYy
Total'Paid.fdrCHANGEOUT: . $108.78- { $0.00
3Ya�,�:'s' �
SCRIPTION�� ��_ACC,04 1 EMOUNT:
'.:�' fF' ��x' t �:.&1 :,1 7 '$i d` "�•.r sy,'.." ..
I .ai,'i
' TY-`AMOUNT
:.. u $
'js�'PAIDf '
PAIDTE
.PERMIT ISSUANCE
'.101.0000-42404'
0
$91:85
$0.00,
`
'I-4""i`":.� ''•'[k%-�"P:@'# kF?E
.. .6" 3 Pxii'?L`[:3n'i:�Mr.%x§."[£.Xx.-. @.k
I`.kSYRECEIP7
�' :.'<:,?:Faas r-'s?. v. ,'P.:= .k: '. 'e .`,fit.;
. ,Yx C�tGs.4k�i.?i:i@;.'+- Z
.° GIi ECK# :s'CLTDBY-
Cs»O�:�k k '+z.'E:n n.aa %::.
.
c. fiwc >:.-...�.
Total PaidforPERMITASSUANCE $9P1 85 .$0.00
•. x ::: �. :n'•f.; .1 M ..(_:' .. f.. A...Uk t.wM1.:H St4 .,.. nl ::. x.,.l :_.: ,4-'
Description: DEWEY DONAL6 REPLACE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/20/201SPJU
Approved:. •: .
Parcel No: 609636003 Site Address: 79958 N PARKWAY ESPLANADELA QUINTA,CA 92253
Subdivision: TR 29323-4 Block: Lot: 3
Issued:
Lot Sq Ft:.O Building Sq Ft; 0 Zoning:
Finaled:
Valuation: $7,000.00 Occupancy Type: ..Construction Type:
Expired: _
No. Buildings:.O No. Stories:.0 No. Unifes:.0 .
Details: CENTRAL<SPGIT 13 Ski ER'4`;TON SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION
2013 CALIFORNIA BUILDING CODE&.`INFORMATION P-ER'APPLICANT..
APP,LICdNT . PALOMA AIR CONDITIONING P.O.BOX 3501 PALM, DESERT CA 92261 (414)704.;1:987
CONTRACTOR: PALOMA AIR CONDITIONING P O 60X'3501 PAL151 DESERT CA 92261 (414)704=1987 - -
< ..
OWNER . DONALD DEWEY 79958N PARKWAY: LA QUINTA CA 92253 (414)7041-1987
ESPLANADE .
BSAS SB1473 FEE 101-000040306 0' $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Thursday, August 20, 2015 10:52:54 AM 1 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY
BY
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
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
Printed: Thursday, August 20, 2015 10:52:54 AM 2 of 2 C
SYS7EAAS
Bin #
City of - La Quin to
Building 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 #
Project Address: lC L
Owner's Name:
DIP�(Q
A. P. Number: q30'— v
Address: CJ 00 1L u/ /l
Legal Description:
City, ST, Zip: \ `
Contractor:-
J�
Telephone: I Ll
Address: —. 1/.,0 r
Project .Description:
City, ST, Zip:
Telephone: 7 6 a. 3 �° z
C i S' l.�
State Lie. # : City Lie. #•:
N
Arch., Engr., Designer:
\
Address:
City., ST, Zip:
Telephone: e one:
P
Construction s on TYP e• cc anc
Occupancy:
P Y:
State Lie. #
Project nPa (circle la ne)• New. Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
P
Estimated Value of Project:
APPLICANT: DO' NOT WRITE BELOW THIS LINE
If
Submittal
Req'd
Recd
TRACKING
PERMIT PEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact. Person.
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
�#�=F:
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
Central gas
No heating
This field or
This field or
Central split
Outdoor
Less than or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
.13
Setback
equal to 40
R-8
altered
applicable
applicable
unit
feet
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 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 5 30% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed.or altered (applicable in CZ 2, 8-15).
CF2RCF3R<MCH-23 & CF311-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 Refngerant;Chage MECH-25
Existing duct systems constructed, insulated or sealed with asbestos:are exempt.from MCH 2O Duef.Leakage Test'4 requireements.
E. Entirely New or Complete Replacement Duct System, with or without°Equipment Changeout (Sections 1S0.2(b)1'Diia-and 150.2(b)3E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 2,15-A6296248A-000000000-0000
Registration Date/Time
2015-08-19 08:15:17
HERS Provider: CalCERTS
CA Building.Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 08:15:17
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -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:
Paredes, Herman
Documentation Author Signature:
Company:
Signature Date:
PALOMA AIR CONDITIONING
2015-08-19 08:15:17
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 3501
City/State/Zip:
Phone:
PALM DESERT CA 92261
(760) 347-1212
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 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 Title 24, Part 1 Part -Ca .
of and 6 of the lifornia Code of Regulations.
4. The building design features or system design features identified or! this Certificate of Compliance are consistent with the information.provided ori other applicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementlagency for, approvalwith this building permit application.I.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall�be:made^available wiih,th'e building permit(s) issued for the building, and made avallable4o.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,docunientation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Paredes, Herman
Responsible Designer Signature:
Company:
Date Signed:
PALOMA AIR CONDITIONING
2015-08-19'08:15:17
Address:
License:
P O BOX 3501
619091
City/State/Zip:
Phone:
PALM DESERT CA 92261
(760) 347-1212
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6296248A-000000000-0000 Registration Date/Time: 2015-08-19 08:15:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 08:15:17
Schema Version: 0.555SDD