BMCH2015-007278-495'CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
4 4-QuIAZ
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0072
Property Address:
78920 LA PALMA DR
APN:
604161002
Application Description:
PERRY/REPLACE (1) 16SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Z o
Application Valuation:
$5,700.00
Applicant:
COMPRESSOR AIR CONDITIONING
AN
47892 PHOENIX ST
INDIO, CA 92201
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.: 957516
Date? S Contractor
t�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l 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 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. Q.
Lender's
Lender's
VOICE (760) 77777125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
tu
BRIAN PERRY
Lr -
78920 LA PALMA
o
Z o
LA QUINTA, CA 92253�„
a
0 w
d
0
�
U
Contractor:
C
COMPRESSOR AIR CONDITIONING I0
47892 PHOENIX ST
`-'
INDIO, CA 92201
(760)610-3118
Llc. No.: 957516
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�e work for which this permit is issued.
' 1~ 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.
Date: — L♦ 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. (�
r
Date: 3 � 15 Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
PAID PAID DATE
BSAS S81473 FEE 101-0000-20306 0 $1.00
$0.00
PAID BY METHOD RECEIPT # _
CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY'
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT -4
CHECK #
CLTD BY
Total Paid forPERM1T ISSUANCE: $91.85 $0.00
TOTALS:t • 00
Description: PERRY/REPLACE (1) 16SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype:' Status: UNDER REVIEW
Applied: 3/11/2015 SKH
Approved:
Parcel No: 604161002 Site Address: 78920 LA PALMA DR LA QUINTA,CA 92253
Subdivision: TR 23269 Block: Lot: 67
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,700.00 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 ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRES51
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
COMPRESSOR AIR CONDITIONING
AN
47892 PHOENIX ST
INDIO
CA
92201
(760)427-7661
CONTRACTOR
COMPRESSOR AIR CONDITIONING
AN
47892 PHOENIX ST
INDIO
CA
92201
(760)427-7661
OWNER
BRIAN PERRY
78920 LA PALMA
LA QUINTA
CA
92253
(760)427-7661
Printed: Wednesday, March 11, 2015 4:27:39 PM 1 of 2 ,
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKSNOTES
MECHANICAL FINAL"
CLTD
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
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:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKSNOTES
MECHANICAL FINAL"
PARENT PROJECTS
Printed: Wednesday, March 11, 2015 4:27:39 PM 2 of 2
' SY5TFMS
Bin #
city of LA Q uin to .
'Building 8i• Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
b Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: (` Ci
A. P. Number:
Address: e La MCI
Legal Description:
City, ST, Zip: &) U
Contractor:
lKQ
-telephone:
Address:2 P
Project Description: L
City, ST, Zip: dl U
Cl�-- C(Z-Lo
<�tL
Telephone: -16c) � 1c.9-3 I (S
1
State Lie. #.:
City Lie. #;
Arch., Engr., Designer:
0
Address:.
CO
4 VN
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter ep
Demo
State Lie. #:
;::%::>:.,:::<:>:<>.
::<:«:<.«:;:;>.>:<s::r:-c<
Name of Contact Person:
Sq. F[.: b1 t d 6 U
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Q •�--
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21eS.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2wd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
3" Review, ready for eorrectionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
i�
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Documentation Author Signature:
Leal, David
Company:
Signature Date:
COMPRESSOR AIR CONDITIONING AND HEATING
2015-03-11 11:07:17
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 1595
City/State/Zip:
Phone:
MECCA CA 92254
(760) 610-3118
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 ofthe 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 peafications, matenallslco'mpgonents?and manufactured devices for the budding design or sys!em design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part_6 of the Californian Code`-ff egulations.
4. The building design features or system design features identified Ton 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 approvral wiwith this building permit application r
rte. r
i+a��r�e�er�r -r : �r� r�aP2.-
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building perrmit(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 buildingowner at occupancy.
Responsible Designer Name: 1
Responsible Designer Signature:
Leal, David i
Company:
Date Signed:
COMPRESSOR AIR CONDITIONING AND HEATING
2015-03-11 11:07:17
Address:
License:
P O BOX 1595
957516
City/State/Zip:
Phone:
MECCA CA 92254 -
(760) 610-3118
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-A0066263A-000000000-0000 Registration Date/Time: • 2015-03-11 11:07:17 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-11 11:07:14
Schema Version: 0.555SDD
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)lE 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 Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
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: <_ 15%, or:5 10'Y 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 & CF3R-MCH-23 Air Flow 2 300 CFMAon required when 7M'7CH-25 is required.
Exceptions:, L' f�
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements` Q
Air Handler/Furnace do Air Flow MCH Refrigerant Charge MECH-25.
-Heating-only systems and changes not require verification of -23, _or
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirement )'
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, 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: 215-A0066263A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-03-11 11:07:17
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-03-11 11:07:14
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name:
78920 La Palma I Date Prepared:
2015-03-11
A. General Information
CF11R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
78920 La Palma
02
Date Prepared
2015-03-11
03
Project Location
78920 La Palma
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78920 La Palma
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
_ '" • "•`�'
`<*° „.e..
c ca
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
�f_
B. Space Conditioning (SC) System Information„
Ol
02
031
Jr 04�
'� Q6
—r,07,
"f " f08,"
J 09
10
NQS;;
-'•`'` `
Is the SCS `
, Installing as
_ '" • "•`�'
`<*° „.e..
c ca
SC System
SC System
CFA served
systema
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Whole house
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0066263A-000000000-0000
CA Building Energy Efficiency Standards- 2013 Residential Compliance
Registration Date/Time: 2015-03-11 11:07:17
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-03-11 11:07:14