BMCH2015-0323Applicant: 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
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.: 2765866
'
Dateori �o
r � _Contractor:
U
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
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.).
(_) 1, 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 N
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 ork f r which this permit is issued.
41t!?ave 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.
DateL'"—�I Applicant:
c
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.
Dater Z.— Signature (Applicant or Agent):
Ce
4 Qum&
VOICE (760) 777-7125
78-495 CALLE TAMPICO
0 D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEV LOPMENT DEPARTMENT
� INSPECTIONS (760) 777-7153
Q n BUI NG PERMIT
/
D
Date: 8/18/2015
Application Number:
BMCH2O15-0322015
0 2
Owner:
Property Address:
80345 CEDAR C , T
SEP
MICHAEL ELICH
APN:
Application Description:
762060006
ELICH /CHANGE U
ENT
Property Zoning:
COMMUNITY
DEVELOPNIF
Application Valuation:
$23,660.00
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
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.: 2765866
'
Dateori �o
r � _Contractor:
U
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
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.).
(_) 1, 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 N
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 ork f r which this permit is issued.
41t!?ave 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.
DateL'"—�I Applicant:
c
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.
Dater Z.— Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
PAID BY METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $217.56 $0.00
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•4•00
Description: ELICH / CHANGE OUT (2) 4TON SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/18/2015 SKH
Approved:
Parcel No: 762060006 Site Address: 80345 CEDAR CREST LA QUINTA,CA 92253
Subdivision: TR 28410-2 Block: Lot: 6
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $23,660.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (2)14SEER/78AFUE SPLIT SYSTEMS 12013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
r-°
DESCRIPTIONI ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I C T
BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, August 18, 2015 5:12:35 PM 1 of 2 CA?—W-
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS7
REMARKS DATE I
NOTES
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, August 18, 2015 5:12:35 PM 2 of 2
CN?WYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS7
REMARKS DATE I
NOTES
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, August 18, 2015 5:12:35 PM 2 of 2
CN?WYSTEMS
i
►ter of La Quina
Bundfng sr Safety Dlvhion
Permit #
P.O. Box 1504,78495 Cane Tampico
La,.Quinta, CA 92255 -:(760) 777-7012
Building Permit Apllcation'and Tracking Sheet
ProicaA.ddrrss:80345 CEDAR CREST DR.
t3wner'sName:.MIKE &SUE ELICH
A. P. Nimber.
Address: 80345 CEDAR CREST DR,
Legal Description;
City, ST, Zip; LA QUINTA, •CA 92253
Contractor. Desert Air Conditioning., Inc.
Telephone:
Address: 590 Willlams Rd.
Project Description: Replace two 4 tons Iii
City, ST, Zip: Palm Springs, CA 92264 •
systems on
ground Ilka for like.
I
Tclrphonc: 760-323-3383
�ffk-
StateLia #: 276586
City 63
-`
^i
Atrli., Bngr., Desigc = N/A
Address:
City, ST, Zip:
'
i
1
Toldphone:
Construction Type: Occupancy:
State Lic, 4:
, N
ProjeCttype (circle otta): Now Add'a Altcr Repair Demo
j
Name ofcontaixPerson• Keri Skov
Sq, pt ;
# Storits:
Univ:
Tel5bonc of Contact Porson: 760-323-3383
Iss#imnted Volueof Project: $23,660.00
j
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
ItogId
Rce'd
TRACJQNG
PERA1iy 1tdEt»9
Flan Sefs
PIan Cherk submitted
itc® .
Antoune
I
Struetura! Coley.
Rel iewed, ready for corrections
p IanCtcecltnep08it•
Tru98 talcs.
called Contact person
Plan Check Balanet
Title 24 Cake,
Piano picked tip
Canstruc-daff
floodplain plan
Plans revubailttrA
M.echatitcal
Grading pias
2' Review, rcady for correeliorwissue
Electrical
Subtontector List
Called CAntacrFersou
Plumbing
Grant Deed
1taas picked Up
S 11i L
H Q A Approve!
Plans resvbnattted
Grading
IlY I10[JSE1,
Review; ready for correctlokmIllsae
Developer Impact Fee
Plflnntng APProrsL
Called Contact Fmon
pub. Wks. Appr
byte of ptrmlt issue
Seho6l Fees
Tatal Pcrm9t Pees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
0111 -ALT -02-E
(Page 1 of 3 )
Project Name:
80345 CEDAR CREST DR.7 Date Prepared:
2015-08-18
A. General Information
CF1111-ALT-02 is applicable to multiple space conditioning systems contained
within a single dwelling unit. When multiple dwelling
documented, use one Cf1R-ALT-02 documentforeach dwelling unit.
units
must -be
01 Project. Name 80345 CEDAR CREST OR.
02 Date Prepared 2015-09-18
03 Project Location 80345 CEDAR CREST DR,
04 Building Type Single family
05 CA City La Quinta
06 Dwelling Unit Name 80345 CEDAR CREST DR.
07 Tip Code 92253
08 Dwelling Unit Conditioned
Floor Area (ft2) 2900
09 Climate Zone 15
Number of space conditioning
10 (SC) systems in this dwelling 2
unit.
B. Space Conditioning (SC) System information
01 02 03 04
09
•10
Is the SC Installing a
SC System SC System CFA served "'.`system a refrigerant
Identification or Location or Area by this SC ducted
Installing new SC Installing Instafling *Installing
containing
Name Served System (ft2) system? component?
system more than 40 entirely new entirely new
components? feet of ducts?' duct system? SC
system?
Alteration Type
System 1 OF 2 Location 1 OF 2 1600Yes Yes
Yes No _ No No
Altered space
conditioning system
System 2 OF 2 Location 2 OF 2 1600 Yes Yes
Yes No -No No
Altered space
conditioning system
C. Extension of Existing Duct System; Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to thls project.
Registration Number: 215-A6295741•A-000000000-0000
CA Building Energy Efficiency Standards- 2013 Residential Compliance
Registration Date/Time: 2015-08-18 16:13:35
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider. Ca10ERTS
Report Generated: 2015-08-18 16:13:34
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
D. Altered Space Conditioning System (Sections 150.2(b)3E and F)
01
02
03
04
05
06
07-
08
09
Heating
10
11
System
Identification
Heating
System
Altered
Heating .
Heating
Efficiency
Minimum
Effiaen cY
Gaoling
Altered
Cooling
Cooling
Minimum
Required
New or'
or Name
VP
Type
Components
Type
Value
System Type
Cooling
Components
Efficiency
Efficiency
Thermostat
Replaced
All new
Type
Value
Type
Oust Length
System 1 OF 2
Central pas
furnace
heating
AFUE
0.78
Central split
All new
cooling
SEER
This field or
components
-
AC.
components
14
Setback
section is not
System 2 OF 2
Central S as
All new
heating
g
AFUE
Central split
All new
applicable
furnace
components
0.78
AC
cooling
SEER
14
Setback
This field or
section is not
Reauired Documentation•
components
applicable
CF211-MCH-Dl-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for neer plenums- R6.
CF2R-MCH-2D-H & MR -MCH -20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duo length is replaced.
-Leakage rate compliance: <_ 15;u, or <_ 30% leakage to outside, or seal all accessible leaks,
CF2R-MCF{-25-H & MR -MCH -25-H Refrfgerant Charge Verification required wffeh refrigerant ioritainirjg components are instal
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow 2 300 CFM/ton required -when MCled or altered (applicable in CZ 2,
H-25 is required.
_Exceptions
Duo systems registered with HERS Providerpreviouslysealed are exem tfrvm MCH -20 Duct Leakage Teal
p p 8 ng requirements.
-Heating-only systems a nd Air Handier/Fumace cha nges do not require �,erifica.tlon of Air A ' ' N1CH 23, or Refrigerant Ctrarge M ECN-25,
Existigq duct s� stems constructed, insulated or sealed with asbestos are exempt from WN -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Chaneeout (Sections 250.2(b)1Dila and 150.2(b)IE, F)
t This section does not apply to this project.
I F. Entirely New or Complete Replacement Space Conditioning System (Section 150,2(b)1C) -
Registratfon Number: 215-A6295741A-00000000()-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
This section does not applyto this project.
Registration Date/rIme: 201- -08-18 16:93:35
Report Version: 2014-03-31
Schema Version: 0.5555DD
CF1R-ALT-02-E
(Page 2 of 3 )
12
New Duct
R-Va lue
This field or
section is not
applicable
This field or
section is not
applicable
HERS Provider: CaICERTS
Report Generated: 2015-08-18 16:13:34
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:
Dommentation.AuthOr Signature:
Skov, Keri
ULr/
Company:
Sfgnattire Date:
Desert Air Conditioning Inc.
2015-08-18 16:13:35
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
City/State/71p:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the lays of the State of Califlomia:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am elfgible under Division 3 of the Business and Professions Code to accept responsibifltyfor the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specdicatIons, materials, components, and manufactured devices for the building design or system design fdentifled on this Certificate of Compliance oanform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The buifdf ng design features or system design features identified on this Certificate of Compliance are consistent with the information provided ori other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the ewarcement.agency for approvafwitft this building permit application.
5. [ will ensure that a registered copy of this Certlfi tate.of.Complfance shall be made available whit the buiMinu peh-nits) issued for the building and made ava'iiabfe to the enforcement agency for all applicable
inspections. I understa nd that a regfstered copy of this Certificate of Compliance. is.requlrgd to be.included with the dowmen6tion the Molder provides to the building mvner at oc upancy.
Responsible Designer Name:
Skov, Keri
Responsible Designer Signature:
Company;
Date Signed:
Desert Air Conditioning Inc.
20.15-08-18 16:13:35
Address:
License:
590 Willlams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Dig@airy signed by Ca10ERM 7Trs digital signature is Kovided in oder to secure the cadent ofthis registered docLpia rt and in no tray implies Pp,?isiretfon Provnderresponsrbrlify for the accurxy ofthe iofwmatron.
- Registration Number: 215-A6295741A-400000000-ODDO Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential'Compliance Report Version: 2014-03-31
Schema Version: 0.5S5SDD
2015-08-18 16:.93:35 HERS Provider. CaICER75
Report Generated: 2015-08-13 16,13:34
sl>1.#
Ot Of Ld Quinta
Building 8L Safety Division
P.O. Box 1504,'78-49S Calle Tampico
4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
Project Address: 80345 CEDAR CREST DR.
Owner's Name: MIKE & SUE ELICH
A. P. Number.
Address: 80345 CEDAR CREST DR.
Legal Description:
City, ST, Zip: LA QUINTA,.CA 92253
Contractor: Desert Air Conditioning, Inc.'
Telephone: ` V
P : r
Address: 590 Williams Rd.
Project Description: Replace two 4 tonsplit s stems on
City, ST, Zip: Palm Springs, CA 92264.
ground like for like.
71
Telephone: 760-323-3383
-_ _'
s
State Lic. #: 276586 City Lie. #, 363
Arch., Engr., Designer. N/A
Address:
City., ST, Zip:
Telephone: Y '�
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : #Stories: #Unit$:
State Lie. #: :''"n ''. ,
Name of Contact Person: Keri Skov
Telephone # of Contact Person: 760-323=3383
Estimated value of project: $23,660.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
H
Submittal
Req,d
Reed
TRACMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance _
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechaelcal
Grading plan
tad Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SILL
H.O.A. Approval
Plans resubmitted
Grading
M HOUSE-.-
'"' Review; ready for correctionslissue
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 CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: 80345 CEDAR CREST DR. I Date Prepared: 2015-08-18
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
80345 CEDAR CREST DR.
02
Date Prepared
2015-08-18
03
Project Location
80345 CEDAR CREST DR.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
80345 CEDAR CREST DR.
07
Zip Code
92253
08
Dwelling Unit Conditioned
2900
Installing
1 sn tailing
Installing
Floor Area (ft2)
Location or Area
by this SC
`ducted
_�
containing
system •
Number of space conditioning
ent ri ely a
09
Climate Zone
15
10
(SC) systems in this dwelling
2
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03 ..
` 04',�
>;�:j ,OS \
�06} n``
} } 07
08 }
09
30
Its the k—
� {Installing a`'
1 ' "`� " `''
`' ~"�~ Y
SC System
SC System
CFA served
\system
refrigerant
Installing new SC
Installing
1 sn tailing
Installing
Identification or
Location or Area
by this SC
`ducted
_�
containing
system •
more than 40
ent ri ely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1 OF 2
Location 1 OF 2
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2 OF 2
Location 2 OF 2
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this project.
�• Registration Number: 215-A6295741A-000000000-0000 Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-08-18 16:13:35
HERS Provider: CalCERTS
Report Generated: 2015-08-18 16:13:34
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 1S0.2(b)lE and F)
01
02
03
04
05
06
07-
08
09
10
it
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
All new
All new
This field or
This field or
System 1 OF 2
Central gas
heating
AFUE
0.78
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
All new
All new
This field or
This field or
System 2 OF 2
Central gas
heating
AFUE
0.78
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -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%, ors 10% leakage to outside, or seal all accessible leaks.1115 -" 1 F_Ji nl `
I l �_Jr `4 1
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigeran ontaining components are installed or altered (applicable in CZ 21 8-15).
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow z 300 CFM/ton required when M64-25 is required
Exceptions: LQ l _ U a 0
-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. y
~•✓
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCHr20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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.
'r Registration Number: 215-A6295741A-000000000-0000
Registration Date/Time: 2015-08-18 16:13:35 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-18 16:13:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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:
Documentation Author Signature:
Skov, Keri
Company:
Signature Date:
Desert Air Conditioning Inc.
2015-08-18 16:13:35
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
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 of Title 24, Part 1 and Part 6 of the California Code of Regulation
w�
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 enforcemeni agency for'approval,with this building permit application.
i � �ilable
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for.the building, and ad av 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: 1 v
Responsible Designer Signature: V
Skov, Keri
K
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-08-18 16:13:35
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
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-A6295741A-000000000-0000 Registration Date/Time: 2015-08-18 16:13:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-18 16:13:34
Schema Version: 0.555SDD
TRANSMISSION VERIFICATION REPORT
TIME 08/18/2015 04:23
NAME
FAX
TEL
SER.# U63315F3J427458
DATE DIME
08/18 04:21
FAX N0./NAME
17607777011
DURATION
00:01:23
PAGE{S}
05
RESULT
OK
MODE
STANDARD
ECM
.r
r
Q
s rweyj rrw caadc9y vaory g4w ,m
REQUEST FOR PERMIT
To: Philip Juarez
Email: pjuarez,la-quaxxta.org
Phone Number: 760-7777050
Fax Number: 760-777-7011
Date: 8/18/2015
Pages: 5
Re: Permit application — 80345 CEDAR CREST DR.
Notes/ Comments:
ReWace two 4 ton snlit systems an orrn„rid i,kP fuer
0
Sarvrrvj !ka caatncaa l'ufGry Vn a 195
REQUEST FOR. PERMIT
To: Philip Juarez
Email: pivarez@la-quinta.org
Phone Number: 760-777-7050
Fax Number: 760-777-7011
Date: 8/18/2015
Pages:5 -
Re: Permit application = 80345 CEDAR CREST DR.
Notes/ Comments:
Replace two 4 ton split.systems on ground like for
like.
Thank You,
Keri Skov