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BMCH2014-11456✓ O - 78-495 CALLE TAI�IPIC LA QUINTA, CALIFORNIA 92253 Applicant: DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS, CA 92264 Tiht 4 4� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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. Lice se Class: License No.: 276586 Date: ontractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/19/2014 Owner: Carrier: _ Policy Number: _ _Applicationit ugrn er. BMCH2O14�1145 1 Property Address: 55325 WINGED FOOT APN: 775182044. Application Description: HVAC CHANGE -OUT Property Zoning: GM�� Application Valuation: $7,856.00 Applicant: DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS, CA 92264 Tiht 4 4� Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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. Lice se Class: License No.: 276586 Date: ontractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/19/2014 Owner: Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State SCOTT GIAMBRL NO License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' 55325 WINGED FOOT compensation laws of California, and agree tat, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a LA QUINTA, CA 52253 signed statement that he or she is licensed pursuant to the provisions of the GM�� 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 ate: plicant: *p z CD rn permit subjects the applicant to a civil penalty of not more'than five hundred dollars o� C D Contractor: M O 61=DESERT ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF AIR CONDITIONING IN r m (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not 590 WILLIAMS ROADo apply to an owner of property who builds or improves thereon, and who does the work 0 0 PALM SPRINGS, `A 92264 n are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to ,he Building Official for a permit subject to M the conditions and restrictions set forth on t-iis application. (760)323-3383 ~ == Llc. No.: 276586• to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the ovrier, and the applicant, each agrees to, and 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 perfcrmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 1 certify that in the performance cf the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree tat, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 ate: plicant: *p basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo a permit subjects the applicant to a civil penalty of not more'than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to ,he Building Official for a permit subject to within one year•of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on t-iis application. lie or she did not build or improve for the purpose of sale.). 1. Each person upon Whose behalf this application is made,.each person at whose () I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is perfo -med under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the ovrier, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related tc the work being performed under or the Contractors' State License Law.). following issuance•of this permit. (� I am exempt under Sec. BAP.C. for this reason 2. Any permit issued as a result of this application becomes null and voidif 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 can.ellation. 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: .1 Lender's Address: R' 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 oedinances 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: Xnature (•Applica t or Agent): FINANCIAL INFORMATION ¢' DESCRIPTION:SP` fa A000UNT AMOUNT PAID = `PAID DATE Mllk CITY 4 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID :BY xr1 41 #$ ` METHOD c h, RECEIPT # ° XHfECK i > E x : >,. � Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00• $0.00 y`• € cY. YL. '4 �'i.. .E S+ � ' R vF 'S'.;.gu x. � xQTYm � .v62 '�.' tPAll) 3 'C5„A -" iyi� �j �+ { i -y PAID DATE ; A.A000WNT .. , � F { HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY s 17 METHOD ` :RECEIPT#'w .a CLTD BYE 3 a£`:.�`"`s:. .._ . .-.: .. , EzCHECK#"� E . .as P:� �DESC TION ACCOUNTS QTYAMOUNTPAID{{^« t ^w;s r 3 ,PAID'DATE: HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 �40. as PAID BY *{ f x f MET1 OD RECEIPT # CHECK # .. CLTD BYE 2.2 g r E Total Paid forCHANGEOUT: $108.78 $0.00 � ibESCRIPTION`s AMOUNTJ PAID DATEACCOUN !PAID - PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY>� g sy ` Es h<,�'"��METHOD � `;.RECEIPT q,�CHECK # `_ CLTD BY'' > # Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 r l " E Description: HVAC CHANGE -OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 11/19/2014 KHE Approved: Parcel No: 775182044 Site Address: 55325 WINGED FOOT LA QUINTA,CA 92253 Subdivision: TR 25500-2 Block: Lot: 2 Issued: ` Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,856.00 Occupancy Type: Construction Type: Expired: No. Building's:'6 No: Stories: 0 No. Unites: 0, NAME TYPE :NAME: -ADDRE551'P, Details: REPLACE 13 SEER 5 TON SPLIT SYSTEM AT GROUND LEVEL: 2013 CODES ADDITIONAL SITES Printed: Wednesday, November 19, 2014 3:56:08 PM 1 of 2 , Cff?w'1yST[MS'_ 'CHRONOLOGY CONDITIONS CONTACTS NAME TYPE :NAME: -ADDRE551'P, CITY STATE `' ZIP `_ PHONE =r FAX. EMAIL , ,. APPLICANT DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS CA 92264 CONTRACTOR DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS CA 92264 ' OWNER SCOTT GIAMBRUNO 55325 WINGED FOOT LA QUINTA CA 92253 Printed: Wednesday, November 19, 2014 3:56:08 PM 1 of 2 , Cff?w'1yST[MS'_ . PARENT PROJECTS ' EW TYPE '~ ' ' . . . . . . . SENT BOND INFORMATION ' Printed: Wednesday, November 19,Z014]�6�DPKx ' ' 2n�2 OpwsYSTEMS ' ^ . QTY Al DAT -RECEIPT,# BY HVACCHANGEOUT- 101-0000-42402 0 $72.52 $0.00 SPLIT-SYSTEM HVACCHANGEOUT- 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: $201.63 . PARENT PROJECTS ' EW TYPE '~ ' ' . . . . . . . SENT BOND INFORMATION ' Printed: Wednesday, November 19,Z014]�6�DPKx ' ' 2n�2 OpwsYSTEMS ' ^ . 8fq# City. Of Qu>,nta i I i • � - -Buttdttlg >3t �afery lNvfsion .. i . P.O. Box 1504,;78 495 Calle Tampico Petmlc t"C1La.Qlfinta, G4.92233 • (760) 717.7012 t- • Building Permit •Application' and Tracking Sheet Giading plan ProjectAdit-ss! 55.325 WINGED FOOT Owner's Nanie: SCOTT GIAMBR.UNO A. P. Number Address: 55325 WINGED FOOT l Legal Description city, ST, Zip; LA QUINTA, CA 92253 pians picked up 5 M I 15•0AL Approval Contractor: Desert Alr Conditioning, In.' Teiephone• 904-294-3243 f. i Address: 590 Williams Rd. pta)ettD®scription: replace 5 ton split system on gound City, ST, Zip: Palm Springs, CA 92264. like for like ; Telephone: 760-323-3383 j i State Lic. # : 276586 L;G #; 363 Arch., aigr., Design -, N/A Date o[perptlt issne scwl Fees - AddresS; City, ST, zip: Talephone: , ConstructionType: Occupancy: Tota! Permit Fees State X.ia. #: �., ' Project type (circle one): New Add'n Altar Repair Demo Name of Cop= Person-, Keri Skov Sq. Ft.: # 9torits: tf rJltit9: i . Telapholte 0 oPContticCPerson: 760-323 `3383 Estimaxd Value oi'Pro act: - i$7,856,00 APPLICANT; DO NOT WRITE BELOW THIS UNE # sob,mittal Ito 'd Rte°d TRACIlON'G rlrES- Plan, 8cm Valk Check submitted. Item Amggµt J Strgctural Celts. Pcvievlott, resdy for corrvedons Plan Check Deposit. . i Truss Cales, Called Contact Person plan Check $alanee 1. Title 24 CAICL Platte od(l d up Construction i i I i Road plaln plan Plana resubmitted. rdechaMcal Giading plan V Review, ready [or correetionsflssue Elecv7cal Sabcontattor Llet Called Contact Person PIU.Mbb?g Grant Decd pians picked up 5 M I 15•0AL Approval Plans resubmitted Gradlug IN KotfSE:- ''" Review; ready for earrudonsRssue !Developer Impact Fee Planning Approval- Called Contact Person M.P.P. Pub. Wke. Appr Date o[perptlt issne scwl Fees Tota! Permit Fees r Registration Number: 214-A0138852A 000000000-0000 Registration Date�me: 2014-11-13 09:48:09 HERS Provider: CaICERTS �� CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 201411-13 09:49:08 Schema Version: 0.551SDD CF1R-ALT 02-E CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT 14VAC) (Page 1 of 4)_] ' { project Name: 55325 WINGED FOOT Date Prepared: 5 2014 -11 -13 - 06 07 A. General Information - CF1R-ALT 02 is applicable to multiple space conditionirig systems contained within a single dwelling unit. When multiple dwelling units must be documented, use_one_MR-ALT-02 docurnentfor each dwelling unit. ' 01 Project Name 55325 WINGED FOOT 02 Date Prepared 2014-11 13' 03 Project Location 55325 WINGED FOOT 04 Building Type Singlefamily 05 CA City La Quinta 06 Dwelling knit Name. 55325 WINGED F0OT Yes Yes Yes 08 Dwelling Unit Conditioned 2100 ' 07 Zip Code 92253, Floor Area (ft2) Number of space conditioning . 09 Climate Zane 15 10 (SCI systems in this dwelling 1 unit. Registration Number: 214-A0138852A 000000000-0000 Registration Date�me: 2014-11-13 09:48:09 HERS Provider: CaICERTS �� CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 201411-13 09:49:08 Schema Version: 0.551SDD B. Space Conditioning (SC) System Information 02 . 03 04 05 06 07 08 09 10 01 SC System Identification or Name SC System Location or Area Served CFA served by this SC System (ft2) Is the SC systema I , ducted ' system? Installing a refrigerant containing component?. Installing new SC system components? Installing more than 40 feet of ducts? Installing entirely new dud system? Installing. entirely new : SC system? Alteration Type System 1 Location i 2000. Yes Yes Yes No No No Altered space conditioning system Registration Number: 214-A0138852A 000000000-0000 Registration Date�me: 2014-11-13 09:48:09 HERS Provider: CaICERTS �� CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 201411-13 09:49:08 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC] CFIR-ALT-02-E (Page 2 of 4) D. ,Altered Space Conditioning System (Sections 150.2(b)lE and 01 02 03 04 05 06 07 08 _ 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Cooling Efficiency Minimum Efficienry Required Thermostat New or Replaced New Duct Identification 'System Heating Efficiency Efficiency Value Cooling System Type Components Type Value Type Duct Length R Value or Name Type Components Type -All new All new This field or . This field or System 1 y Central as g heatin � AFUE 0,78 Central split AC, pooling SEER 13 Setback section is not section isnot furnace comp -on ntscomponents applicable applicable Required Documentation: CQR-MCH-014 - Spaoe Condltioning Systems Ducts and Fans -Ductlnsulation requirement for new plenums: R6. CF2R-MCH-20-H & CHR -MCH -20-H — Duct Leakage testing required when heating or cooling components areinstalled in ducted systems, or when more than 40 ft of dud length is replaced. -Leakage rate compliance::515°x, or 510% leakage to outside, or seal all accessible leaks. containing Components are installed or altered (applicable in CZ 2, 8-15). CF2R-TACH-2_5,H & CF3R-MCH-25-H Refrigerant Charge Vetification required when refrigerant CF2RCF3R-MCH-23 & MR -MGH -23 Air now >_ 3D0 CFM/ton required when MCH -75 is required, Exceptions: -Dud systems Tegistered with HERS provider as previously sealed a re exempt from MCH -20 Duct Leakage Testing requirements, -Heating-only systems and Air Hand ler/Furnace changes do not req uire verification of Air Flow MCH -23, oc Refrigerant Charge MECH-25. Existing ductsystems Constrv�ted, insulated or sealed v&b asbestos are exempt from MCH -20 Dust Leakage Testing requirements. . E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1D1ia and 15O.2(b)lE, F) This section does not apply to this project. Registration Number. 214-A0138852A4)D0009000-0000 . Registration Date/Time: 2014-11-13 09:48 09 •HERS Provider CalCERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 RepoitGenerated:201411-13 09:49:08 Schema Version: 0.551SDD ` CF1R-ALT 02-E CERTIFICATE OF COMPLIANCE .(Page 3 of 4 ) Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) CFIR-ALT 02-E CERTIFICATE OF COMPLIANCE - (Page 4 of 4 i Alterations to Space Conditioning Systems (formerly CF -IR -ALT --HVAC) Documentation Author's Declaration Statement 1. .1 certify that this Certificate of Compliance documentation. is accurate and complete. oocumentation Author Signature: Documentation Author Name: Skov, Keri - ' - Signature Date:. Company: 2014-11-13 09:48:09 Desert Air Conditioning Inc, CEA/ HERS Certification Identification (if applicable): Address: 590 Wi Ilia ms Road Phone: ,.. Chylstate/ ip: 760-323-3383 Palm Springs CA 92264. Responsible Person's Declaration statement ' 1, certify the fdllowing under penalty of perjury, under tine lawsbf 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 d this Certificate of Compliance to of Cs Pl designed - 3. That the energy features and performance specifications, materials, comporients, and manufactured devices for the building design ar system design identified on this Certificate of Campllarice conform to the requirements of Title 24, Part i 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 Certifimite of compliance shall be made available with.the building permit(s) issued for the building, and made mailable to the enforcement agency for all applicable inspections. 1 understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building ovrner at occupancy. Responssb(nerName ResponsibleDesigner 5ignature: P��_., Skov, Keri/` K� Date Signed: - Company ` 201411-13 09:48:09 Desert Air Conditioning'lnc. Address: 276586 590 Williams Road Phone: City/State/Zip: 760-323-3383 i Palm Springs CA 92264• or ireli sr edh CjU97r& This ' rraisi nawreisindedinorder tosecure the content`ofthisreg/stereddocume r • - 4 - nC2ndinnowayimpfiesRegishafionProvide+responsibRityfortheaccuracyoftheirrformation: _ 09:48:09 r. a E • HERS Provide • C IC RTS Registration Number: 234-A0138852A-09000D000-0000_ Registration Dafe�me: 2014-11-13 ..Report Version 2014 03 31, Report Generated: 2014-11-13 09:49.08 CA Building Energy Efficiency Standards - 2013 Residential Compliance P i Schema Version: 0.551SDD