14-0384 (MECH)• y
P.O: BOX 1504. '. - VOICE_(760) 777-7012, %
78-495 CALLE TAMPICO _ w'' r , _ " FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
,r BUILDING PERMIT
Date: 4/07/14 ti
Application Number: 14-00000384 w Owner:
` Property Address: 47225 WASHINGTON ST ROMAN CATHOLIC BISHOP OF SB
APN: 643-090-026-2 -000000= 1201 E HIGHLAND AVE -
Application description: MECHANICAL ` SAN BERNARDINO, CA 92404
• - Property Zoning: LOW DENSITY RESIDENTIALr,•
'Application valuation: 94417 t
y • s
' Contractor:
Applicant: Architect or Engineer: DESERT AIR CONDITIONING, INC.
590 WILLIAMSROAD
t niI�CV V_ R PALM SPRINGS, CA 92264
(760)323-3383
Lic . No.: ° 276586
----- - - - - -- - - --7 ----- - - - - ------------ - - - - -- '---------------- - - - -- - ---\e� ----
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION a
1 hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided
License Class: C20-C43 License No.: 276586 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Dissurf-)
ed.
te:%`�y Contractor: t,(f 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
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CYPRESS INS CO Policy Number 3300065410131.
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, -
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the LaborCI shall forthwith coryPly with those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ((1/ p//- _
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Da l�7` iii plicant: �/!J
1—) 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an, owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND,
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are`not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1 . Each person upon whose behalf this application is made, each person at whose request and for 1'
pursuant to the Contractors' State License Law.). _ whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: - 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 si ihject . -
ti - CONSTRUCTION LENDING AGENCY permit to cancellatiun. _
_ I hereby affirm undrr penalty of perjury that there is a cunstructlon lending agency for the performance of the I certify that I have read this application and state that the above information is correct. f agree to comply with -all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for ' pecti purpo ,
Lender's Name: � U �A)
t - - Dat .,! 7 ( Signature (Applicant or Agent)),
Lender's Address: -
Application Number 14 -00000384 -
Permit ... . . MECHANICAL 2013
Additional`desc .
Permit Fee :. 71.50 Plan Check Fee
.00
Issue Date . . . Valuation
0.
Expiration Date 10/04/14
Qty Unit Charge Per
Extension
2.0'01 35.7500 EA MECH CONDENSER/COMP
71.50
Special Notes and Comments
HVAC CHANGE OUT - REPLACE (2) 30TON
PACKAGE UNITS [2008 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. -2013 CALIFORNIA
BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . PERMIT ISSUANCE M/P/E
.90.57
PLAN CHECK, MECHANICAL
23.83
Fee summary Charged Paid Credited
Due
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Other Fee Total 114:40 . -.00 .00
114.40
Grand Total 185.90 .00 .00
185.90
LQPERMIT
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Pagel of2)
Project Name/Address: Date:
St. Francis Church / 47225 Washington St. 4/7/2014
Enforcement Agency:
Permit Number:
Climate Zone
La Quinta
1
115
NOTE: This form may be used only for single zone constant volume systems. This form shall not be used for newly constructed
buildings, additions, or VA multi -zone systems.
Select one "Existing Building Project Type" and complete the corresponding steps listed in the "Complete Steps" column
below. Note: After installation of HVAC units and/or ducts, the Installation and the applicable Acceptance Forms are required to be
submitted or verification by the field inspector and a copy shall be made available to building owner.
Existing Building Project Type select one): Complete Steps:
M New or Replacement HVAC unit 1, 4, 5 and 6 (If criteria is met), 7 ( When economizer is installed)
UNew or Replacement ducts 1, 4, 5 and 6 (If criteria is met)
rNew Space Conditioning System (HVAC and ducts) 1, 2, 3, 4, 5 and 6 (If criteria is met), 7 (When economizer is installed), 8 (DC19
F] Ste 1— Ducts and HVAC Equipment
Equipment Type, Efficiency
Floor Area Distribution
Type
Duct Insulation
Thermostat
Configuration
and CapacityI
Served
and Location
R-Value4
Types
(Central, Split, Package)
(2) 30 ton package units
24,000
attic
4.2
digital
package
1. Indicate Equipment Type; Air Handler, Condenser, Heat Pump, Evap. Cooling, Boiler, Electric Resistance, etc. & HVAC Capacity; or Ducts
(new or replaced).
2. If the Floor Area Served (per duct system) exceeds 5,000 square feet, skip Steps 5 and 6.
3. Indicate Type and Location (Ducts on roof, ducts in conditioned space, ducts in attic, etc.)
4. Newly installed or replaced duct insulation: R-8 in unconditioned space or in buried concrete slab; R-4.2 in indirectly conditioned space; and R-0
for conditioned space.
5. Existing non -setback thermostats shall be replaced with setback thermostats for all altered units, and all newly installed space conditioning
systems requiring a thermostat shall beequipped with a setback thermostat. Setback thermostats shall meet the requirements of Section 112(c).
Step 2 — Mechanical Ventilation Calculations
Both options (Area and Occupancy Basis) shall be completed to determine the minimum mechanical ventilation rates and Column I must be the
eater of either Column E or H.
AREA BASIS
OCCUPANCY BASIS
A
B
C
D
E
F
G
H
I
Zone/
Type of Use
Condition
CFM1
Min
Num of
CFM
Min
Design Vent. CFM
System
Area (ftz)
Per ft'
CFM'
People
per
CFM'
Larger of
C x D
Person
F x G
E or H
15
15
15
AREA BASIS
1. Minimum ventilation rate (CFM/ 112) for the Type of Use in the Table below.
2. The conditioned floor area of the space multiplied by the applicable minimum ventilation rate from Table 4-1 CFM/ft' Column below.
For additional ventilation rates, see Table 4-3 and use the values listed in the Required Ventilation Column in the Nonresidential
Compliance Manual. This provides dilution for the building -borne contaminants like off -gassing of paints and carpets.
OCCUPANCY BASIS
2. For spaces with fixed seating such as a theater or auditorium, the expected number of occupants is the number of fixed seats.
3. The expected number of occupants or people multiplied by 15 cfin per person.
Type of Use CFM per ft=
Type of Use CFM per ft=
Auto repair workshops 1.50
High-rise residential Ventilation Rates
Specified by the CBC
Barber shops 0.40
Hotel guest rooms less than 500 112 30 cfin/guest room
Bars, cocktail lounges, and 0.20
Hotel guest rooms (500 ft' or greater) 0.15
casinos
Beauty shops 0.40
Retail stores 0.20
Coin-operated dry cleaning 0.30
All Others 0.15
Commercial dry cleaning 0.45
1. For additional ventilation rates, see Table 4-3 in the Nonresidential Compliance Manual
2008 Nonresidential Compliance Form July 2010
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Page 2 of 2
Project Name/Address:St. Francis Church/47225 Washington St. I
Date: 4/7/2014
Installation Certificate requirement: The installing contractor shall complete and sign an Installation Certificate (MECH-INST)
to certify that the installed HVAC features, materials, components, or manufactured devices (the installation) conforms to all
applicable codes and regulations, and the installation is consistent with any required plans and specifications approved by the
Certificate of Acceptance requirement: After completing the installation, all required acceptance testing shall be completed
and all applicable Certificate of Acceptanceforms are required to be filled out completely, signed, and made available to the
enforcement agency at final inspection. Copies of the completed, signed Certificate of Acceptance forms shall also be made
available to the building owner.
Step 3 - MECH-2A - Outdoor Air Acceptance — This test is required for newly installed or replacement HVAC Systems (HVAC
e ui ment and ducts to verify minimum outside air is provided in accordance with Section 125 of the Energy Standards.
0 Step 4 — MECH-3A - Constant Volume, Single Zone Unitary A/C and HP Controls Acceptance— This test is required
for new or replaced constant volume, single -zone unitary air conditioners and heat pumps to verb controls function, including: thermostat
installation and ro rammin , supplyfan, heating, cooling, and damper operation in accordance with Section 125 of the Energy Standards.
Step 5 — MECH-4A -Air Distribution Systems Acceptance —This testis required when the new or altered system is a single
zone, constant volume system serving 5, 000 ft2 or less, and 25% or more of the duct surface area is located in the outdoors, unconditioned space,
or a ventilated attic in accordance with Section 125 of the Energy Standards.
Ej Step 6 - MECH-4-HERS - Air Distribution System Leakage Diagnostic — This test is required to be completed by a HERS
Rater when the new or altered system meets the criteria in Step 5 to verb duct leakage in accordance with Section 125 of the Energy Standards.
The HERS Rater shall register the MECH-4-HERS Form with an approved HERS Provider.
® Step 7 - MECH-5A - Economizer Testing Acceptance - This test is required for newly installed or replacement HVAC equipment
when an economizer is installed in accordance with Section 125 of the Energy Standards.
Step 8 - MECH-6A - Demand Control Ventilation Systems (DCV) Acceptance - This test is required for newly installed
DCV systems or replacement of HVAC equipment with the following characteristics to verify controls and sensors function in accordance with 125
of the Energy Standards.: A. They have an air economizer; and B. They serve a space with a design occupant density, or a maximum occupant
load factor for egress purposes greater than or equal to 25 people per 1000 ft2 (40 square foot per person); and C. They are either:
i. Single zone systems with any controls; or
ii. Multiple zone systems with Direct Digital Controls DDC to the zone level.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Signature:
Company:
Date:
Address:
If Applicable
CEA #
CEPE #
City/State/Zip
Phone:
Principal Mechanical Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
Title 24, Parts 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document this
design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application
Name: Keri Skov
Signa
,;
Company Name: Desert Air Conditioning, Inc. -/Date:
4/7/2014
Address: 590 Williams Rd.
License #276586
city/state/Zip:palm Springs, CA 92264
Phone:760-323-3383
2008 Nonresidential Compliance Form July 2010
Bin-#
Qty Of La Qurnta
Bulltiing ar Safety Divtsiarl
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253.:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
l
Project Address: 47225 WASHINGTON ST.
Owner's Name:. ST. FRANCIS CHURCH
A. P. Number.
Address: 47225 WASHINGTON ST.
Legal Description:
City, sT, zip: LA QUINTA, CA 92253
Contractor: Desert Air Conditioning., Inc.
Telephone: 760-564-1255
Address: 590 Williams Rd.
Project Description: replace (2) 30 ton package
city, ST, zip: Palm Springs, CA 92264.
units on round- like for like
Telephone: 760-323-3383
State Lia #: 276586 City Lia #; 363
Arch., Engr., Designer, N/A
Address:
City, ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Keri Skov Sq. Ft.: # Stories: #Units
Telephone # of Contact Person: 760-323-3383
Estimated value of Project: $94,417.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERWrFEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
- Called Contact Person
Plan Check Balance.
75tie 24 Cales. ':
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan !;
Zid Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.bLL
H.O.A. Approval
Plaits resubmitted
Grading
IN ROUSE:-
1id Revlew, ready for correctionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ.P.P. '
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees