BMCH2015-0042Q�i a1�/ VOICE (760) 777-7125
78-495 CALLE TAMPICO D
- LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/17/2015
Application Number:
BMCH2O15-0042
Owner:
Property Address: -
78411 W DEACON DR
BEVERLY HUBERT
APN:
770210020
Property Zoning:
Application Valuation:
$17,041.00
Applicant:
Contractor:
DESERT AIR CONDITIONING
INC
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
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. C43y License No.: 276586
Date: y �� ` IJ 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).:
(1 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 ) 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:
(760)323-3383
Llc. No.: 276586
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 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 370 of the Labor Code, I shall forthwith
comply with those provisions.
J
Date: ;L" 0 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 this upon the above
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent)
CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
IAlterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Pagel of 3
Project Name:
78431 DEACON DR. WEST I Date Prepared:
2015-02-10
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFIR-ALT-02 document for each dwelling unit.
01
Project Name
78411 DEACON DR. WEST
02
Date Prepared
2015-02-10
03
ProjectLocatiion
78411 DEACON DR. WEST
04
Building Type
Single family
05
CA City
La Quinta
05
Dwelling Unit Name
78411 DEACON DR. WEST
07
Zip Code
92253
08
Dwelling Unit Conditioned
3700
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
oontaining
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
2
component?
components?
feet of ducts?
duct system?
FOL
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
D4
05
06
07
09
09
10
Is the SC
Installing a
SCSystem
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
oontaining
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 t OF 2
Location 1 OF 2
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Altered space
System 2 OF 2
Location 2 OF 2
2000
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)lDili b)
This section does not apply to Ihis project.
Registration Number. 215-A0040184A-0D0000000-0000
Registration Date/Time: 201502-10 08:48:21
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 08:48:24
Schema Version: D.551SDD
CERTIFICATE OF COMPLIANCE CF1111-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
OS
06
07
08
09
10
11
12
Beating
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
orName,
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central bis
All new
Central split
All new
This field or
This field or
System 1 of 2
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2 OF 2
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation:
CFZR-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct imulatfon requirement for ne%v plenums: R6.
MR-Pd#•20-11 & CF3 R -MCH -20-H - Dud 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::5 0%, or s 10% leakage to outside, or seal all accessible leaks.
MR-#ACH-25-114 & MR -MCH -2" Refrigerant Charge Verification requfred when refrigerant containing components are Installed or altered (applicable In C7.2, 8.15).
CF2RCM-10CH-23 & CF3R-MCff-23 Air Flow_ 300 CFM/ton required when MCH -25 Is required.
Exceptions:
-Duct systems registered with HERS provider as previously seafed are exempt from MCH -20 Dud Leakage Testing requirements.
-Heating-only systems and Air Handler/Fuma.ce changes do not require verification of Air Flow MCH -Z3, or Refrigerant Charge M ECH-25.
-Existing duct systems constructed, insulated or sealed vilth asbestos are exempt from MCH -20 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 1S0,2(b)1C)
This section does not apply to this project,
Registration Number. 21S-A0040184A-000000000-0000
Registration Date/Time
2015-02-90 08:48:21
HERS Provider: CACERTS
CA Building Energy Efficiency Standards - 2013 Residentfal Compliance Report Version: 201403-31 Report Generated: 2015-02-10 08:48:24
Schema Version: 0.55150D
CERTIFICATE OF COMPLIANCE CFiR-ALT-42-�
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3 )•,.
Documentation Author's Declaration Statement
1. 1 certity 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.
2015-02-10 08:48:21
Address:
CEA/ HERS Certiftcation 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 penaltyof perjury, under the lays of the State of California:
1, The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Divl5lon 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 feahuresand performance specifications, materiais, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parti and Part 6 of the California Code of Regulatlons,
4. The building destri features or system design features identified on this Certlficate of Cvmpliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans a nd speclficatloris submitted to the enforcement agency for approval With this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the build ing, and made availa ble to the enforcement agency for alf 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 owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature-
/�
Skov, Keri
Skov,
�o
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-02-10 08:48:29
Address:
License:
590 Williams Road
276586
ciwstate/Zip:
Phone:
Palm Springs CA 92264
760-323 3383
Digitally signed by caIcEYr , This dig;W signature is peoildedin order to secure the corrfent offhis registered 06 Yxnent, and in no ivay implies Registration PmWderresponiihi ty for the nouracy ofthe information.
Reglstration-Number, 215-A0040184A-0DODODODD-0000 Registration Datefnme: 2015_02-1008:48:21 KERS Provider: 6(CERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 08:48:24
Schema. Version: 0.55ISDD
RW&OU IOUNT 'IWPA I ?- -A, l E
BSAS SB1473 FEE 101-0000-20306
0
s1.00 .'$0.00
Q PAID,
�� �;�7T
iR E C
7EIP
E 7QPe ag rSCAHE'
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTIOC
cum
&mq p
L4T�
AMOUNTUW
PAID_0
PAI
L Ri
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
.$0.00.
gi �Ig"' &g
k A 'i�
''- �' , " 0 vmg m;g", qny'
" N V, ��"R HOD,
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OR'
N
11
W
�T
TD
CL
9,01
W
-�2p OFWIII'Vtll�'W'
MOUNT
PAID P'Z
now
HVAC CHANGEOUT -,SPLIT-SYSTEM PC
101-0000-42600
0
$72.52
$0.00
=j 1W
MIuABY4M M
�IWTN
CHECK ECK,##,
C LT W
Total Paid forCHANGEOUT: $217.56 $0.00.
DESCRIPTION'I M-1
ym'w
ACCOUNTjSq,p
=AC C
1, - N
�T
"AMOUNT
PERMIT ISSUANCE
101-0000-42404
01
$91.85
$0.00
"METHOD
,"'V",";
i
lck
D,-
MT BY sz
Total'Paid forPERMIT ISSUANCE: $91.85 $0.00
1
Description: REPLACE (2) 5 TON SPLIT SYSTEMS
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 2/17/2015 KHE
Approved:
Parcel No: 770210020 Site Address: 78411 W DEACON DR LA QUINTA,CA 92253
Subdivision: TR 28611
Block: Lot: 6
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $17,041.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
92264
Details: REPLACE (2) 5 TON SPLIT SYSTEMS AT GROUND LEVEL, LIKE FOR LIKE, 2013 CODES.
DESERT AIR CONDITIONING INC
Printed: Tuesday, February 17, 2015 9:59:06 AM 1 of 2
SYSTEMS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE 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
BEVERLY HUBERT
Printed: Tuesday, February 17, 2015 9:59:06 AM 1 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
I
PAID
PAID DATE
RECEIPT#
CHECK #
I
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
I
I
I
I
I
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $310.41 50.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
Printed: Tuesday, February 17, 2015 9:59:06 AM 2 of 2 CO?WYSTEMS
Bfn. #
CI Of La Quin to
6tplding• 8t Safety Division
P.O. Box I SO4,79-495 Calle TaMPICo
4 Quinta, CA 92253 - (760) 777,7012
MUM Permit •,Application and Tracking Sheet
Permit # �5
PrgJeatAdd.mw 78411 DEACON DR. WEST
OtmeesName:, BERNHARD HUBERT
A. P.Numbrs
Addtre.9s: 7$411 DEACON DR. WEST
Legal Description:
City, S1', Zip: I A QUINTA, CA 92253
Corthacw, DESERT AIR CONDITIONING, INC-.
idcphone; l
A.ed=e: 590 WILLIAMS RD,
ProjectDescription. replace (2) 5 ton split systems on ground
City, ST, Zip: PALM SPRINGS, CA .92264
like for like.
Telephone:760-323-3383 =
:
SWr,Lie.# 6586. Cityl.,laik 363
Arcfi_, >:;ngr., Designer, N/A
'Address:
_
City, ST, Zip: '
z;
Telephone:: < e �>
State, Lie.#' .
:i
Construction "type:. Occupancy:
Project typo (cioela one): New Add'u Alter RepWr Demo
Name ofCoatastPeteon: JSERI SKOV
Sq. FI_;
#stories.,
#unite.,
Tclepbottc # of Contact Petaon:
Estimated value of Project• $17,041:00.
APPLICANT, DO NOT WRITE BELOW THIS LINE
#
SobmitWl
Rcqld
13ec'd
THACMG
tEllhlI21TS
Plan Sda
ptaA. Check sabtaitted
item Amount
Strtacturat Caipa
P-cvirwA ready for eorreedens
Piro Check Deposit. .
14scvs �•
. Catlled Contact Person
Plan Check Balante _
Title 24 Caks.
Platia picked up
Cotmtruction
Flood plain plan
]Plans resubmitted.'.
Methatikal
Goading pian
2'! Review, ready for eorreecamn aue
Electrical
Subcoxtictor List
Called. Contact'Perwn
1PtutnDittg
Grant Deed
]Plana plow up
g ypy
MO.A. Approval
Plans t caabmitted
Gradlfag
1Dl ROME-..
'^' 4VIew, ready for correctlo'w/lssue
Developer impact Fee
Plsnning Approval.
Called Contact Person
A,IP.P,
Pub. VVke. Appr
Data of perm It issue
Schodl Feea
Total Permit Fees