BMCH2014-1072,78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O14-1072
79140 FOX RUN
776011011
R & R EVAP COIL ONLY
$4,650.00
Applicant:
BEST IN THE WEST AIR CONDITION
255 N ELCIELO ROAD #140-125
PALM SPRINGS, CA 92262
ce,i,t(t 4 4v Qu'R&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
S.EP 0 9 2014 U'
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
1
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, C38 License No.: 967982
rate: �' �' /14 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).:
(_) 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'
St:a1 e 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 Na
Lender's Address:
Owner:
HUGH DUNCAN
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/9/2014
Contractor:
BEST IN THE WEST AIR CONDITION
255 N ELCIELO ROAD #140-125
PALM SPRINGS, CA 92262
(760)343-1002
Llc. No.: 967982
WORKER'S COMPENSATION DECLARATION
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
:)f 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
s 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. n
00
Dat `_ - 14 ApplicantfLLG1LatoL inJQ�s i;ff^
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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.
Da" te: !—� ` SignatuFe (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
I {1' ,C CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.77
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $16.69 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
rMETHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:00
Description: R & R EVAP COIL ONLY
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 9/9/2014 AZA
Approved: 9/9/2014 AZA
Parcel No: 776011011 Site Address: 79140 FOX RUN LA QUINTA,CA 92253
Subdivision: TR 25429
Block: Lot: 58
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,650.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT- REMOVE AND REPLACE EVAPORATIVE COIL ONLY. 2013 CALIFORNIA BUILDING CODES.
t CHRONOLOGY
Printed: Tuesday, September 09, 2014 2:30:15 PM 1 of 2 CRWYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
I METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$11.92
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$4.77
$0.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $16.69 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$90.57
$0.00
Total Paid forPERMIT ISSUANCE: $90.57 $0.00
TOTALS:0: 00
•
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL**
PARENT PROJECTS
Printed: Tuesday, September 09, 2014 2:30:15 PM 2 of 2
CJ Ll SYS iEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Hansen, Jamie
L�
Company:
Signature Date: ,
Best in the West Air Conditioning & Heating Inc
2014-09-08 12:15:40
Address:
CEA/ HERS Certification Identification (if applicable):
31225 Plantation Dr
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343-1002
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 focthe building design or,system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components end manufactured devices.for the building de-sigrror.sysfem design identified on this Certificate.of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California -Code of.Regulations. a
4. The building design features or systerim design features identified'on this Certificate of Compliance are consistent with the information' piowded'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.Certificat`e of Conipliance shallbe rria'de available with the building permits) issued fog the buildingt 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 building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: QGL%72GC�i (� pC��
Hansen, Jamie
�(�
Company:
Date Signed:
Best in the West Air Conditioning & Heating Inc
2014-09-08 12:15:40
Address:
License:
31225 Plantation Dr
967982
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343-1002
Digitally signed by Ca10ERTS. 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: 214-A0090107A-000000000-0000 Registration Date/Time: 2014-09-08 12:15:40 HERS Provider: CaICERTS
. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-08 12:16:38
r�kae z Vorci— 0 GG1 Cr)n
CERTIFICATE OF COMPLIANCE CF1R-ALT'02-E
Alterations•to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project. K
r .^Yni
.5+�'s"....c..i0' �ry„�e -i ..1;.:•
pix �h
" i9,.,• r f,t M «.T�'(je�Y.`' ft �4 .,lrev
4 {+ i A�?T`.i�,r".peF*+J r'' ' 7!`4�+ u,>� r :tixi , ',!y. §.�'��J •�-+� ,z•.
"� � ,•, tl � � 4 'Y? �Y� � �t�4 p�4'+W:fA�dl��ilt % 'E� � �� '�;Y' .
Id
Registration Number: 214-A0090107A-000000000-0000 Registration Date/Time: 2014-09-08 12:15:40 " 'HERS Provider: CalCERTS
CA Buildins Enerev Efficiencv Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-08 12:16:38
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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 Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
No heating
This field or
This field or
Central split
This field or
This field or
System 2
furnace
component
section is not
section is not
AC
Indoor coil
SEER
13
Setback
section Is not
section is not
altered
applicable
applicable
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 & 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 <_ 10% leakage to outside, or seal all accessible leaks.
CFZR-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-MCN-23 Air Flow 2 300 CFM/ton required when MC14-25 is required
Exceptions: !"40FY.'
'.
-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.
-Existing duct systems constructed, insulated or sealed with askiestos are exempt from MCH -20 Duct Leakage Testing requirements: _
`-"t —4,"" , rias.- ax
E. Entirely New or Complete Replacement Duct System,, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
aF< This section does not apply to this project.
Registration Number: 214-A0090107A-000000000-0000
Registration Date/Time:
2014-09-08 12:15:40
HERS Provider: CaICERTS
f
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-08 12:16:38
Cncoma VPrclnn. n rricnn
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Hugh Duncan I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 4 )
2014-09-08
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one MR -ALT -02 document for each dwelling unit.
01
Project Name
Hugh Duncan
02
Date Prepared
2014-09-08
03
Project Location
79140.2 Fox Run
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Hugh Duncan
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by.this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component.
components?
feet of ducts?
duct system.
unit.
Alteration Type
B. Space Conditioning (SC) System lnformaiion
01
02
03
04 _:;
05 '
06
07
08
09
10
Is the SC
°Installing a
SC System
SC System
CFA'served
system a
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 2
Office
2000
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 this project.
Registration Number: 214-A0090107A-000000000-0000
CA Building Energv Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-09-08 12:15:40
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2014-09-08 12:16:38 '
Bing
Payr �f Qii111
Building gL Safety Division
P.O. Box 1504,78-495 Caiie Tampico
i.a.Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit #
50Building
Proj= Addt=: 't 9 — / e f) asr.,
Owner's Name: I ►U= UN C A N .
A. P. Number.
Address-, . °7q-l4v.
Legal Description:
Contractor. Oe . - t,,1 Ae �/PS �
city, ST, Zip: L _� �, C7 2 1Z- 5 3
Tdephone-
Address: rj --'/ c,•Q/- P/w1700-/75
Project Description:?& &
City, ST, zip: RIs/`,,r
Telephone: 760-73q3-•/ooZ
State Lia ii : q6 7 1 S' City_ Lie. B:
ad—
Arch, FAW•, Designer.
Address:
City, ST, Zip:
Telephone: Construction Type:. 'R/i_ Occupancy:
State Lia #: Project type (circle one): New Add'n ter Repair Ilam
N of Contact Person: 1 rclC Sq. Ft.: # Stories: 0 Univ:
Tdephonc o of Contact Person: . Fst=tcd Value of Proje� (O S
APPLICANT: DO NOT WRITE BELOW THIS UNE
8 Sobmlttal R Wd Picea :. TRACKING PERMIT FEES
Plan Sets Plan Mesh sabndtted Amoaut
Strgdaiai{aIcs•
R -k red, ready for corrections Plan ah &Deposit. .
TMUGam•
Called Contact person Plan check Balance
Z58e U tyles.
Plans plaid up Construction
Flood plain plan
Pians resubmitted.. Mecbadkal
Grading plan
2's Review, wady for correctioushoue Electrical
Sabeoutaetor List
Called Contact Person Plu.mbiug
Grant Deed
Plans ptcked.up
H.O.A. Approval
Plans resubmitted Gradlug
IK HOUSB:-
Rsvtew. ready for eormdowAssac Devdoper Impact Fee
Planning Approval
Called Contact Person AIP.P.
Pab. VVlcs. APPr '
Date of permit Issue
Scbodl Fees
Total Permit Fees.