BMCH2015-027078-495 CALLE TAMPICO I p D A n. VOICE (760) 777-7125 -
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/13/2015
Application Number: BMCH2O15-0270 Owner:
Property Address: 81085 GOLF VIEW DR CLAUDIA FINDLAY
APN: 762280008 24 GRANITE RIDGE
Application Description: FINDLAY / CHANGE OUT (2) 14SEER/8AFUE SPLIT SYSTEMS CALGARY AB CANADA T3Z, 83 92253
Property Zoning:
Application Valuation: $17,572.00 1—
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
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, C43 License No.: 276586
Date: 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 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 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:
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Uc. 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 o forwhich 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 3700 of the labor Code, I shall forthwith
comply with those provisions.
J
Date: 3 ` h , / ( 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 enter upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL • •
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 for BUILDING 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:•40••
Description: FINDLAY / CHANGE OUT (2) 14SEER/8AFUE SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/13/2015 SKH
Approved: 7/13/2015 SKH
Parcel No: 762280008 Site Address: 81085 GOLF VIEW DR LA QUINTA,CA 92253
Subdivision: TR 28838-1 AMENDED Block: Lot: 45
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $17,572.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (2)14SEER/8AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Monday, July 13, 2015 3:33:22 PM 1 of 2
SYSTEMS
CHRONOLOGY
CONDITIONS
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
CLAUDIA FINDLAY
24 GRANITE RIDGE
CALGARY AB
CANADA T3Z
B3
92253
•
PAID DATE
RECEIPT # CHECK # METHOD PAID BY CLTD
BY
FINANCIAL•
DESCRIPTION ACCOUNT QTY AMOUNT
•
PAID
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
BSA:
$0.00
Printed: Monday, July 13, 2015 3:33:22 PM 1 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES _
MECHANICAL FINAL" BLD
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
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES _
MECHANICAL FINAL" BLD
BOND INFORMATION
ATTACHMENTS
Printed: Monday, July 13, 2015 3:33:22 PM 2 of 2 co?w
C7E7 SYSTEMS
Bin. #i!
City of QUinta
Builcfn $r Safely Dt Wbn
Perintt # P.O. Box 1504,-78-495 Calle Tampico
La.,QuiW, CA 92253 •:(760) 777 7012
C — uding-Permit Application -and Tracking Shut
il
ProjcctAdd(rss' 81085 GOLF VIEW DR; Otmer'sName: RANDY FINDLAY
A, F.Number:
Address- 61085 GOLF VIEW DR.
Legal Des • flon:
City. S'i', zip: LA QU I NTA, •CA 92253
Contractor: Desert Air Conditioning; Inc.'1blephone;
Ad&ess: 590 Williams Rd.
PrQjectDesoription: Replace twos lits stems one 5 ton &
City, ST, Zip: Palm Springs, CA 92264.
one 4 ton), on round like for like,
Tele hone•
P. • 760-323-3383Stat, Lie. U: 276586
Arch., Bug., besigntr: N/A
nC'363
Addrez!
City-, ST, Zip:
Teltpbooe:
State Lic, #: w,3;
Constructiontypa . occupancy:
Project typo (circle one): New Add'n Alter Repair Deno
Name; of Contact Person: Kerl Skov
Sq. FL: # StoriBs:
# Unitg:
Te]. hone # of Contact Porson:
Fstit> AW Valise of Project: 17,572.00
APPLICANT: DO NOT WRITE BELOW THIS LIN.E
#
Submittal
Regtd
Recd
iRACj�+iG
PRltl4flT1*EKS
Plan Sats
Pian Cbeck submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit,
Trues Calce.
Called Contact Person
Plan Check Balance
Mile 24 Cal&
Plane picked up
Camatructlon
Blood plain plan
Plans resubmitted,'.
llfeClrSriical
Grading plan
2" Review, ready for correetionatima
Electrical
Subcontactor ldet
Called Contact Person
plumbing ,
Grant lJettl
plana picked up
ROA. Approval
plans resubmitted
Gradtng
IPI IiOUSE>•
'Review; ready for carrectionS&Sue°
Devetoper Impact Fee
Planning Approval.
Callee Contact Person
Pub. Wits. Appr, ,
Date of permit Issue
scho61 Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CFLR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Pagel of 3)
83085 GOLF VIEW DR. I Date Prepared:
2015-07-10
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF11R-ALT-02 document for each dwelling unit.
01
Project Name
81085 GOLF VIEW DR.
02
Date Prepared
2015-07-10
03
Project Location
81085 GOLF VIEW DR.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
81085 GOLF VIEW DR.
07
Zip Code
92253
09
Dwelling Unit Conditioned
3200
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
2
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
67
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing inew 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 1 OF 2
Location 1 OF 2
20DO
Yes
Yes
Yes
No
No
No
Altered space
oondiiioning 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 150.2(b)IDiib)
This section does not applyto this project.
Registration Number: 215-A0188813A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-10 08;12:40
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider. CaICERTS
Report Generated: 2015-07-10 08;13;07
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -LR -ALT -HVAC) (Page 2 of 3 )
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
Centralgas
All new
Central split
All new
This field or
This field or
System 1 OF 2
furnace
heating
AFUE
0.8
AC
coofing
SEER
14
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
0.8
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Dneurnentation:
CUR -MCN -01-E - Space Conditioning Systems Ducts and Fans
-Dud insulation requirement for new plenums: R6.
MR-10CH-20-H & CBR -MCH -20-14- Duct Leakage testing required when heating or coofing components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-leakage rate complia nm < 15%, or < 10°k Leakage to outside, or seal of I accessible leaks.
CF2 R4ACH-23-14 & CF3 R -MCH -25.14 Refrigerant Charge Verlflcatlon requ ired when refrigerant Containing components are instafled or a Itered (applicable in CZ 2, 8-15). '
CEMCF311-NICH-23 & CF3R-tv10E4.23 Air Flow >_ 300 CFM/bon required:when N1 CH -25 is required.'
Exceotions:
-Duct systems registered wM HERS provider as.previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Fumace changes do not requirejreri ication of Air Fluw MC+23, or Refrigerant Charge M ECH-25.
-Existing duct systems constructed, insulated or sealed with asbA.stos are exempt from MCH -20 Dud Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1.E, F)
This section'does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)10
This section does not apply to this project.
Registration Number, 215-A0188813A-000000000.0000
Registration Date/Time: 2015-07-1008.12:40
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-10 08:13:07
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. f certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Skov, Kerl
Company:
Signature Date:
Desert Air Conditioning frit.
2015-07=10 08:12:40
bArlmP.m
CEAJ HERS Certification Identification (if appficablel.
590 Williams Road
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
l certify the following under penalty of perjury, unde r the laws of the State of California:
1. The i nformatfon provfde4 on this Certificate of Compliance is true and correct
2. 1 am eligib le under Division 3 of the Business a nd 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 an this Certificate of Compliance conform to the
requfrements of Title 24, Part 1 and Part 6 of the Ca lifomla Code of Regulations.
4. The building design features or system design features identified on this Certificate of Comp) lance are 'i:onsistent with the information prWded on other applicable compliance documents, worksheets,
caloulations, plans and specifications submitted to the enforcement -agency for approval with this building permit application.
5_ 1 will ensure that a registered copy of th Is Ce rtificate of Complia nce shall. be made available with the building permits) issued for the bui Idfng, and made avaifa ble to the:enforcernent agency for all applicable
Inspections. I un derstand that a registered copy of thLs Certificate of Compfiance i$ required to be included veith the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Slgnature:
Skov, Keri
Company :
Date Signed:
Desert Air Conditioning Inc.
2015-07-10 08.12:40
Address:
License:
590 Williams Road
276586
Cfty/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Digitally signed by WCERTS. This digital signature is pray-Wd in oder to swae the contem! of lit s regisfera l document and in noway imp,Yn Wstrarion Provk*r responslAy for the accuracy of the information.
Registration Number: 215-A01138313A-000000000.0000 Registration Date/Time: 2015-07-10 08:12:40 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: Z014-03-31 " Report Generated: 2015-07-10 08:13;07
Schema, Version: 0,5555DD