BMCH2016-008078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
CITYOFLA Q(
4Q"
ITY DEVELOPMENT DEPARTMENT
ILDING PERMIT
Application Number:
BMCH2O16-0080
Property Address:
79950 CITRUS
APN:
776240015
Application Description:
HALFORD / CHANGE OUT (2) SPLIT SYSTEMS
Property Zoning:
Application Valuation:
$29,602.00
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 licensld 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, C443 License No.: 27658
(D t Contractor: l
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.).
(_) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/5/2016
Owner:
DAVID HALFORD
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(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 3700 of the Labor Code, I shall forthwith
complywiththose pro/visions.
Date: i - r L/ 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:Vt�Signature (Applicant orAgent
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $2.00 $0.00
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $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 for CHANGEOUT: $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:00
Description: HALFORD / CHANGE OUT (2) SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/5/2016 SKH
Approved:
Parcel No: 776240015 Site Address: 79950 CITRUS LA QUINTA,CA 92253
Subdivision: TR 24890-7 Block: Lot: 67
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $29,602.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (2)20SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL INFORMATION
Printed: Tuesday, April 05, 2016 1:39:26 PM 1 of 2 C WsrsrEMs
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, April 05, 2016 1:39:26 PM 2 of 2 C9?wsrsrEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Tuesday, April 05, 2016 1:39:26 PM 2 of 2 C9?wsrsrEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
79-950 CITRUS ST I Date Prepared:
CFIR-ALT-02-E
(Page 1 of 3 )
2016-04-05
A. General Information
CF1R-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
79-950 CITRUS ST
02
Date Prepared
2016-04-05
03
Project Location
79-950 CITRUS ST
04
Building Type
Single family
OS
CA City
La Quinta
06
Dwelling Unit Name
79-950 CITRUS ST
07
Zip Code
92253
08
Dwelling Unit Conditioned
3102
ducted
containing
system
more than 40
Floor Area (ft2)
entirely new
Name
Served
System (ft2)
Number of space conditioning
component?
09
Climate Zone
15
10
(SC) systems In this dwelling
2
unit.
-
B. Space Conditioning (SC) System Information
1, .041k ; 4 06tj"% J 07'� " 08 09 10
01 02 03N,
`i.'.Is the SC
In L611ing 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
Altered space
System 1 OF 2
Location 1
2000
Yes
Yes
Yes
No
No
No
conditioning system
Alteredspace
System 2 OF 2
Location 2
2000
Yes
Yes
Yes
No
No
:.
No
.
conditioning system
Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-AO125673A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-04-05 09:22:38
Report Version: 2013 Rev 1.007
Schema Version: O.SSSSDD
HERS Provider: CaICERTS
Report Generated: 2016-04-05 09:22:47
CERTIFICATE OF COMPLIANCE UlR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page. 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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 Naive
Type
Components
Type
Value
System Type
Components
Type
'Value
Type
Duct Length
R -Value
All new
All new
This field or
This field or
System 1 OF 2
Central gas
heating
AFUE
0.78
Central split
cooling
SEER
20
Setback
section is not
section is not
furnace
components
AC
.
components
applicable
applicable
All new
All new
This field or
This field or
System 2 OF 2
Central as
heating
AFUE
0.78
Central split .
cooling
SEER
20
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Reouired Documentation:
Mk -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
MR -MCH -20-H & CF311-MCH-20-11 — 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: s 15%, or s 10% leakageto outside, or seal all,accessible leaks, :x , �,,,
Verification components are Installed or altered (applicable in CZ 2, 8.15).
when refrigerant
MR -MCH -25-H & CF3R-MCH-25-H Refrigerant Charge required contalning
Air Flow 300 CFM/ton required when MCN -25 is req'ulred d+ x i r S
`
CF2RCM-MCH-23 & COR -MCH -23 2 y,
Exceptions:`; ,.
-Duct systems registered with HERS provider as previously sealed are exempt from MCH,20,Duct Leakage`Testing requirements. ?c f ;r•
.
1 {
-Heating-only systems and Air Handler/Furnace changes do not require verificatlon of Air Flow MCH -23 or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestoi'Sre'exempt from NICH726 Duct Leakage.testing requirements:
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150:2(b)iDiia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 216-A0125673A-000000000-0000 Registration Date/Time: 2016-04=05 09:22:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-05 09:22:47
Schema Version: 0.555SDD
C_
CFI11-ALT-02-E
CERTIFICATE OF COMPLIANCE
(Page 3 of 3 )
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.
Documentation Author Name: Documentation Author signature:
Watson, Nicole
Signature Date:
Company:
Desert Air Conditioning Inc. 2016-04-05 09:22:38
Address: CEA/ HERS certification Identification (if applicable):
590 Williams Road 6309461
City/State/Zip: Phone:
Palm Springs CA 92264 760-323-3383
Responsible Person's Declaration statement
I certify the following under penalty of perjury, underthe laws ofthe 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 on this Certificate of Compliance (responsible designer).
3. That the energy features and performance speclfidtlons, materials; components, and manufactured devices for the building clesignor system design identified on this Certificate of Compliance conform to the
1 and Part 6 of the California Code of Regulations.
requirements of Title 24, Part ions.
4. The building design features or system design features identified ori his CertifPpteof Compilance are Consistent with the Information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to tthhe enforcement' agency for,approvii�wk�this buttding permit p IIICatio3. i r e a i#!f,
S. . 1 will ensure that a registered copy of this Certificate of Compliance shalt be made ayallabte with the building permit(s))ssued for the.building, and:made availableio.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; documentationche biitlder provides to/t�h�e�building owner at occupancy.
Responsible, Designer Name: g U _ —1' Responsible Designer Signature: Ni
Watson, Nicole
Date Signed:
Company
Desert Air Conditioning Inc. 2016-04-05 09:22:38
License:
Address: .
590 Williams Road 276586
Phone:
City/State/zip: 760-323-3383
Palm Springs CA 92264
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration provider responsibility for the accuracy of the information.
Registration Date/Time: 2016.04-05 09:22:38 HERS Provider: CaICERTS
Registration Number: 216-A012S673A-000000000-0000 g
CA Building. Energy Efficiency Standards - 2013 Residential Compliance
Report Version: 2013 Rev 1.007 Report Generated: 2016-04-05 09:22:47
Schema Version: 0.555SDD
Bin # City. Of La Quints
Bullding a Safety Division
Permit # P.O. Box f SO4,-78-495 Calle Tampico
La.Quinta,,CA 92253 • (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: E t Owner's Name: \ACC
�j
i
A. P. Number. - Address:\
Legal Description: City, ST, Zip:( -� %
Contractor: Desert Air Conditioning, Inc.' Telephone:-�
Address: 590 Williams Rd. Project Description:
City, ST, Zip: Palm Springs, CA 92264.
Telephone.760-323-3383
"' „�_ C
state Lie. #: 276586
City Lie. fti: 363
Arch, Designer. N/A
Address:
1
i
i
City, ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. M Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: ,A C Sq. ft.: Stories: t♦ Units:
-
Telephone # of Contact Person: 760-323-3383 Estimatcd Value of Project ' .
APPLICANT: DO NOT WRITE BELOW THIS LINE
al
Req'd
-Rev'd
TRACKING PERMIT FEES'
ts
Pian Check submitted Item Amount
ral Cafes.
Reviewed, ready for corrections Plan ChecL Deposit- .
ales.
Called Contact Person Plan Check Balance.
Cales.
lGrant
Plans picked up Construction '
lain plan
Plans resubmitted Mechwilcai
g plan
219 Review, ready for correctiouslissue Electrical
taetor list
Called Contact Person Plumbing
eed
Plans picked up S.M.I.
MO.& Approval
Plans resubmitted Grading
IN Hous&-
'^' Review; ready for correctionsAssue Developer Impact Fee
Planning Approval.
Called Contact Person A I P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees