BMCH2015-0305. K,I
78-495 CALLE TAMPICO D �KMNCl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0305
Owner:
Property Address:
52571 EISENHOWER DR
WILLIAM SCOTT
APN:
773295018'
52571 EISENHOWER
Application Description:
SCOTT RESIDENCE HVAC PACKAGED UNIT
LA QUINTA, CA CA
Property Zoning:
Application Valuation:
$6,800.00
Applicant:
PALM DESERT AIR CONDITIONING C
42-081 BEACON HILL.
PALM DESERT, CA 92211
A
AUG X 0 2015
CITY OF LA OUNTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.
JLicense Class: C20 L License No.: 374937
I J� Date: t57 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 Divisio 3
I 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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
I ) 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'
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/6/2015
Contractor:
PALM DESERT AIR CONDITIONING C
42-081 BEACON HILL
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
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 L or Code, I shall forthwith
comply with those provisions.
Bate: & 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 tp entupon the above•
mentioned property for inspection purposes. n
Date: Signature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION `ACCOUNT CITY
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
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $60.43 $0.00
DESCRIPTION
' . ACCOUNT
CITY
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:• •0
Description: SCOTT RESIDENCE HVAC PACKAGED UNIT
ADDITIONAL
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 8/6/2015 PJU
Approved: 8/6/2015 PJU
Parcel No: 773295018 Site Address: 52571 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 150
Lot: 4
Issued:
UNIT 16
COMPLETION. DATE NOTES
NOTE
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $6,800.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: PACKAGED UNIT 14 SEER .78 AFUE PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION
CONTACTS
Printed: Thursday, August 06, 2015 2:19:19 PM 1 of 2
RWSYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION. DATE NOTES
NOTE
PHILIP JUAREZ
8/6/2015
8/6/2015
CALLED CONTRACTOR THEY GAVE ME INFO AS TO TYPE OF
UNIT PACKAGED UNIT.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
PALM DESERT AIR CONDITIONING C
42-081 BEACON HILL
PALM DESERT
CA
92211 (
Printed: Thursday, August 06, 2015 2:19:19 PM 1 of 2
RWSYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED ,COMPLETED
RESULT REMARKS NOTES
DATE DATE
-
MECHANICAL FINAL"* BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #.
METHOD
PAID BY
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
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
'Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:i0
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED ,COMPLETED
RESULT REMARKS NOTES
DATE DATE
d
MECHANICAL FINAL"* BLD
ATTACHMENTS
Printed: Thursday, August 06, 2015 2:19:19 PM 2 of 2
RWYSTEMS
sin#
Qtyof Iona
Building at Safety Division
P.O. Box 1504, 78 495 Calle Tampico
La .Quinta, CA 92253 -(760) 777-7012
Building Permit -Application and Tracking Sheet
Permir #
•.i 4 i{.: ,l�'..✓i F j3i�.t1.
Project Address: ' 1 fir _ �%„ `A 'i EE's., �qI z? i'
Owner's Name:.
,Lf `.•.,r L,.-��C i
A. P. Number.
Address: ,
Legal Description:
City ST Zip:"
actor:
Conti Palm Desert Air Conditioning Co.
Telephone: ,.
� ! �
Address: 42-081 Beacon Hill
Project Description: HVAC system change out.
City, ST, Zip: Palm Desert 92211.
Tetephone::;
760-346-0677
>
t_..k(j {t )f ?i 4• h� .
State Lic. 9: 374937
City Lie. #c
Al -ch., Engr., Designer:
ttr, "CL
Address:
ip:
City, SF, Zip-
Telephone:�f;.: r?;:.'�?:a:�;-.y<<::�:.,>"<'s';s,<��.�-•' `.:�,
fele lone:
State Lie.
Construction Type-, Existing occupancy: QCCUpled
Project type (circle onc): New Add'n Alter Repair Demo
Name of Contact Person: Robert Bachus
Sq. Ft.: 1�C= j1
#Stories: 1 #Units: 1
Telephone # of Contact Person: `
Estimated Value of Project 6;$ 3 fl0 ' i ;
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Pfau Sets
Req'd
Reed
TRACIMgG
Plan Check submitted
PERMIT FEES
I#eta Amount
Structural Cales.
Reviewed, ready for corrections
Pfau Cluck Deposit
Truss CAM
Called Contact Person
Plan Check Balance
Title 24 C21cs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mechanical
Giading plan
rl lleview, ready for corrections/issue
Electrical
Subtontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.0 A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^ Review; ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact. Person
Pub. Wks. Apgr
Date of permit Issue
School Fees
LLLTota!
Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC)
Project Name:
52571 Eisenhower Dr. I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 ) ,
2015-08-06
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
52571 Eisenhower Dr.
02
Date Prepared
2015-08-06
03
Project Location
52571 Eisenhower Dr.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
52571 Eisenhower Dr.
07
Zip Code
92253
08
Dwelling Unit Conditioned
1300
"
Floor Area (ft2)
SC System
CFA served
'+ystem aµ
refngevra�t
:1
Number of space conditioning
rl ns�tallin g
09
Climate Zone
15
10
(SC) systems in this dwelling
1
.1
containing
system
more than 40
entirely new
unit.
,y
B. Space Conditioning (SC) System Information
01
02
03
04
05
06t
V1 U8
09
10
�F�'06
-
�
���
Is the SC
Y7, '"nst
Installing a
"
SC System
SC System
CFA served
'+ystem aµ
refngevra�t
:1
;Install g
rl ns�tallin g
Installing
Identification or
Location or Area
by this SC
ducted
.1
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
Location 1
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does riot apply to this project.
Registration Number: 215-A0218154A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-06 11:02:49
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-06 11:03:00
CERTIFICATE OF COMPLIANCE CF111-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
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
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
0.78
packaged AC
cooling
SEER
14
Setback
section is not
section is not
components
components
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: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-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-MCH-23 Air FI6w*2 300 CFM/ton required when MCH -25 is required.
Exceptions: �•
`: a � !fie
Duct systems registered with HERS provider as previously sealed are exempt from 1V1CH=20 Duct LeakagefTesting regwrements.
ort
-Heating-only rystems and Air Handler/Furnace changes do not require verficatiA"eon of Air Flow MCH -23 •or Refrigerant Charge;MECH-25'�
ixti `? .4, 20-a
Existing duct systems constructed, insulated asbestos are MCH Duct:Leakage Testing
or sealed with -20 requirements.
exempt`from rFrnent
A-t
,,�•,.� . �� .8-� cn '�a., +r.«.�+�• �.n e+.. �. 7e.Ai+� �j.. cis• vm• s�' R�
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout<(Sections 150.2(b)1Diia and150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-A0218154A-000000000-0000 Registration Date/Time: 2015-08-06 11:02:49 HERS Provider: CaICERTS .
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-06 11:03:00
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
• CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
McCoy, William
Company:
Signature Date:
Palm Desert Air Conditioning Co
2015-08-06 11:02:49
Address:
CEA/ HERS Certification Identification (if applicable):
42-081 Beacon Hill
City/State/Zip:
Phone:
Palm Desert CA 92211
760-346-0677
Responsible Person's Declaration statemen'6, .
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this CertificateofCompliance 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 specifications, materials, co 6onnents, and manufactured devices for the building, design or system 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.
4. The building design features or system design features identified o his Certificat of Compliance are de101
nt with the information.provided othef applicable'com pliance documents, worksheets,
calculations, plans and specifications submittedto the enforcement agency for'approval with this building permit application.
ya: e+i
.
5. 1 will ensure that a registered copy of this Certificate, of Compliance shall be made,,ayailable withAh building permit(s)lissued fortfhe;b�uild g, andmade ava ble tVhe enforcement agency for all applicable
(sYj
inspections. I understand that a registered copy of thi- Certiificate of Compliance.is.required to be included with the documentation the builder provides to the building owner at occupancy.
k<,yy 31 W 6�- .W -4k IF^ i-.' IrC^R .iA-" i);- k, 'A fi"Q�. � ^' -A,•
Responsible Designer Name: " k ms i 4
Responsible Designer Signature: V
McCoy, William
!�/GEGIldsY(/� d
Company:
Date Signed:
Palm Desert Air Conditioning Co
2015-08-06 11:02:49
Address:
License:
42-081 Beacon Hill
374937
City/State/Zip:
Phone:
Palm Desert CA 92211
760-346-0677
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: 215-A0218154A-000000000-0000
Registration Date/Time
2015-08-06 11:02:49
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-06 11:03:00
Schema Version: 0.555SDD