BMCH2014-1120i
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
'c&tv; 4 -4v Qa!Krcu
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
`Application Number: BMCH2O14-1120
Property Address: 78795 LIMA ST -'
APN: 776080008
Application Description: REPLACE (4) SPLIT SYSTEMS
Property Zoning:
Application Valuation: $47,461.00.
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 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:) License No.: 276586
y
Date: 2-J " I_ 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.).
(_) 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. Q.
Lender's
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ROBERT MENGARELLI
80 PEBBLE BEACH DR
NOVATO, CA 92253
Date: 10/20/2014
1�al`IS
Contractor:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
LIC. 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
comply with those provisions.
Date: % Cr 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):
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
78795 UMA .1 Date Prepared:
CF1R-ALT-02-E
(Page 1 of 5 )
201410-15
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
78795 LIMA
02
Date Prepared
2014-10-15
03
Project Location
78795 LIMA
04
Building Type
Single family
05
CA City
La Quint@
06
Dwelling Unit. Name
78795 LIMA
07
Zip Code
92253Dwelling
OS
Unit Conditioned
4300
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirelynew
09
Climate Zone
15
10
(SC) systems in this dwelling
4
component?
components?
feet of ducts?
duct system?
unit
Alteration Type
B. Spate Conditioning (SCy System Information
O1
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
entirelynew
entirelynew
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1 OF 4
Location 1 of 4
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2 of 4
Location 2 of 4
16W
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3 of 4
Location 3 of 4
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 4 of
Location 4 of 4
1200
Yes
Yes
Yes
No
No
No
Altered spaee
conditioning systern
.,
Registration Number. 214-A0117829A-000WD000
00-00
Registration Date/Time
2014-10-15 10:00:37
HERS Provider: Ca.ICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-32 Report Generated: 2014.10-15 10:01.:11
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (page 2 of 5 )
C. Extension of Existing Duct System, GreaterThan 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project,
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08.
09
10
1t
12
Heating
Cooling
System
Heating
Altered.
Heating
Minimum
Aftered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
This fie[d or
This field or
System 1 OF 4
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
CentralAll
gas
ne%v
CentACl split
All new
This field or.
This field or
System 2 of
furnace
heating
AFUE
0.78
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Centra! gas
All neve
Central split
All new
This field or
This field or
5ystem 3 of 4
furnaces
heating
AFUE
0.78
AC
Cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
System 4 of
Central as
furnace
All new
heating
AFUE
0,78
Central split split
All new
cooling
SEER
13
Setback
This field or
section is not
This field or
section is not
components
components
applicable
applicable
Required Documentation_
CFZR-MCH-01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CUR-N1CH-2044 & M R -MCH -20-H — Dud Leakage testing required when heating or cooling components ate installed in ducted systems, or when more than 40 ft of dud length is replaced.
-Leakage rate compliance: s 15%, or S 10% leakage to outside, or seal all accessible leaks.
MR -MCH -25-1-1 8: CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or alt, red (applicable in CZ 2, 8-15).
MRCF311-htCH-23 & CF313-MCH-23 Air flow:! 300 CFM/ton required when PACH-25 is required.
Exceptions:
-Dud 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 dud systems constructed, insulated or sealed with asbestos are exempt from rv1CH-20 Dud Leakage Testing requirements.
Registration Number: 214-A0117829A-000000000-0000
Registration Date/Time: 2014-10-95 10:00:37
HERS Provider Ca,ICERTS
CA Building Energy Efficiency Standards - 20L' Residential Compliance Report Version: 2014-03-31 '. Report Generated: 2014-10-15 10:01:11
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 5 )
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number:214-A0117829A-OOOOOOd00-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time; 2014-10-15 10:00:37
Report Version: 2014-03-31
Schema Version: 0.5515DD
HERS Provider: Ca ICE RTS
Report Generated: 2014-10-35 10:01:11
CERTIFICATE OF CORA PLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
-This section does not apply to this project.
M
Registration Number: 214-A0117829A-000000000-0000
CA Building Energy Efficiency 5tandards - 2013 Residential Compliance
Registration Date/Time: 2019-44-15 10:0037
Report Version: 2014-03-31
Schema version: 0.551SDD
CF1R-ALT 02-E
(Page 4of5)
HERS Provider: CaICERTS
Report Generated: 2014-10-15 10:01:11
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1 R -ALT HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Skov, KeriDacumentation Author. Signature;
_ _
Company:
Desert Air CDnditioning Inc.
Address:
590 Williams Road
Signature Date: _
2014-10-15 10:00:37
CEA/ HERS Certifkation IdentJflcatfon (if applicable):
City/State/zip: Phone:
Palm Springs CA 92264 760-323-3383
Responsible Person's Declaration statement
CF1R-ALT 02-E
(Page 5 of 5 )
I certify the following under penalty of per)u ry, under the raws of the State of california:
1. The information provided on this Certificate of Complia noe is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Cade to accept resporsibiftty for the bullding design orsistem design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices forthe 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 sy--tem design features identified on this CeertiricatE of Compliance are consistent with the information provided ori ctherapplicable compliance documents, worfxsheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this buflding permit application.
5. I will ensu re that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I u riderstandthac a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at oalupanoi.
R 'bl -
esponsi a Designer Name;
Skov, Keri
Responsible DesignerSignature:
Company;
Desert Air Conditioning Inc,
Date Signed:
2014-10-15 10:00.37
Address:
590 Williams Road
License:276586
City/State/Zip:
Palm.Springs CA 92264
Phone:
760-323-3383
Dtyftahj signed by CafCERTS, This digital sirgnatura is provided i» order to secure the content ofthrs egista..d&,,urneriL and in no mWiMAWas Registration Providerrssponsibvfity tw the accuracy oithe info"Meiicrt.
Registration Number: 214-A0117829A-DO0400000-0000 P,egistration Date/Time: 2014-10-15 10:00:37
HERS Provider: CaICERTS
CA Building Energy EfficiencyStandards-2013Residential Com liance
P Report Version�2014-03-31 Report Generated: 2014-10-15 10:41:11
Schema Version: 0.551SDD
\�
f .• .. "
City
ty of La Quinta
rijilding 8t Safeiy Division
?,O. Box 1504,'78-493 Calle Tamplco
La •Qulnta, CA. 92253 -:(760) 77770:12
Building Pelmit'Application'and Tracking Sheet ;
Perililt . 0
d
ProjectAddcess:76795LIMA
A. P. Nwnbcr:
Legal Description,
coatr=or: Desert Air Conditioning; Inc.'
Owner'sNamc:.ROBERTMENGARELLP" '.
Address. 78795 LIMA
City, ST, zip: LA QUINTA, CA 92253
Telephone: `
Address: 590 Williams Rd.
project Description: replace (4) split systems on ground
City, ST, Zip: Palm Springs, CA 92264 ,
Ilke for like
Telephone: 760-323-3383
3tato Lic. # : 276586 .City UP -1k 363
AmE, fir•, Deistsw, N/A
Address;
City, ST, Zip:
Telapltone: �
State Lia #:
Namc of Contac Person: Keri Skov
Construction Typa• Qccupattcy: .
project type (cimle one): New Add'n Alter Repair Aemo
Sq. FL:
19 Stories:
tf Units:
Telephone 0 of Colttact ftrson: 760-323=3383
Estimated Value of Project: $47.461.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
1t
Submittal
Plan Seta
Iteq'd
-'Reed
TRACEING
Plan Check submitted-
PERIM FEES.
Item 4,tnouat
Structural Calcs.
PLviewed, ready (or corrections
Plan ChcekDeposit, .
Trwa Calts-
Called Contact Terson
Plat[ Cheek Balance
Title 24 Cala.
Plans picked up
Construc6op
blood Plan plan
Pians reanbmitlyd," ,
Metharilcal
G`adingplan
2?'Review, ready for corrections/ism
bleurltal
$nbcounctor List
Called Conta&Verson
P(umblug '
Grant Deed
Plans ticked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN UOWE:-
'"' Review; ready for eorrectlonsAssac
1)cv' doper Impact Fee
1'lnnning Approval•
Called Contact Person
Ad,P.P,
Pub. Wks. Appr -
Date of permit issue
School. Fees
Total Permit Fees
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
$290.08
$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
$145.04
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $435.12 $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: $528.97 00
Description: REPLACE (4) SPLIT SYSTEMS
Type: MECHANICAL Subtype:
Status: SUBMITTED
Applied: 10/20/2014 KHE
Approved:
Parcel No: 776080008 Site Address: 78795 LIMA ST LA QUINTA,CA 92253
Subdivision: TR 24890-4 Block:
Lot: 20
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $47,461.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
APPLICANT
Details: REPLACE (4) SPLIT SYSTEMS AT GROUND LEVEL
590 WILLIAMS ROAD
PALM SPRINGS
Printed: Monday, October 20, 2014 12:30:08 PM 1 of 2
CHRONOLOGY
-----------
CONDITIONS
NAME TYPE
NAME
ADDRESS1
• +
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
ROBERT MENGARELLI
80 PEBBLE BEACH DR
NOVATO
CA
92253
Printed: Monday, October 20, 2014 12:30:08 PM 1 of 2
DESCRIPTION
ACCOUNT
QTY
-AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
CLTD
BY
HVAC CHANGEOUT -
101-0000-42402
0
$290.08
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$145.04
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT:
$435.12
$0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:
$S28.97
$0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE
DATE
MECHANICAL FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
ATTACHMENTS
Printed: Monday, October 20, 2014 12:30:08 PM 2 of 2
City of La Quinta
VENDOR: 07743 DESERT AIR CONDITIONING INC
DATE ID PO # DESCRIPTION
1/23/2015 y R3486 REFUND DUP PAYMENT
1/23/2015 R3486 REFUND DUP PAYMENT
1/23/2015 R3486 REFUND DUP PAYMENT
1/23/2015 R3486 REFUND DUP PAYMENT
C
2/18/15: MR mailed out the check
•
City of La Qui hM p
78-495 Calle Tampico- ..
La Qulnta, CA 92253
(760)777-7150
CHECK TOTAL 528.97
R• ON
WELLS FARGO CHECK NO: 106016
f ,
02/13/2015 $528.97
PAY --Five Hundred Twenty Eight Dollars and 97/100 Cents ---
TO THE ' DESERT AIR CONDITIONING INC �.�
ORDER 590 WILLIAMS ROAD HORREO SIGNATURE
OF PALM SPRINGS, CA 92264-
f �-��
UTHORRED SIGNATUH
lie L0601611' 1:1,2&0002481: Ill 4L5 9 28 2 48 2110
CHECK NO: 106016
02/13/2015
GL ACCT #
AMOUNT
101-0000-42404
91.85
101-0000-42600
145.04
101-0000-20306
2.00
101-0000-42402
290.08
City of La Qui hM p
78-495 Calle Tampico- ..
La Qulnta, CA 92253
(760)777-7150
CHECK TOTAL 528.97
R• ON
WELLS FARGO CHECK NO: 106016
f ,
02/13/2015 $528.97
PAY --Five Hundred Twenty Eight Dollars and 97/100 Cents ---
TO THE ' DESERT AIR CONDITIONING INC �.�
ORDER 590 WILLIAMS ROAD HORREO SIGNATURE
OF PALM SPRINGS, CA 92264-
f �-��
UTHORRED SIGNATUH
lie L0601611' 1:1,2&0002481: Ill 4L5 9 28 2 48 2110
•
•
CPO"
o
DEMAND / 'CHECK REQUEST
To
�y
XXX '.
Return check to requestor Mail check
Name / Title of person requesting check
y 2/3/15: To Finance for
MONIKA RADEVA, EXECUTIVE ASSISTANT processing - MR
Department individual is associated with:
COMMUNITY DEVELOPMENT DEPARTMENT
k
Check payable to:
DESERT AIR CONDITIONING, INC
(Name) (Vendor -No.)
` 590 WILLIAMS ROAD
(A ress
PALM SPRINGS, CA 92264
Check description and invoice number:
Amount: $ $528.97
Account Number: SEE DETAIL ATTACHED
Project Number: BMCH2O14-1120
THE APPLICANT SUBMITTED 2 APPS FOR THE SAME WORK AND PAID TWICE
BMCH2O14-1125 WAS ISSUED, PLEASE REFUND THE DUBLICATE PERMIT BMCH2O14-1120
Signature:
/j
( atm— !/",
APPROVED FOR PAYMENT
(Finance Department Use Only)
BY:
BY:
ACCOUNT NO.
DESCRIPTION