BMCH2016-0345'
I
VOICE (760) 777-7125
78-495 CALLS TAMPICO
D
FAX
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date:1?9-- 0016
Application Number:
BMCH2O16-0345
Owner:
Property Address:
49448 VIA CONQUISTADOR
KATHLEEN 5WEETMAN
c ;.
APN:
602260026
105 W SPY GLASS DR
ci < J, —U !�
Application Description:
SWEETMAN / HVAC CHANGE OUT (1) SPLIT SYSTEM
SIOUX FALLS, SD 92253
Property Zoning:
Application Valuation:
$8,400.00
N
Applicant:
Contractor:
PALM DESERT AIR CONDITIONING
CO INC DBA
PALM DESERT AIR CONDITIONING
C0;-1'NC�DBA '-
42-081 BEACON HILL
42-081 BEACON HILL
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)346-0677
Llc. No.: 374937
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Clas : C20 License No.: 374937
r
Date: v'o 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 permitto 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'
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:
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 polity number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5029447
i
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 s II forthwith
comply with thos provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS 1$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-m!nyoneq property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 9/13/2016
Application Number: BMCHM16-0345
Owner:
Property Address: 49448 VIA CONQUISTADOR
KATHLEEN SWEETMAN
APN: 602260026
105 W SPY GLASS DR
Application Description: SWEETMAN / HVAC CHANGE OUT'(1) SPLIT SYSTEM
SIOUX FALLS, SD 92253
Property Zoning:
Application Valuation: $8,400.00
Applicant:
Contractor:
PALM DESERT AIR CONDITIONING CO INC DBA
PALM DESERT AIR CONDITIONING CO INC DBA
42-081 BEACON HILL
42-081 BEACON HILL
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)346-0677,
---------------------------------------------------------------------------------------------
Llc. No.: 374937
Detail: HVAC CHANGE OUT - 16SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
I
FINANCIAL INFORMATION,
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
I
1
I
sin .#
Qty Of La QuInta
Building a Safety Division
P.O. Box 1504,•78-49S Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
Project Address: 49-448 VIA CONQUISTADOR
Owner's Name:. SWEETMAN, KATHLEEN
A. P. Number.
Address: 49-448 VIA CONQUISTADOR
Legal Description: RESIDENTIAL
Contractor. PALM DESERT A/C CO. INC.
City, ST, Zip: 92253
Telephone: 605-321-4574 3s
Address: 42-081 BEACON HILL
Project Description: Change out of (1) (3) ton split horizontal
City, ST, Zip: PALM DESERT CA. 92211
heating and cooling system..(16) SEER; (13) ERR
Telephone: 760-346-0677
: %` • ^Y MEN
''f
s:; Q mil
programmable and. WI FI thermostat
,
State Lic. # : 374937
City Lie'. #, LIC -0100886
ac brand is American Standard
Arch., Engr., Designer
Address:
$8,40.0.00
City., ST, Zip:
Telephone:
'`��� ;'::
'' '" s'
Construction Type:. Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:#Stories:
#Univ:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKING
PERMITFEES-
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
. Called Contact Person
Plan Check Balance.
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsPissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^! Review', ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
1
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: SWEETMAN, KATHLEEN Date Prepared: 2016-09-13
A. General Information
MR -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
SWEETMAN, KATHLEEN
02
Date Prepared
2016-09-13
03
Project. Location
49-448 VIA CONQUESTADOR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
SWEETMAN, KATHLEEN
07
Zip Code
92253
08
Dwelling Unit Conditioned
3348
Floor Area (ft2)
SC System
SC System r
"CFA served�'*-4!s�ystem
a
refrige At -1
nstallirig new SC
(. Installing
%I stalling
Installing
`>>
Identification or
Number of space conditioning
by this SC
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Name
Served
System (ft2)
unit.
component?
s — t `
B. Space Conditioning (SC) System Information..,.Wft
01
02.
03
' 04.05
09
10
-,$
.
G
-.,Cls the SC
Installing a
SC System
SC System r
"CFA served�'*-4!s�ystem
a
refrige At -1
nstallirig new SC
(. Installing
%I stalling
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40'
e t ely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
BEDROOMS
1200
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 not apply to this project.
Registration Number: 216-A0337591A-000000000-0000 Registration Date/Time: 2016-09-13 12:05:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated:. 2016-09-13 12:05:31
CERTIFICATE OF COMPLIANCE CF111-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 Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
System 1
tral
Cfurnace enis
All new
heating
AFUE
8
Centrals IT-Allne
pcooling
w
- SEER
16
Setback
Less than or
equal to 40
R-8
components
AC
components
feet
Required Documentation:
'
CF2R-MCH-03-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%, or15 10% leakage to outside,"or seal all accessible leaks.
C17211 -MCH -25-1-1 & 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 AirFlow:2 300.CFM/ton regwred when -..MCH -25 is required. '
Exceptions:-` -'
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements let.
Charge MECH 25
-Heating-only systems and Air Handler/Furnace changes do not require venficaUon of Air Flow MCH''23 or Refrigerant
MCH`=20Duele�akage Testinggrequiunts
`
-Existing duct systems constructed, insulated or sealed with asbestos;are exemptfrom eme
Y4. - .:#. 'Pi. U M1, :*If 5k%s " 'M, -lrr� '7C 1wAi Ytt "P�t.
t��iss;' �
E. Entirely New or Complete Replacement Duct�Sys=tem, with or withou:t�Equipment Changeout (S.ectlons„150.2(b)lDiia;and 150.2(b)1E, F)
4 ' .� '
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-A0337591A-000000000-0000
CA Building Energv Efficiencv Standards - 2013 Residential Compliance
Registration Date/Time: 2016-09-13 12:05:48 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016=09=13 12:05:31
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
O
Company:
Signature Date:
Palm Desert Air Conditioning Co
2016-09-13 12:05:48
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 statement:;
I certify the following under penalty of perjury, under the aws 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 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 on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of Reg la ions.' t z
't
k4,, ars.i�
4. The building design features or system design features identified on.�this Certificate of Compliance are1'consiStent with the informat(onwprovided on'.othe�rappltcalile compliance documents, worksheets,
ae a u i .i •, fix; r#sl �.
building
calculations, plans and specifications sutimittedrto the eriforcemenl4gency fo approvallwith this permit application.
shall wrth;the )tissued tathe enforcement agency for all applicable
S.. I will ensure that a registered copy of this Certificateabf C mpliance be3made available 4i ilding permit( fortthecf�mldi�ng, and�made available
:,.t •° .
inspections. I understand that a registered copy of thls,Cert� irate of Compl ance is required to be included www ths.Qcum�enj�ation the builder provides toahe build owner at occupancy.
Z)
Responsible Designer Name: �«.r
a��. 's� a Pa
Responsible Designer Signature:%7�/G�GGG�fl/Gi/df
�/
McCoy, William
v
Company:
Date Signed:
Palm Desert Air Conditioning Co -
2016-09-13 12:05:48
Address:
License:
42-081 Beacon Hill
374937
City/State/Zip: -
Phone:
Palm Desert CA 92211
760-346-0677 -
Digitally signed by CaICERTS. 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 Number: 216-A0337591A-000000000-0000 Registration Date/Time: 2016-09-13 12:05:48 HERS Provider: CaICERTS
09 13 12:05:31
rA Q,,i1A; c .o.R cs� o���� cranrinrric - 2n1'3 Raciripntial Comoliance Report Version: 2013 Rev 1.008 Report Generated: 2016 .