BMCH2016-043978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T 4's (�v Qf Wo v
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT .
t
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/7/ZUlb
Application Number: BMCH2O16-0439 Owner:
Property Address: 48704 VISTA PALOMINO BOB ANDERSON
APN: 602200021® 48704 VISTA PALOMINO
Application Description: ANDERSON RESIDENCE / H / O LA QUINTA, CA 92253
Property Zoning: �—
Application Valuation: $50,000.00 DEC U 7 2016
Applicant: - Contractor:
DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
. cili QF• �QU�NTA ,
EVELOPMENT DEPARTN�EM
PALM SPRINGS, CA 92264 DESIGN AND DPALM SPR GS, CCA 92264 Y
. (760)323-3383 .
- Llc. No.: 276586
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under -penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. s
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C43 License No.: 27658
of the work for which this permit is issued.
1 /
1• .� "1 l�
I have and will maintain workers' compensation insurance, as required by
.at -Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CST5008762
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State '
I certify that in the performance of the work for which this permit is issued,)
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the.workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 370 of the Labor Code, l shall forthwith
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
comply with those provisions. A
`
% ' J
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date:.. Z I Applicant:—,
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation; will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application. .
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contract`s for the projects with a^contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY'
I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penaltylof perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to enter up n the
the performance of the work for.which this permit is issued (Sec. 3097, Civ. C.).
above-mentioned property for inspection purposes.
Lender's Name:
Date::) 'L ^ 7' IG tSignature-(Applica—M o Agent):
-
Date: 12/7/2016 ,
Application Number: BMCH2O16-0439
Owner: .
Property Address: 48704 VISTA PALOMINO
BOB ANDERSON
APN: 602200021
48704 VISTA PALOMINO
Application Description: ANDERSON RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $50,000.00
Applicant:
Contractor:
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC ,
590 WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)323-3383
Llc. No.: 276586
Detail: (3) HVAC CHANGE OUTS- 22 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
r
` FINANCIAL INFORMATION
s
DESCRIPTION
•
AMOUNT
BSAS SB1473 FEE 101-0000 20306 0 $2.00 `
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$228.00
DESCRIPTION.
ACCOUNTqTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
•101-0000-42600
0
$114.00
_ Total Paid for CHANGEOUT: $342.00
DESCRIPTION "
ACCOUNT
qTY
AMOUNT
{' PERMIT ISSUANCE
101-0000-42404
0
$96.27
Bin #
Cray of La Quanta
Building ar Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 48-704 VISTA PALAMINO
Owner's Name:. BOB ANDERSON
A. P. Number.
Address: 48-704 VISTA PALAMINO.
Legal Description:
Contractor. DESERT AIR CONDITIONING, INC
City, ST, Zip: LA QUINTA, CA 92253
Telephone: 360-303-9861 WN g°` ry Y'
Address: 590 WILLIAMS ROAD
Project Description: INSTALL (2) 4 TON SPLIT SYSTEMS.
City, ST, Zip: PALM SPRINGS, CA 92264
(1) 3 TON SPLIT SYSTEM ON GROUND, LIKE FOR
Telephone: 760-323-3383>.
LIKE
State Lic. # : 276586
City Lie.. &
Arch., Engr., Designer
Address:
City., ST. Zip:
Telephone: `�.
State Lie. #: rte, - ".:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: CANDICE FORSYTHE
Sq. Ft:
#Stories:
Units:
Telephone # of Contact Person: 760-323-3383
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
'Rec'd
TRACT MG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amouat
Structural Calcs.
Reviewed, ready for cortections
Plan Check Deposit. .
'Russ Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Grading plan
V Review, ready for correctionsirssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up 1,
S.M.L
ILOAL Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' 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
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-1HVAC)
Project Name:
48-704 VISTA PALAMINO I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-11-29
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
48-704 VISTA PALAMINO
02
Date Prepared
2016-11-29
03
Project Location
48-704 VISTA PALAMINO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
48-704 VISTA PALAMINO
07
Zip Code
92253
OS
Dwelling Unit Conditioned
4243
W�..i
s a ►+ .t
w..+
Floor Area (ft2)
SC System
CFA served
systema
re rf igerant [
klnstalling new SC
Number of space conditioning
nstalling
Glnt �....
09
Climate Zone ,
15
10
(SC) systems in this dwelling
3
s6—f
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information earrf, rn `5�
01
02
03
04i�
05 k�
I �61 M
11 07))
08
09
10
�.
.k
4
u
FIs the SC"`
.1 -..
Installing a
x...ra
W�..i
s a ►+ .t
w..+
SC System
SC System
CFA served
systema
re rf igerant [
klnstalling new SC
�Installirig
nstalling
Glnt �....
.Installing
Identification or
Location or Area
by this SC
ducted
s6—f
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
Location 1
1200
Yes
Yes
Yes
No
No -
No
conditioning system
Altered space
System 2
Location 2
1600
Yes
Yes
Yes
No
No
No
conditioning system
System 3
Location 3
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet.(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0440699A-000000000-0000 Registration Date/Time: 2016-11-29 14:12:37 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-29 14:12:41
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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
it
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 gas
All new
Central split
All new
Less than or
System 1
heating
AFUE
80
cooling
SEER
22
Setback
equal to 40
R-8
furnace
components
AC
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
80
AC
cooling
SEER
22
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 3
heating
AFUE
80
cooling
SEER
22
Setback
equal to 40
R-8
furnace
components
AC
components
feet
Required Documentation:
MCHation -Space Conditioning Systems Ducts and Fans f nD
-Duct insulation requirement for new plenums: R6. �'
-Duct
Duct Leakage when heatOng in ducted'systems, or when more than 40 ft of duct
length is replaced.
CF2R-MCH-20-H & CF3R-MCH-20-H — testing required or cooling components are installed
-Leakage rate compliance: 515%, or:5 10% leakage to outside';; orseal all accessible -leaks.
i i.
.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification rrequired when refrigeran containing components are installed or altered (applicable
in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required-wh1�en MCH-25:isrequiced.
Exceptions:
-Duct 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 duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct 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)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-A0440699A-000000000-0000
Registration Date/Time: 2016-11-29 14:12:37
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-29 14:12:41
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. 1 certify that this Certificate of Compliance documentation is accurate and complete. _
Documentation Author Name:
Documentation Author Signature: ��/ /" /
Trefun, Michael
C/V(,ic(Zae( re un
Company:
Signature Date:
Desert Air Conditioning Inc.
2016-11-29 14:12:37
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
8248263/5947243/8248242
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws 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 gulations. le - � ) t .
4. The building design features or system design features identified on this Certificate of Compliance are consistent wtth the information. vided onth apl'le'compliance documents, worksheets,
for this bwlding
calculations, plans and specifications submitted to the enforcement agency approval with permit application.
5. I will ensure that a registered copy of this Certificate of CCompliance shall be.made available with the building permits) issued fortthe:buil ding, and,f available•to tfie enforcement agency for all applicable
inspections. I understand that a registered copy of this�ficate of Co�mplliance.is.requFired to beincluded with the documeentation�the�builder-provides to -the building owner at occupancy.
Responsible Designer Name:-
Responsible De°signer signature: V 1, X 10• C, I
Trefun, Michael
c icLJre un.
Company:
Date Signed:
Desert Air Conditioning Inc.
2016-11-29 14:12:37
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
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-A0440699A-000000000-0000Registration Date/Time: 2016-11-29 14:12:37
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-11-29 14:12:41