BMCH2016-000978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`&ty, 4 4 Qubtrcv
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0009
Property Address:
49430 BRIAN CT CT
APN:
602290039
Application Description:
KALIN / CHANGE OUT (1) 16SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$8,995.00
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 70001 of Division 3 of the Business and Professions Code,
and my License is In full force and effect.
License Class: C20. C43 l ( License No.: 276586
Date: Z I `-Contractor: /Y
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).:
(1 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
Lender's
11111111111111111111
13
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/2016
Owner:
MIKE KALIN
Contractor:
DESrCONCC590PAL(7601Llc. o1k
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 rk for which this permit is Issued.
27 1 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: Z. " 2. ` Z /iP Applicant: / V
i
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: 2 _Z �210I 65ignature (Applicant or Agent):
FINANCIAL • !
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$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
$36.26
$0.00
PAID BY
METHOD .
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $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: KALIN / CHANGE OUT (1) 16SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/26/2016 SKH
Approved:
Parcel No: 602290039 Site Address: 49430 BRIAN CT CT LA QUINTA,CA 92253
Subdivision: TR 29053-1 Block: Lot: 16
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,995.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
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
MIKE KALIN
1580 ANGUS DR
VANCOUVER BC
CANADA V6J
H3
92253
Printed: Tuesday, January 26, 2016 12:03:03 PM 1 of 2 0?
SYSTEMS
INSPECTIONS
BOND INFORMATION
Printed: Tuesday, January 26, 2016 12:03:03 PM 2 of 2 AS
CMsrsrEMs
s
Y
r
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
[
PAID
PAID DATE-
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i 0i
INSPECTIONS
BOND INFORMATION
Printed: Tuesday, January 26, 2016 12:03:03 PM 2 of 2 AS
CMsrsrEMs
81n #City
of La Quinta
Btdiding ez Safety Division
P.O. Box 1504,18-495 Calle Tampico
1.a.Qdnta, CA 92253 - (760) 777-7012
0� Building Permit' Application and Tracking Sheet
Permtr #
f MMP -
Project Address:yh_� d� �� G
Owner's Name:
A. P. Number.
Address: �\
Legal Desai tion:
City, ST, lap:
Contractor.
Telephone. )
'
Address
Project Description: (�
City, ST, Zip:�G M CAIC ZZ6\--k
Telephone:-)t,,(,)-�-
State Lic. #: 2n1oZ'.R!.�10City Lia #;lzn1,�
Arcfi., Engr., Designer.
Address:
City, ST. Zip:
Telephone:
State Lic. #: Y
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Univ:
Telephone # of Contact Pelson:"-1 Estimated value of project: 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Pian Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance •
Titre 24 Cala.
Plans picked up
Construction "
Flood pilau pian
Plans resubmitted
Muharilrsl
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
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
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-ALT-02-E
(Page 1 of 3 )
Project Name: 49430 BRIAN COURT I Date Prepared: 2016-01-26
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
49430 BRIAN COURT
02
Date Prepared
2016-01-26
03
Project Location
49430 BRIAN COURT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
49430 BRIAN COURT
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigeiak
07
Zip Code
92253
08
Floor Area (ft2)
2628
Location or Area
by this SC
ducted
containing
of space conditioning
more than 40
09
Climate Zone
15
10ems
Fum
in this dwelling
1
system?
component?
components?
feet of ducts?
duct system?
SC system?
B. Space Conditioning (SC) System Information
01
02
03
04
J OS
06'
07 `
08
09
10
...
Is the SC
Installing a
SC System
SC System
CFA served
'--system a'
refrigeiak
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
System 1
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0034383A-000000000-0000
Registration Date/Time: 2016-01-26 13:13:35
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 11:13:26
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE Ullk-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
Dud Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
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: s 15%, or s 10% 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 Flow 2:300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. _
-Heating-only onl r
g- y systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23; o� Refrigerant Charge MECH-25'
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing: requirements.
f`
E. Entirely New or Complete Replacement Duct System, with or without- Equipment Changeout (Sections 150.2(b)1Diia and 1S0.2(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-A0034383A-000000000-0000 Registration Date/Time: 2016-01-26 13:13:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 11:13:26
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE CFIR-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: �llrl/
Watson, Nicole
Company:
Signature Date:
Desert Air Conditioning Inc.
2016-01-26 13:13:35
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
8330026
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 1 and Part 6 of the California Code of Regulations. f - ` t'
4. The building design features or system design features identified onrthis Certificate of Compliance are:consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemeniagency for'approval.with this building permit application.
S. I will ensure that a registered copy of this Certificaie of Compliance shall be made available with the building permits) issued for.the building, and made available to the. enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate. of Compliance Is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: `• t ..r
Responsible Designer Signature:
�GG�W�Odtlt!/
Watson, Nicole
Company:
Date Signed:
Desert Air Conditioning Inc.
2016-01-26 13:13:35
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
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: 216-A0034383A-000000000-0000 Registration Date/Time: 2016-01-26 13:13:35 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 11:13:26
Schema Version: 0.555SDD