BMCH2016-0091CtD "'fit/ Qumrcu
VOICE (760) 777-7125
787495 CALLE TAMPICO UU
_ FAX (760) 777-7011 `
LA QUINTA, CALIFORNIA 92253' COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/7/2016
Application Number: " BMCH2O16-0091 Owner:
Property Address: 78435 VIA SEVILLA STEPHEN LARSEN
APN: 604212004 78435 VIA SEVILLA
Application Description: LARSEN / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $13,881.00 ® L/
Applicant: Contrac
DESERT AIR CONDITIONING INC DESERT I CON ITIONINDG O 2ni0
590 WILLIAMS ROAD 590 WIL AMS R AD
PALM SPRINGS, CA 92264 PALM SP UNGS, CA 9Y2264OFLA QUINTA
(760)323 WNITV DEVELOPMENT DEPARTMENT
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. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C43 License No.: 276586 of"the, ork for which this permit is Issued.
�/ y I have and will maintain workers' compensation insurance, as required by
Date: / 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
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
($500).:
(_) I, as owner of the property, or my employees with wages as their sole .
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have thq burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C: for this reason
Date: Owner
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
Carrier: _ Policy Number: _
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Z.) / Applicant;
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS.($ 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. /7
Date: 08 -Al Signature (Applicant or Agent):
JJtFFtlj! r
' •
�tfis�t4 �" DESCRIPTION _" i ;.�`a;: _ �' +,;' `�-'ACCOUN'T°AMOUNT �� ' PAID '' FPAID.DATE.
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
`�`PAID'BY�fi«� RECEIPT;#4��CHECK#� ' CLTDBY�"
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
"�;DESCRIPTION . ,t
`y�� t�;ACCOUNT<�z `"'� "` }
q'QTY'',,�
AMOUNT ;°`�
PAID '
�. a X:,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
� Vii'• -.y.
y +' PAID•BY c " - ,-
7 T. : ,. -__., t
METHOD i` »
' r *RECEIPT # t
..
2x CHECK # k
tCLTD BY:.
�`DESCRIPTION rf...}tr�a
"ACCOUNT ;
,QTY
`c» AMOUNT,x"
,A +°PAID
"P A_lRDATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
Jjr «,PAID BY 'as;
{ ',METHOD` r '
.•} "'RECEIPT#�"�?4�
s nkK' CHECK # $
tr GLjD.f3Y "
Total Paid for CHANGEOUT: $108.78 $0.00
' x r.DESCRIPTION f_x
fACCOUNT;.QTY
t
'LAMOUNT:#rPAlDtiss
",PAIDDATE'
'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
....1„
METHOD
RECEIPxT,# *
�� izCHECK#
CLTDBY'a
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• • ��
+
t
,
i
J'
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Description: LARSEN / HVAC CHANGE OUT'
Type: MECHANICAL Subtype: Status: UNDER REVIEW • Applied: 4/7/2016 SKH `
Parcel No: 604212004 :Site Address: 78435 VIA SEVILLA LA QUINTA,CA 92253 Approved:
Subdivision: TR 23971-1 Block: Lot: 60 - Issued:�
Lot Sq Ft: 0 . Building Sq Ft: 0 " n -Zoning:, ,` T Finaled:
Valuation: $13,881.00' Occupancy Type: ' . Construction Type: Expired:
No. Buildings: 0" No. Stories: 0 t No. Unites: 0 .
Details: , HVAC CHANGE OUT - 20SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. - s
1SITES
.T • .r
•
NUMBER
:cam
PERMIT
NAME
ADDRESSI CITY
STATE
i
1
•
, Y
590 WILLIAMS ROAD PALM SPRINGS
•
92264
Nwatson@desert_airps.
Description: LARSEN / HVAC CHANGE OUT'
Type: MECHANICAL Subtype: Status: UNDER REVIEW • Applied: 4/7/2016 SKH `
Parcel No: 604212004 :Site Address: 78435 VIA SEVILLA LA QUINTA,CA 92253 Approved:
Subdivision: TR 23971-1 Block: Lot: 60 - Issued:�
Lot Sq Ft: 0 . Building Sq Ft: 0 " n -Zoning:, ,` T Finaled:
Valuation: $13,881.00' Occupancy Type: ' . Construction Type: Expired:
No. Buildings: 0" No. Stories: 0 t No. Unites: 0 .
Details: , HVAC CHANGE OUT - 20SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. - s
1SITES
r
NAME TYPE
NAME
ADDRESSI CITY
STATE
ZIP PHONE
FAX EMAIL
APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD PALM SPRINGS
CA',
92264
Nwatson@desert_airps.
com
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD ' PALM SPRINGS
- CA''
92264
-
Nwatson@desertairps.
j
F . ..
a.
'Com.
OWNER
STEPHEN LARSEN
78435 VIA SEVILLA LA QUINTA
�CA
92253
'
INSPECTIONS
- PARENT PROJECTS
REVIEWS
DC\AC\AI TVDC OC\AC\AICD CrklT nATC n1 Ir nATV RETURNED STATUS REMARKS NOTES
CL
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
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: $201.63 00
INSPECTIONS
- PARENT PROJECTS
REVIEWS
DC\AC\AI TVDC OC\AC\AICD CrklT nATC n1 Ir nATV RETURNED STATUS REMARKS NOTES
efR #Pty 4 La. Quinta
Bul1d1pk 8i Safety Dlv&wi
Permit # P.O. Box 1504,'78.495 Calle 7amplco
P.QufntJ, .CA,92253 •1760) 777-7012
Building. Pennit ApPlicatlon*and Tracking Sheet
PcojectAddrcssi—ja , Owher'sNarne: a ;`
A. P. Number.
Address:
Legal Description,'
S`T, Zip: G C1rZ'Z
Gontractoc Desert Air Conditioning, Im
Telephone-1 _ _ °.,
Address: 590 Williams Rd.
projectDeseription
City, ST, Trp: Palm Springs, CA 92264 •
\ Y
Telephone: 760-323-3383
Lic #; 363
v.
Statc Lia N : 276586City
Arch., Engr.;;Designer NIA
Address:
City., ST, Zip:
Telephone:
State Lic: Il:
Name of CoWA0t Person:- ` G��
,
Construction Type: • Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
: Sq. Ft:
t! Stories:
t1 Uaityi
Telephone,# of Contact Person: 760-323=3383
Estimated Value of Proj i'J Ibb \,
APPLICANT; DO NOT WRIMBELOW THI&L1NE
a Submittal Req'd ''Rev'd. TRACKNC PERMIT FEES
Pign Seb
Play Ch eek`snbm[tted
item Amount
Strnetutal Calcs.
Reviewed, ready for corfecdons
Plan Chcck�Deposit
Truss Cala.
Called Contact Person
'Plan Check Balance
Title 24 Calci.
Plaus.pieked up
Constracdon'
Mood plain plan
Plans resubmitted
Methatdeai
Giading plan
2'! Review; ready [oreorrtttious/issue
Electrical
Subcontactor ISst
Called Contact Person
Plumbing
CraiiMced
Plans picked up
S.bLL
lLOAL.Approval
Plans resubmitted
Grading
M Ii0UM.
'^' Review; ready for. correctionslissue
Developer Impact Fee
Planning Approval-
Called Contact Person
A".Y.
Pub. Wks. Appr
Date otpermlt issue
School Fees
Total Permit Fees
CERTIFICATE Of COMPLIANCE CF1R'-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of.3 )
Project Name: 78435 VIA SEVILLA, Date Prepared: 2016-04=06
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
78435, VIA SEVILLA
02
Date Prepared
2016-04-06
03
Project Location
78435 VIA SEVILLA
04
Building Type
Single family
05
CA City
La Quinta ,
06
Dwelling Unit Name
78435 VIA SEVILLA
07
Zip Code
92253
.08
Dwelling UnitCoriditioned
3423
Floor Area.(ft2)
SC,System
SC System
CFA served
44'systema�-�•=
refrigerant
Number oUspace conditioning•
{ter Installing
.09
Climate Zone,
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely.new
B. Space Conditioning (SC) System' Information
01.
02
03 "ry
04'.x!`
X05 4
U6, ,�
07?
OSz
9'09
10
.5
�> `is'the SC'';--`T.I
talfin a
SC,System
SC System
CFA served
44'systema�-�•=
refrigerant
�Installing-newSC
{ter Installing
Installing
¢f Installing
Identification or
Location:orArea
by this SC
ducted
containing
system
more than 40
entirely new
entirely.new
Name
Served,
System (ft!)
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 Duct System; Greater Than 40:f-eet ($ectioni50.2(4)iDiib)
This section does not.apply:to.this project:.
Registration Number:216=A0128081A-000000000-0000: Registration Date/Time- 2016-04-06 10`.20.35 HERS; ProvidersCaICERTS.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 -Rev 1.007 Report Generated: 2016.04-06 10:20:50
Schema Version: 0.555SDD
CERTIFICATE OF'COMPLIANCE CFSR-ALT-02=E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning: System (Sections 1S0:20)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 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 field or
This field or
System 1
furnace
heating
AFUE
0:78
AC
cooling
SEER
20
Setback
section is not
section is not
components.
components
applicable
applicable
Required Documentation:
CFMIQ11 H -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-11 & MR-rvICH-- 0•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 < 1094 leakage -to outside; or seal all accessible leaks.
CE2R-MCH-25-H'& CF311-1VICH-25-1-1 Refrigerant Charge verification `required when refrigerant containing components are installed bealtered (applicable in CZ 2, 8-15).
CF2960R-MCH-23 & CF3R-MCH-23.Air.Flow a 300 CFM/ton required when MCFlr25 is required. "
Exceptions:
-Duct systeons registered with HERS provider as-prediously sealed are ekemprfiom MCH -26 Duct Leakage Testing requirements_.,.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH,23 or Refrigerant Charge MECHH-2
-. F-{ :Z o" } - . qK ie 7s
-Existingductsystems
s♦ steins constructed, insulated`or seated with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
E: Entirely New or Complete Replacement Duct'System, with or without,Equipment Changeout (Sections 150.2(b)1Dila.and,150.2(b)lE, F)
This section does not, apply to this project..
F. Entirely New or Complete Replacement Space Conditioning:$ystern (Section 150.2(b) -1C)
This section does.not apply.to this project.
Registration Number: 236-A0128081A=000000000-0000 Registration Date/Time: 2016404-06 10:20:35 HERS Provider: CaICERTS.:
CA Building Energy Efficiency Standards - 2013 ResidentW'Compliance Report Version: 2013 Rev 1.007 - Report Generated: 2016.04-06 10:20:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFMALT 02=E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. I:cert)fy that,this Certifcate of Compliance documentation is.accurate'and 'complete,
Documentation Author Name:
Daumentation Authdf,SignatOre:
e
Watson, NicoleLC6P/K/�f/
Company,
Signature Date:
Desert- it Conditioning Inc.
2016-04-06 10--2034
Address:
CEA/ HERS Certification Iden6ficaiiori (if4pplicable)`. .
590.Williams'Road
8216567
C1ty/51tate/Zlp:.
Phone:
Palm Springs.CA;92.264
7.6P-323-33.83 r
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 Cert f rate of;Complrance is true antl 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.Ceriificate 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 CertifiGite of Compliance'conforin;to'the
requirements of Title 24, Part,1,and Part.6.of the California Code of Regulations. i
docume'nfs, worksheets,
4. The building design features or system design featuresiide'n6fied on th s Certificate of Compliance are consistent with the information provided on other applicable compliance
calculations, plans and specifications submitted to the enforcement agency.for approval"with this building permit application. a j r t a T t }
5. 1 will ensure that a registered copy of this Cenificate'of Compliance shall be made available with the building perm t(s► issued forthe building, and matte avaifable.toahe enforcement agency -for all applicable
inspections. I understand that a registered copy of this Cenificate of Compliance is;required to'be;included with the, documentation the builder provides to,the building ownerat occupancy.
Responsible.DesignecNa.me:. # t �t -4
ResponzibleDesigner Srgnature:
Watson, Nicole
Company.`.
Date:Signed:
Desert Air Conditioning Inc.
2016,-04-06 10;20:35.
Address:
license:
590. W i l liarns Aoad
276586
City/State/Zip:
Phone:
Palm S,piings CA 92264
760-323-3383
Digitally signed by CaICERTS This digital signature.is provided in order to secure the content o%this regisiered document; anif in no way. implie's Registration Provider responsibility Wthe accuracy of the information.
r
Registration Number: 216-A0128081A-000000000-0000 Registration-Date/Time: 2016-64-0610:20:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards-'2013'Resideniial Compliance Report Versioni 2013 Rev LOW Report Generated: 2016-0406, 10:20:50
Schema Version: OS5SSDD