BMCH2016-004278-495 CALLE TAMPICO Ct 0 D �N.NNCl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0042 Owner:
Property Address: 60190 DESERT ROSE DR EDWARD FISHER
APN: 764400011
Application Description: HILDER /CHANGE OUT CONDENSER UNIT 92253
Property Zoning:
Application Valuation:
11111111111111111111
51
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/8/2016
Applicant: I W Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING' AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE 1111 i ' �� 0 8 2� 16 84-160 MEADOWS LANE
COACHELLA, CA 92236 u COACHELLA* CA 92236
C1iYCr--0o 1,NTA
CG�iirA:J!�?YOEV£{l'��+t�;GERd474k?v'T (760)397-3438
Llc. No.: 1008665
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.
Licensee Class:C20License No.: 1008665
V` Date: c7' v^ 1 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).:
( 11, 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.).
(_j I am exempt under Sec. . B.&P.C. for this reason
Date:
----a 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
WORKER'S COMPENSATION DECLARATION
I herRby affirm under penalty of perjury one of the following declarations:
4 1 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 th work for which this permit is issued.
NZ 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:�L
�, .l 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 f the Labor Code, I shall forthwith
comply with those provisions.
Date: a 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 tot er upon the
above-mentioned property for inspection purposes. 7
Date: Signature (Applicant or Agent)
G
DESCRIPTION"
FINANCIAL INFORMATION
'ACCOUNT CITY. AMOUNT
PAID' :
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0 $36.26
$36.26
3/8/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
AIR EXPERTS AIR CONDITIONING &
CASH
R13667
RSE'
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$24.17
3/8/16
PAID BY
METHOD •
RECEIPT #
CHECK #
CLTD BY
AIR EXPERTS AIR CONDITIONING &
CASH
R13667
RSE
Total Paid for CHANGEOUT: $60.43 $60.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT"
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/8/16
PAID BY ,
METHOD
RECEIPT #
- CHECK # •
CLTD BY
AIR EXPERTS AIR CONDITIONING &
CASH
R13667
RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $152.28 $152.28
Description: MILDER / CHANGE OUT CONDENSER UNIT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/8/2016 RSE
Approved: 3/8/2016 RSE
Parcel No: 764400011 Site Address: 60190 DESERT ROSE DR LA QUINTA,CA 92253
Subdivision: TR 30023-3 Block: Lot: 16
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
INFORMATION
DESCRIPTIONACCOUNT QTY AMOUNT
CONTACTS
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
HVAC CHANGEOUT - 101-0000-42402 0 $36.26
NAME TYPE
NAME-
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL ..
APPLICANT-
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
OWNER
EDWARD FISHER
92253
FINANCIAL
INFORMATION
DESCRIPTIONACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
HVAC CHANGEOUT - 101-0000-42402 0 $36.26
$36.26
3/8/16 R13667 CASH AIR EXPERTS AIR RSE
CONDENSER ONLY
CONDITIONING &
Printed: Tuesday, March 08, 2016 12:58:47 PM 1 of 2
SYSTEMS
PARENT PROJECTS
RONn INFORMATION
Printed: Tuesday, March 08, 2016 12:58:47 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$24.17
3/8/16
R13667
CASH
AIR EXPERTS AIR
RSE
CONDENSER•ONLY PC
CONDITIONING &
Total Paid for CHANGEOUT: $60.43 $60.43
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
3/8/16
R13667
CASH
AIR EXPERTS AIR
RSE
CONDITIONING &
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
PARENT PROJECTS
RONn INFORMATION
Printed: Tuesday, March 08, 2016 12:58:47 PM 2 of 2
SYSTEMS
Bin#
Qty of La Quinto
Building 8i' Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
• 6 0 2 Building Permit Application and Tracking Sheet
Permit #
8M(M 70
Project Address: k e C .
Owner's Name: %x C -r
A. P. Number:
Address: Go -I C(!:z1
Legal Description:
City, ST, Zip:
Contractor: ,I 1
1 n �
Co �
Telephone:
Address:
Project Description:�-
City, ST, Zip: I� A ^V-\ X12 •7
� /hi/ ,C �", �e 19r
n • r.
e.
TeleA h o Y
7 2 3 3
State Lic. # t
City L• ic. #:
Arch., Cngr., Designer:
Address:
City, ST, Zip:
Telephone:
»
tructi n Type: CO anccu e : t v
Accon
State Lic.
ProJectty P (circle one • New Add'n Repair Demo
Name of Contact Person: �J S �� �G.....
Sq. Ft.: Z 0D
I # Stories:
# Units:
Telephone # of Contact Person: o -39th- 3 q-
Estimated Value of Project: 1z -1B
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes,
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction .'
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Gran( Deed
Plans picked up
S.M.T.
Ii.O.A. 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 -HVAC)
CF1R-ALT 02-E
(Page 1 of 3 )
I Project Name: Hilder I Date Prepared: 2016-03-07 I
A. General Information
CF1R-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
Hilder
02
Date Prepared
2016-03-07
03
Project Location
60-190 Desert Rose -Dr
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Hilder
07
Zip Code
92253
O8
Dwelling Unit Conditioned
2100
Floor Area (ft2)
SC System
SC System
CFA served
system a
re ige ar nt f
Number of space conditioning
I
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
than e 40
unit.
new
4��
- .. ...
B. Space Conditioning (SC) System Information
*� � Fn' )
I t " , u 4 •'gip
01
02f03
A 04k�
01 1, k`(
I6 1
I 07
08
10
1 t` A
_09
'S.,V
tls the SC—
Installing a
SC System
SC System
CFA served
system a
re ige ar nt f
Installing new SCInstalling
I
Installing
Installing
entirely
Identification or
Location or Area
by this SC
ducted
containing
system
than e 40
entirely w
new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2100
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-A0089098A-000000000-0000
Registration Date/Time: 2016-03-07 22:14:28
HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 22:14:39
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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)IE 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
Central gas
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
unit
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: 5 15%, or:5 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
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 requirements.
Heating -only systems and Air Handler/Furnace changes do not,requireverification of Air Flow MCH -23, or'Reffigerant Charge N1ECH=25.
-Existing duct systems constructed, insulated or sealed with-asbestosare exempttfrom MCH; 20 DuctiLeakage Testing _requirements.
if>:r1/`ti. A k A4 I€ ,1E I X 1: ! W� 3t, w .?f -o.
�•.. -• �h '�+n.or' "•e'..r?+� s..f,,,,,.,,,,�., ...m.u,d.a:�..,�, .,�.I 4` c,.F• i? �,....-wsn.. `�W
E. Entirely New or Complete Replacement Duct System, with .or without,Equipment Changeout (Sections 150.2(b)1Diia.and 150.2(b)1E, F)
A-- �t 0 P. ilk "Z. P N4 i I so W 04
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-A0089098A-000000000-0000
Registration Date/Time: 2016-03-07 22:14:28
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 22:14:39
Schema Version: 0.555SDD
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: p
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-03-07 22:14:28
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247 A
1760-777-1724
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the.law's of the State of California:
i
1. The information provided on this Certificate oJ f Compliance is true and correct.
2. 1 am eligible under Division 3 -of the Business and Professio'Code ode 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, materi la s; is ponents, and manufactured devices for the build ng:design or.system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the Ca allifornia.Codenfd egulat on J'
4. The building design features or system design features identified on this Certificate of Compliance are consistent with,the information.provided on other%a iicable-compliance documents, worksheets,
f r .f 4 i a0. �f 4 f ": w �+ k. 4. i; n,
calculations, plans and specifications sub itted,to the enforcement agency for approval,wrth this bwldmg permit application .
* v! 4+ �: # n 1;
/' xoo .. _ $ i. fie; .% ti .fie y & w ...
S. I will ensure that a registered copy of -this Certificate of:Compliance shall be-made,available withmthe building:permit(s),issued fors e'building, and:made available &t.he enforcement agency for all applicable
inspections. I understand that a registered copy of this,&' tlficate of C amplliance is.requYired tobe.;incluclecl with the,clocumentationst6 builder pry ov tles to the building owner at occupancy.
Responsible Designer Name:. -;A
Responsible Desig er Signaiure: V
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-03-07 22:14:28
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by CaICERTS. 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-A0089098A-000000000-0000 Registration Date/Time: 2016-03-07 22:14:28 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-07 22:14:39
Schema Version: 0.555SDD