BMCH2015-046078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0460
Property Address:
54265 OAK HILL
APN:
775061021
Application Description:
KAPLAN / CHANGE OUT 13SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$7,886.00
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20, C43 License No.: 27658
Date: 1 w' / 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).:
( ) 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 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
1111111111111 l 111111
28
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/2015
Owner:
JOYCE KAPLAN
54265 OAK HILLFC7,,
LA QUINTA, CA 92253
Contractor:
DESERT AIR CONDITIONI590
WILLIAMS ROAD
PALM SPRINGS, CA 9226
(760)323-3383
Llc. No.: 276586
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 tn§ w rk or which this permit is issued.
1 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: _
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' r'� y� Applicant: A
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: i 1 A� —�'(� •Signature (Applicant or Agent):
V
FINAN 1ALA,NrOkMATION
Al E
g
BSAS S1314.73 FEE
101-0000-20306
0 $1.00 $0.00,
;5�
gCLTD
RECEIPTWt CHECK#1
BY
Jotal Paid for BUILDING -STANDARDS ADMINISTRATION BSA:,' $1.00 $0.'00
PH Z,
ft.t 'N
Z'QTTY;,��
v tN
-6
AMOUNTS
DATE�,:DESCRIPTIOW!,�
A57
i,,,.�:0QACCbu
1.7
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0-
$72.52
$0.00
PAID' BY"Y
M Q Ab I
i �
AM i�CHECW ,gk
ww "'T Ilk,
,
.
g
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..aMBY.
` AMOUNTS
M,�,`�iN
-PAID6,_,DAT6kj
W 7,4
iffl
-w
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0-
$36.26
$0.00
a 'it
2*11k"t
RECEIPTIWT14Rv,
u-,tz,�;t �,F
HI1'
A,`tr:.�.;I:ait;',?x"A
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Total Paid for CHANGEOUT: $108.78 $0.00
r.t.
DESCRIPTION �v� i4 R, tf
iX R
W^ c 0 u
NN A M 0 U N T
PAIQR,1`
0_�
M ;V7Tw 77�1 -!r
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jPA
PERMIT ISSUANCE
101-0000-142404
0
$91.85
PAID; BYMETHOD`,X
-1RECEIPT-W.1:
C V
9M;t CHECK #:;
1LXLTQBYQ
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
•LS: -,�$0.00
Description: KAPLAN / CHANGE OUT 13SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 12/11/2015 SKH
Approved: 12/11/2015 SKH
Parcel No: 775061021- Site Address: 54265 OAK HILL LA QUINTA,CA 92253
Subdivision: TR 20717-3 Block: Lot: 13
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,886.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ZIP PHONE FAX EMAIL
Details: HVAC CHANGE OUT-13SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Friday, December 11, 2015 2:31:52 PM 1 of 2
' �1■-!Js
../ iJ SYSTEMS
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
JOYCE KAPLAN
54265 OAK HILL
LA QUINTA
CA
92253
Printed: Friday, December 11, 2015 2:31:52 PM 1 of 2
' �1■-!Js
../ iJ SYSTEMS
BOND INFORMATION
ATTACHMENTS
Printed: Friday, December 11, 2015 2:31:52 PM 2 of 2 V?W
srsreMs
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:• 00
BOND INFORMATION
ATTACHMENTS
Printed: Friday, December 11, 2015 2:31:52 PM 2 of 2 V?W
srsreMs
Bin #City.
of La Quanta
Building 8F Safety Divisiorl
P.O. Box 1504, 76-495 Calle Tampico
La.Quinta, CA 92233 -{760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 6-�L{',1,0(0— OGS m
Owner's Namc:
A. P. Number.
A�:17�► �b
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:'' r� a ��
ProjectDescription:�e c. Ce
City, ST, Zip: ` tM64
Telephoae.-Itad •-�.>2
State Lic. # 42,'"l \4P5,?.City Lia #.:'
Ard , Eng., Designer.
Address;
City, ST, Zip:
Telephone: " '
State Lic. #: t'
Name of Contact Person:
Construction Type: Occupancy:
tmo
Project type (circle one): New Add'a Alter Repair I
Sq. FL: \15Ll,!CN # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
it Submittal Req'd Reed TRACKING PERMIT FEES
plan Sets
Plan Check submitted
Item Am
oniat'
Structural Cases.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calrs.
Called Contact Person
Plan Check Balance.
Title 24 Calm
Plans pickid up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Giading plan
2`! Review, ready for correctionsfissue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.L
HAA. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"` Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP-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)
Project Name:
54265 Oak Hill I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-12-11
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT=02 document for each dwelling unit.
01
Project Name
54265 Oak Hill
02
Date Prepared
2015-12-11
03
Project Location
54265 Oak Hill
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
54265 Oak Hill
07
Zip Code
92253
08
Dwelling Unit Conditioned
1549
Installing new SC
Installing t
Installing
i .Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of duds?
unit.
SC system?
B. Space Conditioning (SC) System Information' t" f ` =i, : j `''�Jy . I
t If i
01
02
03
^' 04'�
.'%i+US i ,
—'06 :�
1 07 I
08
y 09
10
Is the SC '`
' Ini'talling a
,
SC System
SC System
CFA served
"-,s a'
refrige ar nt
Installing new SC
Installing t
Installing
i .Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirelynew
entirely new
Name
Served
System (112)
system?
component?
components?
feet of duds?
duct system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C., Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A6470381A-000000000-0000
Registration Date/Time: 2015-12-11 11:01:55
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-11 11:02:01
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE CF1R-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
65
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
All new
All new
This field or
This field or
System 1
Central gas .
heating
AFUE
0.78
Central split
cooling
SEER
13
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Reauired 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 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-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.
efrigent Cha;ge MECH-2S.
-Heating-only systems.and Air Handler/Furnace changes do not require verification of Air Flow MCH 23 or Rre
>t
-Existing duct systems constructed, insulated or sealed with asbestos are exemptrfrom MCH -20 Ductaeakage Testing requirernerits.
t
ate, V NIS it ff 1,i S,l of ff I% IJ t: iz 1, U
E. Entirely New or Complete Replacement Duct System, with or without. Equipment Changeout (Sections .150.2(b)iDiia-and iS0.2(b)1E, F)
_6 t__4 �' h -d ""^i—, 1--r Ur 3 F / ! r. 3 1 .f
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 21S-A6470381A-000000000-0000 Registration Date/Time: 2015-12-11 11:01:55 HERS Provider: CaICERTS .
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-11 11:02:01
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E I
Altent ins to epi— 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:
Watson, Nicole
Company:
Signature Date:
Desert Air Conditioning Inc.
2015-12-11 11:01:55
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
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 ofCompliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of Regulations. I ' "' ` ('�.
4. The building design features or system design features identified on this Certificate of Compliance are consisteni.witfi the information provided on other. applicable compliance documents, worksheets,
calculations, plans.and specifications submitted to the enforcement agency for approval with this building permit application. i s
S. I will ensure that a registered copy of this Certificate 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: `y l t f A - %
Responsible Designer Signature: Vy
Watson, Nicole
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-12-11 11:01:55
Address:
License:
S90 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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6470381A-000000000-0000
Registration Date/Time
2015-12-11 11:01:55
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-11 11:02:01
Schema Version: 0.555SDD