BMCH2016-0025}4aw78-495
VOICE (760) 777-7125
CALLE TAMPICO
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS
(760) 777-7153
BUILDING PERMIT
I IIIIII
. Date: 2/12/2016
Application Number: BMCH2O16-0025
IIIII'lll I"I
Owner:
Property Address: 79825 PECAN VALLEY
25
DANIEL VANDUSEN
APN: 762023017
79825 PECAN VALLEY
Application Description: VANDUSEN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,267.00
cry V
y LL V
Applicant:
pp
Contractor.
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC v
590 WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)323-3383
_1 a
Llc. No.: 276586
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: �' � I � ' � 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.).
(_)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:.
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 work for which this permit is issued.
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 gf the L r Code, I shall forthwith
comply with those provisions. i //
Date: 4-- ` � - /� �C ,
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: �O Signature (Applicant or Agent):
FINANCIAL INFORMATION
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 - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $60.43 $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: VANDUSEN RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 2/12/2016 MFA
Approved: 2/12/2016 MFA
Parcel No: 762023017 Site Address: 79825 PECAN VALLEY LA QUINTA,CA 92253
Subdivision: TR 24801 Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,267.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 16 SEER/.78 AFUE PACKAGED SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
__j Applied to Approved
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
(503)741-0623
Nwatson@desertairps.
com
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
(503)741-0623
Nwatson@desertairps.
com
OWNER
DANIEL VANDUSEN
79825 PECAN VALLEY
I LA QUINTA
CA
1 92253
(503)741-0623
FINANCIAL INFORMATION
Printed: Friday, February 12, 2016 10:27:26 AM 1 of 2
SYSTEMS
Printed: Friday, February 12, 201610:27:26 AM 2 of 2
SY57EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
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
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Printed: Friday, February 12, 201610:27:26 AM 2 of 2
SY57EM5
i
iiia, #
'
QtY, Of La QUintd
• ° BtiltdLlg 8t Safety Division � •
P.O. Box M4,78495 95 Calle fiarr OCO
U.QUI M, CA 92253 -1760) 777-7022
Building f ermit Application and Tracking5heet
Permit a
Project Addttss:' 15'1 �
Owner's Name:.
A. P. Number.
A.ddress:ie1 , V
Legal Dcsaiplion:
'
City. ST, Zip: G
Contractor.
Telephonei%*„>
Addres —
Project Desaripti0n. X
City, ST, Trp3/Z� {
Telephone
State Lir. 'my Lic to
Arch., Eng., Designer:
Address:
City, ST. Zip:
Telephone:
Construction Type:, .Oxupancy:
Project type (oirde one): New Add'n Alter Rtpair : Demo
State Lic, ti:
Name of Contact Person: pa
Sq. Ft :#
Stories:
#.Units
Telephone # of Cosngct Person. �'j=
Estimated Value of Projeet
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
submittal
Rtq'd
;Rce'd
IRACIONG
PERMIYFEZzS
Plan Seta
Plan .Check submitted.
Item
Amoant
Structural Cates..
Revicw4 ready for corrections
Plan
Chark Depwit. .
Tross Caks.
Clued Contact Person
Y'taa
Check'Balapce.
Tide 24 Catcr:
Plaw picked ap
Construction .
Flood plain ptua
Pians resubmitted
Mtcbantatl
Grading plan
Z"Review, ready for correctionsres;ue
Electrical
Sabcostaetor ISst
Called Contact Person
Plumbing.
Grant Deed
Plans picked up
---------------
S t41 t,
ILO.A. Approval
Plans rtsabmitted-
Grading
IN HOUSE-•
`—Iteytew; ready for eorreetiondissue
Developer Impaet Fee
Planning Approval,
Called Coutatt Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fres
Total Permit Fees
Sery
REQUEST �TORPERMIT
590 Willj.a.ms-Rd....
Palm Sp6np; CA. 92264
1607321-33 ),8.3
'760-323-89.83
City. 6f.'La:,:Quinta
Phone Number: 760-7777050:
Fax Number: 760-777-7011
Date: , 2/12/2016
Pagest .5
Re: . Pertnitapplicatiori — 79.825 Pecan Valley
Notes/ Comments:
Replace- one 5 tori package- unit -on roof like fanlike.
Thank You,
Nicole Watson'
CERTIFICATE OF COMPLIANCE CF11R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 79825 PECAN VALLEY Date Prepared: 2016-02-12
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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name
79825 PECAN VALLEY
02
Date Prepared
2016-02,12
03
Project Location
79825 PECAN VALLEY
04
Buiiding.Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79825 PECAN VALLEY
07
Zip Code
92253
08
Dwelling Unit Conditioned
2846
installing new SC
installing
;Installing
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 ducts?
unit.
SC system?
S. Space Conditioning (SC) System Information
01
02
03 f
04'
05 ' `� `
06
07',
F 08
09
10
' is the SC
Installing a
SC System
SC System
CFA served
`.system a'
refrige"tant '
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 Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-AO056746A-000000000-0000 Registration Date/Timei 2016-02-12 09:07:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02712 09:07:45
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CF111-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
32
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
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
packaged AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF2Rdv1CH•014 -Space Condition!ng`Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MGM-20-H & MR -MCH -20-H —Duct. Leakagetesting required when heating or cooling components are installed in systems, or when more than 40 it of duct length is replaced.
-Leakage rate compliance:15 15%, or s10% leakage. to outside,.or seal all accessible leaks.
CF2R-MCH-25•H & CF3R-MCH-25-H Refrigerant Charge Veriflcation required when refrigerant containing components are installed or altered (applicable in C2 2, 8-15),
CF2RCF3R-MCH-23'& CF3R•MCH 23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
F.l�BI1RJ]S:
-Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.,„
-Heating-only systems and Air Handier/Furnace changes do not require venFlcation of Air Flow MCA -23 or Refrigerant Charge MECH-25
Existing duct systems constructed, insulated orsealed with asbestosare exemptfrom MCH 20 Duit leakage Testing requi�errienfs`. f I
it l i
m Al 11 ..V .t/ ?1 %a $a 1 W, ... 0 tai 11 Al
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout {Sections 1S0.2(b)iDiia 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)1C)
This section does not apply to this project..
Registration Number: 216-A00S6746A-000000000=0000 Registratlon' Date/time: 2016-02.1209:07:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 ReportGenerated: 2016-02-12 09:07:45
Schema Version.- 0.555SDD
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:
Watson, Nicole
Company:
Signature Date:
Desert Air Conditioning Inc.
2016-02-12 09:07:24
Address:
CEA/ HERS Certification identification pf applicable):
590 Williams Road
5836723'
City/State/Zip:
Phone.
Palm Springs CA 92264
760-323-3383
Responsible Person's Declaration statement.
1 certify the following under penalty of perjury,, under the laws of the State of California:
1.. The Information provided on thiscertificate 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).
I. 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 fi I a ft
4: The building design features or system design.features identified on this Certificate of Compllance are consistent wtth4he infarmation.provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enfprcemenf agency ) ptH diema[
toorfapas f
i
S. I will ensure that a registered copy of -this Certificate of Compliance shall be made available wirth the building petmit(t),Issued for the:01dingr and made available to,the-enforcement agency for all applicable
inspections. (.understand that a registered copy of this CerNflcate of Compliance isr*qulred to be Included with the documehtationthe bullder provides to the building ownerat. occupancy.
Responsible Designer Name: ! i g i..� ...e'
ResponiibleDeillinerSignature. V �,
Watson, Nicole
Company:
Date Signed:
Desert Air Conditioning Inc.
2016-02-12 09:07:24
Address:
Llcense:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Digilally signed byCaICERTS. 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-A0056746A-000000000-0000 Registration DateMme: 2016-02-12 09:07:24 HERS Provider: CaiCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version:'2013 Rev 1.007 Report Generated: 2016-02-12 09:07:45
Schema Version: 0.555SDD