BMCH2017-022878-495 CALLE TAMPICO Twit D 1 Qu&r(u
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
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BUILDING PERMIT
Application Number:
BMCH2O17-0228
Property Address:
80209 AVENUE 50
APN:
777010003
Application Description:
GARDELL RESIDENCE / (2) HVAC CHANGE OUT
Property Zoning:
CONDITIIONING=INC
Application Valuation:
$38,071.00
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: C220, C43 License No.: 276586
Date: i" — / % - 1-7 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 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 Address:
Owner:
MIKE & JULI
80209 AVE
LA QUINTA ,
Contractor:
DESERT AIR
590 WILLIA.
PALM SPRI
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/9/2017
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92253 ^ '
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(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 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5008762
_ 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. A
Date: ^' 9 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
constfuction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposesg// f/S/f i
DateyL/'p'"� % Signature (Applicant or A ent
Date:. 6/9/2017
Application Number: BMCH2O17-0228
Owner:
Property Address: 80209 AVENUE 50
MIKE & JULIE REESE
APN: 777010003
80209 AVENUE SO -
Application Description: GARDELL RESIDENCE / (2) HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $38,071.00
Applicant:
Contractor:
DESERT AIR CONDITIONING INC
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)323-3383
Llc. No.: 276586
Detail: (3) HVAC CHANGE OUT - 19.5, 20.5 AND 21.5 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
DESCRIPTION ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402 0
$228.00
DESCRIPTION
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-426000
$114.00
Total Paid for CHANGEOUT: $342.00.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
80-209 AVE 50 Date Prepared:!'
CF1R-ALT-02-E
(Page 1 of 4)
2017-06-08
A. General Information
CHR -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
80-209 AVE 50
02
Date Prepared
2017-06-08
03
Project Location
80-209 AVE 50
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
80-209 AVE 50
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft2)
4800
SCS stem
SCS stem.
CFA served
Number of Space
refrigerant i.
09
Climate Zone
15
30
Conditioning (SC) Systems in
3
Location or Area :
by this SC
ducted
containing! t
this Dwelling Unit:
more than 40
.�,•-�" ! 1 ,r, -_ 'Sr_ I.-, tib -1117 r__ rr- -- I €
B. Space Conditioning (SC) System Information{s
Ol
02
03
04
�05y +
'`• ' 06
07`
? :: 08
�_ �09
10
`Is the SCS
In tailing a -
"`
° ' T
t. C
r"
SCS stem
SCS stem.
CFA served
system a
refrigerant i.
Installingg new SC."
,Installing
Installing!
Installing
Identification or
Location or Area :
by this SC
ducted
containing! t
r '.: 'system °
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?,
components?
feet of duets?gig
'duct system,?
SC system?
Alteration Type
System 1
Location 1
2000
Yes
Yes
Yes
No
...
No
No
Altered space
conditioning system
Altered space
System 2
Location 2 .'
1600
Yes
Yes
Yes
; No
No
:• ;`'.:
No
conditioning system
System 3
Location 3
1200
Yes
Yes
Yes
} No ;
.. No ..
No
Altered space
conditioning system
Registration Number: 217-A020193187A-000-000-0000000-0000 Registration Date/Time: 2017-06-08 11:17:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-08 11:13:14
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 2 of 4)
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiIb) .
This section does not apply to this project.
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01 •
02
03
04
.05 `..
06
07
08.0.
09
10
it
12
Heating
;Cooling
System--
Heating
Altered
Heating
Minimum:•a:•
Altered
Cooling �.i
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;.i <•
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
81
AC
cooling
SEER
19.5
: Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field. or
System 2
furnace
heating
AFUE
81
AC
cooling
SEER-
20.5
Setback
section is not
section is not
components
+�'
,V
11
a componentsw;^r�r;fit
applicable
applicable
System 3
Central gas
All new
heating
AFUE
! !
Gentral;split
e s
tAll� newA..,.r
x.
�coolmg
'ta
xSEER
I
S 21 S .
Setback
This field or
section is not
This field or
section is not
furnace,
componerits
Y
,81
cw „
AC
com onents
P
3
*� < �?
=)
a +. •
x, --s
applicable
applicable
Required Documentation:
!
CF2R-MCH-01-E - Space Conditioning Systems*
- Duct insulation requirement for the new portions of supply -air and return-air.ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF311-MCH-20-H - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and.CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per 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.
a
Heating -only systems and Air Handler'Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with. or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 217-A020193187A-000-000-0000000-0000 Registration Date/Time: 2017-06-08 11:17:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005. Report Generated: 2017-06-08 11:13:14
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4)
Documentation Author's Declaration Statement
1. I certify that this Certificate offiCompliance documentation is accurate and complete.
Documentation Author. Name:
Documentation Author Signature: W / /
Trefun, Michael
rc ae. re rin.
Company%
Signature Date:
Desert Air Conditioning Inc.
2017-06-08 11:17:45
Address:
CEA/ HERS Certification Identification (if applicable):
590 Williams Road
5947679/5947729/5947855
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, identifled on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials,tcomponents, and manufactured devices for the building designor system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code ofR eg la ions
4. The building design.features or system design features identified onthis Certificat6 of Compliance are consistent wrth the information.provided on'other applicable compliance documents, worksheets,
#, �t .-moi f� k- 4 +1 `�. k ; i
calculations; plans and specifications submitted to the enforcement agency for'approval with this building permit application. '
,,i y • 41 51 1 v" )-k :,s w", 9,e ,
5. 1 will ensure that a registered copy of this. Certificate of gompliance shall-bt;made.availablewith the bUildingpermtt(s) issuetl forithe;bullding, and made available to the`enforcement agency for all applicable
_._ _
inspections. I understand that a registered copy of this Certificate of ComplKanc eis required to be.included with the documentationhebwlder provpdes to the building owner at occupancy.
l
Responsible Designer Name: f i %
Responsible Designer Signature:t �AAS,/ j /-' t-/'r� 7
Trefun, Michael
C/�(.ichael ✓re crn
Company:
Date Signed:
i
Desert Air Conditioning Inc.
2017-06-08 11:17:45
Address:
License:
590 Williams Road
276586
City/State/Zip:
Phone:
Palm Springs CA 92264
760-323-3383
Easy to Verify FEE ❑�
at CaICERTS.com
Digitally signed by CaICERTS. This digital signature is provided in order to secure the.content of this:registered document, and in no way implies'Registration-Provider responsibility fc
r the accuracy of the inforrm
Registration Number: 217-A020193187A-000-000-0000000-0000
Registration Date/Time: '2017-08=08 11•:17-45.
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards.- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-08 11:13:14
Schema Version: rev 10/16
Bfn.#
City 0f Qutnto
BLdkring 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 80-209 AVE 50
Owner's Name:. MIKE & JULIE REESKE
A. P. Number.
Address: 80-209 AVE 50
Legal Description:
Contractor: DESERT AIR CONDITIONING, INC
City, ST, Zip: LA QU I NTA, :CA 92253
Telephone: 760-404-7176
Address: 590 WILLIAMS RD--- -
'PmjectDescriptionc ._ _'
City, ST, Zip: PALM SPRINGS, CA 92264
INSTALL,(1) 5_TON,,(1.) 4 TON & (1) 3TON
Telephone: 760-323-3383
"= S`''
CONDENSER AND COIL
State Lie. # : 276586 City Lie'. #:
Arch., Engr., Designer
u a .' : t', a
Address:
City, ST, Zip:
Telephone: P ;,:� Construction Type: , Occupancy:
State Lie.#: r =.r.'
... .'"x ' N Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: CANDICE FORSYTHE' Sq. Ft:
#Stories: #Units:
Telephone # of Contact Person: 760-323-3383Estimated value of project: $38,071.00
APPLICANT: DO NOT WRITE BELOW THIS LINE `
#
Submittal
Req'd
Recd
TRACKING
PERMITFEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calc&- -
Plans picked up
Construction
Flood plain plan
Pians resubmitted.'.
Mechani'm
Giading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review; ready for correctionvissue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees