BMCH2015-034578-495 CALLE TAh!PIC0,Or r?
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0345 '
�r 4 44914trcv
COMMUNITY DEVELO
BUILDINC
Property Address: 53340 AVENIDA JUAREZ
APN: 774071005,
Application Description: YOSHIMURA RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $10,189.00
Applicant:
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD is
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20, C43 License No.: 2765
Date: _? • L �` 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 isnot 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
MURA
DAJUAREZ
:A 92253
Contractor
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Llc. No.: 276586
Date: 9/2/2015 '
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 Sectirn 3700 of the Labor Code, for the performance
of the rk 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 in,urance 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 mangier so as to become subject to the workers'
compensation laws of California, and ag-ee 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: ' �+ J Applicant
WARNING: FAILURE TO SECURE WORKEKS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($:00,000). 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 )n 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 Quints, 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 counter ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above
mentioned property for inspection purpcses. .
Date:- Signature (Appicant or Agent):
O• ON
:.rDESCRIPT(�ONs �� " "`• m• ACCOUNT . QTY
AMOUNT PAID • ' .
'PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
- PAID BY _ �r METHOD `" ` RECEIPT#',
3�CHECK#
CLTDBY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
`DESCRIPTION ~'
ACCOUNT ,:.
QTY :
AMOUNT.4
PAID %. ,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAIQBY, ,� -
METHOD `.
_ T #
RECEIP
CHECK #,
CLTD BY '
' .DESCRIPTION`
s =-ACCOUNT
QTY
AMOUNT s
PAID
�PAIDDATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00-
0.00_PAID
PAIDBY
METHOD'
RECEIPT.# -
" °CHECK#' _
'CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT y
PAID' x
'PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY i , '
METHOD
.Y RECEIPT #
CHECK #.
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:' $201163 00
•
r
Description: YOSHIMURA RESIDENCE / HVAC. CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 9/2/2015 MFA
Approved: 9/2/2015 MFA
Parcel No: 774071005 Site Address: 53340 AVENIDA JUAREZ LA QUINTA;CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 183
Lot: 20
Issued:
UNIT 18
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $10,189.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
DESERT AIR CONDITIONING INC
Details: HVAC CHANGE OUT - 14 SEER/78 AFUE SPLIT SYSTEM [200$ ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CA
92264
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
` BSA:
Printed: Wednesday, September 02, 2015 9:47:38 AM 1 of 2- r. SYSTEMS
11
ADDITIONAL
CHRONOLOGY
CONDITIONS
q NAME' TYPE:.
A. .-
'- ~NAME;",
,•y '3
ADDRE551
CONTACTS
�-
sCITY :STATE
x
~,ZIP`..
,,
d.w-PHONE- FAX
EMAIL
APPLICANT
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
(
CONTRACTOR
o DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
-PALM SPRINGS
CA
92264
(
OWNER
DAVID YOSHIMURA
53340 AVENIDA JUAREZ
LA QUINTA
CA
• 92253
(
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
` BSA:
Printed: Wednesday, September 02, 2015 9:47:38 AM 1 of 2- r. SYSTEMS
11
Printed: Wednesday, September 02, 2015 9:47:38 AM 2 of 2
CRWIYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
•PAID
PAID DATE
eRECEIPT#
CHECK#
METHOD
PAID 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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 00
Printed: Wednesday, September 02, 2015 9:47:38 AM 2 of 2
CRWIYSTEMS
Bin.
i City. of* La Quints
Sinding ar Safely Division
I P.O Box 1504,78-493 Calle Tampico
Perinle #
4.Qutnta, CA. 92233 -1760) 777-7012
Building Permit Application'and Trackfr-g Sheet :
ProjectAddcess: 53340 AUENIDA JUAREZ
ownevsNanio:.DAVID YOSHIM URA
At_ P'Number.
Address: 53340 AVENIDA JUAREZ
Legal Description:
City, ST. Zip: LA QUINTA, CA 92253
cmtraator. Desert Air Conditioning; Inc.-
Tolephono:
Address: 590 Williams Rd,
projsctaesvri cion:
1? Replace one 4 ton HP condenser &
city, ST, zip: Palm Sprlhgs, CA 92264.
air handler on ground like for like.
Telephone: 760-323-3383
Statc L.ik= 4 : 276586 ty Li,_ g. 363
.Arch., Bag, Designer; N/ 14A
-
Addran:
Cita!, ST, Zip: �
Telephone: i Construction Typc; . occupancy;
4 '
State Lia #; project type (circle ona): New Acd'n Altcr Repair Dano
Name of Contact Perm- 4 e- ri Skov Sq. FL: # Storibs: # Unita:
Telephone # of Contact Person: 760-323-3383 Estimated Value of PLojecLl $10.139.00
APPLICANT: 00 NOT WRITE BELOW THIS LINE
#9abmtttal
B�q'd
'Reed
TRAQXMG
PERMIT FEES.
Plan Sets
!
Plan Chi submitted
item
Amovat
Structural Cater.
I
Reviewed, ready for correctlous
Plan ChcrlcDgmit_ .
T II Cidca•
I
Called Contact Person
Plan Check Balaoce
'Cltle24 Caled
I
!'lane picked up
Construction
Mood plaln plan
Plans resabmitted '
Mra1120cal
Ghding Plan
21'! Revlew, ready for correctionsAvue
Electrical
SubcontoctorList
i .
Called CooeeetPerson
Piumblug
Groot Deed
Plana picked up
}TAA Approval
j
Plans resubmitted
Gradlug
10 "GUM.
I
"' R01tw, ready for corrections/lasoc
Devetoprr Impact Rep
Plsontgg Approval
j
Called Contort PeMn
A.LP-P-
Pub. Wks. Appr
Date orpermit Issue
Schobl Fern -
'
•
I
Total Pa•nXtt ]Fees
CERTIFICATE OF COMPLIANCE CF211-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: 53,340 AVENIDA JUAREZ Date Prepared: 2015-09-02
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
--documented,-use-one-CFlR=ALT�2 document-foreaat "C!Iiing-unit:------------------ _._...----.--------.---.---.-..-.-.------------.--.-.—.--
01
Project Name
53340 AVENIDA JUAREZ
02
Date Prepared
2015-09-02
03
Project Location
53340 AVENIDA JUAREZ
04
Building Type
Single family
05
CA City
La Cluinta
06
Dwelling Unit Name
53340 AVENIDA JUAREZ
07
Zip Code
92253
09
Dwelling Unit Conditioned
1600
Installing
;Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
'ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling.
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
1,
01
02
03
04
,DS .
06 •`
07" ::
s 0$
09
10
'.°. Is tAe SC
IrisEalling a
SC System
SC System
CFA served
" -`systema:-
refrigerant
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 (ftZ)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1690
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)l0iib)
This section does not apply to this project.
Registration Number. 215-A6k2169A-000000000-0000
CA Building Energy EffIdencyStandards - 2013 Residential Compliance
Registration Date/rrme:
Report Version: 2014-03-31
Schema Version: 0,.555SDD
2015-09-02 09.15:53 HERS Provider. CaICERTS
Report Generated: 2015-09-02 09:1228
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)lE and F)
01
42
03
04
0S
06
07
08
09
10
11
12
_ _
_Heating _
_
_
Cooling—
--.
System
Heating
Altered
Henting
Minimeyrn
Alt9rod
+beefing
Minimum
Required
New ur
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
crName
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R -Value
System 1
Central split
HP
Gas furnace
AHU
AFUE
0.78
Central split
All new
cooling
SEER
14
Setback
This field or
section is not
This field or
section is not
HP
components
applicable
applicable
Reou€red Documentation:
CF21`t-h9CH-01-E - Space Cond Itloning Systems Ducts and Fans
-Duct InsuJation requirement for new plenums: 96.
MR -MCH -20-H & CF3R-MCH-20-H— Duct Leakage testing required when heating or Cooling Components are i'nstaJled in ducted systems, orwhen more than 40 k of duct length is replaced.
-leakage rate compliance! 515%, or. 510% leakage to outside, or seal all accessible lea €s.
U2134,1CH-25•H & CF311-MG1-25-1-1 Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8.15).
CURCBR-MCH-23 & CF311-1.9CH-23 Air Flaw Z 300 U1,41ton requi red when MCH -25 is req ui red.
Exceptions:
-Duct systems registered with HEELS provider as previously sealed are exempt frorWM-- 64.20 Duct Leakage esting requirements
-Heating-only systems and Air Handler/furnacechanges do not requireeeriflcajron of Air Flow tv1Ci1.23;or Refrigerant Chaige Jvf BCH -23'.
-Existing duct systems constructed, Insulated or sealed with asbestos'are exempt,(mm MCLf 2Q.DueCLeakage Testiifgreq ulr".emetics
E. Entirely New or Complete Replacement Duct System, with or without:Egtiipment Changeout-(Sections 150.2(b)1Dii16.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: 215-A6312169A-000000000-0000 Registration Date/1-ime: 2015-0&02 09:15:53 HERS Provider, C3[CERT5
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-02 09:12:23
Schema Version: 0,55SSDb
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:
Skog,; -Keri -- - -- — -- ---
Documentation Author Signature; />
- —
Compaml:
Signature Date:
Desert Air Cond itioning Inc.
2015-09-02 09:15:52
Address:
CEA/ HERS Certification Identificatlon (if applicable):
590 Williams Raad
Cty/State/Zrp:
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 this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business a nd Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (respons ibie designer).
-that
3. the energy features and performance specification s,.materials, components, and manufactured dex4ces for the bulldfng deslgn or system design identified on this Certificate of compliance conform to the
requirements of7ltle 24, Part !and Para hof the California Code of Regulations. 3''`•'' - ' '
4. The buifding design features or system design features identified an this Certifleabij:of Compliance are consJstent with the information provided on'othen appllcable`cnm plia no: documents, xrcirksheets,
calculations, plans andspeaificadons submitted to the eiriforcementagencyfor appiaval.sviththis .builifing perrriit apPltcatioh. :.
itt5. I will ensure that a registered copy of this Certficace of.[opliance shall be made avaflable with the building peimit("sl issued for thediuilding, andmade: avaiiable:to-the,enforcement agency for all applicable
Inspections. I understand that a registered copy of this Cgrtdicate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy:
Responsible Designer Plame:
Skov, Keri�����
Responsible Designer Signature
Company:
Date Signed:
Desert Air Conditioning Inc.
2015-09-02 09.15:53
Address;
license:
590 Williams Road
276586
City/State%Gp:
Phone:
Palm Springs CA 92264
760-323-3383
Oigitafiysigned by CaICERTS. This digital signature is provided in atter to secure fhe content ofthis registered docvntenr. and in no way fmpifes Registration Prokfar responsfbiiity la the aocu-.,^y ofthe iofomtatfon,
Registration Number: 215-A6312169A-0DDD00000-D000 Registration Date/Time: 2015-09-02 09:15:53 HERS Provider: CaICERTS
CA Building Energy EfficiencyStandards -2013Residential Compliance ReportVersion: 2014-03-31 Report Gen erated:20150902 09:12:28
Schema Version: 0.5555DD
Smr
REQUESFOR PERMIT
590 Williams IRd.
Palm Springs,! CA 92264
760-323-3383;
760-323-8985.
To: Philip Juarez
Email: pivarez e, a-qui.nta.org
Phone Number: 760-777-7050
' Fax Number: 760-777-7011
Date: 9/2/2615
Pages:5
Re: Permit application — 53340 Avnedia Juarez
Notes/ Comments:
Replace; one 4 ton split system on ground like for
like.
i
Thank You,
Keri Skov