BMCH2015-0118 (BMCH) IIIIIII VIII III VIII IIII 59
IE
D � VOICE(760)777-7125
78-495 CALLE TAMPICO Q�i
FAX(760)777-7011
LA QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 4/7/2015
Application Number: BMCH2O15-0118 Owner:
Property Address: 79400 AZAHAR ALBERT REAVILL
APN: 776260009 79400 AZAHAR
Application Description: KORDD/CHANGE OUT(1)16SEER/78AFUE SPLIT LA QUINTA,CA 92253
Property Zoning:
Application Valuation: $5,500.00
ti
Applicant: Contractor: C,- v
CERTIFIED COMFORT SYSTEMS INC CERTIFIED COMFORT SYSTE S ILL So
42-949 MADIO STREET 42-949 MADIO STREET d n= 0,?"',
0- o
INDIO,CA 92201 INDIO,CA 92201 4. v�
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(760)360-2202
Llc.No.:906115
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9(commencing with Section 7000)of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class:C20,C36 License No.:906115 of th o k for which this permit is issued.
1 have and will maintain workers'compensation insurance,as required by
Date! 1 Contrac 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:
OWNER-BUIL EC ION Carrier:_ Policy Number:
I hereby affirm under penalty of perju at I xempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued,I
License Law for the following reason(Sec.7 .5,Business and Professions Code:Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to c struct,alter,improve,demolish,or repair compensation laws of California,and agree that,if I should become subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Section 3700 of the Labo Code,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with th se provisions.
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 Date: �Applica
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 WARNING:FAILURE TO SECURE WORKEK CQMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER T6`c5A14'15A6FPENALTIES AND CIVIL FINES UP TO
(_)1,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS 0 , 00). IN ADDITION TO THE COST OF
compensation,will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PR I FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
(_)I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents„and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors'State License Law.). following issuance of this permit.
(_)I am exempt under Sec. .B.&P.C.for this reason 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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of this city to enter upon the above.
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned pr pert for inspection purposes.
Lender's Name: Dae q 17115 Signature(Applicant or Ag
Lender's Address:
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT HVAC) (Page 1 of 3)
Project Name: 79-400 Azahar Date Prepared: 2015-03-30
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 CFiR-ALT 02 document for each dwelling unit.
01 Project Name 79-400 Azahar 02 Date Prepared 2015-03-30
03 Project Location 79-400 Azahar 04 Building Type Single family
O5 CA City La Quinta 06 Dwelling Unit Name 79-400 Azahar
Dwelling Unit Conditioned
07 Zip Code 92253 08 Floor Area(ft2) 2833
Number of space conditioning
09 Climate Zone 15 30 (SC)systems in this dwelling 1
unit.
B.Space Conditioning(SC)System Information
01 02 03 , 04,E{� )US _061�� ;J 07\) 0$ i 09 10
�
Is the SC"�`" Installing a 1f
SC System SC System CFA served N__,s{ystem a� re igen nt ` Installing new SC Cstalllin"g } Tn_sstalli'g 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 Living Area 1200 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:215-A0082492A-000000000-0000 Registration Date/Time: 2015-03-30 08:50:18 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-03-30 08:50:19
Schema Version:0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) (Page 2 of 3) -
D.Altered Space Conditioning System (Sections 150.2(b)1E 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 split
All new Central split All new This field or This field or
System 1 HP heating AFUE 0.78 AC cooling SEER 16 Setback section is not section is not
components components 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:<_15%,or<_10%leakage to outside,or seal all accessible leaks.
MR-MCH-25-14&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 t 300 CFM/ton required when MCH-25 is required.
Exceptions: ..-�1, Q /,....-� r.........� �_..._..�
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage-Testing requirements)'
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23,or Refrigerant Cha'rge MECH-25 i )
Existing duct systems constructed,insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. i{y t
E. Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)1Diia and,150.2(b)lE, 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-A0082492A-000000000-0000 Registration Date/Time: 2015-03-30 08:50:18 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-03-30 08:50:19
Schema Version:0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space 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: /A
Hyde,Mark /`(
Company: Signature Date:
CERTIFIED COMFORT SYSTEMS INC 2015-03-30 08:50:18
Address: CEA/HERS Certification Identification(if applicable):
42949 Madio
City/State/Zip: Phone:
Indio CA 92201 (760)360-2202
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 of Compliance conform to the
requirements of Title 24,Part 1 and 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,consistent with the information provided on other applicable compliance documents,worksheets,
calculations,plans and specifications submitted to the enforcemeni agency for approval with this building permit applicatioA.
.1� , . ,f ,1 ya 1, r, rt ) 1 sl
5. 1 will ensure that a registered copy of this Certificate of.Compliance shall be made"available with the building permit(s)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 jbuilder provides to the building owner at occupancy.
Responsible Designer Name: ` i:. r +. Responsible Designer Signature:~b 1 j / 1
Hyde,Mark wa;-
�
Company: Date Signed:
CERTIFIED COMFORT SYSTEMS INC 2015-03-30 08:50:18
Address: License:
42949 Madio 906115
City/State/Zip: Phone:
Indio CA 92201 (760)360-2202
Digitally signed by WCERTS. 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-A0082492A-000000000-0000 Registration Date/Time: 2015-03-30 08:50:18 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2014-03-31 Report Generated:2015-03-30 08:50:19
Schema Version:0.555SDD
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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
HVAC CHANGEOLIT-SPLIT-SYSTEM 101-0000-42402 0 $72.52 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
HVAC CHANGEOUT-SPLIT-SYSTEM PC 101-0000-42600 0 $36.26 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid forCHANGEOUT: $108.78 $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
}
OF
t
Description:KORDD/CHANGE OUT(1)16SEER/78AFUE SPLIT '
,
Type:MECHANICAL Subtype: Status:UNDER REVIEW Applied:4/7/2015 SKH
Parcel No:776260009 Site Address:79400 AZAHAR LA QUINTA,CA 92253 Approved:
Subdivision:TR 28797 Block: Lot:9 Issued:
Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled:
Valuation:$5,500.00 Occupancy Type: Construction Type: Expired:
No. Buildings:0 No.Stories:0 No.Unites:0
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM[2013 ENERGY]CARBON MONOXIDE ALARM(S)TO BE INSTALLED PRIOR TO
FINAL INSPECTION.2013 CALIFORNIA BUILDING CODES.
�7
• • • • �
• • �;. f '
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT CERTIFIED COMFORT SYSTEMS INC 42-949 MADIO STREET INDIO CA 92201 (818)401-8864
CONTRACTOR CERTIFIED COMFORT SYSTEMS INC 42-949 MADIO STREET INDIO CA 92201 (818)401-8864
OWNER ALBERT REAVILL 79400 AZAHAR LA QUINTA CA 92253 (818)401-8864
;. Yr Y ,S' S�� ,' �T�. 3 • • ,t' .z4i ,a"'+t Y- ���{� 3: F,s a ,''�'l. h4 .t u.. y:t1F t ,
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:Tuesday,April 07,2015 10:56:24 AM 1 of 2 (CoNf
SYSTEMS
OFLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY CBY
BY
HVAC CHANGEOUT- 101-0000-42402 0 $72.52 $0.00
SPLIT-SYSTEM
HVAC CHYST EOUT- 101-0000-4260 0 $36.26 $0.00
SPLIT-SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
•'vSr. s a,.,. ,r�Y-t� 3.: a • �.r�,`"�. 1 ��c�,.��;. 1 1 1 a- :'a. ,SIG °" e &
7EQ
INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL** BLD
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
:', �.`".5l H 3.. `ht'" } K� • • Ap, t f` .w,.- a- y .y` .+1. :: `: •..r! ii} '`- sy_ .+'{,..
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Printed:Tuesday,April 07,2015 10:56:24 AM 2 of 2
LJ L.1 SYSTEMS
Bin#
City of La Quinta
Building.&Safety Division
Permit.# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
® kznlar Owner's Name:
A.P.Number:
Address: _
Legal Description:
_ /� // City,ST,Zip: ,Q Q zZ
53
Contractor: Tel
et-�/ ! y e ephone: 7
Address: �.Z �" 5; R,
'(ci Project Description:
City,ST,Zip: �o C Ci Z�d I
Telephone: 6c,_ LZ dZ
State Lie.#: (J(� �. " City Lic.#:
Z
Arch.,Engr.,Designer..
Address:
City,ST,Zip:
Telephone:
Construction Type:
State Lic.#: Occupancy:
Project type(circle one): New Add'
• Name of Contact Person: I?
n � Repair Demo
Sq.Ft.: ? #Stories: #Units:
Telephone#of Contact person:
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd
TRACKING PERMIT FEES
Plan Sets Plan Cbeck submitted
Item Amount
Structural Calcs. Reviewed,ready for corrections
Plan Check Deposit
Truss Calcs. Called Contact Person
Plan Check Balance
Energy Calcs. Plans picked up
Construction
Flood plain plan Plans resubmitted
Mechanical
Grading plan 2"Review,ready for correciions/issue
Electrical
Subcontactor List Called Contact Person
Plumbing
Grant Deed Plans picked up
S.M.L
H.O.A.Approval Plans resubmitted
Grading
INHOUSE:- Review,ready for correctionslissue
Developer-Impact Fee
Planning Approval Called Contact Person
A.LP.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees