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BMCH2016-038777641 Los Arboles Dr BMCH2016-0387 78-495 CALLE TAMPICO C` 0 U A VOICE (760) 777-7125 LA C!UINTA, FAX (760) 777-7011 CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/25/2016 Application Number: BMCH2O16-0387 Owner: Property Address: 77641 LOS ARBOLES JANET BARLOW APN: 658260017 P 0 BOX 1829 Application Description: •BARLOW / CHANGE OUT (1)16SEER/78AFUE SPLIT SYSTEM LA QUINTA, CA 92253 Property Zoning: Application Valuation: $7,500.00 Applicant: LO Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET T 28 2016 42-949 MADIO STREET INDIO, CA 92201 INDIO, CA 92201 YOF AOUNTA EVELOPMENTDEPARThfENT (760)360-2202 Llc. No.: 906115 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 an Professions Code, and my License is in full force and effect. License Class-C20,Q66 License No.: 906115 Date: ILfJI Vt7 Contractor: /, OWNER -BUILDER DE¢LAfRATION I hereby affirm under penalty of perjury that I al xempt om the Contractor's State reason License Law for the following (Sec. 7031 Busin s 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 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264 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. f' Date: 101M Applicant: WARNING: FAILURE TO SECURE WORKERS' COM NSATIO VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0 ). INA TION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE ON 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, ., to and hereby authorize representativpc f thk mitonto.,ennn the above-mentioned property for inspection purpos( Date: `O Signature (Applicant or Date: 10/25/2016 Application Number: BMCH2016-0387 Owner: . Property Address: 77641 LOS ARBOLES JANET BARLOW APN: 658260017 P 0 BOX 1829 Application Description: BARLOW / CHANGE OUT (1)16SEER/78AFUE SPLIT SYSTEM LA QUINTA, CA 92253 Property Zoning: . Application Valuation: $7,500.00 Applicant: Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET 42-949 MADIO STREET INDIO, CA 92201 INDIO, CA 92201 (760)360-2202 Llc. No.: 906115 --------------------------------------------------------------------------------------------- Detail: CHANGE OUT (1)16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT _ HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $114.00 DESCRIPTION ACCOUNTQTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 Bin. # City of*.La Quints Building 8L Safety Division P.O. Box 1504,•78-495 Calle Tampico La.Quinra, CA 92253 -:(760) 777-7012 . Building Permit Application* and Tracking Sheet P rmit # ^ Project Address: Owner's Name:. A. P. Number. Address: 0 Legal Description: City, ST, Zip:Ll eIAI 64, 2 Contractor: i,-0` Telephone: j©— .>r`%":.:`'•<; -';suss Address: — /Vl i ` Project Description: City, ST, Zip. T, I Telephone: _2—o2p - ss4 ; State Lic. # : City Lie*. M Arch., Engr., Designer TF Address: City., ST. Zip: Telephone: ` , • . State Lie. #: ,; ; •; Name of Contact Person: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 1w 0 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project. M APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Ca[es. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cates. Pians picked up ' Construction Flood plain plan Plans resubmitted.'. Mechariicat Giading plan 2" Review, ready for correctionsfissue Electrical Subcontactor I3st Called Contact Person Plumbing Grant Deed Plans picked up S.XL H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review'. ready for correcdons/issue Developer Impact Fee Planning Approval Called Contact Person A.U.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: 77641 Los Arboles I Date Prepared: 2016-10-25 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 CHR -ALT -02 document for each dwelling unit. 01 Project Name 77641 Los Arboles 02 Date Prepared 2016-10-25 03 Project Location 77641 Los Arboles 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 77641 Los Arboles 07 Zip Code 92253 08 Dwelling Unit Conditioned 2000 r Ihstalling1 sn talling Rinstalling Floor Area (ft2) Location or Area by this SC - containing r system v Number of space conditioning ent ly 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 P / 11 {F) --i r -n r 01 02 03 .. 04' rr' 05 \ l(" 06;J 07) 68 ` 09 10 =} FIs the SC"-' In'stellirig a SC System SC System CFA served .system ark« -I re rf igerant ' .Installing new SC r Ihstalling1 sn talling Rinstalling Identification or Location or Area by this SC ducted containing r system v more than 40 ent ly new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 living area 1600 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 216-A0398671A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance t Registration Date/Time: 2016-10-25 13:20:08 Report Version: 2013 Rev 1.008 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2016-10-25 13:20:02 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 02 03 04 05 06 07 08 09 10 it 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 Ductless split All new Central split All new This field or This field or System 1 HP heating AFUE 78 AC cooling SEER 16 Setback section is not section is not components 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: 515%, ors 10% leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & 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 a 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. -Heating-only systems and Air Handler/Furnace changes do not require verification 6f Air Flow MCH=23; or Refrigerant Charge MECH=25.' -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirement's. 11 E. Entirely New or Complete Replacement Duct System, with o r 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: 216-A0398671A-000000000-0000 Registration Date/Time: 2016-10-25 13:20:08 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-25 13:20:02 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: Hyde, Mark Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC 2016-10-25 13:20:08 Address: CEA/ HERS Certification Identification (if applicable): 42949 Madio City/State/Zip: Phone: Indio CA 92201 760-360-2202 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 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 Reg1 ulations^ f —" 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 enforcemen `agency for approval with this building permit application. # i S. I 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 builder provides to the building owner at occupancy. Responsible Designer Name: . w -..i Responsible Designer Signature: i Z Hyde, Mark Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2016-10-25 13:20:08 Address: License: 42949 Madio 906115 City/State/Zip: Phone: Indio CA 92201 760-360-2202 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0398671A-000000000-0000 Registration Date/Time: 2016-10-25 13:20:08 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-25 13:20:02 Schema Version: 0.555SDD