BMCH2015-029477732 Avenida Madrugada
BMCH2015-0294
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0294
Property Address: 77732 AVENIDA MF
APN: 773340065
Application Description: A/C CENTRAL SPLIT
Property Zoning:
Application Valuation: $7,000.00
Applicant:
HYDES
OUTSIDE CITY LIMITS
C&If 44QUMA,
COMMUNITY
Ate.
g
TO. Dti pAt .E
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: License No.: :LIC -0004822
Date: B Contractor:
OWNER -BUILDER LARATIO
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).:
(1 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.).
(_J 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:
DEPARTMENT
IT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/30/2015
Owner:
LESLIE INGHAM
7908 CALEDONIA DR
SAN JOSE, CA 92253
Contractor:
HYDES
OUTSIDE CITY LIMITS
(760)360-2200
Llc. No.: :LIC -0004822
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.
-.1-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 of the Labor Code, I shall forthwith
comply with t ose Fns.
Date: 20 Applicant:
WARNING: FAILURE TO SECURE WORKERS' SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI L 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 ove-
mentionedrope /y for inspection purposes.
Date: 9 `/ Signature (Applicant or Agent.—
FINANCIAL INFORMATION
DESCRIPTION - . `"' ACCOUNT
QTY
AMOUNT PAID PAID DATE
BSAS 561473 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 CHANGEOUT - 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:i 00
` Permit Details PERMIT NUMBER
-
r City of La Quinta BMCH2O15=0294x
Description: A/C CENTRAL SPLIT SYSTEM 4 TON
Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 7/30/2015 PJU
Parcel No: 773340065 Site Address: 77732 AVENIDA MADRUGADA LA QUINTA,CA 92253 Approved:
Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 65 Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $7,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 ,
Details: A/C & HTNG CENTRAL SPLIT SYSTEM 18 SEER 4 TON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO
BE INSTALLED PRIOR TO FINAL INSPECTION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE . RECEIPT # CHECK # METHOD PAID BY CLTD.
BY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Thursday, July 30, 2015 1:44:03 PM 1 of 2 CRWYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
HYDES
OUTSIDE CITY LIMITS
CONTRACTOR
HYDES
OUTSIDE CITY LIMITS
OWNER
LESLIE INGHAM
7908 CALEDONIA DR SAN JOSE CA
92253
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE . RECEIPT # CHECK # METHOD PAID BY CLTD.
BY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Thursday, July 30, 2015 1:44:03 PM 1 of 2 CRWYSTEMS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
Printed: Thursday, July 30, 2015 1:44:03 PM 2 of 2 CRWrsrFMs
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 0•
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
Printed: Thursday, July 30, 2015 1:44:03 PM 2 of 2 CRWrsrFMs
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
Printed: Thursday, July 30, 2015 1:44:03 PM 2 of 2 CRWrsrFMs
CERTIFICATE OF COMPLIANCE . CF111-ALT-024
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
18
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: 5 15%, 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: *mow
-Duct systems registered with HERS provider as previously sealed are exempt fro}n'MCH120 Duct Leakage;Testing requirements.''► '
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 23 or Refrigerant Charge MECH-25'
-Existing duct systems constructed, insulated or sealed with asbestos:a.re exempt from MCH -20 Duct leakage Testirig requirements. Y
E. Entirely New or Complete Replacement Duct System, with•or without•Equipment Changeori*ut `(Sections 150.2(b)1Dnatiand, 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)lC)
This section does not apply to this project.
Registration Number: 215-A0210013A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-29 19:32:47
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-07-29 19:32:08
ICERTIrICATE OF COMPLIANCE CF1R-ALT 02-E l
I Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 ) I
Project Name: 77-733 Avenida Madrugada I Date Prepared: 2015-07-29
A. General Information
CRR -ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one, CRR -ALT 02 document for each dwelling unit.
01
Project Name
77-733 Avenida Madrugada
02
Date Prepared
2015-07-29
03
Project Location
77-733 Avenida Madrugada
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
77-733 Avenida Madrugada
07
Zip Code
92253
08
Dwelling Unit Conditioned
Floor Area (ft2) 1
1922
Number of space conditioning
SC System
09
Climate.Zone
15
30
(SC) systems in this dwelling
1
installing
Installing
Identification or
unit.
by this SC
B. Space Conditioning (SC) System Information r ; : - J -
01
02
03
04
; ,
e 06; -.
07' ti
08 s
09
10
105'
"
Is the SC
'Installing aA
SC System
SC System
CFA servedtl
system a'
refrigerant
Installing -new SSC
' Ih stallir g
installing
Installing
Identification or
Location or Area
by this SC
iiucted
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
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0210013A-000000000-0000
Registration Date/Time
2015-07-29 19:32:47
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-29 19:32:08
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: /I
Hyde, Mark
7TOI
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2015-07-29 19:32:47
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._ /.` "'' w?
4. The building design features or system design features identified on this Certificate of Compliance are consistent withthe information provided on -other applicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the en'forcement'agency for;approval`with this building permit application.
S. I will ensure that a registered copy of this Certificete`of.Compliance shall .be!made;available with the building permits) 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:
Responsible Designer Signature: .ir , , x-'• /
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-07-29 19:32:47 -
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 noway implies Registration Provider responsibility for the accuracy of the information.
a
Registration Number: 215-A0210013A-000000000-0000 Registration Date/Time: 2015-07-29 19:32:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-29 19:32:08
Schema Version: 0.555SDD
Bin. #
City of La Quinta
OBullding 8i 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:
Owner's Name:.
n
A. P. Number. 3 L
Address: '7 `
Legal Description:
ContractorEW;EU 5
City, ST, Zip:
C
Telephone:
Address: 2 9
Project Description:
City, ST, Zip: 2Z
..i"2 :
State Lic. # : Gl G5 City Lie. #;
Arch., Engr., Designer:
Address:
City., ST. Zip:
v
•
Telephone: ?
State Lic. #:
Name of Contact Person:
Construction Type:. Occu an
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 22 # Stories: # Unita:
Telephone # of Contact Person:Estimated
Value of Project r%
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechatilcal
Grading plan
tad Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
1N HOUSE.-
'"' Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees