BMCH2014-111278-495 CALLE TAMPI:CC!`
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1112
Property Address: 80166 MERION
APN: 762140008
Application Description: HVAC CHANGE OUT
Property Zoning:
Application Valuation: $10,900.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
U VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/16/2014
� Owner:
1111 — Q - Ill STEPHEN & NANCY SANDER
�I( 1 80166 MERNTA, ON
CA
OCT 16 2014 U LA QUINTA, CA 92253
,CITY OF LA 6U__1WA
COMMUNITY DEVELOPMENT DEF
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C20 C36 License No.: 906115
Da e: A. Contractor,,
OWNER -BUILDER DE RATION
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.).
( 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.).
(_J 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:
Contractor:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
(760)360-2202
Llc. No.: 906115
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: 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 those provisions..
Dattee,t 0_Aa A phcant:
OV
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 thAtoupon theabove-
m ti%%oned grope for inspection purposes.
Date:Signature (Applicant of Agent)
FINANCIAL INFORMATION.:
'DESCRIPTION Y ' �, x� gACCOUNT x , 4 _ Y £ .. ,
QTY4MOUNTx�fi PAID PAID DATE
,* P. • .,�''. i vv w
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID Bl(,: « `tcr4 c '- + 4 METHOD` }� ?_ RECEIP # '' s.. a•
T CHECK # CLTD BY
.'
y� a _ ,a
mi ae ..�,_.h.,t
> Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION'�i,=={
*`"ACCOUNT F`PAID
BRAID DATE--
z Y`+
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
$,#
PAID BY R
.�`, �^ i' - p .i. 1 '�#.
R METHOD '
; F
#
CHECK # y
-
CLTD�BY,,
;RECEIPT
QT
n
LINT
PDESCRIPTION AID—
:
IDDATE
, prD
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
r 7:PAIDBy, Y;
RECEIPT
HEs a k<f._
C CK#�
,�:
• =z,q �..`,�
:� ;METHOD' .{3A' ,.
�w
,CLTD BY�a
Total Paid forCHANGEOUT: $60.43 $0.00
1.. '•.'..3 S -•.. xy i
PAIDDESCRIPTIONs
:
PAI DK A*:AT, E':MACCOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY r
METHOD
�.`.�.: RECEIPT#
�¢s
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $153.28 uu
Description: HVAC CHANGE OUT
Type: MECHANICAL
Subtype: Status: SUBMITTED
Applied: 10/16/2014 MFA
Approved:. -
Parcel No: 762140008 Site Address: 80166 MERION LA QUINTA,CA 92253
Subdivision: TR 28340-3
Block: . Lot: 12
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,900.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO .
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
1z'
r
CONDITIONS,,,.
Printed: Thursday, October 16, 2014 10:18:46 AM 1 of 2
CONTACTS
NAME TYPE
_, NAME A f�
.. ADDRESSi" ;-
CITY
STATE'" ZIP
}PHONE ,A �; '^FAX EMAIL �'
.. .....
...
_ .'
-
APPLICANT
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
(760)567-6049
CONTRACTOR
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
(760)567=6049
OWNER
STEPHEN & NANCY SANDER
80166 MERION
LA QUINTA
CA
92253
(760)567-6049
Printed: Thursday, October 16, 2014 10:18:46 AM 1 of 2
Printed: Thursday, October 16, 2014 10:18:46 AM 2 of 2 �>
CLTD.
DESCRIPTION
ACCOUNT
QTY:
AMOUNT
PAID
PAID:DATE
..RECEIPT #
CHECK #
METHOD' :
PAID;BY
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-426000
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00 .
TOTALS:00
Printed: Thursday, October 16, 2014 10:18:46 AM 2 of 2 �>
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly'CF-iR-ALT HVAC) (Page 1 of 4 )
Project,Name: 80-166 Merion Date Prepared: 2014-10-15
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
80-166 Merion
02
Date Prepared
2014-10-15
03
Project Location
80-166 Merion
04
Building Type '
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
80-166 Merion
07
Zip Code
92253
08
Dwelling Unit Conditioned
2500
-`STs he:SC
Installing a.
*" _ "°x
:
Floor Area (ft2)
SC System
SC System
CFA served
Number of space conditioning
refrigerant
09
Climate Zone -
15
10
(SC) systems in this dwelling
2
Location or Area
..
by this SC
ducted
containing
unit.
more than 40
yt,:- f ifs z., �s X, z •' ax�fyir
B. Space Conditioning (SC) System Information` if �w
t G mF� Vii.
s`0
ja
i
02
03;Y'
.07
`.
*s r' 08
09
10
L
iFr01
-
s,
-`STs he:SC
Installing a.
*" _ "°x
:
y 0"K 0
SC System
SC System
CFA served
system a
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Half House
1250
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Half house
1250
Yes
-Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-A0118029A-000000000-0000 Registration Date/Time: 2014-10-15 12:28:55 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-15 12:29:31
Schema Version: 0.551SDD
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 , _
'02-
r
04
05—
L y
+
08
a 09
'10
;
_12,
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 , _
'02-
03 , .-
04
05—
06
07
08
a 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 gas
All new
� '
-
Central
All new
�' ,.• •,
-
This field or
This field or
System 1
',furnace
heating
AFUE
,
0.78 -
packaged AC''
cooling
SEER
13 -
Setback
section is not
-section is not
components.
components
.'applicable
applicable
}
Central gas'
All new,
Central
All new
_,
This field or
-This field or
System•2
furnace
heating
-
AFUE
0.78.
packaged AC
cooling
SEER r"
13 .
Setback'
section is note
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 ' 4
CF2R-MCH-20-H & CF3R-MCH-20-H - Duct Leakage;testmg required when heating.or,'cooling components are installed in-iiucted systems or when more than 40 ft of duct length is replaced.,
-Leakage rate compliance: <_ 15%, or:5 10% leakage to -outside; or seal all accessibWkiaks.
r
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verificat on requhred when�iefrigerant contamingy ompo�nents are installed of altered (applipable m CZ 2, 8-15).
CF2RCF39-MCH-23 & CF3R-MCH-23 Air Flow? 300 CFM/ton regwred when MCH 25 is required.,,, 'o i +
Exceotions: t yytay#1"amux r�A�h yyfi L'�s^� ` y" ¢� ROn •
�.'
-
Ff..�s "E':5.5� ' w,.yy-�5•. a 'ro - . dt•�'!� 04 . -
- -
Duct systems registered with HERS provider as previously sealed are ezemptifroin MCH-20'DucCLeakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. r
-
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.'
C
- •y.
.7 •
Registration Number: 214-A0118029A-000000000-0000 Registration Date/Time: 2014-10-15 12:28:55 HERS Provider: CalCERTS '
CA Building Energy Efficiency Standards - 2013 Residential Compliance - Report Version: 2014-03-31 Report Generated: 2014-10-15 12:29:31
Schema Version: 0.551SDD'
CERTIFICATE OF COMPLIANCE CF1R-ALT702-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) .
This section does not apply to this project.
J
6,1
1001 GA
.. � . } 3r� of + �-�` '�, z r '� 3°�'.�� a .. gi y�{ca• - tt:_ '�� ",. F"�'f..�y"".�.'ry .�''� ��,°.3
- s%a- .Ak.�,.. er'...4'`°r J.�"... rel.. �;•iH ar#'f ,3^N fd*i/,kv.�''.:fi� .sl�T ''�a'<�y
Registration Number: 214-A0118029A-000000000-0000 Registration Date/Time: 2014-10-15 12:28:55
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2014-10-15 12:29:31
CERTIFICATE OF COMPLIANCE' ,, ` `
CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -ALT HVAC) < (Page 4 of 4 )
Documentation Author's Declaration Statement
1. I'certify,that this Certificate of Compliance documentation is accurate and complete.
Documenfation Author Name: z
Documentation Author Signature:
Hyde, Mark -
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC -
2014-10-15 12:28:55 " s'
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 Busand-Professions Code to accepttres_ ponsibility for,the budding design or.system,design identified on this Certificate of Compliance (responsible designer).
.`i-'?�
u..
• • ;g �'Yk..�"!1'.= k; ."•rte -a '
3.: That the energy features. and performanceFMspecifications, mate naaN,, �mp'onents' 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 Re ulations. ,
� xec� gy.�.. w 'M. .�' .y.
.•� �
4. The building design features or system design features identified or thirCertificate off Compliance are consistent with tliie-information provided on other applicable compliance documents, worksheets
calculations; plans and specifications submitted to -,the enforcement agency for .approval;wtth this building pe mita th¢ation > . * " i "` � _
NA rJJ;ec.:.' pP w:. ="k^£�•`'�t`. r
S' I will ensure that a registered copy of this Certificate ofyCompliance ahall�besm ade availat le with the;nbuildmg:permrt(s) issued forythe building;_and made avawlable to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliancels required to'be included With the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Hyde, Mark.
Company:
Date Signed: "
CERTIFIED COMFORT SYSTEMS INC ^ _ v
2014-10-15 12:28:55 -
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.
Registration Number: 214-A0118029A-000000000-0000 Registration Date/Time: 2014-10-15 12:28:55 HERS Provider:LaICERTS `
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 _ Report Generated: 201440-15 12:29:31
Schema Version: 0.551SDD°
ME
Bill #
Pennit.#
Project Address:
A- P. Number:
contramr.
Le
Aftem.
Ci , ST, Zi
:p
City Of La Qu*nta -
Budding 8[ Safety Division
P.O. Box 1504, 78-49S Cane Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name.
........... City, ST. Zip.
,C- 4
Pt9ject Description:
I Total Permit Fees
State Lic. #
City Lie. #:
Arcb, Fagr, Designer.
-------------
Address:
City,g, Zip:
Telephone:
State.Lic..#:
Construction Type:
Occupancy.
Name of Contact Person:
Project type (circle one):
New Add'a Alter 'ItepIftir Demo
Telephone# OfConlaxtOerson:.
# Units:
Estimated Value ot-projemm
n 222
APPLICANT: DO NOT WRITE BELOW THIS
Submittal Req'd RWd
RWd
LINE
TRACIMG
Plan Sets
PERMIT FEES
Plan Check submitted
Structural CalcL
Reviewed, ready for corrections
item
Item
Amount
Truss Calcs.
Plan Check Deposit
Called Contact Pirson
Energy CalcL,
---------
Plan C6ck Balance
Plans Picked up
Flood . plain plan
Construction
Plans resubmitted
Grading plan,
Mechanical'
2" PWview, ready for cor•rectionslissu* e
Electrical
Subcoutactor List
Caged Contact Person
Grant1� J.
rant Deed
Plumbing
Mus picked up
E1 -0A- Approval
---------------
----------------- --
Plans resabmitted
INHOUSE--
$' Review,
Grading
ready for correctioneLune
Develdper-Impact Fee
Plannia
.g Approval
Called Contact Person
Pub. Wks- Appr
Date of permit issue
AXP.P.
School Fem�s
I Total Permit Fees