BMCH2015-014878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q*r(v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: . BMCH2O15-0148
Property Address: 78695 NAPLES DR
APN: 609511008
Application Description: KEITH DADY CENTRAL SPLIT
Property Zoning:
Application Valuation: $8,250.00
Applicant:
HYDES
OUTSIDE CITY LIMITS
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: Lic nse No.: :LIC -0004822
7 Date: Contrac
-4
OWNER -BUIL ECLARATION
I hereby affirm under penalty of perjury at 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
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 contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. BAP.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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/2015
Owner:
KEITH DADY
78695 NAPLES DRIVE
LA QUINTA, 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.
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 pr7/ZrC2AppIicqoW'__;?!__
'ns.
'Date:
WARNING: FAILURE TO SECURE WORKER MPENS d COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 above-
mentioned prope for In
purposes.
Dat Signature (Applicant or Ag
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 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
Description: KEITH DADY CENTRAL SPLIT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/28/2015 PJU
Approved:
Parcel No: 609511008 Site Address: 78695 NAPLES DR LA QUINTA,CA 92253
Subdivision: TR 28457-1 Block: Lot: 8
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,250.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC UNIT CHANGE OUT FURNACE,CON DENSER 78% AFUE,I6SEER STON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
CHRONOLOGY
CONDITIONS
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 forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, April 28, 2015 11:55:10 AM 1 of 2 CN?W
SYSTEMS
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 forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES,
MECHANICAL FINAL" BLD
PARENT PROJECTS
Printed: Tuesday, April 28, 2015 11:55:10 AM 2 of 2 CR
SYSTEMS
Bin #
City of La Quints
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: A_
'
Owner's Name:
A. P. Number:
Address:
on:
r
/
2� 17 I
//�� City, ST, Zip: ` C�d�
l 4;4. y e
.c�k, 5' A, Telephone: _
'Z K 9
MAd
Cl
Project Description:
��6d
_ZZdZ
tate Lie. # : q C,
�. " City Lic. #: i 2 Z
Arch., Engr., Designer:
Address:
ty, ST, Zip:
FTelephone:
State Lic. #:
Construction Type: Occupancy:
P cY
Name of Contact Person:
Project type (circle one): New Add'n Alter RePai ' Demo
Telephone # of Contact person:
Sq. Ft.: #Stories: #Units:
Estimated Value ofProject:
APPUCANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Recd TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted
Structural Calcs.
Item Amount
Review y
Reviewed, read for corrections
Truss Caics.
Pian Check De posit
Called Contact Person
Energy Calcs.
Plan Check Balance
Plans picked up
Flood plain pian
Construction
Plans resubmitted
Grading. plan
Mechanical
2°' Review, ready for corrections/issue
Subcontactor List
Electrical
Called Contact Person
Grant Deed
Plumbing
Plans picked up
H.O.A. Approval
SALL
Plans resubmitted
IN HOUSE:-
Grading
M Review,
ready for correcdoos/issae Developer Impact Fee
Planning Approval
Called CJontact Person
Pub. Wks. Appr
A.LP.P.
Date of permit issue
School Fees
.
Total Permit Fees
a
b
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
Efficiency
Type
Value
SEER
Heating
System
Heating
Altered
Heating
Minimum
Altered
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
or Name
Type
Components
Type
Value .
System Type
Components
System 1
Central split
.
All new
heating
AFUE
0.78
Central split
All new
HP
components
AC
cooling
components
08
09
Cooling
Cooling
Minimum
Efficiency
Efficiency
Type
Value
SEER
16
CF1R-ALT 02-E
(Page 2 of 3 )
10 31 12
Required
Thermostat
Type
Setback
New or
Replaced
Duct Length
This field or
section is not
a I' bl
Reouired Documentation: •
pp ica e
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 510% 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 2 300 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 of Air-Fl6w;MCH-23, or Refrigerant Charge MECH-25;
-Existing duct systems constructed, insulated or sealed with asbestos.a,re exempt from MCH -20 Duct Leakage Testing requirements.
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)lC)
Registration Number: 215-A0109712A-000000000-0000
This section does not apply to this project.
Registration Date/Time:
2015-04-27 11:33:22
New Duct
R -Value
This field or
section is not
applicable
HERS Provider: CalCERTS
. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD Report Generated: 2015-04-27 11:33:14
I CERTIFICATE OF COMPLIANCE
r
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
78-695 Naples Dr I Date Prepared:
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
78-695 Naples Dr
02
Date Prepared
06
2015-04-27
03
Project Location
78-695 Naples Dr
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78-695 Naples Dr
07
Zip Code
92253
08
Dwelling Unit Conditioned
Floor Area (ft2)
2025
09
Climate Zone
15
10
Number of space conditioning
(SC) systems in this dwelling
unit.
1
CF1R-ALT 02-E
(Page 1 of 3 )
2015-04-27
B. Space Conditioning (SC) System Information
01
02
03
04::.
05.
06
07
08
09
10
Is the SC
Installing a
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
Whole House
2000
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: 215-A0109712A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-04-27 11:33:22 HERS Provider: CaICERTS
Report Generated: 2015-04-27 11:33:14
CERTIFICATE OF COMPLIANCE
I Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Hyde, Mark
Company:
CERTIFIED COMFORT SYSTEMS INC
Address:
42949 Madio
City/State/Zip:
Indio CA 92201
Responsible Person's Declaration statement
Documentation Author Signature:
Signature Date:
2015-04-27 11:33:22
CEA/ HERS Certification Identification (if applicable):
Phone:
(760)360-2202
CF1R-ALT 02-E
(Page 3 of 3 )
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.
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 enforcement agency for approval with this building permit application.
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 documentationhe builder provides to the building owner at occupancy.
Responsible Designer Name: i f Responsible Designer Signature: ' f,�,�.
Hyde, Mark iL'iti,6
Company:
CERTIFIED COMFORT SYSTEMS INC
Address:
42949 Madio
City/State/Zip:
Indio CA 92201
Date Signed:
2015-04-27 11:33:22
License:
906115
Phone:
(760) 360-2202
Digitally signed by CaICERTS. 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.
r �
Registration Number: 215-A0109712A-000000000-0000 Registration Date/Time: 2015-04-27 11:33:22
- HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-27 11:33:14
Schema Version: 0.555SDD