BMCH2015-0166AtY
78-495 CALLE TAMPICO 4 40" OICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 D� FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPQU� IONS (760)>777-7153
BUILDING PERMIT,J
��'� it Date: /342015
Application Number: BMCH2O15-0166 Owner.
Property Address: 53771 AVENIDA CARRANZA CAROLYN GRECO���� Gy
APN: 774155013
AYiPF�Jr
Property Zoning:
Application Valuation: $7,015.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
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: 20 C16 License No.: 906115
Date: Contracto .
15,�,�5r;,�,-�,-,7,�-,
OW UILDER D RATION
I hereby affirm under penalty of perjury tha� m 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.).
( ) 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.).
Leader's
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 Labr CA�shalloith
comply with those provisions.
Date: Applicant: ,s
WARNING: FAILURE TO SECURE WORKERS' CO�&�� COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of th;city to enter upon the ab
mentioned property or inspection purposes.
Date: Signature (Applicant or Agen .
:. .:$?YDESCRIpTION£ ACCOUNT;. QTY (AMOUNTyE
i PAID � ,.vim, , PAID:DATE,
.,£..at�.<k-..:?53;3 �zt.; �a•�:.�: . �.<"�.-�. ��.�.�'� y��-c."5_. S �- � ^�E6: ��..-sr ,. ,�
BSAS, S131473 FEE 101-00007-20306 0 $1.00 $1.00 5/14/15
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h:nN t: FFtx. �?;� xwe.-ares
�METIODx :',',
� �• RECEIPTr#
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..CERTIFIED COMFORT SYSTEMS INC CHECK R6074 20169. MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA, $1.00 $1.00
k f.� :i %i ns;4' ,.r° x n:.
y . r a 4:DESCRIPTIONx "„ ACCOUNTS ; QTYA AMOUNT S MM V PAID,. sPAIDkDATE
HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 - $72.52. $72:51 5/14/15
i xg3 c a
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CERTIFIED COMFORT SYSTEMS INC.' CHECK R6074 20169 MFA
S: ��,
s xi DES,CRIpTION ., _ .k :,E WACCOUN,T,?, .} r
.n: (AMOUNT y ';PAD .'' PAID D !,
I A
HVAC.CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $36.26 5/14/15
.g.."ay$w[:xGsx.tSPJ" r ti.sx-` -,ga `p. ^ y4x.'�•.7,.'�:,. n,:a--' ;x' E •"S-� c x,.
�x y PAID B ��rr'xMETHOD_ass� RECEI#.4 CHECK, ,. >CLTD58Y
..., r �.
.CERTIFIED COMFORT SYSTEMS INC CHECK R6074 20169 MFA
g Total Paid forCHANGEOUT: $108.78. .$108.78
'nom v:'':s.stir _<v�•'.re
r r DESCRIPTION , + ACCOUNT I. QTY A 10UNT� E r x 9
-. ,:. € �,sP Ip r PAID DATE
'i n4 cf: >n €^t.,,, :,i`x,c aa, ... - n _:.t .,1, x^ x a.E a''; ,.r..: t ,�a•.
PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/14/15-
'3'`'"a� :.. -:��^rns.:x•:ti�,+,x'�,i� su
E,4PAIOBYs�� u ;METHOD,,, RECEIPT,#" CHECK# ' H CLTO BYE t
CERTIFIED COMFORT SYSTEMS INC -CHECK R6074 20169 MFA' '
Total Paid for PER ISSUANCE: $91.85 $91.85
TOTALS:
Description: GRECO RESIDENCE / HAVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/14/2015 MFA
Parcel No: 774155013 Site Address: 53771 AVENIDA CARRANZA LA QUINTA,CA 92253 Approved: 5/14/2015 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 234 Lot: 3 Issued:
UNIT 22
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled:
Valuation: $7,015.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES..
Printed. Thursday, May 14, 2015 11:52:15 AM 1 of 2 CN?
SYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
. NAME
ADDRESS1
.CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
CONTRACTOR
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
OWNER
CAROLYN GRECO
-13930 KEISHA
MOORPARK
CA
92253
Printed. Thursday, May 14, 2015 11:52:15 AM 1 of 2 CN?
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
C
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BYD
BY.
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
5/14/15
R6074
20169
CHECK
CERTIFIED COMFORT
MFA
SPLIT -SYSTEM
SYSTEMS INC
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
5/14/15
R6074
20169
CHECK
CERTIFIED COMFORT
MFA
SPLIT -SYSTEM PC
SYSTEMS INC
Total Paid forCHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
5/14/1S
R6074
20169
CHECK
CERTIFIED COMFORT
MFA
SYSTEMS INC
Total Paid forPERM1T ISSUANCE: $91.85 $91.85
TOTALS:
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
Printed: Thursday, May 14, 2015 11:52:15 AM 2 of 2 cjr
SYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: 53-771 Avenida Carranza I Date Prepared: 2015-05-13
A. General Information
CF111-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
53-771 Avenida Carranza
02
Date Prepared
2015-05-13-
03
Project Location
53-771 Avenida Carranza
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
53-771 Avenida Carranza
07
Zip Code
92253
08
Dwelling Unit Conditioned
1378
Floor Area (ft2)
SC System
CFA served
'system a�--
refrigerant
.Installing new SC
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system * t
more than 40
enn ely w
unit.
B. Space Conditioning (SC) System Information
01
02
03
04'&
051
If 061('`'1`
07)
1108 11
09
10
!�� 1
1.1 u
N
3 11s 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 * t
more than 40
enn ely w
entirely new
Name
Served
System (ft2)
system?.
component?
components?
feet of ducts?
duct system?.
SC system?.
Alteration Type
System 1
Location 1
1400
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-A0126895A-000000000-0000
Registration Date/Time: 2015-05-13 12:40:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-13 12:40:08
Schema Version: 0.555SDD
L
CERTIFICATE OF COMPLIANCE CF1R-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)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
Central
All new
Central
All new
Less than or
System 1
packaged HP
heating
AFUE
0.78
packaged HP
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
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 5 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 2:300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt fromMCH 20 Duct Leakage esting requirements.
Heating -only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23; or Refrigerant Charge MECH-25 i
-Existing duct systems constructed, insulated or sealed with asbestos are 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,1S0.2(b)1E, F)
- This section does not applyto 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-A0126895A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-05-13 12:40:15
Report Version: 2014-03-31
Schema Version: 0.5555DD
HERS Provider: CalCERTS
Report Generated: 2015-05-13 12:40:08
CERTIFICATE OF COMPLIANCE CFiR-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
2015-05-13 12:40:15
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�� ! ij� fF I
�! v
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.
.e. ,_ 1, . %N I ., ,f
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 builder provides to the building owner at occupancy.
Responsible Designer Name: ! k— 1 .:
Responsible Designer Signature: w" .i b
Hyde, Mark
Wl
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-05-13 12:40:15
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: 215-A0126895A-000000000-0000 Registration Date/Time: 2015-05-13 12:40:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-13 12:40:08
Schema Version: 0.555SDD