14-0640 (MECH)'a.
P.O. BOX 1504 T4ht 4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/15/14
Application Number: 14-00000640 Owner:
Property Address: 79530 CETRINO r SOSEBEE JOYCE
APN: 772-330-003- - - 79530 CETRINO
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (
Application valuation: 19290
Contractor:
App lica Architect or Engineer: HYDES
42949 D
42949 MADIO STREET
/4--
INDIO 0- 922011f20114 (760)360-2202
Lic. 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 and Professionals Code, and my License is in full force and effect.
License Class: C20 C36 License No.: 906115
G-/
Date: Contractor:
OWNER -BUILDER DECLARATION
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.).
(_ 1 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 cdho contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 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:
LQPEPAI IT
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 NORGUARD INS Policy Number CEWC468841
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
X3700 of the Labor Code, I shall I rthvvi h comply with those provisions.
Date: ILA
p� — pplicant:
WARNINAl UO 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent�.�Lllk(
Application Number . . . . . 14-00000640
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 166.84 Plan Check Fee.. .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/14
Qty Unit Charge Per Extension
2.00 35.7500 EA MECH FURNACE 71.50
2.00 11.9200 EA MECH APPL REP/ALT 23.84
2.00 35.7500 EA MECH CONDENSER/COMP 71.50
----------------------------------------------------------------------------
Special Notes and Comments
(2)HVAC CHANGEOUT FURNACE COIL &
CONDENSING UNIT AFUE 78% 13 SEER 4 TONS.
2013 MECHANICAL CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDs ADMIN (SB1473) 1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, MECHANICAL 52.43
Fee summary Charged
Permit Fee Total 166.84
Plan Check Total .00
Other Fee Total 144.00
Grand Total 310.84
LQPERMIT
Paid Credited Due
.00 .00 166.84
.00 .00 .00
.00 .00 144.00
.00 .00 310.84
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
79-530 Cetrino(2) La Quinta, CA 92253
City of La Quinta
May 14, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 8%
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
b
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R g CZ 14-15
(
16ve
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-4R
forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-111
and CF-611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF-4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
. Indoor Coil and /or
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF-4R forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing. if:
[11. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than:40 linear feet in unconditioned space, or
[13. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System Required Forms:
. Cut in or Changeout with CF-6R'f6rms MECH-04 `MECH 20 HERS, and (for split systems) MECH-22 HERS, and
new'ducts: (all new MECH-25-HERS .. ` ' a
ducting and all new CF-4R forms:`MECH-20, and (for,split systems);MECH=22, and MECH 25,
equipment) A •..
For Split Systems: Duct leakage;< 6;percent; RC, CCA '>_.350 CFM/ton, FWD, TMAH,- STMS, and either,HSPP or PSPP. ,
For Packaged Units: Duct leakage < 6'.percents -
v
❑ 3. New Ducts with/or without ".
Required Forms: ,
Replacement
. Includes replacing or installing all new
ducting and/or.outdoor condensing unit
CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF-4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage .< 6 percent; RC, CCA a 300 CFM/ton, TMAH
For Packaged Units: Dud leakage < 6 percent
❑ 4. New,Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF-6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF-4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing dud systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
. I certify that this Certificate of Compliance documentation is accurate and complete.
. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
. I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Mark Hyde Signature: Mark Hyde
Company: CERTIFIED COMFORT SYSTEMS INC Date: May 14, 2014
Address: 42-949 MADIO STREET License: 906115
City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202
Keg: 21!-AO03425OA-000000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2014/05/14 14:23:48 HERS Provider: CalCERTS, Inc.
July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:Permit
#:
79-530 Cetrino La Quinta, CA 92253
City of La Quinta
May 14, 2014
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
[3HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1600 sf
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -ZR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -111
and CF -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
. Indoor Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF -4R forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
15 n
Leese. Parek
U. RSm Poet leakage
ged
< FA
Exempted from duct leakage testing if:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System Required Forms:
. Cut in or Changeout with CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducts: (all new MECH-25-HERS
ducting and all new CF -4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25
equipment)
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF -4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
. I certify that this Certificate of Compliance documentation is accurate and complete.
. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
. I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Mark Hyde Signature: Mark Hyde
Company: CERTIFIED COMFORT SYSTEMS INC Date: May 14, 2014
Address: 42-949 MADIO STREET License: 906115
City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202
Reg: 2,x.9-A0034249A-000000000-0000 Registration Date/Time: 2014/05/14 14:22:53 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Work Order IIIIIIIIIIIIIIIIIII
Certified Comfort Systems, Inc.
Job No: 264955
dba Hyde's Air Conditioning
42-949 Madio St.
Indio CA 92201
760-360-2202 FAX: 760-360-3350
Service At: Customer # 100347 Bill To: Customer # 100347 Rating:
Sosebee, Joyce 564-1810
Sosebee,Joyce 564-1810
79-530 Cetrino
79-530 Cetrino
La Quinta CA 92253
La Quinta CA 92253
Email:
Email:
Type: RES Source: AGREE
Open Balance:
Zone: LQ Map:
Payment Method:
Subdivision:
Credit Limit:
Skill: Tax: CA
Service Customer
Directions The Citrus CC, off Ave. 52
Instructions <<INSTALL CREW NEEDS TO BE @ JOBSITE BEFORE 9:00 AM>> Install (2) 4T 18 SEER platinum A.S. units,
1 horizontal & 1 upflow. $19,290 due Hyde's. (Using
same CC HO gave Casey for the balance.) 2 DAY JOB.
Work Sugg
Work Done 5/14/14 5:34 p.m. Confimed install w/Mrs. Sosebee. LQ
Call Info
Job Info
Call No.: 264955 Booked by: Kirsten
Job No.: 264955 Taken: 5/7/14 6:24 PM
Type: FULL Booked Date: 5/14/14
Class: Installation Taken by: Kirsten
Scheduled: 5/14/14 8:OOAM Sched by: Lisa
Type: FULL Cust PO:
Pri Level: 5
Ld Src: LEAD SalesPerson: CASEY
Eq Age:
LS Ref:
PP2 404331 Expired 03/24/2010 03/23/2011
Contact:
Equipment:
PP2 402859 Expired 06/14/2009 06/13/2010
Assignments
Employee TaskCode Scheduled Time
CHRIS 8:00:00 AM
JOSEA 8:00:00 AM
Other Job Related Calls
Call # Type Scheduled Progress Status
264956 FULL 5/15/2014 8:00:00 AM Notified
Agreements
Type Agr No Status Sold By Start End
Discount
Last Visit Next Scheduled
PP2 412707 Active 10/29/2013 10/28/2014
0%
10/29/2013 3/2014
PP2 410046 Expired 10/11/2012 10/10%2013
0%
05/29/2013
PP2 407408 Expired 07/26/2011 07/25/2012
0%
01/04/2012
PP2 404331 Expired 03/24/2010 03/23/2011
0%
12/09/2010
PP2 402859 Expired 06/14/2009 06/13/2010
0%
01/26/2010
PP2 400070 Expired 06/12/2007 06/11/2008
0%
Service History
Call # Date Tech Type Status Bal. Due
Job # 264265
264265 05/07/2014 CASEY AC2
Instructions: Pk sry both ac's NC Schd 3-5 PM Cllr Joyce. The Citrus. (2) 20 X 30 filters noted.
Work Done: Replaced (2) 2000 filters. Upgrading both units. Sold (2) 4T 18 SEER platinum A.S.
units, 1 horizontal & 1 upflow for $23,290 <-$2,000 trade>
<$1,200 manufacture rebate> <$800 rewards credits> $19,290 due Hyde's. «$4,000 IID rebate>>. Installing 5/14 - 5/15. Install team needs to be there
before 9:00 AM. Casey got CC - HO wants balance on same card.
Call # Date Tech Type Status Bal. Due
Job # 264953
<< x
Bill #City
of La Q uinta
_
Building 8[ Safety Division
P.O. Boz 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' — '2j C7 h
Owner's Name: G -
A. P. Number.
�— 1
Address:3 0
Legal Description:
/G
City, ST, zip: L,-. A ZZs
ConiracWr. 2Y
Telephone:
Address: �( �j I t d
Protect Descriptt° '"j,, j�
•city, ST, zip: 0 � Q � ZZ d
Telephone: Z 6c, —ZiZdZ
State Lic. #: City Lic.
Arch., Engr., Designer
"
Address-
City, ST, Zip:
Telephone: Construction Type: Occupancy:.
State Lic. if: Project type (circle one): New Add'n Alter Repair' Demo
Name of Contact Person: Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd -
Rec'd
TRAC MG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calfs.
Called Contaot Person
Plan Check Balance
Energy Cates.
Plans Picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan'
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
. Plans resubmitted
Grading
IN HORSE-
-% Review, ready for iorrectionslissne
Developer -Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
-
Total Permit Fees