BMCH2016-035178-495 CALLE TAMPICO
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O16-0351
Property Address:
54545 AVENIDA RAMIREZ
APN:
774275014
Application Description:
LEISER RESIDENCE/ HVAC
Property Zoning:
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
Application Valuation:
$8,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
If!'�In Cni91201.
DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 7777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/2016-
OWNER'-BUILDER
/21/2016
Owner:
BRENDA LEISER
54545 AVENIDA RAMIREZ
LA.QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
I N DIC, CA' 92201
(766)j.60 2202.
Llc. No.: 906115
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that) am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000} of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as -provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 C36 License'No.: 906115 _ of the work for which this'permit is'issued.
I have and will maintain workers' compensation insurance, as, required by
Dater Z Contr r: 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:
OWNER' -BUILDER RATIO
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
I hereby affirm under penalty of perjurythat exem� from the Contractor's State
License Law for the following reason(Sec: 7 145, Business and Professions Code: Any
_
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit -to construct,.alter, improve; demolish, or repair
shall.not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for,the permit to file a•
compensation laws of California; and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
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
comply with.those provisions.
„: , f
basis for the alleged exemption. Any violation of Section 7031:5 by any applicant for. a
Date:— • v` ll Applica
permit subjects the applicant to a civil penalty of not more than five hundred dollars` .
'
($500).:
ATIO ERAGE IS UNLAWFUL,
WARNING:. FAILURE TO SECURE WdRKERS' CVO).
(� I, as owner of the property, or my employees with wages their sole
AND SHALL SUBJECT EMPLOYER TO GRIMAAND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale..
ONE HUNDRED THOUSAND DOLLARS ($100;ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and 'who does the:work
INTEREST, AND ATTORNEY'S FEES.
himself or herself through his or her own employees„provided that the improvements
are.not intended or offered for sale. If, however, the,bbilding or improvement,is-sold
APPLICANT ACKNOWLEDGEMENT''
within one year of completion, the owner-builderwill'have the burden of proving that;'
IMPORTANT: Application is hereby made'to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).'
the conditions and restrictions set forth on this application.
(� I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions. Code: The,Contractors'
request and for whose benefitwork is performed under or pursuant to any permit
State License Law does not apply to an owner of property whobuilds or improves
issued as a result of this application., the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnifiand-hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am'exempt under Sec. B.&P.C. for this reason
following issuance.of this permit.
2. Any permitissued 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
Date: Owner:
work for 180 days will subject permit to cancellation.
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
Lender's Address:
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 property for inspection purposes.
Application Number: BMCH2016-0351
Property Address: 54545 AVENIDA RAMIREZ
APN: 774275014
Application Description: LEISER RESIDENCE / HVAC
Property Zoning:
Application Valuation: $8,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
Date: 9/21/2016
Owner:
BRENDA LEISER
54545 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
(760)360-2202
LIC. No.: 906115
---------------------------------------------------------------------------------------------
UE'taiI`:HVAC CHAN16E OUT -18 SEER/78 AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOX 69'AaRM(�) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
d.
DESCRIPTION
ACCOUNT' QTY.
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION °-
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402.
0
$72.52
DESCRIPTION'
ACCOUNT
;QTY
AMOUNT
HVAC'CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION :
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE,
'
101-0000=42404
0
$91.85
.. ..
a, •;a l otal'Paid for PERMIT1SSUANCEi
$91.85.
5
Bin. #
c
Crty of La Qurnta
Building 8t Safety.Division
P:0• Box 1504, 78-495.Calle i'amplco
La.Quinta, C&92253 (760) 777-7012
Building,Perm. Applrcatton and Tracking;Sheet
Permit #
rr.
4
Project Address:
Owner's Name:.
A. P. Number.Address:
— vn �(�
Legal Description:City,
ST, Zip: t
.. _
Telephne:oQ'—
Contactor: 1 ►
N10i
Address: —
/VL
6
ProJect Descri h
.. p on:
City, ST, Zip:
7
91 f� p C ;. . .
i "
Telephone:
�:•
Ci Lic. #;
State Lic. # : kx,ty.
Arch., Engr., Designer
Address:
City., ST. Zip:
Telephone:
State Lic. #: .. »;
Name of Contact Person:
Construction Type: Occupancy: .
,Project,type (circle;one): New Add' n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
EStimatedValue of Project:.
APPLICANT: DO NOT WRITE -BELOW THIS LINE
#
Submittal
Req'd
'Rec'd'.
•: TRACKIIVG
PERMIT FEES
Plan Sets
Plan Check submitted:
.Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.Called
Contact Person
:Plan Check8alanee.
Tide 24 Calm.
Pians:picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
r Review, ready for corrections/issue
) Electrical
Subcontactor List
Called Contact Person
plumbing
Grant Deed
Pians picked no
'S.M,I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsflssue
'Developer Impact Fee
Planning Approval
Called Contact Person
A.I P.P.
Pub. Wks. Appr
Date of permit issue' • .
School Fees
•Total Permit Fees
(( k
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly .CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name: 54545 Avenida Ramirez Date Prepared: 2016-09-20
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 CF111-ALT-02 document for each dwelling unit.
01,.
Project=Name. ,.
545,45 -Avenida Ramirez-
02"Date'Prepared
.'
201'6=09-20
03 :
Project Location
54545 Avenida Ramirez
04'
Building Type
Single family
05
CA-
La Quinta
06,
D wellmmg;UtFName
it
54545 Avenida Ramirez
07`
Zip Code
92253
08,
Dwelling Unit Conditioned
1400
ducted
containing
system
more than 40
Eloor,* rea (ft
entirelynew
Name
Served
System (ft2)
Number of space'conditioningj
component?
09
'Climate.Zone
"
15.103.
. 5C system?
(SC).systems in thisdwelling
1
Location 1
3500
Yes
Yes .
unit.
No
;B. Space Coriditioning'(SC) System Information
01 02 03 04`' 05 06'4"'T � 08 09 10
'.
..
.`n, ?F
`yls theSC
s .'�"F.�'Y'+'bt 'Fi `+k
Installing a
'^-� �# :SIV 3 Gig
'"
&d `ww �
Et' i'C2
"•x".G£ G:Y,.
SC System
SC System
CFA served
9?system as ,
._ refrigerant
,Installing ne%43t
Instaling
:Installing
slnstalling
.Identification or
Locatioin or•Area
-by-this SG
ducted
containing
system
more than 40
entirely new
entirelynew
Name
Served
System (ft2)
system?
component?
components?
feet of ducts.?
duct system?
. 5C system?
Alteration Type
System.l
Location 1
3500
Yes
Yes .
Yes
No
No
No
Altered space'.
1 `
conditioning system
'C.1 tension of Existing Duct"System, OrThan 40 Feet (Section 150: 2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0347663A-000000000.0000
CA Building Energy Efficiency Standards - 2013 Ret;dential Compliance
Registration Date/Time: 2016-09-20 19:08:55
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-09-20 19:09:02
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)1E 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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
78
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Reouired 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 iri ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or <_ 10% leakage to o,itside, 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 C2 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow t 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.
1
�
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH F23,*or RefngeranfCharg`e MECH`25.
Existing duct systems constructed, insulated or sealed with asbestos are exempTfrom MCH 20 Duct:16kage Testing requirements i(
t:i J i k" i. li i , i i 1 � t
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections.150.2(b)1Diia and,y150.2(b)lE, F)
+� it t- i , i•»" :. 4 ti / i # #� «'
This section does not apply to.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: 216-A0347663A-00000000)-0000
Registration Date/Time: 2016-09-20 19:08:55
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-20 19:09:02
CERTIFICATE OF COMPLIANCE
GF1R-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 Corripli6,hce documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: '
Hyde, Mark
Company: F
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016=09-20.19:08:55
Address:
CEA/ HERS Certification Identificatiorr(if applicable):
42949 Madio
City/,State/Zip; - '
Phonei .
Indid°C4 92201 I
760-360-2202'
Responsible Person's. Declaration,statement . _
Y certify the following un, derpenalty of perjury under thP.laws of the.5tate of California: -
1. The information'.prdvided on this Certificate -7.f Compliance'is true and correct.
2. I am eligible undet Division 3 of the Busine s and Professioris Code to accept'responsibilityforthe: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 system design identified on this Certificate of Compliance to
-or conform the
,�.`Rs>^+',,... 'Sf F•"' -iso f:"ti.- art. - �." '°
regwrements of Title 24, Parti and.Part6 of the California Code of Regulations. p `� t
r % ' d9 F
w va e' s-
4. The building design features or system;desig i features identified onaliis Certificate of Compliance are'consistent with the information provided on;ottierappllcable'co'mpliancedocuments, wgrksheets,
e. .,; .map. e..,� w..w.,.. vz^Y}bt
calculations, plans ands pecifi'cations subrmt _d to the enforcement=;agency forapprovIll :A -'his bwldmg ap'plication'.' k ESC
permrt
6,'��., .' •t`8..5 '.- •.. J _ .,
5. I will ensure tfiat a registered copy of this_Certificate of Compliance sn5IIwbe,rnade available wtthAhe building. permit(s)rissued for•the biiilding, and made availableito,theLenforcement agency for'all a '71icable-
PP_
d
inspections - l understand that a registered copy of this Certificate of Compliance is required to be•included'with the documentation the 6u lder povyides to the building owner ataccupancy.
it clo d r
nto-."
.. ..t�.,2'_YS � § R`-".... e• , Wr. : ad ,J a^:. o._..
"M,...
. er jv-Y
Responsible Designer Name: �, a p .. $ � .-=
Hyde, Mark`
-gig n -
'ResponsibleAesi ner Signature �•
.
Company :
Date.Signed:
CERTIFIED_ COMFORT SYSTEMS INC
20T609-20 19:08:55
Address: -
I !cense:'
42949.Madio ... j •.
906115 ,
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
. Digitally signed by CaICERTS. This digital signature is provided in order to secure the content or this registered document, and in no way implies Registration Provider responsibility for the accuracy o/the information.
r ..
Registration Number: 216-A0347663A-000000000 0000 Registration Date/Time: 2016-09-20 19:08:55 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Re:rdential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-G9-20 19:09:02
Schema Version: 0.555SDD
. tr