BMCH2016-0085r±l i
78-495 CALLE TAMPICO
LA CONTA, CALIFORNIA 92253
c&t1t 44 Q94:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0085
Property Address:
49075 RANCHO POINTE
APN:
602320008
Application Description:
CLINT FORESTER/ HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$7,900.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
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: C20, C36 License No.: 906115
Date: Contractor.
OWNER -BUIL RATION
I hereby affirm under penalty of perjury a I exempt from the Contractor's State
License Law for the following reason (Sec. 7 31.5, 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 Coder 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.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Owner: rco
FORVEST I46 2016
92253
CITYCIFLAQUINTA
UNRYDEtidF IEUTDEPARTMENT
.tea
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
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 th ork 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.
Date:Aa-AL Applicant:
WARNING: FAILURE TO SECURE WORKERS'P ATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT'AN EMPLOYER TO CRI . I 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 property for inspection purposes.
Date: 1-14116 Signature (Applicant or Ag n
FINANCIAL
"4 t o ry
p'£DESCRIPTION^'F r r .-"ACCOUNTS QTY' z` y AMOUNT.; PAID' r PAID"DATE '.
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
A• r t
r 4�
y4 r� PAID BY � r
» f
=x METHOD-,REaCEIP.T # :CHECK # u ° CLTD,BY `
r � �° � � ..x "; ,•
r
Total Paid for BUILDING STANDARDS ADMINISTRATION'BSA: $1.00 '$0.00
°DESCRIPTIONS` ' ``}
; ACCOUNT
=QTY
AMOUNT`
"st PAID ,
PAID`DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
,1 PAID,BYa
g nSMETHOD
=.°RECEIPT#-�r-.
, CHECK#'!:LTD,
BY, 1
w, DESCRIPTION J,
'. rr ,,ACCOUNT
QTY,
_# AMOUNT,,-'
' "a' PAID +
`PAIDyDATE`
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY, yk
-1 s.,a t
METHOD .-'t t
0 ,
RECEIPT #
m ,
:CHECK #�
v��
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION, x r s
4 �:'A00OUNT x`Y* fe{ :.
FQ TY
°AMOUNT,
'` ,z, "PAID ,s _
`PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
.x c,a, PAID BY `4::,
METHODS = g„
`RECEIPT # F
`; CHECK #, `"
CLTD BY ":
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CLINT FORESTER / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/6/2016 RSE
Approved:—
Parcel No: 602320008 Site Address: 49075 RANCHO POINTE LA QUINTA,CA 92253
Subdivision: TR 29457-2 Block: Lot: 51
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,900.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 -
Details: HVAC CHANGE OUT-16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
- FINANCIAL INFORMATION
Printed: Wednesday, April 06, 2016 9:48:56 AM 1 of 2
SYST[Ir1 S
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, April 06, 2016 9:48:56 AM 2of2 0?WsYSTEMS
....
. . ...... .......
D
'DESCRIPTION;
",.,-'ACCOUNT,,:
CITY
A M'UNT�
0
PAID
PAI D DATE
RECEIPT #
CHE K #'i�
x'METH
PAID B
BSASSB1473 FEE
101-0000-20306
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION'
$1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$72.S2
$0.00
SPLIT-SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00,
PERMIT ISSUANCE
101-0000-42404
0
$91.11S
$0.00
Total Paid for PERMIT ISSUANCE:. $91.85 $0.00
TOTALS: $201�63 .... 0X0 . .... .
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, April 06, 2016 9:48:56 AM 2of2 0?WsYSTEMS
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E I
I Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) I
IProject Name: 49-075 Rancho Point I Date Prepared: 2016-03-30
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
49-075 Rancho Point
02
Date Prepared
2016-03-30
03
Project Location
49-075 Rancho Point
04
Building Type
Single family
OS
CA City
La Quinta
06
Dwelling Unit Name
49-075 Rancho Point
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
r . er
Installing
W
more than 40
� arm
Installing
� *A7—
entirely new
Installing
entirely new
Floor Area (ft2)
Served
System (ft2)
system? -
component?
, components?
Number of space conditioning
duct -system?
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Yes
R
No
No
unit.
Altered space
conditioning system
B. Space Conditioning (SC) System Informationif
/ it di� t
01
02
, 03 r.
u� 04�
/OP5 U5l k�
1 '61 �\
116))
U8
1 09
10
4 �s the SC
�s i�
ti Installin�g a
+rte,,. a
*r.. ,.s
*64 40 W
•..a:..+ v
SC System
Identification or
SC System
Location or Area
CFA served
by this SC
R
systema
?
ducted
r,+*',. i►rs. �
refrigerant
w.: e. * t
containing
� �^+► ,wfi
Installing>new SC
� r y
system
r . er
Installing
W
more than 40
� arm
Installing
� *A7—
entirely new
Installing
entirely new
Name
Served
System (ft2)
system? -
component?
, components?
feet,ofducts?
duct -system?
SC system?
Alteration Type
System 1
living area
1200
Yes
Yes
Yes
No
No
'No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0118728A-000000000-0000
Registration Date/Time: 2016-03-30 10:21:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 10:21:25
Schema Version: 0.555SDD
R_
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 1S0.2(b)1E and F)
01
02
03
04
05
06
07
08
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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
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.
CF211-MCH-20-11 & 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 <_ 10% leakage to outside, or seal all accessible leaks. "
CF2R-MCH-25-H & MR -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>_ 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.
r ?
-Heating-only systems and Air Handler/Furnace changes do not require verificat�in'o Air MCH -23, r Reifigerant Cha�ge MEMC, H=25.�'�
�f Flow
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 DuctjLeakage Testing requiremerits.R
T i "
.� iN %v, _1+ iif It 31 3i if — it it fb 44
E. Entirely New or Complete Replacement Duct.System, with or without. Equipment Changeout (Sections-150.2(b)iDiia:and.150.2(b)1E, F)
`� 1 � I� 1F�.' ''�. +�*�' it �. '�. �►' M al � � �.t'
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-A0118728A-000000000-0000 Registration Date/Time: 2016-03-30 10:21:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 10:21:25
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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 Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �/
Hyde, Mark
l/A
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016-03-30 10:21:26
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
Ans.
requirements of Title 24, Part 1 and Part 6 of the California Code of't egulationsM�1
r
i
4. The building design features or system design features identified on this Certificate of Compliance are consistent wtth the information.provided on other applicatsle compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvalmA this building permit application.I.
*1 \s t1 Yy (;,
00%. �kl �+l "
5. I will ensure that a registered copy of this Certificate ofComplianceshalPbe.inade:available with -the building p'grmit(s),issued for<the b iding, and made available,t�the enforcement agency for all applicable
inspections. I understand that a registered copy of this•Certificate of Compliance oviiddes to building owner at occupancy.
.i�s_required to be included with the,documentationgthe builder prQ-
-the
Responsible Designer Name: ' If,., IT A
Responsible Designer Signature: V � �_�/ +'�, � �i
Hyde, Mark7�
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2016-03-30 10:21:26
Address:
License:
42949 Madio
906115
City/State/Zip:
--[7600n-e360-2202
Ph:
Indio CA 92201
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.
Registration Number: 216-A0118728A-000000000-0000 Registration Date/Time: 2016-03-30 10:21:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-30 10:21:25
Schema Version: 0.555SDD
City of La Quinta
Btdtding 8L Safety Division
P.O. Box 1504,78-495 Calle Tamplco
1a.Quinta, CA 92253 - (760) 777-7012 ,
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name:. !
A. P. Number.
Address: 5
a
Legal Description:
Contractor:`ephone
City, ST, Zip:. t �r
��� F? S'. • `''
Tel:. � � — �g•�..; y
.
Address: �Project
Description:
City, ST, Zip:
Telephone:
IMState Lic. # : ( City Lie'. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: .\
State Lie. #: `r -•:ia
Niru
Name of Contact Person:Sq.
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft: # Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# I
Submittal
Req'd
Recd
TRACIMG
PERMU FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs•
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a6 Review, ready for'correctiionslissue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,M,I,
H.O A Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees