BMCH2015-021878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O15-0218
Property Address:
48700 SAN ISIDRO ST ST
APN:
646130017
Application Description:
BARNES RESIDENCE HVAC
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
c&tr 4 4Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
D Q 0
TC UTJUN182015
CITY OF (A QUINTA
COMMUNITY DEvELOPMENT DEPAR I NIENT
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
ti
Date: 1� Contractor.
G
OWNER -BUILD EC ON
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).:
(_) 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. Q.
Lender's Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/2015
Owner:
GEORGE BARNES
2QSPINNAKER ST
MARINA DEL RAY, CA 92253
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 polity 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 s I forthwith
comply with those provisions. /L
WARNING: FAILURE TO SECURE WORKERS'C0MP NSAT COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI I L PEN IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100, 00). I DDITION 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 ornission 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 t above-
mentioned property for inspection purposes. A
No
Date: V Signature(ApplicantorAgent)
r1�►e
FINANCIALINFORMATION `,
:DESCRIPTION'77A
„* ,._. ACCOUNT F> ..:::r QTY ',,,; AMOUNT PAID P
,< d .,,, .� _. AID DAT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00. '
1.
PAID BY a' *cam ` ` ': METHOD x i tx "y RECEIPT #
CHECK # .Fy.."..
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION." �;'y
ACCOUNT r
"QTY
§AMOUNT
PAID ,::>
PAID DAT,
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$72.52
$0.00
x PAIDBYk ,.s #x
��
s METOD E«;=�
x x .Ha ti _ e,..�.
:�s.RECEIPT#
�.
CHECK# >� •:
CLTD BY
aDESCRIFTION e 'sr t� =7I
,.' ACCOUNT
AMOUNT `
PAID h
PAID DAT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$36.26
r $0.00
PAID BY;,."
METHODS x.4�
? ¢5m +RECEIP.,T #
CHECK#
CLTD BX
Total Paid forCHANGEOUT: $108.78 $0.00
DE PTI wµLL`,
a,{aci
ACCOUNT.
PAID
DA
PAID'--T
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID. BY '
E METHOD t�
RECEIP.T #
r�CFIECK #
CLTD BY:
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
Description: BARNES RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA
Parcel No: 646130017 Site Address: 48700 SAN ISIDRO ST ST LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 48
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0.
Details: HVAC CHANGE OUT - 16 SEER/ SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, lune 18, 2015 10:46:55 AM 1 of 2 r
SYS7Eti1S
x DESCRIPTION
"ACCOUNT
-.-r•.•--
QTY
AMOUNT
PAID " , "
.--- --_
PAID DATE
•:RECEIPT #
�_v--....w _
CHECK #
---- -�-•
-METHOD
= �..r
"PAID BY,
CLTD..
w
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
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT f ROJCCT6
Printed: Thursday, June 18, 2015 10:46:55 AM 2 of 2
SYSTEMS
SEQID ' . "INSPECTION TYPE :_ „ INSPECTOR SCHEDULED `.COMPLETED
,.
_ DATE' DATE
:RESULT ' REMARKS ;.;- � -' . N - NOTES
_.
MECHANICAL FINAL" BLD
PARENT f ROJCCT6
Printed: Thursday, June 18, 2015 10:46:55 AM 2 of 2
SYSTEMS
Crty. of La Qurnta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
4-Quinta, CA 92253 - (760) 777-7012
oa_ t e) Building Pennit Application and Tracking Sheet
Permit #
9VICtA1_0t s
Project Address: -
Owner's Name:.
A. P. Number.
Address: -� f
Legal Description:
Contractor: yt,Telephone:
City, ST, Zip:1A n- 0141 C
—'
Address:
Project Description:
City, ST, Zip: C
Telephone:
State Lic. # : City Lie.. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: V
State Lic. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft . #stories: # Unit$:
Name of Contad Person:Sq.
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMITFEES-
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
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
Pians resubmitted.'.
MechaNcal
Grading plan
2" Review, ready for correcfionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^` Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 48-700 San Isidro Date Prepared: 2015-03-30
A. General Information
CHR -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
48-700 San Isidro
02
Date Prepared
2015-03-30
03
Project Location
48-700 San Isidro
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
48-700 San Isidro
07
Zip Code
92253
08
Dwelling Unit Conditioned .
2957
,
Floor Area (ft2)
System
SCS stem
SCS stem
y
CFA served
` `'
,system at
refrigerant
'ra
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40.
unit.
.entirely new
B. Space Conditioning SCS stem Information.
01
02
03
04 ,OS`
i (� 06
07
08
09
10
.
�
� .q.',�-;'
r ,Ils the SC
Installing a
,
System
SCS stem
SCS stem
y
CFA served
` `'
,system at
refrigerant
'ra
w 4 w—
Installing new.'SCIt
Installing
ng'
Iknstalling
' r� nstalling
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
Altered space
System 1
Bedrooms1200
Yes
Yes
Yes
No
No
No
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: 215-A0082679A-000000000-0000 Registration Date/Time: 2015-03-30 09:42:44 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 201403-31 Report Generated: 2015-03-30 09:42:46
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE GlR-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -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.
CF2R-MCH-20-H & MR -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: 515%, or < 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 & MR -MCH -23 Air Flow z 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 Flow MCH?23,ror Refngerant.Charge+MECH 25
Existing duct systems constructed, insulated or sealed with asbestos are exempt -from MCCH 20 Duet Leakage Testing requvemen'ts.
\�✓-ti9 � — .. , w•2 +'ery w w ., r . ,. i+ul i.e, ^K '- .A.':M s... AA .,r.. ,+'
E. Entirely New or Complete Replacement Duct System, with or without.Equipment Changeout (Sections 150.2(b)!Diia .and 150.2(b)1E, F)
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: 215-A0082679A-000000000-0000 Registration Date/time: 2015-03-30 09:42:44 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-30 09:42:46
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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
2015-03-30 09:42:44
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
11
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations do' t , `" "g' *b `' l
4. The building design features or system design features identified on this Certificate of Compliance are,consistent with"the information provided omotherapplicable:compliance documents, worksheets,
calculations, plans and specifications submitted to the en„orcement agency foapprovahwi4h�this building permit application.
Nye
5. 1 will ensure that a registered copy of this Certificate rof,Compliance shall be;madeavailable wdhahe building permits) issued for the building, and`made av6ilable"to3he 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.thefbailder pYovides to the building owner at occupancy.
Responsible Designer Name: "t# 4 $.-
Responsible Designer Signature:
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-03-30 09:42:44
Address:
License:
42949 Madio
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 of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0082679A-000000000-0000• Registration Date/Time: 2015-03-3009:42:44 HERS Provider: CaICERTS
CA Building Energy efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-30 09:42:46
Schema Version: 0.555SDD