BMCH2017-007378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T4t,t°&+lpQumto
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O17-0073
48791 SAN VICENTE ST v
646140049
TAYLOR RESIDENCE / HVAC PCANGEOAR 2 3 2017 DD
$11,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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 36 License No.: 90611
Dater ��� 1/ Contractor: /
OWNER -BU I LD EECLARWON
I hereby affirm under penalty of perjury that) am ex pt from the Contractor's State
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/23/2017
Owner:
ANTHONY CAPOBIANCO
; 92253
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 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
License Law for the following reason (Sec. 7031.5, 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 any shall not employ any person in any manner so as to become subject to the workers'
structure, prior to its issuance, also requires'the applicant for the permit to file a signed compensation laws of California, and agree that, if I should become subject to the
statement that he or she is licensed pursuant to the provisions of the Contractor's State workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business comply with those provisions.
and Professions Code) or that he or she is exempt therefrom and the basis for the /ZI6fz
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Date: ( -A Ii
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 WARNING: FAILURE TO SECURE W KERS' PEN ON COVERAGE IS UNLAWFUL,
compensation, will do the work, and the structure is not intended or offered for sale. AND SHALL SUBJECT AN EMPLOYER TOC INAL PENALTIES AND CIVIL FINES UP TO
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
apply to an owner of property who builds or improves thereon, and who does the work COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
himself or herself through his or her own employees, provided that the improvements INTEREST, AND ATTORNEY'S FEES.
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 ) 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:
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-
mentionedroper y for inspection purposes.
Date: �� Signature (Applicant or A n _
Date: 3/23/2017
Application Number: BMCH2017-0073
Owner:
Property Address: 48791 SAN VICENTE ST
ANTHONY CAPOBIANCO
APN: 646140049
Application Description: TAYLOR RESIDENCE / HVAC CHANGE OUTS
92253
Property Zoning:
Application Valuation: $11,000.00
Applicant:
Contractor:
CERTIFIED. COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIO STREET
INDIO, CA 92201
INDIO, CA 92201
(760)360-2202
---------------------------------------------------------------------------------------------
Llc. No.: 906115
Detail: (2) HVAC CHANGE OUT-(1)14SEER/81AFUE (2)16 SEER/81AFUE SPLIT
SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT:
$228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
Bin. #
l�0 �1� riy of La Quinta
BuHding 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012
Building Permit' Application and Tracking Sheet
Permit #
Project Address:`
Owner's Name:.
A. P. Number.
Address:
`C
Legal Description:
City, ST, Zip:
Contractor M p(�
Telephone:
Address: -�
Project Description:
City, ST, Zip: ,-Fn D C w J
Telephone:
State Lie. # : CityLic. #:
At—' k"acoqA—
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: .
r :N
State Lic. #:Project
Name of Contact Person:
Construction Type:. 0 pancy:
type (circle one): New Add'n Alter Repair Demo
Sq. Ft: 3Q
# Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACIMG
PERMIT FEES
Pian Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Giading plan
2`d Review, ready for correclionsfissue
Electrical
Subcoutactor 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 correctlonshssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: 48791 San Vicente Date Prepared: 2017-02-06
A. General Information
CF1R-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
48791 San Vicente
02
Date Prepared
2017-02-06
03
Project Location
48791 San Vicente
04
Building Type
Single family.
05
CA City
La Quinta
06
Dwelling Unit Name
48791 San Vicente
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
--07
Zip Code
92253
08
Floor Area (ft)
3740
Location or Area
by this SC
`
containing
Number of Space +
more than 40
09
Climate Zone.
15
10
Conditioning (SC) Systems in'
2 w
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
- \ e 1
B. Space Conditioning (SC) System Information
01
02
03
a ; 04
05
06
07—
X08
09
10
Is the SC '•
Installing a
7` `•
' '_
}.� * ..
e"�
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
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Bedrooms
1200
Yes
Yes
Yes
No
No
No
Altered space
.
conditioning system
System 2
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)iDiib)
This section does not apply to this project.
Registration Number: 217-A020040006A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-02-06 12:08:48
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-02-06 12:08:23
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)IE 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 6r
This field or
System 1
HP
heating
AFUE
81
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Central split
All new
Central split
All new
This field or
This field or
System 2
HP
heating
AFUE
81
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct lengthis replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks. � � , ._
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componentsr are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required: ;` t f ! ' - - : i L_ j ;•
?��"
Exceptions: '.
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements
p ,
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25~
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing req hems ts. 1
�
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.20)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: 217-A020040006A-000-000-0000000-0000 Registration Date/Time: 2017-02-06 12:08:48 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-06 12:08:23
Schema Version: rev 10/16
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 I
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2017-02-06 12:08:48
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 informationprovided 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. '� z y - ' f `- y
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on o ther`applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made"available'with the building pe6it(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:
Responsible Designer Signature: f1
Hyde, Mark
�`s�
lea TTT� -
O
Company :
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-02-06 12:08:48
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 no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 217-A020040006A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-02-06 12:08:48
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-02-06 12:08:23