BMCH2016-030678-495:CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
�°� �auuc1w
DESIGN &.DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0306
Property Address:
44830 CALLE SANTA BARBARA
APN:
604391006
Application Description:
CHANGE OUT (1) SPLIT SYSTEM
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
VOICE (760) 7777-7125
FAX (760) 777-7011
INSPECTIONS (760)777-7153 .
Date: 8/15%2016
Owner:
BRENDAN KELLY
44830 CALLE SANTA BARBARA
LA.QUINTA, CA 92253
D
AUG 16 2016 Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
,ibfTA 42=949 MADIOSTREET
CITY V'r ` v 9CR''DEPARAOT INDIO, CA 92201
COMMUNIVDEVEL) °_.._-
(760)360-2202:1•
Llc. No.: 906115
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I 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 worr which this permit is issued.
�� i Y,(have and will maintain workers' compensation insurance, as required by
Date: Contractor: Section 3700 of the Labor Code, for the performance of the work -for which this permii
is issued. Myworkers' compensation insurance carrier and policy number are:
OWNER -BUILDER DE RATI Carrier EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
I hereby affirm under penalty of perjury that.l am exemp .m the Contractor's State _
License Law for the following reason (Sec. 7031.5; Busin ss 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,r 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 comply with those provisions.
3 of the Business and Professions Code) or that he or -she is exempt therefrom and the �j �� /�
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a D� e: Q A4 , '� - Applicant
permit subjects the applicant to a civil penalty of not.more than five, hundred.dollars,
($500).: WARNING: FAILURE TO SECURE WORKERS' COM SATI N ERAGE IS UNLAWFUL,
(• ) I; as owner of the property, or my employees with wages as their -sole AND SHALL SUBJECT AN EMPLOYER TO.CRIIVIIN °PENH AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale' ONE HUNDRED;THOUSANDaDOLLARS ($100,00 ). IN 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 building or improvement is sold, APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will 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 benefit work,is performed under or pursuant to any permit
State License Law does not apply to an owner of property.who builds orimproves 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; indemnify and hold harmless the City of La Quinta, its officers,. agents, and
the Contractors' State License Law.), employees for any actor 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.
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:
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: Signature (Applicant or Agent):
0
Application Number:
BMCH2016-0306
Property Address:
44830 CALLE SANTA BARBARA
APN:
604391006
Application Description:
CHANGE OUT (1) SPLIT SYSTEM
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
Date: 8/15/2016
Owner:
BRENDAN KELLY
44830 CALLE SANTA BARBARA
LA QUINTA, CA 92253
,Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
(760)360-2202
LIC. No.: 906115
Detail: HVAC CHANGE OUT - (1) 16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION'
ACCOUNT '+Y? -
707OUNT
BSAS SB1473 FEE
101-0000-20306
1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION,'
, ,.. ACCOUNT
QTY
AMOUNT
HVACCHANGEOUT- SPLIT-SYSTEM
'101-0000-42402 .
10•
$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
`• F
+
r < w �;.� Total Paid for PERMIT
>�
$91.85
Bin. #
City. Of La Qilf : to
Buiiding u Safety Division
P.O. Box 1504,'78-49S Calle Tampico
La.Quinta, CA 92253 -:(760) 777 7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: —
Owner's Name:.
Address:
A. P. Number.
i
Legal Description:
Contractor: `S �(` l p�-
City, ST, Zip;
Telephone:— �w:?t•uy
Project Description:
Address: —
City, ST, Zip: —Cl9vgol
Telephone: % — �C�(J — 27D2 ; o�;
State Lic. # : A06115' City Lic. M
AA -M e4l&
Arch:, Engr., Designer
Address:
City., ST, Zip:
Telephone: `"
ty Y
State Lic. #: , nw.., • ' :: �..<
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:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structure! Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Pian Check Balance
Tide 24 Calcs.
Pians picked up
Construction
Flood plain plan
Pians resubmitted..
Mechanical
Grading plan
2id Review, ready for correctionsliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,M,I,
11.0.4. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for corrections/issue
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 -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: 44830 Calle Santa Barbara Date Prepared: 2016-08-06.
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
44830 Calle Santa Barbara
02
Date Prepared2016-08-06
07 ys
03
Project Location
44830 Calle Santa Barbara
04
Building Type
Single family ,.
"OS
CA'City
La Quinta .
06
Dwelling Unit Name -
44830 Calle Santa Barbara
07 '
Zip Code
92253 -
08 .
Dwelling Unit Conditioned
2404
.InstaIli ng�new S,C
Ihstallmg g
Installing
n
� Installin g
Floor Area (ft2)
Identification or
. Location or Area
by this.SC
ducted
a
containing
Number of space conditioning
.
09
Climate Zone
15
10
(SC)•systems in this dwelling
1
I system?
component?
I components?
feet of ducts?
unit.
SC system?
B. Space Conditioning -(SC) System Information
AF
01
02
' 03
04
s 05�
a4
06 �"
r
07 ys
0�8
�. 09
10
the SC
Installing a
SC System .
SC System
CFA served
s Is
system as
x
refrigerant
c
.InstaIli ng�new S,C
Ihstallmg g
Installing
n
� Installin g
Identification or
. Location or Area
by this.SC
ducted
a
containing
system
b
more than 40
t»
entirely new
entirely new
Name
Served
System (ft2)
I system?
component?
I components?
feet of ducts?
1 duct system?
SC system?
Alteration Type
System 1
Location'1
2000
Yes
Yes
Yes
No
No
No
tered 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-A0293922A-000000000-0000
Registration Date/Time: 2016-08-06 17:54:18
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-06 17:52:57
Schema Version: 0.555SDD
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)lE 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
Centmi'split
All new
This field or
This-fielcl or
System 1
- , HP
heating
AFUE
78
AC
cooling
SEER
16
Setback
section isnot •
section isnot
components
components
applicable
applicable
Required Documentation:
CF2,R-MCH-01-E - Space Conditioning Systems Ducts and.Fa'ns
-Duct insulation requirement -for new plenums: R6.
CF2R-MCH-20-H & CRR-MCH20TH — 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: _se 15%, or <_ 10% leakage to outside, or seal all'acce`ssible 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 & CF3R-MCH-23 Air Flow 2 306 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 essttiing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Airflow MCH -23 or Refngerant Charge MECH 25�
Existing duct systems constructed, insulated or sealed with asbestos are exemp from MCH -20 DucJt,L 6akage Test girequi .e'm, ents.
y i
3 :"y✓i..�� rEi;30't. 1Y.1' G.`7`. +S',�y1'6" ueElvlKi+:fi V} �: Yak'. W. 'w�py.. %(P. _`3, E,.3 ^�I(�YR' :.$i.. ,
�3
E. Entirely New or Complete Replacement DucttSystem, with or without Equipment Changeout (SectionsJ50.2(b)1Diia and 150.2(b)lE, 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: 216-A0293922A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-06 17:54:18
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-08-06 17:52:57
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
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016=08-06.17:54:18
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 peryury,.under thelaws 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
a� Z OR "-,
requirements of title 24, Part 1 and Part.6 of the{alifornia Code of Regulations. At: " e��
4. The building design features or system design features identified oWthis CertificateYof Compliance are consistent with,the mformatibn,provided on oth'errapplicable-compliance documents; worksheets,
.YR'ie A: NI M i ' . 1, L,.B•,w:w � �� i'� 4 ' •. . Std+. ifs
calculations, plans and specifications submitted fo the enforcemenAgency for,-"approval,wrth this building permit application. }� S
.rte 'iiw .'#k . es=i,8 ' ..•Y - u * M
T
5. I will ensure that a registered copy this CertificateofCompliance shall be:made:ayailable withsthe building permit(s).issued.for.Sthe buildrig, and_F,made availab a to.theenforcement agency for all applicable
inspections. I understand that a.registered copy of this,t- icate of Complliarice, is,requi�gd to be included with the_documentation�Nbuilder.pvv tles to the building owner at occupancy.
Responsible Designer Name:
Hyde, Mark
Responsible Designer Signature:
/�(T
Company.:
bate Signed: '.
CERTIFIED COMFORT SYSTEMS.INC ' '
2016-08-06 17:54.18
Addressi
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: 216-A0293922A-000000000-0000 Registration Date/Time: 2016-08-06 17:54:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential' Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-06 17:52:57
Schema Version: 0.555SDD