BMCH2016-0352'78-495 CALLE TAMPICO Ct a D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN:& DEVELOPMENT.DEPAR TMENT
INSPECTIONS (760) 777-7153
BUILDING" PERMIT.
Date: 9/21/2016
j
.Application Number: BMCH2O16-0352 4;Owner:
Property Address: 44830 CALLE SANTA BARBARA BRENDAN KELLY
APN: 604391006 COMMuC'T 0PL1GUINTq� '44830 CALLE SANTA BARBARA
Application Description: KELLY RESIDENCE /HVAC MTY0�EfOPA9EN7DEP,{gT1tENT QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,000.00
.Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET 42-949 MADIO STREET
,INMO, CA 92201 INDIO, CA 92201 .
(760)360-2202
Llc. No.: 906115
LICENSED • CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that -lam 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 C 6 License No.: 906115
D� . ate:; Z -.:--Con trac
OWNER -BUILD DECLARATIO
I hereby affirm under penalty of perjury at at I am exem om the Contractor's State
License Law for the following reason ( c. 7031.5, Busi ss 66d'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'thai he or she'is licensed, oursuant 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 I uildind or improvemenVis 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 contractors) "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 permitis issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address:
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 3.700 of the Labor Code, for the performance
of the work for which this'permit is issued: t
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 workerscompensation insurance carrier and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number:, 7600015264
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 asto.become subject to theworkers'
compensation laws of California, and agreethat, if I should become subject to the
workers' compensation provisions of Section 3700 of the La off; I shall forthwith
comply w'ithlthose4provisions.
WARNING: FAILURE TO SECURE WORKERS%t�PENA
ENSATIO OVERAGE IS UNLAWFUL,
AND SHALL"SUBIECT AN EMPLOYER TO CRI. SAND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100INA (TION TO THE COST OFCOMPENSATION, DAMAGES AS PROVIDED'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 actor 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-mentioneLrop6erty for inspection purposes.Dat_: _Signature (Applica'nt or Age
Application Number: BMCH2O16-0352
Property Address: 44830 CALLE SANTA BARBARA
APN: 604391006
Application Description: KELLY RESIDENCE / HVAC
Property Zoning:
Application Valuation: $9,000.00
Owner:
BRENDAN KELLY
44830 CALLE SANTA BARBARA
LA QUINTA, CA 92253
Date: 9/21/2016
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:
CITY
AMOUNT
DESCRIPTION R`'ACCOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000=42402
0'
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600 =
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
Lt..Y. TotA f+aid for PERMIT. ISSUANCE:
$91.85
Bin. #
..:
City of .La Quinta
BilUdfng.BL 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: .
Legal Description:
Contractor.
M Or
City, ST, Zip:
Telephone:
Address: — / VL�C.
Project Description: "
....kC
City, ST, Zip:
I
b
Telephone: —Z/ _ZZ02
{y xfa:z
SJ Q. i,<
City Lic. #;
State Lic. # :
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: '
P
State Lic. #:
Name of Contact Person:
"Construction Type: Occupancy:
Project xype (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
Rev'd..
TRACKING
PEAMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i4 Review; ready for correctionsPissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A- Approval
'Plans resubmitted
Grading
M HOUSE:-
''' Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
-76°- 2-V
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) I
I Project Name: 44830 Calle Santa Barbara I Date Prepared: 2016-08-06 I
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
44830 Calle Santa Barbara
02
Date Prepared
2016-08-06
03
Project Location
44830 Calle Santa Barbara
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
44830 Calle Santa Barbara
07
Zip Code
92253
08
Dwelling Unit Conditioned
2404
'Installing new SCnstalling
;kalli,ng
=-'Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
Ol
02
03.
i 04;':_
06 %" i
N 61'A
Lk 09
10
' Is the SC
;.
Installing a
- c
SC System
SC System
CFA served°_systema;
frigeint °
'Installing new SCnstalling
;kalli,ng
=-'Installing
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
System 1
Location 1
2000
Yes
YesYes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(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: CalCERTS
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 -IR -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
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
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 & CF311-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%, ors 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 & 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.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23; or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements. 1 ' '•
�� �.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(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 Registration Date/Time: 2016-08-06 17:54:18 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-06 17:52:57
to,
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFiR-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 Peirson's Declaration statement*(
I certify the following under penalty of perjury, under the%'ws,of the State of California:
1. The information provided on this CertlficateofCon pliance'is true and correct.
-'
2. lam eligible under Division 3.of theme Business and P-rofessions Code to for the building design or system design identified on this Certificate of Compliance (responsible designer).
�ccept-responsibility
3: That the energy features and performance specifications matenals components, and manufactured devices for the building,design or system design identified on this Certificate of Compliance conform to the
Z' ' ' A
requirements of Title 24, Part -1 and Part 6 of the California Code of Regulations.
4. The building design features or system cl signfieatu es dentified orchis Certif ca a of Compliance are c ent with the i formation provided ori`othe'ie plicabie"r o pliance documents, worksheets,
p �,J
c rh �wf . ,fir j it � building
calculations, plans and specificatwns submitted fo the enforeementSagency forrapprova�with this building per application.
a nxa =74 4'N: rix•` AJ -
.
5. I will ensure that a registered copy of this Certificate of��pliance shall,be,made available with the building permit(s),issued for,the building and available to, the:enforcementagency for all applicable
-made
inspections. I understand that a registered copy ofthis Certificate of Compliance required to beincludedwith the documentationthe builder provides to the building owner at occupancy.
wis
`
Responsible Designer Name: E. FN 9.
Responsible Designer Signature: A��aw+?r 1f
Hyde; Mark
//(s
Company:
Date Signed:
.CERTIFIED COMFORT SYSTEMS INC
2016-08-06 17:54:18
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: 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