BMCH2015-000778-495 CALLE TAMPICO • �': D ��I1A VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253' COMMUNITY DEVELOPMENT DEPARTMENT ;
. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/9/2015
Application Number: BMCH2O15-0007. Owner:'
1 Property Address: , '. 51673 AVENIDA VE JANE ANDRADE
APN: 77313302051673 51673 AVENIDA VELASCO
Application Description: AC 2 TON 13 SEER 2015 LA QUI NTA; CA 92253
Property Zoning: JO
Application Valuation: $5,600.00
OtTY Of LA pUINTA
DEVEIAPMENT DEPARTMENT
Applicant: OOMMUNRf Contractor:
HYDES HYDES
000TSIDE CITY LIMITS 000TSIDE CITY LIMITS
LA QUINTA, CA 92253 `, LA QUINT, CA 92253
' (760)360-2200 ,
Llc. No.: :LIC -0004822
---------------------------------------------------------------------------------------------
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 _ License No.::LIC-0004822 of the work for which this permit is issued. -
I 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 permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'.
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
%signed statement that he or she is licensed pursuant to the provisions of theKe
omply with those rovisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Diviof the Business and Professions Code) or that he or she is exempt therefrom and tate: Applicant:
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 WARNING: FAILURE TO SECURE WORKERS' CO SATION COVERAGE IS UNLAWFUL,
($500).:•' AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. '
he or she did not build or improve for the purpose of sale.):, 1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit- f
-to construct the project. (Sec. 7044; Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State.License Law.).. following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null avid 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. .
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY . I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned pop rty for inspection purposes.
Lender's Name: •K Date: Signature (Applicant or Age
Lender's Address:
i
l
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E I
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 J
Project Name: 51-673 Avenida Velasco Date Prepared: 2015-01-08
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 MR -ALT 02 document for each dwelling unit.
01
Project Name
51-673 Avenida Velasco
02
Date Prepared
2015-01-08
03
Project Location
51-673 Avenida Velasco
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
51-673 Avenida Velasco
07
Zip Code
92253
08
Dwelling Unit Conditioned
1750
Installing new SC
Installing
Installing
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
30
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System.lnformation
- 01
02
03
Y:': 04 r ;;
05"
06 7'
07
08
09
10
Is+the SC'%
Installing a
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Living Area
800
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: 215-A0012141A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-01-08 13:28:22
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2015-01-08 13:29:28
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)1E and F)
01
02
03
04
-05
06
07
08
09
10
it
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 gas
All new
Central
All new
Less than- or
System 1
furnace
heating.
AFUE
0.78
packaged AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & 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: 5 15%, or <_ 30% 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 2:300 CF.M/ton required when•MCH-25 required.
Exceptions: ;..-y., �{{ ^., .:.;'
-Duct systems registered with HERS provider as previously sealed are exemptfrom MCH -20 Duct Leakage Testing requirements
-Heating-only systems and Air Handler/Furnace changes do not require ventication,of Air Flow MCH 23; or Refrigerant'.Charge MECH-25.
-Existing duct systems constructed, insulated or:sealed with.astiestos are exempY,from MCH -20 Duct Leaka a Testiri re uirements r"
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: 215-A0012141A-000000000-0000 Registration Date/Time: 2015-01-08 13:28:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-08 13:29:28
Schema Version: 0.5S1SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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: // J
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2015-01-08 13:28:22
Address: -
CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip:
Phone:
Indio CA 92201
1(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 forthe buildingdesign or.system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performante 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 Reg61ations.,7r
4. The building design features or systeiri.design features ideritified omtfiis^Certificate of Compliance are consistent with th6nformati6n_ provided on other applicable compliance documents, worksheets,
calculatioris, plans and specification to the enforcemenYagency for approval with this b ildmg permit application.
5. 1 will ensure that a registered copy of this Certificate;of Compliance shall be made available.:with the building:permit(s) issued forthe building and'made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is re46ired to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: l
Hyde, Mark
ffi.�7�.Pi
o
Company :
Date Signed:
CERTIFIED.COMFORT SYSTEMS INC
2015-01-08 13:28:22
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: 215-A0012141A-000000000-0000 Registration Date/Time: 2015-01-08 13:28:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-08 13:29:28
Schema Version: 0.SSISDD
FINANCIAL INFORMATION
CRIPT Ni A OUNT.� T MOUN
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
MET 1;
R i6E I'P T, CHECK # TD BY
6M. Au ' i
V
A— ir
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
"11"
DESCRIPTION,
T
'� ,ACCOUNT,,
AMOUNT'
F AID
DATE
.QTYjr
•PA
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
-P AID;Bv
IV[EiHbl)
RE EIPT.#,
CHECK #,,,
BY
'_CLTD
4�
DESCRIPTION-
!ACC UNT�
CTyd
'AMOUNT
sb_kib%
PAID DATE
-
,
HVAC CHANGEOUT - PACKAGED UNIT PC
.101-0000-42600
0
$24.17.
$0.00.
A6BY"
- -T 66
1�1-"ME H
RE&
CLTD BY.'
Total Paid forCHANGEOUT: $60.43. $0.00
1 r1DESCRIPTION,_,i
A&ClAf,,
QTY:
4--4m6UNf,'
PAID
MAID DATE-
A 4
PERMIT ISSUANCE f
101-0000-42404
0
$91.85
.$0.00
-v,. .4-
"A
METHI D- �v u
D
val
�,�RECEIPT#
HECK
CLTD,BY
r.-PAIDIBY
Total,Paid forPERMIT ISSUANCE: $qixs $0.00
TOTALS: $1S3.28 $0.00
- e
Description: AC 2 TON 13 SEER
Type: MECHANICAL, Subtype: Status: UNDER REVIEW
Applied: 1/9/2015 PJU-
Approved:'
Parcel No: 773133020 Site Address: 51673 AVENIDA VELASCO LA QUINTACA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 52 Lot: 9
Issued:
UNIT 5
Lot SqFt: O' Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,600.00 Occupancy Type: Construction Type:
Expired:
No.
0. Buildings: 0 No. - Stories: 0 No. Unites: 0
ADDRESSl'
Details: HVAC CHANGE OUT 2 TON 13 SEER .78 AFUE 2013 CODES.] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES DESCRIPTION
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
E,f PetvL
N P1,
ADDRESSl'
Ty
STATE.--- ,-e�
-ZIP
FAX
-EMAILiiT ,
APPLICANT
HYDES
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(208)377-9200
CONTRACTOR
HYDES
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(208)377-9200
OWNER
JANE ANDRADE
51673 AVENIDA
VELASCO
LA QUINTA
CA
92253
(208)377-9200
Printed: Friday, January 09, 2015 9:39:42 AM 1 of 2
CRWSYSTEMS'
PARENT PROJECTS
ATTACHMENTS
Printed: Friday, January 09, 2015 9:39:42 AM, 2 of 2 NA9`
CRW1W SYSTEMS
LTD
DESCRIPTION
ACCOUNT :.
CITY
'AMOUNT
PAID 4
PAID DATE`
.RECEIPT#
"CHECK #
METHODFPAID
BY ",,'
i
-BY
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
(
-
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
PARENT PROJECTS
ATTACHMENTS
Printed: Friday, January 09, 2015 9:39:42 AM, 2 of 2 NA9`
CRW1W SYSTEMS
Printed: Friday, January 09, 2015 9:39:42 AM, 2 of 2 NA9`
CRW1W SYSTEMS
Bin #
Permit #
Project Address:'r) --��
A. P. Number:
Contractor: dLot
Address: % ` Lye,
City, ST, Zip:
/o
Telephone: 6d
State Lie. # : a ('7(, j P
Arch., Engr., Designer:
Address:
City, ST, Zip: •
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Cafes.
Truss Cales.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
fELOA- Approval
IN HOUSE:
Planning Approval
Pub. Wks. APpr
School Fees
City of La Quinta
Building.& Safety Division
P.O. Box 1504, 78=495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
Address: J
City, S•T, Zip: S . / A n M
Project Description:
C A cjZZd�
Lie. #:. C-1 Sf 2
Construction Type:
Occupancy:
Project type (circle one):
New Add'u `Alter Repair Demo
Sq. Ft:
7
71
# Stories:
# Units:
Estimated Value of Project: �D�
APPL7ICANT: DO NOT WRITE BELOW
THIS LINE
TRACKING
Plan Check submitted
PERMIT FEES
Reviewed, ready for corrections
Item Amount
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
•
Construction
Pians resubmitted
Mechanical •
2"' Review, ready for correcdonc/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M I.
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer•Impact Fee
Called Contact Person
A-LP.P.
Date of permit issue
Total Permit Fees