BMCH2015-02567,8-495 CALLE TAMPICO VOICE (760) 777-7125
4
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/8/2015
Application Number: BMCH2O15-0256 Owner:
Property Address: 45545 STONEBROOK CT LORI CONNER o
APN: 604404021 45545 STONEBROOK COURT
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Application Description: CONNER RESIDENCE HVAC CHANGE OUT LA QUINTA, CA 92253 n C
Property Zoning: o r- D
Application Valuation: $8,000.00 I�
X90 b
Applicant: Contractor: z
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CERTIFIED COMFORT SYSTEMS INC CERTIFIED COMFORT SY�T:E S I)q .
42-949 MADIO STREET 42-949 MADIO STREET 3a
INDIO, CA 92201 INDIO, CA 92201 T t
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.
LicensseClCll/ass: X20 C3.6 License No.: 906115
Date: /i �r/ I.%J Contract
OWNER-BUII�ER DECLA7nON
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 7b31.5 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 ) 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:
(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: _ 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 shall forthwith
comply with those provisions.
Date: �d Applican .
WARNING: FAILURE TO SECURE WORKERS' MPENS COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 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 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-
mentioned property for inspection purposes.
Date: S Signature (Applicant or Agent).
FINANCIAL INFORMATION
s x DESCRIPTION C QUNTry' PAID DATE
dx. Mr a-r # 4 eFPAIp,
BSAS 561473 FEE 101-0000-20306qq{{ 0
$1.00
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00, $0.00
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a" ACCOUNT,"`
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+PAIDDATE`
+DESCRIP.TION y
x f
.AMOUNT
, .
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
"PAID BY
METHOD
RECEIPT #' �' °
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HVAC CHANGEOUT - SPLIT -SYSTEM PC
101`0000-42600
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$36.26
$0.00
' PAID'.�'rky
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,
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Total Paid forCHANGEOUT: $108.78 $0.00
'=",fit;
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AMOUNT
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ATE
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PERMIT ISSUANCE
101-0000-42404
0
$91.85 •
$0.00
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CLTDBY�:
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• i 00
Description: CONNER RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/8/2015 EVA
Approved: 7/8/2015 EVA
Parcel No: 604404021 Site Address: 45545 STONEBROOK CT LA QUINTA,CA 92253
Subdivision: TR 23995-6 Block: Lot: 12
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 19.5 SEER /.78 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
$ DESCRIP.TION ACCOUNT C;TY AMOUNT ` ' PAID PAID DATE` RECEIPT # CHECK # µ METHOD. , r PAID BY 1 . CLTD
_ . �... F �. BY -
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, July 08, 2015 12:18:34 PM 1 of 2 srstEMS
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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:��
Printed: Wednesday, July 08, 2015 12:18:34 PM 2 of 2
,. SYSTEMS
Bin. #
CIi}/ Of, %a Quthta
Building 8r Safety Dhnsion
Box 1504,'78-495 Calle Tampico
La.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application acid Tracking Sheet
P rmit #P.O.
Project Address:
Owner's Name:.
A. P. Number.
Address: .
Legal Description:
City, ST, Zip: - 22
Contractor:;M;::s
Telephone PEI— I
91
Address:
Project Description:
City, ST, Zip:
Telephone:
City Lie.. #;
State Lic. # :
Arch., Engr., Designer
Address:
City., ST. Zip:
Telephone: - ;
State Lic. #:�
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Univ:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project g
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT• FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2id Review, ready for correctiouslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.L
K.0 -A. Approval
Plans resubmitted
Grading
IN HOUSE.-
'"' Review; ready for correctionvIssue
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 4 CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: 45-545 Stonebrook Court Date Prepared: 2015-07-04
A. General Information
CRR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CRR -ALT -02 document for each dwelling unit.
01
Project Name
45-545 Stonebrook Court
02
Date Prepared
2015-07-04
03
Project Location
45-545 Stonebrook Court~
04"
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
45-545 Stonebrook Court
07
Zip Code -
92253
08
Dwelling Unit Conditioned
2003
a�I . *wT,..a'
_ -
,"
4
Floor Area (ft2)
SC System
CFA served
system a
ref ige ar nt d
Installing ew SCInstalling
Number of space conditioning
In falling
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
4 r.
more than 40
ent ely new
unit.
B. Space Conditioning (SC) System Information Ile
01
02
03
�• 04 �
O5
06
07'�
08
09-
'10
,
H
.•
r•
Is the k
7 t-ts--.N '.R '`v.,
Installing a
N&
a�I . *wT,..a'
?hi i,�• W
SC System
SC System
CFA served
system a
ref ige ar nt d
Installing ew SCInstalling
In falling
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
ent ely new
entirely new
Name'
Served
System (ft2)•
system?,
component?
components?
feet of ducts?
duct system?
SC systemT
Alteration Type
System 1
Location 1
2000
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-A0182528A-000000000-0000 Registration Date/Time: s 2015-07-04 15:06:04 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-04 15:00:09
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
0.78
AC
.c9oling .
SEER
19.5
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 & 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:5 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 & COR -MCH -23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions: 10_ ----� (I �� a . ,-
-Duct systems registered with HERS provider as previously sea led are exempt from MCH -20 Duct Leakage, Testi ng q—uirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air FIowIMCH+23, or Refrigerant Charge MEC 25.,
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. 1 � I I,
nn r
E. Entirely New or Complete Replacement Duct System, with or w thout Equipment Chang out (Se tions1S0.2(b iDiia andy150.2(b)3E, 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-A0182528A-000000000-0000 Registration Date/Time: 2015-07-04 15:06:04 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07=04 * 15:00•:b9
�' .. Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -AUT -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
2015-07-04 15:06:04
Address:
CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip:
Phone:
Indio CA 92201 f
(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'onAhis 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. ��
4. The building design features or system design features identified on this Certificate Compliance am consist,with,t
tenhe informatiomprovided on otherfapplicabl=- npliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvalt with this building permit application.
►ik�ti 1i s{ 0 .r
5. 1 will ensure that a registered copy of this Certificate ofComplianceshalPbe.made:available with•the building permit(s),issued forttheTb1lding, and ma4:6available;to�the—jnforcement agency for all applicable
inspections. I understand that a registered copy of this -Certificate of Compliancesrequirreed to be included with the�docume� ntation�the�builder prFov des to the building owner at occupancy.
Responsible Designer Name: .
Responsible Designer Signature: �,j �1A
Hyde, Mark
R,toi
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-07-04 15:06:04
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
(760) 360-2202
Digitally signed by Ca10ERTS. 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-A0182528A-000000000-0000 Registration Date/Time: 2015-07-04 15:06:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 ReportGenerated: 2015-07-04 15:00:09
Schema Version: 0.555SDD