BMCH2016-0082I&
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 " COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0082 Owner:
Property Address: 45410 SUNBROOK LN LN RICHARD
APN: 604421002
Application Description: RICHARD RIVAS / HVAC CHANGE OUT 92253
Property Zoning:
Application Valuation: $6,800.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
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 C36 License No.: 906115
1
Date:I i' /
l Contractor:
OWNER -BUILDER DE ON
I hereby affirm under penalty of perjury that F e mpt 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 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
I ) 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.).
(� 1, 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. (f.).
Lender's Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/6/2016
PR 0 6 2016
Contractor..4 CITYCIF AQUNTA
ColAMUidliy D EIIFLOPWIT I)�
CERTIFIED COMFGR-T--SY-SfiE-MS-4NC D8)
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 wylk for which this permit is issued.
ILI 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 polity 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: 4--k,Z-Applicant.
WARNING: FAILURE TO SECURE WORKERS' C P S ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI INAL NALTIES 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: ti l7 Signature (Applicant or Agen
FINANCIAL INFORMATION
DESCRIPTION' t ''s ACCOUNT £ `fix ' '' QTY AMOUNT` T
rv. =PRIDE i �PAID'DATE,
BSAS S131473 FEE 101-0000-20306
0 $1.00
$0.00
�F ',METHOD' ' } +
a m r M xa.
° �_" RECEIPT,# �
CHECK # 'mc BYE a:
. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:.. $1.00 $0.00 '
}�T� ti„ C4`',L q, � y
•b_
�t y DESCRIPTION .
� � .gfra�'•4 • i
_";NA000UNT = s:�.
+
Q TY;,.z
^_
'' i
AMOUNT ,., a
:.q F t _
h
PAID,
ID DATE'
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
}PAI D' BYr
e
METHOD
'� _ RECEIPT # '
I CHECK # s -
CLTD BY,
keryh !DESCRIPTION F` $ o; >Y
"" 'ACCOUNTEn x w
QTY
AMOUNT , T
` PAID:
PAID'DATE':
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00'
PAID'BY r
METHOD : ``
_ _
a ",RECEIPT#
`#
E CHECK # x,.
,
CLTD BY
.
Total Paid for CHANGEOUT: $108.78 $0.00
5 [,. -
r DESCRIPTION x+
::: ..... Z Zf
ACCOUNT.>` ? #
QTY,
4f'N 49.
AMOUNTu
;;. - .. ..
a} A PAIO {
PAID DATE,
PERMIT ISSUANCE
101-0000-42404
0
$91.85..
$0.00 ;
�.ya
BY BY r7 +, $..
�, �,:: f S �..
fx. < METHOD ,
F';, '..fi3PAID
TYRECEIPTx#
CHECK# ,
$CLTD BY r
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
9
Description: RICHARD RIVAS / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/6/2016 RSE
Approved:
Parcel No: 604421002 Site Address: 45410 SUNBROOK LN LN.LA QUINTA,CA 92253
Subdivision: TR 23995-7 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,800.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0.
Details: HVAC CHANGE OUT-17.5SEER/80AFUE SPLIT,SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO ,
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
RICHARD RIVAS
FINANCIAL INFORMATION _
Printed: Wednesday, April 06, 2016 9:18:01 AM 1 of 2
r wh'.' :,. h�.. r
DESCRIPTION
P-77
• '`!tfti'•,:. ,, <-
ACCOUNT .*' r
n
;QTY '
C. ' .:
AMOUNTS
r+
£ PAID _
'mac -;
PAID DATE'
-`;' -•k
'RECEIPT #r
-i;�§_
'CHECK # "
='y. +
.METHOD
? ,t"°:.:; .s „�.rt 7,
PAID.BY'.µ&r..
`ACLTD,.
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�x
= . « ; ,.�
t "`
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d a�: « .
-r •rt.;
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00-
0.00-
'Total Paid for BUILDING STANDARDS ADMINISTRATION.
'Total
$1.00 $0..00
BSA:
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 for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
r
f
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: 45-410 Sun Brook Lane Date Prepared: 2016-03-31
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
45-410 Sun Brook Lane
02
Date Prepared
2016-03-31
03
Project Location
45-410 Sun Brook Lane
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
45-410 Sun Brook Lane
07
Zip Code
92253
08
Dwelling Unit Conditioned
1651
Floor Area (ft2)
SC System }
CFA served
systema
`
alnstalling:nevv SC %.Installing
Number of space conditioning
Tnstalling"
09
Climate Zone
15 j3
10
(SC) systems in this dwelling
1
containing
•--*�,
�-�- j `/
ent eIy a
unit.
ti 1�
B. Space Conditioning (SC) System Information- -
Ol
02
i 03A
04��61
11 07��
1 U8 i
� 09
10`
rf
�
�Is the SC
s i
' Installinga a�.
SC System
SC System }
CFA served
systema
refrigerant t
alnstalling:nevv SC %.Installing
I
Tnstalling"
Installing
Identification or
Location or Area
by this SC
ducted
containing
'� system
more than 40
ent eIy a
entirely new
__.. Name..
Served .,....._...System.(ft2)
, ..system? .._
..component?.
... components?...
.feet.of ducts?
.duct system?-
__.SC•system?
-. -Alteration-Type •-
System 1
Living Area
1600
Yes
Yes
Yes
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.
i
Registration Number: 216-A0120070A-000000000-0000 Registration Date/Time: 2016-03-31 08:09:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-31 08:10:05
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)1E 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
cooling
SEER
17
Setback
section is not
section is not
components
components
applicable,
applicable
Re_ouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. !
CF2R-MCH-20-H & MR -MCH -20-H — Duct Leakage testing req fired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, or 510% 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 & CF311-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 Air Handler/Furnace do of Air Flow MCH,23,�`Refrigerant Charge NIECH'-25.
and changes not require verification
-Existing duct systems constructed, insulated or sealed with asbestosere exemp a'from MC 2H 0 D, u, akage Testing requiFements.
i►,i� . i, ''n�,.,,^i rs..-+..+ M. `�N..w..r W�ww.w.i• 4-w � ..i •,...«.ro..� brt +r,� �r - '+�.tllN"i 'bP�
E. Entirely New or Complete Replacement Duct�System, with or withoutIquipment Changeout (Sections 150.2(b)lDiia.and 150.2(b)lE, F)
i l P 44 4 1 U7 l i W
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 216-A0120070A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-03-31 08:09:59
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-03-31 08:10:05
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
2016-03-31.08:09:59
Address:
CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip:
Phone:
Indio CA 92201 �Y
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�pf 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. gai#
�►
a� n
4. The building design features or system design features identified on this Certificate of Compliance are consistent.with�the information.provided on other,applicabl=mpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
�d \e- 4[
,. %t.t' wio. f1
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be,made,available with the building permit(s),issued fora he'building, and. made available,to the'enforcernent agency for all applicable
inspections. I understand thata registered copy oft Certificate of Compliance to b eincIuded,with the_documeenttation„the�buillder prov, ides to the building owner at occupancy.
_s-requiirred
Responsible Designer Name:
Responsible Desig er Signature: V 4 A...#'
Hyde, Mark
/`(�►
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2016703-31 08:09:59
Address:
License: ”
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Y
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: 216-A0120070A-000000000-0000 Registration Date/Time: 2016-03-31 08:09:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-31 08:10:05
Schema Version: 0.555SDD
Bin. #
Permit #
Project Address:
City of La Quints
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
P.Quinta, CA 92253 -:(760) 777-7012
'Building. Permit Application and Tracking Sheet
Owner's Name:. C
A. P. Number.
Addr
O ;'
Mk L62
Legal Description:
Contractor.
City, ST, Zip:
-9 s
Tele honer �P, M"ai'^
Address:—
;
Project Description:
City, ST, Zip:
P -7&) _2
Telephone: / IriJ-0-L
State Lic. # : City Lie.. #:
Arch:, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
'
Construction Type: , Occupancy:
Project circle one) New Add'n . Alter Repair Demo
Sq. Ft : #Stories:
# Unita:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE F
p
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
j
. Called Contact Person
Pian Check Balance _
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Giading plan
2's Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'n° Review; ready for correedonsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees