BMCH2016-008378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t 44Qu;.rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:.
BMCH2O16-0083
Property Address:
43154 E PARKWAY ESPLANADE
APN:
609630044
Application Description:
MARCELLA RIOS / HVAC CHANGE OUT
Property Zoning:
oft for which this permit is issued.
� have and will maintain workers' compensation insurance, as required by
Application Valuation:
$8,000:00
Applicant:
is issued. My workers' compensation insurance carrier and policy number are:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
1 hereby affirm under penalty of perjury that I ex pt from the Contractor's State
INDIO, CA 92201
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
Owner:
PATRICIA RIOS
, 92253
Contractor:
CERTIFIED CON
42-949 MADIO
INDIO, CA 922(
(760)360-2202
Llc. No.: 906115
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/6/2016
PR062016
GREET CITJOFIl�QUIFv�i'A
000MRYDIR MUO1-5Vii:TDEF
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 ofthe 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 37001of the Labor Code, for the performance
License Class- C20 C36 License No.: 906115
/
Ag
oft for which this permit is issued.
� have and will maintain workers' compensation insurance, as required by
.t3
Date: Contractor: -
Section 3700 of the Labor Code, for the performance of the work for which this permit
OF
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DE N
Carrier:_ Policy Number:
1 hereby affirm under penalty of perjury that I ex pt 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 the
comply with those provisions.
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
Date: 4— A4 Applica
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' OM ATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO IMINAL PENALTIES AND CIVIL FINES UP TO
( ) 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,00D). 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
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 --ity of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractors) 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 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 cancelbtion.
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:
I certify that I have read this application and stEte that the.above information is correct.
I agree to comply with all city and county ordirances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -menti ned property for inspection.purposes.
i
Date: - 6 Signature (Applicant or Agent):
FINANCIAL •• •
DESCRIPTION `; ¢ `�`E 4 s sACCOUNT' w QTY s . AMOUNT=sz ,tea° PAID
PAID:DATE s
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
b
a 4b PAID: BY "t r .< METHOD RECEIPTS#, y� CHECK '# C ;
4.
P� CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
<'DESCRIPTION, f' "
��'s ACCOUNT j
$QTYfAMOUNTa
�3PAID
PAID:DATE-
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY { �'
METHOD f , � <
x .t .r .L-
Y `RECEIRl # ' �
ari..
CHECK # `4
CLTD BY .
&.�
DESCRIPTION
w .
'' ACCOUNT
OUNT
`DATEiPPAID'
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
,r :g PAI a --t
..., a.gr'METHOD s
ir t RECEIPT=# f'x'4
CHECK # `
CLTD BYG;
.Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION `
iG yACCOUNTQT1(
AMOUNT
PAID" tr
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
.:;
i
METHOD v,
. $.,....�`+'�,.
RECEIPT # � ¢ E
`CHECKCLTD
BY ;.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: MARCELLA RIOS / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 4/6/2016 RSE
Approved: 4/6/2016 RSE
Parcel No: 609630044 Site Address: 43154 E PARKWAY ESPLANADE LA QUINTA,CA 92253
Subdivision: TR 29323-4 Block: Lot: 88
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: I
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 - No. Unites: 0
Details:. HVAC CHANGE OUT - 20.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Y 1 .Y• .1 ....1'
„ b�aivluiYiVI1S
IV.Ah++Y9
C.T
i INFORMATION •
Printed: Wednesday, April 06, 2016 9:29:29 AM 1 of 2
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WPECTION3"
PARENT PROJECTS ,
BOND INFORMATION'
-
„ATTA(I IME NTS
Printed: Wednesday, April 06, 2016 9:29:29 AM 2 of 2
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....._
- ..
CLTD
r DESCRIPTION Y
ACCOUNT ,;,,
QTY
:AMOUNT
PAID v<
'"9
PAID DATE
RECEIPT #
CHECK #
METHOD
'x PAID BYu _
�V, A
�`�' q t: z o
�!.
.wRS •s wee
.0 r
3n.
I"
s
°.'' .,+z.
.. .... .v
�`� ;!.
BSAS SB1473 FEE r.
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
.0
$72.52
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
F
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
WPECTION3"
PARENT PROJECTS ,
BOND INFORMATION'
-
„ATTA(I IME NTS
Printed: Wednesday, April 06, 2016 9:29:29 AM 2 of 2
sysrcMs
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 43-154 Parkway Esplanade East Date Prepared: 2016-03-31
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
43-154 Parkway Esplanade East
02
Date Prepared
2016-03-31
03
Project Location
43-154 Parkway Esplanade East
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
43-154 Parkway Esplanade East
07
Zip Code
92253
08
Dwelling Unit Conditioned
2436
C 1I
lnlnstalling
0
� .^w.
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
co taining
system `
Number of space conditioning
ent ely a
09
Climate Zone
15 i °+
10
(SC) systems in this dwelling
1
__component?.
—.components? --
feet of ducts?
duct system?
unit.
----Alteration Type
B. Space Conditioning (SC) System Information -
01
02
/ 03 -
M 04�
/ U5 � kV
IF 66
07 `
08
09
10
-
Is the SC""
IA -R,.:.��+
Installing a
t,+ a.
as
SC System
SC System
r'
CFA served
w
system a
M^'. Ir"w
refrigerantInstalling:newSC
sew
C 1I
lnlnstalling
0
� .^w.
Installing
Installing
Identification or
Location or Area
by this SC
ducted
co taining
system `
more than 4
ent ely a
entirely new
.... .Name ._...
.. .. _-Served _- ,
System (.ft2)
-. .system? . _
__component?.
—.components? --
feet of ducts?
duct system?
..-SC-system?.,.
----Alteration Type
System 1
Living Area
2000
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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-A0120062A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-03-31 08:00:56
Report Version: 2013 Rev 1.007 -
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-03-31 08:01:01
CERTIFICATE OF COMPLIANCE CF111-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
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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
0.78
AC
cooling
SEER
20
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: < 15%, 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 do of Air Flow MCH 23, or'Refrigerant Charge MECH=2 =
changes not require verification
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 DuctLeakageTest}ng:requir ments.
,rs �► !� T[ /f 7d t4 11 t1
'•,� �.,i �, •�� .e,�....Y a.r ��wsu.+ ...�-r...� �.r � rw r+!+✓ �Ir`�+` *e r.a+ws i.¢+
E. Entirely New or Complete Replacement Duct System, with or without.Equipment Changeout (Sections 150.2(b)1Diia,and»350.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216 A0120062A 000000000 0000 Registration Date/Time: 2016-03-31 08:00:56 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-31 08:01:01
4 Schema Version: 0.555SDD
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
2016-03-31 08:00:56
Address:
CEA/ HERS Certification Identification (if applicable):
42949 Madio
_
City/State/Zip:
Phone:
Indio CA 92201
1760-360-2202
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 on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials; components, and manufactured devices for the design or system design identified on this Certificate of Compliance conform to the
,,b,,,uilding
requirements of Title 24, Part 1 and Part 6 of the California Code ofR ggulation �{ }�
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information -provided o, other applicabile •'compliance documents, worksheets,
calculations; plans and specifications submitted to`the eriforcement agency for approval,wrth this building permit application:
S. I will ensure that a registered copy of this Certificate of Compliance shall°be made available wdhthe building Permitilissued forithe°build and made available;to the enforcement agency for all applicable
ung,
inspections. I understand that a registered copy of this•Certificate of Complwanceiswrequirreed to be, included with the Aocumeentation,,the�builder provides teethe building owner at occupancy.
Responsible Designer Name: '-A iV rA wi
Responsible Des'i'gner Signature: V I
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2016-03-31 08:00:56
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: 216-A0120062A-000000000-0000 Registration Date/Time: 2016-03-31 08:00:56 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-31 08:01:01
Schema Version: 0.555SDD
1
#
City. Qf Ld QUI(1ta
Bohm y 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
1a.Quinta, CA 92233 - (760) 777-7012 ,
Building Permit °Application and Tracking Sheet
,
Permit #
SMG
Project Address: `_ J 57'
Owner's Name:.
A. P. Number.
Address:
Legal Description:
Contractor.
City, ST, Zip:
Telephoner
Address: &2,77
b
Project Description:
City, $T, ZiPz_WA,6 9v
Telephone:moo` `k?`� %i
'`
State Lic. # : CityLic. #;
�% n
�/
Arch; Engr., Designer
Address:
City., ST, Zip:
Telephone: X.
State Lic. #:
!.•M
Name of Contact Person: d
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: t'o # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: tqi 665110
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit,
Truss Cala•
Called Contact Person
Plaa Check ltalance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
V Review, ready for correctionsfissue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S3LL
H.O.A. Approval
Plans resubmitted
Grading
IAV ROUSE:-
'"' Reylew; ready for correctionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees