BRES2014-125278-495 CALLE TAMP:',CO
LA QUINTA, CALIFORNIA 92253
s
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 .
BUILDING PERMIT
Application Number:
BRES2014-1252
Property Address:
80355 WEISKOPF
APN:
762090007
Application Description:
HVAC+WATER HEATER CHANGE OUT - (3) HVAC/(2)WH SYSTEMS
Property Zoning:
Application Valuation:
$24,650.00
r--- �'-------1
Applicant:
HYDES
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
DEC 22 2014
CITY Of LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business d Professions Code,
and my License is in full force and effect.
License lass: _ License No.. -:LIC -0004822
te: tractor•
I hereby affirm under penalty of perjury.that I am Lxemptfrom 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 3
-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 irnprove for the purpose of sale.):
(1.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 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: /
Date: 12/22/2014
Owner:
CINDA BEELER
Contractor:
HYDES
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)360-2200
Llc. No.: :LIC -0004822
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 inaby 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 L Code, I shall forthwith .
comply with )hose provisions.
atte2-�AD plican :
WARNING: FAILURE TO SECURE WORKER' MP TION 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 setforth 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 toe -t ove-
mentio d property for inspection purposes.
ate: ature (Applicant or Ag
' ` _ _ .� 'n, `, • '. F. c'; r'. . e •' u1 f -' *... ih. y • + � .. � . ,lam
.. - •ate `._ •-__' ..0 N: .�'- ,, - „•. - _' ____ _ .rte
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CERTIFICATE OF COMPLIANCE , ' - V • .' CF111-ALT 02-E,
Alterations to Space Conditioning Systems (formerly CF-lR-ALT HVAC) - (Page 1:0,3 )
Project Name 80-355 Weiskopf Date Prepared: ` _ • ;' 2014-12-19
r 3
A. General Information
MR -ALT -02 is applicable tomultiplespace conditioning systems contained within a single dwelling unit. When multiple dwelling units must be.
documented; +use one CFiR-ALT 02 document for each dwelling unit.`
,. 02 ..
01
Project Name '
80-355 Weiskopf
02
Date Prepared -
2014-12-19 '
03.
Project Location.
80-355 Weiskopf
04
Building Type
Single family -
05
CA City `- 3 zM .'
La Quinta- -
06
Dwelling Unit Name'.
80-355 Weiskopf -
07
'"'
Zip Code -
92253
08
Dwelling Unit Conditioned.
4440 -
ti
.
Floor Area (ft2)
-
Number of space conditioning
t
09
Climate Zone ,
15 _ -
10
(SC) systems in this dwelling ;
3 '
refrigerant
5,.
Installing,
Installing
unit.
1.
B. Space Conditioning (SC) System'Info`rmation `
01
,. 02 ..
0,3i05'.
.�
i�06•!' t
07
tU8
'� 09
10
< •' J
,-rr'�4.J,F
Is the SC"
' InstaIling
'
SC System t
T SC System
"CFA served,
systema ,
refrigerant
Installing new SC
Installing,
Installing
Installing
1.
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 . .
r
System 1
�.#
Living Room
1800
Yes
c, Yes
Yes
No
No,
No
Altered space
conditioning system
J
-
System 2
Bedroom ."
1600
+ Yes
Yes
rf
Yes
No
No
No
t
Altered space '.
+
conditioning system
,> d
Systema '
Casita '
800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system .
r
r
e
Registration Number: 214-A0164456A-000000000-0000 _ Registration Date/Time: 2014 12 19 11:34:20 HERS Provider. CaICERTS y
A-
CA Building Energy Efficiency Standards 2013 Residential Compliance','.Report Version: 2014-03-31 ' Report Generated: 2014-12-19 ' 11:32:06 `
• - _ . . , '� • • Crhamn Varcinn• n SS1 rnr)' ' - f , ` - V . • - -
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)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 gas
All new
Central •
All new
Less than or
System 1
furnace
heating
AFUE
0.78
packaged AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Central gas
All-new
Central
All new
Less than or
System 2
furnace
heating
AFUE
0.78
packaged AC
cooling
SEER
18
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central
All new
Less than or
System 3
furnace
heating
AFUE-
0.78
packaged AC
cooling
SEER.,
16
Setback
equal to 40
R-8
components,,
q.7.
4 + -s . ,
;components
7 �"
feet
Required Documentation:
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans. �•� -
� i
-Duct insulation requirement for new plenums R6: � � �
.� -2 ..►
&-CF3R-MCH-20-H Duct heating are
� . - �.
ducted
than 40-ftduct length
CF2R-MCH-20-H — Leakage testing;required when or cooling components installed
-Leakage rate compliance: 5 1545, or <_ 10% leakage to o tside`, or seal all accessible leaks.
in systems, or when
"' ' f -M•
more of is replaced.
` • �" k' �s
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components
are installed or altereflapplicable in CZ 2;8-15).
CF2RCF3R-MCH-23 & CF3'R-MCH-23 Air Flow >_ 300 CFM/ton required.when MCH -25 is required:
Exceptions:
-Duet 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-25y
-Existing duct system's constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia.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: 214-A0164456A-000000000-0000 Registration Date/Time: 2014-12-19 11:34:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-19 11:32:06-
rrhomn Vorcinn• n rm Cnn - -
,
Documentation Author's Declaration Statement• -
1. 1 certify that this Certificate of Compliance documentation is accurate' and complete.
Documentation Author Name:
Documentation Author Signature: / r
Hyde, Mark
Company: - _'
Signature Date: _ ` C
CERTIFIED COMFORT SYSTEMS INC
2014-12-19 11:34:20
Address: - -
CEA/ HERS Certification Identification.fiiff applicable):
,
42949 Madio
t
-
City/State/Zip:
Phone:
Indio CA 92201 ''
(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. `_ Tam 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 land Part.6 of the California •Code of Regulations. s e , ' ;
c 4. The building design features or system design features identified on this Certificate of Compliance are consistent withthe informat on provided other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to:the enforcement' agency for approval with this building permit application:
5. • I will ensure that a registered copy of tfiis Certificate of Compliance shall be made available with the building permit(s);issued for the buildmg and made" available to the enforcement agency for all applicable
inspections. I understand tkat'a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: _ - )v
Responsible Designer Signature:
Hyde; Mark
Company ` ,
Date Signed:
CERTIFIED COMFORTSYSTEMS'INC • '° ; f +
2014-12-19 11`.34:20 ..
Address: _ ' ! '
License: _ y
`
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 no way implies -Registration Provider responsibility for the accuracy of the information.
Registration Number: 214 A0164456A 000000000 0000 , ,. Registration Date/Time: 2014-12-19 11:34:20 HERS Provider. CaICERTS ..
r
CA Building Energy Efficiency Standards .2013 Residential Compliance Report Version: 2014-03-31 . a - Report Generated: 2014-12 19 11:32 06
• 1 - Crhoma Vorcin„• n ssrcnn • `.
Description: HVAC+WATER HEATER CHANGE OUT- (3) HVAC/(2)WH SYSTEMS
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED
Applied: 12/19/2014 AOR
Approved.:
Parcel No: 762090007 Site Address: 80355 WEISKOPF LA QUINTA,CA 92253
Subdivision: TR 28444 Block: Lot: 1
Issued:
Lot SgTt: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $24,650.00 Occupancy Type: Construction Type:
Expired:.
No. Buildings: 0 No. Stories: 0 No. Unites: 0
LA QUINTA
Details: HVAC AND WATER HEATER CHANGE OUTS - (3) VARIABLE SEER/AFUE SPLIT SYSTEMS AND (2) WATER HEATERS. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Monday, December 22, 2014 10:02:48 AM 1 of 2
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APPLICANT
HYDES 0 OUTSIDE CITY LIMITS
LA QUINTA
CA 92253
CONTRACTOR
HYDES 0 OUTSIDE CITY LIMITS
LA OUINTA
CA 92253
OWNER-,CINDA
BEELER 620 WINTERWOOD DR
EVANSVILLE
IN 92253
Printed: Monday, December 22, 2014 10:02:48 AM 1 of 2
SYS7EnAS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID'DATE
-
RECEIPT;#„
'CHECK # ^
:METHOD
PAID BY .1
CLTD=<
By
CONDENSER/COMPRES
101-0000-42402
0
$108.78
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0
$72.51
$0.00
SOR PC
FURNACE
101-0000=42402
0
$108.78
$0.00
FURNACE PC
101-0000-42600
0
$72.51
$0.00
Total Paid forMECHANICAL: $362.58 $0.00
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
WATER HEATER/VENT
101-0000-42600
0
$14.50
$0.00
PC
Total Paid forPLUMBING FEES: $38.68 $0.00
• 00
..........,
PARENT: PROJECTS
Printed: Monday, December 22, 2014 10:02:48 AM 2 of 2
SYSTEMS
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DES-CRIPTION w �: ACCOUNTS �Q TYAMOUNT �t PAID PAI D OgATE
: :' ::
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Total Paid for BUILDING STANDARDS ADMINISTRATION' BSk - ._ $1 00 $0.00,
y
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;`; 101=0000-42402 -
0 $168.78
$0:00
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,� ,ACCOUNT
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0
$72 51
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yACCOUNT2
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PAID DATE?
aiYS k9�'aT.9 ekbkVL
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0
$108 78 •:
$0:0,0
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METHOD
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;DESCRIPTION - _
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�s.%Q
'101-0000-42600.
+ ii -
TY
< ,
0
M"a : i ':i},i4,.YQ :
.AMOUNT
��c"«'�tES,•�:�u, ... s'�i. ,»'t'.
$72.51: ' .
t £Po p.%,
PA °
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..a .vLC:.m§%fs3€z{ iF���.',:9�' f`
$0:00
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PAIDDATE
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Total Paid forMECHANICAL : ; '', $362 58 >. 0.00
•£„
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u.�DESCRIPTION
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t
DATE
. .. .� s� ,,.E
' "WATER_HEATER/VENT �
, ���101 0000-42401y�• rl.
'� 0
- : $24 18 ��'
'` x$0.00
( ,1 .y%, puv .:fignF•,f'+re
PAID',:BY�S�ff, �,�:.
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��` ACCOUNT��
TsYs
`AMOUNT
s
,. � a# <.•.. c: -. . £�, ,sMjm ,.,
�
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101-0000;42600 `
0
$14 50 .. "
$0.00
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METHOD
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RECEIPT#
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Total Paid forPLUMBING FEES: ' ' $38.68 $0:00
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Permit #
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Project Address:
A P.A. P. Number:
Contractor.
Address.
City, ST, Zip:
/D
Telephone: 6C, _Z
State Lie. # : q i%
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Pian Sets
Structural Calcs.
Truss cafes.
Energy Calcs.
Flood plain plan
Grading. plan'
Subcontactor List
Grant Deed
H.O-k Approval
JP.b-ks-
N HOUSE:-
lanning Approval
WAPPrchool Fees
City of La Quinta
Building 8T Safety Division
P.O. BOX 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
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Owner's Name: r
/( City, ST, Zip:
nQ
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Project Description:
C A (3ZZd/
Lic. #: -iY-L
1
Construction Type:
Occupancy:
Project type (circle one):
New Add'n Alter Repair Demo
Sq. Ft.:
#
Stories:
# Units:
Estimated Value of Project: O
APPLICANT: DO NOT WRITE BELOW
THIS UNE
Recd TRACKING
PERMIT FEES
Plan Check submitted
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 corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
SALL
Plans resubmitted
Grading •
Review, ready for corrections/Issue
Developer Impact Fee
Called Contact Person
A.LP.P.
Date of permit issue
Total Permit Fees