BMCH2014-102878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O14-1028
Property Address:
53442 VIA DONA
APN:
777420005
Application Description:
A/C FURNACE 16 SEER
Property Zoning:
Application Valuation:
$8,760.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
1
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/21/2014
Owner:
DONALD SEABLE
FAIRMONT HOT SPRINGS BC
CANACA VOB, L192253
Contractor:
JUL. 21 2014 CERTIFIED COMFORT SYSTEMS INC
Of►YOF 42 949 MADIO STREET
UNITY DEVELOPMENT DEP, R I N D I O, CA 92201
TMENT
(760)360-2202
Llc. No.: 906115
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
X I Date: Z ` Contractor:
OWNER -BUILDER DE LARATION
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 7031.5 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.).
(_) 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. C.).
Lender's Name:
Lender's Add
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. Zj Applicant: lej�ai AIIQ
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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: Zf I Signature (Applicant or Agent):
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Date Paid: Monday, July 21, 2014
Paid By: CERTIFIED COMFORT SYSTEMS INC 4
Cashier: PJU
Pay Method: CHECK 61205-
Printed:
1205 Printed: Monday, July 21, 2014 12:18 PM 1 of 1
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BUILDING STANDARDS ADMINISTRATION.BSA` '
4i
"' `° ''
p'$1.00"
BSAS SB1473.FEE 101-0000-20306
0
$1.00
' CHANGEOUT
$107.25
HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600
0
$35.75
HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402
0
$71.50
>-PERMIT ISSUANCE rt ::rr :, o: ;f_ .•r.�.�:` .: ,. .
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$90.57
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PERMIT ISSUANCE 101-0000-42404
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$90.57
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Date Paid: Monday, July 21, 2014
Paid By: CERTIFIED COMFORT SYSTEMS INC 4
Cashier: PJU
Pay Method: CHECK 61205-
Printed:
1205 Printed: Monday, July 21, 2014 12:18 PM 1 of 1
1 1 • 1 .
^DESCRIPTION ` atr
s s. ACCOUNT AMOUNT
PAID
AID DATE
t°, , .f
AQTY
_
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID.:BY
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
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,-:� a�ACCOUNT -"
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1 'AMOUNT �"
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HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
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$0.00
7 PAID BY ' " `; -' ~,
, METHOD '
RECEIPT # _19
•-CHECK:#., j{
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DESCRIPTTION �`'
ACCOUNT.:. „
QTY
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PAID •: u
PAID DATE
,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
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PAID BY r t
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4 RECEIPT # AT
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Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION
„` ACCOUNT'
QTY
-. ��AIVIOUNT`
4, ` PAID r"
PAID DATE
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PERMIT ISSUANCE
101-0000-42404
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$90.57
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L" RECEIPT # yr
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Total Paid for PERMIT ISSUANCE: $90.57 $0.00
• i �•
Bin #-
- -
Gty of La Qu*nta
--- --
BuHdint .a Safety Division
Permit #
P.O. Box 1 SO4, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 5'2 — 94 Z
V\G� .�p Owner's Name 0r1 5 C41b1'e.
A P. Number
Address 5 3 -' L} �. V1 �Ov10.
Legal Description:
city, ST, �= 1-0� &Vlvv --. ) CA �1ZZS3
Cont wwr. L 2r, �/ /
II
ori'. 2 Telephone.
5 ��
Address: . Z q t.
�w
"lam Project
' Description
Cm, ST, Zip:lo
zZ d r s eE
Telephone: 6C7 — LZdZ
State Lic. # : q NO, j,
City Lic. #: `Y 2Z
Arcli., Engr., Designer. '
Address:
City, ST, Zip:
—.
-- —
Telephone:
-- -
Constriction Type: _ Op,.
State Lic. #:
Project type (circle one): New Add'u Alter Repair' Demo
Name of Contact -Person:
Sq. FL: # Stories: # Units:
Telephone # of Contact Person
Estimated Value ofProjert 0
APPLICANT: DO NOT UYMM BELOW THIS UNE
# Submittal Req'd
.
Reed TRACKING , PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs
Reviewed, ready for correcoons
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Chock Balance
End Cales
Plans picked up
Construction
Flood plain plan
Plans resubmitted
MechantCRi
Gradingplan,
V Review, ready for correcdonsi'mue
Electrical
Plumbing
&IVLL
Sabcontactor List
Called contact Person
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jtd Review, ready for corrections/issueDcvdoper•impact
Fee
Plennia' Approval
Called Contact Person
Pub. Wks Aper
Date of permit issde
School Fees
Total Permit Fees
—
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: 53-442 Via Dona Date Prepared: 2014-07-18
A. General Information
CF11R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.: `
01
Project Name:
53-442 Via Dona
02.
Date Prepared:
2014-07-18
03
Project Location:
53-442 Via Dona
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
53-442 Via Dona
07
Zip Code:
92253
08
Dwelling Unit Conditioned
4201
new`"?E
FIs the entire
Floor Area (ft2):
Number of space conditioning
09
Climate Zone:
15
30.
(SC) systems being altered in
1
(packaged unit; or
this dwelling unit.:
Are all of the
B. Space Conditioning SGS stem;fnformation
01
02
03
i:06
07 w
�r ",.08
09
10
�...
,>4..
�€E
• a t •
.
>t�#Installing
new`"?E
FIs the entire
components.
duct system
(packaged unit; or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
,
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served .
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
1
living area
2000
Yes
No
Yes
No
No
i
No
Altered space
I
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 214-A0058270A-000000000-0000 Registration Date/Time: 2014-07-18 09:13:06 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-18 09:11:49
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
O1
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 split
All new
This field or.
1
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
R-8
components
components
applicable
Required Documentation:
-
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Dud 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%, 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 we e,
Exceptions: t9r �^s ��
�� s heye:xw�
'.. p"'�'
r 1p tf9'
yy x J;
-Duct systems registered with HERS provider as previously sealed are exemptffrom MCH -20 Dud leakage Testing
requireme-ynts
-Heating-only systems and Air Handler/Furnace{hanges do notquire; ve fication of Air Flow MCH�23; o Refngerant'&arge MECH 25. C>
Existing duct systems constructed, insulated or sealed with asbestos are exempt:from MCH 20 Dud'teakage Testing requirements «d::y,p�
JJ F -J k.
F '
'?z—�`_" 'w''..y, ';�5. ar.�.-a--Fs;'w'R. .".'y`*: y+•j�le:�m '+e�eiYb:': -r . ti :e. m,S.. "'"h3:a;�-:rf.�.f:5n' S°5 ib" `�7s'�.
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.
Registration Number: 214-A0058270A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: , 2014-07-18 09:13:06
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2014-07-18 09:11:49
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this -project.
AR
c yL. -"tEi SnN y r t'.'�
le'f44 3j-
%
j- - . -
,� e} .�jY,' ,� J.`✓� , �y r -i' ''•-k f"cp, y rAYy;- < i�= `I • }1
^":*�-t"r,.,r'"'.": t`st° :.-,,,E.fne• Y.;,:{'�nsK"'',%srt y r i>r`*:'arE,x:::*-.N'+"P',,.. .ve'=R
Registration Number: 214-A0058270A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-07-18 09:13:06
Report Version: 2014-0341
HERS Provider: CalCERTS
Report Generated: 2014-07-18 09:11:49
" CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E `
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) y (Page 4 of 4 )
�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
r
Company:
Signature Date: 3
CERTIFIED COMFORT SYSTEMS INC
2014-07-18 09:13:0&,'-
9:13:06,'.Address:
Address:
CEA/ HERS Certification Identification (if applicable):
77-825 WILDCAT DRIVE .- a.
'
+ F.
City/State/Zip: ,, • ; �+
�,'r
-
Phone:.
PALM DESERT CA 92211 ;" r ry+, ._ ,
(760)360-2 202 t
Responsible Person's Declaration statement = _ '' ••`°`� .• �- {. s* x
,�
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).-
esigner).
3.
3. That the energy features and performance specifications, materials,.components and manufactured devices':for. the building desi&or system design identified on this Certificate of Compliance conform to the
9 • requirements of Title 24, Part 1 and Part 6 of the California :Code ocf Re ulations
4. ' The building design features or syst:64; esign features identified on.this'Certificate of Compliance are consistent with the informal on provided on'other applicable compliance documents, worksheets
fnaa� r� - 'FY .<tmti:. X•.x �° h A.oi r, ., .,�
calculations, plans and specifications submitted,to the enforcement agency for approval:wrth this bwldmg,permit appl cation. '
�y }. .:;. 6 't"a. •r �+�- {`i _
�J}'f4 t+i13` zR ,.,•`. r.�F Fky, F�+: 9r
5. [will ensure that a registered copy of,this Certificate of Compliance shall be made available with the bwldmg permits) issuecl for the.b ilding; and made available to the enforcement agency for all applicable Q=
- . inspections. I understand that a registered copy of this Certificate:ofComphance is"required to 6e included with the documentation the builder provides to the building owner at occupancy. `, t '
y}'•
Responsible Designer Name: . z=<< ="`
Responsible Designer Signature: - ;
Hyde, Mark _r
Company :i • , -+ - s,
Date Signed: 3 _
CERTIFIED COMFORT SYSTEMS INC
2014-07-18 09:13:06
Address: .. -
License: v
77-825 WILDCAT DRIVE
906115
City/State/Zip:
Phone: e
PALM DESERT CA 92211
(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' '
+ ' , p, 1t`• - R a information. 4 '
Registration Number: 214-A0058270A-000000000-0000 t Y' Registration Date/Time: 2014-07-18 09:13:06 HERS Provider: CaICERTS '
CA Building Energy Efficiency Standards - 2013 Residential Compliance "Report Version: 2014-03-31' Report Generated: 2014-07-18 09:11:49