BMCH2017-012078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0120
Property Address: .44855 VIA MIRABEL
f
APN: 604590050
Application Description: OSTENDORF / CHANGE OUT (2)18SEER/81AFUE SPLIT SYSTEMS
Property Zoning:
Application Valuation: $25,000.00 f
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/6/2017
Owner:
CRAIG OSTENDORF
92253
L~o
� l
Contractor:
,mo
; S wa
CERTIFIED COMFORT SYST
C DBA HYQEyS
42-949 MADIO STREET
J�
INDIO, CA 92201
_ (760)360-2202
Llc. No.: 906115
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 of the 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 providetl for by Section 3700 of the Labor Code, for the performance
License Class: C20 C36 License No.: 906115 oft a work for which this permit is issued.
rMJhave and will maintain workers' compensation insurance, as required by
Date:` Contractor: JA YJSection 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:
OWNER -BUILDER DECLARATION Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
1 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 I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the bor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with th se provisions.
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 fora Date:—` Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(� I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
within one year,of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.). ( the conditions and restrictions set forth on this application.
(_ ) 1, as owner of the property, am exclusively contracting with' licensed contractors 1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves issued as a result of this application, the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.). employees for any act or omission related to the work being performed under or
I am exempt under Sec. B.&P.C. for this reason - 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
Date: Owner: work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). , construction, and hereby authorize representatives of this city to enter upon the
J above -menti ped operty for inspection purposes.
Lender's Name: - ,:
Date ` Signature (Applicant or 4e4•,—
Lender's Address: J
i
Date: 4/6/2017
Application Number:
BMCH2O17-0120;
Owner:
Property Address:
44855 VIA MIRABEL
CRAIG OSTENDORF
APN:
604590050
.Application Description:
OSTENDORF / CHANGE OUT (2)18SEER/81AFUE SPLIT SYSTEMS
'92253'
Property Zoning:
Application Valuation:
$25,000.00
Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIO STREET
INDIO, CA 92201
INDIO, CA 92201
(760)360-2202
tic. No.: 906115
Detail: CHANGE OUT (2) 18SEER/81AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
j
IAN.CIALINFORMATION,
DESCRIPTION
BSAS,SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'HVAC CHANGEOUT- PACKAGED UNIT
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
'AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600•
0
$50.66
Total Paid for CHANGEOUT: $126.66
DESCRIPTION
ACCOUNT
QTY
', AMOUNT
PERMIT ISSUANCE
101-0000-42404
..0,-
$96.27
Total Paid for PERMIT ISSUANCE: $96:27
DESCRIPTION
, 'ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
YA
CERTIFICATE OF COMPLIANCE
CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 44855 Via MirabelDate Prepared: 2017-04-05
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
44855 Via Mirabel
02
Date Prepared
2017-04-05
03
Project Location
44855 Via Mirabel
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
44855 Via Mirabel
V I
Loo C
Dwelling Unit Conditioned
SC System
07
Zip Code
92253
08
Floor Area (ft2)
3050
Installing
Installing
Identification or
Number of Space
by this SC
09
Climate Zone
15
10
Conditioning (SC) Systems in
2
Name
Served
System (ft)
this Dwelling Unit:
component?
B. Space Conditioning (SC) System Information
1
it
01
02
03 N.
.r.q..'.
04
+ 1'm/wJ r
05
0•Y
6M
M -
07'
y.
08E>
'tea ! y
09
10
'41s the SCS
IhstaIIig-a
V I
Loo C
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new.
Name
Served
System (ft)
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
System 2
Bedrooms
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 217-A020109407A-000-000-0000000-0000 Registration Date/Time: , 2017-04-05 11:27:48 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-05 11:27:58
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFI11-ALT-024
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
81`
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Central split
All new
Central split
All new''
This field or
This field or
System2
HP
heating
AFUE'
81
AC-
cooling.
SEER.
18
Setback
section is not
section is not
components-
components
-
applicable .
applicable -
Required Documentation:-
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or.plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)' + '
CF2R and CF3R-MCH-20-H -, Duct Leakage Test 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% or <='10% leakage to outside, or seal all accessible leaks.
.-t: ;tMare.. R" l rB ,rteC
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered"(applii:able in CZ 2, 8-15).
�+
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required,�,,/ }
Exceptions:". -'nu,-c
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Ty estmg requirements.'
a:
-Heating-only systems and Air Handler Furnace changes do not regwre verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
`. ' ar-w
Existing duct systems constructed, insulated or sealed with asbestos'are�exempt from:MCH,20 Duch Leakage4�Testing requirements:
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Section's 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: 217-A020109407A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-04-05 11:27:48 HERS Provider: CalCERTS
Report Version: 2016.1.005 Report Generated: 2017-04-05 11:27:58
Schema Version: rev 10/16
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
2017-04-05 11:27:48
Address:
CEA/ HERS Certification Identification (if applicable):
42949 Madio
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:
r
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 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 ofd eg IaUons.
W
4. The building design features or system design features identified on -this Certificate of Compliance are consistent with theinformatibn,provided on,othei applicable compliance documents, wnrkcheets,
.a y..o y 4 u.,.» 9 +.ti'i Y'k
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 this Certificate of Compliance shall be,made.available with th'e buildingpermit(;).issued forsthe building, and, made available.to the. enforcement agency for all applicable
�y
�'
inspections. I understand that a registered copy of this_C rtit ficate of Comphance.is_required to C_included wish the documentationQk wilder provides to the building owner at occupancy.
A,
Responsible Designer Name: ii'A 1z- 1 1�,;«d
Responsible Designer Signature: V I sem' Of—. ''-A _
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-04-05 11:27:48
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Digitally signed by CalCERTS. 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: 217-A020109407A-000-000-0000000-0000 Registration Date/Time: 2017-04-05 11:27:48
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-04-05 11:27:58
Bin. #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504,'78-49S Calle Tampico
I la.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
Project Address: E77TA
r's Name:. Crkj O
A. P. Number.
ss: 5 ,
Legal Description:
ST, Zip:
Contractor:
`M10i 1
Tele h
p one:
Address: —�
Project Description:
City, ST, Zip: 1 DICA,g2;w/
Telephone:
State Lic. #: 9rz City Lic. #:
7.
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
�.: ;
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft: '105# Swrit s: I #Units: Z
State Lic. #:
Name of Contact Person:Sq.
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
fE
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs.
Called Contact Person
Plan Check Balance_
Tide 24 Calcd.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
V Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN EIOUSE:-
'"' Review, ready for correctionsfissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees