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BMCH2015-038278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,iht 4 4 QuIA& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0382 Property Address: •49595 ALI CT APN: I 602290084 Application Description: SIMMONS RESIDENCEV / HVAC Property Zoning: Application Valuation: $7,000.00 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 Date: Contract OWNER-BUILDEfiECJ RATION I hereby affirm under penalty of perjury thaempt 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.). (� 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 permitJs issued (Sec. 3097, Civ. C.). Lender's Lender's Address: i I I'IIII'III' IIII IIII I 53 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/7/2015 Owner: WILLIAM SIMONS 49595 ALI CT LA QUINTA, CA 92253 Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 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 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: to /-7A6 Applicant: WARNING: FAILURE TO SECURE WORKER CO PEN A N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO I AL ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 000). 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-mentioorry%ed property for inspection purposes. Date: " / Signature (Applicant or Agen . DESCRIPTION FINANCIAL •• ACCOUNTQTY • .r; ;AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD ` ..: ? RECEIPT # CHECK # CLTD BY;:. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHODRECEIPT # CHECK # .: CLTD BY DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD: ',".,.:RECEIPT .# ' CHECK #. '.; CLTD BY': Total Paid for CHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT. QTY °: . `' AMOUNT.: PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 • TOTALS:00 Description: SIMMONS RESIDENCEV / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 10/7/2015 MFA Parcel No: 602290084 Site Address: 49595 AL1 CT LA QUINTA,CA 92253 Approved: 10/7/2015 MFA Subdivision: TR 29053-2 Block: Lot: 34 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 18 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES FINANCIAL INFORMATION Printed: Wednesday, October 07, 2015 10:11:15 AM 1 of 2 c , SYSTCMS CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY , STATE ZIP PHONE FAX EMAIL APPLICANT CERTIFIED COMFORT SYSTEMS INC DBA HYDES . 42-949 MADIO STREET INDIO CA 92201 (760)238-4603 CONTRACTOR CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MAD 10 STREET INDIO CA 92201 (760)238-4603 OWNER WILLIAM SIMONS 49595 ALI CT LA QUINTA CA 1 92253 1 (760)238-4603 FINANCIAL INFORMATION Printed: Wednesday, October 07, 2015 10:11:15 AM 1 of 2 c , SYSTCMS DESCRIPTION ACCOUNT CITY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD • BY BSAS SB1473 FEE 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 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 ATTACHMENTS Printed: Wednesday, October 07, 2015 10:11:15 AM 2 of 2 C8? SYS 7Eti1S Bin. # Cit}r of La Quo: to Building & Safety Division U P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:, — Owner's Name: A. P. Number. Address: Legal Description: City, ST, Zip: �} G Telephone: 405 Contractor:c'.`e` Address: ' Project Description: City, ST, Zirrp:��jj,,,,• ZZ�i Z 4910, Telephone:%0— r `.. ;i State Lic. # : © City Lic. #; Arch., Engr., Designer: Address: ' City., ST, Zip: Telephone: > State Lic.#: �' .:c .. � V ' r» ,. Name of Contact Person: Construction Type: Occupancy: Project type (circle otic): New Add'n Alter Repair Demo Sq. Ft.: 5 # Stories:# Units: Telephone # of Contact Person: Estimated Value of Proj 100 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACICITIG PERMU FEES Plan Sets Plan Check submitted item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance. Title 24 Calci. Plans picked up Construction Flood plain plan Pians resubmitted Mechafilcid Grading plan tad Review, ready for rnrrecGonsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked rip S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review; ready for correctionsAssae Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. App r Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT IiVAC) Project Name: 49-595 Ali Court I Date Prepared: CF111-ALT-024 (Page 1 of 3 ) 2015-09-17 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. 49-595 Ali Court 02 Date Prepared 2015-09-17 03 Project Location 49-595 Ali Court 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 49-595 Ali Court Dwelling Unit Conditioned ws..16 Insi alling a 07 Zip Code 92253 08 Floor Area (ft2) 2485 SC System CFA served system a; -•: refrigerant Number of space conditioning installing 09 Climate Zone 15 10 (SC) systems in this dwelling 2 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System Information "s - 01 02 03 04,E .0607 ;' 08 09 10 !'4. "C"- " Is the. SC ws..16 Insi alling a . 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 (ft2) system? component? components? feet of ducts? duct system? SC system? . Alteration Type , System 1 Bedrooms 1600 Yes Yes Yes No No No Altered space conditioning system System 2 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. Registration Number: 215-A6330259A-000000000-0000 Registration Date/Time: 2015-09-17 18:13:53 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-17 18:11:45 Schema Version: O.S55SDD CERTIFICATE OF COMPLIANCE MR -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 split All new Central split All new This field or This field or System 1 HP heating AFUE 0.78 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 System 2 HP heating AFUE 0.78 AC cooling SEER 18 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 & 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%, or:5 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 2 300 CFM/ton required when MCH -25 is regwred Exceptions:, \ i Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements y -Heating-only systems and Air Handler/Furnace changes do not require,verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos -are exempt from MCH'20-Duct Leakage Testing regwrements. 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)lC) This section does not apply to this"project. K Registration Number: 215-A6330259A-000000000-0000 Registration Date/Time 2015-09-17 18:13:53 HERS Provider: CaICERTS CA Buiiding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-17 18:11:45 Schema Version: 0.555SDD Ct-RTIFICATE 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 2015-09-17 18:13:53 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: 1. The information provided on this Certificate of Compliance is true and correct. 2. I 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. i i.,, ?r•�.. ,rf .rerw 4. The building design.features or system design features identified on this Certificate of Compliance are consistent with the information provided on'other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement a enc for a p agency pproval,with this buil`din permit ate" hcatio`n. tti 'F 3 i ` S. ' I will ensure that a registered copy of this Certificate of, Compliance shall be made available with the building permitAil (s) issuetl for the building, and, made available to the'enforcement agency for all applicable inspections. I understand that 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:. Responsible Designer Signature: V ' Hyde, Mark Company: Date Signed: , CERTIFIED COMFORT SYSTEMS INC 2015-09-17 18:13:53 i Address: License: 42949 Madio 906115 City/State/Zip: Phone: Indio CA 92201 (760) 360-2202 Digitally signed by CaICERiS. 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: 215-A6330259A-000000000-0000 Registration Date/Time: 2015-09-17 18:13:53 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-17 18:11:45 Schema Version: 0.555SDD