BMCH2015-033778-495 CALLE TAMPICO
D
VOICE. (760) 777-7125
�
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011COMMUNITY
DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/31/2015
Application Number:
BMCH2O15-0337
Owner:
Property Address:
78460 VIA SEVILLA
JAMES CHRISTOPOULOS
APN:
604211007
78460 VIA SEVILLA
Application Description:
CHRISTOPOULOS RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$7,000.00
Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET 42-949 MADIQ STREET
INDIO, CA 92201 INDIO, CA 92201
� GG
t,� +1��•J (760)360-2202
LIC. No.: 906115
'r „ 1�`t (iF LA�t DEPARTMENT '
---------------------------------- -�,T.,�pIEV�LS)�!-------------------------- --------------
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: Cff20 36 License No.: 906115
Date: G� V Contract
OWNER-BUILDE LARATION
I hereby affirm under penalty of perjury tha 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 3I
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 ) 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:
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
complywith
Zthose
/pr visions.
Date: I Vv l/ AppIirant
WARNING: FAILURE TO SECURE WORKERS'PENSATI 1V 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 i80 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 prope y for inspection purposes.
Date: Ci �V Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION�c�k `� . `; ACCOUNT QTY 1PAIDr* r: fPAIDDATE
xaAMOUNTa+
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$1.00 8/31/15
k" PAID BYM� ;
'r " CEIPT;#a� �'CHECIC
#' CLTD BY Y'
d ti 5#n,METHOD
qq
C .. a ':. a . ..._ r . «'.! X ^. ..w.: . ID•. . ...5 .. a .:
:°
'Y . . •. . .... ew:: E3"c_ R
.. /Y, r a] 3X 1.
CERTIFIED COMFORT SYSTEMS INC ' CHECK
R8842
20250 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00'. $1.00
DESCRIPTION
-
ACCOUNT > K; ``QTY
r
!AMOUNT
PAa� "r
PAID"DATE
.
F
r
.
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
8/31/15
^� ''PAID BYE
CHECK # `� �''
qq CLTD BY
z �..�
.1.. :w
CERTIFIED COMFORT SYSTEMS INC
CHECK
R8842
20250
MFA
`X' ; ;DESCRIP,TION ;h�
, ? s ACCOUNTS �
QTYj
AMOUSNT�
IPA If)
PAID DATE
�
� �,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600.
0
$36.26.
$36.26
8/31/15
'3 ez PAID BY
METHOD
RECEIRT # s
X�"CHECK # , �4.'
CLTD BY
^., .
CERTIFIED COMFORT SYSTEMS INC
CHECK i
R8842
20250
MFA
Total Paid forCHANGEOUT: $108.78 .$108.78
r DESCRIPTION
a :xA000UNT;A^�
AMOUNT
PAID
PAID DATE:
6y.ta �,
�q
&QTY
a
e''
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/31/15
PAID:BY sW `a 4$ i x y
j ` METHOD�r"F i°
RECEIPT #
-40
CHECK #.'w
CLTD BY'
.v
v' f.-�
CERTIFIED COMFORT SYSTEMS INC
CHECK
R8842
20250
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: CHRISTOPOULOS-RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied:. 8/31/2015 MFA
Approved: 8/31/2015 MFA
Parcel No: 604211007 Site Address: 78460 VIA SEVILLA LA QUINTA,CA 92253
Subdivision: TR 23971-1 Block: Lot: 28
Issued: 8/31/2015 MFA
Lot Sq Ft:0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,000.00 Occupancy"Type: Construction Type:
Expired: 2/27/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
-ADDRE551,
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Details: HVAC CHANGE OUT - 4 TON 18 SEERSPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
�CONTACTS
NAME TYPE q.." NAMEt_;CITY
STATE : ZIP:yy: PHONE FAXEMAIL" • aa
-ADDRE551,
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,
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APPLICANT
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
DBA HYDES
CONTRACTOR
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO
CA
92201
DBA HYDES
OWNER
JAMES CHRISTOPOULOS 7
78460 VIA SEVILLA
LA QUINTA
CA
92253
BOND INFORMATION
Printed:. Monday August ]1,ZOI5]�ZO�l9PN1 2of2
` co?W`n'rmo
QTY
O.0 NT -1-1:
PAID...,
PAID DATE,
C IPTIBSAS
CLTDACCOUNT
SB1473 FEE
101-0000-20306
0
$1.00
$1.00
8/31/15
R8842
20250
CHECK
CERTIFIED COMFORT
MFASYSTEMS
INCTotal
Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00HVACCHANGEOUT-
101-0000-42402
$72.52
$72.52
8/31/15
R8842
20250
CHECK
CERTIFIED COMFORT
MWSPLIT-SYSTEM
SYSTEMS INCHVACCHANGEOUT-
0
$36.26
$36.26
8/31/15
R8842
20250
CHECK
CERTIFIED COMFORT101-0000-42600
MFASPLIT-SYSTEM
PC
SYSTEMS INCTotal
Paid forCHANGEOUT: $108.78 $iO8.78PERMIT
ISSUANCE
101-0000-42404
$91.85
$91.85
8/31/15
R8842
20250
CHECK
CERTIFIED COMFORT
MFATotal
Paid for PERMIT ISSUANCE: $91.85 $91.85TOTALS:
$201.63 $201.63
BOND INFORMATION
Printed:. Monday August ]1,ZOI5]�ZO�l9PN1 2of2
` co?W`n'rmo
B14#
..,Qty. of La Quinti
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building PermitAwlicatlon and Tracking Sheetah 1,3 4P,4 110,
Permit #
Project Address: �. , r
Owner's Name:.
A P. Number.
Address:�
Legal Description:
City, ST, Zip; '
^. , �,
Telephone:x.
Project Description:
Contractor:
Address: —
City, ST, Zip:�b.. "f
G
Telephone: Z
p^
City Lic. #.
JAAA
State Lic. # :
Arch., Engr,, Designer.
Address:
City, ST, Zip:
Telephone:
Y
State Lic. #:
Name of Contact Person:
Construction Type:. Occupancy:
project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : 2�7
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
q •
Submittal
Req'd
Recd
TRACMG
PERMfP FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.,.Mecharilcal
Grading plea
2na Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing '
Grant Deed
Plans picked up
S M L
H.O.A. Approval
Plans resubmitted
Grading
IN liOilSE:-
Review; ready for correctionsfissne
Developer Impact Fee
Planning Approval •
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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z.. ` , - ♦ _ .- ` `_ -} c�• _ .- ' .• _ a ' t s - - s_ e T i •yam
.� , . ,� � _,. .v x�,,. .. .. •+t •�- ti• --•' � •. t: ++:. C. Sat J• - _ + . .�"r'• 4ti .r .F +� ,r•+r i
D. Altered Space Conditioning System (Sections 1S0.2(b)3E and F). , • : •,+„ �} _ r.;4..
01
`02"
03 -
04
'OS-
- 06
07
08
09 "
• 10
11
{ 12,
... �.
. �.
_
Heating
i _ ' •
Cooling
System
Heating
Heating
Minimum
Altered
Cooling ,
'Minimum
Required .
New or
+-' �` �T d' �wr M
, r..
s« . ,� tom• Y
•r'' s ..:Y�
:Efficiency
Efficiency
Cooling
J.__ a
+: r,
Vr '
w
z.. ` , - ♦ _ .- ` `_ -} c�• _ .- ' .• _ a ' t s - - s_ e T i •yam
.� , . ,� � _,. .v x�,,. .. .. •+t •�- ti• --•' � •. t: ++:. C. Sat J• - _ + . .�"r'• 4ti .r .F +� ,r•+r i
D. Altered Space Conditioning System (Sections 1S0.2(b)3E and F). , • : •,+„ �} _ r.;4..
01
`02"
03 -
04
'OS-
- 06
07
08
09 "
• 10
11
{ 12,
... �.
. �.
_
Heating
i _ ' •
Cooling
System
Heating
Heating
Minimum
Altered
Cooling ,
'Minimum
Required .
New or
Identification
System
_,.Altered
Heating
:Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced.
New Duct '
or Name
•Type
Components
Type
Value _
System Type-
Components
'� Type
Value
tType
Duct Length,
.• R -Value . '
S stem.l .
y
Central split.
All new
-
. heating ,, .
- -
AFUE•. ..
'. 0.78 - ,-
Central split •
L : .• • .....
All new
cooling
SEER
:18
t
Setback -�
This field or'
section is not
This field or
section is not
' Hp
.
components
..
A�
components
X
applicable
applicable
Central split
All new _-
-'
',Central split
All new,
. -, .
= a
_-
r: This field or
This field or
System 1'
HP
heating -
AFUE
, 0.78
.: AC
cooling
SEER
4' 18
Setback
section is not
section is not
_.
components
-
-
components
- .
-
_ --••
applicable!
-applicable
Required Documentation:
CF211-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: <_ 15%, or <_ 10% leakage to outside, or seal all accessible lleaks. , , ro - '� '
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant' containing components are installed or altered (a,pplicable m CZ8:15).
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow >_ 300 CFM ton required when MCH -25 is re wired!•
Exceptions: / �q
-Duct systems registered with HERS provider as previously sealed'areexempt from MCH -20 Duct Leakage Testing requirements. -
-
`
Heating -only systems and Air Handler/Furnace changes do not req w�e verification of -Air FIow.MCH-23, or'Refrigerant Charge IVIECH-25..
'I
,
e. Leakage Testing requirements -
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from
'
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E; F)
n t - This section does not apply.to this project.
f .
i:�
't "�.-d+waTO- u... R., w r' _.....,. ,,...t•. .-x� _ r ..� .a. it ..- .: _ - ...,�...k'.�.�. • .r e.s - 7 .t
S ' „� • _. ice` 1 ' _ .k `� r, - �• +. .R _' .... ..•. �'��• ^ _- q. - .._ .. /-�,�.�� .� -. G 4._ * L . ,�.
Re�tration Number. 215 A6300164A 000000000-0000" s Registration Date/Time: 2015-08-21 19:38:09 HERS provider: CalCERTS
„ * • .e ,, Y t h ra +.w. ;. a .., -- F.?.. +. .,... ti -� , �wM •- ,:•F.
CA Building Energy Efficiency Standards -.2013 Residential Compliance Report Version: 2014-03=31 °' Report Generated: 2015-08-21 19:32:43,
�' ' Schema Version: 0.555SDD
FICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
78-460 Via Sevilla I Date Prepared:
CRR -ALT 02-E
(Page i of 3 )
2015-08-21
A. General Information
CFIR-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
78-460 Via Sevilla
02
Date Prepared
2015-08-21
03
Project Location
78-460 Via Sevilla
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78-460 Via Sevilla
07
Zip Code
92253
08
Dwelling Unit Conditioned
2776
Floor Area (ft2)
SC System
SC System
CFA served
system a`
refrigerant
Number of space conditioning
,',Installing
09
Climate Zone
15
30
(SC) systems in this dwelling
2
ducted
containing
syitem
1
unit.
entirely new
B. Space Conditioning (SC) System Information
01
02
03
04 -�
., 05
06.
07
08
09
10
f
\
Is the SC
Initallirig a
SC System
SC System
CFA served
system a`
refrigerant
-Installing new SC
,',Installing
Installing
tiInstalling
Identification or
Location or Area
by this SC
ducted
containing
syitem
more thin 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 1
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-A6300164A-000000000-0000
Registration Date/Time
2015-08-21 19:38:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-21 19:32:43
Schema Version: 0.555SDD
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
2015-08-21 19:38:09
Address: _
CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip:
Phone:
Indio CA 92201
(760) 360-2.202
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. 1
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 of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable ompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for;'approvakwith this building permit aS�tpplication. a
r
S. I will ensure that a registered copy of this Certificate of ,Compliance shall:be.made,available with;Ahe building permits) issued for the.build'ing,-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: _, f '.' -
Hyde, Mark
Responsible Designer Signature '4' i �A
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-08-21 19:38:09
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
(760) 360-2202
Digitally signed by CaICERTS. 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-A6300164A-000000000-0000 Registration Date/Time: 2015-08-21 19:38:09 HERS Provider: UICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-21 19:32:43
Schema Version: 0.555SDD