BMCH2016-0309uif
78-49S CALLE TAN�PICO C� 0 44
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0309
Property Address: 48225 VIA SOLANA
APN:. 646380063
Application Description: STILL / CHANGE OUT (2) PACKAGE SYSTEMS
Property Zoning:.
Application Valuation: $10,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET' 1 6 206
INDIO, CA 92201
._ Cls'; U� U1G�•L'iP)TA
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
AA
Date: Contrac
I hereby affirm under penalty of perjury t�l ammpt from the Contractor's State
License Law for the following reason (Sec 031.5, usiness 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 permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Ad
VOICE (760) 777-7125
' FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/15/2016
Owner:
RONALD STILL
1790 VERDE CANYON RD
ARROYO GRANDE, 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:
1 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 thgwprk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sects n 700 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
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�rii
ons.
Date: V APPlica
WARNING: FAILURE TO�SECURE WORKERS' MPE ON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO C INAL ALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($1 0,000). N 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.
I r 71V
Date: F Signature (Applicant or Agnt):
Date: 8/15/2016
Application Number: BMCH2016-0309
Owner:
Property Address: 48225 VIA SOLANA .
RONALD STILL
APN: 646380063
1.790 VERDE CANYON RD
Application Description: STILL / CHANGE OUT (2) PACKAGE SYSTEMS
ARROYO GRANDE, CA 92253
Property Zoning:
Application Valuation: $10,000.00
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 ;
Llc. No.: 906115
Detail: HVAC CHANGE OUT - (2) 18SEER/78AFUE PACKAGE SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL .
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
i
TINANCIAL o• e
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BS'AS 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
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$48.34
Total Paid for CHANGEOUT:
$120.86
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 ,
0
$91.85
.1-�
Total Paid for PERMIT ISSUANCE:
$91.85
Bin. #
..
City of, La Qui : to
Building 8E Safety Mlsion
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet =
Permit #
V
Project Address:
Owner's Name:.
A. P. Number.
Address:
Legal Description:
Contractor; �(` 1 '
.City, ST, Zip:
Telephone:
Project Description:
Address: —Alb
City, ST, Zip: 9
: n^
Telephone:
State Lic. # : 6 157 City Lia #:
Z
Arch:, Engr., Designer.
Address:
City., ST, Zip: -
Telephone: `
:.z ..
State Lic. #: � `3:`- � `.� ` s; ,
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n G Repair Demo
Sq. Ft: 22: # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project to
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Pian Sets
; Plan Check submitted
Item Amount
Stryctural Calci.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
. Called Contact Person
Pian Check Balance- .
Title 24 Calci,
Plans picked up
Construction -
Flood plain plan,
Plans resubmitted
Mechanical
Grading plan
2i0 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O A Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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
�.
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) { (Page 1 of 3 )
Project Name: 48-255 Via Solana Date Prepared: 2016-08-02
A. General Information
CF111-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 d elling unit.
01
Project Name
48-49V Solana
02
Date Prepared
2016=08-02
03
Project Location
48- Via Solana
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
48-255 Via Solana
07
Zip Code
92253
08
Dwelling Unit Conditioned .
2235
Floor Area (ft2)
SC System
SC System
CFA served
,.
refrigerant
Number of space conditioning
-
09
Climate Zone
15
10
(SC) systems in this dwelling
2
_
{ system
than 4
unit.
entirely new
B. Space Conditioning (SC) System Information
01
02
03
,° 04,E
05 {
06
07 `
08
09
10
1 ("'
Is the SC "`
' `[nit alling a"'
SC System
SC System
CFA served
system a;w»
'ducted
refrigerant
;Installing new.SC
Installing
�e
Installing
Installing
Identification or
Location or Area
by this SC
c ntaining
{ system
than 4
en4-:-
i elyen w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Bedrooms
1200
Yes
Yes
Yes
No
No
No
Altered space
•
conditioning system
System 2
Living Area
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniS0.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0288813A-000000000-0000 Registration Date/Time: 2016-08-02 19:35:11 HERS Provider: CalCERTS %
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 19:34:38'
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) j (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
78
packaged AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Central
All new
Central
All new
This field or
This field or
System 2
packaged HP
heating
AFUE
78
packaged 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 <_ 10% leakage to outside, or seal all accessible leaks.
`
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrig*erant containing components are i6stal1ed or altereii,(applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -,25 is req iu red.
Exceptions: rt # •'�' iiL
Duct
systems registered with HERS provider as previously sealed are exempt from_MCH-20 Duct Leakage,Testing regwrements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or RefrigerantChaMECH-25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct eakage Testing req ement�: I f`
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, 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: 216-A0288813A-000000000-0000 Registration Date/Time: 2016-08-02 19:35:11
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-08-02 19:34:38
•� , fir, � -#�Z ._ - , � _ ' v �. ? r' T- � ,f.
CERTIFICATE OF COMPLIANCE _ . , " . - CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC),(Page 3 of 3 )
Documentation Author's Declaration Statement `
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. .-t
Documentation Author Name: --
Hyde, Mark
Documentation Author Signature:
Company:,.
Signature Date:.
CERTIFIED COMFORT SYSTEMS INC
2016-08-0219:35:11
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 lawsof 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 Regulat ns14 1
�y
4.1 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, '
- e"n "t. • i Y j . - a 5 - y�'
calculations tans and specifications submitt d to the r -
p p e e enfo cement agency for approval':wrth this building permi4agplication. .}{ i
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s),issued for -the building, and made available. to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Com fiance is,re uired to be included with the documentation, the builder provides to -the building owner at occupancy.
Responsible Designer.Name: i ''ii. Y ,r a
Responsible Designer Signature: V 4 a .+P 'r-1
Hyde, Mark
w
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2016-08-02 19:35:11
Address:
License:
42949 Madio
906115
City/State/Zip: -
Phone:
Indio CA 92201 _ —
760-360-2202
s - -
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. 216-A0288813A-000000000-0000Registration Date/Time: ', ;2016-08-02 19:35:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -.2013 Residential Compliance i Report Version: 2013 Rev 1.007 • _ _ Report Generated: 2016-08-02- 19:34:38 '
Schema Version: 0.555SDD _ '