BMCH2016-038978-495 CALLE TAMPICO D �itiN{Aiil/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0389
Property Address: 80480 VIA TALAVERA
APN: 777270004
Application Description: SERGEEFS / CHANGE OUT (1)18SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $8,000.00
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: 10 / Zf4 /1 b ' Contractor:. /� l., / /
OWNER -BUILDER DE RATIO
I hereby affirm under penalty of perjury that I a exempt ro the Contractor's State
License Law for the following reason (Sec. 703 , Busine nd Professions Code: Any
city or county that requires a permit to const ct, 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).:
(1 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/2016
Owner:
WALTER SERG
92253 OCT 28 ?016
CaM,yUN�O^IyOF��f�.�_
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 th wo r 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 polity 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 t abor Code shall forthwith
comply with thse pro'sions.
Date: W—WApa
WARNING: FAILURE TO SECURE WORKERS' PE SA OVERAGE I5 FUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI AL I ES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($1 00).
1:
DDITION TO THE COST OF
COMPENSATION; DAMAGES AS PROVID FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'SFEES. I
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth. on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter "he
above -menti �nje$d property for inspection purposes.
Date: Signature (Applicant or Agent)
17-1
0-
Date:10/25/2016
Application Number: BMCH2O16-0389 Owner:
Property Address: 80480 VIA TALAVERA WALTER SERGEEFF
APN: 777270004
Application Description: SERGEEFS / CHANGE OUT (1)185EER/78AFUE SPLIT SYSTEM 92253
Property Zoning
Application Valuation: $8,000.00
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.: CHANGE OUT (1)18SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013
CALIFORNIA BUILDINd CODES. "
r
f ,
'FIN!
DESCRIPTION
! !
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT:
$114.00
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
TOTALS:
$96.27
$211.27
!
1
Bin. #
City of La Quinta
Building 8z Safety DiWilon
P.O. Box 1504,78-495 Calle Tampico
Ld.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: ,
Owner's Name:.
A. P. Number.
Address:
Legal Description:
Contractor:
City, ST, Zip: L Ai\
Telephone: fati?
M. ko
Address: —�
Project Description:
City, ST, Zip:.- K1
��7
DL L1
Telephone:
V
State Lic. # :
City Lic. #:
Arch., Engr., Designer.
Address:
City., ST. Zip:
Telephone: Y " 1
State Lic. #: r ~i
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#units:
Telephone # of Contact Person:
Estimated Value of Project: j
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd TRACMIlNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Strgcturai Cates.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cafes.
Called Contact Person
Pian Check Balance
Title 24 Calci.
Plans picked up'
Construction
Flood plain plan
Plans resubmitted...
Mechanical
Grading plea
tad Review, ready for correctiousfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Gradlug
IN KOUSE:-
'"' Review, ready for correctionsfissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.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: 80480 Via Talavera Date Prepared: 2016-10-25
A. General Information
MR -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
80480 Via Talavera
02
Date Prepared
2016-10-25
03
Project Location
80480 Via Talavera
04
Building Type
Single family
05
CA.City
La Quinta
06
Dwelling Unit Name
80480 Via Talavera
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
'$•. i` ASiY:lG1i d''A 'tifr
lig• `^vsaiPd err
...t %w
'4.AFf1'' S. :.
Floor Area (ft2)
SC System
SC System
CFA sery
yductecl
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in.this dwelling
1
containing
k
g system
o e than 40
unit.
entirely new
B. Space Conditioning (SC) System Information �, �� ,.�� �"• �• � �#
Ol
02
03
04
06
U7
08
09
10
m
LC
Is the. SC
a':7G 's` tid W<Y
Installing a
'$•. i` ASiY:lG1i d''A 'tifr
lig• `^vsaiPd err
...t %w
'4.AFf1'' S. :.
SC System
SC System
CFA sery
yductecl
refrigerant
Tinstalling new SC
'i
Installing
ilnstalling
Installing
Identification or
Location or Area
by this SC
containing
k
g system
o e than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
`Altered
` System 1
living area
2000
Yes
Yes
Yes
No
No
No
space
conditioning system
C: Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-AO39813OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
-
Registration Date/Time: 2016-10-25 09:37:29
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-10-25 09:37:19
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (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 split
All newAll
'Central split
new
This field or
This field or
System 1
HP
heating
AFUE .
• 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: <_ 15%, or <_ 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).
CF2RCFM MCH -23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
..sJn{:r. �v+.," 1 it 'S. tr y/ ark' S �"r+ A %i'�-+
-
k_e'tli..
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-, or Refrigerant Charge MECH 25
yfrom 20 s
,
Existing duct systems constructed, insulated or sealed with asbestos are exemp MCH Ductyleakage Te541g:reguiremen
sn4
W %1 :E � AYY A 74 1�
.y ity �':aeYn MY ].u%nvrwr VW44 .sem A T•Y.kl.-'•Jy�h;� •i: i1 wL ';v`h`•u]✓. ..`,Y: _
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.
R`fntirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to'this•project.
Registration Number: 216-AO39813OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-10-25 09:37:29 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.008 Report Generated: 2016-10-25 09:37:19
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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.
Documentation Author Name:
Documentation Author Signature:
Hyde, Mark
Company: `.
Signature Date:
CERTIFIED COMFORT SYSTEMS INC -
2016-10-25 09:37:29
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. 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 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 gonslstent with°the information provided ontotherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for, approval,with this building permit application. ,4�'�
Coliance shall :be:made=available with�th.e building permit(s).issued for.thet.buildf9g, and;made available to;the enforcement: agency for all applicable
5. 1 will ensure that a registered copy of this Certificate ofmp
inspections. I understand that a registered copy of thiW', t ficate of Compliance isrequiredto be included with th Ydocumentation thebuilderprovides to the building owner at occupancy.
Designer Name:
Hyde, Mark
ile De
sgiPr Responsbiner Sgnature:Responsible
Company:
Date Signed:
CEPTIFIED COMFORT SYSTEMS INC
2016-10-25 09:37:29
Ad(fress:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202 -
0
Digitally signed by Ca10ERTS. 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-AO39813OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Tirrie: 2016-10-25 09:37:29
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-10-25 09:37:19