BMCH2016-044778-495 CALLE TAMPICO
D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &'DEVELOPMENT DEPARTMENT
• INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/13/2016
Application Number: BMCH2O16-0447 Owner:
Property Address: 49025 VISTA ESTRELLA DAVID CROCKETT
APN: 602240024 � s,^� a 9025 VISTA ESTRELLA
Application Description: CROCKETT RESIDENCE / HVAC CH kIjIGEfO T QUINTA, CA 92253
Property Zoning: v
Application Valuation: $11,000.00. DEC 14 2016
Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES CITY OF LA QUINTA p� RTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET DESIGN AND DEVELOPMENT UEPARTMEC-949 MADIO STREET
INDIO, CA 92201 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:�0,6 Contractor:
OWNER-BUILDEREC TION
I hereby affirm under penalty of perjury that I empt 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 (Chapter9 (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
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-builderwill 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 Address:
(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: 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 hall forthwith
comply with those provisions.
Date:12,6, Applicant:
WARNING: FAILURE TO SECURE WORKERS' C ENSAT COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI AL PE IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10 ,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 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-ment'ned property for inspection purposes.
Date'' Signature (Applicant or Agent
Date: 12/13/2016
. Application Number: BMCH2O16-0447
Owner:
Property Address: 49025 VISTA ESTRELLA
DAVID CROCKETT
APN: 602240024
49025 VISTA ESTRELLA
Application Description: CROCKETT RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $11,000.00
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
-------------------------------------------------------------------------------.--------------
Uc. No.: 906115
Detail: (2) HVAC CHANGE OUT -.16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
FINANCIAL INFORMATION
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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT -SPLIT-SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PERMIT ISSUANCE
101-000042404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
I
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R7ALT HVAC) (Page 1 of 3 )
Project Name: 49025 Vista Estrella Date Prepared: 2016-12-13
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
49025 Vista Estrella
02
Date Prepared
2016-12-13
03
Project Location
49025 Vista Estrella
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
49025 Vista Estrella
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
.
Location or Area
. by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2.
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
01
02
03
04
�05a
; -06 `t`2-1
07_
08
09
10
'',Is the SC
Installing 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
living area
1200
Yes
Yes.
Yes
No
No
No .
Altered space
conditioning system
System 2
bedrooms
1200
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: 216-A0459560A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-12-13 10:28:52
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-12-13 .10:29:29
CERTIFICATE OF COMPLIANCE CF1R-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
it
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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
78
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or '
This field or
System 2
furnace
heating
AFUE
78
AC
cooling
SEER
13
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 whenmore than 40 ft of duct length is replaced.
-Leakage.rate compliance: 5 15%, or15 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH=25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing.compone_nts 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 required. a'
Exceptions:
-
-Duct systems registered with HERS provider as previously sealed are exempt from. MCH -20 Duct Leakage Testing requirements.
-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 requirements.
.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)1C)
This section. does not apply to this project.
Registration Number: 216-A0459560A-000000000-0000 Registration Date/Time: 2016-12-13 10:28:52
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 -
Schema Version: 0.5555DD
HERS Provider: CalCERTS
Report Generated: 2016-12-13 10:29:29
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: 11 J
Hyde, Mark'
QiP/
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016-12-13 10:28:52
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 system design identified on this Certificate of Compliance conform to the
'ti
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.bf Compliance are consistent with the information provided omothe_r applicable`compliance documents, worksheets,
calculations, plans and specifications submitted tothe enforcement agency for,approval with this building permrt application.
S. 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 Compliance is..required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:Responsible
Designer Signature:
Hyde, Mark
Company:
Date Signed: -
CERTIFIED COMFORT SYSTEMS INC
2016-12-13 10:28:52
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.
R•
Registration Number: 216-AO45956OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: , 2016-12-13 10:28:52
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-12-13 10:29:29