BMCH2017-0249VOICE (760) 777-7125
78-495 CALLE TAMPICO T 0 D -`
cu
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/19/2017
Application Number: BMCH2O17-0249 Owner:
Property Address: 78735 WAKEFIELD CIR DENNIS'& JOAN+JE JOHNSON
APN: 604431009 78735 WAKEFIE-D CIR
Application Description: JOHNSON RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $10,225.00 117-0
Applicant: s ontractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES q CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIQ.STREET JUN 2 ®.2017 2-949 MADIO STREET
INDIO, CA 92201 INDIO, CA 92207 '
CITY OF LA QUINTA (760)360-2202
DESIGN AND DEVEL OR1,1ENT DEPARTMENTLIc. No.: 906115
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: Cj a 036 License No.: 906115
-Date: W I/ —I .L 1 1= --Contractor: ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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
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 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 forby Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
PA�Uave 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 whichAhis permit is issued, I
shall not employ any person in any manner sc 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 hose pr isions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,040). 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 the 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 appli_ation 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 s°ate that the above information is correct.
I agree to comply with all city and county ord mantes and.state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -menti ned p operty for inspection purposes.
Date: Q Signature (Applicant or Agent):
`e
Date: 6/19/2017
Application Number:
BMCH2O17-0249
Owner.
Property Address:
78735 WAKEFIELD CIR
DENNIS & JOANNE JOHNSON
APN:
604431009
78735 WAKEFIELD CIR
Application Description:
JOHNSON RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$10,225.00
Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COM=ORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET .
42-949 MADIO STREET
INDIO, CA 92201
INDIO, CA 922'0-
(760)360-2202
Llc. No.: 906.115 '
Detail: HVAC CHANGE OUT
- 20 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
I
''�'°, ..�.. ,, .. � :FIN�NCI�I INF(1RM�TInN`. � •',•• .
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
A
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: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Bin #
City of La Quinta
Building a Safety Division
Permit.#
P.O. Box 1504, 78-495 Calle Tampito
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:'
i
Owner's Name:
A P. Number:
Address: (�
�A
• .
Legal Description:
City, ST, Zip: ;
Contractor: / 2v tl (
�� ^�. S5 A
Telephone:
Address: % 7
&j10>Project
Description:c C
City, ST, Zip: �O
A Z� d I
sum— lb 19—
Telephone: 6 Cj _
ZZdZ
State Lie. # : q 06_ j.
City Lic. #: �Z
Asch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
P cY:
State Lic. #:
Project type (circle one): New Add --n Alter Repair Demo
Name of Contact Person:
Sq. Ft
4 # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Recd TRACIMG
'
PERMTT FEES
Plan Sets
Plan Check submitted Item
Structural Calcs.
Amount
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2Od Review, ready for correciionsftue Electrical
Subcontactor List
Called Contact Person Plumbing '
Grant Deed
Plans picked up
S.XL
H.O.A. Approval
Plans resubmitted Grading
INHOUSE:-
Review, ready for corrections/issue Developer In •pact 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-ALT02-E
Alterations to Space Conditioning Syste . ms (formerly CF-1R7ALTHVAC)
(Page 1 of 3)
Project Name:' 78735 Wakefield Circle Date Prepared: 2017-06-16
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
CFIR-ALT-02 document for each dwelling unit.
01
Project Name
78735 Wakefield Circle
02
Date Prepared'
2017-06-16
03
Project Location
78735 Wakefield Circle
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
78735 Wakefield Circle
07
Zip Code
92253
08,
Dwelling Unit Conditioned
1651
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of Space
more than 40*
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
IkB. Space Conditioning (SC) System Information
01
02
0306'
04
W"
Si
169.
10
"'is the S6._
In"stalli"hig-a
N
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location I _F1600
I
Yes
Yes
Yes
No
No
No
Altered space
.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)lDiib)
This section does not apply to this project.
Registration- Number: 217-A020204358A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-16 11:50:39
Report Version: 20.16.1.005
Schema Version: rev 10/16
r
HERS Provider: CalCERTS
Report Generated: 2017-06-16 11:51:14
CERTIFICATE OF COMPLIANCE CFIR-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)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
Centrals lit
P
All new
Central split
All new
This field.or
This field or
System 1
HP
heating
heating
AFUE
81
cooling
SEER
20
Setback
section is not
section is not
components
components
applicable.
applicable
Required Documentation
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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 and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per 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
Heating-only,systems and Air Handler. Furnace changes do not require verification of Air Flow MCH 23 Kor Refrigerant Charge MCH -25
Existing duct systems constructed, insulated or sealed with asbestosere exemptfrom MCH-20-DucU Leakage Testing requi
rements.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 217-A020204358A-000-000-0000000-0000 Registration Date/Time: 2017-06-16 11:50:39
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 .
Schema Version: rev 10/16
HERS Provider: CalCERTS
ReportGerierated: 2017-06-16 11:51:14
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: J
Hyde, Mark
6LP/
Company:'
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2017-06-16 11:50:39
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
requirements of Title 24, Part 1 and Part6 of the California Code of Regulations. 1F *�"" zy
4. The building design features or system design features identified on_this Certificate'of Compliance are conslstent�wiitth''the informations provided on otherlapplicab* e`compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement=agency for„approvaY,luywith this building permit application. icy
5. I will ensure that a registered copy of this Certificate of Compliance shall be made;ayailable wrth the building permit(s); issued forahe b 'ildin"g, and;made available.to the',enforcement agency for all applicable
inspections. I understand that a registered co of this Certificate of Com liance is,re uired to be included with the documentation the builder rovides tc the buildin owner at occupancy.
P g PY P q p.. g
a•. q- s ,
Responsible Designer.Name:
Hyde,
Responsible Designer Signature: .4 1` f A
W464
Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
'2017-06-16 11:50:39
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
7 G0 -3G0-2202
Easy to Verify
at CaICERTS.com
}
Digitally signed b CaICERTS. This digital signature is provided in order to secure.the content of this registered document, and in noway implies Registration Provider responsibility f
9 Y 9 Y 9 9 P 9 Y P 9 P Y
the accuracy of the inform
Y IJ
• Registration Number: 217-A020204358A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-16 11:50:39
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-16 11:51:14