Loading...
BMCH2015-044678-495 CALLE TAMPiCO D VOICE (760) 7717-7125 LA QUtNTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT:INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/10/2015 Application Number: BMCH2O15-0446 Owner: Property Address: 79195 MANDARINA DENNIS MOGENSEN APN: 776280012 5251 N QUAILSUMMIT WAY Application Description:- MOGENSEN /CHANGE OUT (2)16SEER/78AFUE SPLIT SYSTEMS BOISE, ID 92253 Property Zoning: Application Valuation: $9,000.00 Applicant: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO, CA 92201 ------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 1 hereby affirm under penalty of perjury one of the fallowing declarations:' 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ 1 have and will maintain a certificate of consent to sett -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the perfi rmance License Class: 0 C36 `License No.: 61 of the work for which this permit is issued. e % f © �� , I have and will maintain workers' compensation Insurance, as requiied by Date: ! 1 Contractor. Section 3700 of the Labor. Code, forthe 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 foithwith comply With those provisions. Contractor. CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO, CA 92201 i (760)360-2202 Lic. No.: 906115 OWNER -BUILDER CLCTION I hereby affirm under penalty of pedury th I am exempt from the Contractor's State License Law for the following reason (Sec. 70313, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 703LS by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars OSOO).: L -_-I 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 Ucense 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 ofthe 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.r_ 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: WARNING: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE G U I WF) L, AND SHALL SUMECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FiNES If PTO ONE HUNDRED THOUSAND DOUARS ($100,000). IN ADDITION TO THE COST 1* 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 st bjectto, the conditions and restrictions set forth on this application.` L Each person upon whose behalf this application is made, each person at ose 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, agenxs„and employees for any act or omission related to the work being performed under ori follawing issuance ofthis permit. i I'. 2. Any permit issued as a result of this application becomes null and void if work i3 not commenced within 180 days from date of issuance of such permit, or cessa ion of work for 180 days will sybject 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 bdilding . construction, and hereby authorize representatives ofthis city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Ageht): A' TINA Q 0 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAIDDATE LH BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/(3015 PAID BY METHOD RECEIPT # CHECK # CLTD BY it: n CERTIFIED. COMFORT SYSTEMS INC CHECK R11158 20321 SKF�� Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PA16 DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $145.04 11 0/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY CERTIFIED COMFORT SYSTEMS INC CHECK R11158 20321 SK�H�I DESCRIPTION ACCOUNT QTY AMOUNT PAID PAIIIIDATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $7252 11/� p%115 PAID BY METHOD RECEIPT# CHECK# CL�, � BY CERTIFIED COMFORT SYSTEMS INC CHECK R11158 20321 Hi Total Paid for CHANGEOUT: $217.56 $217.56 1' -DESCRIPTION ACCOUNT QTY AMOUNT PAID PAI 'GATE. PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 11/30/15 PAID BY METHOD RECEIPT# CHECK# CLT1D�BY CERTIFIED COMFORT SYSTEMS INC CHECK R11258 20321 SKH 11, ..I Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $320.41 o Description: MOGENSEN / CHANGE OUT (2) 16SEER/78AFUE SPLIT SYSTEMS Type: MECHANICAL Subtype: Status: ISSUED Applied: 11/30/2015 SKH Approved: 11130/2015 MMO Parcel No: 776280012 Site Address: 79195 MANDARINA LA QUINTA,CA 92253 Subdivision: TR 28447 Block: Lot: 30 Issued: 11/30/2015 MMO Lot Sq Ft:0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,000.00 Occupancy Type: Construction Type: Expired: 5/28/2016 MMO No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (2)16SEER/78AFUE SPLIT SYSTEMS (2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. „_, J Appllea to:Appioved - . AAPibvee to-35sueii Printed: Thursday, December 10, 2015 11:06:56 AM 1 of 2 _ $YSlBMti DESCRIPTION' ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/30/15 1111158 20321 CHECK CERTIFIED COMFORT SKH SYSTEMS INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT- 1010000-42402 0 $145.04 $145.04 11/30/15 1111158 20321 CHECK CERTIFIED COMFORT SKH SPLIT -SYSTEM SYSTEMS INC HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $72.52 11/30/15 R11158 20321 CHECK CERTIFIED COMFORT SKH SPLIT -SYSTEM PC SYSTEMS INC Total Paid for CHANGEOUT: $217.56 $217.56 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 11/30/15 R11158 20321 CHECK CERTIFIED COMFORT SKH SYSTEMS INC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 • • i .41 INSPECTIONS PARENT PROJECTS Printed: Thursday, December 10, 2015 11:06:56 AM 2 of 2 eYS7EM5 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-dy 4 4 Qa!A& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0446 Property Address: 79195 MANDARINA APN: 776280012 Application Description: MOGENSEN / CHANGE OUT (2) 16SEER/78AFUE SPLIT SYSTEMS Property Zoning: Application Valuation: $9,000.00 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: ` ' Contractor: OWNER-BUIER D LARAT f I hereby affirm under penalty of perjury th am� ipt 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.). (_J 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 i 111111 11111 1111 1111 72 VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/2015 Owner: DENNIS MOGENSEN 5251 N QUAIL SUMMIT WAY BOISE, ID 92253 Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET 4 INDIO, CA 92201 (760)360-2202. LIC. 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. ':Ia: I have andwill 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.Co e, I all forthwith comply with those provisions. Date: 7� Applicant: WARNING: FAILURE TO SECURE WORKeRIMOINALMALTIES PION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T 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 Ctuinta, 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. Date: o 7 Signature (Applicant or Agent . 4 I K p W NRMIATIO,,,, ,NDESCRIPTIONINL.24g,141, -ACCOUN COUNT, PAID ,;W, AM BSAS-SB1473 FEE 101-0000-20306 0 s1.00 $0.00 CHECWW�1, 7=1 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:'. $1.00. $6.00. .�S; E, 4 'jACCOU i WN Mnrl­ 5� '9PA! M ;DOC. 4, r PAI HVAC CHANGEOUT SPLIT -SYSTEM 101-0000-424012 0 $145.04 $0.06 Q, M,­­`,� �VCLTVBY;-'�- !�qHOI �W_MMER, rAM ki -RECEIKT�f MM -DESCRIPTION wj- _5 AWUNV� -,' DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-6000-42600 0 $72.52 $0.00 V METHOD g ffl]CHECW#E�, 'I'NtLTE).Zy�,.- .1 _E- S X-11. NIN 41,.A�,4�-,,�-j �RECEIPTI#­ 4"M 47, Total Paid for CHANGEOUT: .$217.S6 $0.00 ACCOUNT R� Rn AMOUNT U NT -L i4MV- IM P AID'A" ;DESCRIPTION M ON if Z3P 2"M PERMIT ISSUANCE I S 101-0000-.42404 0 $91.85 ' I $0.00 ---------- -- — 4". _j,:, Zll�­.��._ Vi—M # 1 4, RECEIPT'g" Ec Total Paid forPERMITISSUANCE: $91.85 $0.00 Tot .00, Description: MOGENSEN / CHANGE OUT (2) 16SEER/78AFUE SPLIT SYSTEMS Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 11/30/2015 SKH Approved: Parcel No: 776280012 Site Address: 79195 MANDARINA LA QUINTA,CA 92253 Subdivision: TR 28447 Block: Lot: 30 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: HVAC CHANGE OUT- (2)16SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI. CITY STATE ZIP PHONE FAX EMAIL . ,. APPLICANT- CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO CA 92201 CONTRACTOR CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO CA 92201 OWNER DENNIS MOGENSEN 5251 N QUAIL SUMMIT WAY BOISE ID 92253 Printed: Monday, November 30, 2015 2:46:11 PM 1 of 2 CR SYSTEMS INSPECTIONS Printed: Monday, November 30, 2015 2:46:11 PM 2 of 2 r SYS TFMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $145.04 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $217.56 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0.40.00 INSPECTIONS Printed: Monday, November 30, 2015 2:46:11 PM 2 of 2 r SYS TFMS C6 .-KATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: 79-195 Mandarina I Date Prepared: 2015-11-28 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 MR -ALT -02 document for each dwelling unit. 01 Project Name 79-195 Mandarina 02 Date Prepared 2015-11-28 . 03 Project Location 79-195 Mandarina 04 Building Type Single family 05 . CA City La Quinta 06 Dwelling Unit Name 79-195 Mandarina 07 Zip Code 92253 08 Dwelling Unit Conditioned 2577 ak � *+..a r mx a U - �: � Irk Floor Area (ft2) SC System SC System CFA served ystem ai'. -- i refrigerant (-Installingxnevrk yF.., b- Number of space conditioning stalling I W 09 Climate Zone 15 10 (SC) systems in this dwelling 2 ducted R containing b system more than 40 unit. entirely new B. Space Conditioning (SC) System Informationff 01 02 03 04t ;05 061)" 07` 08 L 09 10 .14 � +.� 4- �k.ls the SC , '� `�.: Installing a ak � *+..a r mx a U - �: � Irk SC System SC System CFA served ystem ai'. -- i refrigerant (-Installingxnevrk yF.., b- x '€ stalling I W Ynstalling- 1l Installing Identification or Location or Area by this SC ducted R containing b system more than 40 4 .„ en irely'new 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 (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A6408696A-000000000-0000 Registration Date/Time: 2015-11-28 13:34:21 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-28 13:33:27 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 1S0.2(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 new Central split All new This field or This -field or System 1 HP heating AFUE 0.78 AC cooling SEER 16 Setback section is not section is not components components applicable applicable Central split All new Central split All new This field or This field or System 2 HP heating AFUE 0.78 AC cooling SEER 16 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. . CF211-MCH-20-H & CF311-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%, ors 10% leakage to outside, or seal all accessible -leaks. r, MR -MCH -25-H & CF3R-MCH-25-H Refrigerant Charge Verification required whe?=refrigerant containing components are installed or altered,(gppllcable in CZ :2; 8-15), CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required Exceotions: 1 ti f ' `� "I k from \ Duct systems registered with HERS provider as previously sealed'are exempt o MCH 20 D ct,Leaka e,Testin re wrements. Air do Air -Heating-only systems and Handler/Furnace changes not require verification of Flow MCH -23, or Refrigerant Charge MECH-25. Existin ducts stems constructed, insulated or sealed with asbest s'arp�exem t from.MCH'20Dur =6eaka age -Testing requirements. g Y p g g Q ( r.e E: Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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: 215-A6408696A-000000000-0000 Registration Date/Time 2015-11-28 13:34:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-28 13:33:27 ' GM- v...-;_ n ccccnn CERTIFICATE OF COMPLIANCE CF111-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 70rJ/ Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC 2015-11-28 13:34:21 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 Part 6 of the California Code of Regulations. 4.j � *- A 6�� dothec•applicable 4. The building design features or system design features identified onAhis Certific�of Cgmpliance arerconnsi�ste'nt.wi the in�ormatton;provided on compliance documents, worksheets, calculations, plans and specifications submitted -to the enforcement agency for approval,w6 this building per application. N;0. i fi + iYd J.# . # S. 1 will ensure that a registered copy of this Certificat of�Comtpliance shall be:made.available with the bull.ding permit(s),issu,etl forrthe.0uild'Ing, and ma8e available,19 he enforcement agency for all applicable inspections. I understand that a registered copy of this•Certificate of Complkance is required to be included the�documeentation the,.builder gpyides to,the building owner at occupancy. with Responsible Designer Name: _11* ..:+ Responsible Designer Signature: V a 11-1.0, A-1 Hyde, Mark Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2015-11-28 13:34:21 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 no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A6408696A-000000000-0000 Registration Date/Time: 2015-11-28 13:34:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-28 13:33:27 Schema Version: 0.55SSDD I Bln.# Cray .0f La Quintd Btdlding a Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta; CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # '/Ulf�`�U/ Project Address: — A915 Owner's Name: A. P. Number. Address: �' Legal Description: Contractor: =4 City, ST, Zip: 2 Telephone: 6 �M M "!s Project Description: Address -A2--.49- City, ST, Zip: 4% Telephone: o `-� 7 =�bo I; sari%� r. State Lic. # : City Lie. Cie Arch., Engr., Designer. Address: City,, ST, Zip: Telephone: v tN\ , . :> ,t ;, Construction Type:. Occupancy: State Lic. #:.� Project type (circle otic): New Add'n Alter Repair Demo Name of Contact Person:Sq. Ft : # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Redd TRACMG PERMFrFEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plait Check Balance Title 24 Cates. Plans picked up Construction " Flood plain plan Pians resubmitted.', Mechanical Grading plan tad Review, ready for correctionslissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1i° Review; ready for correctionsrissucDeveloper Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees