BMCH2016-004978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,&y 44w Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0049
Property Address:
51950 AVENIDA RUBIO
APN:
773162010
Application Description:
DAVIS / CAHNGE OUT (1) 14SEER/78AFUE PACKAGE SYSTEM
Property Zoning:
51950 AVENIDA RUBIO
LA QUINTA, CA 92253
Application Valuation:
$6,000.00
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 -BUILDER D LA
I hereby affirm under penalty of perjury that ame pt from the Contractor's State
License Law for the following reason (Sec. 7031.5, 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 ) 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
Lender's Address:
57
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
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'
ompensation, as provided for by Section 3700 of the Labor Code, for the performance
f th�for which this permit is issued.
`10 1 have and will maintain workers' compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit
issued. My workers' compensation insurance carrier and policy number are:
arrier: _ Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
hall not employ any person in any manner so as to become subject to the workers'
ompensation laws of California, and agree that, if I should become subject to the
corkers' compensation provisions of Sec01NAL;OiLl
Labor Code, I shall forthwith
omply with those provisions.
late: / �O Applicant:
VARNING: FAILURE TO SECURE WORKERN COVERAGE IS UNLAWFUL,
,ND SHALL SUBJECT AN EMPLOYER TO CIES AND CIVIL FINES UP TO
INE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
VTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
VIPORTANT: Application is hereby made to the Building Official for a permit subject to
ie conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
aquest and for whose benefit work is performed under or pursuant to any permit
;sued as a result of this application , the owner, and the applicant, each agrees.to, and
hall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any act or omission related to the work being performed under or
)Ilowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
of commenced within 180 days from date of issuance of such permit, or cessation of
Iork for 180 days.will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
Dnstruction, and hereby authorize representatives of this city to enter upon the
bove-mentioned property for inspection purposes.
ate: �� Signature (Applicant or Age
Date:
3/10/2016
Owner:
ERIN DAVIS
51950 AVENIDA RUBIO
LA QUINTA, CA 92253
_
Contractor:
•,
H�
CERTIFIED COMFORT SYSTEMS,
INC�,DBA� .--HY,DESI
42-949 MADIO STREET
`
E
ry
INDIO, CA 92201
`y
-•
(.760)360-2202
Llc. No.: 906115
..a-...-,.....
WORKER'S COMPENSATION DECLARATION
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'
ompensation, as provided for by Section 3700 of the Labor Code, for the performance
f th�for which this permit is issued.
`10 1 have and will maintain workers' compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit
issued. My workers' compensation insurance carrier and policy number are:
arrier: _ Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
hall not employ any person in any manner so as to become subject to the workers'
ompensation laws of California, and agree that, if I should become subject to the
corkers' compensation provisions of Sec01NAL;OiLl
Labor Code, I shall forthwith
omply with those provisions.
late: / �O Applicant:
VARNING: FAILURE TO SECURE WORKERN COVERAGE IS UNLAWFUL,
,ND SHALL SUBJECT AN EMPLOYER TO CIES AND CIVIL FINES UP TO
INE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
VTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
VIPORTANT: Application is hereby made to the Building Official for a permit subject to
ie conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
aquest and for whose benefit work is performed under or pursuant to any permit
;sued as a result of this application , the owner, and the applicant, each agrees.to, and
hall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any act or omission related to the work being performed under or
)Ilowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
of commenced within 180 days from date of issuance of such permit, or cessation of
Iork for 180 days.will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
Dnstruction, and hereby authorize representatives of this city to enter upon the
bove-mentioned property for inspection purposes.
ate: �� Signature (Applicant or Age
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
PAID BY :, .>. METHOD
RECEIPTV : CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD': '
RECEIPT4.
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY .
' AMOUNT
PAID :
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
' . . METH OD
RECEIPT # -
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $60.43 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
: CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
Description: DAVIS / CAHNGE OUT (1) 14SEER/78AFUE PACKAGE SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/10/2016 SKH
Approved: 3/10/2016 SKH
Parcel No: 773162010 Site Address: 51950 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 34 Lot: 15
Issued:
UNIT 2
ZIP
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
42-949 MADIO STREET
Details: HVAC CHANGE OUT- 14SEER/78AFUE PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
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
ERIN DAVIS
51950 AVENIDA RUBIO
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Thursday, March 10, 2016 2:18:06 PM 1 of 2 V?
sysreMs
— - --- -- -. -- ._. --
--. - _
_--.--
------- -_----------------
-- — - ----
-
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
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT =
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
ATTACHMENTS
Printed: Thursday, March 10, 2016 2:18:06 PM 2 of 2 r
sysreMs
� � ....
...
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P.O. Box 1504,78-495 Calle Tampico
Building Permit -Application'and Tracking Sheet
W4 VR
ProjectAddress:
Owner's Name
A. P.'Number:
Address: 15 AV#J1j4
k6
Legal Description:
City, ST, Zip:
Contractor:
Telephone:76()
Address: --Z�16 7J
Projec.t Description:
City, 5T, Zip: CA , ��2.V( -1 61"Mr-M-1-110011
360
'440k"
Arch., Engr., Designer.
Telephone:
StateLic..#: ....... ......
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq L29- F Uratfr.
Telephone # of C ontact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Plan Sets
Plan Check submitted. item Amount
Structural Coles.
Reviewed, ready for corrections Plan C beck Deposit.
Truss C21cs.
Called Contact Person Plan Check Balance.
Tide 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted.'. Mechafilcall
Subcontactor List
Called Contact Person 7flumbing
Grant Deed
Plans picked up S.M.I.
H.OA. Approval
Plans resubmitted Grading
IN HOUSE:-
3d Reylews ready for corrections/issuc Developer Impact Fee
Planning Approval.
Called Contact Person A.I.P.P.
Pub. lyks. Appr
Date of perm It Issue
School Fees
Total Permit Fees
� � ....
...
..........
............
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
51-950 Avenida RubioI Date Prepared:
CF111-ALT-02-E
(Page 1 of 3 )
2016-03-05
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'
51-950 Avenida Rubio
02
Date Prepared
2016-03-05
03
Project Location
51-950 Avenida Rubio
04
Building Type
Single family
05
CA City'
La Quinta
06
Dwelling Unit Name
51=950 Avenida Rubio
07
Zip Code
92253
08
Dwelling Unit Conditioned
1797
Y Installing °.
Installing
-Installing
Floor Area (ft2)
Location or Area
by.this SC
ducted
containing
system a
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type.
B. Space Conditioning (SC) System Information w
r ;
Ol
02
03
04",`
r OS's
06
07''
! 08
09
10
%_ Is the SC -9'
Installing a
''
t
SC System
SC System
CFA served
system a
refrigerant
Installing'new SC
Y Installing °.
Installing
-Installing
Identification or
Location or Area
by.this SC
ducted
containing
system a
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
Location 1
1600
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-A0087346A-000000000-0000
Registration Date/Time: 2016-03-05 13:40:20
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-05 13:39:24
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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
Central
All new �
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
0.78
packaged HP
cooling
SEER
14
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 & MR -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%, ors 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, 4-15).
CF2RCF3R-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.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.'-
i
-Existing duct -systems constructed, insulated or sealed with asbestosare exempt from MCH=20 Duct Leakage Testingxequirements.
.r
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections. 150.2(b)1Diia and+150.2(b)1E, F)
2 • r, ',-•• f' � ,., �.: -' moi.
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-A0087346A-000000000-0000 Registration Date/Time: 2016-03-05 13:40:20 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-05 13:39:24
Schema Version: 0.555SDD
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: /A .
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016-03-05 13:40:20
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 land Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificateof Compliance are consistent with the information provided on others applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement:agency for approval,with this building permit application. R =,
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be madeavailable 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: xs j 4 -
Responsible Designer Signature: L` J ' +' " '+•
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2016-03-05 13:40:20
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.
Registration Number. 216-A0087346A-000000000-0000 Registration Date/Time: 2016-03-05 13:40:20 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-05 13:39:24
Schema Version: 0.555SDD