BMCH2016-002878-495 CALLE TAMPICO
,..
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O16-0028
Property Address:
49025 VISTA ESTRELLA
APN:
602240024
Application Description:
CROCKET RESIDENCE / I
Property Zoning:
Application Valuation:
$7,000.00
11111 1111 1111
27
ii 4 �i " auuUW
L
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 .
BUILDING PERMIT
Date: 2/18/2016
Owner:
DAVE CROCKET
49025 VISTA ESTRELLA
LA QUINTA, CA 92253
�f; �jr ` 0
Applicant: %('
���T• ✓Q,„ 2Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDESj�r�^'F�{`y CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET V, 42-949 MADIO STREET
INDIO, CA 92201 a9T�>c •_ 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: L-1 LU / I.b Contractor:
OWNER -B U I LDER PECLAVATI ON
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:
(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: _ 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 forthwith
comply with
)I those provisions.
Date: �, 6 f 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 ($100,000). 1 DDITION 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-mentioned property for inspection purposes.
Date: b Signature (Applicant or Agent):
1 r
TINANCIALINFORMATION
&DESCRIPTION} ACCOU QT,Y PA D PAI DATE
�-yAMOUNT4
BSAS SB1473 FEE 101-000040306 0 $1.00 $1.00 2/18/16
. ERC Pv^'T.# CHCK DY
PAIR,
r v,.
CERTIFIED COMFORT SYSTEMS INC CHECK R13018 20357 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
:�,v
- DESCRIPTION ��r:
+�..Y':X
ACCOUNT r
QTYA
OUNT,���PAID
PAID`=DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72:52
2/18/16
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PAID BY
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METHOD
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RECEIPfiT #
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CHECK"
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�DESGRIPTION� ������
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HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0 ..
$36.26
$36.26
2/18/16
�, fi PAID BY�
��
RECEIPT#
�:.f.METHOD,
�..
'
K #�BY
CERTIFIED COMFORT SYSTEMS INC"
CHECK
R13018
20357
MFA
Total Paid for CHANGEOUT $108.78 $108.78
aQ r n s a e
OESCRIPTION�
`ACCUUNT.' �,
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AMOUNT v
PAID •PAIODATE
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PERMIT ISSUANCE
101-0000-42404.
'0
$91.85
$91.85
2/18/16.
PAID BY o
METHOD
RECEIPT#II
CHECK #
CCTD B
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CERTIFIED COMFORT SYSTEMS INC
CHECK
R13018
20357
MFA
Total Paid for PERMIT ISSUANCE: $91.85 .$91.85,
•
`� Permit Details PERMIT NUMBER
City of La Quinta BMGH�2t116 0028
.w
Description: CROCKET RESIDENCE / HVAC CHANGE OUT
CONDITIONS
Type: MECHANICAL Subtype:
Status: ISSUED
Applied: 2/18/2016 MFA
Approved: 2/18/2016 MFA
Parcel No: 602240024 Site Address: 49025 VISTA ESTRELLA LA QUINTA,CA 92253
Subdivision: TR 29457-1 Block:
Lot: 100
Issued: 2/18/2016 MFA
Lot Scl Ft: 0 Building Sci Ft: 0
Zoning:
Finaled:
Valuation: $7,000.00 Occupancy Type:
Construction Type:
Expired: 8/16/2016 MFA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
FAX
Details: HVAC CHANGE OUT - 167.SEER/78 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CERTIFIED COMFORT SYSTEMS INC
DBA HYDES
42-949 MADIO STREET
Applied to Approved
Approved to Issued
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
(760)771-2983
CONTRACTOR
CERTIFIED COMFORT SYSTEMS INC
DBA HYDES
42-949 MADIO STREET
INDIO
CA
92201
(760)771-2983
OWNER
DAVE CROCKET
49025 VISTA ESTRELLA
I LA QUINTA
I CA
I 92253
1 (760)771-2983
Printed: Thursday, February 18, 2016 10:20:43 AM 1 of 2 ri
sysrrMs
Printed: Thursday, February 18, 201610:20:43 AM 2 of 2 r�".
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/18/16
R13018
20357
CHECK
CERTIFIED COMFORT
MFA
SYSTEMS INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
2/18/16
R13018
20357
CHECK
CERTIFIED COMFORT
MFA
SPLIT -SYSTEM
SYSTEMS INC
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
2/18/16
R13018
20357
CHECK
CERTIFIED COMFORT
MFA
SPLIT -SYSTEM PC
SYSTEMS INC
Total Paid for CHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
FO
$91.85
$91.85
2/18/16
R13018
20357
CHECK
CERTIFIED COMFORT
MFA
SYSTEMS INC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
Printed: Thursday, February 18, 201610:20:43 AM 2 of 2 r�".
SYSTEMS
Bin.#
City. of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
1.a.Quinta, CA 92253 - (760) 777-7012
Building Permit Appiication and Tracking Sheet
Permit #
Project Address: —025Owner's
Name:.
A. P. Number.
Address: 4-9--M- V a
Legal Description:City,
ST, Zip:
Contractor.
Telephone:76lAl)
z 4 µx
Address:
Project Description:
City, ST, Zip:
Telephone: ✓ ®� -� �� �yIM ef c
5
State Lic. # :
City Lie. #•:
Arch., Engr., Designer.
Address:
City,, ST, Zip:
Telephone:
State Lic. #:
„ n
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Unitp:
Telephone # of Contact Person:
Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS UNE
11
Submittal
Req'd
Recd
TRACMG PERMIT FEES
Plgn Sets
Plan Cheek submitted Item
Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance.
Title 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted _ . Mechanical
Grading plan
2"Review, ready for correctionsliissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up SALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''d Review, ready for correcdonslissue 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 -1R -ALT HVAC) (Page 1 of 3 )
Project Name: 49-025 Vista Estrella FDate Prepared: 2016-01-26
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
49-025 Vista Estrella
02
Date Prepared
2016-01-26
03
Project Location
49-025 Vista Estrella
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
49-025 Vista Estrella
07
Zip Code
92253
08
Dwelling Unit Conditioned
3771
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
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
01
02
03
04
l OS
06
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
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-AO03510BA-000000000-0000 Registration Date/Time: 2016-01-26 18:25:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 16:23:42
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
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 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
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-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%, or:5 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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provideres 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)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0035108A-000000000-0000
Registration Date/Time: 2016-01-26 18:25:14
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 16:23:42
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
/e( moo/
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2016-01-26 18:25:14
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 inanufactured 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. The building design features or system design features identified on this Certificate bf Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit'application.
5. 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 Sig�edi ..._._.
CERTIFIED COMFORT SYSTEMS INC
2016-01-26 18:25:14
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-A0035108A-000000000-0000 Registration Date/Time: 2016-01-26 18:25:14 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-26 16:23:42
Schema Version: 0.555SDD