BMCH2015-0165*a�
VOICE (760) 777-7125
78-495 CALLE TAMPICO
_
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
FAX,(760) 777-7011
��aY IIVSPECTIONSf(760) 777-7153
BUILDING PERMIT
ciry
COMMUNI)yO�Eip MQ�TO_ A�pat 5/14/2015
Application Number:
pp
BMCH2O15-0165
Owner: MEM'
Property Address:
55720 PEBBLE BEACH
MORLEY CARL
APN:
775170012
Application Description:
CARL RESIDENCE / HVAC CHANGE OUT
92253
Property Zoning:
Application Valuation:
$5,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC
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: Contracto
OWNER-BUI ECLA O
I hereby affirm under penalty of perju hat I am empt from the Contractor's State
License Law for the following reason (Sec. 7031.569'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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(� 1, 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.).
(1 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 agencyfor
the performance of themork for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
Contractor:
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET
INDIO, CA 92201
(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: _ Polity 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 C de, I shall forthwith
comply with th s rovisi s.
1
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' EN5A�ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TOC NINA ENALTIES 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, iridemnify 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 or inspection purposes.
Date: Signature (Applicant or Agent'
DESCRIPTION "9.
FINANCIAL INFORMATION
ACCOUNT r, ,`
=QTY= i,"„ AMOUNT�r PAID a z PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
METHOD!
®`:-RECEIPT # CHECK # x CLTD BY `
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 • $0.00
DESCRIPTION
ACCOUNT-, :
AMOUNTe.
.,PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0.
$72.52
$0.00.
PAID BY ', `: ,,
METHOD
; RECEIPT4, gi
CHECK # c -..
,;CLTD BY :.
-' DESCRIPTION - '
ACCOU NT
7
QTY
AMOUNT `
PAID
P AID DATE'
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
am ;METHOD
wf RECEIPT #
CHECK # '.
CLTD BY
1 Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION ; °
-'-,ACCOUNT ?;
_QTY
AMOUNT .:` ,,'
PA ?
PA
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
z
PAIO.BY i ; - -r
+ METHOD .
RECEIPT #
CHECK #
s :CtTD BY•
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
,1r1 " Permit Details PERMIT NUMBER
City of La-Quinta BMCH2O150165
Description: CARL RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/14/2015 MFA
Parcel No: 775170012 Site Address: 55720 PEBBLE BEACH LA QUINTA,CA 92253 Approved: 5/14/2015 MFA
Subdivision: TR 25397 Block: Lot: 12 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories:.O No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER/80AFUE SPLITS YSTEM (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, May 14, 2015 11:45:59 AM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY
•
NAMTYPE'-'
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ry NAME =
CONTACTS
AbDRESSl `CITY
s STATE ZIP'^ - PHONE FAX- EMAIL µ
APPLICANT
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET INDIO
CA 92201
CONTRACTOR
CERTIFIED COMFORT SYSTEMS INC
42-949 MADIO STREET INDIO
CA 92201
OWNER
MORLEY CARL
92253
Printed: Thursday, May 14, 2015 11:45:59 AM 1 of 2
SYSTEMS
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"DESCRIPTION'
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,AMOUNT'
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QTY
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PAI D.,
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METHOD*.
.,; A BY`.-
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HVAC C.HANGEOUT -
101-0000-42402
0
$72.52
.$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0.
$36.26
$0.00
SPLI.T-SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:��
REVIEWS
a RETURN_EO STATUS REMARKS
REVIEW •TYPE REVIEWER - :SENT DATE DUE DATE NOTES'
- DAT
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a -
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ATTACHMENTS
Printed: Thursday, May 14, 2015 11:45:59 AM 2 of 2
SYSTPMS
ko
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CF111-ALT-02-E
(Page 1 of 3 )
Project Name: 55-720 Pebble Beach I Date Prepared: 2015-05-14
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
55-720 Pebble Beach
02
Date Prepared
2015-05-14
03
Project Location
55-720 Pebble Beach
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
55-720 Pebble Beach
07
Zip Code
92253
08
Dwelling Unit Conditioned
4525
!..Yszs'm•'.� d "'a,4
b�'. °'-'+'
@&k' 4"� `�:
:.a - '!.m+'
Floor Area (ft2)
SC System
SC System
CFA served
systema
c fngewanit t
Number of space conditioning
stalling
09
Climate Zone
1510
Identification or
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information, •
01
02
03
04
=05'" V
06
07
' 08
09
10
..
.rx'3L,b
ls the SC
.k.
.ait *s
Installing a
!..Yszs'm•'.� d "'a,4
b�'. °'-'+'
@&k' 4"� `�:
:.a - '!.m+'
SC System
SC System
CFA served
systema
c fngewanit t
JnstaIIin&nevr�SC
stalling
;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
800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0128104A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-05-14 09:33:19
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: Ca10ERTS
Report Generated: 2015-05-14 09:33:16
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)SE 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
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
section is not
section is not
HP
components
components
applicable
applicable
Reavired Documentation:
CF211-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 when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or15 10% leakage to outside, o.seal all accessible leaks.
CF2R-MCH-25-H & MR -MCH -25-H Refrigerant Charge Verification.required when refrigerant containing components are installed or altered (applicable in C2 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow -2: 300 CFM/ton required when MCH -25 is required.
Exceptions:
.•�i'"` &' E'er.. �?S
-Duct systems registered with HERS provider as previously sealed are'exempt from"MCH-20_Duct Leakage�-Testmg requirement
do on Air Flow MC 2 or Refrige artt- Pie•MMECH-25..
Heating -only systems and Air Handler/Furnace changes not requi a verifica of ,
�'
-Existing duct systems constructed, insulated or sealed with asbestos are exemp,frrom MCH-20,uctledkage Testl�ng requiaments.
oaf
E. Entirely New or Complete Replacement Duct ystem, with or w thogt 4qt pment S ng out S cti ns 150.2(b):1Dila 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-A0128104A-000000000-0000 Registration Date/Time: 2015-05-14 09:33:19
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-05-14 09:33:16
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: /1
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2015-05-14 09:33:19
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 ON egulations;
bra �W� h .,r
4. The building design features or system design features identified o4this Certificate of Compliance are onsistent wtth the informationiprovided on other,4applicabie compliance documents, worksheets,
calculations, plans and specifications submitted to the en orcement:agency for approvafwlt4h,.this building perrp t application.
5. I will ensure that a registered copy of this.Certificaie of Compliance shall b..e madt available withthe bUlldingtpermit(s),issued forthe building, and made aval,lable toahe:enforcement agency for all applicable
inspections. I understand that a registered copy of this "eftlficate of Co npl ance is-regy red to be.included ,w,lt3h the�docum�enta�tion1th , ullder pArQviides tovthe budding owner at occupancy.
Responsible Designer Name:
Responsible Dess g er Signature: V
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2015-05-14 09:33:19
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
(760) 360-2202
Digitally signed byCaICERTS. 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: 215-A0128304A-000000000-0000 Registration Date/Time: 2015-05-14 09:33:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-14 09:33:16
Schema Version: 0.555SDD