BMCH2017-039178-495 CALLE TAMPICO
LA.QUINTA, CALIFORNIA 92253
T4ht 4 4 Qum&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:-
BMCH2O17-0391
Property Address:
79723 ARNOLD PALMER
APN:
775241038
Application Description:
KUNHE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$19,450.00
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 C3 License No.: 906115
Date:. ' l Contractor:
OWNER-BUI ECLARPON
I hereby affirm under penalty of perjury t -at 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.).
( 11, 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
40,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JAY KUNHE
79723 ARNOLD PALMER
LA QUINTA, CA 92253 .
Date: 8/31/2017
�nY�F� C//n/ ctor:
D, �p44Q(jj WWIFIED COMFORT SYSTEMS INC DBA HYDES
MINT Fpg9Jtij 42 49CA92MAD1201 STREET
Fyl
(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 insuran..e carrier and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COM?ANY . Policy Number: 7600015264
I certify that in the performance of3he work for which this permit is issued, I
shall not employ any person in any manner saas 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 :700 of the Labor Code, I shall forthwith
comply with those pr visions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKE, PENSA N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO MIIIAL PE ALTIES 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 appli:ation 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 Le Quinta, its officers, agents, and
employees for any act or omission related to trie 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 sl3te 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 representrtives of this city to enter upon•the
above-mentioneXpr perty for inspection purroses.
Date: 0Signature (Applicantor Agent):
Date: 8/31/2017
Application Number: BMCH2017-0391
Owner:
Property Address: 79723 ARNOLD PALMER
JAY KUNHE
APN: 775241038
79723 ARNOLD PALMER
Application Description: KUNHE RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $19,450.00
Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIO STREET
INDIO, CA 92201
INDIO, CA 92201
(760)360-2202
---------------------------------------------------
LIc. No.: 906115 .
--------------------------------
----------
Detail: (2) HVAC CHANGE OUTS - 17 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANCEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSL:ANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor. 2Y t! t ! L
Address. % 2i K 9
City, ST, Zip:
Telephone: 6o
State Lie. # : q (jam l
Arch., Env., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading. plan
Subcontactor List
Grant Deed
H O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building x Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trac Sheet
Owner's Name:
Address: —1��
City, ST, Zip: L AA CA -
Telephone:
Telephone: ` U0 — 61.
Project Description:
City Lic. #: Z
Total Permit Fees
Construction Type:
Occupancy:
Project type (circle one):
New Add?n Alter Repair • Demo
Sq. Ft :
# Stories:
# Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACMG
MT FEES
Plan Check submitted
Amount
Reviewed, ready for corrections
71te
Called Contact Person
Planspicked up
Plans resubmitted
2' Review, ready for correcdonstissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M L
Plans resubmitted
Grading
end Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.LP.P.
Date of permit issue
Total Permit Fees
CERTIFICATE OF COMPLIANCE CHR -ALT -024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 79723 Arnold Palmer Date Prepared: 2017-08-22
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
79723 Arnold Palmer'
02
Date Prepared
2017-08-22
03
Project Location
79723 Arnold Palmer
04
Building Type
Single family
05
CA City.
La Quinta
06
Dwelling Unit Name
79723 Arnold Palmer
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253
08
Floor Area (ft2)
3971.
Location or Area
by this SC
ducted :
containing. '
Number of Space
more than 40
09
Climate Zone
15
30
Conditioning (SC) Systems in
2
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System Information
aft. 4.& 41 y.7 1 i iii\ ]I Ii
01
02
03
04_4
05
r06 J
07 ^
- 08
w` 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
Liying Area
1600
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
system
System 2
Bedrooms
1600
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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: 217-A020288221A-000-000-0000000-0000 Registration Date/Time: 2017-08-22 15:33:03 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-22 15:33:02
Schema Version:.rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
.12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
rnnling
Minimum
Required
Ncw 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
81
AC
cooling
SEER
17
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
81
AC
cooling
SEER
17
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.
CF211 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components'are installed oraltered (applicable in CZ 2, 8 15).
CF2R and CF3R-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, or Refrigerant Charge MCH -25.
:11
Existing duct systems constructed, insulated or sealed with asbestos are,exempt from MCH 20 Duct Leakage Testing requireme`nts:'
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)iC)
This section does not apply to this project.
Registration Number: 217-A020288221A-000-000-0000000-0000 Registration Date/Time: 2017-08-22 15:33:03 HERS Provider: CaICERTS'
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-22 15:33:02
Schema Version: rev 10/16
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:
Hydc', Mork
Company: Signature Date:
CERTIFIED COMFORT SYSTEMS INC 2017-08-22 15:33:03
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
iJ
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. x s. av
4. The building design features or system design features identified on -this Certificate of Compliance are consistent with`the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement'"agency fora`pproval`withthls bwlding permit application
.u+ .t "ag th ^it<' t
S. I will ensure that a registered copy of this Certificate of Compliance shall besmade,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.requirecl to be included with the documentation the�biiilder provides to, the building owner at occupancy.
Responsible Designer Name: ` k. - - Responsible Designer Signature: }
Hyde, Mark
Company: Date Signed:
CERTIFIED COMFORT SYSTEMS INC 2017-08-22 15:33:03
Address: License:
42949 Madio 906115
City/State/Zip: Phone:
Indio CA 92201 760-360-2202
Digitally signed by Ca10ERTS. 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: 217-A020288223A-000-000-0000000-0000 Registration Date/Time: 2017-08-22 15:33:03
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
Easy to Verify �}� a❑
at CaICERTS.com �f {
HERS Provider: CaICERTS
Report Generated: 2017-08-22 15:33:02