BMCH2017-044178-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Perm if Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O17-0441
43640 BORDEAUX DR
609580028
KOCH / HVAC CHANGEOUT 20SEER/ 81AFUE SPLIT SYSTEM
$13,500.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
427949 MADIO STREET
INDIO, CA 92201
QLf 11
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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: 20 C36 License No.: 906115
D( a' e% Contractor:
Ilk
OWNER -BUILDER DECLARATION
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 at
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.).
(� 1, 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:
VOICE (760) 777-7125
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/3/2017
Owner:
JASON KOCH
43640 BORDEUX DR
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
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 certificated consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thwork for which this permit is issued.
` have and will maintain workers' compensation insurance, as required by
Section• 700 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: EVEREST NATIONAL INSURANCE COMPANY Polity Number: 7600015264
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 a 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 wit those provisions.
Da et Appy
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00(3. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR N 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 sta-.e that the above information is correct..
I agree to comply with all city and county ordina nces and state laws relating to building
construction, and hereby authorize representat-ves of this city to enter upon t
above-mentioned property for inspection purposes. I
T '
Date: ..10/3/2017
Applicatio..n,Number: BMCH2O17-0441
Owner:
Property Address: 43640 BORDEAUX DR
JASON KOCH
APN: 609580028
43640 BORDEUX DR'
Application Description: KOCH /•HVAC CHANGEOUT 20SEER/ 81AFLIE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $13,500.00
..Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIO STREET
I.NDIO, CA 92201
INDIO, CA 92201
(760)360-2202
Llc. No.: 906115`
Detail: HVAC'CHANGE OUT- 20SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO =1NAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
;D.ESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING'STANDARDS ADMINISTRATIOM BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
HVAC CHANGEOUT- SPLIT -SYSTEM
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT. ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
.0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000=43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
Bin #
Permit .#
Project Add�(AV1
A. P. Number:
Legal Description:
Contractor: Iv 2v �1l
Address: `T Z 01
City, ST, Zip:
T1
C�4
e ephone. 6C, —2iZ�Z
State Lic. # : 'I OCI l I. � I City Lic #•
si�z-
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
-------------
Telephone # of Contact Person:
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: G
Address: �lll
City, ST, Zip: cs N .d \n],. (, -A- G'1-1 C
CA
# 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
JPub. Wks. APpr
School Fees
Project Description:
Total Permit Fees
RWI:
Construction Type:
Occupancy:
7!7
Project type (circle one):
New Add'n Alter Repair . Demo
Sq. Ft:
# Stories:
# Units:
Estimated ValueLfroject. k()b
APPLICANT: DO NOT WRITE BELOW THIS UNE
I
TRACKING •
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2°" Review, ready for correctionslissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S -AL
Plans resubmitted
Grading
'"d Review, ready for correctioM issue
Developer Impact Fee
Caged Contact Person
A.LP.P.
Date of permit issue
Total Permit Fees
RWI:
CERTIFICATE OF COMPLIANCE
CF111-ALT 02-E.
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3).
Project Name: 43640 Bordeaux Drive Date Prepared: 2017-10-02
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.
63
Project Name
43640 Bordeaux Drive
02
Date Prepared
2017-10-02
03
Project Location
43640 Bordeaux Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
43640 Bordeaux Drive
F
SC System
SC System
Dwelling Unit Conditioned
system a
07
Zip Code
92253
08
Floor Area (ft2)
2112
Identification or
Location or Area
by this SC
ducted
Number of Space
system
09
Climate Zone
15
30
Conditioning (SC) Systems in.
1
System (ft2)
system?
component?
components?
this Dwelling Unit:'
duct system?
a A01- __ 6r.,._. of • 1 ._ ._.. f -- . U
B. Space Conditioning (SC) System Information {" ta Iin
01
02
0304
05
_ 06
07
.-- 08 _
� 09
10
•'Is the SCr'-'
I stalli gra •
:> f"
V
L-7 � -
F
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
2000
Yes
v Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
5rc This section does not apply to this project.
Registration Number: 217-A020339903A-000-000-0000000-0000
Registration Date/Time: 2017-10-02 07:40:14
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-02 10:40:22
Schema Version: rev 10/16
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)lE a-.nd 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
gl
AC
cooling
SEER
20
Setback
section is not
section is not
components
components
applicable
applicable
Reouired 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.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (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 requirerr�ents.,
Heating -only Air Handler Furnace do Air Flow MCH=23,'or Refrigerant Charge MCH
systems and changes not require verificatign of -25:
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH=20 Duct+Leakage Testing.requiiemetttS.
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: 217-A020339903A-000-000-0000000-0000
Registration Date/Time: 2017-10-02 07:40:14
HERS Provider: CaICERTS
GA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006' Report Generated: 2017-10-02 10:40:22
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE I CF111-ALT-02-E
t
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3)
I
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.
l��
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2017-1.0-02 07:40:13
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 R gulati'on .." �
4. The building design features or system design features icjentified on this Certificate of Compliance are consistent witp,the informatjon.provided ons;;other'apglicabje compliance documents, worksheets,
calculations, plans and specifications submitted to the enforce ment agency foraap oval with this building permit application. y '
��.. �,A ti� Fi .r4.� V. 0 $q % n jl 1T
5. I will ensure that a registered copy of this Certificate of Compliance shaWbe.made available with;the building permit(s) issued for, hg 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 tthe �b' der provides to the building owner at occupancy.
Responsible Designer Name:- t —
Responsible Designer Signature:
Hyde, Mark
Company*:
Date Signed:. '
CERTIFIED COMFORT SYSTEMS INC
2017-10-02 07:40:14
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify
a�6�
atCaICERTS.com:*
kt;5��Registration
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Provider responsibility for the accuracy of the information.
M .
i'
Registration Number: 217-A020339903A-000-000-0000000-0000
CA Building Energy Efficiency Standards = 2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-10-02 07:40:14 HERS. Provider: CaICERTS
Report Generated: 2017-10-02 10:40:22