BMCH2018-001178-495 CALLE TAMPICO - D VOICE (760) FAX (760) 777-7011 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/17/2018
Permit Type/Subtype:
MECHANICAL/
Owner.
Application Number:
BMCH2O18-0011
WAYNE DITTER
Property Address:
44065 CAMINO LAVANDA
44065 CAMINO LAVANDA
APN:
604180054
LA QUINTA, CA 92253
Application Description:
DITTER / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$12,957.00
Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDESD u v CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET 7 42-949 MADIO STREET
INDIO, CA 92201 JAN .1 % ?�� INDIO, CA 92201
CITY OF LA QUINTA (760)360-2202
COMMUNITY DEVELOKIEWDEPART6IENT Uc. No.: 906115
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 CI ss: C2 C� 36 License No.: 906115
Date: I h 1 t Contractor: I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 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:_
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: 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 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 Labor Code, I shall forthwith
comply ith those provisions.
Date: I T 1� Applicant:
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 ($100,000). 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, 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 issuanceof 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.
1 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:�l L O� Signature (Applicant or Agent):
Dater 1/17/2018
Application.NUmber: BMCH2O18-0011
Owner:.
Property Address: 44065 CAMINO LAVANDA .
WAYNE DITTER
APN: 604180054,
44065 CAMINO LAVANDA
Application Description: DITTER / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $12,957.00
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.
Llc. No.: 906115
Detail: HVAC CHANGE OUT - 16 SEER/81 AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 .
CALIFORNIA BUILDING CODES:
FINANCIAL I NF OR MATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA S1.00
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:
$111.03
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
502-0000-436.11
0
$5.00 '
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
f•
$S.00
Bin. #
City. of La Quinta
Bullding 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
14-Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner'sName:.\N _
A. P. Number.
qCity.,
Address: \' I�Q) 'G�,u\•�,.
�G
.
Legal Description:
{' I, _
Contractor: M Or
ST, Zip: U-
Telephone - . \
Address: — / VlC4, J
�
PmJect Description:
City, ST, Zip:Tn
` p C 92-W1
Telephone: �� _Z202
"fix - %f
City Lie. #;
State Lie. # :
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: :�
State Lic. #:
Name of Contact Person:Sq.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.:
# Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project:•
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRAC MG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted _' .
Mechanical
Grading plan
2i0 Review, ready for corrections/issue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
AV KOUSE:-
'"' Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.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 -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 44065 Camino Lavanda Date Prepared: 2018-01-02
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. .
01
Project Name
44065 Camino Lavanda
02
Date Prepared
2018-01-02
03 •
Project Location.
44065 Camino Lavanda
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
44065 Camino Lavanda
0
,; V
Dwelling Unit Conditioned
SC System
07
Zip Code
92253
08
Floor Area (ft)
1905
. Installing
Installing
Identification or
Number of Space
by this SC
09
Climate Zone.
15
30
Conditioning (SC) Systems in
1
Name
Served
System (ftz)
this Dwelling Unit:
-
B. Space Conditioning (SC) System information � I=D
7k� 1 n
Ol
02
03ny
04
OS
06
07
08
09
10
I`s the SCS
I stalling=a n
0
,; V
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 (ftz)
system?
I component?
components?
I feet of ducts?
duct system?
SC system?
I Alteration Type
System 1
Location. l2000
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: 218-A020001775A-000-000;0000000-0000 Registration Date/Time: 2018-01-02 12:39:57 HERS Provider: CalCERTS
' CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.006 Report Generated: 2018-01-02 15:40:11
Schema Version: rev 10/16.
CERTIFICATE.OF COMPLIANCE CF1R-ALT 02-E .
Alterations to Space Conditioning Systems (formerly CF -1R -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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
81
AC
cooling
SEER
16
Setback
section is not
' section is not
components
components
applicable
applicable
Reauired 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 regy'reme ts,
Heating -only Air Handler Furnace do
systems and changes not require verificatii n of Air Flow MC 231 or Refrigerant Charge MCH 25
Ilee�kage C.,
0
Existing duct systems constructed, insulated or sealed with asbestos re exem�lifrom MCH 20 Du Testl ,equirements
V^- A
Aw. 94_1r1 IM. on _ffix 19 w., re MR. FM, 0 49 W V1
�`atrM W w.J "-�.$en� br.wL'e- � 4nN kd rnv hai' aV �qp}N `My
E. Entirely New or Complete Replacement Du System, with or witho t Equipment Chan eout Sections 150.2(b)lDiia=and 150.2(b)lE, F)
-Z
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: 218-A020001775A-000-000-0000000-0000 Registration Date/Time: 2018-01-02 12:39:57. HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016,1.006 Report Generated: 2018-01-02 15:40:11
Schema Version: rev 10/16
f; -
CERTIFICATE OF COMPLIANCE
CFiR-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:
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2018-01-02 12:39:57
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 o system design identified on this Certificate of Compliance conform to the
requirements -of Title 24, Part land Part 6 of the California Code of gge ulations.
d/g aye. d «wry
4. The building design features or system design features entified o�'phis Certiflcatee f Compliance are�c nfistevt�tP,the irlormatlon, rovided o the appl'ca e"compliance documents, worksheets,
Jr �calculations, plans and specifications submitted to the eh agency fof app�r(rwa •wl�h this building pear) t app' Iicatio 13p
nk
5. I will ensure that a registered copy of this Certificate of Compliance shall b. e, made;availabletyith t, a building for the;builc�(rg, and::made for
permit(5).issut?.d avajlable-to the4enforcement agency all applicable
inspections. I understand that a registered copy of this.Certificate of Complyance is,requCed to be. included vyjt the _documen4ationFthe4puller proy des to The building owner at occupancy.
Responsible Designer Name: ~^i V1 i . 04 «.
Responsible Designer Signature: V I/ - r
Hyde, Mark
�lI�ZK 7
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2018-01-02 12:39:57
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify
F' ❑�
at CaICERTS.cbm
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 for the the information.
❑
responsibility accuracy of
',
Registration Number: 218-A020001775A-000-000-0000000-0000
Registration Date/Time
2018-01-02 12:39:57
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016,1.006 Report Generated: 2018-01-02 15:40:11
Schema Version: rev 10/16