BMCH2018-0058VOICE (760) 777-7125
.78.49a,CALLF„1Aj FICO FAX (760) 777-7011
LA QUINTA,'CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760)777-7153
BUILDING PERMIT
Date: 3/9/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0058 RONALD FITZPATRICK
Property Address: 81824 CONTENTO 81824 CONTENTO
APN: 767760003 LA QUINTA, CA92253
Application Description: FITZPATRICK / HVAC CHANGEOUT
Property Zoning: -
Application Valuation: $10,075.00
Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES D
CERTIFIED COM FORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET - MAR U 9 2018- 42-949 MADIO-STREET
INDIO, CA 92201 INDIO, CA 922M
CITY OP LA QUINTA (760)360-2202
DESIGN AND DEVELOPMENT DEPARTMENT Llc. 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 Clasp: C20 ,,CQQp3'''6 License No.: 906115
Date: 3 / /� Contractor. , ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.3, Business and Professions Code: Any
city or county that requires a permit to construct, after, 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37M of the Labor Code, for the performance.
of the work for which this permit is issued.
W4041have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the workfor which this permit is
issued. My workers' compensation insurancecarrier and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Polity Number: 7600015264
_ I certify that in the performance of =he work for which this permit is issued, l
shall not employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree *at, if I should become subject to the
workers' compensation provisions of Section 3700 of the lab ode, I shall forthwith
complywi those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,090). 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 thi: 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 :he 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 tie 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 issu ince of such permit, or cessation of work
for 180 days will subject permit to cancellatior.
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 pro erty or inspection purposes.
Date: Signature (Applicant cr Agent):
Date: 3/9/2018
Application Number , .., ,BMCH2D18-0058
Owner:
"'Prop&t WdHress. • --l" '81824`CONTENTO
RONALD FITZPATRICK
APN: 767760003
81824 CONTENTO
Application Description: FITZPATRICK / HVAC CHANGEOUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $10,075.00
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 - 20 SEER/81 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
4' -..,,.....DESCRIPTION
BSAS SB1473 FEE
I.L Iffi%,KFT1AJurn
ACCOUNT. QTY AMOUNT
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
$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
Bin. #
Cic
ty of La Quinta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
P�cu
Project Address:
Owner's Name:.
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Own441 A-,
Contractor: �.
Telephone .'111
Address:
Project Description:
City, ST, Zip: x-141 ' DCA,-9270/
Telephone: .0 '3 _ZwZ gl : � �
s.:z?iceWS'
n
State Lie. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
'~
�..�%ysu• Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person: Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
d
Submittal
Req'd
'Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cities.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'
Mechariical
Grading plan
2'd Review, ready for correctionsfissue17-
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"` Review; ready for correctionsfissue
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
CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC)
(Page 1 of 3)
Project Name: 81824 Contento Street
Date Prepared:
2018-02-05
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
CF111-ALT-02 document for each dwelling unit.
02
01
Project Name
81824 Contento Street
02
Date Prepared
2018-02-05
1
03
Project Location
81824 Contento Street
04
Building Type
Single family
Ii
i
05
CA City
La Quinta
06
Dwelling Unit Name
81824 Contento
Street
SC System
CFA served
system a
refrigerant
Dwelling Unit Conditioned
Installing
Installing
07
Zip Code
92253
08
Floor Area (ft)
2788
ducted
containing
system
more than 40
entirely new
Number of Space
new
09
Climate Zone
15
30
Conditioning (SC) Systems in'
1
feet of ducts?
duct system?
'SC system?
Alteration Type
this Dwelling Unit:
Location 1
2000
B. Space Conditioning (SC) System Information
01
02
03
oq
�05x
;k 06
:
08
09
10
FIs the SCS
Installingsa
.r✓ :L,..Ot
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
Yes
Yes
No
No
I
No
Altered space
conditioning system
C'. Extension of Existing Duct System, Greater'Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 218-A020036892A-000-000,0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2018-02-05 12:47:52
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2018-02-05 . 12:48:10
1
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CF11R-ALT 02-E
(Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
I
01.02
03
04
05
06
07
08
09
10 I
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 I
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
20
Setback I
section is not
section is not
components
components
applicable
applicable
Reguired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
i
- 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).
I
CF211 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 RefngerantCharge MCH 25A
Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH 20 Duct:leakage Testfr requirements i `,,,
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections,150.2(0) Diiaa.and 1150.2(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: 218-A020036892A-000-000-0000000-0000 Registration Date/Time: 2018-02-05 12:47:52 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-05 12:48:10
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
( 61R -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.
i
Documentation Author Name:
Documentation Author Signature:��
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2018-02-05 12:47:52
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 ofPggulations ) 1
}
4. The building design features or system design features identified on'.this Certificate of Compliance are consistent with'the iriformation.provided on other,applicable compliance
documents, worksheets,
calculations, plans and specifications submitted to the enforcement;agency for,approva'.1 h this bwlding perms pplication. A I
r, 'ba. )t I t. r r
r 4 0
5. 1 will ensure that a registered copy of this Certificate of. Compliance shall_be:made available with the building permit(s) issued for thea Gilding, and made availabi. to.the-enforcement
agency for all applicable
inspections. I understand that a registered copy of this Certificate of Co.mpliance,isyequired to be. included with the documentation,the builder provides to the building owner
at occupancy.
Responsible Designer Name: -
Responsible Designer Signature: V
Hyde, Mark
�2Y
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2018-02-05 12:47:52
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202 Ij
i
Easy
at
to Verify
CaICERTS.com.
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Rggistration Number: 218-A020036892A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-02-05 12:47:52
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2018-02-05 12:48:10