BMCH2018-005578-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT '
Date: 3/9/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0055 CRAIG JASTEF
Property Address: 79830 DECLARATION CT ' 79830 DECLAAATION CT
APN: ..604511016 LA QUINTA, C4 92253
Application Description: JUSTER / 16SEER/81AFUE&18SEER/81AFUE SPLIT SYSTEM
Property Zoning: ,
Application Valuation: $22,400.00
Applicant: ® ® Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET MAR 0 92018 42-949 MADIO STREET
INDIO, CA 92201 INDIO, CA 92231
�� QP LA QUINTA(760)360-2202
DESIGN AND DEVELOPMENT OEPARTMEN' LJc. No.:9061 5
--------------------------------------------------------------------------------------------
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 Cla : C20436 License No.: 906115
Contractors^
o r-
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 a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
I 11, 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.).
( ) 1 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 Na
Lender's Add
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 37 )0 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 371)0 of the Labor Code, for the perfcrmance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy 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 tLat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wit those provisions. //�
Date: 19 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 issuz nce of such permit, or cessation of work
for 180 days will subject permit to cancellation,
I certify that I have read this application and st.-te that the above information is correct.
I agree to comply with all city and county ordin ences and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned pfoper y for inspection purposes.
Date: -3( tu Signa_(ApplicantorAgent):'' -
Date: 3/9/2018
Application Number: BMCH2O18-0055
Owner:
Property Address: 79830 DECLARATION CT
CRAIG JASTER
APN: 604511016
79830 DECLARATION CT
Application Description: JUSTER / 16SEER/81AFUE&18SEER/81AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $22,400.00
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
INDI0, CA 92201
(760)360-2202
LIc. No.: 906115
Detail: (2)HVAC CHANGE OUTS - 16SEER/81AFUE & 18SEER/81AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S)-TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
.41
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
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$156.04
Total Paid for CHANGEOUT: $234.06
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:.
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
79830 Declaration Court I Date Prepared:
CF1R-ALT-02-E
(Pagel of 3)
2018-02-07 1
A. General Information
CFiR-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 documcnt for each dwelling unit.
01
Project Name
79830 Declaration Court
02
Date Prepared
2018-02-07
03
Project Location
79830 Declaration Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79830 Declaration Court
r-
V+ t
L. -J# U-
M
Dwelling Unit Conditioned
SC System
07
Zip Code
92253
08
Floor Area (ft2)
2807
Installing
Installing
Identification or
Number of Space
by this SC
09
Climate Zone
15
10
Conditioning (SC) Systems in
2
Name
Served
System (ft)
this Dwelling Unit:
component?
B. Space Conditioning (SC) System Information s
.�
01
02
03
04 -
"--05'
06
01 U
08
'69
10
'Is the SCT--
Installinga
r-
V+ t
L. -J# U-
M
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Bedrooms
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Living Area
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 218-A020039536A-000-000-0000000-0000
Registration Date/Time: 2018-02-07 12:17:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 12:17:30
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-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)1E and F)
01
02
03
04
05
06
07
08
09
10
it
12
Heating
Cooling
System
Heating
Altered
Heatine
Minimiim
Alterod
Cooling
Minimum
Required
New ur
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
All new
All new
This field or
This field or
System 1
Central split
heating
AFUE
81
Central split
cooling
SEER
16
Setback
section is not
section is not
HP
components
AC
components
applicable
applicable
Central split
All new
Central split
All new
This field or
This field or
System 2
heating
AFUE
81
AC
cooling
SEER
18
Setback
section is not
section is not
HP
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 1-30, 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. f?� {,
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing comt ponents 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 requir��l
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage:T_esting requirements.
�. r.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
y
ti
-Existing duct systems constructed, insulated or sealed with asbestos are,exempt from MCH = 0 Duct L akag Testing req emeni . f°
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, 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: 218-A020039536A-000-000-0000000-0000 Registration Date/Time:
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2016.1.006
Schema Version: rev 10/16
2018-02-07 12:17:12
HERS Provider: CalCERTS
Report Generated: 2018-02-07 12:17:30
CERTIFICATE OF COMPLIANCE CF1R-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.
Documentation Author Name:
Documentation Author Signature:
Hyde, Mark
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2018-02-07 12:17:12
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 ofd egulations.
i
�.--�.
i ifi t f C m lian ar consistent with the information provided on other"a licable com liance documents worksheets
4. The building design features or system design features identified on this Cert ca e o p ce e , P pp p ,
�o �
calculations, plans and specifications submitted to the enforcement agency for"approval'with this building permit application. 11 11 )
s il If
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) 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,required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: U- ? 1
Responsible Designer Signature: V A
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2018-02-07 12:17:12
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify RE O
at CaICERTS.com
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: 218-A020039536A-000-000-0000000-0000
Registration Date/Time:
2018-02-07 12:17:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-07 12:17:30
Schema Version: rev 10/16
Bin. #
City'd La Quinta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
�s Building Permit Application and Tracking Sheet
Permit #
Q►^'�CHaDc 8-
Project Address:
Owner's Name:. I(jti J1r_
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contactor. _ M-Cn 3 •
Address:— q�
/ V l�( 1
Telephone:
Project Description:
City, ST, Zip: JJ,to C 9EW 1
Telephone:ZRO Z _Z2 2 ££ .._. %i
tr.:%ISIERP
l
l
State Lie. # : jr6
City Lie. #:
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Dep:,)sit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechariical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Caned Contact Person
Plumblag
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
3" Review; ready for correctlonslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fe is
3