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BMCH2017-007278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application. Description Property Zoning: Application Valuation: ceity, 4 4 Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BMCH2O17-0072 80546 HERMITAGE 762210005 MILLAR RESIDENCE / HVAC CHIyGE 0 T $12,000.00 Applicant: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO, CA 92201 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153. Date: 3/23/2017 Owner: DOUG MILLAR HERMIT 92\� /��e LA QUI LA QUINTA, CA 92253 MAR 2 3 2017 nD Contractor: CITY OF LA QUINTA CERTIFIED COMFORT SYSTEMS INC DBA HYDES DESIGN AND DEVELOPMENT DEPARTMENT 42-949 MADIO STREET INDIO, CA 922C1 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 Clas ; Cg20 6 License No.: 9061 . Date: -3 �/ Contractor (760)360-2202 LIc. 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 Gf 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 perfarmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER. BUILDE ECLA N Carrier: EVEREST NATIONAL INSURANCE COMPANY Polity Number: 7600015264 I hereby affirm under penalty of perjury t t I am e t from the Contractor's State _ License Law for the following reason (Sec. 7031.5 iness and Professions Code: Any _ I certify that in the performance oEthe work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair any shall not employ any person in any manner so as to become subject to the workers' structure, prior to its issuance, also requires the applicant for the permit to file a signed compensation laws of California, and agree that, if I should become subject to the statement that he or she is licensed pursuant to the provisions of the Contractor's State workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business comply with those pr visions. 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 02 Date: �/ Applicant: 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 WARNING: FAILURE TO SECURE WORKERS'PE ATI OVERAGE IS UNLAWFUL, compensation, will do the work, and the structure is not intended or offered for sale. AND SHALL SUBJECT AN EMPLOYER TOC NAL P ALTIES AND CIVIL FINES UP TO (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF apply to an owner of property who builds or improves thereon, and who does the work COMPENSATION, DAMAGES AS PROVIDED FC -R IN SECTION 3706 OF THE LABOR CODE, himself or herself through his or her own employees, provided that the improvements INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT or she did not build or jmprove for the purpose of sale.). IMPORTANT: Application is hereby made to the Building Official for a permit subject to I ) I, as owner of the property, am exclusively contracting with licensed contractors to the conditions and restrictions set forth on thiis application. construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each person upon whose behalf this apptcation is made, each person at whose License Law does not apply to an owner of property who builds or improves thereon, request and for whose benefit work is performed under or pursuant to any permit issued and who contracts for the projects with a contractors) licensed pursuant to the as a result of this application, the owner, and the applicant, each agrees to, and shall' Contractors' State License Law.). defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and (� I am exempt under Sec.. . B.&P.C. for this reason employees for any act or omission related to :he work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli`ation becomes null and void if work is not Date: Owner: commenced within 180 days from date of issmance of such permit, or cessation of work for 180 days will subject permit to cancellaticn. 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 Address: 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 abov mentione property for inspection purposes. Date Signature (Applicantor Age t Application Number: BMCH2017-0072 Property Address: 80546 HERMITAGE APN: 762210005 Application Description: MILLAR RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $12,000.00 Applicant: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO, CA 92201 Date: 3/23/2017 Owner: DOUG MILLAR 80546 HERMITAGE LA QUINTA, CA92253 Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET INDIO, CA 922C1 (760)360-2202 Llc. No.: 906115 ------------------------------------------------------------------------------------=------- Detail: (2) HVAC CHANGE OUT - (1-2)17 SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLD PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •R • 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 CHANGEOUT: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 50270000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 .,'k CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: 80546 Hermitage Date Prepared: 2017-03-13 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 CF1K-ALI-uz doturrient t6r each dwelling unit. 01 Project Name 80546 Hermitage 02 Date Prepared 2017-01-13 03 Project Location 80546 Hermitage 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 80546 Hermitage SC System SC System CFA served Dwelling Unit Conditioned refrigerant 07 Zip Code 92253 08 Floor Area (ft2) 2450 Location or Area by this SC ducted containing Number of Space more than 40 09 Climate Zone 15 10 Conditioning (SC) Systems in 2 system? component? components? feet of ducts? this Dwelling Unit: SC system? B. Space Conditioning (SC) System Information O1 02 03 04 05 06 07 08 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 (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 1200 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: 217-A020003273A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: Report Version: 2016.1.005 Schema Version: rev 10/16 2017-01-13 14:27:02 HERS Provider: CaICERTS Report Generated: 2017-01-13 14:25:51 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 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 18 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 18 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 duds or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Dud 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 requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. M -Existing duct systems constructed, insulated or sealed with asbestos are exempt from CH -20 Dud Leakage Testing requirements. 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)1C) This section does not apply to this project. Registration Number: 217-A020003273A-000-000-0000000-0000 Registration Date/Time 2017-01-13 14:27:02 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-13 14:25:51 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: // 'fid$ Hyde, Mark /�� Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC 2017-01-13 14:27:02 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 Regulations. 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 for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made 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 required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Hyde, Mark Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2017-01-13 14:27:02 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-A020003273A-000-000-0000000-0000 Registration Date/Time: 2017-01-13 14:27:02 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-13 14:25:51 Schema Version: rev 10/16 Bin.# V" •o/. of Qulhta Building a Surety Division .nA co P.O. Box 1504,78-495 Calle Tamptw La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:e Owner's Name:. A. P. Number. Adder: . Legal Description: City, ST, Zip: Contractor: ,{ Telephone: 2 4� — 1 ' �c~�a€ �: <s g Tele hone: � 'assa sz'�!^y M. Address: — /V(� Prej e-ct Description: City, ST, Zip: p C / Telephone: '/ —Z Z el Z � State Lie. #: -City Lie'. #;t Arch., Engr., Designer. rt Address: City., ST, Zip: Telephone: .Y State Lie. #: ;„ . , • ;;<; Name of Contact Person: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:300 #Stories: # Units: Telephone # of Contact Person: Estimated Valise of Project 2 - APPLICANT: DO NOT WRITE BELOW THIS UNE !f Submittal Req'd Recd TRACKIIIHIG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check De posit. Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Grading plan 2id Review, ready for corrections issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review; ready for correctionsrissue Developer Imp act Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Yets