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BMCH2017-0118LICENSED 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: C20 C36 License No.: 906115 D t� K Contracto'0U n V 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).: (1 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 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 th work for which this permit is issued. 1W 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 the Labor Code, I shall forthwith comply with those provisions. ��//�� //����� Date: U I� Applicant: 'V lcl*() Iy r 1 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 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 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 up he above -menti ned roperty for inspection purposes. Date: Signature (Applicant or Agent: / (P VOICE (760) 777-7125 78-495 CALLE TAMPICO. D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/6/2017 Application Number: BMCH2O17-0118 Owner: Property Address: 79145 KAYE CT DAVID PRICE APN: 604371013 79145 KAYE COURT ICS z Application Description: PRICE / CHANGE OUT (2)20SEER/81AFUE SPLIT SYSTEMS LA QUINTA, CA 92253 'L Property Zoning: a Application Valuation: $20,000.00 ¢ LU N o Applicant: Contractor: � p w ® g o CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEM ®BA6YDE o 42-949 MADIO STREET 42-949 MADIO STREET cr v INDIO, CA 92201 INDIO, CA 92201 s (760)360-2202 _ 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 Class: C20 C36 License No.: 906115 D t� K Contracto'0U n V 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).: (1 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 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 th work for which this permit is issued. 1W 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 the Labor Code, I shall forthwith comply with those provisions. ��//�� //����� Date: U I� Applicant: 'V lcl*() Iy r 1 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 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 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 up he above -menti ned roperty for inspection purposes. Date: Signature (Applicant or Agent: / Date: 4/6/2017 Application Number. BMCH2Q17-9118 Owner: Property Address: 79145 KAYE'CT DAVID PRICE APN: 604371013 79145 KAYE COURT Application Description: PRICE / CHANGE OUT (2)20SEER/81AFUE SPLIT SYSTEMS LA QUINTA, CA 92253 Property Zoning: Application- Valuation: $20,000.00 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 - (2)20/81AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •R • ". DESCRIPTION ACCOUNT CITY ' AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC , 101-0000-42600 0 $76.00 Total Paid for CHANGEOUT: $228.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY 1 AMOUNT TECHNOLOGY ENHANCEMENT FEE 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $330.27 1 ' f J f CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF-1R-ALT-1HVAC) Project Name: 79145 Kaye Court I Date Prepared: CF1R-ALT-02-E (Page 1 of 3) 2017-04-05 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 CF113-ALT-02 document for each dwelling unit. 01 Project Name 79145 Kaye Court 02 Date Prepared 2017-04-05 03 Project Location 79145 Kaye Court 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 79145 Kaye Court 07 Zip Code 92253 082164 Dwelling Unit Conditioned refrigerant Installing new SC • Installing Installing Floor Area (ft) Identification or Location or Area by this SC ducted containing Number of Space more than 40 09 Climate Zone 15 30 Conditioning (SC) Systems in 2 system? component? components? feet of ducts? this Dwelling Unit: SC system? B. Space Conditioning (SC) System Information.` E t if O1 02 03 "` 04 R05 ' "� 06� - 07— a ,.v. W U8 .. .09 10 fs the SCT In'stall'ing' a rFN k7s i L 'r r 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 Living Area 1200 Yes Yes Yes No No No Altered space conditioning system System 2 Bedrooms 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-A020109352A-000-000-0000000-0000 Registration Date/Time: 2017-04-05 11:03:52 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-05 11:03:56 Schema Version: rev 10/16 CERTIFICATE.OF COMPLIANCE CF111-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) O1 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 20 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 20 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 ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF311-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 or99alt&6d'(applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required ' i .� rT ,-` Exceptions: jjyjjy) _ `� ;✓' r Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. J Heating -only systems and Air Handler Furnace changes do not regwr`e verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. ' • w r-- T L s, w— < '. x i k Existing duct systems constructed, insulated or sealed with asbestos afe`exempt from MCH 20 Duct LeakageNTesting requirements. -. ; raw 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-A020109352A-000-000-0000000-0000 Registration Date/Time: 2017-04-05 11:03:52 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-05 11:03:56 Schema Version: rev 10/16 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 2017-04-05 11:03:52 Address: CEA/ HERS Certification Identification (if applicable): 42949 Madio City/State/Zip: Phone: l 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 Regulat ns. "t 11 1 I �1 4. The building design features or system design features identified on -this Certifica a of Compliance are consistent with the informatwn.provided on otherapplicable Compliance documents, worksheets, calculations, 'plans and specifications submitted to the enforcement agency fora r f ' ¢ �i �► p g y pproval'with this building permit application. ISS. .v, s� .� �,r t s S ".-i S. I will ensure that a registered copy of this Certificate of Compliance shall,be;made available with:the building permits) issued forthe building, and;made available to the' -enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance isto be included with the documentation the builder provides to the building owner at occupancy. _required Responsible Designer Name: i k.- s 9 :' Responsible Designer Signature:'A ` r Hyde, Mark Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2017-04-05 11:03:52 Address: License: 42949 Madio 906115 City/State/Zip: Phone: Indio CA 92201 760-360-2202 Digitally signed by CaICERTS. 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-A020109352A-000-000-0000000-0000 Registration Date/Time: 2017-04-05 11:03:52 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-04-05 11:03:56 Schema Version: rev 10/16 # City of La Quinta Building a Safety Division P.O. Box 1504,78-495 Calle Tampico P.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name:. (ti hl C A. P. Number: Address: 1 w+ Legal Description: City, ST, Zip: Contactor: N110i Telephone: z :z`:• a Address:— M6 Project Description: ;l� City, $T, Zip:. Telephone: M State Lic. # : ! City Lie'. #; Arch., Engr., Designer Address: City,, ST, Zip: Telephone: ��a` � . a�< State Lic. #: Name of Contact Person: Construction Type:. Occupancy: . Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: Z 1 #Stories: 1 #Units: Z Telephone # of Contact Person: Estimated Value of Project: O a APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACIMG PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Giading pion tad Revlew, ready for correctiions/'cc5ue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.K. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review; ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees