BMCH2017-0456. 4 -
A495.CALL.ETAMPICO.
LA QUINTA, CALIFORNIA'92253
Permit Type/Subtype:
Application Number:
Property Address:.
APN:
Application Description
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH2O17-0456
14
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
56902 MERTON
762032013
SCHWARTZ / HVAC CHANGEOUT
$9,800.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET -
INDIO, CA 92201
[!CT 20:.217
CIT OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 20 36 License No.: 90611
7
`'Date: (� Contractor.
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 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.).
( 11, 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)1icensed 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 Name:_
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/20/2017
Owner:
BRUCE SCHWARTZ
56902 MERION
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
(760)360-2202
Llc. No.: 906115
WORKER'S COMPEN°ATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 300 of the Labor Code, for the performance
of w rk for which this permit is issued.
have and will maintain workers' --ompensation 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 cf the work for which this permit is issued, I
shall not employ any person in any manner :.o as to become subject to the workers'
compensation laws of California, and agree :hat, if 1 should become subject to the
workers' compensation provisions of Section 37 0 of th b r Code, I shall forthwith
comply /with,fkho�s)e7,r
visions. //
Date: III I r� vi Aonl ant: r/
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 ($100000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKr4OWLEDGEMENT
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
the conditions and restrictions set forth on :his application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perfcrmed under or pursuant to any permit issued
as a result of this application , the owner, aad the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Ci -.y' of La Quinta, its officers, agents, and
employees for any act or omission related 0 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 i2suance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application anc 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 represe•itatives of this city to enter upon,the above-
mentioned pr V11"
r inspection purpose-;.
Date:ig�^ nae (Applica it or Agent).
0 .
Date: 10/20/2017
A'�7plication Number: BMCH2O17 0456
. Owner:
Property Address- 56902 MERION
BRUCE SCHWA:RTZ
APN: 762032013
56902 MERION
Application Description: SCHWARTZ / HVAC CHANGEOUT
LA QUINTA, CA. 92253
Property Zoning:
Application Valuation: $9,800.00' .
Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIC STREET
INDIO, CA 92201
INDIO, CA 92201
(760)360-2202
Llc. No.: 906135
Detail: HVAC CHANGE OUT - 17 SEER/ 81 AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
i
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
$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: $S.00
CERTIFICATE OF COMPLIANCE
CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Pagel of 3) 1
Project Name:
56902 Merion I Date Prepared:
2017-10-19
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
CHR -ALT -02 document for each dwelling unit.
01
Project Name
56902 Merion
02
Date Prepared
2017-10-19
03
Project Location
56902 Merion
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
56902 Merion
SC System
SC System
CFA served
system a
Dwelling UnitConditioned
Installing new SC
07
Zip Code
92253
08
Floor Area (ft)
2645
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
15
30
Conditioning (SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information '
01
02
03
04
05'
- 06
07
08
09
30
`I's the SC'
Installing a
'"'
' ' 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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
4 Registration Number: 217-A020362220A-000-000-0000000-0000
SCA Building Energy Efficiency Standards - 2016 Residential Compliance
:
Registration Date/Time:
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-10-19 07:16:38
HERS Provider: CalCERTS
Report Generated: 2017-10-19 10:16:02
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
17
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 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 CF311-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.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
a 3 14 it • i r .— .1
This section does not apply to this project.
F. Entirely New or Complete -Replacement Space Conditioning System (Section 150.2(b)1C) - — _1..1 -. , . .. — 1. .1 ,. � . _ _. —1- 1--.1-1-
This section does not apply to this project.
c Registration Number: 217-A020362220A-000-000-0000000-0000 Registration Date/Time: 2017-10-19 07:16:38
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-10-19 10:16:02
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 2017-10-19 07:16:38
Address: CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip: Phone:
Indio CA 92201 1760-360-2202
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.
S. I 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 2017-10-19 07:16:38
Address: License:
42949 Madio 906115
City/State/Zip: Phone:
Indio CA 92201 760-360-2202
Easy to Verify a�
at CaICERTS.com
.. '--. LL ._..
Digitally signed b CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies r•
9 Y 9 Y 9 9. P 9 Y0
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020362220A-000-000-0000000-0000 Registration Date/Time: 2017-10-19 07:16:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-19 10:16:02
Schema Version: rev 10/16
Bin #
Permit #
QM�ALO
Project Address:
A. P. Number:
Legal Description:
Contractor:
Address:
City, ST, Zip: �O A
Telephone: GC7 —7iZdZ
State Lie. # : q (')� % City
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701
Building Permit Application and Tracking Sheet
Owner's Name:
Address:
City, ST, Zip:12�
Y 2• l/
$r15 A, ( Telephone:
-
Project Description: 715tc
c
ci 4
Lic. #: 2Z
Construction Type: Occupancy:
State Lic. #:
777 tP�Oject type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: t: #Stories: # Units:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan'
Subcontactor List
Grant Deed
H O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
Total Permit Fees
Estimated Value of Project,
APPUCANT: DO NOT WRITE BELOW THIS UNE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
god Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.L
Plans resubmitted
Grading
Review, ready for correctionstissue
Developer- Impact Fee
Called Contact Person
A LP.P.
Date of permit issue
Total Permit Fees