BMCH2017-006978-495 CALLE TAMPICO Ct 0 D �NMU�iI/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: 89960 MERTON 9
Property Address: 79960 MERTON
APN: 762110029
Application Description: ROY RESIDENCE / HVAC CHG OUT MAR
Property Zoning: 1V1 2 3 2017
Application Valuation: $10,00 0.00
DESIGN ANp p� OF p QUINTA
Applicant: EVELO, MENTD
CERTIFIED COMFORT SYSTEMS INC DBA HYDES EPARTMENT
42-949 MADIO STREET
I N DI O, CA 92201
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 C3 License No.: 906
Dater !� Contractor
OWNER-BUILDE CLAR
I hereby affirm under penalty of perjury th am a 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 I 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 3/23/2017
Owner:
GILLES ROY
79960 MERION
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADI05TREET
INDIO, CA 92201
(760)360-2202
Llc. No.: 90611.5
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one :)f 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 the work for which this permit is issued.
1 have and will maintain workers' aompensation insurance, as required by
Section 3700 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 or the work for which this permit is issued, I
shall not employ any person in any manner sa as to become subject to the workers'
compensation laws of California, and agree t-iat, if 1 should become subject to the
workers' compensation provisions of Section 3700 of the La Code, I shall forthwith
comply with tho a provi "ons.
Date: Applicant:
0"'
WARNING: FAILURE TO SECURE WOR RS' ENSATI CO UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENAL 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 =he Building Official for a permit subject to
the conditions and restrictions set forth on itis 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, an the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cit -7 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 app`ication 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 cancellati in.
I certify that I have read this application and ;tate that the above information is correct.
I agree to comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represencatives of this city to enter upon the above-
mentioned ,wper for inspection purposes_
Date: v Signature (Applican_ or Agent4"o Zl
Application Number:
BMCH2017-0069
Property Address:
79960 MERION
APN:
762110029
Application Description:
ROY RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
Date: 3/23/2017
Owner:
GILLES ROY
79960 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
Detail: (2) HVAC CHANGE OUT - (1-2)18 SEER/80AFUE SPLIT SYSTEM AND MINI SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
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
TECH NOLOGY.ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
t
CERTIFICATE OF COMPLIANCE CHR -ALT -02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) 1 # (Page 1 of 3)'
Project Name: 79960 Merion Date Prepared: ; 2017-03-14
Y
W
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
79960 Merion
02
Date Prepared
2017-03-14
03
Project Location -
79960 Merion
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79960 Merion
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Jnstalling new SC
07
Zip Code 4
92253
U8
Floor Area (ft)
2605
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
15
10
Conditioning (SC) Systems in,
2
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information . n,
1
01
02
03 `
'l 04
05
66
�' 07
68
•09
10
Is the SC '
Installing a
> i`
SC System
SC System
CFA served
system a
" refrigerant
Jnstalling 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
1600.
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
garage
600 '
'. No
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. '
Registration Number: 217-A020081748A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance `
Registration Date/Time:2017-03-14 15:31:13 ' HERS Provider: CalCERTS
Report Version: 2016.1:005 Report Generated: 2017-03-14 15:31:28
Schema Version: rev 10/16 ,
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
Ductless split
All new
Ductless 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 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 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.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. A 1
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 217-A020081748A-000-000-0000000-0000 Registration Date/Time: 2017-03-14 15:31:13 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 15:31:28
Schema Version: rev 10/3.6
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
2017-03-14 15:31:13
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. , I
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made evail able'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
2017-03-14 15:31:13
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.
t
Registration Number: 217-A020081748A-000-000-0000000-0000 Registration Date/Time: 2017-03-14 15:31:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 15:31:28
Schema Version: rev 10/1.6
Bin #
Permit .#
Project Address:
A. P. Number:
City of La Quinta
!n 0 P.O.uilding 8i Safety Division
.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -'(760) 777-7012
Building Permit Application and Tracking Sheet
46 al. Owner's Name: E
. Address: O
_ // City, ST, Zip:
Contractor: t'/ / / r
�1 I.GT� T.r1S A,/c Telephone:760— "i 2
Address: • %__.f .Z `� K
(11 PIC( I Project Description:
City, ST, Zip: ��c
Telephone: 6 Cj _ -ZZ 6-1—
State Lie. # : q ('dc, j 1
Arcb., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Cales.
Truss Calcs.
Energy Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN ROUSE:
Planning Approval
Pub. ScWks. Appr
hool Fees
C 4 �zZd1
Lie. #: �-t k ZL
Total Permit Fees
Construction Type:
Occupancy:
Project type (circle one):
New Add'n Alter Repair' ep Demo
Sq. Ft: 2/00
#
Stories:
# Units:
Estimated Value of Project: � 060
APPLICANT: 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
2' Review, ready for correcdonsrssue
Electrical
Called Contact Person
---------------------
Plumbing
Plans picked up
S.M.L .
Plans resubmitted
Grading
3H Review, ready for correttssue
Developer -Impact
Fee
Called Contact Person
A- LP.
Date of permit issue
Total Permit Fees