BMCH2017-032878-495 CALLE TAMPICO
c&tyl:4 4 QU&M,
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0328
Property Address: 54527 RIVIERA
APN: 775031024
Application Description: HUNT / CHANGE OUT (1)15SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $6,515.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/2017
Owner:
JAMES HUNT -•
54527 RIVIERA
LA QUINTA, CA 92253
Applicant: Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES CERTIFIED COMFORT SYSTEM
42-949 MADIO STREET 42-949 MADIO STREET
INDIO, CA 92201 INDIO, CA 92201 1
(760)360-2202
Llc. 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:f0 C36 License No.: 906115
Date Contracto-12r
OWNER -BUILDER DECLARATION I
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
77 w
rl-_
N aLc
o
Z Z
HdVES _3 u
—7) c3
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
ofhe w_ogrlk or which this permit is issued.
't , 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 an&policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any _ I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 oft a La ode,'I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply -with those provisions.
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 ` Date:Ap ' i nt:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) 1, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044; Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 contractors) 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:
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
constructioyand hereby authorize representatives of this city to enter e
above -me Toned p perty for inspection purposes.
00
Date:
Agent):`Signature (Applicant or
Owner:
JAMES HUNT
54527 RIVIERA
LA QUINTA, CA 92253
Date: 7/31/2017
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: CHANGE OUT (4)15SEER/83AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE -INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
0
AppIication.Nurn ber:
BMCH2017-0328
Property Address:
54527 RIVIERA
APN:
775031024
Application Description:
HUNT / CHANGE OUT (1)15SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$6,515.00
Owner:
JAMES HUNT
54527 RIVIERA
LA QUINTA, CA 92253
Date: 7/31/2017
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: CHANGE OUT (4)15SEER/83AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE -INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
0
j
FINANCIAL INFORMATION
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
$76.00
DESCRIPTION '
•ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
'PERMIT ISSUANCE
10110000-42404
0
$96.27
•Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
.0
$5.00•
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Permit .#
ProjectAddress: � 12�
i
A. P. Number:
Legal Description: j �`.
Contractor: lav,
Address:
City, ST, Zip:
City of La Quinta
Building.& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
Address: S Am tw
City' ST, Zip: �A kV AA (�A I/LJ
C ci ZZd/
T
Telephone:
Project Description:
elephone. 6C7 _ ZZ &Z
�-
State Lic. # : q i76_
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone.
Construction Type:
Occupancy:
State Lic. #:
Project type (circle one):
New Add'n Alter Repair' Demo
Name of Contact Person:
Sq. Ft.: #
Stories: # Units:
Telephone # of Contact Person:
Estimated Value of project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted TItem
Structural Calcs.
Reviewed, ready for corrections
Amount
heckDeposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cake.
Plans bicked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
Zed Review, ready for correctitions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:
'"' Review, ready for correctionsfissue
Developer -Impact Fee
Planning Approval
on
Called Contact Ptissue
A.LP.P.
Wks. ks. Appr
Date of permi
School Fees
Total Permit Fees
15
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
.Project Name: 54527 Riviera Date Prepared: 2017-07-28
A. *General Information
CFIR-ALT02 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
54527 Riviera
02
Date Prepared
2017-07-28
0
Project Location
54527 Riviera
04
Building Type
Single family
os
CA city
La Quinta
06
Dwelling Unit Name
54527 Riviera
07
Zip Code
92253
08
Dwelling Unit Conditioned
2846
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing.
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B.'Space Conditioning (SC) System Information r
0
01
02
0304
05
-66
.'09
10
s the S
I tall i'n'g-,. a
I
CA
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
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) I D1 ib)
This section does not apply to this project.
Registration Number: 217-A020256651A-000-000-0000000-0000 Registration Date/Time: 2017-07-28 15:21:55 HERS Provider: CalCERTS
CA.Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-28 15:22:02
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
it
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
All new
Central split
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
81
AC
cooling
SEER
15
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 MR -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 venficat n of Air Flow MCH'23�or Refrigerant Charge MCH -25
{
-Existing duct systems constructed, insulated or sealed with asbestos.are exem [from MCH'- 0 Duct1Leaka a Testin re uiremepts. ;�
P. g g; a
f W.
'"
r' s' e
1iv#
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections -150.2(b) lDnaa 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-A020256651A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: .2017-07-28 15:21:55
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-07-28 15:22:02
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (f6rmerly 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: J
Hyde, Mark
QiP/
Company:
Signature pate:
CERTIFIED COMFORT SYSTEMS INC
2017-07.28 15:21:55
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 land Part 6 of the California Code of Reg lations.
4. The building design features or system design features identified orlthis Certificate of Compliance are consistent with:the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemenYagency fo.r`approvalwihthis building permit application. 7ft•�
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:tothe"enforcement agency for all applicable
inspections. l understand that a registered copy of this Certificate of Compliance: is_ required to be, included with the.,documentation-the builder p .py,• es to ,t_he building owner at occupancy.
Responsible Designer Name: 1 f '
Hyde, Mark
Responsible Designer Signature: V 1
141e�-
Company :
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-07-28 15:21:55
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify
at CaICERTS.com
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 f
the accuracy of the inform w
LJ
Registration Number: 217-A020256651A-000-000-0000000-0000
Registration Date/Time: 2017-07-28 15:21:55
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-28 15:22:02 .
Schema Version: rev 10/16