BMCH2017-0440f� y
78-495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&tr 4 4Q*rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2017-0440 .
57625 ROSEWOOD CT
762480005
TUOR / (2) HVAC CHANGEOUTS '20SEER/81AFUE SPLIT SYSTEMS
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201.
D Q �
OCT 0 3 2017
CITY0FLA QUINTA
CDMMUNI- YDE.JELOPMcNTDEPARTh4ENT
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
Date;) Q 6onr����� L
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).:
U 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. 704, 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.).
(—J 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/3/2017
Owner:
NANCYTUOR -
57625 ROSEWOOD CT
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET -
INDIO, CA 92201
(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
of Keork for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se0 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 Policy Number: 7600015264
1 certify that in the'performance of tie 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 3i40 tithe b, 7'�ode, l shall forthwith
comply wittythoW provisions. // /) /
Date: I W cf 11 0 -Applicant.
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 ($100,00Q1. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR :N 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 sta-•e that the above information is correct.
I agree to comply with all city and county ordin: nces and state laws relating to building
construction, and hereby authorize representatves of this city to enter upon th
Dateabove -mention d property for inspection purposes.
Signatur�(Applicant'o Agent):
y
Date: 10/3/2017
Application,Number: , , 43rM,CH2O17-0440
Owner:
Property Address: '57625 ROSEWOOD CT
NANCY TUOR
APN: 762480005
57625 ROSEWOOD CT'
Application Description: TUOR / (2) HVAC CHANGEOUTS 20SEER/81AFUE SPLIT SYSTEMS
LA QUINTA, CA 97253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
42-949 MADIO ST`AEET
- INDIO, CA 92201
INDIO, CA 92201
(760)360-2202
LIc.. No.: 906115
Detail: HVAC CHANGE OUT- 20SEER/81AFUE SPLIT SYSTEM' CARBON MONOXIDE ALARM(S) TO'BE "INSTALLED PRIOR TO INAL INSPtCTION."2016 ". "
CALIFORNIA BUILDING CODES.
FINANCIAL
;;:DESCRIPTION '
INFORMATION
ACCOUNT qTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402 0
$78.02
DESCRIPTION'
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600 0
$156.04
Total Paid for CHANGEOUT:
$234.06
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
101-0000-424160
$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:
$5.00
A
Bin # T_—
Permit.#
Project Address:
A. P. Number:
Contractor. �ey �1! e
Address: % .2
City, ST, Zip: � �O
Telephone: 6o
State Lie. # : q 06_ I
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
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
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
vJ Owner's Name:
Address: 'S
City, ST, Zip: (1>` O'1 -1
L --tupuUnc; `✓ —
ProjectDescription: 'dr riot
Lic. #: `-f j2:
Total Permit Fees
Construction Type:
Occupancy:
Project type (circle one):
New Add'n Alter Repair • Demo
Sq. Ft :
# Stories:
# Units:
Estimated Value of Project ` -I5Q . Cro
APPLICANT: DO NOT WRITE BELOW THIS UNE
Recd
TRACING .
.
ERMIT FEES
Plan Check submitted
qItemAmount
7e,
Reviewed, ready for corrections
posit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
20° Review, ready for corrections/Issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.L
Plans resubmitted
Grading
"d Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I P.P.
Date of permit issue
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: 57625 Rosewood Court Date Prepared: 2017-10-02
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
MR -ALT -02 document for each dwelling unit.
01
Project Name
57625 Rosewood Court
02
Date Prepared
2017-10-02
03
Project Location
57625 Rosewood Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
57625 Rosewood Court
"Is the SCS
I sn talling a •
> M
41� V I
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft)
3907
Installing new SC
Installing
Installing
Installing
Number of Space
Identification or
09
Climate Zone
15
30
Conditioning (SC) Systems in
2
entirely new
entirely new
Name
this Dwelling Unit:
System (ft2)
ir—•a• e i rte^--••-+ r �^--�- a r•�� -� r---^ xr� �a
B. Space Conditioning (SC) System Information�\ k A 1
11 11
11'fl
01
02
03 N
N
�0,}rt
04
• �yy.p 6'.,!'.4�'
05
nS„m.' 0
_ 06
07�Y
M M py.
08
�.1 "
09
6
10
"Is the SCS
I sn talling a •
> M
41� V I
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
Living Area
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Dedroon-,i
1600
Ycs
yeq
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-A020339591A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
.r
Registration Date/Time:
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-10-02 06:50:08 HERS Provider: CalCERTS
Report Generated: 2017-10-02 09:50:17
CERTIFICATE OF COMPLIANCE CFiR-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 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 refrigeranYcontaining 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: �t
nco
4
Duct systems registered with HERS provider as previously sealed•are exempt from MCH-Z&Duct Leakage\e srequire,nts.
a
,esting
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 araexempt from•.MCHk 00 Duck Leakage Testing requirement . ��
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-A020339591A-000-000-0000000-0000 Registration Date/Time: 2017-10-02 06:50:08 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-02 09:50:17
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
2017-10-02 06:50:08
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 thebuildingdesign 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 ofR egulat�ons�� i rhance
t�4.
The building design features or system design features identified on this Certificate of Comre,consistenLwith,the information.provided on oth}e€rfapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
.6) V+. l� tf ii
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be:matle.available with the building permits) issued for the:building, and,madel 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 th edocumentation,the builder pKov des t� the bui ding owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: V 1 Y b' --A
Hyde, Mark
/i(K
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-10-02 06:50:08
Address:
License:
42949 Madio
906115
City/State/Zip:,
Phone:
Indin CA 92201
760 360 2202
Easy to Verify 0� O
at CaICERTS.com
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020339591A-000-000-0000000-0000 Registration Date/Time: 2017-10-02 06:50:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-02 09:50:17
Schema Version: rev 10/16