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BMCH2017-049478-495 CALLE.TAMP)CCI Tv�/ 4 i a" VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 BUILDING PERMIT Date: 12/4/2017 Permit Type/Subtype: MECHANICAL/ Owner: Application Number: BMCH2O17-0494 JEFFREY KALTENEGGER Property Address: 48701 SAN VICENTE ST ST 917 PACIFIC UR. APN: 646140010 DELTA BC CANADA V4M, K2.92253 Application Description: KALTENEGGER / (2) HVAC CHANGE OUT - 20SEER/81AFUE SPLIT SYS Property Zoning: Application Valuation: $29,000.00 Applicant: Contractor: CERTIFIED COMFORT SYSTEMS INC DBA HYDES 1 CERTIFIED COMFORT SYSTEMS INC DBA HYDES 42-949 MADIO STREET' DEC 04 2017 42-949 MADIO ® STREET - INDIO, CA 92201 . DD INDIO, CA 922M1 CITY OF LA QUINTA (760)360-.2202 DESIGN AND DEVELOPMENT DEPARTMENT LIc. No.: 9061:5 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: J220. C6 License No.: 906115 Date: I' 1 �Ccinlrac`torl . 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 f subjects the applicant to a civil penalty of not. more than five hundred dollars ($500).: U 1, 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.). 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 Lender's Address: 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 37,30 of the Labor Code, for the performance of the work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Se' ion 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 sc as to become subject to the workers' compensation laws of California, and agree tF at, if I should become subject to the workers' compensation provisions of Section 3700 of the or Code, I shall forthwith comply wi h thos provisions. Dater tAppy licant�" 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,Od0). 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 thia 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 clf 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 applic: tion 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 representatves of this city to enter upon the above- mentionqqed rop rty for inspection purposes. Dral5ignatu[e_(ApplicantorAgent): Date 12/4/2017 Application Number:.,;_ BMCH2O17-0494 Owner: Proe?rtV'Address: `' A 701 SAN VICENTE ST ST JEFFREY KALTENEGGER APN: 646140010 917 PACIFIC DR Application Description: KALTENEGGER / (2) HVAC CHANGE OUT - 20SEER/81AFUE SPLIT SYS DELTA BC CANADA V4M, K2 92253 Property Zoning:. Application Valuation: $29,000.00 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 e, Detail: (2)HVAC CHANGE OUT - (1-2)20SEER/81AFUE 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 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION 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 ISUANCE: $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 ENHANCEMIENT FEE: $5.00 Bin # City of La Quinta Building.& Safety Division Permit•# P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 /AGbQ017 - 6 yj qtl Building Permit Application and Tracking Sheet Project Address:' © Owner's Name: A. P. Number: Address: V \uVA Legal Description: City, ST, Zip:Contractorj C, 4.4 . / Telephone: - " Address: % .Z c 1 �1 %�'(c� ' Project Description: City, ST, Zip: A NA Telephone: p Ga _ZZdZ `L State Lic. # : ('J� �. City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip. Telephone: Conshvdion Type: Oscupancy: State Lic. #: Project type (circle one): New Add,r 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 LINE # Submittal Req'd Recd TRACKING Plau Sets PERMIT FEES Plan Check submitted • Item Structural Calcs. Amount Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Consirnctiom Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for correcBoos/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plaus picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsfinsae Developer -Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit lees CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3) Project Name: 48701 San Vicente Street Date Prepared: 2017-11-27 A. General Information f'F1 R -AIT -07 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 48701 San Vicente Street 02 Date Prepared 2017-11-27 03 Project Location, 48701 San Vicente Street 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 48701 San Vicente -Street 07 Zip Code 92253 08 Dwelling Unit Conditioned 4108 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 Eog Climate Zone 15 10 Conditioning (SC) Systems in 2 system? component? components? feet of ducts? this Dwelling Unit: SC system? B. Space Conditioning (SC) System Information 01 02 03 ` `Sw ,y 04 :.>. 05, 06 ✓ f �. _ 08 09 10 yls the SC; J I stallinga ,.. ` 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 bedroom 2000 Yes Yes Yes No No No Altered space conditioning system System 2 livingarea 2000 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-A026547899A-000-000-0000000-0000 Registration Date/Time: 2017-11-27 12:25:43 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CalCERTS Report Generated: 2017-11-27 15:25:44 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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 Rpgidrerl Neva nr 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. f %w fe%&?: uG';v CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigefant containing components are irf{talled or altered (applkable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH 35 is required" Exceptions: i f s4 1 Y M1 Duct systems registered with HERS provider as previously sealed areexempt from MCH 20 putt Leakage Testing requirements3 '> Heating -only systems and Air Handler Furnace changes do not req'WV:verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos ar6:exempt from MCH -20 Duct Le`akage.Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)SDiia 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-A026547899A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: Report Version: 2016.1.006 Schema Version: rev 10/16 2017-11-27 12:25:43 HERS Provider: CaICERTS Report Generated: 2017-11-27 15:25:44 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. Documeht6tidn Author Narne: rinriimentatinn Author Signature: Hyde, Mark Company: Signature Date: CERTIFIED COMFORT SYSTEMS INC 2017-11-27 12:25:43 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 rnanufactured 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 Rggulations }`"T 4. The building design features or system design features idgntfied on his Certificate of Compahance are�consistenrot�wk i`the irwforma ion provided on othef applicable'eompliance documents, worksheets, , calculations, plans and specifications submitted to the enforcement"agency for,,approva; ith this builcJingperrrjit ap IicatioD. 5. I will ensure that a registered copy of this Certificate of Compliance shall°bermade•available with.the tiuilding permit('s) issued for the<building, andrmade available'toaheenforcement agency for all applicable inspections. I understand that a registered copy of this Certlficate of Complianceis.required to be,included with the, documentation the, builder provides to the building owner at occupancy. Responsible Designer Name: `t ' Responsible Designer Signature: `- F Hyde, Mark 1 O Company: Date Signed: CERTIFIED COMFORT SYSTEMS INC 2017-11-27 12:25:43 Address: License: 42949 Madio 906115 City/State/Zip: e: Indio CA 92201 F7600 -360-2202. Easy to Verify at CaICERTS.com r #5 k�,,,t i f;'�t Digitally signed by CaICERTS. 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. i Registration Number: 217-A026547899A-000-000-0000000-0000 Registration Date/Time: 2017-11-27 12:25:43 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-27 15:25:44 Schema Version: rev 10/16