BMCH2017-0485r1-
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78-4.95:L411F I.4A9P_1C0
LA QUINTA,'CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O17-0485
Property Address: 45060 SPRINGBROOK CT CT
APN: 604291008
Application Description: MATCHAM / HVAC CHA14GEOUT
Property Zoning:
Application Valuation: $7,965.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET -
INDIO, CA 92201
NOV-2 2 2017
CITYOFLAOUINTA
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 Clas : C220/ C36 License No.: 906-VLS
Date: l;� " I� 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).:
(_l 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.).
(� 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 cbntractor(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
1 -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: 11/22/2017
Owner:
RAYMOND MATCHAM
45060 SPRINGBROOK CT
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STftEET
INDIO, CA 92201
(760)360-2202
Llc. 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 the work for which this permit is issued.
9A-%Ahave 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 and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy 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 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 3700 of the Labor Code, I shall forthwith
comply with51,,
rovisions.
Date: I 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;000). IN ADDITION TO THE COST OF
COMPENSATION,' DAMAGES AS PROVIDED ADR 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 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
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: I Signature (Applicant or Agent):
Date: 11/22/2017
i
Application Number;.,., BMCH2017-0485
Owner:
Properry'Aiddmss-" i' -45D50 SPRINGBROOK CT CT
RAYMOND MA.TCHAM
APN: 604291008
45060 SPRINGSROOK CT
Application Description: MATCHAM / HVAC CHANGEOUT
LA QUI NTA" CA 92253
Property Zoning:
Application Valuation: $7,965.00
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.
Detail: HVAC CHANGE OUT - 16 SEER/81 AFUE 1 SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
i
FINANCIAL •' •
>:sn;D- fSCRIPTION ACCOUNT -CITY -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
TECHNOLOGY ENHANCEMENT FEE
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
TOTALS:
Bin #
' City of La Quinta
Building .& Safety Division
Permit.# - P.O. Box 1504, 78-495 Calle Tampico
S 7 �QicB La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:'C-In Owner's Name:
A. P. Number: Address: 1
SU c�� 5 CDU
Legal Description: City, ST, Zip:
Contractor:5. A.� Telephone:
Address: i(2 i K
"lQ Project Description:
City, ST, Zip: C ZZ d I II C f
6� c a5
Telephone: 7� GCj _ZZdZ
State Lic. # : q (fes
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
Lic. #: L -i k L
Construction Type:
Occupancy:
Project type (circle one):
ep .
New Add'a Alter R air' Demo
Sq. Ft:
# Stories:
# Units:
Estimated Value o;'Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACING .
MIT FEES
Plan Check submitted
Amount
Reviewed, ready for corrections
Called Contact Person
e
rMecktanical
Plans picked up
Plans resubmitted
2°d Review, ready for corrections/Issue
Electrical
Called Contact Person
Plumbing
Plans picked up
SALL
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer In .pact Fee
Called Contact Person
A.LP.P.
Date of permit issue
Total Permit _ ees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-1HVAC)
Project Name:
45060 Springbrook Court I Date Prepared:
�1
CF1R-ALT 02-E
(Page 1 of 3)
2017-11-20
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
45060 Springbrook Court
02
Date Prepared
2017-11-20
03
Project Location
45060 Springbrook Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
45060 Springbrook Court
07
Zip Code
92253
08
Dwelling Unit Conditioned
1566
system a
refrigerant
Installing new SC
Installing
Floor Area (ft)
Installing
Identification or
Location or Area
by this SC
Number of Space
containing
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Served
System (ft)
system?
component?
this Dwelling Unit:
feet of ducts?
t o r..^ i e^— o r- r` --^-% r--- rr —•g i i
B. Space Conditioning (SC) System Information
((r
01
02
03 '�,
04 """
M
�'-'05r
!`+•+ ,T++e. ,..w
—"d6
Mme. « w+w:
07' 1/
..r+w.. w .f •
'� 08
sy1. Mr++.=
'09
f++►..
10
,°'I's the SCr'
Installingta
"` r'%
;1� V I
L.J` C
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1 -
1600
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-A026542825A-000-000-0000000-0000
Registration Date/Time: 2017-11-20 12:51:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-20 15:52:00
Schema Version: rev 10/16
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)
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
16
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 <= 109 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 Air Handler Furnace do of Air Flow MCH=234r-Re_n r ant'Charge MCH -25:
-only systems and changes not require verification
Existing duct systems constructed, insulated or sealed with asbestos are exempt�,from MCH -20 Ductleakage Testing requiremerits. CC,
If )I it NN, 1€ 11 it 11 If 11 €€
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-A026542825A-000-000-0000000-0000 Registration Date/Time: 2017-11-20 12:51:12 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-20 15:52:00
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
2017-11-20 12:51:11
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 ofd eg lat onsr� � 5 l� rr� �
Y
�� �
4. The buildingdesign features r
g o system design features identified on this Certificate of Compliance are consistent,with•the information,provided oil other.applica}Ible compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for'approvel;with this building permit app;ication.
II
5. 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
y � a.
inspections. I understand that a registered copy of this Certificate of Compliance-is-requiredreto be included with the-documentationnthe�builder provides to the building owner at occupancy.
— -_
Responsible Designer Name: r _� �� ..i
_
Responsible Designer signaiure: V 1 "-o# X fiA
Hyde, Mark
/'(<
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-11-20 12:51:12
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760.360=2202
Easy to Verify 0� a
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 for the accuracy of the information.
Registration Number: 217-A026542825A-000-000-0000000-0000
Registration Date/Time
2017-11-20 12:51:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-20 15:52:00
Schema Version: rev 10/16