BMCH2018-0056rYr
..28-495,.CAU.F..TAA/1F.1C0 -
'LA" QUINTA, 'CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&ty/ 4 4 Qubd�
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0056
80823 VIA PUERTA AZUL
762470075
BUCKLEY / HVAC CHANGEOUT
$10,975.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET .
INDIO, CA 92201
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/9/2018
Owner:
MICHAEL BUCKLEY
1471 RANIER LOOP. NW
SALEM, OR 92253
1171
s s 'Contractor:
® CERTIFIED COMFORT SYSTEMS INC DBA HYDES
QR o _ s I 42-949 MADIO STREET
INDIO, CA 92201
CITY OF LA 01( NTIA (760)360-2202
p9.6I9N,ANRDEVEMpm �.q iFmPITMENT uc.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: C(220 CI336 License No.: 906115
Date: —1 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 applicantto 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.).
( ) 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 Na
Lender's Address:
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.
f 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 and policy number are:
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
_ I certifythat 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 with hos provisions.
Date: Applicant: Z��
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 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 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 /r�opertyfor inspection purposes.
Date: `1 (� Signature (Applicant or Agent):
Date: 3/9/2018
Application Number: BMCH2O18-0056
Owner:.
Pmp#4-Ad' resf-"' "-,"80823 VIA`PUERTA AZUL
MICHAEL BUCKLEY
APN: 762470075
1471 RANIER LOOP NW
Application Description: BUCKLEY / HVAC CHANGEOUT
SALEM, OR 92253
Property Zoning:
Application Valuation: $10,975.00
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 18 SEER/81 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
^:, .z-•f1ESCRIPTION . ACCOUNTQTY '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 CHANG.EOUT: $117.03
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 -
101-0000-42416
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: $5.00
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 80823 Via Puerta Azul I Date Prepared: 2018-02-05
A. General Information
CHR -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
80823 Via Puerta Azul
02
Date Prepared
2018-02-05
03
Project Location
80823 Via Puerta Azul
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
80823 Via Puerta Azul
SC System
SC
SC System
Dwelling Unit Conditioned
system a
07
Zip Code
92253
08
Floor Area (ftz)
1371
Identification or
Location or Area
by this SC
ducted
Number of Space
system
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
System (ftz)
system?
component?
components?
this Dwelling Unit:
duct system?
! 1 I lr 1 r'--'-' 1 r 'V1 —1 r— f F— 11
B. Space Conditioning (SC) System Information
I � �� Ii �
i� I �, ill t � -
11 in
01
02
03 X
11 � 04
405 «-.
—66– 06 – ' .
.. ,r.,
07 (/
1 08
—69 09
10
'is the SGT'
Installing=a •
> rN
� �� �
3..J V --
SC System
SC
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 (ftz)
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 (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 218-A020036948A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-02-05 13:37:11
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2018-02-05 13:37:33
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: /�fJf� _/
Hyde, Mark
�'r"0
Company:
Signature Date:
CERTIFIED COMFORT SYSTEMS INC
2018-02-05 13:37:11 _
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 ofR egulations�r --
.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided onother appiliicaible compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for`ap , with this building permit application.
I t
5. 1 will ensure that a registered copy of this Certificate of.Compliance shall be made available with the building permits) issued for the build0g, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of thistertificate of Compliance is required to be -included with the_documentation�the�builder Prov des to.the building owner at occupancy.
Responsible Designer Name: If I (L— Y 4 ..:
Responsible Designer Signature: V I ' --F W i- I
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2018-02-05 13:37:11
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify O
at CaICERTS.com
Digitally signed b CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
9 Y 9 Y 9 9, P 9 Y P
ti
r
Registration Provider responsibility for the accuracy of the information.
Registration Number: 218-A020036948A-000-000-0000000-0000 Registration Date/Time: 2018-02-05 13:37:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-05 13:37:33
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)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cnnling
Minimum
R97uired
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
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 bf Air Flow MCW23"or "Refrigerant Charge MCH- 5
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct,Leakage Testing requirements. -` `
t
E. Entirely New or Complete Replacement Duct'System, with or without Equipment Changeout (Sections,150.2(b)lDiia and ,150.2(b)lE, F)
1
T-4
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 218-A020036948A-000-000-0000000-0000 Registration Date/Time: 2018-02-05 13:37:11 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-05 13:37:33
Schema Version: rev 10/16
Bin- #
.. •
City of .La Quinta
Building 8i Safety Division
P.O. Box 1504,78-495 Calle Tampico
La •Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sleet
Permit #
t3fikc 1_p1 -
Project Address: C � V
Owner's Name:. t
A. P. Number.
Address: ilo(�
[City.,ST
Legal Description:
[4LUTelephone:
> Zip:
`�:yContractor:
��<%3„%ta•i,s,jY; 1 ;;:§... i
Address: — 11v c4,
ProjectDescription:
City, ST, Zip:
Telephone:2, ;i
Rb eta ✓ ;,¢`.
State Lie. #: City Lics_ M
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: v Y"
State Lic. #: �uu
Name of Contact Person:
Construction Type: • Occu 3ancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Valine of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
EERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Stryctuial Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balgnce
Title 24 Catch.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2i° Review, ready for correctioWissue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfissue
Developer Imp tet Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fres