BMCH2019-001478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
DESIGN & DEVELOPMENT DEPARTMENT
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/10/2019
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O19-0014
BOYLE GERRIT JAMES & ANDRIA MARIE
Property Address:
49808 VIA CONQUISTADOR
49808 VIA CONQUISTADOR
APN:
602250007
LA QUINTA, CA 92253
Application Description:
BOYLE / HVAC CHANGEOUT
17SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$9,145.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
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Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42949 MADIO STREET
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42949 MADIO STREET
I N DIO, CA 92201
I N DI O, CA 92201
JAN 10 201�
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(760)360-2202
GI1VORAQUIN A
Llc. No.: 906115
--------------------------------'.�i���'ai�'�n'r��r�"�]tiEy:t-----------------------------------------
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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 Cl as : C20&� 6. C1Q License No.: 906115
Date-, Id 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 ($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date
Owner
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Addre:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
Of the. rk for which this permit is issued.
(I(have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: l VERE$T RMIONAL INSURANCE COMeANY Policy Number:
7600015264181
_ 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 with those provisions.
Date 1 a 4 - 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 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 property for inspection purposes. ' f
Date: ��' r�7 Signature (Applicant or Agent
Application Number:
BMCH2O19-0014
Property Address:
49808 VIA CONQUISTADOR
APN:
602250007
Application Description:
BOYLE / HVAC CHANGEOUT 17SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$9,145.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42949 MADIO STREET
INDIO, CA 92201
Datel. '1/10/2019
Owner:
BOYLE GERRIT JAMES & ANDRIA MARIE
49808 VIA CONQUISTADOR
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42949 MADIO STREET
INDIO, CA 92201
(760)360-2202
Llc. No.: 906115
Detail: HVAC CHANGE OUT - 17SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
ACCOUNT QTY
AMOUNT
DESCRIPTION
101-0000-20306 0
$1.00
BSAS SB1473 FEE
ADMINISTRATION BSA:
$1.00
Total Paid
for BUILDING STANDARDS
ACCOUNT QTY
AMOUNT
DESCRIPTION
101-0000-42402 0
$40.02
HVAC CHANGEOUT - SPLIT -SYSTEM
CITYAMOUNT
ACCOUNT
DESCRIPTION
101-0000-42600 0
$80.05
HVAC CHANGEOUT - SPLIT -SYSTEM PC
Total Paid for CHANGEOUT:
$ 120.07
ACCOUNT QTY
AMOUNT
DESCRIPTION
101-0000-42404 0
$101.40
PERMIT ISSUANCE
Total Paid for PERMIT ISSUANCE:
$ 101.40
ACCOUNT Q-TY
AMOUNT
DESCRIPTION
101-0000-42416 0
$10.00
RECORDS MANAGEMENT FEE
RECORDS MANAGEMENT FEE:
$ 10.00
Total Paid for
ACCOUNT QTY
AMOUNT
DESCRIPTION
502-0000-43611 0
$5.00
TECHNOLOGY ENHANCEMENT FEE
ENHANCEMENT FEE:
$ 5.00
Total Paid for TECHNOLOGY
ta Qalptra
PERMIT #
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— GEM frbe DESEKr -
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
CMEAVY61 FJ1Jr
'A
APN #:
INC
Applicant Name: S
Address: TA'A t
City, ST, Zip:LE11
Telephone: '4vG 0 - �[] - Z,rLO"�,
Email:
Valuation of Project $
E
ContractorName: '�
t New SFD Construction:
Address:
Conditioned Space
SF
City, St, Zip -L
Garage
SF
Telephone: - l tU _ �) U 0 —
Patio/Porch
SF
Email: �^ `n
�C� .
Fire Sprinklers
SF
State Lic:9 ` City Bus Lic:
Arch/Eng Name:
Construction Type:
MA' Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: -'I-� `�
YY
New Commercial / Tenant Improvements:
Address:LAgc6p00 Via Coy vlS+
Total Building
SF
City, ST, Zip •
' Construction Type:
Occupancy:
Telephone: SU-0 -`b\ Vj - 2,,ig\
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal Req'd Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
49808 Via Conquistador J Date Prepared:
CFSR-ALT 02-E
(Page 1 of 3)
2019-01-08
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
49808 Via Conquistador
02
Date Prepared
2019-01-08
03
Project Location
49808 Via Conquistador
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
49808 Via Conquistador
07
Zip Code
92253
08
Dwelling Unit Conditioned
4243
Floor Area (ft2)
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information '
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CIA 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
1600
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)INb)
This section does not apply to this project.
Registration Number: 219-A020004507A-000-000-0000000-0000
Registration Date/Time: 2019-01-08 08:51:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-08 08:51:33
Schema Version: rev 20180426
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)1E 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 as All new All new
System 1 g heating AFUE 80 CentrAaCl split cooling SEER 17 Setback
furnace
This field or This field or
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 percent or <= 10 percent 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 of Air Flow MCH-23, or Refrigerant Charge MCH-25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)iC)
Registration Number: 219-A020004507A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-01-08 08:51:51
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-08 08:51:33
Schema Version: rev 20180426
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:
Hyde, Mark
Company:
CERTIFIED COMFORT SYSTEMS INC
Address:
42949 Madio
City/State/Zip:
Indio CA 92201
Responsible Person's Declaration statement
Documentation Author Signature:
Signature Date: �dfj
2019-01-08 08:51:51
CEA/ HERS Certification Identification (if applicable):
Phone:
760-360-2202
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 of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application
5. i will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued forthe building, and made 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 the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Hyde, Mark
Company:
CERTIFIED COMFORT SYSTEMS INC
Address:
42949 Madio
City/State/Zip:
Indio CA 92201
Responsible Designer Signature: f,
Date Signed:
2019-01-08 08:51:51
License:
906115
Phone:
760-360-2202
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: 219-A020004507A-000-000-0000000-0000 Registration Date/Time: 2019-01-08 08:51:51
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Easy to Verify
at CaICERTS.com
HERS Provider: CaICERTS
Report Generated: 2019-01-08 08:51:33