BMCH2019-001978-495 CALLE TAMPICO
LA CONTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description.
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH2O19-0019
c&tr4449&ry
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
47835 SOFT MOONLIGHT
600410013
MCGHEE / HVAC CHANGEOUT 17SEER/80AFUE SPLIT SYSTEM
$9,965.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42949 MADIO STREET
INDIO, CA 92201
D.Lull
JAN 10 2019
i G
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10/2019
Owner:
ALBERT W. MCGHEE
47835 SOFT MOONLIGHT
LA QUINTA, CA 92253
Contractor:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42949 MADIO STREET
INDIO, CA 92201
01YORAQUIVA t (760)360-2202
Llc. 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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20, C36. C10 License No.: 906115
Date: _ Con trartor:
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 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 thew 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: EVEREST NATIONAL INSURANCE COMPANY Policy Number:
7600015264181
1 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.
Dater /O Applicant:L��
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-menti ned property for inspection purposes.
Date: , �� I� Signature [Applicant or Agent
Date: 1/16/2019
Application Number:
BMCH2019-0021
Owner:
Property Address:
50060 CAMINO PRIVADO
EDWARD MIRZABEGIAN
APN:
776300025
50060 CAMINO PRIVADO
Application Description:
MIRZABEGAIN / (2)HVAC CHANGE OUTS-15SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$17,310.00
Applicant:
Contractor:
IE INC.
TIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA
72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Detail: (2) HVAC CHANGE OUTS REPLACE (3)-TON, AND (4)-TON - 15 SEER/80 AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 1 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
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
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
47835 Soft Moonlight I Date Prepared:
CF1R-ALT 02-E
(Page I of 3)
2018-12-31
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
CFIR-ALT-02 document for each dwelling unit.
01
Project Name
47835 Soft Moonlight
02
Date Prepared
2018-12-31
03
Project Location
47835 Soft Moonlight
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
47835 Soft Moonlight
07
Zip Code
92253
OS
Dwelling Unit Conditioned
1331
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
in
01
02
03
06
W
08
9
Fr%
10
'% the SCf
Installing a
f
VP I
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
1331
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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: 218-A020338405A-000-000-0000000-0000
Registration Date/Time: 2018-12-31 11:15:37
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-12-31 11:13:26
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-•HVAC) (Page 2 of 3)
D. Altered Space Conditioning Systelln (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
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
80
Central split
cooling
SEER
17
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Dud 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)
CF211 and CF311-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced
-Leakage rate compliance: <= 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF211 and CF311-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-NrCH-20 Dud Leakage testing requirements.
Heating -only systems and Air Handler Furnace chainges do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH • 2 5-
-Existing duct systems constructed, insulated or sealed with asbesto re exempt'rom MCH-20 Duct Leafage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without -Equipment Chongeout (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: 218-A020338405A-000-000-0000000-0000
Registration Date/Time: 2016-12-3111:15;37
hfRSP yloer CjJCf#[J
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2018.0.001
Schema Version: rev 20180426 Report Generated: 201812-31 11:n3 i;
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 3 of 3)
1
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
2018-12-31 11:15:37
Address:
CEA/ HERS Certification Identification (if applicable):
42949 Madio
City/State/Zip:
Phone:
Indio CA 92201
1760-360-2202
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 Tanufactured 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 ool- his Certificate of Com 'liance are consistent with the information provided orrather applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for approval wf{fy this building perrWIt application.
5. 1 will ensure that a registered copy of this Certificate o€Compliance shall be made available With the building petmit(3) issued for the btiildit and.tnade available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Cornpliance.is..required to be.included )yjj;h the documentation the bolder pmjv es t%.tbe byi)ding owner at occupancy.
Responsible Designer Name: l 1 A
Respon.4ble De4ig`Aer ShnatrUre: V
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2018-12-31 11:15:37
Address:
License:
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
Easy to Verify ��
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 for
❑�
•
Q.
responsibility the accuracy of the information.
.
Registration Number: 218-A020338405A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-12-31 11:15:37
Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CaICERTS
Report Generated: 2018-12-31 11:13:26
taQai ftra
PERMIT # t `� CT Zd d Ci 1
PLAN LOCATION:
Project Address:4-1 U35 -% J4 I Y W) I �
-Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
V
APN #:
Applicant Name: .�lS 1
t
Address:
City, ST, Zip: Lzk
Telephone:'4 Q 0 —
Email: ��[C&Mkx`
Valuation of Project 5 ak i at ce
Contractor Name: k
i
Address: l"
`
Conditioned Space SF
City, St, Zip
Garage SF
Telephone: ` l �� _ '� Z�Q�
Patio/Porch SF
Email:M Da If CkG C�. n
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: �((ll�;t Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: fl mCC—I
New Commercial / Tenant Improvements:
Address: s
rn n
Total Building SF
City, ST, Zip 'L
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'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