BMCH2018-0217784%XA{1f JAMP" T0 D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number:
BMCH2O18-0217
Property Address:
54474 AVENIDA HERRERA
APN:
7742S1023
Application Description:
BROWNE / HVAC CHANGEOUT - 16SEER/81AFUE SPLIT SYSTEM,
Property Zoning:
Application Valuation:
$10,167.00
Applicant:
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
INDIO, CA 92201
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.Busin nd Professions Code,
and my License is in full force and effect.
License Clas . C20 C=V License No.: 906115
Date: Contractor:
VOICE (760) 777-7125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/11/2018
Owner:
PETER BROWNE '
.54474 AVENIDA HERRERA
f
LA QUINTA, CA 92253
W
C3
Contractor:
fV W
CERTIFIED COMFORT SYSTEN
DBA RMES S 0
42-949 MADIO STREET
= 6
Fv—
INDIO, CA 92201
O
06
(760)360-2202
Q
Llc. No.: 90611S
N
w
0
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 Mon3
for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Se0 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:
OWNER -BUILDER DECLARATION
Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy Number: 7600015264
1 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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' com ensation provisions of Section 3700 o the Labor ode, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with hos 'provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
�yy,
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: U Applicant: '
permit subjects the applicant to a civil penalty of not more than five hundred dollars
i
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(—) I,.as owner of the property, or my employees with wages as their sole
AND SHALL SUB)ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not.intendedor offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or, she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
U I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044,.Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State. License Law.).
employees for any act or omission related to the work being performed under or.
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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:
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.
Dater Signature (Applicant or Agent): (7//
i Date: " 6/11/2018
Application Number,,,.,,,.;;,BMFI2018 0217 Owner:
Property Address: 54474 AVENIDA HERRERA PETER BROWNE
APN: 774251023 54474 AVENIDA HERRERA }
Application Description;' BROWNE / HVAC CHANGEOUT- 16SEER/81AFUE SPLIT. SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $10167.00 "
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 62201
(760)360-2202
Llc. No.: 906115
---------------- -----------------------------
Detail:.HVAC CHANGE OUT- 16SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 .
CALIFORNIA BUILDING CODES. 7
_ rt
o - 1
INFORMATIONFINANCIAL
"DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
°
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$39.01 `
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION.
ACCOUNT
CITY
AMOUNT
C. 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
t
Bin.#
City. of La Quinta
Building 8T Safety Division
P.O. Box 1504 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
C
Project Address:
��1 d
Owner's Name:. f Y4
A. P. Number.
Address:.. '
L6 /�vZv,� u i�,r.�t,r
Legal Description:
City, ST, Zip:
Contractor:
j� 13.
.sc ..:s.:�s
Telephone : �a'ss .:
Address: — ��� ��
Project Description:
City, ST, Zip: -n1
' p
Telephone: Z 2-
+ . •< . :%
a
State Lie. # :
City Lie'. #;
Arch., Engr, Designer
Address: l O
City., ST. Zip:
Telephone: " ;
State Lie. RK3~
Name of Contact Person: t7
JEstinuttedVahieof
Construction Type:. Occupancy:
Project type circle one New Add'n ter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: Q- 5
Project: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2`d Review, ready for correcfionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.MX
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''" Review; ready for correctionsrissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) ' (Page 1 of 3)
Project Name: 54474 Avenida Herrera Date Prepared: 2018-06-08
A. Genera l'lnformation
CF111-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
54474 Avenida Herrera
02
Date Prepared
2018-06-08
03
Project Location
54474 Avenida Herrera
04
Building Type.
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
,
54474 Avenida Herrera .
07
Zip Code
92253 "°r
� 08`
Dwelling Unit Conditioned
1904
o- »'
Floor Area (ft)
.—. �!
Number of Space
09
Climate Zone r•..
15�.= "'., • •
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
1. Space Conditioning (SC) System Information `:
01
02
03
"•:'qqp
04
3.
0S
IV'.P' N'�R
_ 06
Y.`•Y. y'Ne.
07
.� �6: Yr +! O
08
M.'^'�. '!I'-.r
�+�
09
p..�R
10
"Is the SCE
I stallin a m
f `
V f
Lly t-
f'"Ict
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 (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 (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 218-A020164315A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-06-08 05:47:50
Report Version: 2016.1.006
Schema Version: rev 10/16
I .
HERS Provider: CaICERTS
Report Generated: 2018-06-08 05:47:55
CERTIFICATE OF COMPLIANCE CF1R=i4LT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 1S0.2(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;gr
System 1
HP
heating
AFUE
8i
AC
cooling
SEER
16
Setback
section is not
section is"Aot
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 it and 14-16)
CF211 and CF3R-MCH-20-H - Duct Leakage Test required when heating or cool Irig,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.
CF211 and CF3R-MCH-25-H Refrigerant Charge verification requlred when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF211 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.
,�E►F-: ei y f y a-n? C' Mi e-
-Heating oonlysystems and Air Handler Furnace changes do not require verification of Alr Flow Mf or Refrigerant Charge M�'CH 25�
�Le��Cage
-Existing duct systems constructed, insulated or sealed with asbestos,are exem t from MCI♦ 6 Du Testl g,regw',e_;meP
.CI-23
E. Entirely New or Complete Replacement DucCSystem, with or without.Equipment Changeout (Sections 1�50.2(b)lDiia-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-A020164315A-000-000-0000000-0000 Registration Date/Time: 2018-06-08 05:47:50 HERS Pr6vider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-06-08 05:47:55
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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-
2018-06-08 05:47:50
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. I 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,,&mponents, 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 CaliforMa Code of Reg lat ons.
4. The building design features or system design features identified on,this Certiflcate of Compliance are con�sistenti-with the informatl'on,provided on'otherlicable�co pliance documents, worksheets;
w ..�:t 1, i ��
calculations, plans and specifications submitted to the enlorcement•.�agency for$'appyr}oval wli:h this bwlding permit ap lication.
,�. 4 A.l Xa e., 0 x� U � W`
Nde:available
/+ .
5. I will ensure that a registered copy of this Certificate of mpliance shalhbe" with,the building pe.rmitls)assuecl forrthecbuildlrtg, and..rnade available,to_the;enforcement agency for all applicable
inspections. I understand that a registered copy of this+Certificate of Compl#ance s_requ red to betincluded with the,document4tionQtheiburllder provides to lF a building owner at occupancy.
f -
Responsible Designer Name:- -�
r _, k w
Responsible Designer Signature:/�,J(,J�_ yLK/
Hyde, Mark
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC ,_
2018-06-08 05:47:50
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 it signature is provided in order to secure the content of this registered document and in no way implies
Registration Provider responsibilityfnr the accuracy of the information.
:II
Registration Number: 218-A020164315A-000-000-0000000-0000
CA Building Energy Efficiency Standards 2016 Residential Compliance
Registration Date/Time: 2018-06-08 05:47:50
Report Version: 2016.1.006
Schema Version: rev 10/16
I
HERS Provider: CaICERTS
Report Generated: 2018-06-08 05:47:55