BMCH2017-016678-495 CALLE TAMPICO C& 0 D 4 QuIltro
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0166
Property Address: 45245 SEELEY DR 1%&_
APN: 604631017
Application Description: KANDEL/ HVAC CHANGE OUT - 16SEER/81AFUE SPLIT
Property Zoning:
Application Valuation: $8,040.00
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 Business and Professions Code, and
my License is in full force and effect.
License Class 20 C36 License No.: 906115
Dat` e: Contractor:
OWNER -BUILDER DECLARATION °
I hereby affirm under penalty of perjury that 1 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.).
(1 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. fog 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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(760)360-2202
Llc. No.: 906115
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 wo k for which this permit is issued.
Whave 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 bo e, I shall forthwith
comply with th e p ovisions.
Dat> Applicantc11100W
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 n the above-
mentioned pr perty for inspection purposes.
Dat 1 Signature (Applicant or Agent): i
Owner:
JUNE KANDEL
45245 SEELEY DR 17A
LA QUINTA, CA 92253
Contractor:
�[�i
CERTIFIED COMFORT SYSTEMS INC DBA HYDES
42-949 MADIO STREET
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:
1 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 wo k for which this permit is issued.
Whave 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 bo e, I shall forthwith
comply with th e p ovisions.
Dat> Applicantc11100W
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 n the above-
mentioned pr perty for inspection purposes.
Dat 1 Signature (Applicant or Agent): i
✓
Date: 5/3/2017
Application Number: BMCH2O17-0166
Owner:
Property Address: 45245 SEELEY DR 17A
JUNE KANDEL
APN: 604631017
45245 SEELEY DR 17A
Application Description: KANDEL / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,040.00
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
----------------------------------------------------------.----------------------------
LIc. 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.
1
0* 4NEW
DESCRIPTION
ACCOUNT
QTY
' 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
�' $76.00
DESCRIPTION
ACCOUNT'
QTY-
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC i
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: • $114.00
i DESCRIPTION
ACCOUNT _
QTY
r AMOUNT
PERMIT ISSUANCE
t` • 101-0000-42404
0
$96.27 '
Total Paid for•PERMIT ISSUANCE: $96.V
DESCRIPTION
�� ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE F
502-0000-43611
0
$5.00`
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
17
Bin #
City of La Quinta
Building .& Safety Division
Permit.#
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name: J
A. P. Number:
Address: '^
�ily i. 'tt
Legal Description:'
City, ST, Zip.
/+ / _/ e 1
Contractor: 2v tl1 4.2
"�f'
"o,
5 Pn 5 f6 /c Telephone: (� . _
Address: % 2
(Q Project Description:
City, ST, Zip: O
A ZZ d
Telephone: 6Cj _ZZdZ
State Lie. # : 6( (J(, j.
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair' Demo
Name of Contact Person:
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: % � lV
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Recd TRACKING
Plan Sets
PERMTr FEES
Plan Check submitted
• Item
Structural Calcs.
Amount
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2°" Review, ready for correciio°s/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
3rd Review, ready for corrections/issue Developer -Impact Fee
Planning Approval
Called Contact Person
A.LP.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-1HVAC) (Page 1 of 3)
Project Name: 45245 Seeley Drive #17A Date Prepared: 2017-05-b2
A. General Information
CFiR-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
45245 Seeley Drive.#17A
02
Date Prepared
2017-05-02
03
Project Location
45245 Seeley Drive #17A
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
45245 Seeley Drive #17A
07
Zip Code
92253
08
Dwelling Unit Conditioned
1200
Installing new SC.
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SC) Systems in
T
'system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System Information ,¢ti
cf} 4
Alf I
01
02
03
a .04 ''
''05
4`0_6 Y ».
407
08 F
09
10
'fs the SCS'
Install g -a
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
1200
r 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-A020143143A-000-000-0000000-0000 Registration Date/Time: 2017-05-02 14:48:28 C HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-02 14:48:38
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
System 1
Centrals lit
HP p
All new
heating
AFUE
81
CentrAaCl split
All new
cooling
SEER
16
Setback
This field or
section is not
This field or
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 of Air Flow MCH -23 or Refrigerant Charge MCH 25 ,
Existing duct systems constructed, insulated or sealed with asbestos are exempt'from MCH 20 Duetleakage Testmgrequirements.
! as zs > r+s LAS.. WF +a i n trf fla ?a U 4%.
E. Entirely New or Complete Replacement Duct -.,System, with or without.Equ,ipment 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)1C)
This section does not apply to this project.
Registration Number: 217-A020143143A-000-000-0000000-0000 Registration Date/Time: 2017-05-02 14:48:28 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-02 14:48:38
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-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
2017-05-02 14:48:28
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 of Regulations
-the o
4. The building design features or system design features identified on this.Cer-tifiEat6of Comp are'consistentt with innff�or�mat provided o they pa plicab.l ompliance documents, worksheets,
nf
calculations, plans and specifications submitted to the eorcement;agency forapprov aI;with this building permit application.
. i• �
S. I will ensure that a registered copy of this Certificate of Compliance shall:be'.made available with.the building permits) issued for the Buildi'n'g, and made availableto-joe,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.
k e a ,.
Responsible Designer Name: ^'. f f t...
Hyde, Mark
Responsible Designer Signature: V —y/ �1 z 3
�6vT� 1TI
Company:
Date Signed:
CERTIFIED COMFORT SYSTEMS INC
2017-05-02 14:48:28
Address:
License: .
42949 Madio
906115
City/State/Zip:
Phone:
Indio CA 92201
760-360-2202
r
Easy to Verify ❑o :k.
rT
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
at CaICERTS.com
Lt L
responsibility for the accuracy of the information.
1106
w
Registration Number: 217-A020143143A-000-000-0000000-0000
CA Building Energy Efficiency Standards- 2016 Residential Compliance
Registration Date/Time: - 2017-05-02 14:48:28
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-05-02 14:48:38