BMCH2023-0164DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Mechanical
BMCH2O23-0164
81943 PRISM DR
764360048
$13,383.00
Declaration / Acknowledgement
BUILDING PERMIT
athita
CALIFORNIA
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 05/04/2023
ISSUED DATE: 05/05/2023
Owner: SANDRA RAITI
81943 PRISM DRIVE, LA QUINTA, CA 92253
Applicant: MICHAEL GORDON HYDE
42949 MADIO ST, INDIO, CA 92201
Contractor: MICHAEL GORDON HYDE / 906115
42949 MADIO ST, INDIO, CA 92201
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 11/18/25 6:07 pm Page 1 of 3
BUILDING PERMIT
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2O23-0164
81943 PRISM DR
Use of Permit
RAITI / HVAC CHANGE OUT *** HVAC CHANGE OUT - 18 SEER2/8 HSPF SPLIT SYSTEM.LIKE FOR LIKE NO CHANGE OF LOCATION
CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2022 CALIFORNIA BUILDING CODES.
Construction Details
Amount of
Split-System(s)
1
Valuation Details
Type
Group
Sq Ft Value
Financial Information
Invoice No.
PERMIT-BMCH2O23-01 E
4
Fee
RECORDS MANAGEMENT FEE
PERMIT ISSUANCE
TECHNOLOGY ENHANCEMENT FEE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
HVAC CHANGEOUT - SPLIT -SYSTEM
BSAS SB1473 FEE
Total for Invoice PERMIT-BMCH2O23-0164
Fee Amount
$11.00
$110.88
$8.00
$87.53
$43.77
$1.00
Amount Paid
$11.00
$110.88
$8.00
$87.53
$43.77
$1.00
$262.18 $262.18
Grand Total for Permit
$262.18 $262.18
Workflow / Inspections
Workflow Step / Action Name Action Type
Inspections v.1
Start Date End Date
05/04/2023 0:00
MECHANICAL FINAL"" v.1
Inspection
Inspections
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Certificate of Occupancy
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
Printed: 11/18/25 6:07 pm Page 2 of 3
BUILDING PERMIT
Permit Type:
Permit Number:
Property Address:
Mechanical
BMCH2O23-0164
81943 PRISM DR
Service Utilities
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Printed: 11/18/25 6:07 pm Page 3 of 3
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
ALTERATIONS TO SPACE CONDITIONING SYSTEMS
(FORMERLY CF-1R-ALT-HVAC)
CF1R-ALT 02-E
(Page 1 of 3)
Project Name:
81943 PRISM DRIVE
Enforcement Agency:
City of La Quinta
Dwelling Address:
81943 PRISM DRIVE
Permit Number:
TBD
City and Zip Code
La Quinta, 92253
Permit Application Date:
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.
01
Project Name
81943 PRISM DRIVE
02
Date Prepared
2023-05-04
03
Project Location
81943 PRISM DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
81943 PRISM DRIVE
07
Zip Code
92253
08
Dwelling Unit Conditioned Floor
Area (ft2)
2000
09
Climate Zone
15
10
Number of Space Conditioning
(SC) Systems in this Dwelling
Unit:
1
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC System ID or
Name
SC System
Location or Area
Served
CFA served by this
SC System (ft2)
Is the SC system a
ducted system?
Installing a
refrigerant
containing
component?
Installing new SC
system
components?
Installing more
than 25 feet of
ducts?
Installing entirely
new duct system?
Installing entirely
new SC system?
Alteration Type
System 1
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning
system
Registration Number: 223-A020052537A-000-000-0000000-0000
Registration Date/Time: 2023-05-04 14:10:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000
Schema Version: rev 20220101
Report Generated: 2023-05-04 14:10:08
CALIFORNIA ENERGY COMMISSION
ALTERATIONS TO SPACE CONDITIONING SYSTEMS
(FORMERLY CF-1R-ALT-HVAC)
CF1R-ALT 02-E
(Page 2 of 3)
C. Extension of Existing Duct System, Greater Than 25 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
010
11
12
13
14
System ID/
Name
SC System
Description
of Area
Served
Heating
System
Type
Altered
Heating
Component
s
Heating
Efficiency
Type
Heating
Minimum
Efficiency
Value
Cooling
System
Type
Altered
Cooling
Component
s
Cooling
Efficiency
Type
Cooling
Minimum
Efficiency
Value
SEER/SEER2
Cooling
Minimum
Efficiency
Value
EER/EER2/C
EER
Required
Thermostat
Type
New or
Replaced
Duct Length
New Duct
R-Value
System 1
Location 1
Central split
HP
All new
heating
components
HSPF
8
Central split
AC
All new
cooling
components
EER2SEER2
18
11.7
Setback
n/a
n/a
Required Documentation:
Systems
for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 3, 5-7) and R8 (CZ 1, 2, 4, 8-16)
Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 25 ft of duct length is replaced
than or equal to 10% or less than or equal to 7% leakage to outside, or seal all accessible leaks.
Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Rate greater than or equal to 300 CFM per ton required when MCH-25 is required.
HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25.
insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements.
CF2R-MCH-01-E
- Duct insulation
CF2R and CF3R-MCH-20-H
-Leakage rate
CF2R and CF3R-MCH-25-H
CF2R and CF3R-MCH-23
Exceptions:
- Space Conditioning
requirement
-
compliance: less
Airflow
registered with
systems and
systems constructed,
- Duct systems
- Heating -only
-Existing duct
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)1C)
This section does not apply to this project.
Registration Number: 223-A020052537A-000-000-0000000-0000
Registration Date/Time: 2023-05-04 14:10:09
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2022 Residential Compliance Report Version: 2022.0.000
Schema Version: rev 20220101
Report Generated: 2023-05-04 14:10:08
CALIFORNIA ENERGY COMMISSION
ALTERATIONS TO SPACE CONDITIONING SYSTEMS
(FORMERLY CF-1R-ALT-HVAC)
CF1R-ALT 02-E
(Page 3 of 3)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Mark Hyde
Documentation Author Signature: ,��
/ffire.E1.4
Company:
CERTIFIED COMFORT SYSTEMS INC
Signature Date:
2023-05-04 14:10:09
Address:
42949 Madio
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
Indio CA 92201
Phone:
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. 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 understand that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to
the enforcement agency for all applicable inspections, and I will take the necessary steps to accomplish this requirement.
6. 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, and I will take the necessary steps to accomplish these requirements.
Responsible Designer Name:
Mark Hyde
Responsible Designer Signature: ��y'/ '
yo�p�
Company :
CERTIFIED COMFORT SYSTEMS INC
Date Signed:
2023-05-04 14:10:09
Address:
42949 Madio
License:
906115
City/State/Zip:
Indio CA 92201
Phone:
760-360-2202
Easy to Verify 0 ti• 0
•}
` x•f,�
at CaICERTS.com Ace, •• .
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 responsibility for
the accuracy of the information.
It,
1,
0 ,F
Registration Number: 223-A020052537A-000-000-0000000-0000
Registration Date/Time:
2023-05-04 14:10:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2022 Residential Compliance
Report Version: 2022.0.000
Schema Version: rev 20220101
Report Generated: 2023-05-04 14:10:08