BMCH2015-003678-495 CALLE TAMPICO 440
VOICE (760) 777-7125
0
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMM LIN ITY•DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/6/2015
Application Number:
BMCH2O15-0036
Owner:
Property Address:
53280 AVENIDA OBREGON
JANE MARTINEZ
APN:
774075002
53280 AVENIDA OBREGN
Application Description:
HVAC FURNACE COIL 4 TON SPLIT SYSTEM
LA QUINTA; CA 92253
Property Zoning:
Application Valuation:
$8,250.00
Applicant:
Contractor:
COMFORTAIR
0 OUTSIDE CITY LIMITS
COMFORT AIR
0 OUTSIDE.CITY LIMITS
LA QUINTA, CA92253
6 2Q r5(760)320-5800
LA QUINTA, CA 92253
rc
CITY OF LA QUINTA
Y DEVELOPMENT DEPARTMENT
Llc. No.::LIC-0003499
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.
Licenseass: _ License No.: :LIC -0003499
c
p'ate���— Contractor:
OWNER-BUILDE DECLARATION
I hereby affirm under penalty of perjury that.[ 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 sheds exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
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
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penaltyof perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as providetl for by Section 3700 of the Labor Code, for the performance
of the work 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 wgrkers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
I certify that in the performance.of the work for which this permit is issued, I
shall not employ any person inany 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 w' h those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN`EMPLOYER TO'CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSANDDOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION;,DAMAGESAS 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 uponwhose '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 resulYof 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.forany 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 Vpermit to cancellation.
I certify, that I have`read this applicafion.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-
mentione property for•: inspection purposes.
DateSignature (Applicant or Agent):
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HVAC CHANGEOUT:-SPLIT=SYSTEM
101 0000 42402
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AMOUNT
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i PAID,:'
,� "rkv ilii,. 3i4.4{
PAIDt;DASTE
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iF.t,s?s:i.ttFlxaten
;..HVAC CHANGEOUT; ;SPLIT SYSTEM PC
1010000'42600
` 0
`° 26
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,
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Total Paid forCHANGEsOUT
: _ $108 Z8' $0.'00
t'4X
+� `UESCRIP.TION,rx�r�;@FF
. net i 't"04�i5'.. jSn' i.
A00OI@1NT'S
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AMOUNT
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PAID'DATE
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PERMIT ISSUANCE
101 0000=42404 �
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$91:85, ,
$0 00
(�.5' "atn_' 4x' q�'!` yy..t$Rt'iY i."..aJ' V:'• tel. 4
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RECEIPTS:'# tt e
�ry
Gid 4psre,'1
CHECK:# ?
t-tfyip'
CLAD BYA'.
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�Total:Paitl for PERMIT ISSUANCE _ i$9185{
�.�4,_�. ... ....... �. ._:,. +:.wn.(.-. .. __.. ,'.s* ft�iFr;.P .e. . �r..:.,s nA}Q(...w+`G !r .. lM..^,ii-.. Hr{fi•,.rt4A:i.�ilY.1N :Jd.Y iYk .LiL.G�%F
i i
NOR ONE
Description: HVAC FURNACE COIL 4 TON SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 2/6/2015 PJU
Approved:
Parcel No: 774075002 Site Address: 53280 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 187 Lot: 2
Issued:
UNIT 18
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,250.00 Occupancy Type: Construction Type:
Expired:.
No. Buildings: 0 - No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT FURNHACE COIL & CONDENSER 4 TON SPLIT SYSTEM PER :PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE -INSTALLED PRIOR TO FINAL INSPECTION
CONTACTS
.NAMErTYPE
APPLICANT
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA^. 92253
(760)771-0896
CONTRACTOR
COMFORT AIR
0 OUTSIDE -CITY LIMITS,
LA QUINTA
CA 92253
(760)771-0896 `
OWNER
JANE MARTINEZ.
53280 AVENIDA
LA QUINTA
CA 92253
(760)771-0896.
OBREGN
Printed: Friday, February 06, 2015 9:56:56 AM 1 of 2
SYSTEMS
Printed: Friday, February 06,2Oz59:56:56AM 2cfZ '
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
SPLIT-SYSTEM
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: .$10838 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.0Q
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
Printed: Friday, February 06,2Oz59:56:56AM 2cfZ '
Bin tf
Qty
Building. St SafetyDivision:
P.O. Box 1504 78-4, Calle Tampico .
La Quintal. CA 92253 - (760),'777-701.2
Building Permit Application and TrackingSheet
Permit #.
Project Address: �.
•Owiier's:Name:mt—A`
A. P. Number:.:.
'Address:
Legal Description:
City, ST, Zip: �' '
Contractor:
m
Te'
leh 0 nc:�
P. v
Address:--,
City, ST, Zip: Palm`Springs, CA 92264
Project Description:: UJ
',.
Tele h ne
P o .
_
r
State Lic. # :
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
:.;,.r ::.:::.:-:>..:::.. :.::•::::::::..
::%<:•>:«•«>::>:•:; •:>:<•:
Construction Type:. Occupancy:
State Lie. #:
Pro ect �P a circle one : New Add'n Alter Re air. Demo
J ) P
Name of Contact Person: J . �S
Sq. Ft::
I'Esti
# Stories:
# Units:
Telephone #,of Contact.Person71 – Jr�
rate.d Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES,
Plan Sets
Plan Check submitted
"Item. 1
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Cheek Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
'Plans resubmitted
Mechanical
Grading plan
21' Rcvicw, ready for correclions/issue
Electrical
Subcontactor List
Called ContactPerson
Plumbing
Grant Deed
Plans picked up
S.M.I:
H.O.A..Approval
Plans resubmitted
Grading
IN IiOUSE:-
'rd Reyiew, ready for eorrectionstissue
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P..
Pub: Wks. Appr
'Date of permiti§suc
School Fees
Total Permit Fees
zO zs�
CERTIFICATE OF COMPLIANCE
Alterations -to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Jane Martinez I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-02-06
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 CRR -ALT -02 document for each dwelling unit.
01
Project"Name
Jane Martinez
02
1 Date Prepared
2015-02-06
03
Project Location
53280 Avenida Obregon
04
Building Type
Single family
05
CA City
La Quinta —
06.
Dwelling'Unit Name
Jane Martinez
07
Zip Code
92253
08
Dwelling'.Unit Conditioned
160.0
containing
system
more than 40
entirely new
Floor Area (ft2)
Name.
Served
System (ft2):
.. ' system?
Number of space conditioning
components?
09
Climate Zone
15
10
(SC) systems in this dwelling
1
1600
Yes
Yes
Yes
unit.
-
S. Space Conditioning (SC) System`I ormation r { y
t11
,
01 02 d0304:... X06 07 �08 09 10
-Is the SC'
Installing a
,-gg
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this 5C .
ducted
containing
system
more than 40
entirely new
entirely new
Name.
Served
System (ft2):
.. ' system?
component?
components?
feet of duds?
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 (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0037616A-000000000-0000
Registration Date/Time:
2015-02-06 08:28:38
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-06 08:28:41
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE
CF111-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)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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14
Setback
section isnot
section is not
components,
components
applicable
applicable
Reauired'Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF211-MCH-20 H & &3R -MCH -20 -H —Duct Lea kagetesting 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: 515%, or 510%'leakage to outside; or.seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant,Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2',300 CFM/ti5W.required when MCH 25 is required � r �,
Exceptions: y - a
Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud LeakagetTesting req�r�ements -fli " f
Heating -only systems and Air Handler/Furnace changes do no r qure verfication of Air Flow MCH ,23 or RefrigerantyCharge MECH 25 .
-Existing dud systems constructed, insulated or sealed with Ee empt from MCH -20 Dud Leakage Testing regwrements.�' *+ -
asbestosar
�, N..:+.r',.ts•-N'.- 2,P.'., .. . •. .: .5:✓ .. ._ ..:Sv... .. rc... ; .3• A'r aR, -.. � ..:.
E. Entirely New or Complete Replacement: Duct System, with or without Equipment Changeout (Sections 150.2(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: 215-A0037616A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Report" Version: 2014-03-31
Schema Version: 0.551SDD
2015-02-06 08:28:38
HERS Provider: CalCERTS
Report Generated: 2015-02-06 08:28:41
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:
Votta, Paul
Documentation Author Signature: /n /� O
gvU
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-02-06 08:28:38
Address:
CEA/ HERS Certification Identification (if applicable):
4803 E SUNNY DUNES ROAD
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Responsible Person's Declaration statement
I certify the following under penalty of perjury -Under the laws.of the State, California:
1. The information provided on this`Certificate of'co' rripliance is tcue;and correct.
2. I am eligible under Division 3 of the Business and Professions Codeto accept responsibil =ty for the building desiign o .system. design identified on this Certificate of Compliance (responsible designer).
n
3. That the energy features and performance spefications, materialsc m ponents and manufactured devices'for thebuilding 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. I"
,
4. The building design features or system design features identified on this Certificate of Compliance are consistent witha he mformatio "rovideclon,other a licable compliance documents, worksheets
P
calculations, plans and ecifications submitted to Fie e'nforc menta `enc fora " ` ' mss'" �`� p ��:r; lPt?
P P . f gr y pproval with this building permrt applJcation
, a .
5. I will ensure that a registered copy of this: ertificate`of Compliance shall be made available with the building permit(s)'assued;for the buiidmg a^d'made available to the enforcement agency for all applicable
inspections. I understand that a registered;copy of this Certificate of comphance'is required.to beJ uded with the docurnentation the biMcler
provides to the building owner at occupancy.
Responsible Designer Name:
Votta, Paul
Responsible Designer Signature: ^ �`
lwlYL(CG
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-02-06 08:28:38
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Digitally signed by Ca/CERTS. 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: 215-A0037616A-000000000-0000 Registration Date/Time: 2015-02-06 08:28:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-06 08:28:41
Schema Version: 0.551SDD