BMCH2015-0080Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LICENSED CONTRACTORTDECLARATION
I hereby affirm under penalty of perjury that) 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.
X.,Date:
License Class: Licens No.::LIC-0003499
Contractor:
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 Divisioq �
of the Business and Professions Code) or that he or she is exempt therefrom and the 1 __
'
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
( ) 1, 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. 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 Na
Lender's Add
Contractor:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)320-5800
Llc. No.: :LIC -0003499
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 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 workers' 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 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 tho eeZVs'
ions.
a
Date: 1 Applicant:
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 a ve-
mentioned pro erty f r inspection purposes.
Date: Signature (Applicant or Agent):
D
VOICE (760) 777-7125
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/18/2015
Application Number:
BMCH2O15-0080
Owner:
Property Address:
80377 RIVIERA
NEIL MYERS
APN:
762130009
80377 RIVIERA
Application Description:
MYERS NEIL / HVAC CHANGE
OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$19,700.00
Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LICENSED CONTRACTORTDECLARATION
I hereby affirm under penalty of perjury that) 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.
X.,Date:
License Class: Licens No.::LIC-0003499
Contractor:
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 Divisioq �
of the Business and Professions Code) or that he or she is exempt therefrom and the 1 __
'
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
( ) 1, 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. 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 Na
Lender's Add
Contractor:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)320-5800
Llc. No.: :LIC -0003499
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 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 workers' 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 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 tho eeZVs'
ions.
a
Date: 1 Applicant:
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 a ve-
mentioned pro erty f r inspection purposes.
Date: Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
Myers ( Date Prepared:
CFIR=ALT 02-E
(Page 1 of 3 )
2015-03-18
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
Myers
02
Date Prepared
2015-03-18
03
Project Location
80377 Riviera
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Myers
07 •
Zip Code
92253
08
Dwelling Unit Conditioned
2800
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this -SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling'
2
system?
component?
-components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
a ;
r: x
01
02
03 < ::
r 04'.:'
:. 05
06
' .07 may. ':
�` ,' 08
«;
09
10
Installing 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 (ft2)
system?
component?
-components?
feet of ducts?
duct system?
SC system?
Alteration Type
3 Ton Lennox
Location 1
2800
No
Yes
Yes
No
No
No
Altered space
conditioning system
4 ton Lennox
Location 2
2800
No
Ye•s
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: 215-A0072004A-000000000-0000 Registration Date/Time: 2015-03-18 09:13:16 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-18 09:13:15
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 1501(b)1E 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
3 Ton Lennox
heating
AFUE
0.78
AC
cooling
SEER
25
Setback
section is not
section is not
furnace
components
components
applicable
applicable
Central gas
All new
Central split :
All new
-
This field or
This field or,
4 ton Lennox
heating
'AFUE
0.78
AC
cooling
SEER
25
Setback
section is not
section is not
furnace
components.
components
applicable
applicable
geouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6
MR-11VICH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating r cooling components are
installed inducted systems of when more, than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, ors 10% leakageto outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containinglcomponents are Installed or altered (applicable in CZ 2, 8-15).
'CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow>_ 300 CFM/ton requirredrwhen�MCH 2S is requiredsy
r A.t
ExceoEions: :s:F,x Y i�azir Ws* f. gat r`ir` .=w
s'' rw :,�'
-Duct systems registered with HERS provider as previously sea led'are exempt -from MCH.20 Duct Leakage Testing
requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verificationbf Air Flow MCH -23, or Refrigerant Charge MECH-25. '
-Existing duct systems constructed, Insulated or seal,ed.Mth asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia 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: 215-A0072004A-000000000-0000 _ Registration Date/Time: 2015-03-18 09:13:16
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31.
HERS Provider: CaICERT$
1 Report Generated: 2015-03-18 09:13:15
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
n yN� -
Documentation Author Signature: gad
Votta, Paul.
Cj�il,�{', `-'[/UKta w
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-03-18 09:13:16
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 of California: _ y
1. The information provided on this Certificate of Compliance is Vue:
k
PAID. PAID DATE
FINANCIAL INFORMATION
- DESCRIPTION F,pACCOUNT
QTY"
"+;+AMOUNT
BSAS SB1473 FEE 101=0000-20306
0
$1.00
$0.00
PAID BY, r 'x . ' .METHOD s
RECEIPT.#
CHECK #F - CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT =
QTY,,,
?„ ',',`AMOUNT
PAID`_,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
PAID BY • '
METHOD°RECEIPT;#
- CHECK#�
;CLTD BY.,,,
S,
ACCOUNT�AMOUNT
`
DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52 ,.
$0.00
'PAID'BY .. z '",' ;
" , , �_." METHOD.,
xr" RECEIPT #`CHECK
#f ;`
CLTD BY,;
Total Paid forCHANGEOUT: $217.56 $0.00
`> " DESCRIPTION'."• �C: `-.,'
ACCOUNT. :,
QTY
AMOUNT "1
,; ': .PAID"
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
.PAID BY
' ` METHOD
RECEIPT # ..
",CHECK #'
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
Description: MYERS NEIL / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/18/2015 PJU
Approved:
Parcel No: 762130009 Site Address: 80377 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 28340-2 Block: Lot: 22
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $19,700.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ZIPS`
Details: (2) HVAC CHANGE OUT FURNACE COILS &-CONDENSERS PER 2013 CALIFORNIA MECHANICAL CODES.PER 2013 MECHANICAL CODES
2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
DESCRIPTION 4 ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
-7,BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Wednesday, March 18, 2015 12:26:03 PM 1 of 2 CN?R" nns
0
NAME TYPE `4 �T .
:NAME"
CONTACTS
E 'ADDRESSI - o - CITY,-
'-STATE.
ZIPS`
PHONE , r FAX F� F ^ENTAIL• _ '
APPLICANT
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
NEIL MYERS
80377 RIVIERA
LA QUINTA
CA
92253
DESCRIPTION 4 ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
-7,BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Wednesday, March 18, 2015 12:26:03 PM 1 of 2 CN?R" nns
0
Permit Details PERMIT NUMBER
-:- City of LaQuinta BM_ CHy2OT500.8.0
—D ESCRIPTION .
F
ACCOUNT_
QTY
's AMOUNT•
PAID '
;PAID DATE
RECEIPT #
CHECK #
.-METHOD
PAID BY , '
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
> $72.52
$0:00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0.40.00
SEQID INSPECTION�TYPEt r INSPECTOR SCHEDULED. I COMPLETED . RESULT REMARKS s NOTES
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, March 18, 2015 12:26:03 PM 2 of 2 Cfl?srSTEMS
Bin ff.
`
City of La Q uin to .
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico*.
La Quinta, CA 92253 - (760) 777-7012
Building Permit'Application and Tracking Sheet
Permit ##
2� t
Project Address: 3��
Owner's Name: —"
Address:
A. P. Number:
Legal Description:
City, ST, Zip:
Contractor: ■
Co or:
Telephone:,
Address: 4803E Sunny Dunes Rd
Project Description:
PalCity, ST, zip: m Springs, 92264
13
a
TeleP h0 ne
0O
r
State Lic. #:—)
City Lie. #:3.q
Arch., Engr., Designer:
Address:
City., ST, Zip: W
Telephone:
::..::.::..:.:.
Construction Occupancy:
State Lie. #•
Project type circle one): New Add'nAlter Repair Demo
Name of Contact Person:
Sq. Ft.:,)SOD
I # Stories:
# Units: a
Telephone #,of Contact Perso
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H-O:A. Approval
Plans resubmitted
Grading
IN I10USE:-
Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App r
Date of permit issue
Schodl Fccs
Total Permit Fccs
A-