BMCH2015-036053380 Avenida Martinez
BMCH2015-0360
78-495 CALLE TAMPICO ' D i VOICE (760) 777-7125
LA QUINTA , CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/21/2015
Application Number: BIVICH2O15-0360 Owner:
Property Address: 53380 AVENIDA MARTINEZ GREGORIO GALLEGOS
AM: 774092007 53380 AVENIDA MARTINEZ
Application Description: GALLEGOS / 14SEER/78AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,298.00Co
Applicant: Contractor: omv
VOTTA ENTERPRISES INC DBA COMFORT AIR VOTTA ENTERPRISES INC DBA COM.FpjtT AIR
rn
4803 E SUNNY DUNES ROAD 4803 E SUNNY DUNES ROAD o
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264
g ry t.
oZ c::)
(760)320-5800. v r cJt
Llc. No.: 763937 p
---------------------------------------------------------------------------------------------
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 ullfor a and effect.
License Class: C20 ien No.: 763937
Date: 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 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 ) 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. 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 Address:
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 Kwhich this permit is issued.
SediI have and will maintain workers' compensation insurance, as required by
on 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 fo ith
comply with thoseovisio .rr
Date: !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
above-mentioned ope mor inspection purposes.
Date: J `signature (Applicant or Agent):
DESCRIPTION"],
FINANCIAL •• •
..
ACCOUNT : ` QTY, AMOUNT. '<
PAID .
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY °;, .
METHOD .
RECEIPT #
GHECK #' '
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID:
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT. ,.
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
7 -METHOD
RECEIPT #
CHECK ..#,
CLTD BY
Total Paid for CHANGEOUT:. $108.78 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
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: GALLEGOS / 14SEER/78AFUE SPLIT SYSTEM
CONDITIONS
Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 9/21/2015 SKH
Approved:
Parcel No: 774092007 Site Address: 53380 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 212
Lot: 18
Issued:
UNIT 20
ADDRESSI
CITY
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $7,298.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CA
Details: HVAC CHANGE OUT - 14SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY.
CONDITIONS
CONTACTS
NAME TYPE. NAME
ADDRESSI
CITY
STATE
ZIP_
PHONE
FAX
_ EMAIL
APPLICANT VOTTA ENTERPRISES INC DBA
4803 E SUNNY DUNES
PALM SPRINGS
CA
92264
COMFORT AIR
ROAD
CONTRACTOR VOTTA ENTERPRISES INC DBA
4803 E SUNNY DUNES
PALM SPRINGS
CA
92264
COMFORT AIR
ROAD
OWNER GREGORIO GALLEGOS
53380 AVENIDA
LA QUINTA
CA
92253
MARTINEZ
FINANCIAL INFORMATION
Printed: Monday, September 21, 2015 11:28:23 AM 1 of 2
' SYS7ElNS
DESCRIPTION
ACCOUNT
QTYAMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #'
METHOD
PAID BY
CLTD
BY
BSA$ SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT-SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• • 00
INSPECTIONS
Printed: Monday, September 21, 2015 11:28:23 AM 2 of 2
SYSTCAAS
B,rt.#
City. Of La Quints
Bulkbg 8t Safety Divhion
P.O. Box 1504,"78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perm,t #
Project Address: GSQ 4 eL
Owner's Name:. 2
0–lenlwdQ -3
A. P. Number.
Address: rJ 3 1 2
Legal Description:
Contractor. –
City, ST, Zip: 9 2 Z5
Telephone: -71,0
Project Description:
Address:LIS ,n ,n Q
City, ST, Zip:,
r— s' 1 ✓1 1
Telephone L, 3 a O–SW CI . L t
D A
State Lic. # : City Lic. #s
Arch., Eng.. Designer.
Address:
City., ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lia #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: l Sq. Ft.: # Stories:# Units:
Telephone # of Contact Person: '7 • 3 – -- {U (,
Estimated Value of Project: %
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMtr FEES
Plan Sets
Pian Cheek submitted
Item Amount
Structural Calm
Reviewed, ready for correcdons
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 CaW6
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Giading plan
2' Review, ready for correctiouMmue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S bLL
H.O.A. Approval
Plans resubmitted
Grading -
IN HOUSE:-
''" Review; ready for correctionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
J
Total Permit FeesI
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
GALLEGOS ) Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-09-16
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
GALLEGOS
02
Date Prepared
2015-09-16
03
Project Location
53380 AVENIDA MARTINEZ
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
GALLEGOS
07
Zip Code
9225308
served
Dwelling Unit Conditioned
1432
rinstalling ew SC
stalling
!'In talli g
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_J/
30
(SC) systems in this dwelling
1
system?
component?
components?
feet of duds?
unit.
SC system?
B. Space Conditioning (SC) System Informationy''y
T
01
02
i f r 03
F ni t.
I bS
F664'
07
t 08
09
10
•''
'Is the SC°'._.,
' `Installing a`"`
. " `.
"
SC System
SC System ,FA
served
em a
r f ige a t t
rinstalling ew SC
stalling
!'In talli g
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirety new
Name
Served
System (ft2)
system?
component?
components?
feet of duds?
duct system?
SC system?
Alteration Type
Entirely new or
4 TON LENNOX
Location 1
1432
No
Yes
Yes
No
No
Yes
complete
replacement 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-A6327378A-000000000-0000
Registration Date/Time: 2015-09-16 08:47:06
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-16 08:47:03
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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)
This section does not apply to this project.
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)
01
02
03
04
05
06
07
08
09
10
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
'Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type -
Value
System Type
Component
Type
Value
Type
R -Value
. `
This field
4 TON LENNOX
Central gas
furnace
All new heating
-
components
, F
AFUE
0.78
r
Central split
AC
All new cooling
s .
components
i`'""
SEER
t i
4
SetbackTher
mostat
or section
is not
"
l 'a/'
s,
' j
applicable
Required Documentation: # ) ++. L ' j
i + + is .w ++ u U
0 1 ,h
k t .
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct Leakage Verification required.
-Leakage rate compliance: 5 6%.
CF2R & CF3R-MCH-22 Fan Efficacy Verification
CF2R & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy15 0.58 W/cfm and System Airflow z 350 cfm/ton.
- Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification.
CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exce tp 'ons:
Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements.
N=
An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g.,
registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 215-A6327378A-000000000-0000
Registration Date/Time: 2015-09-16 08:47:06
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-16 08:47:03
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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:
Documentation Author Signature: /
Volta, Paul
(J i
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-09-16 08:47:06
Address:
CEA/ HERS Certification Identification (if applicable):
4803 E SUNNY DUNES ROAD
City/State/Zip:
Phone:
PALM SPRINGS CA 92264 A
(760) 320-5800
Responsible Person's Declaration statement's
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 o 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 Oat -66 ofthe Cal fornia Code of Rg la ion
4. The building design features or system design features identified on this Certificate of Compliance are consistent:with,the information.provided on other.:applicatile eompliance documents, worksheets,
P k +dm f' y i With ' i -- . i f
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that a registered copy ofthis Certificate of ompliance shallbe,.ma.de available witfi'the bwlding'permit(s).issued for the -building, and.made available to the enforcement agency for all applicable
inspections. I understand that a registered copy ofthis,Certificate of Compliance isrequre d tote included with the docum'entation thewbuilder provides to the building owner at occupancy.
Responsible Designer Name: `'
Responsible Desig er Signature:.
01
Volta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-09-16 08:47:06
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Digitally signed by CaICERTS 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-A6327378A-000000000-0000 Registration Date/Time: 2015-09-16 08:47:06 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-16 08:47:03
Schema Version: 0.555SDD