BMCH2015-0019LA QUINT�, CALIFORNIA 92253
;J
a
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
BMCH2O15-0019 .
(3) HVAC SPLIT _'
$19,750.00
e�^,y 44 0914&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS(760)777-7153
Owner:
RICHARD BAYSHORE
80115 MERION
LA QUINTA, CA 92253
Contractor:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)320-5800
Llc. No.: :LIC -0003499
Date: 1%20/2015
1
• LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,; I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: _ License No.: :LIC -0003499 of the work for which this permit is issued.
1 I
_ I have and will maintain workers' compensation insurance, as required by
Date: `—� �� Contractor: _
Section 3700 of the Labor Code, for the performance of the work for which this permit
IV
is issued.. My workers' compensation insurance carrier and policy number are:
' OWNER-BUILDERECLARATION
Carrier: _ Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any '
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair.
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the ,
comply with those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
'
1
1 — O -t
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: O � Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
per subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. . B.&P.C. for this reason
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.
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
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 property for inspection purposes.
Date: Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE CFiR-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:
Volt
Volta, Paul
/1 0
Documentation Author Signature: gat
g Q
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-01-19 12:34:38
Address:
`
CEA/ HERS Certification Identification (if applicable):
4803E 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 periury,.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 orsystem design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performanceapeafi ations, 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 &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 bmldmg permtt application sk
5. I will ensure that a registered copy of'this;Certificate of. Compliance shalt be made avail able_; with the;building permrt(s) Issued for.the bwlding and made;available to the enforc emenf agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is �equiredao be included with the iiocumentation the builder provides to the building owner at occupancy..
Responsible Designer Name:
Votta, ; Pa u l _
Responsible Designer Signature. ^ �`
l w(Y[.(Cl
Company:
VOTTA ENTERPRISES INC
Date Signed:
2015-01-1�9 12:34:38 r
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Digitally signed by CafCERTS. 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.
Registration Number:215-A0021364A-000000000-0000 Registration. Date/Time:
20115-01-19 12:34:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Reoort versinn: zm 4-n:ta1
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
'Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: Richard Bashore Date Prepared: - 2015-01-19
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
Richard Bashore
02
Date Prepared
2015-01-19
03
Project Location
80115 Merion
04
Building Type
Single family -
05
'CA City
La Quinta
06
Dwelling Unit Name,
Richard Bashore
07,
Zip Code
9225308
f
Dwelling Unit Conditioned
4000
Floor Area (ft2)
.
:SC System,
CFA served
systema
ref "
Number of space conditioning
t .
09
Climate Zone
15
10
(SC) systems in this dwelling
3
ducted ~
containing
F
more than 40
unit.
entirely new
h Y
B. Space Conditioning (SC) System Information `f
01
02
:: 03 i�V
'04c
Q6 ;
07
g 08 '
09
10
., ,05
f
;&Is the SC
' ;Installing a"
SC System
:SC System,
CFA served
systema
ref "
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 '
System 1
Location 1
2000
Yes
Yes
Yes
No
No '
No
Altered space
conditioning system
System 2
Location 2
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3
Location 3
800Yes
Yes
Yes
No
No
No
Altered space .
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b) 1 Diib)
This section does not apply to this project.
Registration Number: 215-A0021364A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-01-19 12:34:38
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2015-01-19 12:34:31
CERTIFICATE OF COMPLIANCE MR -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
System 1
Centralas
g
furnace
All new
heating
AFUE
0.78
Centralsplitsplit
All new
cooling
SEER
15
Setback
This field or
section is not
This field or
section is not
components
components
applicable
applicable
System 2
Centralas
g
All new
heating
AFUE
0.78
CentrAaCl split
All new
cooling
SEER
16
Setback
This field or
This field or
furnace
section is not
section is not
components
components
applicable
applicable
System 3
Centralas
g
furnace
A(I new
heating
AFUE
0.78
CentrAaCl split
All new
cooling
SEER
16
Setback
This field or
section is not
This field or
section is not
components
components '
applicable
applicable
ReQu*red Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-2D-H — Duct Leakage testing 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 510% leakage to outside, or seal all accessible leaks.
MR -MCH -25-11 & 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 z 300 CFM/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 MECH-25.
-Existing duct systems constructed, insulated or sealed with 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)1Diia 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)lC)
` This section does not apply to this project.
Registration Number: 215-A0021364A-000000000-0000 Registration Date/Time: 2015-01-19 12:34:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-19 12:34:31
Schema Version: 0.551SDD
1
FINANCIAL INFORMATION
1
r
��� 1 yx mESCRIPTIONA00NTsa QTY
0U=
AMOUNT.*
PAID::, PAID
.a. ,, e •, ._ _ _., ?x�
3x, DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
q¢ T;z gist
PAID'BY
*#CLTD
CHEEK
.`.�::.
f
BY
.
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00, $0.00
DESCRIPTION.,,,
ACCOUNT six r,QTY
' AMOUNTS'{PAID'm
PAID DATE::
HVAC CHANGEOUT - SPLIT -SYSTEM
r 101-0000-42402
.0
$217.56
$0.00
tti3
IP�ht°METHOD
CHI
C:BY
a s`PAID1
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,
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wa.
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LTDY
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=F"AMOUNT��PAID
;,PAIDDATE'
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600'
0
$108.78
$0.00
PAID BYE
-M
RECEIPT #�
CHECK
¢CHECK #,a��
,' ..z�; s.�:*
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CLTD BY
Total Paid forCHANGEOUT: $326.34 $0.00
" 'DESCRIPTION
ACCOUNTS
QTY
1 AMOUNT t f
PAID sy
PAIDZATE>
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID:BY
METHOD
R. �' ,'
ECEIPT#
CH ECK #
CLTD BY
F, ., ,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
1
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1
1
1
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.
Desdiption: (3) HVAC SPLIT SYSTEMS
Type: MECHANICAL j
Subtype:
Status: UNDER REVIEW
Applied: 1/20/2015 PJU
Approved:
Parcel No: ° Site Address: ,
P
Subdivision:
Block: Lot:
w
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
I
Zoning:
Finaled:
Valuation: $19,750.00
Occu pa ncy Type:
Construction Type:
Expired: ,
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: (3) HVAC CHANGE OUT SPLIT SYSTEMS (1) 5 TON (1) 3 TON (1) 2 TON FURNACE COIL CONDENSERS 2013 MECHANICAL CODES.
f:{.�K.1 ,rv..•y*,x$�'`3�5. .. k:\"' �' five T�^�' E ,f'Nycr+Yt 3 >. '`ter 'G P�� Y tai>Y`NC`�.:.E.tl :i".. :. �'r�i'arrkl:r YI.a`F' �c.,j '�: i� b£: � a,,... y_ I:i ..:.
DESCRIPTION ACCOUNT ` QTY AMOUNT' x PAID PAID DATE, (RECEIPT# CHECK 4 METHOD PAID BY��s CLTD,'
to
5....s't..c 12-11BY,,
t
BSAS SB1473 FEE 101-0000-20306' 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00. $0.00
BSA:
ti
a
,
r
Desdiption: (3) HVAC SPLIT SYSTEMS
Type: MECHANICAL j
Subtype:
Status: UNDER REVIEW
Applied: 1/20/2015 PJU
Approved:
Parcel No: ° Site Address: ,
P
Subdivision:
Block: Lot:
w
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
I
Zoning:
Finaled:
Valuation: $19,750.00
Occu pa ncy Type:
Construction Type:
Expired: ,
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: (3) HVAC CHANGE OUT SPLIT SYSTEMS (1) 5 TON (1) 3 TON (1) 2 TON FURNACE COIL CONDENSERS 2013 MECHANICAL CODES.
ADDITIONAL
CONDITIONS.
•
r
NAME TYPE,"NAMEw ADORE551 d #3 STATE.e:
ZIPes FAX
F s� EMAIL:
w w, :gCITY:
i ti j <
fir.
APPLICANT : COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA
92253 (310)474-4043
CONTRACTOR COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA
92253 (310)474-4043
OWNER RICHARD BAYSHORE 80115 MERION LA QUINTA CA
92253 (310)474-4043
FINANCIAL INFORMATION
f:{.�K.1 ,rv..•y*,x$�'`3�5. .. k:\"' �' five T�^�' E ,f'Nycr+Yt 3 >. '`ter 'G P�� Y tai>Y`NC`�.:.E.tl :i".. :. �'r�i'arrkl:r YI.a`F' �c.,j '�: i� b£: � a,,... y_ I:i ..:.
DESCRIPTION ACCOUNT ` QTY AMOUNT' x PAID PAID DATE, (RECEIPT# CHECK 4 METHOD PAID BY��s CLTD,'
� , c
,--.t
5....s't..c 12-11BY,,
t
BSAS SB1473 FEE 101-0000-20306' 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00. $0.00
BSA:
U�
ACCOUNT
AMOUNT
TTL�—A�
ii6
�M=
PAMDATE
7.7Mqr
CLTDt
,
RECEIT#
CHECK
METHOD
PAID BY
�U4".
.%W
6m
BY;;
HVAC CHANGEOUT-
101-0000-42402
0
$217.56
$0.010
SPLIT-SYSTEM
HVAC CHANGEOUT-
101-0000-42600
0
$108.78
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT:
$326,34
$0.00
PERMIT ISSUANCE 101-0000-42404 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
TOTALS:
$41.85
$419.19
$0.60
$0.00
PARENT PROJECTS
Printed: Tuesday, January 20, 2015 12:48:51 PM 2 of
CRW..
I.A
BOND INFORMATION
'ATTACHMENTS
Printed: Tuesday, January 20, 2015 12:48:51 PM 2 of
CRW..
I.A
Bin # -
City of La Quinta
Building 81: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit >✓,`
Project Address: %0�
Owner's Name:
A. P. Number:
Address: \ —
sw
Legal Description:
City, ST, Zip:
Contractor:
Tele hone: it — — -%< <`•<>' ^ "'"
Address: OMIlift Air"
City, ST, Zip: - Palm Springs, CA 92264
Project Description: —
3 S - .
Tele hone: ( -�
P �lLS--� C`1J•
State Lic. #: 9
City Lice
Arch., Engr., Designer:
\
Address:
el
City., ST, Zip:
Telephone:
;;. •>-;; r::..>: •:;.: •..:::>::z:>:zz:
Construction type: Occupancy
State Lic..#•
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: qcoo
#Stories:
#Units:
Telephone #,of Contact Person: 5- U;Z,
Estimated Value of Project: ,Gj L:�SD n�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" 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 HOUSE:
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Bin #
".
City of La Quanta
_
`Building 8i:• Safety Division
Permit #
P.O. Box 1504, 78-495. Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012 ;
-Building Permit Application and Tracking Sheet
Projoct Addtess: ON�� 5
Owner's
A. P. Number: . '
.�
Name:
Address:. —
Legal Description:
City, ST, Zip: LAI—
•
I) S 3
Contractor.
Telcphone:3�P—
Address:
Project Description: _
city, ST, Zip: Palm Springs, CA 82264
Telt hone
F a "
State Lic. # :
City Lic. #;3�
\7 -
Arch., Engr., Designer.
Address:
City, ST, Zip:
Tel hone:��.>..:.
�
s :k.•�s;
a,��fy������.£ fkyk ,<
'
Construction Type: �V Occupancy:
.panty:
State Lic. #:
�4%%jy.<,:,6p�%c•.�.�;�ka'�`s�,�f�<x
�rzwYx.Xa� ,« wry ix;
. Project type (circle one): New Add'n Alter Repair Demo
FNameontact Person:
Sq• FG:qo�#Stories:
#Units:#,of
Contact Person:
3� e�6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal, _ Req'd
Recd
TRACICING
PERMIT FEES
Plan Sets
Plan Check submitted '
Item
Amount
Structural Cala.
Reviewed,:ready for corrections
Plan Check Deposit
Truss Cala.
_
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
=
Flood plain plan
Plans resubmitted •
Mechanical
Grading plan
2':Weview, ready for
correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/isue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
' Pub. Wks. Appr
Date of permit issue•
School Fees
Total Permit Fees