BMCH2016-045178-495 CALLE TAMPICO D 64� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
& DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUI G PERMIT
Date: 12/20/2016
Application Number: BMCH2O16-0451 c/+ Owner:
Property Address: 58425 76462 005 S OC` 0 2416D
58425 MIDAS CLARK O
Application Description: MUNRO RESIDENCE / j G C+/y LA QUINTA, CA 92253
Property Zoning: N ' / ��
Application Valuation: $16,000.00 R[/R/0QU//�ITA
Applicant: £NrDEP,gRTMRNr Contractor:
IE INC VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA 72248 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
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.
License Class: C20 License No.: 763937
Date: 12 ZSR NO 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, 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 I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
(760)320-5800
Llc. No.: 763937
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.
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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5034539
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 those provisions.
2cO1 it, �—
Date: Applicant: 6
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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name:
Date: Z 20 1 Signature (Applicant or Agent):
Lender's Address:
Application Number:
BMCH2016-0451
Property Address:
58425 MIDAS
APN:
764620005
Application Description:
MUNRO RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$16,000.00
Applicant:
IE INC .
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 12/20/2016
Owner:
CLARK MUNRO
58425 MIJAS
LA QUINTA, CA 92253
Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
Detail: (2) HVAC CHANGE OUT - 16 AND 15 SEER/80AFUE SPLIT SYSTEM (2013,ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
FINANCIAL oRo
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT-$YSTEM
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
Bin .#
Qty. Ofld Quint
Building u Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 58425 Mijas
Owner's Name:. Clark Munro
A. P. Number.
Address: 58425 Mijas
Legal Description:
City, ST, Zip: La Quinta, CA 92253
•
Contractor: Comfort Air
Telephone: 503-709-6266
Address: 4803 E Sunny Dunes Road
Project Description:
City, ST, Zip: Palm Springs, CA 92264.
Replace 4 ton / 110,000 BTU complete HVAC systema
Telephone: 760-320-5800`''
�' Q..,..
City Lic. M,
Re lace 5 ton / 110,000 BTU complete HVAC s m
P P Y ste
State Lic. #: 763937
Arch, Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic #: " �;
Name of Contact Person: Steven Schnierer
Construction Type Occupancy
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories:
Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated value of project $16,000.00.
APPLICANT: DO NOT WRITE BELOW THIS LIME
N
Submittal
Req'd
Recd
TRACKIING
PERMIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Tide 24 Calm
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:-
''d Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees '
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
clark munro I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-12-19
A. General Information
CF111-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
clark munro
02
Date Prepared
2016-12-19
03
Project Location
58425 Mijas
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
clark munro
07
Zip Code
92253
08
Dwelling Unit Conditioned
3100
,
Floor Area (ft2)
SC System
SC System
CFA served
``system a'
—rig ffer nt 1
of space conditioning
Installing
09
Climate Zone
15
10
[Number
systems in this dwelling
2
ducted
containing
system
more than 40
.
entirely new
B. Space Conditioning (SC) System Information;
01
02
03
04
OS
`
07
1 08 1 1
( 09
10
f06
the SC""""'
'Installing a
,
SC System
SC System
CFA served
``system a'
—rig ffer nt 1
Installing ew 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
3100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
3100
Yes
Yes
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: 216-A0467082A-000000000-0000
Registration Date/Time: 2016-12-19 06:50:47
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-19 06:51:33
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 15O.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
80
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
80
AC
cooling
SEER
15
Setback
section is not
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.
CF2R-MCH-20-H & CF3R-MCH-20-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: 515%, or 510% leakage to outside, or seal all accessible leaks. r, _Pe r-�T - ,,,, It
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 z 300 CFM/ton required when MCHj25 is requlre'I
Exceptions:\
U11
Duct systems registered with HERS provider as previously sealed'are exempt from, MCH20 DuctLeakage Testing
MCH,
f
retquuemlllents. -
;F'
-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 0 Du akage esting requ emen[
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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)lC)
This section does not apply to this project.
Registration Number: 216-A0467082A-000000000-0000 Registration Date/Time: 2016-12-19 06:50:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-19 06:51:33
Schema Version: 0.5555DD
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:
Documentation Author Signature: �/
Jacoby, Ian
cyanCfaco�
Company:
Signature Date:
i PERMIT E RATERS
2016-12-19 06:50:47
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
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. 1 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. 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 Part 6 of the California Code of Re ns.
4. The building design features or system design features identified on this Certificate f Compliance are consistent with the informatibn provided on other:appiicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this buil'ding permit application. t
5. 1 will ensure that a registered copy of this Certificate�of,Compliance shall be made,ayailable with '4h -the bulidingipe�mit(s) issued forihe building, and made available fo the_enforcement agency for all applicable
inspections. 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.
Responsible Designer Name: '+ I� II i llry ..w
Responsible Designer Signature: tf I'i..�►
�acobJt
Jacoby, Ian
c. n
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-12-19 06:50:47
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
760-320-5800
Digitally signed by Ca10ERTS. 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: 216-A0467082A-000000000-0000
Registration Date/Time: 2016-12-19 06:50:47
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-19 06:51:33
Schema Version: 0.555SDD