BMCH2015-035278-495 CALLE TAMPICO , D �wN1�Cl/
LA QUINTA; CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS.
LA QUINTA, CA 92253
BMCH2O15-0352
81160 NATIONAL DR
767500024
RAZOOK RESIDENCE / HVAC CHANGE OUT
$15,450.00
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: %/,�Z�teonffr—actorr:
o.: AEC343
Dot `
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).:
(_) 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.).
(_ 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 Name:
Lender's
(760)777-7125
-7011
7153
Owner: QoNutVry!
MICHEL RAZOCri
81160 NATIONAL DR
LA QUINTA, CA 92253
Contractor:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)320-5800
Llc. No.: AEC343
15
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
zzz�
A licant:
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 pro erty fo�ection purposes.
s
Date: Signature (Applicant or Agent):
FINANCIAL .f•
t ` xDESCRIPTION �... 4 ' -
s r ACCOUNT , , , ' QTY . , ,x h AMOUNT r sa L PAID s PAID DATE'
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
9/11/15
r p.. ,PAID BY �' "4Mr ` e X METHOD em =RECEIPT1. #� ^ , i CHECK #x„ °
�+ CLTD BY
COMFORT AIR CHECK R9157 2118
MFA
'TotalPaid for BUILDING. STANDARDS ADM INISTRATIONBSA $1.00 $1.00
` ` "z,xDESCRIPTION
°`�r,, �af� ACCOUNT +�,'
'QTY
+� 3AMOUNT�°
3PAID
*PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
9/11/15
z a; PAID:BY k 3 "
_
�� METHOD
;
:RECEIPT #a F S
.,w:t CHECK # ,'.tF
a
` f�CLTD BY
COMFORT AIR
CHECK
R9157
2118
MFA
DESCRIPTION} s
° ACCOUNT= ;
4
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0PAID
$36.26
$36.26
9/11/15
§-^ PAID BY x
i n' kY- METHOD .z M y T
n g7 'RECEIPT #
CHECK #
yCLTD BY
COMFORT AIR
CHECK
R9157
2118
MFA
Total Paid forCHANGEOUT: $108.78 $108.78
rt. DESCRIPTION -q .
_,
,' ACCOUNTf
QTY,
AMOUNT-,'
PAID '
, PAID DATE'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/11/15
PAID BY i
, + METHOD . > .
=RECEIPT # E'
CHECK #
CLTD BY;::=�
COMFORT AIR
CHECK
R9157
2118
MFA
Total Paid forPERMIT ISSUANCE: '$91.85 $91.85
• f
i
Description: RAZOOK RESIDENCE / HVAC CHANGE OUT '
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 9/11/2015 MFA
Approved: 9/11/2015 MFA -
Parcel No: 767500024 Site Address: 81160 NATIONAL DR LA QUINTA,CA 92253
Subdivision: TR 29657 Block: Lot: 49.
Issued: 9/11/2015.MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,450.00 Occupancy Type: Construction Type:
Expired: 3/9/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: HVAC CHANGE OUT - 15.5 SEERSPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
J
Printed: Friday, September 11, 2015 10:08:54 AM 1 of 2'
srsrrMs
CONDITIONS
NAME TYPE' • N �
�' NAME
ADDRE551
CONTACTS
CITY
STATE
ZIP,
- PHONE FAX.'T EMAIL
APPLICANT
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA.QUINTA
CA
92253
(818)648-2454
CONTRACTOR
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(818)648-2454
OWNER
MICHEL RAZOOK
81160 NATIONAL DR
LA QUINTA
CA
92253
(818)648-2454
Printed: Friday, September 11, 2015 10:08:54 AM 1 of 2'
srsrrMs
INSPECTIONS
PARENT PROJECTS
Printed: Friday, September 11, 2015 10:08:54 AM 2 of 2
CRWSYSTEMS
17717777 2y:<.7
7777777 77, 4
.. . .. . .......
. . . . . . . . . .
CLTD
DESCRIPTIONS -4
�A N
VY:
PAID
PAID DATE
�'RECEIPT.V
HOD.
PAID BY,�,
HVAC CHANGEOUT-
101-0000-42402
0
$72.52
$72.52
9/11/15
R9157
2118
CHECK
COMFORT AIR
MFA
SPLIT-SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
9/11/15
R9157
2118
CHECK
COMFORT AIR
MFA
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404 T
71
$91.85
$91.85
9/11/15
R9157
2118
CHECK
COMFORT AIR
[MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $201.63 $201.63
i. . ....... . . ...... . .... .. .. ..
INSPECTIONS
PARENT PROJECTS
Printed: Friday, September 11, 2015 10:08:54 AM 2 of 2
CRWSYSTEMS
i
City of La Qurnta{
BAUng ar Safety Division
P.O. Box 1504,78-495 Caiie Tampico r- .
14.Quinta, CA 92253 -:(760) 7774012
Building Permit 'Application and Tracking Sheet
Permit #
Project Addeess: 81 I O na p
Owner's Name:. \ C�
A P. Number.
1 `�
Address: ^� Q—�� a.
Legal Description:
22�
City, ST, Zip: ; 25.�
Contractor. OClit bi'3' 1
Telephone: S 119— -- ZySy
Project Description: J - fir & `a 0LA— .
Address: _i ` u ` d
City, ST, Zip: 22foy
lil 111 O!-
Telephoae 7W O-- —>Ti -®b
I S OC -7 le— Ipn_i�Cr-JS
# : 7(p
State Lippa
City Lic #;
-'
d 1��Ck-d1i
En
Archy Engr., Designer.
Address:
City., ST. Zip:
Telephone:
State Lic. #:
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :L� �a. ,. # Sto ' # Unitg:
Name of Contact Person: p ►�01 V ®
Telephone # of Contact Person: -- 3.,�,p OD
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
!E
Submittal
RWd
Reed
TRACMG
PERM FEES
Plgn Sets
Plan Geek submitted
Item Amount
Structural Calm
Reviewed, ready for correction
Plan Check Deposit. .
Truss Calve.
Called Contact Person
Pian Check Balance
Title 24 Cafes.
Plana picked up
Construction
Flood plain plan
Pians resubmitted, .
Mechanical
Grading plan
tad Review, ready for correctionshout
Electrical
Subcoataetor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
S.IYLL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for eorreetionA2ssae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. VVke. Appr '
Date of permit issue
School Fees
Total Permit Fees
i
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
RAZOOK I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 4 )
2015-09-09
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
RAZOOK
02
Date Prepared
2015-09-09
03
Project Location
81160 NATIONAL DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RAZOOK
07
Zip Code
92253
08
Dwelling Unit Conditioned
4429
Floor Area (ft2)
SC System
SC System
CFA served
' ; ,system al -4
r f igen t .z
Number of space conditioning
nsta'llirig
09
Climate Zone
15
10
(SC) systems in this dwelling
2
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System InformationFr
Ol
02
03
04
05 %
-�U6-
# 07'j
Q8 `.
09
10
A ��Is the SC
A
Installi-�ng a
SC System
SC System
CFA served
' ; ,system al -4
r f igen t .z
-Onstalling new SC
nsta'llirig
TI stalling
r"lnstalling
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
Entirely new or
5 TON 15.5
Location 1
4429
No
Yes
Yes
No
No
Yes
complete
LENNOX
replacement space
conditioning system
Entirely new or
5 TON 15.5
4429
4429
No
Yes
Yes
No
No
Yes
complete
LENNOX
replacement space
conditioning system
Registration Number: 215-A6319723A-000000000-0000
Registration Date/Time:
2015-09-09 13:57:23
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential ComplianceReport Version: 2014-03-31 RPnnrtr;PnPratorl• ?n1 c-na-no 1 i•SF•rA
CERTIFICATE OF COMPLIANCE CFlR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 4 )
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)lDiib)
This section does not apply to this project.
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)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)1C)
01
02
03
04
051
06�, �
� = -� X07
� � 08
09
10
11
'i
„Heating F
_ . ;
kl �.�
y `
• �
Cooling
System
HeatingMmimum�
j s
! i 4
I
Cooling i+Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency "
�
Efficiency
Cooling
Altered Cooling.
Efficiency"x
Efficiency
Thermostat
New Duct
Name
Type
Component:
Type
Value
,System' ype
Component
Type
Value
Type
R -Value
This field
5 TON 15.5
Central gas
All new heating
AFUE
0.78
Central split
All new cooling
SEER
155
SetbackTher
or section
LENNOX
furnace
components
AC
components
.
mostat
is not
applicable
This field
5 TON 15.5
Central gas
All new heating
AFUE
0.78
Central split
All new cooling
SEER
155
SetbackTher
or section
LENNOX
furnace
components
AC
components
.
mostat
is not
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF211 & CF3R-MCH-20-H Duct Leakage Verification required.
-Leakage rate compliance: <_ 6%.
CF211 & CF3R-MCH-22 Fan Efficacy Verification
Registration Number: 215-A6319723A-000000000-0000 Registration Date/Time: 2015-09-09 13:57:23 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance • Report Version: 2014-03-31 Renort ranpratprl• ?nl S-nq-n4 a s�•�R
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 4 )
CF211 & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy 5 0.58 W/cfm and System Airflow 2 350 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).
Exceptions:
Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements.
o e•
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-A6319723A-000000000-0000
E
i;
4
e
w
Registration Number: 215-A6319723A-000000000-0000
Registration Date/Time:
2015-09-09 13:57:23
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-09 13:56:58
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Registration Date/Time:
2015-09-09 13:57:23
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-09 13:56:58
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Votta, Paul
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-09-09 13:57:23
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:
1. The information provided on this Certificate of Compliance is true and correct.
2. lam 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 Regulations.
4. The building design features or system design features identified o4is Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency fortapproval3withthis building permit application. i
'�
S. I will ensure that a registered copy of this Certificate of,Coshall all b6-;made,available with the building permit(s),issued for the building, and made available,to the.enforcement agency for all applicable
inspections. 1 understand that a registered copy ofthYis.Certficate of Compliance is,,,requi.red to be includedw ith the �documentation�thebuilder ppv des tothe building owner at occupancy,
Responsible Designer Name: 4e n«a
Responsible Designer Signature: V I�_^ yy t5
Votta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-09-09 13:57:23
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-A6319723A-000000000-0000
Registration Date/Time:
2015-09-09 13:57:23
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-09 13:56:58