BMCH2015-0017S ,>
78-495 CALLE TAMPICO Taff .44vQ"
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15=0017
Property Address:
80905 CEDAR CREST
APN:
762060020
Application Description:
HVAC CHANGE OUT (2) 4 TONS
Property Zoning:
Application Valuation:
$13,250.00
Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
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.
Licenset Class: _ License No.: :LIC -0003499
Dj?e: l — �� — S Contractor:
OWNER-BUILDE ECLARATION
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
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:
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
Owner:
DARWIN ENGEN
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 those provisions.
Date: Applicafft:
WARNING: FAILURE TO SECURE WORKERS' IMPENSATION 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 property for inspection purposes.
nt
Date: _ S�i SSignature (Applicant or Agent):./ G
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Darwin Engen Date Prepared: 2015-01-13
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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name
Darwin Engen
02
Date Prepared
2015-01-13
03
Project Location
80-905 Cedar Crest
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Darwin Engen
07
Zip Code
92253
08
Dwelling Unit Conditioned
3200
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
2
component?
components?
feet of ducts?
dud system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03..
04 ..
05.
06
07 ::
.. . 68"
09
10
Is the SC
'.'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?
dud system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0016333A-000000000-0000 Registration Date/Time: 2015-01-13 13:18:22 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-13 13:17:55
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-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 Dud
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
0.78
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
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required 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 — Dud 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 510.9/0 leakage to outside, or seal all accessible leaks.
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 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Dud 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 Dud 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)1C)
This section does not apply to this project.
Registration Number: 215-A0016333A-000000000-0000
Registration Date/Time
2015-01-13 13:18:22
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-13 13:17:55
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF111-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: /J n
Votta, Paul
6
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-01-1313:18:22
Address:
CEA/ HERS Certification Identification (if applicable):
4803 E SUNNY DUNES ROAD
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
1(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. 1 am eligible under Division 3 of the Business and Professions Code to a ccept,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 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 biiilding'permit application.
5. 1 will ensure that a registered copy of this Certificate of,Compliance shall be made available with the building permk(s) issued for. the building; and made'available to 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:
Responsible Designer Signature: /1 oN�
Votta, Paul
QUaffl (�
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-01-13 13:18:22
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Digitally signed by Ca/CERTS. 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-A0016333A-000000000-0000 Registration Date/Time: 2015-01-13 13:18:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-13 13:17:55
Schema Version: 0.551SDD
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DESCRIPTIONS,',: k nA D PAID DATE
MATE,
x ACCQUNT5 QTY' =,4MOUNT
L<;t ,. vi 1 f Via... i 3;. ;$r'SY'� e.0'�:a t3Y' . ..:IY,X4.,JY. ....f,[•-. m.. Fw.v'c"K':aE.:f' �ir'__ Sf l;�XC&"+D' .: �'ALi:..,
BSAS 561473 FEE 101-0000-20306 0
$1.00 $1.00 1/15/15
j.7'ri' ... ti S� ifn:,'* '.dt, .'✓...E� R .. xY' ,f' \ 'k
*a;, PAID BY E �.METHODoRECEIRT#
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s` CHECK, M CLTD:BY,
xask
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r
COMFORT AIR CHECK R3416 120222 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION.BSAc $1.00 $1.00
✓. A y1e -5�.
DESCRIPTION,
�Cv
r >i'
ACCOUNT0-.,QTY
Imo'
€ L r
zAMOUNT<
j {
f_.....:E
°e:,�x'�
.EY?f:,w:..
• k'Y`^.;.:Et�
PAID t
AID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0.
$72.52
$72.52
1/15/15
�- �
METHOD <y�
;RECEIPT #
fr
z` � �PAIDxBY,4
.�. % ,.:,:.,ax .M.E�.. >�
WNW,
COMFORT AIR
CHECK
R3416.
120222
MFA
'DESCRIPTIONr
ACCOUNTx.
t nz x
EQTY
- 'nYx�a..• :y
x AMOUNT '5
y" 1:. .S -
PAID
ia'.`c ,: g sx
DATE'
HVAC CHANGEOUT -SPLIT-SYSTEM PC
101-0000-42600
0
$36.26
$36.26
1/15/15
„� .�'.T
fx'g,
RECEIPT # E
; X CHECK'#� v
CLTD BY,
.'PAIDrBYrt
v {y` ..„`, eME7MOD
.rE
COMFORT AIR•
CHECK
R3416
120222
MFA
i
Total Paid forCHANGEOUT: $108.78 $108.78
.Y.��.fv
r` N ACCOUNT
QTY
E)
AMOUNT
¢¢
d{y",Q2"SS( R. I f( de
PAIDf
\l
PAID DATE.
..:> ..X:-. K•..„`i•Y•,��- a -: „z:..:.'�,.,. ..: -.E3. �..Y M.:��'•l.`. 1,_. a.9..
..-;<T ...�,-<.,...i`'".>'.'."Nst
a
_.�a <.<;xa _h :,.ms's. K'
.•+.F >-«
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
1/15/15
i" 'Y �.f. .. i i� f YxF
BY
`' i �'¢ ./ir"�{
YT �`"x e'T' R4k
RECEIPT # c a E
R.E. rfa .:. -;. M. .•Se..4 - 'n
CHECK # E.x .
7 - is L:,
CLTD BY
� .:fir
" ” .METHOD { : �� ``, U'
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<.
COMFORT AIR
CHECK
R3416
120222
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
•
0
9
Description: HVAC CHANGE OUT (2) 4 TONS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/15/2015 MFA
Parcel No: 762060020 Site Address: 80905 CEDAR CREST LA QUINTACA 92253
Approved:
Subdivision: TR 28410-2 Block: Lot: 20
Issued:
Lot Sci Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,250.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, January 15, 2015 12:24:43 PM 1 of 2
CB?-W-
-W-
SYti7FM5
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
DARWIN ENGEN
3401 W HORIZON AVE
SPOKANE
WA
92253
FINANCIAL
INFORMATION
`
CLTD
DESCRIPTION "
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
•RECEIPT # CHECK # METHOD PAID BY -
BY
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$1.00
1/15/15
R3416 120222 CHECK COMFORT AIR MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00
$1.00
BSA:
Printed: Thursday, January 15, 2015 12:24:43 PM 1 of 2
CB?-W-
-W-
SYti7FM5
Printed: Thursday, January 15, 2015 12:24:43 PM 2 of 2 CR
LFCF Symms
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID.DATE
RECEIPT ff
CHECK #
METHOD
PAID BY
BY
HVAC CH T -
101-0000-42402
0
$72.52
$72.52
1/15/15
R3416
120222
CHECK
COMFORT AIR
MFA
SPLIT-SYSTEMSYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
1/15/15
R3416
120222
CHECK
COMFORT AIR
MFA
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT:
$108.78
$108.78
PERMIT ISSUANCE
101-0000-42404 1 0
$91.85
$91.85
1/15/15
R3416
120222
CHECK
COMFORT AIR
MFA
Total Paid forPERM1T ISSUANCE:
$91.85
$91.85
TOTALS:
Printed: Thursday, January 15, 2015 12:24:43 PM 2 of 2 CR
LFCF Symms
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED STATUS REMARKS' NOTES
DATE ..
Printed: Thursday, January 15, 2015 12:24:43 PM 2 of 2 CR
LFCF Symms
Bin #
Cit} Of is Quinta
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 #
Project Address: Oci— D
Owner's Name:7z�� W
A. P. Number:
Address:
lo
Legal Description:
City, ST, Zip:
Contractor:
Address: %Project
Telephone:
Description: �—
city, sT, zip: Palm Springs, CA 92264
State Lic. # :
City Lie.. #-.3
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
c7:
Construction type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person: <
Sq. Ft.: 3
# Stories: `
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: 3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACICNG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Calcs.
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 correctionstissue
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