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BRES2016-0167J 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4 Qulaz COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: 8RES2016-0167 lrtit Property Address: 50645 GRAND TRAVERSE AVE AVE APN: 770320032 i L}j 7J201-6 Application Description: FARR / (2)HVAC CHANGE OUT, LI1HT OUTLETS Property Zoning: C)TYpijAQUIPJ7a Application Valuation: $24,000.00 I COM4IUNITYDE'cLCPrvtEPlTCEFAATa:lcfiT Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 . LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20 License No.: 763937 /. Dat 7 I ld Contractor. V OWNER -BUILDER DECLARATION I her 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'df 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/16/2016 Owner: SUSAN FARR 50645 GRAND TRAVERSE LA QU I NTA, CA 92253 Contractor: VOTTA ENTERPRISES INC DBA COMFORT AIR 72248 NORTHSHORE ST STE 101 THOUSAND PALMS, CA 92276 (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. zmi 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: (o 17 tle 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 property for inspection purposes. Date: io1L.f_I_(L- Signature (Applicant or Agent): <s�;�A FINANCIAL INFORMATION DESCRIPTION.' ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid. for BUILDING STANDARDS ADMINISTRATION BSA:' $1:00 $0.00. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34. $0.00 DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE AIR HANDLER 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT . QTY AMOUNT • PAID PAID DATE AIR HANDLER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID' PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $290.07 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $3.12 $0.00 PAID.BY' METHOD RECEIPT # CHECK # ' CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.12 $0.00 Description: FARR / (2)HVAC CHANGE OUT, LIGHT OUTLETS Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 6/16/2016 SKH Approved: Parcel No: 770320032 Site Address: 50645 GRAND TRAVERSE AVE AVE LA QUINTA,CA.92253 Subdivision: TR 25389-3 Block: Lot: 32 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $24,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (2)16SEER/80AFUE SPLIT SYSTEMS (2013 ENERGY) AND (2)LIGHT OUTLETS (4)DEDICATED CIRCUITS. 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 IE INC. 32115 LA BAYA WESTLAKE CA 91362 VILLAGE CONTRACTOR VOTTA ENTERPRISES INC DBA COMFORT AIR 72248 NORTHSHORE ST STE 101 THOUSAND CA 92276 PALMS OWNER SUSAN FARR 50645 GRAND TRAVERSE LA QUINTA CA 92253 Printed: Thursday, June 16, 2016 10:52:37 AM 1 of 3 OTIffsYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 AIR HANDLER 101-0000-42402 0 $36.26 $0.00. AIR HANDLER PC 101-0000-42600 0 $12.09 $0.00 CONDENSER/COMPRES SOR 101-0000-42402 0 $72.52 $0.00 CONDENSER/COMPRES SOR PC 101-0000-42600 0 $48.34 $0.00 FURNACE 101-0000-42402 0 $72.52 $0.00 FURNACE PC 101-0000-42600 0 $48.34 $0.00 Total Paid for MECHANICAL: $290.07 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $3.12 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $3.12 $0.00 TOTALS:00 INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Thursday, June 16, 2016 10:52:37 AM 2 of 3 cJ S YS7F. iSAS ATTACHMENTS Printed: Thursday, June 16, 2016 10:52:37 AM 3 of 3 ckq SYSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: SUSAN FARR I Date Prepared: CF1R-ALT 02-E (Page 1of3) 2016-06-15 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name SUSAN FARR 02 Date Prepared 2016-06-15 03 Project Location 50645 GRAND TRAVERSE AVENUE 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name SUSAN FARR 07 Zip Code 92253 08 Dwelling Unit Conditioned 2700 Thstallliing 'Installing g f;. Floor Area (ft2) Location or Area by this SC ducted i «Installing system more than 40 entirely new entirely new Name Served Number of space conditioning system? 09 Climate Zone 15 , 10 (SC) systems in this dwelling 2 System 1 Location 1 1350 Yes unit. Yes B. Space Conditioning (SC) System Information -" - a 01 02 i `�03 04& 061 07') 08 09 10 FIs the SC Installing a�` SC System SC System ;. "CFA served ' •,s'ystem a ref ige a t . ew SC Thstallliing 'Installing g installing Identification or Location or Area by this SC ducted containing «Installing 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 1350 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 1350 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-AO22149OA-000000000-0000 Registration Date/Time: 2016-06-15 09:34:46 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 09:35:10 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-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) 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 Central gas All new heating AFUE 80 Central split All new cooling SEER 25 Setback, Less than or equal to 40 R-8 furnace components AC components feet System 2 Central gas All new heating r / AFUE 80 Central split All new cooling SEER 25 Setback Less than or equal to 40 R-8 furnace components / Z AC components feet Required Documentation: /' 1 CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans j -Duct insulation requirement for new plenums: R6,-- r� ----�-- _ 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: 5 15%, or15 10%leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MC -H-25 is required., Exceptions: 1 1 '1 f �� 11 are installed or altered (applicable in CZ1, 8-15). �.,r� { J F f� -Duct systems registered with HERS provider as previous) sealed are exam t from MCH,20' Duct Leaka e,Test1 in re uirements. { p g r .! -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 2 Duct'leakage Testing requir`emen�ts.�{ . + 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: 216-AO22149OA-000000000-0000 Registration Date/Time: 2016-06-15 09:34:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 09:35:10 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: l- Jan�acoi Jacoby, Ian Company: Signature Date: i PERMIT E RATERS 2016-06-15 09:34:46 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 1818-735-7876 Responsible Person's Declaration statement I certify the following under penalty of perjury, under thi 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 coliform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations." ^ (""1 4. The building design features or system design features identified on this Certific-a of Compliance aretc onsistent with the information provided on other, -applicable Npliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this buikW permit application. h �f � ' 4. i. 1 1 t 4 i 0zrw } Y. _ .- b 1 J s , A. . : ,n.. 5. I will ensure that a registered copy of this Certificate of,Compliance shall be:made available with he building permit(s);issued for he'building, and available o the enforcement agency for all applicable inspections. 1 understand that a registered copy of this Certificate of Compliance is_requyired to be included with the -documentation builder provides to the building owner at occupancy. q Responsible Designer Name: `` r Responsible Designer signature: V I cyan CobJr Jacoby, Ian Company: Date Signed: VOTTA ENTERPRISES INC 2016-06-15 09:34:46 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-AO22149OA-000000000-0000 Registration DateMme: 2016-06-15 09:34:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 09:35:10 Schema Version: 0.555SDD l�o�ttc��yct � � .Iyr�i. 4803 B. Sunny Dunes Road Contact: Paul Votta Palni Springs, Ca 92264 paulvotta@Yahoo.co Phone# 160-320-5800 Fax# 760-322-1115 State License# Class Expiration Workers Comp Carrier: Policy 0: Expiration Date: PRESIDENT: i C.D.L.# Federal I.D.# 76393-7 C20 01/31/2017 State i.Fund 9063962-2015 09/01/2016 Desert Cbmerstone 760347-7723 Ed Votta 72248; Northshore Street ThousbLnd Palms, CA 92276 33-0977973 ri 83 74usaa�74/c, � 73605 Dinah Shore Drive #1310M Palm Desert, CA 92211 Phone# 760-568-2663 Fax# 760-202-3067 State License# Class Expiration Workers Comp Carrier. Policy #: Expiration Date: PRESIDENT: S.S.# C.D.L.# bmgr.eer ffearu- uge : Contact: Shantel Cain 8274201 C20, C36 11/30/2017 s Security National Swc1V 4SI4t 04/19/201r1 CBIZ Benefits 800-673-2465 x 4081 David Beale Same as above Federal I.D.# 91-2096579 A.L. Anaheim Business License# i Los Angeles Business License # Huntington Beach Business License # 30 ' Clty. of La Quints Buffft 8[ Safety DMWm PA Box iSO4,78-49S Cale Tampko !a QWnta, CA 92253 -:(760) 777-7012 Building Permit Appitcadon- and Tracking Sheet Pmt # Pro ed.Add=: '— j e � � Clwaa'sNeme:. A. P. Number. - Address: Legal - City. ST, Zip: _,k Cataador. � M %� � 1 Telephone: �- � Address: VIIAAAf ,j PmjM D=ription: City, ST, Zip: Tdvhono: 1-:3 - - Stau Lia ,#i: _ -' % City Lic B: r ` -70 Mcb., ridge., Designer: C Address: .� 4 14 City. ST, Zip: Teltphoae: Censhucdon Type:. Qccupancyr StaDe Lie. C Project type (cede one): New Add'a Ahm Repair Deas Name of Contex Perm / .— Sq. Ft.: # Swdes: # Unita; Tdcphwc # of Cosmo Person: ,r lv7b Estimatod• Vatira of Projcd: APPLICAW: DO NOT WRITE BELOW THIS LME M Sabmlttai .."Id Plan Sets -Reed TBACMG PERMIT FEES Pian Chair aabmitAII Itca Amotat Strilcttral Caks Reviewed, heady for convedoat Pian Cbech Deposit. Trou Cala. Caged Cantaet Pains Plan Cheek Balance '[tile 24 Calci. P4at picked n@ Construction Flood pltht Plan Plans resubmitted Mechaikal Gradig t?asal r! Bevtew, rally wr oerrection Rout FJeetrteal Ubcostaetor List Caned Contact Pawn nuablag Gnat Deed Me $ PclMd up H.O.A. Approval Plain res"R0ed Gradlag IN HOISE:- ''• Review; ready for carreetioaaRssae Devdoper Impact Fee Funning Arl-val Called' Cosuct Yawn Pub. Wb. Appr Date of permit issue School Fees Total Permit Fees