BMCH2016-042478-495 CALLE TAMPICO 4 VOICE (760) 777-7125
LA QUINTA,'CALIFORNIA 92253 FAX (760) 777-7011
. DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/23/2016
Application Number: BMCH2O16-0424 Owner:
Property Address: 60211 ALOE CIRCLE ETH STEIN
APN: 602112042 D 0211 ALOE CIRCLE
Application Description: STEIN RESIDENCE / HVAC QUINTA, CA 92253
Property Zoning: NOV20�
Application Valuation: $27,000.00 N Y UU
Applicant: CITY OF LA QUINTA Contractor:
IE INC DESIGN AND DEVELOPMENT DEPARTMENTOTTA 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:-1)rector:
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
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 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 Address:
(7E0)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.
�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: 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.
Date: �1 Z-� �� �—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.
C\4
Date: 1 1 'S Signature (Applicant or Agent): _����
Date: 11/23/2016
Application Number: BMCH2O16-0424
Owner:
Property Address: 60211 ALOE CIRCLE
BETH STEIN
APN: 602112042
60211 ALOE CIRCLE
Application Description: STEIN RESIDENCE/ HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $27,000.00
Applicant:
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
(760)320-5800
---------------------------------------------------------------------------------------------
Llc. No.: 763937
Detail: HVAC CHANGE OUT - 21 SEER/80AFUE SPLIT SYSTEM (2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2013 CALIFORNIA BUILDING CODES
0
r
MArICIALWIFORC,
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-203060 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
Bin.#
Cray. of La Qulnta
Building f7 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: 60211 Aloe Circle
Owner's Name:. Beth Stein
A. P. Number.
Address: 60211 Aloe Circle
Legal Description:
Contractor. Comfort Air
City, ST, Zip: La Quinta, CA 92253
Telephone: 5622fst ='
Address: 4803 E Sunny Dunes Road
Project Description: Replace 4 ton A/C, Coil, & 90,000 BTU,
City, ST, Zip: Palm Springs; CA 92264.
furnace
Telephone: 760-320-5800'"'
State Lic. # : 763937City Lie'. M.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lia #: f ` 2�` ~
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: #Stories:
#Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of project: $27,000.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cale&
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted'. .
Mecharilcal
Grading plan
2iQ Review, ready for correctionslissue
'
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
M ROUSE:-
'"' Review; ready for correctionslissue
Developer Impaet Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit Issue
School Fees
Total Permit Fees
y
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
BETH STEIN I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-11-21
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
BETH STEIN
02
Date Prepared
2016-11-21
03
Project Location
60211 ALOE CIRCLE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BETH STEIN
07
Zip Code
92253
08
Dwelling Unit Conditioned
1835
f
Floor Area (ft2)
SC System
CFA served
NNS ystem a
refriger nt t
Installing new SC
Number of space conditioning
Tn tailing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing a
system
•-
ent ely a
unit.
B. Space Conditioning (SC) System Information i .►'"`
01
02
03�
04'},V:
OS }( ``
�4.
{tnw06rf [[.� w�LY[
� 07 ��
08
��
09
10
L�
a-n
ce
Nis the SC—
' `Installing a
SC System
SC System
CFA served
NNS ystem a
refriger nt t
Installing new SC
installing
Tn tailing
Installing
Identification or
Location or Area
by this SC
ducted
containing a
system
more than 40
ent ely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1835 -
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: 216-A0431453A-000000000-0000
Registration Date/Time: 2016-11-21 20:30:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-21 20:29:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
21
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. ' f
CF2R-MCH-20-H & MR -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.
CF2R-MCH-25-H & MR -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 * 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.
Air Handler/Furnace do Air Flow MCH Refrigerant Charge
-Heating-only systems and changes not require verification,of -23, orMECH=TS2r
duct insulated MCH 20 Leakage Testing Q<
R
-Existing systems constructed, or sealed with asbestos are exempt,from Duct requirements.I
s�
E. Entirely New or Complete Replacement Duct -System, with or without.Equi�pment C�h�angeoout ((Secctiowt it I,�ns,150.2(�b) Diia and 15.0.2(b)1E, F)
P.- 1110-leThis 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-A0431453A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-11-21 20:30:36
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-11-21 20:29:48
CERTIFICATE OF COMPLIANCE CF1R-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:
Documentation Author Signature:
Cooper, Steven C
P.lfiii/B�6PJli
Company:
Signature Date:
Total Comfort, Inc.
2016-11-21 20:30:36
Address:
CEA/ HERS Certification Identification (if applicable):
390 East Harrison
City/State/Zip:
Phone:
Corona CA 92879
951-735-2534
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 Regulat n ( F� .
�
"�
4. The building design features or system design feat6res identified on this Certificate of Compliance are consisteniwit I the informationprovided on otheI/rappr{licable compliance documents, worksheets,
k- •,, a 'pp r '..g p ' e„ '
calculations, plans and specifications s6bmitted to the enforcement agency for approval wlth,this building permit application.
.
.. .-wz P [' is 1� ,,.
S. I will ensure that a registered copy of this Certificate of;Compliance shall be;matle,available tyiththe bulliJlhg pe[mit(s),issued forth building, and made available.to the ehforcement 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: 9 1 L— 'F-'% ..7
Responsible Designer Signature: ink' IE �;.+w . 4Ir 'A
Cooper, Steven C
Company:
Date Signed:
Total Comfort, Inc.
2016-11-21 20:30:36
Address:
License:
390 East Harrison
935238
City/State/Zip:
Phone:
Corona CA 92879
951-735-2534
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-A0431453A-000000000-0000
Registration Date/Time: 2016-11-21 20:30:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-21 20:29:48
Schema Version: 0.555SDD