BMCH2015-0457'78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T4'r44Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0457
80525 VIA TERRACINA
777260004
WIRZ / (2) HVAC CHANGE OUTS 4TON HORIZONTAL SYSTEMS
$28,000.00
Applicant:
V01TA ENTERPRISES INC DBA COMFORT AIR
4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264
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^�c
Date! ,� O 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).:
(_ 11, 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 contractors) 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
Lender's
Owner:
DONALD WIRZ
N3581 WIRZ LN
ANTIGO, WI 92253
25
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/10/2015
Contractor:
VOTTA ENTERPRISES INC DBA COMFORT'AIR
4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264
(760)320-5800
Llc. No.: 763937
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have nd will maintain a certificate of consent to self -insure for workers'
compensation, provided for by Section 3700 of the Labor Code, for the performance
of rk which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Seton 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, all forthwith
comply With tho a provi 'ons
Date/� 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 ordinance andstate laws relating to building
construction, and hereby authorize representatives of th1 t upon the
above -mention d prop rty%for inspection purposes.
Date: Signature (Applicant or Agent):
.. �-,r.;. : ? mss ;.Cs �(..
`- Y L A '3: rt. h' Y'lf•X -Yii .ems f E b Y7.F.:1� . 2
DESCRIPTION AIVIOUIVT PAID'DATE
u : ��gCCOUNT z rk QTY { F `PAIDt�x I
BSAS SB1473�FEE 101-0000-20306 0 $2.00 $2.00' 12/10/15
Vi�fiPAID:BYr?+�pYy� METHOD��RECEIPT�#yi RCHECK#CLTDrBY4
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VOTTA ENTERPRISES INC DBA COMF CHECK R11407 2240 SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00
WVN',a
ACCOUNT�� $;
QTY
PAID `
DATE
.wDESCRIPTION
�
z
x AMYOUNT,4
4k ? . 0�
;PAID
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$145.04
$145.04
12/10/15
`" METHOD"
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VOTTA ENTERPRISES INC DBA COMF
CHECK
R11407
2240
SGU
DESCRIPTION " y
'ACCOUNT, €
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TY
a? ;AMOUNT'
_ PAID
RAID=DATE
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HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$72.52
$72.52
12/10/15
PAID'BY $METHODf
:RECEIPT #
CHECK #
, -TDBY q
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VOTTA ENTERPRISES INC DBA COMF
CHECK
R11407
2240
SGU
Total Paid for CHANGEOUT: $217.56 $217.56
' 4 ".;-::.. --.i _ €3 >
:DESCRIPTION n `i
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AMOUNT"PAID
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ATE;
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.."S x v
yQTY
PERMIT ISSUANCE,
101-0000-42404
0
$91.85
$91.85
12/10/15
METHOD
y4
RECEIPT #
CHECK #E
{LTD BYf
E
VOTTA ENTERPRISES INC DBA COMF
CHECK
R11407
2240
SGU
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
'qTA
Description: WIRZ / (2) HVAC CHANGE OUTS 4TON HORIZONTAL SYSTEMS
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 12/10/2015 SGU
Approved: 12/10/2015 SGU
Parcel No: 777260004 Site Address: 80525 VIA TERRACINA LA QUINTA,CA 92253
Subdivision: TR 30357 Block: Lot: 80
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $28,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details: (2) HVAC CHANGE OUTS - 25SEER/78AFUE SPLIT SYSTEMS 4TON LENNOX XC25 [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS,
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
VOTTA ENTERPRISES INC DBA
COMFORT AIR
4803 E SUNNY DUNES
ROAD
PALM SPRINGS CA
92264
CONTRACTOR
VOTTA ENTERPRISES INC DBA
COMFORT AIR
4803 E SUNNY DUNES
ROAD
PALM SPRINGS CA
92264 -
OWNER
DONALD WIRZ
N3581 WIRZ LN
ANTIGO WI
92253
Printed: Thursday, December 10, 2015 10:18:29 AM 1 of 2 CR EAS
Vw SYSTEMS
PARENT PROJECTS
Printed: Thursday, December 10, 2015 10:18:29 AM 2 of 2 CPNAJF
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
•
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$2.00
12/10/15
R11407
2240
CHECK
VOTTA ENTERPRISES
SGU
INC. DBA COMF
Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $2.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$145.04
12/10/15
R11407
2240
CHECK
VOTTA ENTERPRISES
SGU
SPLIT -SYSTEM
INC DBA COMF
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$72.52
12/10/15
R11407
2240
CHECK
VOTTA ENTERPRISES
SGU
SPLIT -SYSTEM PC
INC DBA COMF
Total Paid for CHANGEOUT: $217.56 $217.56
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
12/10/15
R11407
2240
CHECK
VOTTA ENTERPRISES
SGU
INC DBA COMF
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $311.41 $311.41
PARENT PROJECTS
Printed: Thursday, December 10, 2015 10:18:29 AM 2 of 2 CPNAJF
SYSTEMS
Bln.
City Of - 4 Qu1n: to
Bulldhlg 81' Safety Dwon
P.O Box 1SO4,78-49S Calle Tampico
U.Qttinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Perinit #S�
-� ry� 61
L `� to\
Project Address: ao 5 2� I ,e,r r 0. c t e\ R_.
Owner's Name:. W r 2,
A P. Number. V1 �
Address: �605'a
Legal Description:
City, ST, Zap: L4 CA
Contractor6 e, rpn S n eO sAr
Telephone: l 41035-
o3sAddress:
Address:C� �D inn QunQ S .Qct
Pm "Description-, v01 x'10. 0
City, ST, Zip: P.-S. Z2—(OI. f
Telephoner p3 p•eJ�rjd
"CityLic.
S ►n 5 1�•� rl v� ' 4 '+0�1 �1r0 f 12o•r1
S •►et'1n-5
State Lic # :—](B q'3 #;
Arch, Eng, Designer
Address:
City' ST, Zip:
Telephone:
Construction Type:ccup
. Oancy:
Project type (cock one): New Add'n Alter Repair Demo
FL: J#Stories: # Units:
State Lic. M
Name of Contact Person:
Telephone # of Contact Person: Sa0 . Shoo
Estimated Value of Project: 0--
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKING
PERM FEES-
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit. .
T uss sates.
Called Contact Person
Plan Check Balance_
Tide 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for correctionsrasue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
&NU
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review; ready for correetionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.U.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:
WIRZ, DON I Date Prepared:
CFiR-ALT-02-E
(Page 1 of 4 )
2015-12-04
A. General Information
CFIR-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
WIRZ, DON
02
Date Prepared
2015-12-04
03
Project Location
80525 H*KA WA 'VA TGULI fc–1 tV t
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
WIRZ, DON
07
Zip Code
9225308
'CFA served
Dwelling Unit Conditioned
2811
"Installing newSC
Installing
more
Installmg<
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
co`ritaini g x
Number of space conditioning
th n 4
09
Climate Zone
15 /
30
(SC) systems in this dwelling
2
system?
___
J
feet of duds?
unit.
SC system?
B. Space Conditioning (SC) System Information.........
Ff
r
i" .
01
02
�; 03
04,,'�,
05 I_
I F W -
it 07)) ._4
11 0$ 1 '
09
10
4,
Els the SC—
Installing a,�
SC System
SC System y
'CFA served
systema ,
re dge.rant I
"Installing newSC
Installing
more
Installmg<
Installing
Identification or
Location or Area
by this SC
ducted
co`ritaini g x
system '
th n 4
en rely newtirely
new
Name
Served
System (ft2)
system?
component?
components?
feet of duds?
duct system?
SC system?
Alteration Type
Entirely new or
4 TON LENNOX
Location 1
2811
No
Yes
Yes
No
No
Yes
complete
XC25
replacement space
conditioning system
Entirely new or
4 TON LENNOX
2811
2811
No
Yes
Yes
No
No
Yes
complete
XC25
replacement space
conditioning system
Registration Number: 215-A6438626A-000000000-0000
Registration Date/Time:
2015-12-04 13:11:51
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-04 13:11:56
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)lDiib)
This section does not apply to this project.
D. Altered Space Conditioning System (Sections 15O.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)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
i.n E
IF 1'
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
01
02"
03
05
06
07
08
09
10
11
x..04
System
�„Heaing
Heating
Mmimu
C ing
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
+
Efficiency, ,
+.� t:
( idency�
mow,
Cooling
Altered Cooling
o
Efficienry,
Efficiency
Thermostat
New Duct
Name
Type
f r
Componen�`
Type*
s. iwt
ValuSysEem
„°' s
Type
.er
CoponeM
Type
R -Value
*
.°TypeVelue
t
t.'# C,
This field
4 TON LENNOX
Central gas
All new heating
AFUE
0.78
Central split
All new cooling
SEER
25
SetbackTher
or section
XC25
furnace
components
AC
components
mostat
is not
applicable
This field
4 TON LENNOX
Central gas
All new heating
Central split
All new cooling
SetbackTher
or section
XC25
furnace
components
AFUE
0.78
AC
components
SEER
25
mostat
is not
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct Leakage Verification required.
-Leakage rate compliance: 5 6`Ya
CF211 & CF3R-MCH-22 Fan Efficacy Verification
CF211 & CF3R-MCH-23 System Air Flow Rate Verification
Registration Number: 215-A6438626A-000000000-0000 Registration Date/Time: 2015-12-04 13:11:51 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-04 13:11:56
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 4 )
-Compliance: Fan Efficacy S 0.58 W/cfm and System Airflow z 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).
Excentions:
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) ifthe reused parts are accessible and can be sealed to prevent leakage
Registration Number: 215-A6438626A-000000000-0000
i e I
:,fit '4t3 OJ
I } `� ;
Registration Date/Time: 2015-12-0413:11:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-04 13:11:56
Schema Version: 0.555SDD
� y
Registration Number: 215-A6438626A-000000000-0000
i e I
:,fit '4t3 OJ
I } `� ;
Registration Date/Time: 2015-12-0413:11:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-04 13:11:56
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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: /J n y
Votta, Paul
LiGGf"�
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-12-04 13:11:51
Address:
CEA/ HERS Certification Identification (if applicable):
4803 E SUNNY DUNES ROAD
City/State/Zip:
Phone:
PALM SPRINGS CA 92264 A
760-320-5800
Responsible Person's Declaration statement
1 certify the following under penalty of perjury, under the laws of the State of California:
1.
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, mateiials; 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 Part6 of the California Code of Regulations
F
4. The building design features or system design features identified on this Certificate of Compliance are consistent -with the information,provided on otherFapplicable compliance documents, worksheets,
Y+ d i .,rte t i{ ._...: , 5, ik.
calculations, plans and specifications submitted to the enforcement agency for approval,wttti this building permit application.
5. I will ensure that a registered copy of this Certificate of;Compliance shall be mad available IW tfi"the b#uildiii& , '-it(s),tssued for.;the buildi g an ,ma a av it bleto thtenforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Complianceis required to be -included eth the;documentation-the.;builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Stgna46re:` 9y� O
vUCY(.UG
Votta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-12-04 13:11:51
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-A6438626A-000000000-0000 Registration Date/Time: 2015-12-04 13:11:51 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-04 13:11:56
Schema Version: 0.555SDD