BMCH2017-0210TA
Q�iVOICE (760) 777-7125
78-495 CALLE TAMPICO 0 D .
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEV•ELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING'PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BIVICH2O17-0210 )
52695 AVENIDA RUBIO.
773282022
MONCADA RESIDEN�FF HVAC CHANGE 0
$8,500.00
Applicant: .
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam 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: License No.: 763937
-.
ir3 Z l� MCdT�tractor; �V�
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: pplicant 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 myemployees 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, anis who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. BAP.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 Address:
Date: 6/2/2017
Owner:
ESMERALDA MONCADA
52695 AVENNIDA LIBIO
LA QUINTA, 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 affiim 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 bySection 3700 of the Labor Code, for the performance
ofthg.workfor which this permit is issued.
I,have and will maintain worker's' 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 polity 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.
ate: 11 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 ($110Q000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR 1N 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 uponwhose 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, indemnifyand hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission relatedito the work being performed under or
following issuance of this permit.
2. Any permit issued as a reult.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
wo-r'k 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.propertyfor inspection purposes.
Datee.(gpplicant or Agent):
Application Number:
BMCH2O17-0210
Property Address:
52695 AVENIDA RUBIO
APN:
773282022
Application Description:
MONCADA RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$8,500.00
Owner:
ESMERALDA MONCADA
52695 AVENNIDA RUBIO
LA QUINTA, CA 92253
Date: 6/2/2017
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
LIc. No.: 763937
----------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA. BUILDING CODES.
DESCRIPTION +� ACCOUNT
• CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 F;
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION .,
ACCOUNT - :.
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-,42402
0
$76.00
DESCRIPTION
.F
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOLIT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total,Paid for, PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT .
CITY .
AMOUNT
TECHNOLOGY ENHANCEMENT.FEE
502-0000:-43611
`' 0
$5.00
Total Paid for TECHNOLOGY,ENHANCEMENT FEE: $5.00
�: �. k,
Bin.#
fla
C1/ O.`QL(1I1
• ' Bttflding:BL Safety Division . -
P.P. BOX f 504, 78.. 495`Latte_ Tampico
La,Qulnta, CA, 92253'--(760)777-7012
Building Permit Applrcad6n and Tracking:Sheet
Perinii #
Project Address: 52695 Avenue Rubio
Owner's Name:.Esmeralda Moncada ..
A. P. Number.
Address: 52695 Avenue Rubio
Legal Description:
City, ST, Zip: La Quinta, CA: 92253
Contractor. Comfort Air
Telephodei xr
Address: 72248 Northshore Street Suite. 101'Pro
iatescriptiow,
City, ST. Zip: Thousand Palms, CA .92276, a.
Replace 15-ton-/'50'0.00 BTU complete HVAC system
Telephone: 760-320-5800
FIRM, 'v '
State Lie. #:.763937
City Li c °iK:! y
Arch., Engr., Designer.
Address:
City., ST. Zap:
Telephone:. .
P , �
State Lir. #: , f % '% '�" �'
r
El Constriction Type: Occupancy: .
'Project type (circle one):, New Add'n.w Alter' Repair Demo
Name of Contact Person: Steven; Schnieree •
: Sq. Ft.: #Stories: # Units:
Telephone # of Contact Person: 818=73577876.
Estimated Value of project $8, 500:00
APPLICANT: DO:NOT WRIIEZELOW'THIS UNE
#
Sabmittal
Req'd
Recd
TItACICDHG'
PERmrr FEES
Plan Sets
`Pian Check siubtaltted '
Item Amount
Strgdaral Cates.
-
:Reviewed, ready for corrections
Plan Check-Deposit. .
Truss Calcs.
`-
ICalledContactPerson
PlanCheckBalance_
Tide 24 Cales.
Plans picked up.
Constrdc'tIon .
Flood plata plan
Plans resubmitted
Mechanical ..
Grading plan
V Review, read' Xor correctiogs/cssue
Electrical
Sabeontactor List
-Called Contact Person
Plumbing
Grant Deed
Plans pleked;up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for correedoneiissu'e
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
.Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: ESMERALDA MONCADA Date Prepared: 2017-06-01
A. General Information
MR -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.
03
Project Name
ESMERALDA MONCADA
02
Date Prepared
2017-06-01
03
Project Location
52695 AVENUE RUBIO
"04.
Building Type.
Single family
OS
CA City
La Quinta•
06'
Dwelling'llnit Name t
ESMERALDA MONCADA
07
f1
Zip Code
92253 ° '
08
Dwelling Unit.Cohditioned
Floor Area (ft2)
1364
FIs the SCS
I stalli g'a
44.0 t
Number of Space
.
.
Climate Zone.
15�� k.:
t>•
30
Conditioning (SC) Systems.'in "
09
1,
Installing new SC
g
Instaliin� :
_ g
--installing
Insfallin g
his DwelUng Urnt:
t
Identification or
B. Space Conditioning.(SC) System I orma itit on.:
ar
,
-,
01
..•.. 02
'' � 03''
04
05
U5`M
4W
0 1
08
•
•,:_
,-:ate, M
,.. Vii,
"a,.ri. e,: •.•
FIs the SCS
I stalli g'a
44.0 t
.
SC•S stem
Y
SC System '`
Y
HCFA°served
s stem a
Y
refri -e�ant,
g
Installing new SC
g
Instaliin� :
_ g
--installing
Insfallin g
Identification or
Location•or.Area
by this SC-.
ducted
containing`'.
system ,..
more'tFiAn 40
r.g
entireiy:new
entirely new
Name
Served
System, (ft2)
system?
component?
components?
feet of ducts?
ductsystem?
SC system?
Alteration Type
System.1
Location 1
1364
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sect1on1S0.2(b)1Dii1b)
This section does not apply to this.project.
Registration Number: 217-AO2018364OA-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-01 09:47:27
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-01 09:47:37
k
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.1S0.2(b)1E and F)
01
02
03
04
05
06
01
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
Allnew
This field-
This field or
System 1
furnace
heating`
AFUE
.80'
AC
cooling
`SEER
16
Setback
section is not
section is not,
components;
components
applicable. '
applicable
Required Documentation:
CF2R MCH -01-E -Space Conditioning Systems
- Duct insulation requirement for the new portions of supplyair and return -air ducts or plenums: R6 (CZ 1-10, 12'and 13) and R8 (CZ 11 and 14-16)
_
CF2R and MR -MCH -20 H - DuctLeakage,Test required when heating or.coolingtomponents are installed in ducted systems, or when more than 40 ft of duct length is replaced
Leakage rate compliance <=' 15%or <=10%leakage to outsideor seal all accessibleMleaks.
:
MR and MR CH -25 H Refrigerant Charge venfication,requlred. when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
MR and CF311=MCH-23 Airflow Rate > 300 CFM.Ipe�,regwred whekiMCH-25 is regwred
. ' �r
Exceptions:WN
Duct systems registered with HERS provider as' previously sealed are exempt from MCH 26 Duct Leakage Testing re uirements
- Heating -only systems and Air. Handler Furnace changes do not req re venficatlon of Air Flow MCH 23 Re�frigerantChargr CHTC
oar e
. - Existing duct systems constructed, insulated orsealed with a besto re exempt from MCH, -20 61t age Testing requ
I
E Entirely New;or Complete.Replacement--DuctiSyystem, with or without�Equipment Change•out (Sections -150 2(b;)1Dna�and 150,2(b)1E, 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: 217-A020183640A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-01 09:47:27
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-06-01 09:47:37
CERTIFICATE OF COMPLIANCE CF1R-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: �/ �
dacol
Jacoby, Ian
c.Yan
Company:
Signature Date:, .
i PERMIT E RATERS
2017.06=01.09 47:26
Address:
CEA/ HERS Certification l8entification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of penury, under the law of the State bf,'California: , +
v
1. The informationprowded on,this Certificate of Comoliancejs true and correct. .
'..;an Oxy � �.ra. ..
2. - . I am eligible under Division 3 of the Business`and Professions Cod ;a cept0. responsibility for the building design orjsystem 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 de"sign,,identified on this Certificate of. Compliance conform to the
v 0
requirements of Title 24, Part 1 and Part 6 of the Califorma•Code of:Regulations.
building design:feafures design es identified Certificate `of he other
4. The or system on�thls Compliance are consistent with infoimation:provided on applicab�empliance documents, worksheets,
feat ru
calculations, plans and specificationssubmitted,to the a forcement agency to -pp oval with this building permit applicatio .;
5. I will ensure that a registered copy ofztf WCeitificate of Compliance•shal1Jbe made,availatilewlth 4Fie butldingspermit(g} issued:foKthembuilding and-gmatleavailaAo tfieAenforcement agency for all applicable .
inspections. l understand that a registe ed copy of this rt ficite of Compl ance�pis regy red t9. be i the cumeenE, prow desRo the bu Ming owner at occupancy. '
.cluded.with ation�the�bullder
Responsible DesignerName
Jacoby, Ian
Responsible Designer S!knattre: n �
an aco
Jc
Company,:
6a'4Signed:
i PERMIT E RATERS20y17=06-0109.47:27
Address:
License:
31.225 La Baya Drive #213
-
.,
City/State/Zip:'•^ v
-: 6.
Phone:
West Lake Village CA, 91362
818-735-7876
Easy to Verify
at CaICERTS.com
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
4
responsibility for the accuracy of the information.
n
k. '
Registration Number: 217-A020183640A-000-000-0000000-0000 Registration Date/Time: 2017-06-01 09:47:27 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-01 09:47:37
Schema Version: rev 10/16