BMCH2015-030378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit 4 4� QuiKr(u
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0303
Property Address: 81776 CONTENTO
APN: 767760006
Application Description: FAULKNER / (1) 3TON SPLIT 16SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $5,500.00
Applicant:
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
LICENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class C Licpse No.: 763937 of the work for which this permit is issued.
r e". I have and will. maintain workers' compensation insurance, as required by
- — v
Date: 8/4/2015
Owner:
Carrier: Policy Number:
JOHN FAULKNER z
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
81776 CONTENTO .
UJ
LA QUINTA, CA 92253
u')
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
tZu,
0
comply with those pr vis' ns.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
gs
Date: Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Contractor:
o
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
c� �
VOTTA ENTERPRISES INC DBA
(_) I, as owner of the property, or my employees with wages as their sole
4803 E SUNNY DUNES ROAD
Q r;
PALM SPRINGS, CA 92264
L
^ C)
(760)320-5800
apply to an owner of property who builds or improves thereon, and who does the work
Llc. No.: 763937
himself or herself through his or her own employees, provided that the improvements
LICENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class C Licpse No.: 763937 of the work for which this permit is issued.
r e". I have and will. maintain workers' compensation insurance, as required by
- — v
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree•that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those pr vis' ns.
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
Date: Applicant:
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 riot more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: .
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES. UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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 Address:
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 a thorize representatives of this city to enter upon the above•
mentioned prop for' s ion purposes.
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL ,• 1.
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 forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION .
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT•#
CHECK #•
CLTD BY
DESCRIPTION ..
ACCOUNT .:
QTY;
.4 AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
.ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID -BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85
• 1 00
Description: FAULKNER / (1) 3TON SPLIT 16SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/4/2015 SKH
Approved:
Parcel No: 767760006 Site Address: 81776 CONTENTO LA QUINTA,CA 92253
Subdivision: TR 31874-2 Block: Lot: 6
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CA 92264
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME.
CONTACTS
ADDRESSI CITY
STATE ZIP
PHONE _ _
FAX EMAIL
APPLICANT
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES PALM SPRINGS
ROAD
CA 92264
CONTRACTOR
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES PALM SPRINGS
ROAD
CA 92264
OWNER
JOHN FAULKNER
81776 CONTENTO I LA QUINTA
CA 92253
Printed: Tuesday, August 04, 2015 1:33:17 PM 1 of 2 CR .
SYSTEh1S
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS . ..NOTES
MECHANICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS . ..NOTES
MECHANICAL FINAL" BLD
Printed: Tuesday, August 04, 2015 1:33:17 PM 2 of 2 1
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Faulkner I Date Prepared:
CHR -ALT -02-E
(Page 1of3)
2015-08-03
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
Faulkner
02
Date Prepared
2015-08-03
03
Project Location
81776 Contento St
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Faulkner
07
Zip Code
9225308
!CFA served
Dwelling Unit Conditioned
2990
Installing a SC
Installing
nstalli g
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing `
Number of space conditioning
e than 4
09
Climate Zone
1510
Name -
(SC) systems in this dwelling
1
system?
"&.I
_Junit.
feet of ducts?
duct system?
SC system?
B. Space Conditioning (SC) System IrIff
"Ion � +
Ol
02
l!`�`03`�i� 1.
04I05
06
07
08
_09
10
_
/. v.
�
-
� FIs the SC'°"'
t! stia' iA 1a:.
Installing a
1-..,.rf
R
SC System
SC System
!CFA served
system a
. r f ige a t f
Installing a SC
Installing
nstalli g
Installing
Identification or
Location or Area
by this SC
ducted
containing `
" system
e than 4
entirely a
entirely new
Name -
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
3 Ton Lennox
Location 1
2990I
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-A0213928A-000000000-0000
Registration Date/Time: 2015-08-03 12:21:25
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-03 12:21:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)IE 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
Dud Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
3 Ton Lennox
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation: A
MR -MCH -014 - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:.R6.
MR -MCH -20-H & MR -MCH -20-H — Duct Leakage testing r .red when heating or cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, ors 10% leakage to outside,,or seal all accessible leaks.
MR -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).
CF2RUM-MCH-23 & MR -MCH -23 Air FI6w.2 300'CFM/ton required -when MCH -25 is required`
Exceptions: �,.a �. �, .� f,,
-Duct 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-2S.
1;
Existing duct systems constructed, insulated or sealed with a�sbesto, 4 a exempt from MCH -20 Ductkleakage Testing regw}ements.R
M) r
—
E. Entirely New or Complete Replacement Duct System, with.or withoutkk qutpment Changeout,(Sections 150.2(b)1Diia andj150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 215-A0213928A-000000000-0000 Registration Date/Time: 2015-08-03 12:21:25 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-03 12:21:34
Schema Version: 0.555SDD
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: /�j
Votta, Paul
(�
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-08-03 12:21:25
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 statemenO
1 1,1
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 Cod 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 Califoniia.Code of R g lations
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,
M 'k i t# i. h" ? -- i. h i
calculations, plans and specifications submitted to the enforcement agency for approvalWiththis building permit application.- {�
.++�aa t t5 �k.
S. I will ensure that a registered copy of this'Certificate of.Compliance shall be;made available with the buildingipermit(s):issued forbthe'building, and made available to,the enforcement agency for all applicable
inspections. I understand that a registered copy of this.Certificate of Complliance.is-,required to be -included with thedocumeentation:he builder provides to the building owner at occupancy.
Responsible Designer Name: WA +w;
Responsible De"s'igner Signature: V k*�t-vl
Votta, Paul
01(rp `PR&
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-08-03 12:21:25
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0213928A-000000000-0000 Registration Date/Time: 2015-08-03 12:21:25 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-03 12:21:34
Schema Version: 0.555SDD
Bln.#
cit y 'f La Quin a
Buffing 8'r Safety Division
P.O. Box 1504,'78-49S Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and TrackinASheet
Perinit #
Project Address:
Owners Name:. �r
A. P. Number.
Address: .
Legal Descripti n:
City, ST, Zip: 'Q��1(}-�
tractor. Dal
Telephone:
ress:
r
Si ProjectDescription:
, ST, Zip=
Telephone
State Lic. # :
Arch., Engr., Designer.
City Lie. 9,
Address:
City., ST, Zip:
Telephone:
State Lic. #:
WS Construction Type:. Occupancy:
+• ,+ Project type (circle one): New Add'n Alter
Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
# Unity:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Req'd
Reed
TRACICYIVVG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Strgctural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Pians picked up
Constrnedon
Flood plain plan
Plans resubmitted
Mecharilcal
Grading plan
2'a 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 correcdons/issae
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees