BMCH2017-003078-495 CALLE TAMPICO D �i�IiACl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0030
Property Address: 49560 RANCHO LA MERCED
APN: 602280031
Application Description: FALCONER / A/C CHANGEOUT
Property Zoning:
Application Valuation: $30,000.00
Applicant:
IE INC
31225 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 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 l�l Contractor:
OWNER -BUILDER DECLARATION
1 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).:
(_) 1, 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
TtEligS.a60) 777-7153
(760)320-5800
Llc. No.: 76393'
17
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3�100 of the Labor Code, for the performance
o e work for which this permit is issued.
�l have and will maintain workers'kompensation 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 insuraue carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WES— 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 5o as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: ZI I1 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,,700). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F DR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to _he Building Official for a permit subject to
the conditions and restrictions set forth on 0is 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 owier, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless tt a City of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app ication 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 represereatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: "Signature (Applicant or Agent)'
JOHN FALCONER
49560 RANCHC LA MLAQUINTA,CA92253LU
LDateOwner:
Contractor:
VOTTA ENTERP'3I5ES INC DBA COMFORT AIR
72248 NORTHS•10RE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 76393'
17
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3�100 of the Labor Code, for the performance
o e work for which this permit is issued.
�l have and will maintain workers'kompensation 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 insuraue carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WES— 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 5o as to become subject to the workers'
compensation laws of California, and agree fiat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: ZI I1 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,,700). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F DR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to _he Building Official for a permit subject to
the conditions and restrictions set forth on 0is 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 owier, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless tt a City of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app ication 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 represereatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: "Signature (Applicant or Agent)'
Date: 2/21/2017
Application Number: BMCH2O17-0030
Owner:
Property Address: 49560 RANCHO LA MERCED
JOHN FALCONER
APN: 602280031
49560 RANCHO LA MERCED
Application Description: FALCONER / A/C CHANGEOUT
LA QUINTA,.CA922S3
Property Zoning:
Application Valuation: $30,000.0,0
1
Applicant:
Contractor: "
IE INC
VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA
72248 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362
THOUSAND PA -MS, CA 92276
(760)320.-5800 "
Llc. No.: 76393 "
Detail: (2) HVAC CHANGE OUTS - (1&2)25SEER/80AFUE SPLIT SYSTEM [2016 ENERGY)
CARBON MONOXIDE ALARM(S) —0 BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
. i
FINANCIAL •/,
DESCRIPTION ACCOUNT QTY AMOUNT
ACCOUNT
BSAS SB1473 FEE 101-0000-20306 '
0
$2.00
502-0000-43611
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
$5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$152.00`
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for .PERM IT ISSUANCE: $96.27
Total Paid for TECHNOLOGY ENHANCEMENT FEE: -$5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
r
Bin. #, . CIS}/ Of ,-I
. Quliltd • . • .
Building 8r Safety Division
P.O. Box 1504,78-495. Calle Tampico .
La.Quinta, CA 92253 -:(760) 777-7012
- ® 6.3•0 Building Permit Application and Tracking Sheet .
Permit #
1'I'I C la 1017
ProjectAddress: 49560 Rancho La Merced
Owner'sName:.John Falconer
A. P. Number.
Address: 40560 Rancho La Merced
Legal* Description:
City; ST, Zip: 'La Quinta, CA 92253
Contractor- Comfort'Air
Telephone: , ,.;�? s ;x s
Address: 4803 E Sunny Dunes Road
Project Description: Replace.5 ton 190,000 BTU complete ..
City, ST, Zip: Palm Springs,' CA 92264.
HVAC'system
Telephone: 760-320-5800
% ,>''" `�
Replace 4 ton / 90;000 BTU complete HVAC system
State Lie. # : 763937
City Lie. #:
Arch:, Engr., Designer
Address:
City., ST, Zip:
Telephone:
` rr
State Lie. #: wem
Name of Contact Person: Steven SchniererSq.
Construction Type: , Occupancy: `
Project type (circle one): New Affn Alter Repair Demo
Ft:
# Stories:
# Units.
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $30,00 D.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections.
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Chock Balance _
Title 24 Calcs.
Plans picked up
Construction .
Flood plain plan
Pians resubmitted..
Mechariimi
Grading plan
rd Review, ready for correctionsrissue
Electria-I
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. .
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' Review, ready for correctionMiissue
Developer Impact Fee
Planning Approval
Called Contact Person
Puri: Wks. Appr
bate of permit Issue
School Fees
Total P-mmit Fees
Bin. #, . CIS}/ Of ,-I
CERTIFICATE OF COMPLIANCE. CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) - (Page 1 of 3)
Project Name: John Falconer Date Prepared: ` 2017-02-20'
A. General Information
CFiR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling unitsriiust be documented, use one -
CF1R-ALT-02 document for each dwelling unit'
02
01
Project Name
John Falconer
02
Date Prepared
2017;02-20
03.
Project Location
49560 Rancho La Merced
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
John Falconer
U8
Dwelling Unit Conditioned
07
Zip Code .
92253
Floor Area (ft2)
3300
CFA served
system a
refrigerant
Installing new SC
Installing
Installing .
Installing
/J \N =
Location or Area ,
Number of Space
ducted
09
Climate Zone ',"""'
15 `'!
10 '
Conditioning (SC) Systems in
2 `
;.,Name
Served
System (ft)
system?
this Dwelling Unit:
components?
B. Space Conditioning (SC) System Inform t o`n
nr-
.
01
02
4
�^ 03
04
-
05
06
F.:.q,
07�
08 ..__
09
10
q-
Is the SCi
Italli g a
' SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing .
Installing
Identification or •
Location or Area ,
by this SC
ducted
containing .
system ..
more than 40
entirely new
entirely new
;.,Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type,
Altered space
System 1'
Location 1
1650.
Yes
Yes
Yes
No
No
No
conditioning system'
System 2•
Location 2
1650
Yes'
Yes
Yes
No
No -
'No
Altered space
conditioning system
Registration Number: 217-A020055136A-000-000-0000000-0000 Registration Date/Time: 2017-02-20 14:10:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards : 2016 Residential Compliance Report Versiori: 2016.1.005 Report Generated: 2017-02-20 14:11:36
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
OS
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
25
Setback
section is not
section isnot
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
; AFUE
:80
AC
cooling
SEER
25
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 view portions of.supply-air and return -air. ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all access ble leaks.^ �
',l
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or alter (app ica 2, B-15).
CF2R and CF3R MCH -23 Airflow Rate >= 300 CFM per ton required when MCH-25ris required..
� ti
Exceptions:.
CO
t
Duct systems registered with HERS provider as previously sealed,are exempt from MCH 20 Duct L aka�ge,Testing S.
Heating -only systems and Air Handler Furnace changes do notrequire verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -25.0
,
Existing duct systems constructed, insulated orsealed with asbestos are exempt from MCH; 0 Duct Leeakage esting reaqu sementk
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lbiia 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: 217-A020055136A-000-000-0000000-0000 Registration Date/Time: 2017-02-20 14:10:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-20 14:11:36
CERTIFICATE OF COMPLIANCE CF111-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: �
Jan
Jacoby, Ian
C9acoby
Company:
Signature Date:
i PERMIT E RATERS
2017-02-20 14:10:59
Address:
CEA/ HERS Certification Identification (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 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 ofthe. 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,"componnents, 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 Regulations. U-
4. The building design features or system design features identified onthis Certif - to of Compliance are consistent with -the informationprovided on other applicable'compliancedocuments, worksheets,
calculations, plans and specifications submitted to the enforcement agency fo�tr44. ap ovalwith this building permit application. g
5; 1 will ensure that a registered copy of this Certificate�of shall be made,available with the building:p'ermit(s);issued fortthe building and.imade available to°the ' forcement agency for all applicable
Compliance
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the.clocumenta�tionAhe builder pr�ov�des tPe building owner at occupancy.
Responsible Designer Name: r
Responsible Desig er Signature: n �Oki
Jacoby, Ian
an �ac0'
Company:
Date Signed:
i PERMIT E RATERS
2017-02-20 14:10:59 -
Address:
License:
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider
responsibility for the accuracy of the information.
Registration Number: 217-A020055136A-000-000-0000000-0000 Registration Date/Time: 2017-02-20 14:10:59
CA Building Energy Efficiency Standards -2016 Residential Compliance ...Report Version:. 2016.1.005
HERS Provider: CaICERTS
Report Generated: 2017-02-20 14:11:36