BMCH2016-0118Td p
78-49S CALLE TAMPICO 4:
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0118
Property- Address:
49515 RANCHO LA MERCED
APN:_
602280037
Application Description:
BOLLINGER / CHANGE OUT (2)25SEER/8AFUE SPLIT SYSTEMS
Property Zoning:
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Application Valuation:
$29,000.00
Applicant:
�_
IE INC
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31225 LA BAYA
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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
LDate 19 7-0 Ib 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, j3usiness 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 fora
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. 1044, 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. 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TYLER BOLLINGER
49515 RANCHO ILA MER
LA QUINTA, CA 922S3.
Contractor:
VOTTA ENTERPEISES IN
72248 NORTHSHORE ST
THOUSAND PALMS, CA
(760)320-S800
Llc. No.: 763937
Date: 4/20/2016'
CED
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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 thk for which this permit is issued.
< e or1 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: Polity Number: _
I certify that in the.performance or 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 &at, 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: 4 ZC h\9 Applicant: r
WARNING: FAILURE TO SECURE WORKERS' COM PENSATION 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 FM 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 forthon the 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 actor omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applit-ation 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 sate that the above information is correct.
I agree to comply with all city and county ordnance's and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date:-')' 20 Ilv Signature (Applicant or Agent): S r,_f
FINANCIAL •• •
' ,
ION QN ,DESCRIPT
CCOPAIDDATE:
�.�aAMOUN:c'
BSAS SB1473 FEE 101-0000-20306 0
$2.00
$0.00
o h ;e n * a+ KK:> z6a
PAID`BYMETHOD* <� s `RECEIPT #
CHECK #CLTD
BY
1..�. b- .v:3.RnFa-zitsF'g.'7x'4 �,-,
o >.'G-%tr` '�,4.&•.....E,.
# :$.t
Total Paid for'BUILDING STANDARDS ADMINISTRATION BSA: .$2.00 $0.00
DESCRIPTION - Y s
�« ACCOUNT r
sQTY
AMOUNT
i, PAID
yPAID DATES
.t«
a +
n';
..�,
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
3,IMETHOD ` M
RECEIPT
r �Y DESCRIPTION ';^ E
ACCOUNTS " €
gTYt
AMOUNT � ` " µ PAID + t
0,AID4DATE
yR�
,r
^. .. w :
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52 $0.00
�> PAID BYE
¢x._
% CHECK #a `°
CLTD BY
_<.s
_ ,.�' yMETHOD ;
t RECEIPT4�
Total Paid for CHANGEOUT: $217.56 $0.00
rk '`DESCRIPTION: F`"
x� F,ACCOl1NT 'yQTY°#
AMOUNT
PAIO$�r
'PAID DATE;;
_.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY ''
ykMETHOD� e x r
" d
" z.
RECEIP.
CHEEK #
CLTD BY €
._
z�,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: BOLLINGER / CHANGE OUT (2)25SEER/8AFUE SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/20/2016 SKH
Approved:
Parcel No: 602280037 Site Address: 49515 RANCHO LA MERCED LA QUINTA,CA 92253
Subdivision: TR 28964 Block: Lot: 74
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $29,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CA
Details: HVAC CHANGE OUT - (2)25SEER/8AFUE SPLIT SYSTEMS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
APPLICANT IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR VOTTA ENTERPRISES INC DBA
72248 NORTHSHORE ST
THOUSAND.
CA
92276
COMPORT AIR
STE 181
PALMS
OWNER TYLER BOLLINGER .
49515 RANCHO LA
LA QUINTA
CA
92253
MERCED .
Printed: Wednesday, April 20, 2016 9:39:23 AM 1 of 2 sysrrMs
DESCRIPTION
-
QTY
-------
A0
777��
7777.
DJATE�
7-77-
77
7
,PAID
CLBTYD.'
:-7-
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
HVAC CHANGEOUT-
SPLIT-SYSTEM
101-0000-4240.2
0
$145.04
$0.00
HVAC CHANGEOUT-
101-0000-42600
0
$72.52
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-4240
0
.$91.85
$0,00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALSi $311.41 0,00
Printed:. Wednesday, April 20, 2016 9:39:23 AM 2 of 2
(rmWSYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: TYLER HOLLINGER I Date.Prepared: 2016-04-19
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
TYLER HOLLINGER
02
Date Prepared
2016-04-19
03
Project Location
49515 Rancho La Merced
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
TYLER HOLLINGER
07
Zip Code
92253
08
Dwelling Unit Conditioned
3850
*.h'
ki -.A .*J
Floor Area (ft2)
SC System
CFA served
ystem a
r f igerant {
e"f-r a. n
Installinw SC
A ,gine k
Number of space conditioning
I talli g
09
Climate Zone
15
10
(SC) systems in this dwelling
2
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information n
01
02
.03
04
� U5 ( kV
If 06,J
OT)
08 ''
09
10
_
i1
� FIs the SC"""`
44 lnstalling a
-sti
n..+� r ..!
*4 h
*.h'
ki -.A .*J
SC System
SC System
CFA served
ystem a
r f igerant {
e"f-r a. n
Installinw SC
A ,gine k
stalling
I talli g
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
1900
Yes
Yes
Yes
No
No
No
conditioning system
Altered space
System 2
Location 2
1900
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0145717A-000000000-0000 Registration Date/Time: 2016-04-19 22:08:58 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 22:09:56
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CUR -ALT -02-E
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
v07
08
09
10
it
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
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
25
Setback
equal to 40
R-8
components
components
feet
System 2
Central gas
All new
heating
+
;-AFUE
0.8
Central split
All new
cooling
SEER
25
Setback.
Less than or
equal to 40
R-8
furnace
components
AC
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and fans
-Duct insulation requirement for new plenums: R6: '
CF2R-MCH-20-H & CF3R-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: 5 15%, ors 10% leikage to outside, or seal*all accessible leaks.
sr fig � .ate, � a`
CF2R-MCH-25-H.& CF3R-MCH-25-H Refrigerant Charge Verification required alteied,(apphcable in CZ'�2, 8-15).
wheiiaefrigerantcgntaining components are mstalled.or plic
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 306 CFM/ton required when MCHf25 is requui~ ed4
Exceptions: ;
n:L,
-Duct systems registered with HERS provider as previously sea ed are exempt from �MC..,W201DDuct LeakageJe�ing regwrements.
Heating -only systems and Air Handler/Furnace changes do not requirit e_ verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
Y
duct insulated asbestos f om:MCH�20 Dud0--%, kageaTesting requirements.
-Existing systems constructed, or sealed with arefiexempt y'
%
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)113iia and 150.2(b)lE, F)
This section does not apply to this project.
F. EiAhely New ui Cuniplete Replaiemetit Space funditiuideig 5ysLei'ii (Sectiuii 150.2(b)IC)
This section does not apply to this project.
s
Registration Number: 216-A0145717A-000000000-0000 Registration Date/Time: 2016-04-19 22:08:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential, Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19. 22:09:56
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:
Jacoby, Ian _
can loco Jr
Company:
Signature Date:
i PERMIT E RATERS
2016-04-19 22:08:58
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 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 Regulations.
ll
4. The building design features or system design features identified on this Certific� a' to of " Compliance are c�o�nsistent�he ihformation.provided o the plicable ompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement � agency for � approval it; this buildmg permit application. y3]
owl11 i A 'M i .�:
S. I will ensure that a registered copy of this Certificate ofyompliance shalfbe;made,available withthe bull, . permit(s),issued fornthe'building, and_made available tathe�enforcement agency for all applicable
inspections. I understand that a registered copy of this Certiifiicate of Compliance isrequi eed to be included with the clocumeenntation�hejbuilder provides to the building owner at occupancy.
Responsible Designer Name: ,.
Respons ble Designer Signature:.•*//''
Jacoby, Ian
cyan �acobJc
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-04-19 22:08:58
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/Statq/7i�
Rhnnc:
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: 216-A0145717A-000000000-0000 Registration Date/Time: 2016-04-19 22:08:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 22:09:56
Schema Version: 0.555SDD
Bin.#
Qty �f b Qi(liltd
Building 8T Safety Division
P.O. Box 1504,78-495 Caffe Tampico
La.Qulnta, CA 92253 - (760) 777-7012
Building Permit Applicatlon and Tracking Sheet
Permit #
Project Address: 49515 Rancho La Merced
Owner's Name:. Tyler Bollinger
A. P. Number.
Address: 49515 Rancho La Merced
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Comfort Air
Telephone:
Address: 4803 E Sunny Dunes Road
Project Description: Replace (2) 5tor / 110,000 BTU
City, ST, Zip: palm Springs,'CA 92264.
Complete HVAC Systems • .
Telephone: 760-320-5800:
sad. W,i
State Lic. # : 763937
City Lic. #;
Arch., Engr., Designer;
Address:
City., ST, Zip:
Telephone: ��
State Lic. #:- ' ,.::;, • �
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'r Alter Repair -Demo
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person: 818-735=7876
Estimated Value of Project: $29,000.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Rec'd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan CheckDeposit.
Truss Calcs.
Called Contact PersonPlan
CheckBalance
Title 24 Calcs.
Pians picked up
Constructlat
Flood plain plan
Plans resubmitted..
Mecharitcal
Grading plan
tad 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
IN HOUSE:-
'^' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue .
School Fees "
Total Pernit Fees