BMCH2015-0050Iy •
�' % ` + +ems � '
ATION
LICENSED CONTRACT\'ensed
•
.. ` `
� i .
•
I have and will maintain a certificate of consent to self -insure for workers'
cew�
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class:•_ icense No.::LIC-000
of the work for which this permit is issued.
VOICE (760) 777-7125
78-495 IsALLE TAMPICO
D
Section 3700 of the Labor Code, for the performance of the work for which this permit
- FAX (760) 777-7011
LA QUINTA, CALIFORNIA
92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
?
BUILDING PERMIT
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 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 a r so to become subject to the workers'
Date: 2/19/2015
Application Number:
BMCH2O15-0050
Owner.
signed statement that he or she is licensed pursuant to the provisions of the
Property Address:.
79935 RANCHO LA QUINTA DR '
BARBARA HERMAN
the Business and Professions Code) or that he or she is exempt therefrom and the
APN:
602220014
79935 RANCHO LA QUINTA
subjects the applicant to a civil penalty of not more than five hundred dollars
Application Description:
HVAC 2T L SYSUM
LA QUINTA, 92253
( ) I, as owner of the property, or my employees with wages as their sole
Property Zoning:
D ,
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
Application Valuation:
$5,950.00
himself or herself through his or her own employees, provided that the improvements'
APPLICANT ACKNOWLEDGEMENT
FEB 19 2015
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
Applicant:
he or she did not build or improve for the purpose of sale.).
Contractor:
(__J I, as owner of the property, am exclusively contracting with licensed contractors
COMFORTAIR
C(TYOFLAQUINTA
COMFORTAIR
State License Law does not apply to an owner of property who builds or improves
0OUTSIDE CITY LIMITS
COMMUN0()EVELOPMENTDEPARTMENT
0OUTSIDE CITY LIMITS
the Contractors' State License Law.).
LA QUINTA, CA 92253"
(_) I em exempt under Sec. . B.&P.C. for this reason
LA QUINTA, CA 92253
' - -
(760)320-5800
Date: Owner:
LIc. No.: :LIC -0003499
CONSTRUCTION LENDING AGENCY
-----------------------------------------------
----------------- ---- ----- ------ -- -------- - - - -..
ATION
LICENSED CONTRACT\'ensed
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perju tha under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of D isioiness 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:•_ icense No.::LIC-000
of the work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by
Date,~.i
Contractor:
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation i rance 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 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 a r so 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 t, I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provision of Sectio 0 the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with t s1pr visions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3of
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 apermit
subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: AILU0 SECURE WORKERS'COMPENSATIO COVERAGE IS UNLAWFUL,
($500).:
ANDSHALL UBJN 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
(__J 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 em exempt under Sec. . B.&P.C. for this reason
2. Any permit issued as a result of t 's lication becomes null and void if work is
not commenced within 180 days from to issuance of such permit, or cessation of
work for 180 days will subject permit to ca cell 'o
Date: Owner:
certify that I have read this application and sta t above information is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinanc to laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives o s i to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
mentioned pr erty for inspection purposes.
Lender's Name:
Date: � Q W Signature (Applicant or Agent):
Lender's Address:
ti
r
FINANCIAL 1 .
f .
t a ;:A00OUNT i``AMOUNT. Alb- PAID DATE
'*:DESCRIPTION'._ `' � f , uY,"
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
'• _x PAID BY "' i, „ ' I"'a A .;METHOD z ,.',RECEIPT.#, < CHECK # • - CLTD'BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
s x DESCRIPTION' r
ACCOUNT ' e,
'{ZTY`
AMOUNT
PAID ' ,.
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
'RAID BY, ��" .=`.`'"'.,
«° METHOD
RECEIPT:#
CHECK #``` •?
CLTD BY
' DESCRIPTION
-,.ACCOUNT.,.,,„} .
CITY.
AMOUNT,
PAID .
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
i„PAID BY y”
"` r L "aMETHOD rF".
RECEIPT#`�,r�'
CHECK#
•CLTD;BY-.
Total Paid forCHANGEOUT: $108.78 $0.00
1 DESCRIPTION'- . ,,� ,„ w
... , ,» _
f' ACCOUNT
CITY
-AMOUNT ' =
—
- .PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY +,, , °G. 7
' :METHOD
F
a. -RECEIPT #
CHECK #
-CLTD BY,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i 60
Description: HVAC 2 TON 14 SEER FULL SYSTEM
Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 2/19/2015 PJU
Approved:
Parcel No: 602220014 Site Address: 79935 RANCHO LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 29457-1 Block:
Lot: 34'
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $5,950.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT 2 TON .78 AFUE 14 SEER PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. -
101-0000-20306 0 $1.00
$0.00
ADDITIONAL SITES
CONDITIONS
Printed: Thursday, February 19, 2015 3:29:50 PM 1 of 2 ' CRsrsrEMs
FINANCIAL
INFORMATION
CLTD
TPAID
DESCRIPTION =:
ACCOUNT r. QTY AMOUNT
µ PAID
;PAID DATE, . RECEIPT#
CHECK#, METHOD : ' ~, BY.
BY
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
-Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Thursday, February 19, 2015 3:29:50 PM 1 of 2 ' CRsrsrEMs
i�DESCRIPTION
777
ACCOUNT
QTY,
AMOUNT
PAID
'. PAID,DATE
RECEIPT #;
CHECK #�
METHOD ,
' s PAID BY
CLTD
f.
}
BY
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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• • ••
•
._ _ 1 „ _
SEQID INSPECTION TYPE �,;', ;.INSPECTOR �: 'SCHEDULED COMPLETED RESULT-, REMARKS "'NOTES-',
i r DATE: s DATE
MECHANICAL FINAL"
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, February 19, 2015 3:29:50 PM 2 of 2
CRSY57EMS
wit #City.
Of- La Qutnta
&dA tg ar safety Nvision -
P.O. Box 1504,78-495 Cage Tam*o
La.Qt*:u, CA 92233 • (760) 7777012
Building Permit Application and Traddng Sheet
Permit #
ProjedAddress:
Owner's Name:.
A. P. Mnkbar:
,warm: 9 q3 5
LoO Win:
CiW, ST, Zip: zL --
Cotttiaaor .
'Teaephone /
Address:
Project Description:
city, sT, zip: /4 ij� N etAj l
Telephone: IQ ax o U /em
State Iaa # : -1 City Lia t q
Araby BW-, Deem:
A
City. ST. Zip:
Tdepitane: C.MUMXUOn T"W.. OC64=cY:
State Lia #: ° Project type (circle one): New Add'n Altar Repair Demo
Name of COD= PWM Sq-Ft:/,72,Y J# Storke : r f Unita
Tekpbonc # of Contact Person: Estimsbod Value of Pro 7.15 d .
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
Woultial
Raga
MWd
TBAC G
PERMIT F=
Tian Sets
�
Piu Cirak tabmftttd
I?"
teem Asnoaat
3htletaral C"
Rerkwed, read, for correct<oas
Ck & Deposit • .
Toms Cake.
Called Contact Persoa
Tian Cheek Balance.
Title U Cala.
Piam picked np
Construe""
Igaad lea �a
Plaos rewbmitted,- . .
Meehankal
Grading plea
2" Renew, ready for cosrecdonsltsm
Elecbtcal
Subcos+taetor List
Catled CoataetPessoa
Plwnbiag
Grant Deed
Paas pkked up
&bu
j
H.O.A. Approval
W Il;ousz-
Phos rusbmitted
''' Review; ready fer eorreetionsA me
Gradiag
Developer Impset Fee
PhnaligApproval•
Called CwtsetPersoa
A.U.P.
Pub. Wim. Appy -
Date of permit issue
Sdwd Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CHR -ALT -02-11E
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:.
Votta, Paul
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-02-18 22:50:38
Address:
CEA/ HERS Certification Identification (if applicable):
4803 E SUNNY DUNES ROAD ,
City/State/Zip:
Phone: -
PALM SPRINGS CA 92264
(760) 320-5800
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. I am eligible under Division 3 of the Business and Professions Code to.aaept responsibl�tyfor the butdmg design orsy;tem designdentified 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 Ian Part 6 of the Californm Gode of Regulations." ..fi k`
4. The building design features or system design features identifed`on£this;Certificate of compliance are consistent with the information ovi e on other applicable compliance documents, worksheets,
calculations, plans and specification' ssubmltted to the enforcementagencyfor approval with this bwlding permit application,
5. I will ensure that a registered copy of this, Certifica .e.op Compliance shall be made available wtth the bulidlh&ermt(s) issued foF,the-building 'and"ma4de,avallable to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be Included withthe'documentation thebui der'provides to the building owner at occupancy.
Responsible Designer Name: `' .
Responsible Designer Signature:
Votta, •Paul.
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015702-18 22:50:38 `
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
1(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-A0047633A-000000000-0000 Registration Date/Time: 2015-02-18 22:50:38 • HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-18 22:50:18
CERTIFICATE OF COMPLIANCE CF1R-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)1E 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
Duct Length
R -Value
Central split
All new
Central split
All new
This field or
This field or
2 Ton Lennox
heating
AF IE
0.78
HP
cooling
SEER
.14
Setback
section is not
section is not
HP
components
components
applicable
applicable
Reauired 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: 515%, or 510% leakage to outside; or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in. CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2! 300 CF.M/ton•required when MCH -25 issrequired -
Exceptions: 3.. 3 f
-Ducts stems registered with HERS provider as reviousl sealed are,exem t fromsM'CH-20 Duct Leaka a Testin requirements '
Y g P P Y P g g
_Heating -only systems and Air Handler/Furnace changes do not�regwre venfcation of Air Flow MCH ;23 or Refrigerant Charge MECH 25: } `^
-Existing duct systems constructed, insulated or sealed with astiestos'are exemptsfrom MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System; with or without Equipment Changeout (Sections 150.2(b)1Diia 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)lC)
This section does not apply to this.project.
Registration Number: 215-A0047633A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-02-18 22:50:38
Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2015-02-18 22:50:18
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
_(Page 1 of 3)
Project Name: Herman Date Prepared: 2015-02-18
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
Herman
02
Date Prepared
2015-02-18
03 •
Project Location
79935 Rancho la Quinta
04
Building Type
9
Single family
05
CA City
La Qu i nta
06
Dwelling Unit Name
Herman
07
Zip Code
92253
082924
Dwelling Unit Conditioned
.,,Iristallifi
Floor Area (ft2)
SC System.
SC Syitem
CFA.served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone,
15'.
10
(SC) systems in this dwelling
1
clucted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) SysternAriformation
yAv
01
02
01
&
06C
�'3'07
1-,—
`� , 09,
10
-
0, V
g
I sA h e, SC
.,,Iristallifi
SC System.
SC Syitem
CFA.served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area,
by th is:SC
clucted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
sy#em'?
component?
components?
feet of.ducts?
duct system?.SC
system?
Alteration Type
2 Ton Lennox
Location 1
2924
Yes
Yes
Yes
No,
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section'150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0047633A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-02-18 22:50:38 HERS Provider: CaICERTS
Report Version: 2014=03-31 Report Generated:. 2015-02-18 22:50:18