BMCH2016-029278-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 "FAX (760) 777-7011DESIGN & DEVELOPMENT- EPARTMENT INSPECTIONS (760) 777-7153
BUILDING P�RMITn
Date: 8/4/2016.
Application Number: BMCH2O16-0292 AU Owrre
Property Address: 60213 DESERT SHADOWS DR _u 0 3 �O',EMAf�•L ALVES
APN: 764360049 OOI Cfh,—� 0 2433 DESERT SHADOWS DR
Application Description: ALVES RESIDENCE / HVAC CHANGE OUT �M�NI1y ito r` QUI TA, CA 92253
Property Zoning:Application Valuation: $8,750.00 D�e�OPA�' NT - q MENT�
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 0276,-
(760)320-5800
Llc. No.: 763937
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
Da3g a 4 Co tractor. �T
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 applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 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. 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
( I 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:
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 thew rk for which this permit is issued.
I 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9063962
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.
nt: 5.7�
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR 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 forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performedunder 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 act or omission related to the work being performed under or
Following issuance of this permit.
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.
I certify that I have read this application and state that the above information is correct.
1 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 property for inspection purposes.
F
Date-- LF (d Signature cant or Agent): �
i Y .
1
Date: 8/4/2016
Application Number: BMCH2O16-0292
Owner:
Property Address: 60213 DESERT SHADOWS DR
EMANUEL ALVES
APN: 764360049
60213 DESERT SHADOWS DR
Application Description: ALVES RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,750:00
Applicant: i
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
---------------------------------------------------------------------------------------------
Llc. No.: 763937
Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE'ALARM(5) TO'BEINSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
U
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY. AMOUNT
-BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
HVAC'CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
TOTALS: $201.6:
i
Description: ALVES RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED Applied: 8/4/2016 MFA
Parcel No: 764360049 Site Address: 60213 DESERT SHADOWS DR LA QUINTA,CA 92253 Approved: 8/4/2016 MFA
Subdivision: TR 30023-2 Block: Lot: 49 Issued: 8/4/2016 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $8,750.00 Occupancy Type: Construction Type: Expired: 1/31/2017 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Approvea roissueo
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(403)608-5525
CONTRACTOR
VOTTA ENTERPRISES INC DBA
COMFORT AIR
72248 NORTHSHORE ST
STE 101
THOUSAND
PALMS
CA
92276
(403)608-5525
OWNER
EMANUEL ALVES
60213 DESERT
SHADOWS DR
LA QUINTA
CA
92253
(403)608-5525
FINANCIAL INFORMATION
Printed: Thursday, August 04, 2016 3:10:01 PM 1 of 2 ,,
SYSTEi+4S
BOND INFORMATION
Printed: Thursday, August 04, 2016 3:10:01 PM 2 of 2 CRIWf
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
8/4/16
R17644
32611
CHECK
IE INC
MFA.
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CH T -
101-0000-42402
0
$72.52
$72.52
8/4/16
R17644
32611
CHECK
IE INC
MFA
SPLIT-SYSTEMSYSTEM
HVAC CHANGEOU-
101-0000-42600
0
$36.26
$36.26
8/4/16
R17644
32611
CHECK
IE INC
MFA
SPLIT -SYSTEM PCC
Total Paid for CHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/4/16 1
R17644
32611
CHECK
IE INC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
BOND INFORMATION
Printed: Thursday, August 04, 2016 3:10:01 PM 2 of 2 CRIWf
SYSTEMS
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEG -CHR -ALT -04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION '"W"
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
b-)�
Enforcement Agency:
Datj Pr
pared:
Permit#:
fDoZ \ 3 , S; , a, (ACI 'I In �
G Q La. -
4
11 �-
Equipment Type
Equipment Efficiency
New bucting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
AEvaporator Coil
isAFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
Xsetback
System
,Split System
,Condensing Unit
❑ Compressor
❑ R-8' (CZ 11, 14, 15) Ducting
l sgft
(If not already
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Mini Split
Furnace
❑ Lineset
❑ TXV
EER
❑ R-5 or R7.5) Lineset°
be installed)
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
f m is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Air Handler/Furnace2 (Can include new ducting)
Installer Requirement: Dud leakage L15%, or < 10% to outside, or seal all accessible leaks),, Air Flow >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ---------- I
112. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts-'
CF111-ALT-02-E
including Mini Split
CF2R: MECH=01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Dud leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Duds with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts-' and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)=HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace2
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Dud leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing dud systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Duds-'
CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and'Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T -2%e", 5T-4%"
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. 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, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name:
Sieve�.,Jc
Responsible Designer Signature:
Dat
Si ned:
License:
-763g3i
ACX-e—r
���c2_
g
<t Ito
Company:
Address:
City/State/Zip:
Phone:
C -10"o., i .`y
Fs0 3 E Ste,,,, �vr\e- d
1�a1. s nrt s `12Zto�
`X c:>— 3-2u
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
Bin # City of La Quin to
Building SF Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: b C: -Z)3 a aoWS \ Owner's Name:. 1
A. P. Number:
Address: loo Zx3 �Jese v S�r.P aoW s�
Legal Description:
City, ST, Zip: L,- Q�v�rk cG e1ZZ5 3
Contractor:Telephone:
�-
Address: [� sO-� (= Sv rv.
ores d
Project Description:
City, ST, zip: 1 l M S S
CAS Z"Z(otl
G
r 101OCt��rCU
I�e �Gce �-1'ho.r..l� .L (� � � i
Telephone:
ele h . o-
b�- U
3i 5 3
�v
State Lic. # :
City Lie.•#.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
hone:
Construction Occupancy:
TYP e• cY:
i . #-
State Lc
oProJect
tYPa (circle one • New Add'n Alter Repair r D em
Name of Contact Person: s��v�� .
�� �n� c e�
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:\8- 735-�$^>to
Estimated Value of Project: 8 7S O . CXD
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted.
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"! Review, ready for correct ionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees,
Total Permit Fees