BMCH2016-043878-495 CALLE TAMPICO Ct 0 U ��NNCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH250175E ELDORADO
Property Address: 50175 EL DORADO DR
APN: 777280006
Application Description: MICHAEL RESIDENCE /.I V
Property Zoning: DEC O 2016
Application Valuation: $49,000.00 U.
Applicant: CITY OF LA QUINTA
IE INC DESIGN AND DEVELOPMENT DEPARTMENT
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
D� ate: -12 ? Ito W1111111IFCo t actor:
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).:
(_) 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.).
( ) 1, 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. . B.&P.C. for this reason
Date:
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/7/2016
Owner:
JOEL MICHEL
50175 ELDORADO DR
LA QUINTA, CA 92253
Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
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 the work 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: INSURANCE COMPANY OF THE WEST 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 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.
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 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 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name: r
Date: 7 klOSignature (Applieant_or Agent -l. ---
Lender's Address:
Date: 12/7/2016
Application Number: BMCH2016-0438 Owner:
Property Address: 50175 EL -DORADO DR JOEL MICHEL
APN: 777280006 50175 ELDORADO DR
Application Description: MICHAEL RESIDENCE / HVAC LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $49,000.00
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 92276
~ (760)320-5800
Llc. No.: 763937
---------------------------------------------------------------------------------------------
Detail: (3) HVAC CHANGE OUTS - 21 SEER / 80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
j FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$114.00
Total Paid for CHANGEOUT: $342.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
e
Total Paid for PERMIT ISSUANCE: $96.27
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Joel Michel I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-12-06
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Joel Michel
02
Date Prepared
2016-12-06
03
Project Location
50175 EI Dorado Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Joel Michel
07
Zip Code
92253
08
Dwelling Unit Conditioned
4200
Floor Area (ft2)
SC System
CFA served
'` „systema
1?.."
re rf ige'rt i
dnstalIin* new 5C%
Number of space conditioning
iln talling
09
Climate Zone
15
10
(SC) systems in this dwelling
3
containing
system
more than 40
ent ely w
unit.
B. Space Conditioning (SC) System Information-_-`
1�
01
02
03
04�`�
05 I k�
i f 061
1 07
1169 11
t 09
10
M
-
Nis the SC_ "
_ ..
Installing a--
, �x
SC System
SC System
CFA served
'` „systema
1?.."
re rf ige'rt i
dnstalIin* new 5C%
Clnstalling
iln talling
Installing
Identification or
Location or Area
by this SC
`ducted
containing
system
more than 40
ent ely w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3
Location 3
1400
Yes
Yes
Yes
No
No
No
Altered space
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-A0449279A-000000000-0000 Registration Date/Time: 2016-12-06 10:02:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-06 10:02:09
Schema Version: 0.555SDD
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)
O1
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 gas.
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
21
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
80
AC
cooling
SEER
21
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 3
furnace
heating
AFUE
80
AC
cooling
SEER
21
Setback
equal to 40
R-8
components'
-
components
feet
Reouired Documentation:
-Duct MCHation -Space Conditioning Systems Ducts and Fans y
-Duct insulation requirement for new R6. —f#
ror
plenums:
when
CF2R-MCH-20 H & CF3R-MCH-20-H — Duct Leakage testing required heating cooling comp�onfents are instPQ'in ductedsystems, or when
more than'+40� ft of du}c�t� length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside or seal all accessible leaks. L.t U rf U 1' U � 0
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 & MR -MCH -23 Air Flow 2 300 CFM/ton required when MCH .is .qui d.
DER
Exceptions:
-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-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from 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)1C)
This section does not apply to this project.
Registration Number: 216-A0449279A-000000000-0000 Registration Date/Time: 2016-12-06 10:02:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-06 10:02:09
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:
Jan dacoby
Jacoby, Ian
Company:
Signature Date:
I PERMIT E RATERS
2016-12-06 10:02:11
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362 z
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 rnnform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of R2Sulat onsx" "� WQ —
4. The building design features or system design features identified on this Certificate of Compliance are consistent.with the information provided on ottier:applicable compliance documents, worksheets,
calculations, plans and specifications submitted totheenforcemen yagency forkap royal wlt�l%this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be' made:available wlth'the bullding permit(sp;issued forahe building,.and made avafI ble,to the_enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be,included with the documentation the builder provides to -the building owner at occupancy.
Responsible Designer Name: '' I �... l« .,.�
Responsible De'slgner Signature: V t�/ -
Jacoby, Ian
cyan �acob
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-12-06 10:02:11
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
760-320-5800
Digitally signed by Ca10ERTS. 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-A0449279A-000000000-0000
Registration Date/Time: 2016-12-06 10:02:11
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-06 10:02:09
Schema Version: 0.555SDD
Bin .#
city
.1 Of LCf Quo:
Sididing & Safety Division
P.O. Box 1504,78-495 Calle Tampico
LA.Quinta, CA 92253 -:(760) 777-7012
Building Permit' Application and Tracking Sheet
Permit #
Project Address: 50175 EI Dorado Drive
Owner'sNwne:.Joel Michel
A. P. Number:
Address: 50175 EI Dorado Drive
Legal Description:
City, ST, Zip: La Quinta, CR 92253
Contractor. Comfort Air
F.S <ct3 �'v S•
Telephone:
Address, 4803 E Sunny Dunes Road
Project Description:
City, ST, Zip: Palm Springs; CA 92264 .
Replace 5 ton / 90,000 BTU.complete HVAC system ."
Telephone: 760-320-5800
a "'' _
Replace 4 ton / 90,000 BTU complete -HVAC system
State Lic. # : 763937
City Lie.. t,:
Replace 3 ton / 70,000 BTU complete HVAC system
Arch, Engr., Desi
Address:
City., ST, Zip:
.Telephone:
State Lie- #:^.� N
Construction Type: " Occupancy:
Projecta
typ (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Storibs: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project $49,000.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACK NG
PERMrr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
'truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mecharilcal
Giading plan
2id Review, ready for correctionemue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans plcked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE-,
'"' Review; ready for corrections issue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr '
Date of permit Issue
School Fees "
Total Permit Fees