BMCH2016-028978-495 CALLE TAMPICO
yaw
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0289 D_ iJ
Property Address: 78995 RIVER ROCK RD
APN: 776010006 AUG O 3 2016
Application Description: PROVOST RESIDENCE / HVAC CHANGE OUT _
Property Zoning: CIIYOFIA QUINTA
Application Valuation: $21,500.00 COl�1h1UNtTYCE' LO P1„ENTCEPARTMENT
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 70001 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: Rk I llo 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, 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.).
(_) 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. . 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
INSPECTIONS (760) 777-7153
Date: 8/4/2016
Owner:
NORMAN PROVOST
78995 RIVER ROCK RD
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: 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.
Date: d'411L., Applicant: SZ
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.
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 representatives of this city to enter upon the.
above-mentioned property for inspection purposes.
Date: lay lb Signature (Applicant or.Agent)
Date: 8/4/2016
Application Number: BM6H2016-0289 Owner:
Property Address: 78995 RIVER ROCK RD NORMAN PROVOST
APW 776010006 78995 RIVER ROCK RD
Application Description: PROVOST RESIDENCE / HVAC CHANGE OUT LA QUINTA; CA 92253
Property Zoning:
Application Valuation: $21,500.00
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: (2) HVAC CHANGE OUTS - 25 & 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
r
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY 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
$145.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVACCHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
Total Paid for CHANGEOUT: $217.56
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
Description: PROVOST RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 8/4/2016 MFa
Approved: 8/4/2016 MFA
Parcel No: 776010006 Site Address: 78995 RIVER ROCK RD LA QUINTA,CA 92253
Subdivision: TR 26016 Block: -Lot: 6
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $21,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:. (2) HVAC CHANGE OUTS - 25 & 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO'FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.'
ADDITIONAL SITES
Printed: Thursday, August 04, 2016 12:14:58 PM 1 of 2
SYSTEMS
INSPECTIONS j
Printed: Thursday, August 04, 2016 12:14:58 PM 2 of 2
SYSTEMS
CLTD
DESCRIPTION"
ACCOUNT
CITYMETHOD
AMOUNT
'PAID
PAIDDATE.
RECEIPT#
CHECK#
PAID BY •
By
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
r
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:71
INSPECTIONS j
Printed: Thursday, August 04, 2016 12:14:58 PM 2 of 2
SYSTEMS
Bin .#
Crty Of LaQutnta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit' Application and Tracking Sheet
Permit #
ProjcctAddress: 78995 River Rock Road
Owner's Name:. Peggy Provost
A. P. Number.
Address: 78995 River Rock Road
Legal Description:
Cont
Contractor. Comfort Air
City, ST, Zip: La Quinta, CA:' 92253
".=F-0
Telephoner ?asses
Address: 4803 E Sunny Dunes Road
Project Description: Replace Ston A/C, Coil, B& 90,000 BTU .
City, ST, Zip: Palm Springs, CA 92264.
Furnace, Replace 2ton Heat.Pump
Telephone: 760-320-5800
City Lie. #,:
State Lic. # : 763937
Arch., Engr., Designer
Address:
City., ST. Zip: /
Telephone: `�� • Construction Type Occupancy:
'
State Lic #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer Sq. Ft.:#Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project: $21,500.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amoaat
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit_
Truss Cal cs:.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2'! Review, ready for correctionsrissue
Electrical
SubcortaetorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.h
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'jd Review; ready for correctionslissne
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: Peggy Provost Date Prepared: 2016-08-02
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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name
Peggy.Provost
02
Date Prepared
2016-08-02
03
Project Location
78995 River Rock Road
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Peggy Provost
07
Zip Code
92253
08
Dwelling Unit Conditioned
2150
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
t Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
2
ducted
containing
b
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information`
Ol
02
03
04�
O5
07 y
OS
09
10
. rev
#.069 AN[
9 I
FIs the SC"""`
Installing a
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
t Installing
Installing•
Installing
R
Identification or
Location or Area
by this SC
ducted
containing
b
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1075
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1075
Yes
Yes
Yes
No
Nc.
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)Wiib)
This section, does not apply to this project.
Registration Number: 216-A0288548A-000000000-0000 Registration Date/Time: 2016-08-02 16:19:04 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 • Report Generated: 2016-08-02 16:19:12
Schema Version: 0.555SDD
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 15O.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 gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
25
Setback
equal to 40
R-8
components
components
feet
Central split
All new
`AFUE
Central split
All new
Less than or
System 2
HP
heating
80
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
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: 5 15%, ors 10% leakage to outside, or seal all accessible leaks. . +.'" pon
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when ref?ig2era�nt-contai$ining components"are
;.„,.
installed
.
br'altered5(ap.rte"'pllcable in CZ 2; 8-15).IL
CF -MCH -23 & CF3R-MCH-23 Air Flow z 300 CFM/tomrequired when MCH -25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed'are exempt frdm MCH 20 Duct;Lit ge Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not requi're.verification of Air Flow MCH -23 or Refrigerant Charge MECH-25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCHV 0 Duct eakage esting re,quiremen s
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0288548A-000000000-0000 Registration Date/Time: 2016 -OS -02 16:19:04 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 16:19:12
Schema Version: 0.5SSSDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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: n �
Jacoby, Ian
cyan dacobJr
Company:.
Signature_ Date:
i PERMIT E RATERS
2016-08-02 16:19:04
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
1818-735-7876
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.orysystem 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 w �� "a
4. The building design features or system design features identified ornthis Certificate of Compliance are consistent with the ilnformati_on.provided on other. plicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency forapproval.with�this building permit application..'
5. I will,ensure that a registered copy of this Certificate of>C�ompliance shall be:matle,available with the buililing:permit(s),issued for='the building, and made available to:Ybe,enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be_included with the.documentattontheb wilder provides to the building owner at occupancy.
-
Responsible Designer Name: I$, IrN
Responsible Designer Signature: V I; �/'".
Jacoby, Ian
clan �acob'
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-08-02 16:19:04
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
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-A0288548A-000000000-0000 Registration Date/Time: 2016-08-02 16:19:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version: 2013 Rev 1.007 Report Generated: 2016-08-02 16:19:12.
Schema Version: 0.555SDD