BMCH2015-0269Applicant: /`� �Q�� v Contractor:
VOTTA ENTERPRISES INC DBA COMF 1� , R VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES ROAD
,��. � ��"� ���� 4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264
0, (760)320-5800
G� 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 Lic ( sese No.: 763937
Date: A 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 cgnstruct, 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 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 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: Policy Number:_
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 tot
workers' compensation provisions of Section 3700 of the Labor Code, Is IYforthwith
comply with those prns.
Date: ovisi r Applicant:
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building/
construction, and hereby authorize representatives of this city to enter upon the abo E'
mentioned pro 'brty f . inspection purposes.
Date Signature (Applicant or Agent):
C]
� ��
VOICE (760) 777-7125
7$-495 CALLE TAMPICO
U
FAX (760) 777'.7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/13/2015
Application Number:
BMCH2O15-0269
Owner:
Property. Address:
77180 AVENIDA FERNANDO
RICHARD UIHLEIN
APN:.
658230057
77180 AVENIDA FERNANDO
Application Description:
UIHLEIN RESIDENCE HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
o�
Application Valuation:
$14,300.00
Applicant: /`� �Q�� v Contractor:
VOTTA ENTERPRISES INC DBA COMF 1� , R VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES ROAD
,��. � ��"� ���� 4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264 PALM SPRINGS, CA 92264
0, (760)320-5800
G� 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 Lic ( sese No.: 763937
Date: A 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 cgnstruct, 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 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 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: Policy Number:_
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 tot
workers' compensation provisions of Section 3700 of the Labor Code, Is IYforthwith
comply with those prns.
Date: ovisi r Applicant:
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 abo E'
mentioned pro 'brty f . inspection purposes.
Date Signature (Applicant or Agent):
ACCOUNTS2.5 QTY
aESCRIPTION"
ATE:.BSAS
z` AOUNTS777
SB1473 FEE 101-0000-20306
0
$1.00
$0.
METHODS„
RECEIPT#
CH
BY��ai.
.`re�°i:E,;:LliT..s
.,.
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
13} 4
DESCRIPTION,.
AMOUNTED
F 3 e ._
PAID'
PAID DATE'
,
<x
. �..<,z ,.
e ACCOUNTE�QTY
s�<
x
HVAC CHANGEOUT - SPLIT -SYSTEM °
101-0000-42402
0 $72.52'
$0.00
Y( ,v:X..�.. [`�
PAID BYE
" R" '� 3 [A 4 R-
`MEfHO,�
RECEIPT
x�H
CHECK
CLTD
t' 4
x
v� #,> ��
BY
Y. _ N4s? Y
y
h4, �� q " .�( . la£..e Tf-tis £ ` " i' g E''
°.Yv4 id�
C{TY
' �� ;� _ _ �'
AMOUNT'
PAID
PAID.'DATE.
r rDESCRIPTION ;�
9ACCOUNT�
> ;
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
z �PAIO BY
4 l
u
CHECK`#,
CLTD BYE,
MUM
#?�b
i. ":r
Total Paid forCHANGEOUT: $108.78. $0.00
DESCRIPTION
ACCOUNT S
.»�,
iC `
PAID
r a
g x]
aQTsYAMOUNT
�Y
L.M..
� PAIDQATf,,:
PERMIT ISSUANCE
101-0000-42404
...0
$91.85
$0.00
:,::� `
� :f✓b ,
METHOD
Wi i <
RECEIPT#
"CHECK#
CLTD BY
...r°.:.c:$%v�''",-:�L�
vIN
:4�`%2'd�Ti,i%F::�$T"s`::C','C�Ara}'.$b�A".:fib
[$K$fleza:Y<!i'�.f"...,5'
Xaa., ".',✓,.s.a '..T .l
Total Paid.for PERMIT ISSUANCE: $91.85 $0.00
• ��
Bin. #
Ci / Of U. Qui to
Building 8t Safety Mlsion
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777-7012
02�� Building Permit Application and Tracking Sheet
Permit #
�M�MZd t 5
Project Address:
�I(��
Owner's Name:. 1 I
I
A. P. Number.
Address: e
Legal Descripti n:
tractor.
City, ST, Zip:
Telephone: !T �
M M.
Project Description:P.
[Address-._q'�)'
T, l
/
1�
ephone; s > ''te Lic. # : City Lic. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: Y'
Stste Lic. #: y' n ` r °
Yif A �
Name of Contact Person:
Construction Type:. j%_ Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:G% # Stori # Unit
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
M.
Submittal
Req'd
Recd
TRACICTlVG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2id Review, ready for corrections/issue
Electrical
Subtontattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CC"f ort'" 'V
Description: UIHLEIN RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/13/2015 EVA
Approved:
Parcel No: 658230057 Site Address: 77180 AVENIDA FERNANDO LA QUINTA,CA 92253.
Subdivision: TR 14496-3 & INT IN COMMON Block: Lot: 57
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $14,300.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 25 SEER /.78 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1-
CITY
STATE:.
., ZIP'
PHONE
FAX,:
EMAIL
APPLICANT
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES
PALM SPRINGS
CA
92264
(
FERNANDO
FINANCIAL INFORMATION
Printed: Monday, July 13, 2015 3:14:34 PM 1 of 2
RSYSTEMS
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
` CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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
1 101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Printed: Monday, July 13, 2015 3:14:34 PM 2 of 2 CB?
SYSTEMS
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
Uihlein I Date Prepared:
2015-07-13•
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 CF1R-ALT 02 document for each dwelling unit.
01
Project Name
Uihlein
02
Date Prepared
2015-07-13
03
Project Location
77180 Avenida Fernando
04
Building Type
Single family
05
CA City
La. Quinta
06
Dwelling Unit Name
Uihlein
07
Zip Code
92253
08
Dwelling Unit Conditioned
1922
.- Wit, ...w,
1
*4 �.� •..
• ,�
Floor Area (ft2)
SC System
SC System
CFA served
°•';system al--;-
re rf igerant 4
Number of space conditioning
(Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
[Unit.
1
'`ducted
containing
system
o e than 40
a ti ely a
entirely new
B. Space Conditioning (SC) System Information'^ A
A- r.
Ol
02
03
04 V
661"J" '
AP 07"
08
09
10
A05
M
-
�Is the SC
'In.,st�-alli> Ang a"'
.- Wit, ...w,
1
*4 �.� •..
• ,�
SC System
SC System
CFA served
°•';system al--;-
re rf igerant 4
,Installing new SC
(Installing
'Installing
».,Installing
Identification or
Location or Area .
by this SC
'`ducted
containing
system
o e than 40
a ti ely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
4 ton xc 25
Location 1
1922
No
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-AO19083OA-000000000-0000
Registration Date/Time
2015-07-13 10:02:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:02:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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 gas
All new
Central split
All new
This field or
This field or
4 ton xc 25
furnace
heating
AFUE
0.78
AC
cooling
SEER
25
Setback
section is not
section is not
components
components
applicable
applicable
Reouired 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:5 10% 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 ?300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed -are exempt from'MCH-20 Duct LeakagefTesting regwrements.
/ �rt �• �
}io
ow H,
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH=23 -or Refrigerant Gharge.MECH 25�
-Existing duct systems constructed, insulated or sealed with asbestos;are exempt'from MCH -20 Duc�t�LeYkage Testing regwre ehts
ry 1.
'�yi..,, Rte. !y, 'ti.... -n'^" '4!�.;r?rG-.s.a x�,.y� "^r�.a..w+-+ '.rzr?.ts.► .ar.gry mri a'r.' "k-R.>'�. .37F,�zw :.+ mer -xafa, ..T_ Y,+."
E. Entirely New or Complete Replacement Duct System, wit"r without,Equipment Cliangeout {Sgctions 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 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-A0190830A-000000000-0000
Registration Date/Time: 2015-07-13 10:02:07
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:02:32
Schema Version: 0.555SDD
CF1R-ALT 02-E
(Page 3 of 3 )
ice (responsible designer).
ficate of Compliance conform to the
nce documents, worksheets,
forcement agency for all applicable
ier at occupancy.
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-AO19083OA-000000000-0000 Registration Date/Time: 2015-07-13 10:02:07 HERS Provider: CaICERTS.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:02:32
Schema Version: 0.555SDD