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14-0922 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000922 Property Address: 45665 COLDBROOK LN APN: 604-433-001-58 -23995 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13000 T,d4t stP " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DONALD MILLER 45665 COLDBROOK LANE LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 k—'c"'- Jus Date: 6/23/14 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 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.). ( 1 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: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 uthorize representatives 9f this county enter orJne roer upon the above-mentioned property fpur oses. DateC��G=Lr % ' /inature (Applicant or Agent): Contractor: I Applicant: Architect or Engineer: COMFORT AIR CITY OF LAQUWTA 4803 E. SUNNY DUNES ROAD FINANCE DEPT PALM SPRINGS, CA 92264 (760) 320-5800 Lic. No.: 763937 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Profe 'onals Cod and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class- C2 LiceNo.: 763937 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Xissued. L ontractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor \Dated Code, for the performance of the work for which this permit is issued. My workers' compensation • OWNER -BUILDER DECLARATION insVro6nce carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STA COMP Policy Number 9063 962 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ certify that, in the performance of the work for which this permit is issued, I ghall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workeJJFF' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37PO of the Labor Code, I shall ith omply w Kthose provisions. that he she exempt therefrom and the basis for the alleged exemption. Any violation Section 7031.5 / ��� )by d 1 • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S5001.: li o A D Applicant: /d• (_ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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.). ( 1 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: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 uthorize representatives 9f this county enter orJne roer upon the above-mentioned property fpur oses. DateC��G=Lr % ' /inature (Applicant or Agent): ` Application Number . . 14-00000922 Permit . . . MECHANICAL 2013 ` Additional desc . . Permit Fee . . . . 166.84 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 12/20/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 11.9200 EA MECH APPL REP/ALT 23.84 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - (2)13SEER/78AFUE SYSTEMS ONE 3 TON & ONE 4 TON (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL -INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 104.86 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 166.84 .00 .00 166.84 Plan Check Total .00 .00 .00 .00 Other Fee Total 195':43 .00 .00 195.43 -Grand Total 362.27 .00 .00 362.27 LQPERMIT Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (L 2� Project Address: Owner's Name: Address: (k( -e'6 -- " A. P. Number: Legal Description: City, ST, Zip: Contractor: Te h ne: >h<%`•"><f:`^:-` "'4"`'` Address: ®MTOUL P%11 . Project Description: City, ST, Zip: ' Palm Springs, CA 92264 Telephone:) J?Z)_aCJZF 3 -S-� State Lie. # :� City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lie. #: `�>?'`%�`•s<" �.<�s><':�% �`>":��� ��=««<==; Construction Type: �_ Occupancy: Pro'circle one): New Add'n Alter Repair Demo Project type � ) P J _ p ' Name of Contact Person: 5�-S Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person:_')li4n— Vp Estimated Value of Project:l APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsCssue Electrical Subcontactor 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 06/23/2014 15:54 FAX 7603221115 COMFORT AIR 0 003 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC climate Zones 10 - is ism Site Address: Enforcement Agency: Date: Permit 7if: 45665 Coldbrook Ln La Quinta, CA 92253 City of La Quinta Jun 23, 2014 Duct Insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 7B% ® SEER 13.0 ❑ COP © HSPF [3 R 6 (CZ i D-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER ❑ Resistance © R 8 (CZ 14-15) 5200 Sf Installed) C,] Other Z. Equipment Type: Choose the equipment being Installed, If more than one system, use another CF -1 R -ALT -HVAC for each system. 2 --Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, Z7MSPl= (or typical residential systems. HERS VERIFICATION SUMMARY -Listed below are FOUR HVAC alteration Options. The Installer decides what work Is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final Inspection and a copy given to the homeowner. At final, the Inspector verifies that the work listed on this form was in fact the work completed by the Installer. The inspector also verifies that each appropriate CF -6R and registered CF -411 forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final inspection. {� 1. MVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-2S . Condenser Coil and /or Indoor Coil and /or CF -61k forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • CF -4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing If: ❑ 1. Duct system was documented to have been previously sealed and Confirmed through HERS verification, or ❑ 2, Duct systems with less than 40 linear feet In unconditioned space, or ❑ 3. Existing duct systems are constructed, Insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mlnl-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or CbSngeoilt with20- new duci¢ts: (all nedu CF -6R forms;.�MECH-04 MECH=HERS, and (fori5plif systems) M(TCIt�22-HERS, and - ducting all new MECH7257HERS GF -4R -;Porins:: MECH-20, and'jforapllt Sys terns)*ECH-22, sand. MECH-25;.,, , equipment) For Split'Systems: Duct leakage:<. 6.percent; RC, CCA°•z 350 CFM/ton, FWD, TMAH,-S[MS, and either HSPP'or.°PSPP, .; For Packaged Ilrfits... y6 1¢eakegei < 6':'percent,,% ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or Installing all' new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor call and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECH-2S equipment changed, For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 CFM/ton, TMAH For Packaged Units; Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of duct In unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify that this Certificate of Compliance documentation is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of Compliance. . I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the repuirements of Tltle 24, Parts 1 and 6 of the California Code of Regulations. . The design features Identified on this Certificate of Compliance are consistent with the Information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Paul Votta ISignature, Paul Vatto Company: VOTTA ENTERPRISES INC Date: Jun 23, 2014 Address: 4803 E SUNNY DUNES ROAD License: 763937 ]Phone: City/State/Zip: PALM SPRINGS/ CA/ 92264 (760) 320-5800 Rn: 214-AG0470SIA-000000000•-0000 Pagistration Date/Time: 2014/06/23 18.37:00 KERS Provider: CalCERTS, Inc. 2068 Residential Compliance Forme July 2010 06/23/2014 15:53 FAX 7603221115 COMFORT AIR 0 002 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit 45665 Coldbrook Ln La Quinta, CA 92253 City of La Quints Jun 23, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efflclency2 requirement Area Thermostat Package Unit ® Furnace Indoor Coll ®AFUE g% _Z.__._ ® SEER _1,3_ ❑ COP t] HSPF 13® R 6 (CZ 10-13) Served system R 8 ��Q sf ® Setback not already present, must be ® Condensing Unit ❑ EER ❑ Reslstance ❑ (CZ 14 -IS) Installed) ❑ Other 1. Equipment Type: Choose the equipment being Installed; If more than one system, use another CF -1 R -ALT -HVAC far each system. 2- Minimum Equipment EYfiafeneies: 13 SEER, 76% AFUE, 7.7HSPF for typical rrsldentlal Systems - HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The Installer decides what work Is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A Copy of the forms shall be left on site for final Inspection and a copy given to the homeowner. At final, the Inspector verifies that the work listed on this form was in f8ct the work completed by the installer- The Inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand Riled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coll and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF -4R fomes. MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: [31. Duct system was documented to have been previously sealed and confirmed through HERS verification, or Q 2. Duct systems with less than 40 linear feet in unconditioned space, or 0 3, Existing duct systems are constructed, Insulated or sealed with asbestos Q 4, The system will not be Ducted (le. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2, New HVAC system Required Forms: . Cut in or ChdrigeouC`wlth CF -6R farms;;,MECH-04; MECMc20-HERS, and systems) Mict02-HERS, and new new ducts::' (all new MECH-25-HERS ducting -,all new .y .CF�Rlforrns::.MECH-20, and.�(for,split systems)MECH-22, and MECH-2$, equipment) For Spli.£:5ystems: Duct leakagd .< 6..percent; RC, CCAt2 350 CFM/ton, FWD, TMAH,,°STMS, and eithel'.HSPP:•orPSPP, For Packaged Units flud leakage < 6 percent,. ...> ', ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/con, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation Is accurate and complete- . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of Compliance. . I certify 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. • The design features identified on this Certificate or Compliance are consistent with the Information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Paul Votta Signature: Paul Votto Company: VOTTA ENTERPRISES INC Date: Jun 23, 2014 Address: 4803 E SUNNY DUNES ROAD License,. 763937 City/State/Zip: PALM SPRINGS / CA / 92264 Phone: (760) 320-5800 Req: 214-A0046831A-000000000-0000 Registration Date/Time: 2014/06/23 15:34:06 HERS Provider: Ca10ERTS, Inc. 20da Residential Compliancc> Forms July :.olo 06/23/2014 15:53 FAX 7603221115 COMFORT AIR Z0O1 -ewe jj�� Lf