BMCH2016-045078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O16-0450
Property Address:
54780 SHOAL CREEK
APN:
775071054
Application Description:
GRAHAM RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
C? 0 D{/ fullACl/ VOICE (760) 777-7125
v FAX (760) 777-7011
DESIGN & DEVELOPNIW DEPPKMEINSPECTIONS (760) 777-7153
LDIN IT
LJ
Date: 12/20/201E
DEC 2 0 2016 o er:
H
AEL GRAHAM
M780 SHOAL CREEK
CITY OF LA QUINTA LA QUINTA, CA 92253
DESIGN AND DEVELOPMENT DEPARTMENT
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
Contractor: S _� ✓�
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.S, 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).:
(_�_J 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:
Contractor:
VOTTA,ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE.ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Lic. 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 permi-:
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 issuedl 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: Applicant: 5;::7 �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS,UNLAWFU4'
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 applicatioh.'
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, ac.d
shall defend, indemnify and hold harmless the'City of La Quinta, its officers, agents, a®d
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 ofissuance of such permit, or cessation o`
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 buildi ig
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Dater Z 70 lle Signature (Applicant or Agent):
r
*
Date: 12/20/2016
Application Number: BMCH2O16-0450
Owner:
Property Address: 54780 SHOAL CREEK
MICHAEL GRAHAM
APN: 775071054 I
54780 SHOAL CREEK
Application Description: GRAHAM RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,000.00
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
j(760)320-5800
Llc. No.: 763937
Detail: HVAC CHANGE OUT - 16 SEER/110 AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
i
i
r
PNANCIAL_INFGRMATION,:.��,'.
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.
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT j
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Bin.#
Permit #
Project Address: 54780 Shoal Creek
Qty of La Quints
RLdIding a Safety Mision
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 -=(760) 777V012
Building Permit Application and Tracking Sheet
Owner's Name:. Michael Graham
A- P. Number.
Address: 54780 Shoal Creek
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Comfort Air
Telephone: 310-749-6220sg-
^` '
Address: 4803 E Sunny Dunes RoadProjectDescription:
City, ST, Zip: Palm Springs,' CA 92264.
Replace 4 ton / 11.0,000 BTU complete HVAC system.-
ystemaTelephone:
Telephone:760-320-5800
State Lic. # : 763937City
Arch., Engr., Designer:
Lie #.:
Address:
City., ST, Zip:
Telephone: A
State Lic. #: "
Name of Contact Person: Steven Schnierer
Construction Type: _ Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Unita: .
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $8,000.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
H
Submittal
Req'd
Reed
TRACMG
PERMIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Cautact Person
Pian Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for corrections!issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I. '
H.O.A. Approval
Plans resubmitted
Gradiag .
EV HOUSE:-
'^' Review', ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees '
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
michael graham I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-12-19
A. General Information
CF11R-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
michael graham
02
Date Prepared
2016-12-19
03
Project Location
54780 Shoal Creek
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
michael graham
07
Zip Code
92253
08
Dwelling Unit Conditioned
1680
Floor Area (ft2)
SC System a
CFA served*rystem
a
r f iger nt f
Installing ew SC
Number of space conditioning
kl sfalli g
i
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
__.;.
entirely new
unit.
B. Space Conditioning (SC) System Information25
01
02
03'.:
04
05:6+.
07
08
09
10
a
% N
`�-.Nis the SC
r. 'e : �s+"^F;4 :.,.c ^se.
Installing a
»
SC System
SC System a
CFA served*rystem
a
r f iger nt f
Installing ew SC
Installing
kl sfalli g
i
installing
Identification or
Location or Area
by this SC
ducted
containing
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
1680
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0467068A-000000000-0000
Registration Date/Time: 2016-12-19 06:31:46
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016.12-19 06:32:34
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)lE 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
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required 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 510% 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 ,Z300,CFM/ton required when MCH -25 is required. '
Exceotions:
-Duct systems registered with HERS provider as previously sealed are exempt from Duct Leakage�Tes ,ting requirements ,-
-Heating-only systems and Air Handler/Furnace changes do not require verification-ofAir Flow MCH423, or Refrigerant Charge MECH=25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt, from MCH'20 Duct;Leakage Testing requrements. `
p" 'M t. JA Iso. ._ A t _ U %X f_ I a... JJ 11 31 i 1.1 Vim. gid.
':'.: �$,�?'i. "++».wnwmY� 'KMn�'"'eF MM8 ^•*c.aw�:d•' Meds .bdd +w....x(/ 2<s. :k:q »R, ". sz.�^ �'. •ans`.
E. Entirely New or Complete Replacement Duct System, with or with out.Equipin ent 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 150.2(b)1C).
This section does not apply to this project.
Registration Number: 216-'A0467068A-000000000-0000 Registration Date/Time: 2016-12-19 06:31:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-19 06:32:34
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: �/ /�
cyan dacobyc
Jacoby, Ian
Company:
Signature Date:
i PERMIT E RATERS
2016-12-19 06:31:46
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:Phone:
West Lake Village CA 91362
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 Certificatebf 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 conform to the
, 1* ¢
requirements of Title 24, Part 1 and Part$;of the California Code of Regkf is ons. ,,
%,
4. The building design features or system design features' identified onthis Certificate of Compliance are consistent wa the information.provided on other applicable"compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval,with this building permit pplicatO
5. I will ensure that a registered copy of this Certificate of,Compliance shall be made available wtth'ttie buildmg,permrt(s);issued forthe'building and^made available to theehforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compl ance,isrrequired to be included with th edocumentation5the.bul'Ider p ov des t2Abe building owner at occupancy.
Responsible Designer Name:
Responsi6le Designer Signature: V t �/� ��^^
Jacoby, Ian
cJan �acob
Company:
Date Signed:
A - AVIS PLUMBING HEATING & AIR CONDITIONING INC
2016-12-19 06:31:46
Address:
License:
600 EAST VALLEY BLVD
630503
City/State/Zip:
Phone:
COLTON CA 92324
909-825-3600
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-A0467068A-000000000-0000
Registration Date/Time: 2016-12-19 06:31:46
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated; 2016-12-19 06:32:34
Schema Version: 0.555SDD