BMCH2017-0028G�i (,V:
78-49S CALLE TAMPICO U �. VOICE (760) 777-7_25
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7=53
BUILDING PERMIT
Dar. .'.—!1017
Application Number:
BMCH2O17-0028
Owner:—J
Property Address:
47845 SILVERBERRY ST
OHM SIMANIAN
APN:
600330026
47845 SILVERBERRY ST
o
a
Z C
Application Description:
SIMANINAN /A/C CHANGEOUT
LA QUINTA, CA 92253 C�
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Property Zoning:
',
g l
Application Valuation:
$14,250.00
Gil
"o
4
UJ
U
Applicant:
Contractor:
u-
IE INC _
VOTTA ENTERPRISES INC DB CO
31225 LA BAYA
72248 NORTHSHORE ST STEL
—�
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 9227
(760)320-5800
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 License No.: 763937
21 1-7 \
Date: Contractor: VIµnJI+
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).: 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 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:
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 worker'
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 bV
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 forthw@h
comply with those provisions.
Date: ZA 1 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
above-mentioned property for inspection purposes.
Date: 21 11 Signature (Applicant or Agent): ���
n
'
Date: 2/21/2017
Application Number:, BMCH2O17-0028
Owner:
Property Address: 47845 SILVERBERRY ST
OHM SIMANIAN
APN: ' , 600330026
47845 SILVERBERRY ST
Application Description: SIMANINAN /A/C CHANGEOUT
LA QUINTA, CA -92253
Property Zoning:
Application Valuation: $14,250.00
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 - (1&2)14SEER/80AFUE SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
n
FINANCIAL •R •
DESCRIPTION ACCOUNT CITY 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
$152.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT -SPLIT-SYSTEM PC
101-0000-42600
0
$76.00
Total Paid.for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE .
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin. #
city Of La . QUIn .. .
Building aSafe[y Division
P.O. Box 1504, 78-495 Calle Tampico
LA.Quinta, CA 92253 -:(760) 777-7012
00 -18Building Permit Application and Tracking Sheet
Permit #
6M G H`x017•-
Project Address: 47845.Silverberry Street
Owner's Name:. Ohm Simanian
A P. Number.
Address: 47845 Silverberry Street.
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor. Comfort Air
Telephone: 818-974-5525 �a:• x-
a"It
Address: 4803 E Sunny Dunes Road
Project Description: Replace (2) 3.5 ton'/ 70,000 BTU comple e
City, ST, Zip: Palm Springs,' CA 92264.
HVAC systems
Tele hone:
P 760-320-5800
~.
?��` ��;. -�
State Lic. #.: 763937
City Lic. #;
Arch., Engr., Designer-
esignerAddress:
Address:
City., ST, Zip:
Telephone: v Y' ::�
State Lic. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 818-735-7876
Estimated value of project: $14,250.00
APPLICANT: DO NOT WRITE BELOW THIS EINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMfr FEES
Plan Sets
Pian Check submitted
Item Amount.
StructuralCales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
V Review, ready for correctionsliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading '
M 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
CERTIFICATE OF COMPLIANCE CI`114-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: OHM SIMANIAN Date Prepared: 2017-02-20
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
C.F1R-ALT-02 document for each dwelling unit.
01
Project Name
OHM SIMANIAN
02
Date Prepared
2017-02-20
03
Project Location
47845 SILVERBERRY STREET
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
OHM SIMANIAN
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft)
92253*
SSystem
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Number of Space
Ider,iffification or
E
Climate Zone
5
10
Conditioning (SC) Systems in
2
entirely new
entirely new
I
this Dwelling Unit:
.
System (ft)
I I Zo� �- 1 9–- &'-f -ft N " , F—'J ems"� 11 E
B. Space Conditioning (SC) System Information
01
02
03
04
06
APF'-
07
C8
-
w 09
10
(s the SCT—,
InstallWi)a V
>
V I
-17�.
SSystem
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Ider,iffification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
ame
Served
System (ft)
system?
component?
components?
feet of ducts?
duct.system?
SC system?
Alteration Type.
System I
Location I
2100
Yes
Yes
Yes
No
No.
No
Altered space
conditioning system
.System 2
Location 2
2100
Yes
Yes
Yes
No
No
No
Altered spaceconditioning system
C Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)lDiib)
C.
This section does not apply to this project.
Registration Number: 217-A020055297A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
2017-02-20 15:41:53 HERS Provider: CalCERTS
Report Gener*ated: 2017-02-20 15:42:29
'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)
01.
02
'03
04
05
06
07
08
09
10
it
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
f :
Central gas
All new
Central split,
' All new
This field or
This field or
System 1
.
heating
AFUE
80cooling
AC'
SEER
14'
Setback
section is not
section isnot
-furnace
components.
components
applicable
applicable'
Central gas.
All new
Central split
All new
Less than or
System 2
furnace ;
heatingAFUE
80
AC
cooling
SEER-
14.
Setback
equal to 40 •
R-8
components
••
_
components•
feet'
Required Documentation: - f
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new'portions of supply -air aanndTreturn-air.ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) ,
CF2R and CF3R-MCH-20-H'- Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
y
"
-
-Leakage rate compliance: <= 15% or <= 10% leakageto outside, or seal all accessible leaks.
CF2R and MR -MCH -25-H Refrigerant Charge verification required when refrige�rant containing components -are installed or altered (applicablejir Z 2, 8-15).:
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM penton required when MCH -25 is required:
Exceptions: 1 ra P=
nc
Duct systems registered with HERS provider as previously sealed are exempt from MCH 2;Ouct LeakagepTesting requirements..,
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23 or Refrigerant. Charge MCH 25
Existing duct systems constructed, insulated or, sealed with asbestos are exempt from MCV&Ducfteeakage Testing reguirementss
E. E6tirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE,- F)
ti~ This section does not apply to this project.
Registration Number: 217-A020055297A-000-000-0000000-0000 Registration Date/Time: 2017-02-20 15:41:53 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards'- 2016 Residential Compliance Report Version: 2016.1.005 ` Report Generated: 2017-02-20 15:42:29
RTIFICATE OF COMPLIANCE__` .•.y -r= _�- , ._ y `. r r - — -- _- - - _ u,- CF1R-ALT-0,
erations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) { (Page 3 of
- -! -
Documentation Author's Declaration Statement -
1. 1 certify that this Certificate of.Compliance documentation is accurate and complete. • ,
Documentation Author Name: {, K
Documentation Author Signature: � ,
Jacoby; Ian '
r JaildacobJr.
Company: `
Signature Date:.
i PERMIT E RATERS
2017-02-2015:41:53
Address:
CEA/ HERS Certification Identification (if applicable):
31,225 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 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 conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Ree ulat ns., -
4. The building design features or system design features'identified on the Certificate,of Compliance are consistent with -the information: provided on othe applicable compliance documents, worksheets,
.if .
calculations; plans and specifications submitted.to the enforcement agency for approval ,with this building permit application. k—i
y.'aa: *z � M4 x:rt. Sar
. :. .
,,5.. 1 will ensure that a registered copy ofhis Certificatof mpliance shall bemade,available with the buildirig?per"mrt(s) issued for the bng, and made available:fo the enforcement agency for all applicable '
inspections. I understand that a registered copy of t;is CZertificate of Complliance its required to beincludedwith the:documentation the; builder p ovlides to
I*;, A' . athe building owner at occupancy.
,w--- `tie sc -v. b•' -` �+t yr ---dc
Responsible Designer Name: _ '� T-1 A.
Responsible Designer Signature: V I�'�iear+iy �j /' 'A
an acobrr..
Jacoby, Ian
C
CompapY :
Date Signed:
i PERk4IT E RATERS2017-02-20
15:41:53
Addre{s
License:
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876'
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: 217-A020055297A-000-000-0000000-0000 Registration Date/Time: 2017-02720 15:41:53
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
HERS Provider: CaICERTS
Report Generated: 2017-02-20 15:42:29