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BMCH2015-0183
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA -92253 c&t�p 4.lw4umrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/27/2015 Application Number: BMCH2O15-0183 Owner: Property Address: 78785 SPYGLASS HILL DR PATRICK PARISE APN: 770070038 Application Description: Property Zoning: PARISE RESIDENCE HVAC CHANGE OUT 92253. a Application Valuation: $17,000.00Y 2 7 FITSMUNITY 2015 Applicant: Contractor:COMFORTAIR'COMFORTAIRY GF LAQllINTA 000TSIDE CITY LIMITS 0OUTSIDECITYLIEyFinPAIENTDEPADT ENT LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)320-5800 Llc. No.: AEC343 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: i License No.: AEC343 Date: / /.l7 // S 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).: (1 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 Na Lender's Add 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: _ 1 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 Sec0 of the bor Code, I shall forthwith comply with2thospro:7,;��Applicant:;; Date: 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 propeoy for inssection purposes.' Date Z bignature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT:,,�"� QTY: ' AMOUNT,". x PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/27/15 PAID BY ;':: ` METHODf °: ; s... RECEIPT # X <' ` CHECK # CLTD BY ., COMFORT AIR CHECK 96445 120481. MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION '> V�ACCOUNT QTY, AMOUNT PAI D',' a.;- 'PAID DATE Y"t _ HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $145.04 5/27/15 PAID BY METHODS RRECEIPT #':.: CHECK # CLTD BY .:- ." .... ; b . COMFORT AIR CHECK R6445 120481 MFA "DESCRIPTION ACCOU,77 NT �. QTY# I' ' t AMOUNT 7--I • PAID RAID.DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-00.00-42600 0 $72.52 $72.52 5/27/15, PAID. BY zr -METHOD .: Po ' 4J ++,RECEIPT # CHECK # CLTD BY F COMFORT AIR CHECK R6445 120481 MFA Total Paid forCHANGEOUT: $217.56 $217.56 DESCRIPTION ACCOUNT .' QTY AMOUNT ' `PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 .0 $91.85 $91.85 5/27/15 -" # L PAID BY , METHOD w'= I z RECEIPT # ` ,- f CHECK # _ CLTD BY. COMFORT AIR CHECK R6445 120481 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 TOTALS:0.4 f Description: PARISE RESIDENCE HVAC CHANGE OUT Type: MECHANICAL ' Subtype: Status: ISSUED Applied: 5/27/2015 MFA Approved: 5/27/2015 MFA Parcel No: 770070038 Site Address: 78785 SPYGLASS HILL DR LA QUINTA,CA 92253 Subdivision: TR 25389-1 Block: Lot: 94 Issued: 5/27/2015 MFA Lot Sq Ft; 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $17,000.00 Occupancy Type: Construction Type: Expired: 11/23/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 : ACCOUNT Details: HVAC CHANGE OUT - 1 TON AND 13 TON 16 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Wednesday, May 27, 2015 12:33:23 PM 1 of 2 SYSTr-N1S DESCRIPTION: : ACCOUNT QTY :AMOUNT PAID PAID DATE ;RECEIPT # CHECK #-, METHOD s aPAID BY_,``'' aBY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/27/15 R6445 120481 CHECK COMFORT AIR MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $145.04 $145.04 5/27/15 R6445 120481 CHECK COMFORT AIR :MF SPLIT -SYSTEM Printed: Wednesday, May 27, 2015 12:33:23 PM 1 of 2 SYSTr-N1S ill 7 DESCRIPTIONS lip ACCOUNT"' 777 77 AMOUNT. PAID+� �PAID• DATE' -RECEIPT #- 'j, HECK 4'�t C 'MET OD 'PAII D BY�` CLTD.�. BY HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $72.52 5/27/15 R6445 120481 CHECK COMFORT AIR MFA SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $217.56 $217.56 PERMIT ISSUANCE 101-0000-42404 0- $91.85 $91.85 5/27/15 R6445 120481 CHECK COMFORT AIR MFA• Total Paid for PERMIT ISSUANCE: .$91.85 $91.85 .. ............ ................ ... . ....... • S310.41 S310.41. PARENT PROJECTS Printed: Wednesday, May 27, 2015 12:33:23 PM 2 of 2 Opw-lYSTIMS Birt.# cit}/ Of I.c? Qulflta Building a Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 7774012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's N e:. n �� c15e A. P. Number. Address: W'72 14, l Legal Description: City, ST, Zip: Contractor: Address: Telephone:} & ProjectDescri don: �t.0 City, ST, ip: Telephone - State Lic. #: City Lic. #•:. , f Arch., Engr., Designer Address: City., ST, Zip: Telephone: :� Construction Type: {a•C Occupancy: State Lic. #: Project type (circle one): New Add Alter Repair Demo Name of Contact Person: Sq. Ft.:2- # Stories: # Units: " Telephone # of Contact Person: Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE tt Submittal Req'd Recd TRACMG PERIYIIT FEES PIan Sets Plan Check submitted,Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Grading plan tad Review, ready for corrections issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M L H.O.A. Approval Plans resubmitted Grading IN HOUSE-- '"' Review; ready for correctionsfissue 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 CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: Parise Date Prepared: 2015-05-27 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 Parise 02 Date Prepared 2015-05-27 03 Project Location 78785 Spyglass Hill 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Parise 07 Zip Code 92253 08 Dwelling Unit Conditioned ' 2424 ; . *' p w Floor Area (ft2) SC System SC System CFA served da r °system- arm r Number of space conditioning r r nstall ng 09 Climate Zone 15 10 (SC) systems in this dwelling 2 ducted containing system more than 40 unit. entirely new B. Space Conditioning SCS stem lriformation. p g ( ) Y x s� 01 _ 02 03 04 O5) 06 U7 08 09 10 VA- N is the SC'a. I stalling ate` ; . *' p w SC System SC System CFA served da r °system- arm refrigerant M. A-." Installing neW"S�c r r nstall ng I tailing 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 ofducts? duct system? SC system? Alteration Type 3 Ton Lennox Location 1 2424 No Yes Yes No No No Altered space conditioning system 4 Ton Lennox Location 2 2424 No Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A0139942A-000000000-0000 Registration Date/Time: 2015-05-27 10:36:34 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-27 10:36:19 CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of'3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System He 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 3 Ton Lennox furnace heating AFUE 0.78 AC cooling SEER 16 Setback section is not section is not components components applicable applicable Central gas All new Central split All new This field or This field or 4 Ton Lennox furnace. heating AFUE 0.78. 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 andFans -Duct insulation requirement for new plenums: RE. CF2R-MCH-20-H & CF3R-MCH-20-H —,Duct Leakage testing required whewheating�or ccooling components are,installed.m ducteddssystems,, or when. -more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, ors 10% leakage*t 'outside, or seal all accessible leaks. ib f �, CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable fwhen MCH,25 is ; N r CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton requireilrequired.!, in CZ 2 8 .15)' Exceptions: 1.10 -Duct systems registered with HERS provider as previously sealed a4exe%mpt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnacechanges do not require;verification of Air Flow=MCH::-23 or Refrigerant Charge MECH-2 duct insulated exempt from MCH�20 Duct Leakage Testing requirements. . " Existing systems constructed, or sealed with asbestos ar 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 150.2(b)1C) This section does not apply to this project. Registration Number: 215-A0139942A-000000000-0000 Registration Date/Time 2015-05-27 10:36:34 HERS Provider: CalCERTS CA'Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31. Report Generated: 2015-05-27 10:36:19 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: Votta, Paul (JCiGG(� `'(/oSIGo Company: Signature Date: VOTTA ENTERPRISES INC 2015-05-27 10:36:34 Address: CEA/ HERS Certification Identification (if applicable): 4803 E SUNNY DUNES ROAD City/State/Zip: Phone: PALM SPRINGS CA 92264 (760) 320-5800 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 theBusiness 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 Regulations 4. The building desigmfeatures or system design features dentified on tkis Certific of Compliance are consistent„With the informatlonn,provided onothe plicab co npliance documents, worksheets, �l 54calculations, plans and specifications submitted to the eriforcementagencyfocapproval,with this building permit application. k t > ` f r.r i . 3� j.t it .� . 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be_made;available with the bulldirig•,permit(s),issuetl for the -,building, and made available,fo the?enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation he builder pros des to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature:” ^ O Votta, Paul Company: Date Signed: VOTTA ENTERPRISES INC 2015-05-27 10:36:34 Address: License: 4803.E SUNNY DUNES ROAD 763937 City/State/Zip: Phone: PALM SPRINGS CA 92264 (760) 320-5800 Digitally signed by Ca10ERTS. 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: 215-A0139942A-000000000-0000 Registration Date/Time: 2015-05-27 10:36:34 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-27 10:36:19 DATE(MMWNYYY) Io„� AL' CERTIFICATE OF LIABILITY INSURANCE . 1/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELQW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEI WEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed: If SUBROGATION IS WAIVED, subject to. the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Desert Cornerstone Insurance ' Service, Inc. CA License #OF15709 81557 Dr. Carreon Blvd. Ste B8 INCA 92201 INSUREDSURED Votta Enterprises, Inc. DBA: Comfort Air CONc game Martin NAME PHONE(760) 347-7723 FAX1C ANoll.,(760)347-7725 -mal sane@desertcornerstoneins.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:ROckhill Insurance Company 8053 INSURERB:United Financial Casual Co. INSURERc:State Compensation Ins. Fund 04028 INSURER D: 4803 E. Sunny Dunes Rd Palm Springs CA 92264 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMB ER.2014ALWC2015GL REVISION, NUMBER: THIS IS TO'CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AM SUBR POLICY EFF POLICY EXP TR TYPE OF INSURANCE POLICY NUMBER UD MMID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X CGLPGO1751-00 1/25/2015 1/25/2016 EACH OCCURRENCE S 1,000,000 DAMAOWED- PREMISES Ea ooc rrrexe S 50, 000 MED EXP (Any one person) 5 5,000 PERSONAL & ADV INJURY S 1, 000 000 , GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRa LOC PRODUCTS - COMPIOP AGG S 2,000,000 g AUTOMOBILE LIABILITY COMaB�INdED SINGLE LIMITS 1 000 000 BODILY INJURY (Per person) S B X ANY AUTO ALL OWNED X SCHEDULED1698174-2 AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS(Per X 6/29/2014 6/29/2015 BODILY INJURY (Per accident) S PROPERTY DAMAGE accident $ Underinsured motorist S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION S $ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) a Ifyes describe under DESt;RIPTION.OF OPERATIONS below NIA 063962-2014 9/1/2019 9/1/2015 X WCSTATU- OT—H- E.L EACH ACCIDENT S 1,000,000 EL. DISEASE- EA EMPLOYEE S 1,000,000 E.L. DISEASE- POLICY LIMIT S 1,000,000 ESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) rowe's companies. Inc. and Lowe's Home Centers LLC are additionally insured as respects general liability. Irimaxy wording and Waiver of subrogation applies as respects general liability. Lowe's Companies Inc. Ind Lowe's Home Centers LLC are additionally insured as respects commercial auto liability. ;ERTIFICATE HOLDER . CANCELLATION Lowe's Companies, Inc. and any and all subsidiaries Attn: Vendor Insurance PO BOX 1111 N. Wilkesboro, NC 28656 CORD 25 (2010105) IS025 (2moM.o1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION . DATE' THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tt List/SAN f' j/ (a&f C11� ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD