BMCH2016-0157;, t " r
78-495 CALLE TAMPICO
T.Atr44Q"
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0157 Owner:
Property Address: 53780 AVENIDA VALLEJO JAMES CHAPA
APN: 774163002 53780 AVENIDA'
Application Description: CHAPA RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 0
Property Zoning:
Application Valuation: $14,500.00
Applicant:
COMFORT AIR
4803 E SUNNY DUNES RD
PALM SPRINGS; CA 92264
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: License No.: AEC343
IDate: S V) Iv C`-ontractor.��L
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).:
(_) 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:
COMFORT AIR
4803 E SUNNY DUN
PALM SPRINGS, CA
VOICE (760) 777-7125
FAX (76 0) 777-70111
INSPECTIONS (760) 777-7153
Date: 5/17/2016
i
(760)320-5800 IW
LIc. No.: AEC343
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 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 issu gid, 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.
/i
Date: ST1 lli_A/ . pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFLIL,
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 6'
not commenced within 180 days from date of issuance of such permit, or cessatioroof
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is cor-ect.
I agree to comply with all city and county ordinances and state laws relating to buiding
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
I-1te:_S �! ( Sigma n� afore-(A'pplicant or Agent):`��
FINANCIAL IN
,_FORMATION
DESCRIPTION
ACCOUNT QTY' = AMOUNT w. "re PAID "; ::
,:. t.
:PAID DAfE
_
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
PAID BY
xk METHOD `; °` ,RECEIPT # CHECK #
CLTD BYE:^
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
:ACCOUNT";'.
QTY,;
,;xAMOUNT,
PAID `>
PAIDDATE:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
r: PAID BY p A t
" METHOD , t;, '
RECEIPT #
CHECK#. '
CLTD B7.
f DESCRIPTION Ys"
F-` `ACCOUNT ,.'>
t.,.._
QTY<'
r AMOUNTS
PAID
PAID DATE .
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
M < PAID BY
METHOD
RE EIPT #
CHECK # , '
_.
`CLTD By.'
F.
c
Total Paid for CHANGEOUT: $108.78 $0.00
'DESCRIPTION
ACCOUNT, -,a`
YC�TY
:AMOUNT �gx `
. „PAID ``'
'PAID DATE'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
.::PAID BY
METHOD
RECEIPT #v
CHECK # ".
CLTD B-
Total Paid for -PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CHAPA RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/17/2016 MFA
Parcel No: 774163002 Site Address: 53780 AVENIDA VALLEJO LA QUINTA,CA 92253 Approved: 5/17/2016 MFA
Subdivision: SANTA CARME_LITA VALE LA QUINTA Block: 237 Lot: 23 Issued:
UNIT 22
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $14500.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 21 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
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Printed: i uesday, iviay i'i, 2Oi6 ii:56:i9 AM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
•
T.,r._P"._
AIL
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APPLICANT
COMFORT AIR
4803 E SUNNY DUNES
PALM SPRINGS
CA
92264
(760)668-5943
RD
CONTRACTOR-
COMFORT AIR
4803 E SUNNY DUNES
PALM SPRINGS
CA
92264
(760)668-5943
RD
OWNER
JAMES CHAPA
53780 AVENIDA
LA QUINTA -
CA
0
(760)668-5943
VALLEJO
!t I'V1M1M1iVN 1VN ,l7!! - .. I'NFO'RMATION1..... �A"lAM1A4AV 4T.M1'1.VMM1M1M1...N' AM1 1 V"�':"'• ' ""`' - A,ti
Printed: i uesday, iviay i'i, 2Oi6 ii:56:i9 AM 1 of 2
SYSTEMS
INSPECTIONS - --
....: -
_. PAREW PROJ'E� 1 S
:. .. ., .. ....... .
, .,.::,BSN�.:�INPBRMATIt�N,,. _ _ _ � ,... .,...
ATTACHMENTS ;;p
Printpd: TiiPsriay, May 17, 7nl6 11 •SR•19 GM 2'of 2
SYSTEMS
1
Bin.#
City of La Quinta
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 53780 Avenue Vallejo
Owner's Name:. James Chapa
A. P. Number.
Address: 53780 Avenue Vallejo
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Comfort Air
Telephone: 760-668-5943
Address: •4803 E Sunny Dunes Road
Project Description: Replace 4ton Heat Pump & Air Handler.
City, ST, Zip: Palm Springs, CA 92264 .
Telephone: 760-320-5800_ 1..
:� ,:.,•.
State Lic. # : 763937 City Lie, 9 -
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
• "'^� ` M
Construction Type:. Occupancy:
State Lia #:
Project type (circle one): New Add'n Alter Repan Demo
Name of Contact Person: Steven Schnierer Sq. Ft.:
#Stories: #Units:
Telephone # of Contact Person: 818-735-7876 Estimated Value of Project $14,500:00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
'
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Constmedea
Flood plain plan
Plans resubmitted "
Mechanical
Grading plan
2i6 Review, ready for correctiouslissu.e
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IPI ROUSE:-
''d Review; ready for correctionslssue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
Scbo61 Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
Project Name:
james chapa Date Prepared:
CFIR=ALT-02-E
(Page 1 of 3 )
2016-05-16
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one -MR -ALT -02 document for each dwelling unit.
O3
Project Name
james chapa
02
Date Prepared
2016-05-16
03
Project Location
53780 Avenue Vallejo
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
james chapa
07
Zip Code
92253
08
Dwelling Unit Conditioned
1400
Floor Area (ft2)
SC System P
CFA served
ystem a
a
�InstallingFnew;SC
Number of space conditioning
lnstalUng
'n
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely v
unit.
Name
Served
System (ft2)
system?
component?
components?
B. Space Conditioning.(SC) System'lnformation-1-
x`'103
01
02
c
04�
AS;
� 06 �
� 07'�
08
09
10
_
'
``�
Is the SC
t "
Installing a
SC System
SC System P
CFA served
ystem a
refrigerant
�InstallingFnew;SC
'stalling
lnstalUng
'n
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely v
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1D1ib)
This section does not apply to this project.
Registration Number: 216-A0182218A-000000000-0000
Registration Date/Time: 2016-05-16 18:05:48
HERS Provider.: CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-16 18:06:08
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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
0S
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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
0.8
HP
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans.
-Duct insulation requirement for new plenums: R6. `
CF2R-MCH-20-H & CF311-MCH-20-H — Duct Leakage testingrequired when heating or cooling components are installed Inducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or15 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Fiow z 300 CFM/ton required when MCH -25 is required.
Exceptions: w `•
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require venflcation of Air Flow MCH,*23�or Refrigerant Chaµge MECH
king requirements
H 20 DjLeatage Test
-Existing duct systems constructed, insulated or sealed with asbestos,are exemptfrom MCuct
,
..
_ �, ,..,-vm„s..a.,n-� M -r `y,.:..: a. - • - --• r,� .-stc :r.� �a:ws�r � ars, a� � •�.,..e+¢ `�+
.E. Entirely New or Complete Replacement Duct<System, with or without,Equipment Changeout.(Sections 1,50.2(b)Miia,and 150.2(b)1E, F)
I
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-AO18221BA-000000000-0000 Registration Date/Time: 2016-05-16 18:05:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-16 18:06:08
Sc Uha V&tlon: U.555SUU
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: n�/ �
Jacoby, Ian
cyan �acobJr
Company:
Signature Date:
i PERMIT E RATERS
2016-05-16 18:05:48
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. 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
.' -
of Title 24, Part 1 and Part 6of the California Code of Regulations.
requirements
O
4. The building design features or system design features identified on this Certificate f Compliance are consistent with the information,provided on they plicatile` co pliance documents, worksheets,
rw c n a �: f
calculations, plans and specifications submitted to the enforcement agency for approval, ith this builLding permyit applicatii6m6��44.
5. I will ensure that a registered copy of this Certificated fCompliance shall be made available with.tfie buildjgg� pgrmit(s)zissued forlthe,bUilding and made avalla l6,o:;the ehforcement agency for all applicable
inspections. I understand that a regisfered copy of this•Certi ficate of Compliance.is-required tobe,included with the�documentationrthe�builder prkoviddes to,the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: t ✓ ;.�^ Irk.
San
Jacoby, Ian
c �acobJr
Company:
Date Signed:
VOTTA ENTERPRISES INC.
2016-05-16 18:05:48
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: 216-A0182218A-000000000-0000 Registration Date/Time: 2016-05-1618:05:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-16 18:06:08
!)Chema V&tion: U.555SUu