BMCH2014-106078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: .
BMCH2O14-1060
Owner:
Property Address:
57690 INTERLACHEN T 21
GAIL TALICK -
APN:
762231030
57690INTERLACHEN
Application Description:
(2) COMPLETE UNITS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$13,000.00
CJ /
[
Applicant:
Contractor:
VOTTA ENTERPRISES INC DBA COMF
!
VOTTA ENTERPRISES INC
4803 E SUNNY DUNES ROAD
4803 E SUNNY DUNES RC
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 9226
(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: C_aD License No.: 763937
Dat Contractor_
OWNER -BUILDER D CLARATION
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
Lender's
Date: 8/27/2014
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.
lI have and will maintain workers' compensation insurance, as required by
Sect, 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 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 forthwith
comply with those provisions.
Date l _Applicant:f
WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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.
Dater ' 0 [� Signature (Applicant or Agent). C
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $1.00 8/27/14
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
VOTTA ENTERPRISES INC DBA COMF CHECK
R830 119819 SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$143.00
$143.00
8/27/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VOTTA ENTERPRISES INC DBA COMF
CHECK
R830
119819
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$71.50
$71.50
8/27/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VOTTA ENTERPRISES INC DBA COMF
CHECK
R830
119819
SKH
Total Paid forCHANGEOUT: $214.50 $214.50
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
8/27/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
VOTTA ENTERPRISES INC DBA COMF
CHECK
R830
119819
SKH
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS:0.$306.07
Description: (2) COMPLETE UNITS
Type: MECHANICAL Subtype: Status: SUBMITTED
Applied: 8/27/2014 SKH
Approved:
Parcel No: 762231030 Site Address: 57690 INTERLACHEN T 21 ,CA
Subdivision: TR 27332 SEE ASSESSOR MAP 761 PG 47 Block: Lot: 4.
Issued:
& 48
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (2) 13SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
77 1
CONDITIONS
FINANCIAL INFORMATION
Printed: Wednesday, August 27, 2014 11:52:15 AM 1 of 2 CB?—W-SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL**
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE �7 1
BOND
INFORMATION
-
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
VOTTA ENTERPRISES
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
8/27/14
R830
119819
CHECK
INC DBA COMF
SKH
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$143.00
$143.00
8/27/14
R830
119819
CHECK
VOTTA ENTERPRISES
SKH
SPLIT -SYSTEM
INC DBA COMF
HVAC CHANGEOUT -
101-0000-42600
0
$71.50
$71.50
8/27/14
R830
119819
CHECK
VOTTA ENTERPRISES
SKH
SPLIT -SYSTEM PC
INC DBA COMF
Total Paid forCHANGEOUT: $214.50 $214.50
VOTTAENTERPRISES
PERMIT ISSUANCE
101-0000-42404 T
07
$$90.57
$90.57
8/27/14
R830
119819
CHECK
INCNC DBA COMF
SKH
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS:0.00.0
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
MECHANICAL FINAL**
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE �7 1
Printed: Wednesday, August 27, 2014 11:52:15 AM 2 of 2
CRWYS 7EM5
BOND
INFORMATION
ATTACHMENTS
Printed: Wednesday, August 27, 2014 11:52:15 AM 2 of 2
CRWYS 7EM5
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 4 )
Project Name: Gail Talick Date Prepared: 2014-08-18
A. General Information
CF1R-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:
Gail Talick
02
Date Prepared:
2014-08-18
03
Project Location:
57690 Interlachen
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Gail Talick
07
Zip Code:
92253
08
Dwelling Unit Conditioned
3200
duct system
Floor Area (ft2):
(packaged unit, or
Number of space conditioning
accessible
09
Climate Zone:
15
10
(SC) systems being altered in
2
condensing unit,
Installing
for sealing,
this dwelling unit.:
B. Space Conditioning (SC) System• Information
01
02
03
04
05
06
07
08
09
10
Installing new.
Is*the entire
components?
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
System 1
living rm, kitchen
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
bedrooms
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Registration Number: 214-A0076897A-000000000-0000
Registration Date/Time
2014-08-18 11:01:22
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-18 10:57:00
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)IDiib)
This section does not apply to this project.
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
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R -Value
System 1
Centralas
g
furnace
All new
heating
AFUE
0.78
Central split
All new
cooling
SEER
13
Setback
This field or
section is not
This field or
section is
components
AC
components
applicable
not
applicable
System 2
Central as
g
All new
heating
r
..
AFUE
-
0:78
-
Central split _
.r All riew 1 ..
o.
SEER
" ..
This field or
This field or
furnace
AC
cooling
13
Setback
section is not
section is not
components
,,
components
applicable
applicable
Required Documentation:
CF2R-MCH-03-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 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 21 8-15).
CF2RCF3R-MCH-23 & CF313-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-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 verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, F)
This section does not apply to this project.
Registration Number: 214-A0076897A-000000000-0000
Registration Date/Time: 2014-08-18 11:01:22
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-18 10:57:00
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 214-A0076897A-000000000-0000
Registration Date/Time: 2014-08-18 11:01:22
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-18 10:57:00
�f .7;
'Bin #
Qty of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, GA 92253 - (760) 777-7012
Building Permit Application and Tracking- Sheet
Permit #
Project Address-
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: on g1d: -A -"me
Telephone:,;
Pq q pq n*6
Address: %Owl I I I oil 1. P%ll
4801 E S, way D.1 106S Rd
. ipti
Project Description:
on: A -c
-
'
City, ST, Zip: Palm Springs, CA 92264
to Fuk,�,V_'.
Telephone-.
State Lic., #:_1La3ct3')
City Lie. #;.3q il
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
. . . .. .. . —
. ........ ........... . ...
Construction
onstruction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: ej5
• Sq. Ft.:
III Jnits-
-2
—Telephone kof Contact Person:Estimated
Value of Project: 13 OD
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal -4
Req1d
Recld
TRACMG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural CaICS.
Reviewed, ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
3,d Review, ready for correctionsfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
za
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Votta, Paul
Documentation Author Signature: ^ O�
vU(Y[ a
Company:
Signature Date:
VOTTA ENTERPRISES INC
2014-08-18 11:01:22
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 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 fo'r 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 design features or system design features'identified'on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s), issued for the building, and made available to 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.docume.ntation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Votta, Paul
Responsible Designer Signature:
96weVv(Y(IGG
Company:
Date Signed:
VOTTA ENTERPRISES INC
2014-08-18 11:01:22
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
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: 214-A0076897A-000000000-0000 Registration Date/Time: 2014-08-18 11:01:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-18 10:57:00