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BMCH2015-0102of 78-495 CALLE TAMPICO C 0 D 4 Qumrcu VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, tALIFORyIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/30/2015 Application Number: BMCH2O15-0102 Owner: Property Address: 60519 LACE LEAF CT CT SANDY WILLIAMSON APN: 764330064 60519 LACE LEAF CT Application Description: WILLIAMSON SANDY HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $8,175.00 Applicant: W Contractor: COMFORTAIR DCOMFORTAIR 0 OUTSIDE CITY LIMITS 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 LA QUINTA, CA 92253 (760)320-5800 rnLlc. 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: cense No.: AEC343 .,� " o bate: 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 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 ) 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 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: _ _ 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 p ovisions of Section 3700 of Labor Code, I shall forthwith comply with th a prov' ion 3 'gate: 7d 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:'�7��� /riture (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS S61473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 Description: WILLIAMSON SANDY HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 3/30/2015 PJU Approved: Parcel No: 764330064 Site Address: 60519 LACE LEAF CT CT LA QUINTA,CA 92253 Subdivision: TR 30023-1 Block: Lot: 113 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,175.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC UNIT CHANGE OUT FURNACE,CON DENSER COIL 78% AFUE,16 SEER 4 TON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION Printed: Monday, March 30, 2015 10:47:58 AM 1 of 2 RWYS TEMS ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS ',NAMErTYI?E ' 'NAMEsa, . ; 'ADDRESSl��"' CITY = STATE , ?; ZIPS• ,-, ;PHONE;< =mom FAX; �.,_. EMA� IL APPLICANT COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)777-4602 CONTRACTOR COMFORT AIR 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)777-4602 OWNER SANDY WILLIAMSON 60519 LACE LEAF CT LA QUINTA CA 92253 (760)777-4602 Printed: Monday, March 30, 2015 10:47:58 AM 1 of 2 RWYS TEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE MECHANICAL FINAL"* BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS___T REMARKS NOTES DATE BOND INFORMATION • CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE MECHANICAL FINAL"* BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS___T REMARKS NOTES DATE Printed: Monday, March 30, 2015 10:47:58 AM 2 of 2 CRW YSTEMS ,0 BOND INFORMATION ATTACHMENTS Printed: Monday, March 30, 2015 10:47:58 AM 2 of 2 CRW YSTEMS ,0 Bin #City Permit tf Project Address: of La QUinta. Building &r Safety Division P.O.'Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: A. P. Number: Address: (GQ Legal Description: City, ST, Zip: Contractor: telephone --)UD: Address: 4803 E Stinny Dilnes Rd Project Description: 4{r C. City, ST, Zip: Palm Springs, CA 92264 e Tlehne P 0 C�6 ' S� r State Lic. # : City Lic. 4•3 Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone ::.,..;; .:: :::;.;:;: ;,;:.:::.;:.::..:.:.:.::. '``•'"''":,",`,':.." .`." "."."::".','%,:'; :'s."•;: ::`•:":"..:`.. Construction Type: ccupcy. Lic. # ProJect type circle one): New Add'nState er Repair Demo Name of Contact Person: Sq. Ft.: ` # Stories: # Units: Telephone #,of Contact Person: P — � "� 0� Estimated Value of Project: S APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans'picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"e Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- ''d Review, ready for correctionstiissue Developer Impact Fee Planning Approval' Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees /9z7 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: Williamson I Date Prepared: CF1R-ALT 02-E (Page 1 of 3 ) 2015-03-27 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 CF111-ALT 02 document for each dwelling unit. 01 Project Name Williamson 02 Date Prepared 2015-03-27 03 Project Location 60519 Lace Leaf Ct 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Williamson 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 Floor Area (ft2) SC System SC System CFA served system a'k�- refrigerant Number of space conditioning Installing, 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System Information OS 02 03 04'�., 08 '. 4 09 10 -4 -'Is the SC"—';Installing a SC System SC System CFA served system a'k�- refrigerant Installing new SC Installing, Installing �--,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 4 Ton Lennox Location' 1 1600 No Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A0081251A-000000000-0000 Registration Date/Time: 2015-03-27 09:43:25 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Renort. GenP.ratP.d: 7n15-nR-77 nc•d:t•:t,) 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 15O.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 Dud 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 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 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 & CF311-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-20Leakage Testing requirements ,Duct Heating -only systems and Air Handler/Furnace changes do not require verification of Air Flow [NCH -23, or Refrl erant Char a ME CH 25 t Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct.Leakage Te Nng requiremen - ts..S E. Entirely New or Complete Replacement Duct System, with"or without Equipment Changeout'(Sections 150.2(b)1DiWand,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)iC) This section does not apply to this project. Registration Number: 215-A0081251A-000000000-0000 Registration Date/Time: 2015-03-27 09:43:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-27 09:43:32 CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: / pN� Votta, Paul (J� vU(Y((CG Company: Signature Date: VOTTA ENTERPRISES INC 2015-03-27 09:43:25 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 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 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 enforcemeni'agency for approval with this building permit application. S. I will ensure that a registered copy of this Certificate of Compliance shell be made avallable with. the building permits) 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 documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: l�U(Y(UG Votta, Paul Company: Date Signed: VOTTA ENTERPRISES INC 2015-03-27 09:43:25 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: 215-A0081251A-000000000-0000 Registration Date/rime: 2015-03-27 09:43:25 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-27 09:43:32