BMCH2015-0086Applicant: ` L!TDEPARTMENT
Contractor:
COMFORTAIR COMFORTAIR
0 OUTSIDE CITY LIMITS 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 2095 LA QUINTA, CA 92253
INTA (760)320-5800
LIC. 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: Licens N�o.: AEC343
mate: 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 Divisi 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 fo a
permit subjects the applicant to a civil penalty of not more than five hundred dollar,
($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.). I
Lender's
Lender's
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 provisions of Section 3700 of th bor Code, I shall forthwith
comply
ywith thos provisio .Z/
ite: Tzkr` ��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 luthorize representatives of this city to a on the above-
menti��ignature
ion purposes.
e: (Applicant or Agent):
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011COMMUNITY
LA QUINTA, CALIFORNIA 92253
DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/25/2015
Application Number:
BMCH2O15-0086
Owner:
Property Address:
60458 LACE LEAF CT CT
AUBREY MOORE
APN:
764330074
60458 LACE LEAF COURT
Application Description:
MOORE AUBREY HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$7,085.00
Applicant: ` L!TDEPARTMENT
Contractor:
COMFORTAIR COMFORTAIR
0 OUTSIDE CITY LIMITS 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 2095 LA QUINTA, CA 92253
INTA (760)320-5800
LIC. 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: Licens N�o.: AEC343
mate: 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 Divisi 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 fo a
permit subjects the applicant to a civil penalty of not more than five hundred dollar,
($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.). I
Lender's
Lender's
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 provisions of Section 3700 of th bor Code, I shall forthwith
comply
ywith thos provisio .Z/
ite: Tzkr` ��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 luthorize representatives of this city to a on the above-
menti��ignature
ion purposes.
e: (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT PAID PAID DATE
BSAS SB1473 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
QTY
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,
QTY
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
QTY
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: MOORE AUBREY HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/25/2015 PJU
Approved:
Parcel No: 764330074 Site Address: 60458 LACE LEAF CT CT LA QUINTA,CA 92253
Subdivision: TR 30023-1 Block: Lot: 123
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,085.00 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 4TON PER 2013 MECHANICAL CODES 2013 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)771-3175
CONTRACTOR
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)771-3175
OWNER
AUBREY MOORE
60458 LACE LEAF
COURT
LA QUINTA
CA
92253
(760)771-3175
Printed: Wednesday, March 25, 2015 12:41:58 PM 1 of 2 CRWYSTEMS
SEQID�`' INSPECTION TYPE *
„`INSPECTOR;, .SCHEDULED, COIVIPIETED
: RESULT �,'! �REIVIARKS T
1g'5
�S�• i�. ti»?E �c>:
7' _ 'F ^ES��YR�>^ p"`..,
� ..�+`�'�"`t . . s•�ti�.} � ..4 .
CL
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:00
SEQID�`' INSPECTION TYPE *
„`INSPECTOR;, .SCHEDULED, COIVIPIETED
: RESULT �,'! �REIVIARKS T
1g'5
�S�• i�. ti»?E �c>:
7' _ 'F ^ES��YR�>^ p"`..,
� ..�+`�'�"`t . . s•�ti�.} � ..4 .
i-+"..� .. i '�
MECHANICAL FINAL"*
BLD
BOND INFORMATION
Printed: Wednesday, March 25, 2015 12:41:58 PM 2 of 2 CRWSYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
Project Name:
Moore I Date Prepared:
C171111 -ALT 02-E
(Page 1 of 3 )
2015-03-25
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
Moore
02
Date Prepared
2015-03-25
03
Project Location
60458 Lace Leaf Ct
04
Building Type
Single-family
05
CA City
La Quinta
06
Dwelling Unit Name
Moore
07
Zip Code
92253
08
Dwelling Unit Conditioned
1964
Installing new,SC
Installing `
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
;`
f• N c
F
01
02
03
04;-.
06 ", ".
07"`
' 08
09
10
''els the SC T.
`Installing a
SC System
SC System
CFA served
:_system a - -
refrigesrant
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
1964
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-A0078153A-000000000-0000
Registration Date/Time: 2015-03-25 08:51:43
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: ?n1 S -n; -7S nst•s1 •,4R
CERTIFICATE OF COMPLIANCE CFA -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)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 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
4 Ton Lennox
furnace
heating
AFUE
0:78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF313-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 & CF3R-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'M&! 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 asbestosare exempt from MCH -20 DucfLeakage Testing requirements. 44
E. Entirely New or Complete Replacement Duct System, with'or without Equipment Changeout{Sections 150.2(0)1Diia"andAS0.2(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) 4
This section does not apply to this project.
Registration Number: 215=A0078153A-000000000-0000 Registration Date/Time: 2015-03-25 08:51:43 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 201,5-m-75 nR:51 •:tR
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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: /�j pN�
Votta, Paul
(J� vUU'tt.CG
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-03-25 08:51:43
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. ' "" , � r� z `ryc :"= j
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 enforcementagency for-approval:with this building permit application. b ,q ' e { C
5. 1 will ensure that a registered copy of this Certificate of Compliance shall•be;made available withthe building permit(s) issued fonthe.building, and made available,to the :enforcement agency for all applicable
inspections. I understand that a reglstered,copy of this Certificate of Compliance is required to be included with the documeptation the.bu,4der provides to_the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: 1 � y
Volta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-03-25 08:51:43
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
(760) 320-5800
Digitally signed by.Ca/CERTS. 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-A0078153A-000000000-0000 Registration Date/Time- -2015-03-25 08:51:43 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2nv;-n3-75 nR:51.3R
Bin #City
of La Quinto.
Building st Safety Division
P.O. Box 1504, 78 495 Calle Tampico .
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 5 Q
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telep:
hone ^�
Address: 4803 E Sunny Dunes Rd
Project Description:
City, ST, Zip: Palm Springs, CA 92264
q
State Lie. 9:
City Lie. #_. C
Arch'., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
-•;;.:: •, •>:....:....:::: •
.....
. ;.
:».:><
Construction Type•} �� . Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Qiµ
Sq. Ft.:
J.# Stories: \
# Units:
Telephone #,of Contact Person: -)(LO -3,?o— 0C)
Estimated Value of Project::
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan 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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan2°"Review,
ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed'
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total. Permit Fees