BMCH2016-023678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0236
Property Address:
60431 LAVENDER CT CT
APN:
764380052
Application Description:
DOUGLAS RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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: C20 License No.: 763937
iQate: dzcl (o Co tractor:
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/29/2016
Owner:
CHRISTIANE DOUGLAS
60431 LAVENDER CT
LA QUINTA, CA 92253
Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
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.
626, 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 the Labor Code, I shall forthwith
comply with those provisions.
1� .+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 actor 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.
a
q I I -ignat re (Applicant or --Agent): G
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 for BUILDING 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 for CHANGEOUT: $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
Description: DOUGLAS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/29/2016 MFA
Parcel No: 764380052 Site Address: 60431 LAVENDER CT CT LA QUINTA,CA 92253 Approved: 6/29/2016 MFA
Subdivision: TR 30023-2 Block: Lot: 158 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Wednesday, June 29, 2016 10:32:39 AM 1 of 2 C.;..
SYSTEMS
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
CA
91362
(760)574-9369
VILLAGE
CONTRACTOR
VOTTA ENTERPRISES INC DBA
72248 NORTHSHORE ST
THOUSAND
CA
92276
(760)574-9369
COMFORT AIR
STE 101
PALMS
OWNER
CHRISTIANE DOUGLAS
60431 LAVENDER CT
LA QUINTA
CA
92253
(760)574-9369
FINANCIAL INFORMATION
Printed: Wednesday, June 29, 2016 10:32:39 AM 1 of 2 C.;..
SYSTEMS
Permit Details PERMIT N.UIVIRER
- BMCH2O16- —
N City _ La Qui n -
0
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS__T REMARKS NOTES
DATE
Printed: Wednesday, June 29, 201610:32:39 AM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
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 for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
1 101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
0'm Mal _71
0
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS__T REMARKS NOTES
DATE
Printed: Wednesday, June 29, 201610:32:39 AM 2 of 2
SYSTEMS
a
Bfn.#
Qty. of La Quinta
Building & Safety Division
P.O. Box 1504,78-495 Calle Tampico
[.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit # t ,,
jectAddcess: 60431 Lavender Court .
Owner's Name:. Christine Douglas '
A. P. Number.
Address: 60431 Lavender Court
Legal Description: b
Contractor: Comfort Air
City, ST, Zip: La Quints, CA 92253
... s =. tom'
Telephone: 9369Y$y.
Address: 4803 E Sunny Dunes Road
Project Description: Repalce'4ton A/C, Coil, & 90,000 BTU
City, ST, Zip: Palm Springs; CA 92264 .
Furnace, 110V Circuit For A/C, 1 Light Fixture &
Telephone: ME -
Telephone: 760-320-5800 ? w:`3'''
Circuit For FAU
State Lie, #: 763937 City Lie'. It.
Arch., Bag., Designer.
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: 7#
Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project: $15,000.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
-Reed
TRACKING
PERMPF FEES.
Plan Sets
Plan Check submitted'
item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechmilcal
Grading plan
21! Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
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:
CHRISTINE DOUGLAS I Date Prepared:
2016-06-28
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
CHRISTINE DOUGLAS
02
Date Prepared
2016-06-28
03
Project Location
60431 LAVENDER CT.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CHRISTINE DOUGLAS
SC System
SC System
CFA served
Dwelling Unit Conditioned
re rf igerant 4
07
Zip Code
9225308
.'�
Floor Area (ft2)
1939
Location or Area
by this SC
ducted
containing
sy4,01 stem Y
more than 40
entirely new
entirely new
'
Name
Number of space conditioning
System (ft2)
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Alteration Type
System 1
�. "._
1939
unit.
Yes
B. Space Conditioning (SC) System'Information
01
02
.03
04
F, : 05 f
f-661
07
1166 11
09
10
--I Els the SC"""'
'3 �'�
� Installing a
SC System
SC System
CFA served
"'Nsystem a
re rf igerant 4
—*Installing new SCInstalling
I
Install' gInstalling
Identification or
Location or Area
by this SC
ducted
containing
sy4,01 stem Y
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
componentse
feet of ductsf
duct system?
SC system?
Alteration Type
System 1
Location 1
1939
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0240767A-000000000-0000
Registration Date/Time: 2016-06-28 20:51:51
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-28 20:51:35
Schema Version: 0.55SSDD
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)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 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
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
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 & 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: 515'0, or 5100 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: `�: ".1� . - ,_
-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"RefrigeranfCharge NtECH'25.
C
0
-Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH -20 DuctLeakage Testing requirements`.11
.+k 11 kk - !t it II X'%_ tt...... I %t Lt !J If is It 9t..
14
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
r � :lam �«,. P 04 tk 3 -%,r R 1 a
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-A0240767A-000000000-0000 Registration Date/Time: 2016-06-28 20:51:51 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-28 20:51:35
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFlR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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 y
Volta, Paul
Company:
Signature Date:
VOTTA ENTERPRISES INC
2016-06-2820:51:51
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 land Part 6 of the California Code of Regulat ons. �""
4. The building design features or system design features identified ori this Certificate of Compliance are consistentwith the information provided on otheyr, pa plicarble ompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemeni agency for approval with this building permit'applicatiori. 1 # 1 1 !` A
the b, and made available to the, enforcement agency for all applicable
S. I will ensure that a registered copy of This Certificate of Compliance shall be -made .available with the building permit(sp,issued for uilding
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.
1
Responsible Designer Name: «
Responsible Designer Signature: V t
94rap 06AR&
Volta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-06-28 20:51:51
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-A0240767A-000000000-0000 Registration Date/Time: 2016-06-28 20:51:51 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-28 20:51:35
Schema Version: 0.555SDD