BMCH2015-0272787495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253
t
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
AS
c&ty/ 4 ad -
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0272
78965'13RY CREEK
776010017
SMITH RESIDENCE HVAC CHP
$14,000.00
Applicant:
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES ROAD
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: Licpllse No.: 763937
Date: 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 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).:
(1 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 contractors) 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/15/2015
Owner:
LEON SMITH
78965 DRY CREEK RD
LA QUINTA, CA 92253
Contractor:
VOTTA ENTERPRISES INC DBA COMF
4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264
(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.
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 the La or Code, I shall forthwith
comply with tho) prov' ions.
Date: / ✓ 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 avid 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 ent n the above-
mentioned pr perty f ir2spedion purposes.
Date j/Signature (Applicant or Agent):
wn,� '. - .. - . - -,�. - • . ;
f DESCRIPTION�ACCOUNT4 QTIfANIOUNT PAID PAID; DATE
.>;
Bv�SAS SB1473 FEE 101-0000-20306. .0
$1.00
$0.00
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METHODax
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 '
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tACcOUNT"CRmTYAMOUNT�
k`4PAIO
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
` PAID BYx
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PAID DATE
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�§AMOUNT
PAIDtr
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
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a BY'..
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Total Paid forCHANGEOUT: $108.78 $0.00
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PERMIT ISSUANCE
101-0000-42404
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$91.85
$0.00
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CLTD
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• ��
Description: SMITH RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/15/2015 EVA
Approved: 7/15/2015 EVA
Parcel No: 776010017 Site Address: 78965 DRY CREEK LA QUINTA,CA 92253
Subdivision: TR 26016 Block: Lot: 17
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $14,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 25 SEER /.78 AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
__j Applied to Approved
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
VOTTA ENTERPRISES INC DBA COMF
4803E SUNNY DUNES
ROAD
PALM SPRINGS
CA
92264
(
Printed: Wednesday, July 15, 2015 10:10:58 AM 1 of -2 C
SYSTEAAS
DESCRIPTIONAC
COUNT
QTY
AMOUNT.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING 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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERM1T ISSUANCE: $91.85 $0.00
TOTALS:$0.00
Printed: Wednesday, July 15, 2015 10:10:58 AM 2 of 2 OC;?�
SYSTEMS
Bin.#
02 �1 2--
Cltjr 0f I.ti Quo:
Building a Safety Division .
P.O. Box 1504, •78495 Calle Tampico
La.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: g
Owner's Name:.
Address:
A. P. Number.
A.
Legal Description: VALCity,
I�M
ST, Zip:
Contractor.
,
s
Telephone: % /� a
Address:
Project Description: �-
h
City, ST, Zi':
jj��
Telephone ZU
State Lie. # :
6
9a 6 U
L
City Lie. #;
i-)4
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
;y� ;• Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: # Stories: ` # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACICTIVG
PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit • .
Truss Cates.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.. -
Methaelcal
Grading plan
Z'' Review, ready for correctionsrmue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review', ready for correctlonshune
Developer Impact Fee
PlanningApproval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
Smith I Date Prepared:
2015-07-14
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.
01
Project Name
Smith
02
Date Prepared
2015-07-14
03
Project Location.
78965 Day Creek Rd
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Smith
07
Zip Code
9225308
i
Dwelling Unit Conditioned
2500
�.....�"'
Floor Area (ft2)
SC System
SC System ,
CFA served
system a
refrigerantInstafling
Number of space conditioning
stalling
09
Climate Zone
15 1
10
(SC) systems in this dwelling
1
ducted
containing
------,..._..
more Aha 40
unit.
entirely new
'1� .16-1.
B. Space Conditioning (SC)System Information `^
01
02'x,;03
"
04,��
OS
06
08
10
07
_09
i
the SC
l4 r.,i `.#
Installing a
�.....�"'
SC System
SC System ,
CFA served
system a
refrigerantInstafling
new, -SC
stalling
InstallingaInstalfing
Identification or
:Location or Area
by this $C
ducted
containing
system
more Aha 40
entirely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
5 ton XC25
Location 1
2500
No
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: 215-A0192900A-000000000-0000
Registration Date/Time: 2015-07-14 14:00:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-14 14:01:22
Schema Version: 0.555SDD
kr,
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1
02
03
04
05
06
07
08
09
10
31
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
Dud Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
5 ton XC25
furnace
heating
AFUE
0.78
AC
cooling
SEER
25
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: A
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans'
-Duct insulation requirement for new plenums: R6.
lA
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::s 15%, or 510% leakage to outside,`;orseal all accessible leaks.
MR -MCH -25-1-1 & CF3R-MCH-25-H Refrigerant Charge Ve'rificaiio'n required when refrigerant containing components are installed or altered (applicable in CZ 2, B-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2:300 CFM/ton required when MCH -2S is required.
`
Exceptions: � io �,-.''.= i" x" .
7f:3
-Dud systems registered with HERS provider as previously sealed are exempt from°MCH-20.Dud Leakage Testing requirements.
Heating -only systems and Air Handler/Furnace changes do not.require verification of Air Flow A/ICH P23, or Refrigerant-MECH-2�
{{pp
me
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Ductileakage Testing regwrements.
nn (r
E. Entirely New or Complete Replacement Duct System, with'br without Equipment Changeout (Sections 150.2(b)1Dna andy150.2(b)lE, F)
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: 215-A0192900A-000000000-0000
Registration Date/Time: 2015-07-14 14:00:59
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-14 14:01:22
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFiR-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: �J� /J n yN��
Votta, Paul
Ljm `'(/CYffa
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-07-14 14:00:59
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 lawi 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 Cod accept, responsibil ity for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materi las 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 &of the California Code of RE gulations��
4. The building design features or system design featu'residentified on this Certificate of Compliance are consistent.wrth,the information.�7provided onother applicablle-compliance documents, worksheets,
calculations, plans and specifications submittedto�the enforcement agency fo 4approval�w�h�this bwldmg permtt application.
5. 1 will ensure that a registered copy of this Cer4ificat eof_Compliance shall be made,available with the building,permit(s),issued for"the:building, and made availableto;,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,$iuilder provides to the building owner at occupancy.
Responsible Designer Name: l Ir"-* *w
Responsible Designer Signature:' N"# �
Votta, Paul
y
01"UR&
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-07-14 14:00:59
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: 215-A0192900A-000000000-0000 Registration Date/Time: 2015-07-14 14:00:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-14 14:01:22
Schema Version: 0.555SDD