BMCH2016-0357rA Y
78-495 CALLE TAMPICO
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5034539
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O16-0
Property Address:
49145 WASHI
APN:
646170017
Application Description:
SKARVAN RES
Property Zoning:
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
Application Valuation:
$7,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
cu VOICE (760) 777-7125 � uud.
FAX (760) 777-7011
DES W`&�bE ELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
a �jAUI ING PERMIT
Date: 10/3/2016
t O
Owner:
JEFFREY SKARVAN
d 31251 AVENIDA WASHINGTON ST
iV LA QUINTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
1 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
Date: IO 3 jlo Contractor:
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.
.�� 1 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 polity number are:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5034539
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
�"
�2
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: )01,3)1(— Applicant: SvwrL
permit subjects the applicant to a civil 'Penalty of not more than five hundred dollars C
__ ' _—_
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(� I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
( 11, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_),I am exempt under Sec. . B.&P.C. for this reason
following issuance of this permit.
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
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: I b 3 ICo Signature (Applicant or Agent):
Date: 10/3/2016
Application Number: BMCH2016-0357
- Owner:
Property Address: 49145 WASHINGTON ST
,, JEFFREY SKARVAN
APN: 646170017
31251 AVENIDA WASHINGTON ST
Application Description: SKARVAN RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
-Application Valuation: $7,000.00
-
Applicant:
Contractor:
IE INC
VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA
72248 NORTHSHORE ST STE 101
•
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2008.ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
t
-
- h • ^ ,
FINANCIAL •• •
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 ' 0 $1.00
: Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-426000
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
- r Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION ' -
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE.
502-0000-43611
0-
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
QtY of La QUInta
Building U Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Pennit'Application and Tracking Sheet
Permit #
Project Address: 49145 Washington Street
Owner's Name:. Jeffrey Skarvan "
A. P. Number.
Address, 49145 Washington Street
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Comfort Air
Tel hone: 805-407-5569sg$t%�
ep
a -::
Address: 4803 E Sunny Dunes Road
Project Description: Replace 4 ton A/C, Coil, & 110,000 BTU un
City, ST, Zip: Palm Springs, CA 92264 .
Telephone: 760-320-5800
`• 7
State Lic. # : 763937
City Lie. 9.
Arch, Engr., Designer.
Address:
City, ST, Zip:
Telephone: MSM
State Lic. #: ;;� w.... y `
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $7,000.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Meeharileal
Giading plan
2a6 Review, ready for correctiouskssue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
SJ%LL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correetionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
MY P.
Pub. Wks. Appr '
Date of permit Issue
School Fees
Total Permit Fees
ace
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page I of 3
Project Name: JEFFREY SKARVAN Date Prepared: 2016-09-30
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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name
JEFFREY SKARVAN
02
Date Prepared
2016,09-30
03
Project Location
49145 washington st
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JEFFREY SKARVAN
07
Zip Code
92253
08
Dwelling Unit Conditioned
1500
Floor Area (ft2)
SCSystern
SC System
CFA served
system a
Qfrig0ant
Number of space conditioning
I
Iristalliq*g i
09,
Climate Zone
15 t <
10
(SC) systems in this dwelling
by this SC'
ducted
containing
'14k:v
W
more than 40
unit.
.1
B. Space Conditioning (SC) System information"'
V
01
02
t 03
0',;�' 4V-
#q SU",
fro 6
OM
f
09
10
Is the Se'
'Mealling a
SCSystern
SC System
CFA served
system a
Qfrig0ant
Onstalliq -SC
I
Iristalliq*g i
Installing ''
n ta ing
R
Identification or
Location or Area
by this SC'
ducted
containing
e 'gihewk'
system
W
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
i500 —
Yes
Yes
Yes
No -
No
No
Altered space
conditioning system.
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectionl 50.2(b)lDiib)
This section does not apply to this project.
Registration Number: 216-A0360330A-000000000-0000 Registration Date/Time: 2016-09-30 08:13:26
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.5555DD
HERS Provider: CalCERTS
Report Generated: 2016-09-30 08:13:25
CERTIFICATE OF COMPLIANCE CF111-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
less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. C 4
CF2R-MCH-20-H & CF311-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 & MR -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 req uired;when MCH -25 is required
.'
Exceotions r '
r
-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 verifica tion of Air Flow MCH-23tgr Refrigerant Charge MECFI 25.. .. f.
Existing duct systems constructed, insulated or sealed with asbestos.are exempttfrom MCH -20 Duct Leakage Testing<requiiemens.
4;.
. r.- 1 �31 _. '�i .F.1 Iff -W .. .-> .. ,5.„`-eF:a,, 'il u.... . 'i� :Hf �W' Rte........ .ss:.
... y
�' f�-'moi ��
E. Entirely New or Complete Replacement DuctkSystem, with or without Equipment Changeout (Sections IS0.2(,b)1Diia,and 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)lC) '
This section does not apply to this project.
Registration Number: 216-AO36033OA-000000000-0000 Registration Date/Time: 2016-09-30 08:13:26
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-09-30 08:13:25
CERTIFICATE OF COMPLIANCE CF1R-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:
Jan�acoC
Jacoby, Ian
Company:
Signature Date:
i PERMIT E RATERS
2016-09-30 08:13:26
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362 „t
818-735-7876
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 trueand 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 energys and anufactured devices for -the building design or system design identified on this Certificate of Compliance conform to the
requirements offTitle 24, Part1 nd Part 6 of the California Code of Reg at ns
ottierx
4. The building design features or system design features identified on this Certifiij a of Compliance are.consistent>wrthfthe information provided on
vii h plicakile compliance documents, worksheets,
s. S. t' d "
calculations, plans and specifications submitted to the enforceme4 iigency for approvaLwdh this building permit application.
5. 1 will ensure that a registered copy of thisCertificat yof,Compliance shall be;made available with tt ebuilding-,permit(s)Jssued for thle uild ng andmade available to-;thecehforcement agency for all applicable
inspections. I understand that a registered copy of this Certifcate of Complianceis required to be included w h the documentationttheb wilder p ov des t the building owner at occupancy.
Responsible Designer Name:
Responsible Designers' ignature:
Jacoby, Ian
c9an �ac0
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-09-30 08:13:26
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-AO36033OA-000000000-0000 Registration Date/Time: 2016-09-30 08:13:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-30 08:13:25
Schema Version: 0.5555DD