BMCH2015-028378-495 CALLE TAMPICO D O.�i
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2015 0283 D er:
Property Address: 47790 VIA NICE 'hlLEVIN
APN: 643130031 VIA NIS
Application Description: LEVIN RESIDENCE HVAC CHANGE OUT J/ , jA QUINT ,
Property Zoning: l/C 2
Application Valuation: $26,800.00 o 2ol,
Applicant:
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Com..._ G11Ync, .
LA QUINTA, CA
(760)320-5800
Llc. No.: AEC343
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/2015
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9_(commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class:. Lice Se .: AEC343
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ate: Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier: Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
('certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation p vi ions of Section 3700 of the L r Code, 1 shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with th a provi on
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
te: Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for,sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(1 I, as owner of the property, am exclusively,contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application, the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
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:
I
Lender's Address:
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-
mentione�Yignature
soon purposes.
Dl}tet (Applicant or Agent):
FINANCIAL .••
BSAS SB1473 FEE
101-0000-20306 0
$2.00
$2.00 7/20/15
PAID BY
.yt �,As V S'^� � a z. �..
;* METHOD .M* RECEIPT #ff
..r,. _,., v•_. _, _ '
CHECK # CLTD BY,
?
f , . �N .`
COMFORT AIR
CHECK R7830
2049 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSAc $2.00 $2.00
DESCRIPTIONACCOUNT
QTYd
AMOUNT 3
�� PAID
PAID DATE`
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$145.04
7/20/15
PAID BY *t r'METHOD
RECEIPT #s
X CHECK #'.
CLTD BY,.' y.
f
COMFORT AIR
CHECK
R7830
2049
MFA
<r DESCRIPTION "
ACCOUNTS
,QTY
' AMOUNT' , ,
'V' PAIDr �
PAID;DATE
p.
.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$72.52
7/20/15
PAID BY'm
METHOD SF
A RECEIPT # z
... CHECK #
CLTD BYE
' �.
...t,,a.e,
h
COMFORT AIR
CHECK
t R7830
2049
MFA
Total Paid forCHANGEOUT: $217.56 $217.56
DESCRIPTION h
3 j
ACCOUNT "
`QTY
r.
AMOUNT,
s
PAID
PAID�DATE�
*
;
PERMIT ISSUANCE
101.0000-42404
0
$91.85
$91.85
7/20/15
` Pi41D BYEcMETHOD
a N
$�<;RECEIP,T#
`:_
s
:
CLTD BY,
-,
e
µCHECK#4
COMFORT AIR
CHECK
R7830
2049
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
Description: LEVIN RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 7/20/2015 MFA
Approved: 7/20/2015 MFA
Parcel No: 643130031 Site Address: 47790 VIA NICE LA QUINTA,CA 92253
Subdivision: TR 26152 Block: Lot: 31
Issued: 7/20/2015 MFA
Lot Sq ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,800.00 Occupancy Type: ' Construction Type:
Expired: 1/16/2016 MFA
No. Buildings: 0 No. -Stories: 0 No. Unites: 0
Details: (2) HVAC CHANGE OUT - 25 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
r
INSPECTION. 2013 CALIFORNIA BUILDING CODES. ;
. ......1". f'•, 'VV. 1'4l�,.. .,,,q,y �. ky. ..��,i Gln. �
. ..... ... .....
CONDITIONS
.,,,.,. ..... ............... ..... ........,
CONTACTS
Printed: Monday, July 20,2015 12:36:16 PM 1 of 2
- SYS7Eh15
DESCRIPTION.
ACCOUNT
QTY:
AMOUNT
PAID;
PAID DATE.
RECEIPT #
CHECK,# .
METHOD'
PAID,BY
cl
BY
HVAC CH T -
101-0000-42402
0
$145.04
$145.04
7/20/15
R7830
2049
CHECK
COMFORT AIR
MFA
SPLIT-SYSTEMSYSTEM
HVAC CHANGEOUT -
101-0000-42600.
0
$72.52
$72.52
7/20/15
R7830
2049
CHECK
COMFORT AIR
MFA
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $217.56
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$91.85
7/20/15
R7830
2049
CHECK
COMFORT AIR
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: :$311.41
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, July 20, 2015 12:36:16 PM 2 of 2
rSYSTEti1S•
Bln.# ,
.0ty Of U. Qurnta
Builft a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application" and Tracking Sheet
Permit #
Project Address: 7, 1 C/l)a- M Owner's Name:. i
A. P. Number. Adder: t r ITZ2
" .
Legal Descrip ' VAPCity, ST, Zip:6A (Yom
Contactor:
t Telephone: — 6
Address: NY)/ efc
Project Description
City, ST, Zip: '�. A -
Telephone: 3k —9/06)
State Lie. #: City Lia #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: Construction Type: , Occupancy:
State Lic. #: "�y Project type (circle one): New. Add'a Alter Repair Demo
Name of Contact Person: Sq. Ft.:#
S ries:'
# Units:
moTelephone # of Contact Person: Estimated Value of Proj '00
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
'Reed
TRACE NG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted _' .
Mechanical
Grading plan
2i° 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 correctionsfissae
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ.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: Levin Date Prepared: 2015-07-20
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
Levin
02
Date Prepared
2015-07-20
03
Project Location
47790 Via Nice
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Levin
07
Zip Code
92253
08
Dwelling Unit Conditioned
3320
Floor Area (ft2)
SCS stem
Y
SCS stem
Y
CFA served
s stem a
yg
refrigerantInstallin
Number of space conditioning
I stallin
g
09
Climate Zone
15
10
(SC) systems in this dwelling
2
ducted
containing
x
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information �° %..:
�i R
N 1.
Ol
02
03
04 ..t
'Q
06
0 i"
II 08
09
10
1't
Is the SCS"
Installing a
SCS stem
Y
SCS stem
Y
CFA served
s stem a
yg
refrigerantInstallin
new SC
I stallin
g
stallinInstallin
g
Identification or
Location or Area
by this SC
ducted
containing
x
system
more than 40
entirely new,
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
5 Ton Lennox
Location 1
3320
No
Yes
Yes
No
No
No
Altered -space
conditioning system
4 ton Lennox
Location 2
3220
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-A0198112A-000000000-0000
Registration Date/Time: 2015-07-2009:45:09
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 09:44:32
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
This field or
This field or
5 Ton Lennox
furnace
heating
AFUE
0.78
AC
cooling
SEER
25
Setback
section is not
section is not
components
components
applicable
applicable
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
25
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-03-E -Space Conditioning Systems -Ducts and Fans
-Duct insulation requirement for new plenums:.,126:"
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 AD ft of duct length is replaced.
Leakage rate compliance: 515%, or:5 10%leaka9e to.butside, or seal -all accessbl eaks. '
CF2R-MCH-25-H'& MR -MCH -25-H Refrigerant Charge Verificatwn required when refrigerant containing componentsare installed or altered (applicable in CV,2 81 !
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow a 300 CFM/tori required -when MCH -25 is required! #
Exceptions:
Duct systems registered with HERS provider as previously sealed areezempt from MCH -20 Duct Leakage Testing requirements
k18 d ,ypY'-^iey s: -t .v".t;44
-Heating-only systems and Air Handler/Furnace.changes do not require;verification of:Air Flow MCH; 23, or`Refrige2nt Charge NIECH 25.Ilfi
Existing duct systems constructed, insulated or sealed with asbestos ar exempt fpm MCH�(20 Duct Leakage Testing requirements'
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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)1C)
_t
This section does not apply to this project.
Registration Number: 215-A0198112A-000000000-0000 Registration Date/Time: 2015-07-20 09:45:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 09:44:32
CERTIFICATE OF COMPLIANCE CF111-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: n/Yffa
/C
Votta, Paul
G/
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-07-20 09:45:09
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 onahis,Certificate of Compliance is true and correct.
2. lam 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" s nf.
4. The building design features or system design features identified on,this Certificate of GompJ�ance are conslstent,wltH the information. provided on otherapplicable compliance documents, worksheets,
T
fwith this bwldmg permit application.A
calculations, plans and specifications submrttedao the enforcemenYagency for appWl e �
t, x3`''d,` 9:R. ,tt�'f . �4.�^' :^i J�
-
S. I will ensure that a registered copy of Phis Certificate of Compliance shall betlmade ayail_a.ble with t_he building pe rmit(s,),issu.ed forsthe�bmldmg, and mad 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 docu I!;, ation the bu I,der prov des to he building owner at occupancy.
-Responsible Designer Name: -Z
ResponsfCle DessiglnerS�lgnature:
"U
Votta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-07-20 09:45:09
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0198112A-000000000-0000 Registration Date/Time: 2015-07-20 09:45:09 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 09:44:32