BMCH2016-0247787495 CALLE TAMPICO ..
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0247
Property Address: 52905 AVENIDAe
APN: 773333022 A,
Application Description: HARKNESS R ID
Property Zoning:
Application Valuation: $8,000.00 }
Applicant:
VOTTA ENTERPRISES INC DBA CO
72248 NORTHSHORE ST.STE 101
THOUSAND. PALMS, CA 92276
VOICE (760)777-7125
4a
FAX ('760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/6/2016
Owner.
SHAWN HARKNESS
52905 AVENIDA VILLA
QAC CHANGE -OUTS LA QUINTA, CA 92253
00
16
Crr�
y Contractor:
1Cr�QU/��r VOTTA ENTERPRISES INC.DBA COMFORT AIR
.�FICFF,;`cp�r A
F/, 72248 NORTHSHORE ST STE 101
z QER?r•9rMt
THOUSAND PALMS,.CA.92-276'.;-.�
(760)320-5800:
Llc. No.: 763937
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: C20 License No.: 763937
of the work for which this permit is issued.
�O
C9
I have and will maintain workers' compensation insurance, as required by
te:
`� ontractor:
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
I 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 provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that.he or she is licensed pursuant to the provisions of the
comply with those provisions.
. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division°
i 14'pplicant: �c------
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
ager
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
(� 1, 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 fora 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, 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
thereby 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 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-mentioned property for inspection purposes.
"7 to Il. Y�
ate:. Signi�re (Applicant or Agent):
FINANcIALINFORmATION
: &< ';UA 4"
+DESCRIPTION R � PAIDDATE.
u� . �,��:.•s*.>k. ...,�: 4000lINT�MOUNT -�- �hPAID
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $0.00
PAID BY rc
�5 ° METHOD
h *-RECEIPT #"k # CLTD BY
.x
<CHECK
a •'«• "i`
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
x�y DESCRIPTION` �,'
PAID
PAID`DATE
Ate;>ACCOUNT'QTY;AMOUNT,�F
P
.:.
HVyA�C�C{HAyNGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY 'C 8` Ap` 3cie'! f i
Lam. "S, '(3 3 X..�ir„3C.:_':s'"•' `• v6� p�;' YA ".Th
g
` METHOD .RN
RECEIPT
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BY
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R DESCRIPTION
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aL;.� j.x s;Y..0 i�"'Pl:f.;? ��
AMOUNT
���3 ,..�� .:-_,q.m St [, ,::
S ? PAID,,
r^vi`�Eer+Hti;
PAID1DATE
v� a s Wit
h"i .; q,;,QTY
4
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600.
0'-
$24.17
$0.00
•a.'��"X ..3.. `Y'e 8, sE. .,l »F -: �.i L '�^ °K
'E PAID 6Y
.. � �..,.k P$'� �;�. '�- C ::E
$� F kjAy jvr � . g .�.
#
,� -a.S
CHECK #
�. ti•A:«� 3pW :.
CLTD BYE
�sFMETHOD `
wk yoRECEIPT �,
s`
Total Paid for CHANGEOUT: $60.43 $0.00
_�DESCRIP,TION
��ACCOUNT�
`QTY,
AMOUNT
PAID
PAID DATE;
a ,a`Y
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
p ?AIIYBY'
METHODx �t 5
RECEIPT #
£ CHECK #
E
'?t _, -'ti:z.:..,m, u3i> _ :.-,�_.:. .. ;�. _ a:_. .. f., X. >,. .¢... , :T,
f�$ k:.�., o_v ...:. .. s 'T •:,:F
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•':-
,CLTD.BY
Total Paid foe PERMIT ISSUANCE: $91.85':$0.00
TOTALS:00
Description: HARKNESS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 7/6/2016 MFA
Approved: 7/6/2016 MFA
Parcel No: 773333022 Site Address: 52905 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block:• 147
Lot: 9
Issued:
UNIT 15
"
Lot Sq Ft: 0 Building Sq Ft: 0' °
Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No, Unites: 0
Details: REPLACE 3.5 TON PACKAGED SYSTEM [200$ ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION'.
2013 CALIFORNIA BUILDING CODES.
7 '77, 7 7 77
D,ESCRIPfJOi.
ACCOUNT
,�.,;�,,.-,,.�.;
�'::AMOUNT
PAID ,".17-"
P ID TE�
RECEIPT?METHOD
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
.$0.00
PACKAGED UNIT
.$36.26
HVAC CHANGEOUT-
101-0000-42600
.0
$24.17
$0,00.
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
....... .... .
INSPECTIONS
.. . .......... ...... ...... .... .. ....... . . . . . . . . .
.. .. ...... .
BOND *INFORMATION'
.. ..... . .. . .... ... ................ ........ . ...... .....
ATTACHMENTS
.. .......... -1111 ... .... .. ... .... ....... . . .... . ... . -
aln,`# , ... }.
City of La Quin to
Building 8Z- Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 52,1)o5
Owner's Name:aY�
A. P. Number:
Address: 529� o/Qvw1.�� V.t o,
Legal Description:
S�
City, ST, Zip;
Contract r•
o.
/���
Address: ES��r\
Project Description:
City„ ST, Zip: `�c.�m J CA �12Ztoi
,O.c� 3. S +o -v, 1�0.c_k -L
Telephone: % b Z
U Y�
State Lic. W: i b 3 q 3" 1
City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Con tructi n Type: Occupancy:
: .
State Lic.#Room=
Project hP (circle one):. New Add'z Alter r Re air Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: v k i '- -735-_n-7b
Estimated Value of Project: 1' coo , oo
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
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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:-
'1' Review, ready for corrections/issue
Developer impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION '"WW
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address: ` / 1
Enforcement Agency:
_R:vers
Sate Prepared:
Permitil:
,Sz 90S A��V�ve V� \N
C.0 0 Z
-7 6 1 lCA
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
=onditioned
Thermostat
Required R -value
=1oor Area (sq ft)
�( Packaged
❑ Evaporator Coil
$D� AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
KSetback
System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
l 3to sgft
(if not already
❑ Split System
❑ Compressor
l4 SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
❑ Mini Split
❑ Lineset
EER
❑ R-5 or R7.5) Lineset '
be installed)
❑ Furnace
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, M:CH-25-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (L15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFNc/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ........
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CF1R-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23.or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CF2F:-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following
CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace'
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HEIS
Installer Requirement: Duct leakage < 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts'
CF111-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includbs in walls, between floors etc.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may c)nsist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material;
° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5-3T-2'/<", 3.5 to 4T-2%", 5T -4'/e"
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Conpliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 2nd Part 6 of the CCR.
S. 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 enforcement
agency for approval with this building permit application.
Responsible Designer
eJrr amce�:
Responsible
le Dezsigner Signature:
Dail Signed:
-7
License:
"?b3
*�ve.v�� ccer
to I I
9 31
Company: n
Co— tri
Address:
y$D3 E S„r b.&A
City/State/Zip:
t��-��, 5 �ZZ vy
Phone:
1 '7(00– 32 h-
�
-5,200
i -or assistance or questions regarding the Energy Standards, contact the Energy Hotline ai: 1-800-772-3300