BMCH2015-004978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
C& 0 D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/19/2015
Application Number:
BMCH2O15-0049
Owner:
Property Address:
79120 FOX RUN
BOB & DEBBIE SISKIN
APN:
776011012.
79120 FOX RUN
Application Description:
HVAC CHANGE OUT 5 TON 15.5 SEER
LA QUINTA, CA 92253
Property Zoning:
Application. Valuation:
$8,000.00
Applicant:D Contractor:
COMFORT AIR COMFORT AIR
0 OUTSIDE CITY LIMITS FEB 19 2015 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 LA QUINTA, CA 92253
CITU Of LA QUINTA
COMMUNIt'( OMLOPMENT DEPARTMENT (760)320-5800
Llc. No.: :LIC -0003499
LICENSED C@&R.
I hereby affirm under penalty of perju
9 (commencing with Sectioniv
and my License is in full force nd effect.
�Date: License Class: License No.:LIC-00 t� Contra
R'S DECLARATION
am licensed under provisions of Chapter
3,of the Business and Professions Code,
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
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
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 I 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 Address:
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 a work for which this permit is issued, I
shall not employ any person in any manner so become subject to the workers'
compensation laws of California, and gre a \ ould become subject to the
workers' compensation provisions of ection f e Labor Code, I shall forthwith
comply wit those rovisions.
Date: Applicant:
WARNING: ILUREO SECURE WORKERS' C PENSATIO VE AGE IS UNLAWFUL,
AND SHALL SUBJECT N EMPLOYER TO CRIMINAL ENALTIES AND 41VIL 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 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 day date of issuance of such permit, or cessation of
work for 180 days will subject per it to cellation.
I certify that I have read this applicatio nd state at the a ove information is correct.
I agree to comply with all city and county dna
d sta laws relating to building
construction, and hereby authorize represen ives of th ity enter upon the above-
mentioned prope y for inspection purposes.
Date: 9 1 Al Signature (Applicant or Agen
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name: .
Siskin I Date Prepared:
CF1R-ALT 02-E
2015-02-18
A. General Information
CF1R-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
Siskin
02
Date Prepared
2015-02=17
03
Project Location
79120 Fox Run
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Siskin
07
Zip Code
92253
08.
Dwelling Unit Conditioned
3723
Installing new SC
Installing
. Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15 .
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System; Information
01
02
03 ; '
U4 °'
05
x._06
07 ` `...
08--
09
10
J Is the SC
' 'Installing a
a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
. Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
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
3723
Yes
Yes
Yes
No
No
No
Altered space
conditioning system_J
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0046597A-000000000-0000
Registration Date/Time: 2015-02-18 08:43:52
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-18 08:43:42
Schema Version: 0.551SDD
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)1E 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
15.5
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.
CF211-MCH-20-H & CBR -MCH -20-1-1 — 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 & 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: P
-Duct systems registered with HERS provider as previously sealed are:exempf from.`MCH-20 Duct Leakage Testing requirements
-Heating-only systems and Air Handler/Furnace-changes do not regwre verification of Air Flow MCH=23 or.Refrigerant Charge MECH-25:
-Existing duct systems constructed, insulated or"ealed with.astiestos are.ekempt from MCH720 Duct Leakage Testing requirements. .
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(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)1C)
This section does not apply to this project.
Registration Number: 215-A0046597A-000000000-0000
Registration Date/Time
2015-02-18 08:43:52
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-18 08:43:42
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-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 thistertificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: p
9mWvU
Votta, Paul
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-02-18 08:43:52
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. 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 specificatlons, 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 Californ!a.Cod e of Regulations.
4. The building design features or system design features identified on this.Certificate of Compliance are consistent with the,information `provided onother applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.'
5. 1 will ensure that a registered copy of this: Certificate of Compliance shall be rnade:available with the building permit(s) issued for::thebuilding and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Ceriificate of Compliance is required to be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Volta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-02-18 08:43:52
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0046597A-000000000-0000 Registration Date/Time: 2015-02-18 08:43:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-18 08:43:42
Schema Version: 0.551SDD
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 forBUILDING 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 forCHANGEOUT: $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
TOTALS:i 00
Description: HVAC CHANGE OUT 5 TON 15.5 SEER
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 2/19/2015 PJU
Approved:
Parcel No: 776011012 Site Address: 79120 FOX RUN LA QUINTA,CA 92253
Subdivision: TR 25429 Block: Lot: S9
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE 5 TON 15.5 SEER .78 AFUE PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION.
Printed: Thursday, February 19, 2015 3:14:29 PM 2 of 2 CRWrsrenu
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
Printed: Thursday, February 19, 2015 3:14:29 PM 2 of 2 CRWrsrenu
Bin.#
Qty' of La Qu%nta
Rudlding 8r 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:
O &)Owner's
Name:. i
A. P. Number.
Address: 1 ®(\
Legal Description:
City, ST, Zip: ' v,�\- s �—
Contractor:
Telephone: � ;., X
Address:-
Project Description:
City, ST, Zip:
TelephoneQ s, "z -t,5
State Lic. # : CityLic. #;
Arch., Engr., Designer.
�h I
2L.3292,
Address:
City., ST, Zip:
Telephone: v "�
State Lic. #: �; ,.sy" µ, <�c
Name of Contact Person:
Construction Type:. C Occu
Project type (circle one): New Add(n. Alter Repair Demo
Sq. Ft : # Stories: # Units: i
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
!1
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Wes.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2'a Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S -'M -L
H.O-A- Approval
Plans resubmitted
Grading
IN-HOUSE:-
'"` Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP-P-
Pub. Wks. Appr "
Date of permit issue
School Fees
16
Total Permit Fees