BMCH2017-0341C
J .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA.92253 DESIGN & DEVELOPMENT DEPARTMENT
X
BUILDING PERMIT
Application Number: BMCH2O17-0341
,Property Address: 78864 VIA CARMEL
APN: 646430022
Application Description: . CARLSON RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $15,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
AUG 07 2017
CITY OF LA QUINTA .
DESIGN AND DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
f INSPECTIONS (760) 777-7153
Date: 8/7/2017
Owner:
KELLY CARLSON
78864 VIA CARMEL
LA QUINTA, CA 92253
'Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
-
---------------=---------------- ------- -- ---------- -•--- - - - - - -
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: C20 License No.: 763937
CCom— �
-Daterf� •Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WEST Policy.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. f
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
Date:
l % _ Applicant:-,-
pplicant:,-permit
permitsubjects the applicant to a civil penalty of not more than five hundred dollars '
--
($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.
(_) I, 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.
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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:
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.
a
Date: '1% Signature (Applicant or Agent):��%
}
-TINANCIALINFORMATIC
' 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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANCEOUT: $228.00
DESCRIPTION:
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 , t
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
! $5.00
Total Paid for TECHNOLOGY ENHANCEMEIIT
FEE: $5.00
i
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Bin #.
Cjty, Of La Qillrltci .
Building 8r Safety Division
P.O. Box 1504,78-495 Caiie Tampico
La..Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 78864 Via Carmel
Owner's Name:. Kelly Carlson
A P. Number.
Address: 7,8864 Via Carmel
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contactor. Comfort Air
Telephone: 206-396-7272 sbr yam, .
Address: 72248 Northshore Street Suite 101
Project Description: Replace 4 ton / 70,000 BTU complete .
City, ST, Zip: Thousand Palms, CA 92276
HVAC system
Telephone: 760-320-5800
= ' ;R
Replace 3 ton / 50,000 BTU complete HVAC: system
State Lic. # : 763937
City Lir #,:
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone:
Construction Type: , Occupancy:
Project tYPa circle one)New Add'n Alter Repair Demo
State Lia #:
r% y
Name of Contact Person: Steven Schnierer
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of Project: $15,000..00..
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERIMT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit_ .
Trost Cates.
-Called Contact Person
Plan Check Balance.
r
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mecharilcal.
Grading plan
2'a Review, ready for corrections/issue
'
Electrical
Subcontactor List
Called Contact Person
Plumbing
..Grout Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
Total Permit Fees
t
P
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: KELLY CARLSON Date Prepared: 2017-08-04
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
KELLY CARLSON
02
Date Prepared
2017-08-04
.03
Project Location
78864 VIA CARMEL
04
Building Type
Single family
05.
CA City
La Quinta �-'fir]~`
06
Dwelling Unit Name
HOME
SC System .
SC System
CFA served
system a
refrigerant
:i:
Installing new SC
07
Zip Code
92253
08
Dwelling Unit Conditioned
2400
by this SC
ducted
' �' �»
system _
Floor Area (ftZ)
entirely new
entirely new
Name
i
Number of Space
system?
09
Climate Zone
,.:,
15 .: •�
10
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOME
" .
`V
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
i97= 1
01
02
03
04 %'
4. 05 :.
& ! 06 ;
07
08
09
10
Is the SC
�-'rkrT
Installing.a
'Ml' *.r 47i
�a5itK utast it'p.
SC System .
SC System
CFA served
system a
refrigerant
:i:
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 (ftZ)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM 2
WHOLE HOME
1200
Yes
'res
'res
Nu
NO
NO
Altered suace
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Di.ib)'
This section does not apply to this project.
Registration Number: 417-A020107719A-000-000-0000000-0000 Registration Date/Time: 2017-08-04 15:00:06
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:, 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-04 15:00:07
CERTIFICATE OF COMPLIANCE CF1R-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)
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
SYSTEM 1
furnace
heating
AFUE
0.8
cooling
SEER
16
Setback
section is not
section is not
components
AC
components
applicable
applicable
Central gas
All new
Central split '
"-AII new
t
This field or
This field or
SYSTEM 2
furnace
heating
AFUE
0.8
i ��t f
'cooling
components
SEER
16
Setback
section is not
section is not
components
)�.AC
."
:....
applicable
applicable
Repuired Documentation: X-�JULJI'
g
CF2R-MCH-01-E - Space. Conditioning Systems 4 ,OCR
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: 1161tZ`140 1=2:and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling components are in'stalle_d inducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions: i
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testi`ng.requirements. SS
Nt
Heating -only systems and Air Handler Furnace. changes do not require verificatio of Air Flow MCH 23Tor Refrigerant Cha ge IV16H-35.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20,Duct Leakage Testing "requirements.
• ,...=asr 7'tt_fk'i:oi7F`3� ,,�twr'Xin;;;F� "V?IlLr# :i 3'iI.'�:C':'L�
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Comploto Roplacomont Spaco Conditioning Syctem (Section 150.2(b)1C)
This section does not apply to this project.
r
Registration Number: 417-A020107719A-000-000-0000000-0000
CA Building Energy Efficiency Standards -2016 Residential Compliance
Registration Date/Time: 2017-08-04 15:00:06
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-04 15:00:07
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 this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:,
Documentation Author Signature:
Stephanie Shryock
stxphaYn Shryoc,
Company:
Signature Date:
Votta Enterprises, Inc. dba Comfort Air
2017-08-04
Address:
CEA/HERS Certification Identification (if applicable):
72248 Northshore Street #101
,.
City/State/Zip: 4
Phone:
Thousand Palms CA 92276
.
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 responsibiliEynfor 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 me nufactured'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.
4. 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 focapprovalmith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the 1Fuilding=permit(s)'issued for the building, and made 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 documentation the builder provides'to the building owner at occupancy.
Responsible Designer Name:
ti3YYs_.-i>1k.P'ic,Steph
zResponsible„Designer Signature:
#a."ue�Sjuj%ock,Cahotiv�ed,)
Tracy Garza
Company:
Date Signed:
Votta Enterprises, Inc. dba Comfort Air
_
2017-08-04
Address:
License:
72248 Northshore Street #101-
763937.
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-320-5800
Digitally signed by CHEERS'”. 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: 417-A020307719A-000-000-0000000-0000 Registration'Date/Time: 2017-08-04 15:00:06
CA Building Energy Efficiency Standards 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-04 15:00:07
r;.