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BMCH2015-037178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �x4.fwQ,�;,�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Applicant: VOTTA ENTERPRISES INC DBA COMFORT AIR 4803E SUNNY DUNES ROAD PALM SPRINGS, CA 92264 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 f rce and effect. License Class: 0 icense No.: 763937 Date:- 9 Contractor: 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 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 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 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 .): Lender's Name: Lender's Owner: DAVID TRIMBLE 47850 VIA 1ARD LA QUINTA, CA! Contractor: VOICE (760) 777-7125 FAX (760) 77777011 INSPECTIONS (760) 777-7153 Date: 9/29/2015 PU ?5' U SEP 20 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT'i VOTTA ENTERPRISES INC DBA COMFORT AIR 4803 E SUNNY DUNES ROAD PALM SPRINGS, CA 92264 (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 �Ofthe rk r which this permit is issued. have and will maintain workers' compensation insurance, as required by on 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 of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ovisio Date:. Applicant'# WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 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 hereb uthorize representatives of this city to enter upon the above-mentio .ed pro ert or inspection purposes. D`at Signature -(-Applicant or Agent): Application Number BMCH2O15-0371 Property Address: 47850 VIA JARDIN .APN: 643130044 Application Description: TRIMBLE RESIDENCE/ HVAC CHANGE OUT Property Zoning: Application Valuation: $34,505.00 Applicant: VOTTA ENTERPRISES INC DBA COMFORT AIR 4803E SUNNY DUNES ROAD PALM SPRINGS, CA 92264 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 f rce and effect. License Class: 0 icense No.: 763937 Date:- 9 Contractor: 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 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 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 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 .): Lender's Name: Lender's Owner: DAVID TRIMBLE 47850 VIA 1ARD LA QUINTA, CA! Contractor: VOICE (760) 777-7125 FAX (760) 77777011 INSPECTIONS (760) 777-7153 Date: 9/29/2015 PU ?5' U SEP 20 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT'i VOTTA ENTERPRISES INC DBA COMFORT AIR 4803 E SUNNY DUNES ROAD PALM SPRINGS, CA 92264 (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 �Ofthe rk r which this permit is issued. have and will maintain workers' compensation insurance, as required by on 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 of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ovisio Date:. Applicant'# WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 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 hereb uthorize representatives of this city to enter upon the above-mentio .ed pro ert or inspection purposes. D`at Signature -(-Applicant or Agent): FINANCIALINFORMATION: M `{"DESCRIPTIONS` 4',ACCOUNT #' " G `AMOUNTr`'g PAID .QTY , g ,PAID.DATE; .,"'. ,.. „`�;- d{. ,....3•si .3„ ;z,,.. C -d ..,e,'.ck.,,a„. s �4 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 9/29/15 � . -^d 1- ..4 ^',.=' `k i CR ih'- •Y 4 W . .. PAID.:>BY` z METHODx'`a `>. CHECK # +A&CLTD � ... �6. � , �•» BYp n*�". i :'. ..t <RECEIPT,# �.�#a E; VOTTA ENTERPRISES INC DBA COMF CHECK R9564 2147 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00 yes. :� DESCRIPTIONt�Y $ - ,� a •r. xy ACCOUNT{ AMOUNT ,.k i PAID �p r, „QTY iPAIDrDATE;= HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $72.52 $72.52 9/29/15 x 3 z uPAIDBY a` ry ; §A' METHOD, "RECEIPT # CHECK #_� WI BY F L E'f �r y v:.4utHG < ... .. A��q .: ..,, dz..v..,,.-v-: :. ...v.eu.e. V i.^r tS. ::+[vSi .I "`• 3-. �' V VOTTA ENTERPRISES INC DBA COMF CHECK R9564 2147 MFA +.: DESCRIPTIOIV hY qx� ACCOUNT �`"• Q TYpfANIOUNT,'� ' PAIDa PAID DATE- .s' I`'� . ' -iw??, "�, u .: ..,. r.. .::'•Y�'. s- . ?:; sY iia:."-: k.cak ,.a . -t>w :a a.. '., ' ;±�:;_! # .. !-e ..., :, „�•&s.a ...Fa2 xI) ate. >.. HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $48.34 $48.34 9/29/15 Yyh �.�,L PAID:BY METHODS ..yy^ .. i'` .�.. ('• xY4 �• # ` - .a$ aE: CHECK #','a" ""CLTD .• p 5'�� gN.RECEIPT .. E. �.F? BYa' 1 VOTTA ENTERPRISES INC DBA COMF CHECK R9564 2147 MFA Total Paid for CHANGEOUT: $120.86 $120.86 DESCRIPTION r � E : g A000IlNT" AM.OUNV4, PAIDIx� PAIDeDATE , x g . PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 9/29/15 rf s PAID BY METHOD EC EIPT # BYk g o h s' r _ 3R -K,#, ,CLT VOTTA ENTERPRISES INC DBA COMF CHECK R9564 2147 MFA Total Paid for PERMIT ISSUANCE: $91:85 $91.85 TOTALS: • t r ' r , x S G`y0E7Y�'9 Description: TRIMBLE RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: ISSUED Applied: 9/29/2015 MFA Approved: 9/29/2015 MFA Parcel No: 643130044 Site Address: 47850 VIA JARDIN LA QUINTA,CA 92253 Subdivision: --- Block: Lot: 44 Issued: 9/29/2015 MFA . Lot Sq Ft: 0 , Building Sq Ft: 0 Zoning: Finaled: Valuation: $34,505.00 Occupancy Type: Construction Type:' Expired: 3/27/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 .,. Details: HVAC CHANGE OUT - 25 SEER / 0.78AFUE PACKAGED SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED ,PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, September 29, 2015 11:52:58 AM 1 of 2 CRW.IYSTEMS k , _' .:.... ..-fia-...y _,tom.... .__� ....!ti,� .. ...... ,,, ...., ..... FINANCIAL, INFORMATION ... .. _... .,. Printed: Tuesday, September 29, 2015 11:52:58 AM 1 of 2 CRW.IYSTEMS 774 BSAS SB1473 FEE 101-0000-20306 0 $2.00: $2.00 9/29/15 R95614 2147 CHECK VOTTA ENTERPRISES MFA INC DBA COMF Total Paid for BUILDING STANDARDS ADMINISTRATION PACKAGED UNIT INC DBA COMF HVACCHANGEOUT- 101-0000-42600 0 1$48.34 $48..34 9/29/1S . R9S64 2147 CHECK VOTTA ENTERPRISES MFA PACKAGED UNIT PC INC DBA COMF Total Paid for CHANGEOUT: $120.86 .$120.86 PERMIT ISSUANCE 101-0000-42404 $91.8s $91.85 9/29/1S R9564 2147 CHECK VOTTA ENTERPRISES MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $214.71 $214.71 PARENT ROJECTS Bln. • City Of La Qutnta Buiidfig ar Safety Dwon P.O. Box 1504,78-495 Carie Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet : Pemait # Project Address: ' (3� ,� Owner's Name:.J1 �l (� b A P. Number. Address: q;% 5b, J i q c, !`d % 'n Legal Description:City, ? ST, Zip. LQ Q U, 4 c. — IZ J Contractor �.. r+ Telephone: U — a ^ �� >• Address: L4 mS E. S u /i 5 YZ project Description: WOOG City, ST, Tap:al Yet r4011 -2-L,-.4- Telephone: -7cPu_3a�5--� 0-0t State Lia # : -7-(p�j �j� City Lie', Arch, EW., Designer. VL C� `O r �C . Address: City., ST, Zip: Telephone: Construction Type: , Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft,: L4# Stories: # Unitx Telephone # of Contact Person: -7 - Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Reed TRACENG Plan Check submitted PERMIT FEES Item Amount Strodural Cakes. Reviewed, ready for corrections Plan Check Deposit, . Truss Calcs. Called Contact Person Pian Check Balance Title 24 Colcs. Plans picked up Construction Flood plain plan Plans resubmitted •' , Mechartleal Grading plan Z'! Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up ML H.O.A. Approval Plans resubmitted Grading IN SOUSE:- ''" Review; ready for corrwdo*nvUme Devdoper Impact Fee Planning Approval Called Contact Person A.LP.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 4 ) Project Name: TRIMBLE, DAVID Date Prepared: 2015-09-28 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 CF1R-ALT 02 document for each dwelling unit. 01 Project Name TRIMBLE , DAVID 02 Date Prepared 2015-09-28 03 Project Location 47850 VIA JARDIN 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name TRIMBLE , DAVID 07 Zip Code 92253 08 Dwelling Unit Conditioned 2741 Installing rie=SC Installing Installing Installling Floor Area (ft2) Identification or Location or Area by this SC ducted co aining a Number of space conditioning more than 40 09 Climate Zone 15 '� 10 (SC) systems in this dwelling 2 system? component? components? feet of ducts? unit. SC system? ,, *. B. Space Conditioning (SC) System Information Ol 02- X03 *' 04 J 05 '06 t 07 09 10 the SC Installing a SC System SC System CFA served Nsystem ate' refrigerant t Installing rie=SC Installing Installing Installling Identification or Location or Area by this SC ducted co aining a system more than 40 en rely n entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Entirely new or 4 TON LENNOX XC Location 1 2741 Yes Yes Yes Yes Yes Yes complete 25 replacement space conditioning system Entirely new or 4 TON LENNOX XC Location 2 2741 Yes Yes Yes Yes Yes Yes complete 25 replacement space conditioning system Registration Number: 215-A6339596A-0000000001-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-09-28 12:14:01 Report Version: 2013-1.006 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-09-28 12:13:59 CERTIFICATE OF COMPLIANCE , CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4.) C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)lE and F) This section does not apply to this project. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) This section does not apply to this project. 11T0 Registration Number: 215-A6339596A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) 01 02 03 04 05 06 07 08 09 30 11 �.-- . i Heating Cooling err: System Heating Minimum Coolm Minimum Required W_ g . «t,. cad aE q q Identification or Heating System Altered Heating. Efficiency Efficiency Cooling,_, Altered Cooling-: Ef�ciency, Efficiency Thermostat New Duct Name Type �Component� , TypeValu SystempType Component ype Value Type R -Value 4 TON LENNOX XC Central gas 'All new heating z Central'lla ge a All new cooling t 1 SetbackTher 25 furnace components .AFUE 0.78 packaged AC components SEER 25 mostat R-8 4 TON LENNOX XC Central gas All new heating Central large All new cooling SetbackTher 25 furnace components AFUE 0.78 packaged AC components SEER 25 mostat R-8 Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. ; CF2R & CF3R-MCH-20-H Duct Leakage Verification required. - -Leakage rate compliance: 5 6%. y CF2R & CF3R-MCH-22 Fan Efficacy Verification CF2R & CF3R-MCH-23 System Air Flow Rate Verification -Compliance: Fan Efficacy15 0.58 W/cfm and System Airflow z 350 cfm/ton. - y - Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification. CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Exceptions: Heating only systems are exempt fr l Registration Date/Time: 2015-09-28 12:14:01 HERS Provider: CaICERTS Report Version: 2013-1.006 } Report Generated: 2015-09-28 12:13:59 Schema Version: 0.555SDD om the 0.58 W/cfm and 350 cfm/ton requirements. Registration Number: 215-A6339596A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) 01 02 03 04 05 06 07 08 09 30 11 �.-- . i Heating Cooling err: System Heating Minimum Coolm Minimum Required W_ g . «t,. cad aE q q Identification or Heating System Altered Heating. Efficiency Efficiency Cooling,_, Altered Cooling-: Ef�ciency, Efficiency Thermostat New Duct Name Type �Component� , TypeValu SystempType Component ype Value Type R -Value 4 TON LENNOX XC Central gas 'All new heating z Central'lla ge a All new cooling t 1 SetbackTher 25 furnace components .AFUE 0.78 packaged AC components SEER 25 mostat R-8 4 TON LENNOX XC Central gas All new heating Central large All new cooling SetbackTher 25 furnace components AFUE 0.78 packaged AC components SEER 25 mostat R-8 Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. ; CF2R & CF3R-MCH-20-H Duct Leakage Verification required. - -Leakage rate compliance: 5 6%. y CF2R & CF3R-MCH-22 Fan Efficacy Verification CF2R & CF3R-MCH-23 System Air Flow Rate Verification -Compliance: Fan Efficacy15 0.58 W/cfm and System Airflow z 350 cfm/ton. - y - Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification. CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Exceptions: Heating only systems are exempt fr l Registration Date/Time: 2015-09-28 12:14:01 HERS Provider: CaICERTS Report Version: 2013-1.006 } Report Generated: 2015-09-28 12:13:59 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 4 ) Note; An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage Registration Number: 215-A6339596A-000000000-0000 Registration Date/Time: 2015-09-28 12:14:01 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-28 12:13:59 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Dc-:-rmentatiQn A !thnr Namw: nnriimentatinn Atithnr SlgnatllrP: fS n �� Q /9 Volta, Paul Company: Signature Date: VOTTA ENTERPRISES INC 2015-09-28 12:14:01 Address: CEA/ HERS Certification Identification (if applicable): 4803 E SUNNY DUNES ROAD City/State/Zip: Phone: PALM SPRINGS CA 92264 A 1760-320-5800 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: r t 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3`of.tlie Business and Professions Code t-o.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 Pant 6 ofthe C�alifotra Code oR g Iatlons�` 4. The building design features or system design features identified on this Certificate of Compliance are consistent.wiWthe information,provided on otherapphcatile compliance documents, worksheets, calculations, plans and specifications submitted td the enforcement agency for'approval,with this building permit application. �a �r 'g.�. t k f a A0 �f- a t,b. , F A, 5. 1 will ensure that a registered copy of this Certificate�of Compliance shall be made available withhthe bwldirig,permit(s) issued for the building and made available to"the enforcement agency for all applicable inspections. I understand that a registered copy ofthis Certifcate of Compliance is.requk!r d to be -included with the doocumetentation.�the builder gcoyides to the building owner at occupancy, w;w ' Responsible Designer Name: p g 41 Responsible Designer Signature: V /�� ' � � PR& Votta, Paul ` Company: Date Signed: VOTTA ENTERPRISES INC 2015-09-28 12:14:01 Address: Ucense: 4803 E SUNNY DUNES ROAD 763937 City/State/Zip: Phone: PALM SPRINGS CA 92264 760-320-5800 Digitally signed by Ca/CERTS 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-A6339596A-000000000-0000 Registration Date/Time: 2015-09-28 12:14:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-28 12:13:59 Schema Version: 0.555SDD