BMCH2017-020978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
C&e�p ot 4 a"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING - MIT
BMCH2O17-0209
78520 VIA MELODIA
646290026
TUFO RESIDENCE /HVAC CHANGE 0^ �ON �!6�
$7,500.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
�C\��y�?
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: License No.: 763937
Co ,ac -tor.
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 Divi --.ion
3 of the Business and Professions Code) or that he or she is exempt therefrom anc the
basis for the alleged exemption. Any violation of Section 70.31.5 by any applicant aord
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 sa le.
(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 :hat
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contras -ors
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 pursuanl 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 agent' for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/2/2017
Owner:
JAMES TUFO
78520 VIA MELODIA
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
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.
—_Z 1 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: INSURANCE COMPANY OF THE WEST. Policy Number: WSDS034539
' 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 provisions.
1 T� Applicant: JuM r�
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 aboveinformation 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.
c
D Si _at pliean or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT -.SPLIT-SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total.Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Bin. #
Qt�r�f iLd Q uin
Bididing & Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Qutnta, CA 92253 -:(760) 777-7012
` Building Permit Application and Tracking Sheet
Permit #
Project Address: 78520 Via Melodia
Owner's Name: James Tufo
A. P. Number.
Address: 78520 Via Melodia
Legal Description:
Contractor. Comfort Air
City, ST, Zip: La Quinta, CA' 92253'
'I'eiephone:I60-899-0232
Address: 72248 Northshore Street Suite 101,
Project Description:
City, ST, Zip: Thousand Palms, CA, 92276
Replace 3 ton / 50,000 BTU complete HVAC system '
Telephone: 760-320-5800I-
_ f'
:•� . Q:. ARM
State Lic. #: 763937
City Lic. M.
Arch, Engr., Designer. ,
Address:
City, ST. Zip:
Telephone: P
State Lia #: fj';' ;
Construction Type: - Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft : # Stories: #Units:
Name of Contact Person: Steven SchniererSq.
Telephone # of Contact Person: 818-735-7876.
Estimated Value of project: $7,500.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
ItemAmount
Structural CRlcs.
Reviewed, ready for cori•ecdous
Plan Check Deposit. .
Truss Coles.
Called Contact Person
Piaa Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted,'.
Mecharilcal
Grading plan
2" Review, ready for correctionsti sue
Electrical -
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'id Review; ready for correcdo'nsfissne
Developer Impact Fee
Planning Approval
Called Contact Person
A LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT=02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: JAMES TUFO Date Prepared: 2017-06-01
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit. .
01
Project Name
JAMES TUFO
02
Date Prepared
2017-06-01 .
.03
Project Location
78520 VIA MELODIA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JAMES TUFO
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
Dwelling Unit Conditioned
refrigerant
containing
component?
07
Zip Code
92253
r3 .
08
2 "
Floor Area (ft)
2222
Location 1
2222
04- A
Yes
Number of Space
No
09
Climate Zone
15;7
�• � ����
10
Conditioning ($C) Systems in
1
this Dwelling Unit:
•
B. Space Conditioning (SC) System Informationh in
VA�
u—
Ol
02 g
]
03'
''
04
:a'�'_ k.
05.
:%9X+a• N�k, u
06
� t Nb`+VRa .Sa
07 :
`�' is 1R"
08
P0. Nom`
09
ice.
10
FIs the SCS
1 sn Lalli gra :«M
SC System
Identification or
Name
SC System
Location or Area
Served
CFA served
by this SC
System (ft2)
system a
ducted
system?
refrigerant
containing
component?
Installing new SC .
system
components?
..:..
Installing
more than 40
feet of ducts?
Installing
entirely new
duct system?
Installing
entirely new
SC system?
1 Alteration Type .
System 1
Location 1
2222
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System; Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 217-AO20183603A=000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-01 09:40:33
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-03 09:40:43
CERTIFICATE OF COMPLIANCE CF111-ALT-024-
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
System 1
furnace
heating
AFUE
80
AC
cooling
'SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems !
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H: Duct Leakage Test required wheh.keating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= SO% leakage to o'utsidej,or'seal all accessible leaks.
CF2R"and MR -MCH -25-11 Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable In CZ 2, 8-15).
CF211 and CF311-MCH-23 Airflow Rate >-3130 CFM per ton ,iegwred'when MCH -25 is required.
Exceptions:
—Duct systems registered with HERS provider as previously sealed are.exempt from MCH; 20 Duct Leakage Testing requirements., ...
Heating -only systems and Air Handler Furnace changes do not require verification of Flow MCH23Ref�igeran"t Chang fvlC 25 '
l ; it
' &s ,
-Existing duct systems constructed, insulated or sealed with asbestoswe exempt1from MCH=20,Du . Leakage TestiMziequirhements.
'S Ai % Irl Jt _ _. I i Ili t, t' . �f' F I � t 11 .. .. .
�. :.ter + s
E. Entirely New or Complete Replacement Duct System, with or withoutrEquipment Changeout,(Sections 1 0.2(b)1Dna.ancl 150.2(b)U, 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: 217-A020183603A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-01 09:40:33
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-03 09:40:43
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: /'
Jacoby, Ian
Jan dacobJr.
Company:
Signature Date:
i PERMIT E RATERS
2017-06-01 09:40:33
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Responsible Person's Declaration statement
(.certify the following under penalty of perjury, under the Uws'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 Business and Professions Code to•accept respor sibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications materials;ftomponents, 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 Regulat ons. As
jo 1,fir..
4. The building design features or system.design features;dentified ori'this Certificate>of Comjiliance are consistent with' -the iriformation�provided onothers ppiicable=compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for.approv livAh this building permit application.
5. I will ensure that a registered copy of=this Certificate�of�Co�mpliance shalllbi �hi4 e avaQatile With the bulltlingipgrmit(s) issued for the bmldi g and made available to ttie enforcement agency for all applicable
inspections. I understand that a registered copy A this Cert fcate of Complliance�i to beaincluded with the docume ntation the builder provides to the building owner at occupancy. .
.required 59�-
Respo Bible Designer Name: " �
Responsible Designer Signature: V S �
J
Jacoby,Ian
n �acO Nr
Company:
Date Signed:
i PEAMIT. E RATERS
201.7-06-01 09:40:33
Address:
License:
31225 La Baya Drive #213.
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Easy to Verify 0� .... ❑.
at CaICERTS.com ;
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.
O
Registration Number: 217-A020183603A-000-000-0000000-0000 Registration Date/Time: 2017-06-01 09:40:33 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-01 09:40:43
Schema Version: rev 10/16