BMCH2016-022078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0220
Property Address: 48180 VIA SOLANA
APN: 646380056
Application Description: ROGENES RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $26,700.00
Applicant:
IE INC
31225 LA BAYA .
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 763937
Date: l : - 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 Address:
VOICE (760) 777-7125
^FAX (760) 777-7011
T10 S (760) 777-7153
7/2016
Owner:
RAND ROGENES
20735 VIA MARISA
YORBA LINDA, CA 92
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.
�S 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 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.
Date: (v (� 1(. 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
followingissuance 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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
r - a
11 (� l'Signature (Applicant or Agent): ��-�--
♦ NANCIAL'I
DESCRIPTION f
", ACCOUNTS QTY
° AINIOUNT=
PAID
'PAID DATE`
4
O.:
_ a
BSAS SB1473 FEE
101-0000-20306 0
$2.00.
$0.00
PAIDZY
METHOD # R , 'y
RECEIPT
a2 CHECK #,� ; #
CLTD Bl(�'
��.w�.. i
�x ...
cu.r.
_
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
`DESCRIPTION rr'
ACCOUNT
AMOUNT
�¢ PAID�txi '
DATE'
u�..
y
sQTY
„
(PAID
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
W
PAID. BY
S�i ? �.. t..
METHOD
i}r .. F A . `p ?
3RECEIPT #
- $
#
GLTD BY
u t^_ y A
$.
:CHECK
>
bk m `ftp �r .��r
DESCRIPTION,
ACCOUNTS
QTY
AMOUNT_�d,
.;PAID ��s-^..�
`PAID DE1TE'
�.�- .,_�<♦� ^,
k A .
=� .� t- .
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
°� BYE'METHOO,$♦
`
$ 'CLTD
gPAlO
P { -a: aS.. t t. Ch
..*.+ a.nF .t'4�'s ., P.A4 fi.. ✓` 3 F:..
'RECEIPT#�4a
3 > A r :.pg . ,-r,
CHECK#
'"^' ar 's"4x
,. Yr
Total Paid for CHANGEOUT: $217.56 - $0.00
DESCRIPTIONS
ACCOUNT £ ' '
QTY9dAMOUNT;
€
4 PAID
PAID DA7Et
,x
,'::
ry *s�
PERMIT ISSUANCE.
101-0000-42404
"0
$91.85
$0.00
BY c
f METHOD
fz" F2ECEIPT #
CHECK #
CLTO BY
:.
��:. 2 :'.:� F���w::vi •*: _ "3.Aa.u.��"X
5$;
�}♦'.,, 1�ti •.fx-A�'4:t':&%xj
$ 6
:4
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:��
i
a
Y
Description: ROGENES RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/17/2016 MFA
Approved: 6/17/2016 MFA
Parcel No: 646380056 Site.Address: 48180 VIA SOLANA LA QUINTA,CA 92253
Subdivision: TR 27840 Block: Lot: 87
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,700.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: TWO HVAC CHANGE OUTS - 25 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION. ACCOUNT QTY AMOUNT PAID PAID DATE:. 4CHECK # METHOD PAID:BV
BY
BSAS S81473 FEE 101-0000-20306 0 $2.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52-
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOLIT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
INSPECTIONS
RETURNED ° :-• STATUS REMARKS
REVIEW TYPE I REVIEWER SENT DATI: I OUEDATE I DATE.. I I I NOTES1
BOND INFORMATION
Printed: Friday, June 17, 2016 3:39:33 PM 2 of 2 ,
SY57, M 5
B» #City
Permit #
Project Address: c� �1.ps V iN
of La Quin to .
Building 8i: Safety Division
78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
O �. d
S wner's Name:
O, QY7 •C
A. P. Number.
Address: y 1 gv V; r_ So,a
Legal Description:
City, ST, Zip: L Qv Y�F CA, q zzS3
Contractor:
�m
Tele -_
P hone: -714 -.
Address: L� gO3 E Sir
�t:S
Project Description:
City, ST, Zip:pzs
CA gZZ(oq
l<e e_ oa7\.) HVAc-
T ele h ne•
P o � O 3
fo $ .
20-S Oo
.
S .
State Lic. # : -7(o_39.'_377
City Lie. #.:
c.cr✓t: -70 k4 �'C V V A. C
Arch., Engr., Designer:
.
i ets�
Address:
City., ST, Zip:
h
Telephone:
one:
Construction truct Y n T e•
o ane
Occupancy:
P Y:
State Lie. #
Project type Y ircle one): New
Add'n Alter Repair Demo
Name of Contact Person:.�-�-
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: $ lg-%35- 8 -7(o
T Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes. .
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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 I
IN ROUSE:-
14 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,
F
'
Total -Permit Fees
r�.
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 1 of 3 )
Project Name: RAND ROGNER Date Prepared: 2016-06-10
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
RAND ROGNER
02
Date Prepared
2016-06-10
03
Project Location
48180 VIA SOLANA
04
Building Type
Single family
05
CA City
La Quinta "
06
Dwelling Unit Name
RAND ROGNER
V.
r
Dwelling Unit Conditioned
Installing a
07
Zip Code
92253
08
Floor Area (ft2)
2235
SCS stem
y f
CFA served
f,
.g .
rein BrantInstallin
Number of space conditioning
In'stallin
g
09
Climate Zone
15.`
10
(SC) systems in this dwelling
2
ducted
containing
system
more than 40
unit.
entirely new
is
B. Space Conditioning (SC) System'Informatron :,µ
01
02
04a05w
10 6a.
07
08 It'
09
10
c.03
V.
r
1P FIs the SC
Installing a
SC•S stem
y
SCS stem
y f
CFA served
� stem a
.g .
rein BrantInstallin
� g
newSC
In'stallin
g
Instalhn g
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
System 1
Location 1
1117
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1117
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this'project.
Registration Number: 216-A0216833A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-06-10 17:29:46
Report Version: 2013 Rev. 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-06-10 17:29:38
CERTIFICATE OF COMPLIANCE CF1R-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
System 1
furnace
heating
AFUE
90
cooling
SEER
25
Setback
section is not
section is not
components
AC
components
applicable
applicable
Central gas
All new
k
Central split
All new
This field or
This field or
System 2
furnace
heating
rAFUE
:
70
AC
cooling
SEER
25
Setback
section is not
section is not'
components
h""
components
applicable
applicable
Reauired Documentation:)_y
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:. R6: `' ! ' ' , • - ,_ �..
CF2R-MCH-20-H & CF3R-MCH-20-H — 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 e'f igerant containingWffiponehts are mssti ed or aal ere (applicable In M78-15).W-1
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton•requlred.when mc" -H25 is requ ed�
Exceptions: r,.-`05 P
CIO
Duct systems registered with HERS provider as previously'sealedaseexempt from MGH,20 Duct Leak ." .
ageTe4 sting requirements
Heating -only systems and Air Handler/Furnace changes do not re'qullre;yerificationo f fir Flow MCH 23, or Refrigerant Charge MECH 25. .
x- ..
Existing duct systems constructed, insulated or;sealed with asbestos are exempt from MCH 20 Due kLeeakage esting regwrements
_MW -
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 Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0216833A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-06-10 17:29:46
Report Version: 2013 Rev 1.007
Schema Version: b.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-06-10 17:29:38
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Condition i ng'Syste ins (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: /� n y
ffa
Votta, Paul
(f. `�(/
Company:
Signature Date:
VOTTA ENTERPRISES INC
2016-06-1.0 17:29:46 t
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 Certificat of Compliance is true and correct.
2. 1 am eligible under Division 3'ofth_e Buslness'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 specifications, materials,~components, and manufactured devices for the buildingesign..,or.system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and PartY6 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 appllcableTcompliance documents, worksheets,
calculations, plans and specifications submitted'to the enforcement:agency for:approval�with�this buildiniisg permit application.
6 CoA'ot
S. I will ensure that a registered copyof�this-Certificate of Compliance shalF tie°rriacJe'available wifhthe buffdirig'pecmit(s)iissued for(the bdildmg, anclmade available toatheenforcement agency for all applicable
inspections. I understand that a registered copy of thistertificate of Compliance is requ red to beyinduded with th edocumentation�heJbuilder p ov des to the building owner at occupancy.
Responsible Designer'Name: - z A
Responsible Designer Signature: V t" "'Z (- y
—v
Votta, Paul
v
Company:
Date Signed:.
VOTTA ENTERPRISES INC
2016-0640 17:29:46
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: 216-A0216833A-000000000-0000 Registration Date/Time: 2016-06-10 17:29:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-10 17:29:38
Schema. Version: 0.555SDD