BMCH2017-0239_
78 495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0239
Property Address: 78860 VIA VENTANA
APN: 646320031
Application Description: CHRISTIANSON RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $15,500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
1
Owner:
CHARLES CHRISTIANSON
78860 VIA VENTANA
LA QUINTA, CA 92253
Date: 6/13/2017
Applicant: {f ISS QED Contractor:'
IE INC I ; ; 11\I VOTTA ENTERPRISES INC DBA COMFORT AIR
4.
31225 LA BAYA I ! 017 72248 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362 F A - " THOUSAND PALMS, CA 92276
CO MM UNITYDEVELOPMENTDEPART&jEIg
(760)320-5800
Llc. No.: 763937
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
1 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 y
Date: Contractor: Sv G
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.). . j
(_) 1, 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 Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 polity number are:
Carrier: INSURANCE COMPANY OF THE WEST . Policy Number: WSD5034539
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.
Da ti: ( 13 1") Applicant: JwKJiy a
• C
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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
i
Date: to _ r. -Signature (Applicant or Agent):? ���
Date: 6/13/2017
•
Application Number:
,BMCH2O17-0239 a
Owner:
Property Address:
78860 VIA VENTANA Y i
CHARLES CHRISTIANSON
APN:
646320031
98860 VIA VENTANA
Application Description:
CHRISTIANSON RESIDENCE / HVAC CHANGE OUT .
LA QUINTA, CA 92253
Property Zoning:
f .
Application Valuation:
$15,500.00. i
Applicant:
f
Contractor,
IE INC,
F
`
VOTTA ENTERPRISES INC DBA COMFORT AIR '
31225 LA,BAYAr'
� 72248 NORTHSHORE ST STE 101 .
'
'
WESTLAKE VILLAGE, CA�'91362 � - ,` + 4
THOUSAND PALMS, CA 92276
,
(760)320-5800 r ,
Llc. No.: 763937 '
Detail• HVAC CHANGE OUT - 25 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES: y " • ' .,.r
� -
tp-
�f
F ` a
FINANCIAL oRo
DESCRIPTION ACCOUNT . QTY AMOUNT
BSAS SB1473 FEE 101-0000-203060
$1.00
" Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
.. ACCOUNTQTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM `' , ,;
.1O1-0000-42402.
10
$76.00
DESCRIPTION {
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC.,
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION ,
ACCOUNT"
QTY
AMOUNT
PERMIT ISSUANCE ,
101`0000-42404
0
$96.21
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT . '
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611,
0
$5.00
Total.Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin. #
Qty of La Quinta
Building 8i Safety Division
P.O. Box 1504,78-495 Calle Tamptco
1:4.Qui`nta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet -
Permit #
ProjerAAddress: 78860 Via Ventana
Owner'sNarne:.Charles Christianson
A P. Number.
Address: 7-8860 Via Ventana
Legal Description:
1.
Contractor. Comfort Air
City, ST, Zip: La Quinta, CA.,92253
FS a?ag --Q.v;S?.
Telephone: 760-564-6279 'sz
Address: 72248 Northshore Street Suite 101
Project Description: Replace 3 ton A/C, coil, & 50,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
furnace
Telephone: 760-320-5800.
State Lie. # : 763937 Y Lie, #;.
Arch., Engr., Designer
Address:
City., ST, Zip:
`
Telephoner
State Licrr
#: . ,.�
Name ofContaatPerson: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
#Univ:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $15,500.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE "
#
Submittal
Req'd
Reed .
TRACE NG
PERM T FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Chcck Deposit_
Truss Calcs.
Called Contact Person'
Plan Check Balance.
Title 24 Cake.
Plans picked up
Construction'
Flood plain plan
Pians resubmitted...
mechanical
Grading plan
2,4 Review; ready for correctiousfissue
Electrical
SubcontaetorList
Contact Person
Plumbing
Grant Deed.
Plans picked up
S.M.I.
H.O.A. Approval.
Phos resubmitted
Grading
IPI HOUSE:-
'^' Review; ready for correctionsfissue
Dcvcloper Impact Fee
Planning Approval.
Called Contact Person
Ad P.P.
Pub. Wks. Appr '
Date of perm lt 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: y . CHARLES CHRISTIANSON Date Prepared: 2017-06-09
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
CHARLES CHRISTIANSON
02
Date Prepared
2017-06-09 -
03
Project Location
78860 VIA VENTANA
04
Building Type
Single family
05
CA City -
La Quinta
06
Dwelling Unit Name
CHARLES CHRISTIANSON'
.
SC System
Dwelling.Unit Conditioned
CFA'served
07
Zip Code
92253
08
Floor Area (ft2) -
2300'
Identification or
Location or.Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
um er o .pace
Number fS
'
09
Climate Zone'.
10
Conditioning (SC) Systems in
1
duct system?
'SC system?
xs-: °
System 1
this Dwelling Unit:
2300.
B. Space Conditioning (SC) System Information'
01'
02 �;
b.
x" . 03
-,_R*'
04
05
07
:'.` -aV.
x,08 :
4t' x'K
09
10
71
s the SC
I staling'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 (ft)
system?
component?
components?
feet of ducts?
duct system?
'SC system?
Alteration Type
System 1
Location 1
2300.
Yes
Yes
Yes
No
No:
No
Altered space
conditioning system
Registration Number: 217-A020195725A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 16:18:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance - Report Version: 2016.1.005 Report Generated: 201.7-06-09 16:18:33
Schema Version: rev 10/16
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
0S
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
25
Setback'
section is not
-section is not:
components.
components
applicable
applicable
Reauired 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)
CUR and CF3R-MCH-20-H - Duct Leakage Test required when treating or cooling components are Installed in ducted 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:requi eQ when MCH -25 is required.
Duct systems registered with HERS provider as -previously sealed are exempt`from MCH -20 Duct Leakage Testing requirements..re,
Heating -only systems and Air Handler Furnace changes do not require verification of A Flow MCH423 orRefrlgerant Charges eCH
-Existing duct systems constructed, insulated or sealed with,ast st'o are exempt from MCH Z Ductile kage Test g requlPe e s
.. WW- .r
1,
i
Registration Number: 217-A020195725A-000-000-0000000-0000 Registration Date/Time:. 2017-06-09-16:18:04' HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance . Report Version: 2016.1.005 Report Generated: 2017-06-09 16:18:33 '
Schema Versionrrev 10/16
a ..
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
cyan dacobJr
Company:
Signature Date:
i PERMIT E RATERS
2017-06-09 16:18:04
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 statements -
I certify the following under penalty of perjury, under the;la`wsiif the State of California: ^
f
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:responslbility.for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, mateea s co6mp dents, and manufactured devices for.the building design.o�r 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 Certiflca a of Compliance are consistent,witWthe informati`on;provided on-oother< iicatile�mpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvahlwith this buildl g ermit epplicationt
5. 1 will ensure that a registered copy of -this Certificat of,compliance shall be made available with the b•ullding permit(s)3issued for the�building and mane avai)able to�ttie enforcement agency for all applicable
inspections. I understand.that a registered copy of thisF&*llcate of Compliance;is_requ��re�d to be�included with ttie documentation the builder provides to „the building owner at occupancy.
Responsible Designer Name: w„ 4A. �
Responsible Des'ig'ner SlgnatUre: n /� 4 -
Jacoby, Ian
c an �acob,
Company:
Date Signed:,
i PERMIT E RATERS
2017-06-0916:18:04
Address:
License:
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
8A-735-7876.
Easy to Verify �.
at CaICERTS.com
Digitally signed b Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility f
9 Y 9 Y 9 9 P 9 Y P 9 P Y
the accuracy of the inform
Y LJ
Registration Number: 217-A020195725A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-09 16:18:04 .
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-09 16:18:33