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BMCH2017-026078-49S CALLE TAMP ICO D. VOICE (760) 7774125 FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/23/2017 Application Number: BMCH2O17-0260 Owner: Property Address: 78755 VILLETA DR JENNIFER PANNELL APN: 604153012 78755 VILLETA DR Application Description: PANNELL RESIDENCE / HVAC CHANGE 0 T <. LA QUINTA, CA 92253 Property Zoning: Application Valuation: $15,000.00 ✓vN Applicant: �FS'�G, C/ �� Q�jLZ��2 r ctor: 3122S LA BAYA IE INC�9�✓'0OS � 444C148 NORTHSHORE S STTE 10 V �A ENTERPRISES INC DBA OMfORT AIRWESTLAKE VILLAGE, CA X1362 ��/1USAND PALMS, CA 92276 Alto. LI (760)320-S800 ONo2763937 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 _Date. Z3 l� _T o ' 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 Name: - Lender's Address: 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: 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. Date: Z3 1 1"1 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15. 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. Date: 11 Signature (Applicant or Agent): =�' i r f Date: 6/23/2017, Application Number: BMCH2O17-0260 Owner: Property Address: 78755 VILLETA DR JENNIFER PANNELL . APN: 604153012 78755 VILLETA DR ' Application Description: PANNELL RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253 ! . Property Zoning: Application Valuation: $15,000.00 Applicant: i Contractor: IE INC VOTTA ENTERPRISES INC DBA COMFORT AIR 31225 LA BAYA 72248 NORTHSHORE ST STE 101 WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA92276 (760)320-5800 -- - - -- --------------------------------------- LIc..No.: 763937 i ------=-- --- Detail: HVAC CHANGE OUT - 16 5EER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. i DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306. 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION FINANCIAL INFORMATION' AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM .. 101-0000-42402 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 $76.00 DESCRIPTION ACCOUNT QTYI 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 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 r CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: JENNIFER PANNELL Date Prepared: 2017-06-23 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 JENNIFER PANNELL 02 Date Prepared 2017-06-23 03 : Project Location 78755 VILLETA DRIVE 04 Building Type Single family 05 CA City La Quinta q;06 Dwelling Unit Name . HOME 07 Zip Code 92253 $C System Dwelling Unit Conditioned 1600 system a refrigerant Installing new SC Installing !Floor Area (ftZ ). Installing - Identification or r by this SC Number of Space containing 09 Climate Zone 15 10j Conditioning (SC) Systems in this Dwelling Unit: 1 Served System (ft) system? component? components? feet of ducts? B. Space Conditioning.(SC) System Information ` I .01 02 03 64 I 05 1 06 07 08 09 10 CFA Is the SC. %jn t Installi ng a $C System SC System 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 WHOLE HOME 1600. Yes Yes Yes. No. No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)ADiib) This section does not apply to this project. Registration Number: 417-A020099563A-000-000-0000000-0000 Registration Date/Time: 2017-06-23 08:26:10 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Schema Version: rev 10/16 i HERS Provider: CHEERS Report Generated: 2017-06-23 08:26:10 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 AC cooling SEER 16 Setback section is not section is not components components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems for h new portions fsupply-air n return -air ducts or lenums:R6 ZF1�10'-13 a and RS CZ 11 and 14-16 Duct insulation requirement o t e a port o s o andp ( ) ( ) CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all accessible leaks. f 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..4. Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage"teJ's ting requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) ehstnesnapptTecod yohis-projct. F. Entirely New or Complete Replacement Space" Conditioning System (Section 150.2(b)IC) This section does not apply to this project. Registration Number: 417-A020099563A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-06-23 08:26:10 Report Version: 2016. 1.005 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-06-23 08:26:10 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 Stepha U&Shryor,k, Company: Signature Date: Votta Enterprises, Inc. dba Comfort Air 2017-06-23 Address: CEA/ HERS Certification Identification (if applicable):. 72248 Northshore Street #101 City/State/Zip: 92276 -]"760-0-5800 Pho32ne: Thousand Palms CA Responsible Person's Declaration statement �. I certify the following under penalty of perjury, under the laws of the State of California: ' �"" "`;i 1. The information provided on this Certificate of Compliance is true and correct. 2. f am eligible under Division 3 of the Business 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 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 specificatioris submitted to the enforcement aagency fo -appr ovallw ith tliis building permit app ication. 5. I will ensure that a registered copy of this Certificate of Compliance shall be!maiie available with the building permits) issued for the building, and made available to the enforcement agency for all applicable No 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. r Responsible Designer Name: r •Responsible r Et i'io Designer Signature: IgytavLir,lir Tracy Garza Sta SyQCk� Company: Date Signed: Votta Enterprises, Inc. dba Comfort Air 2017-06-23 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-A020099563A-000-000-0000000-0000 Registration Date/Time: 2017-06723 08:26:10 .CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-06-23 08:26:10 Bin # ' Qty ' of La Quints _ Building & Safety Division Permit # 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Project Address: 7 �'7e�5 v �� -� Owner's Name; A. P. Number: Address: Legal Description: City, ST, Zip: La. C�Y.,Nc,c,A c� Z Contractor: (1 m �t � t� n N Te '7 - le h -7 75 one: t? �i P Co 5 b � Address: Project Description: City_ ST, Zip: > 1rnS CQ _21:_7 'e c..LL-y}o�-1 770 000 Telephone: . -7b 7� 3 - bp } v - e State Lic. # : '7(e �ci City Lie. #.: Arch., Engr., Designer: Address: .City, ST, Zip: . Telephone: Con structi n Type: StateLic. # -ProJect 0 type (circle one • New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Storics: # Units: Telephone # of Contact Person:Estimated Value of Project t Oop o� APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check -Deposit. Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor Lis( Called Contact Person Plumbing Grant Deed Plans picked up S.M.L II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 3" 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, Total Permit Fees U