BMCH2016-005978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t�p 4 4v Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0059
Property Address:
50365 GRAND TRAVERSE AVE AVE
APN:
770050026
Application Description:
RODGER LANTZ / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$14,550.00
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 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: 3 21 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 ) 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 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
11111111111111111111
66
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/21/2016
(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 o 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:— 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: A 2-11 1 to 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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
1
Date: 21 (d Signature•(Applicant or Agent):
Owner:
RODGER LANTZ
92253
Y r@,
� .
Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE�'101
THOUSAND PALMS, CA 92276'g
(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 o 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:— 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: A 2-11 1 to 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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
1
Date: 21 (d Signature•(Applicant or Agent):
FINANCIAL •1•
DESCRIPTION ACCOUNT .. QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
PAID BY METHOD '
RECEIPT #
CHECK # :.
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
i AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # .
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
: PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD .
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
A00OUNT . _
%CI Y
AMOUNT
PAID
PAID DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• i0
Description: RODGER LANTZ / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/21/2016 RSE
Approved: 3/21/2016 RSE
Parcel No: 770050626 Site Address: 50365 GRAND TRAVERSE AVE AVE LA QUINTA,CA 92253
Subdivision: TR 25389-1 Block: Lot: 25
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $14,550.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
IE INC
Details: HVAC CHANGE OUT-16:5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Monday, March 21, 2016 9:04:04 AM 1 of 2 C
SYSTEMS
NAME TYPE
NAME
ADDRESSI
CONDITIONS
CONTACTS
CITY
STATE ZIP PHONE FAX _ EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
VOTTA ENTERPRISES INC DBA
COMFORT AIR
72248 NORTHSHORE ST
STE 101
THOUSAND
PALMS
CA
92276
OWNER-
RODGER LANTZ
92253
FINANCIAL INFORMATION
Printed: Monday, March 21, 2016 9:04:04 AM 1 of 2 C
SYSTEMS
INSPECTIONS
Printed: Monday, March 21, 2016 9:04:04 AM 2 of 2 C
SYSTEMS
,i
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY '
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
i 00
INSPECTIONS
Printed: Monday, March 21, 2016 9:04:04 AM 2 of 2 C
SYSTEMS
,i
ern.#
Qt}r. of . a Qu%nta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quhlta, CA 92253 - (760) 777-7012
Building Penmit Application and Tracking Sheet
Permit #
g MCH.2' a-00
Project Address: 50365 Grand Traverse
Owner's Name:. Rodger Lantz
A. P. Number.
Address: 50365 Grand Traverse
Legal Description:
City, ST, Zip: La Quinta, CA :92253
Contractor: ComfortAir
ply
Telephone: 626278-3539 frtsi s"ti
Address: 4803 E Sunny Dunes Road.
Project Description: Replace 5ton A/C, Coil, & 90,000 BTU
City, ST, Zip: Palm Springs, CA 92264
Furnace
Telephone: 760-320-1115
;:,y`r,11 WE
State Lie. # : 763937
City Lie. !-
Arch, Engr., Designer.
Address:
City, ST, Zip:
Telephone: `�4 ,.
p .,,
r
State Lia #:- ' ,.
.. ^;,:�.;�j�»,;;�
Construction Type: . Occupancy: .
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories: #Units:
Name of Contact Person: StevenSchnierer
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project: $14,550,00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal
Req'd
'Reed
TRACENG
PERMIT FEES
P140 Sets
Pian Check submitted
Item Amonat
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Titre 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for correctim tissue
Electrical
Subco■tactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
LI.O A Approval
Plans resubmitted
Grading -
IN HOUSE:-
''d Review; ready for correctionslssue
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
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
RODGER LANTZ I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-03-18
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 MR -ALT --02 document for each dwelling unit.
01
Project Name
RODGER LANTZ
02
Date Prepared
2016-03-18
03
Project Location
50365 Grand Traverse
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RODGER LANTZ'
07
Zip Code
92253
08
Dwelling Unit Conditioned
2015
Floor Area (ft2)
SC System
CFA served
t
',system a
i
— �»
Installing2new,SC
Number of space conditioning
�
Installing=
09
Climate Zone
15 't.
30
(SC) systems in this dwelling
1
containing *
system
than 4
ent ely new
unit.
B. Space Conditioning (SC) System Information n ff::3 rn
•
01
02
,, 03
04k�'
I" kk
"6J
07
68 1
09
10
,f ,05 !
t
!
•-
`� FIs the SC"'""'
tln"stalling a
SC System
SC System
CFA served
t
',system a
0. , t
refrigerant
— �»
Installing2new,SC
� �r
Installing
more
�
Installing=
Installing
Identification or
Location or Area
by this SC
`ducted
containing *
system
than 4
ent ely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2015
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0104648A-000000000-0000
Registration Date/Time: 2016-03-18 08:20:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-18 08:20:34
Schema Version: 0.555SDD
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
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
25
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -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: 5 15%, or15 30% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from fMCH-20 Duct Leakage Testing requirements.,,,_ t,
Heating Air Handler/Furnace do Air Flow MCH -23, RefngerantCharge MECH-25 i
-only systems and changes not require verification of or
'Leakage
P
Existing duct systems constructed, insulated or sealed with asbestos are exempt:from MCH 20 Duc Testing requiieinents.
5-
`a. } 'v... -.-.i -.+.:,.rw+r w� '...,.e,,,,,,.r :�...- -,•ar w.. �.r w.+c '..-........' i toss a,e ka w+..-.�.+�
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.
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0104648A-000000000-0000 Registration Date/Time: 2016-03-18 08:20:19, HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-18 08:20:34
Schema Version: 0.555SDD
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: n
Jacoby, Ian
Jan dacob� fr
Company:
Signature Date:
i PERMIT E RATERS
2016-03-18 08:20:19
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
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificatelof Compliance is true and correct.
2. 1 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 bwlding,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 ofR egulat ons"
4. The building design features or system design features identified on this Certificate Compliance are consisteniwith the mformati'on-provided on otherapplicatilecompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval wftli this building permit application. tF[
� 4 f.. i
. \ 7 i.. ... � � b i . s E M t r„*. -t .aL
S. I will ensure that a registered copy of this Certificate of,Compliance shallbe;made available with the tiu)Idfpgpermit(s);issued for the;building, and.made available to the,ehforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance -is required to.be,iincluded with the..d<cumiientation_the,b6ilder proor e building owner at occupancy.
Responsible Designer Name: '
ResPonsbe Designer Signature: V I nom%` �L— V A
Jacoby, Iancyan
�acobJr
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-03-18 08:20:19
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
760-320-5800
Digitally signed by CalCERTS. 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-A0304648A-000000000-0000 Registration Date/Time: 2016-03-18 08:20:19 HERS Provider: CaICERTS
CA Building Energy. Efficiency Standards - 2013 Residential Compliance . Report Version: 2013 Rev 1.007 Report Generated: 2016-03-18 08:20:34
Schema Version: 0.555SDD