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BMCH2016-007078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNI "DEVEL•? --DEP-Aft— ly, ILD I�_ PERMIT .-, ED Application Number: BMCH2O16-0070 LLJJ LL//Z11 Property Address: 79190 LAURIE CT CT M1AI` � © ? APN: 604343006 Application Description: JENNIFER SYSK / HVAC REPLACEM T CITYOFLAQUINTA Property zoning: COMM II. DEVELOPMENT DEPARTMENT Application Valuation: $13,500.00 -----.---•— 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 611u, 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).: U 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 11, 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 workfor which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: 76 VOICE (760) 777-7125 FAX(760)77 7-7011 INSPECTIONS (760) 777-7153 Date: 3/30/2016 JNIFER ZYSK 190 LOURIE COURT 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 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: Policy Number: _ 1 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. I i /1 Date: 3I�OIl 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. Date: .3) to 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 AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT .# CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for MECHANICAL: $77.35 $0.00 DESCRIPTION ACCOUNT QTY 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 • 1 00 _ Permit Details PERMIT NUMBER >r , 7v#:�v- City of La Quinta BMCH2O16.0070 Description: JENNIFER SYSK / HVAC REPLACEMENT CONDITIONS NAME TYPE Type: MECHANICAL Subtype: Status: APPROVED Applied: 3/30/2016 RSE Approved: 3/30/2016 RSE Parcel No: 604343006 Site Address: 79190 LAURIE CT CT LA QUINTA,CA 92253 Subdivision: TR 25363-1 Block: Lot: 25 Issued: Lot Sq Ft:.O Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 91362 Details: CONTRACTOR CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE . FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (760)610-5626 CONTRACTOR VOTTA ENTERPRISES INC DBA COMFORT AIR 72248 NORTHSHORE.ST STE 101 THOUSAND PALMS CA 92276 (760)610-5626 OWNER JENNIFER ZYSK 79190 LOURIE COURT LA QUINTA CA 92253 (760)610-5626 Printed: Wednesday, March 30, 2016 8:37:38 AM 1 of 2 syST[MS INSPECTIONS BOND INFORMATION Printed: Wednesday,'March 30, 2016 8:37:38 AM 2 of 2 C SYS7Eti1S 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: APPLIANCE 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION APPLIANCE 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 Total Paid for MECHANICAL: $77.35 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• $0.00 INSPECTIONS BOND INFORMATION Printed: Wednesday,'March 30, 2016 8:37:38 AM 2 of 2 C SYS7Eti1S Bin.# Cj / 0f Lcf Qi rota Building 8L Safety Division P.O. Box 1504;7.8-495 Calle Tampico la.Quinta, CA 92253 -:(760) 777-7012 EV70 Building Permit' Application and Tracking Sheet Perinft # 6MC HW &— Project Address: 79190 Laurie Court Owner's Name:.Jennifer Zysk A. P. Number. Address: 79190 Laurie Court Legal Description: City, ST, Zip: La Quinta, CA :92253 Contractor. Comfort Air NO ^:i Telephone: .,. �;yx�„ Address: 4803 E Sunny Dunes Road.. Project Description: Replace 4ton A/C, Coil, & 90,000 BTU City, ST, Zip: palm Springs, CA 92264 Furnace Telephone: 760-320-5800- t ' State Lic. # : 763937 City Lic. #, Arch., Engr., Designer Address: City., ST, Zip: Telephone: .. p Statc Lic #: "j ,.� Construction Type: Occupancy: Project type (circle one): New . Add'n Alter Repair Demo . Sq. Ft: T# Stories: #Units: Name of Contact Person: Steven Schnierer Telephone # of Contact Person: 818-735-7876 Estimated Valine of Project $13,500.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE !! Submittal Req'd Recd TRACMG PERMTP FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit... Truss Calcs. Calf Contact Person Plan Check Balance. Tide 24 Calci. Plans picked up Construction Flood pilin plan Plans resubmitted.'. Mechanical Giadiag plan 2`! Review, ready for correctiousliissue Electrical . Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7n° Review; ready for corrections/issue . Developer Impact Fee Plannlug Approval. Called Contact Person 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: JENNIFER ZYSK I .Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2016-03-29 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-4LT-02 document for each dwelling unit. 01 Project Name JENNIFER ZYSK 02 Date Prepared 2016-03-29 03 Project Location 79190 Laurie Court 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name JENNIFER ZYSK 07 Zip Code 92253 08 Dwelling Unit Conditioned 1500 ' Floor Area (ft2) SCS stem Y j CFA served ',,-.system a ssy refn erant a 'g .» g Installin .new SC Number of space conditioning ,Installin g 09 Climate Zone 15 }' ' '� 10 (SC) systems in this dwelling 1 containi g system i ent ely e unit. B. Space Conditioning (SC) System Information` .. p Ol 02 1.03 04 05 r06109 07') U8 09 10 . a the SC'""""' R Y dyr-.R Installing a ..1 iemmm+f 1d' 'S.f ' SCS stem Y SCS stem Y j CFA served ',,-.system a ssy refn erant a 'g .» g Installin .new SC Installin g ,Installin g Installing entirely Identification or Location or Area by this SC ducted containi g system more th n 4 ent ely e new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 •1500 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: 216-A0116845A-000000000-0000 Registration Date/Time: 2016-03-29 08:00:28 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 08:00:28 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 it 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 Reouired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF213-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 compliahce: 5 15%, or 510% 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 & MR -MCH -23 Air Flow -2:300 CFM/ton required when MCH -25 Is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH720 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verificatihn of A `r Flow MCM F23, dir`Refngerant ChargeEM CHH 2 Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 DuctfLeakage Testing regw'rreme nts � �0 �"4.. '� L '�:,... _. 7 f .f: € ! ! i, �.. _ '. ! ?... ... i,f � 4 ! ! •... .1 � w+r i l i k: 3 > $1,.. _..;,�.. "%A � .�, �.e•.n r. naa.,�y;,;,,„,+s+..:..;m� �,+ aFe, a;a �.—....> � f e,3 .,. gym. •tea-m,:a� '� E. Entirely, New or Complete Replacement Duct>System, with or without,Equipment Changeout (Sections 150.2(b)iDiia.and 150.2(b)1E, F) NA Ism � 4- 31 A � 0 ;1 4C y 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: 216-A0116845A-000000000-0000 Registration Date/Time: 2016-03-29 08:00:28 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 08:00:28 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations 4o Space Conditioning Systems (formerly CF -1R -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: �1 � Jacoby, Ian cyan dacobJt. Company: Signature Date: i PERMIT E RATERS 2016-03-29 08:00:28 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: - Phone: West Lake Village CA 91362 1818-735-7876 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 Certificate of 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 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��^^ y 4. The building design features or system design features identified ori this Certificate of Compliance are consistent,with,the inforrn,(Kn•provided on otherr�applicable compliance documents, worksheets,: apt xt Win..G.a calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.! S. I will ensure that a registered copy of this Certifica of,Co mpliance shall be made,a ailable with;the building permit(s)assued fo,Cthe-building, andemade available to tfie enforcement agency for all applicable inspections. I understand that a registered copy oft Gertiflcate of Compliance eis,required to be included with the-thebullder provides to -the building owner at occupancy. Responsible Designer Name: + Responsible Designer signaftre: V lI Jacoby, Ian can �acobJr Company: Date Signed: VOTTA ENTERPRISES INC 2016-03-29 08:00:28 Address: License: 4803 E SUNNY DUNES ROAD 763937 City/State/Zip: Phone: PALM SPRINGS CA 92264 760-320-5800 Digitally signed by Ca10ERTS. 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-A0116845A-000000000-0000 Registration Date/Time: 2016-03-29 08:00:28 HERS Provider: CaICERTS CA Building Eriergy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 08:00:28 Schema Version: 0.555SDD