BMCH2015-038178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit "4"40uenfw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0381
Property Address: 81214 SANTA ROSA CT
APN: 764440002
Application Description: LEVY/ CHANGEOUT (1) 16SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $8,000.00
Applicant:
VOTTA ENTERPRISES INC DBA COMFORT AIR
4803 E SUNNY DUNES ROAD
PALM SPRINGS, CA 92264
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
Dates /V 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.).
( 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 work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
11111111111111111111
52
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/6/2015
Owner: N
WALTER PENTZ
700 S LAKE AVE NO 211 �r
PASADENA, CA 92253=FCD
,I C-1
Contractor: r
V TTA ENTERPRISES INCBA'' IV1F. RT AIR":
0 E E PRISES C CO 0 A R
4803 E SUNNY DUNES ROAD ��� N,
PALM SPRINGS, CA 92264
(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, a provided for by Section 3700 of the Labor Code, for the performance
k f which this permit is issued.
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 or Code, I shall forthwith
comply with those rovis' ns.
Date:�O 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 permlt 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-mentionedroperty for inspection purposes:
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL •
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
HVAC CHANGEOUT - SPLIT -SYSTEM
101-000042402
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
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
Description: LEVY / CHANGEOUT (1) 16SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 10/6/2015 SKH
Approved:
Parcel No: 764440002 Site Address: 81214 SANTA ROSA CT LA QUINTA,CA 92253
Subdivision: TR 30023-4 Block: Lot: 21
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PHONE
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
•
NAME TYPE NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT• VOTTA ENTERPRISES INC DBA
COMFORT AIR
4803 E SUNNY DUNES
ROAD
PALM SPRINGS
CA
92264
CONTRACTOR VOTTA ENTERPRISES INC DBA
COMFORT AIR
4803E SUNNY DUNES
ROAD
PALM SPRINGS
CA
92264
OWNER WALTER PENTZ
700 S LAKE AVE NO 211
PASADENA
CA
92253
Printed: Tuesday, October 06, 2015 4:25:10 PM 1 of 2 C
SYS 7EtitS
PARENT PROJECTS
REVIEWS
RETURNED STATUS 7-TREMARKS
REVIEW TYPE
REVIEWER SENT DATE DUE DATE NOTES
F
DATE
CLTD
DESCRIPTION
ACCOUNTCITY
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
TOTALS:ii
PARENT PROJECTS
Printed: Tuesday, October 06, 2015 4:25:10 PM 2 of 2 C
SYSTEMS
REVIEWS
RETURNED STATUS 7-TREMARKS
REVIEW TYPE
REVIEWER SENT DATE DUE DATE NOTES
F
DATE
Printed: Tuesday, October 06, 2015 4:25:10 PM 2 of 2 C
SYSTEMS
ear.#
Cit}/ 6F %a QUit?ta
BMIng 8L 3arety Diaislort
P.O Box 1504,'78-49S Calle Tampico
4.Quinta, CA 92253 -:(760) 777-7012
Buiiding Permit Application and Tracking Sheet
Pennit #
Address: at a I L s a CA"
Owner's Name:. -6 r\ q c) v
[Project
AP. Number.
Address: lal Sc:e(A,-- �--sq C" L d,
Legal Description:
City, ST, Zip: LA Qvk , n CAV cl 2'Z
Contractor. C b �6 r f\_ 1"
Telephone:
Pmject Description: 44Ja C C G n _ l�
Address: l_ '� E : u n n 1Ju r� Cad .
City, ST, Zip: 1 \�•�
Telephone: 7 0 ' Xc)-- J ASO 0
State Lia # : 97 City Lia#;
l L `YL
-
Arch., EW., Designer.
Address:
City., ST, Zip:
Telephone:
''
Conshvction Type: , Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: c O
Sq. Ft.:
It Stories:
# Unitp:
Telephone # of Contact Person: (Q 0 3.2c� —5� O O--
Estimated Value of Project 0. Q (D
APPLICANT: DO NOT WRITE BELOW THIS UNE
is
Submittal
Req'd
'Ree'd
TBACMG
PERMIT FEES
Pinn Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Caleb.
Plans picked up
Construction
Flood plain plan
Plans resabmiUed..
Mechanical
Grading plan
Z'! Raview, ready for corre a ionslissue
Electrical
Subcoatactor List
Called Coact Person
Plumbing
Grant Deed
Plans picked up
S.M.1,
H.O.A. Approval
Plans resubmitted
Grading
W HOUSE:-
3" Review; ready for correction lisae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
Lj
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
LEVY, BRIAN I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-10-06
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
LEVY, BRIAN
02
Date Prepared
2015-10-06
03
Project Location
81214 SANTA ROSA CT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
LEVY, BRIAN
07
Zip Code
92253
08
Dwelling Unit Conditioned
1965
Floor Area (ft2)
SCS em
Y�
CFA served
�'"*,SY stem.a
r4fri e""�'nt
g Sa.
,^ nstalli new SC
1 g`
Number of space conditioning
nstaIIin
g
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information
01
02
03
� 04, ,
; ;" . 05 .,':,
06, �,'��
67-)
08
09
10
`IstheSC
Installiriga'
SCS stem
Y
SCS em
Y�
CFA served
�'"*,SY stem.a
r4fri e""�'nt
g Sa.
,^ nstalli new SC
1 g`
C `stallin`" "
� g ;j
nstaIIin
g
f~`Installin
t� g
Identification or
Location or Area
by this SC
tducted
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
Entirely new or
5 TON LENNOX 16
Location 1
1965
No
Yes
Yes
No
No
Yes
complete
SEER
replacement space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1D1ib)
This section does not apply to this project.
Registration Number: 215-A6349095A-000000000-0000
Registration Date/Time:
2015-10-06 12:34:12
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-06 12:34:15
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)lE and F)
This section does not apply to this project.
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 150.2(b)lC)
01
02
03
04
05
06
07
08
09
10
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type
Value
System Type
Component
Type
Value
Type
R -Value
%
doling
'
This field
5 TON LENNOX 16
Central gas
All new heating
r
AFUE
c
0.78 3
Central spilt
`'
All new
t A �
w;`�
SEER
- " '
SetbackTher
or section
SEER
furnace
components;
`,�
�`
I '.
'�,
SAC t
•1_1 '_�
components
, ; #16
mostat
is not
.:
` ."
!i`` yy,f
:.s -
�a
applicable
Required Do m nt tion:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct'Leakage Verification required.
-Leakage rate compliance: 5 6%.
CF2R & CF3R-MCH-22 Fan Efficacy Verification
CF2R & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy15 0.58 W/cfm and System Airflow, 2 350 cfm/ton.
- Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification.
CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exceotions:
Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements.
Note:
An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's
existing duct system (e.g.,
registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 215-A6349095A-000000000-0000 Registration Date/Time: 2015-10-06 12:34:12 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-1n-Dt; 1 7:.;4•1 S
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to 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: / n y�h
016/J
Volta, Paul
`'(/CYi.IGIi
Company:
Signature Date:
VOTTA ENTERPRISES INC
2015-10-06 12:34:12
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 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 gulations ,r ! 't '+ I
#-'
I
4: The building design features or system design features identified on this Certificate of Compliance are consistent with the informatton.provided ori other. applicalie compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for rapprOvalWth this building permit application. ' � j
5. 1 will ensure that a registered copy of this Certificate of compliance shall be -made available with the building permits) issued forthe bullding, and made available to the"enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be.included with the:documentation the,¢uilder provides to.the building owner at occupancy.
Responsible Designer Name: '
Responsible Designer Signature:. 21` W- D 4 "+
�a
Volta, Paul
Company:
Date Signed:
VOTTA ENTERPRISES INC
2015-10-06 12:34:12
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip: -
Phone:
PALM SPRINGS CA 92264
760-320-5800
Digitally signed by Ca/CERTS This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Providerresponsibility for the accuracy of the information.
Registration Number: 215-A6349095A-000000000-0000 Registration Date/Time: 2015-10-06 12:34:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated; 2015-10-06 12:34:15