BMCH2016-0043awT�4VOICE (760) 777-7125
78-495 CALLE TAMPICO - - � FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/9/2016
Application Number:
Property Address:
BMCH2O16-0043
53200 AVENIDA VILLA
�
Owner:
ANTHONY RAMOS
{{ +
APN:
774064009
i
53200 AVENIDA VILLA
Application Description:
Property Zoning:
RAMOS RESIDENCE / HVAC CHANGE OUT 9 2016 �
`�
LA QUINTA, CA 92253
Application Valuation:
$15,500.00
C yi �yrldiF
Applicant:
Contractor:
IE INC
COMFORT AIR
31225 LA BAYA
0 OUTSIDE CITY LIMITS
WESTLAKE VILLAGE, CA 91362
LA QUINTA, CA 92253
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: License No.: AEC343
Date: 3 Ci Ig2 Contractor: y
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.).
(_) 1 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 Address:
(760)320-5800
Llc. No.: AEC343
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: _ 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: 3 _Applicant:L
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: G I Signature (Applicant or Agent):
FINANCIAL INFORMATION
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
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 _
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
TOTALS:0•
Description: RAMOS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/9/2016 MFA
Approved: 3/9/2016 MFA
Parcel No: 774064009 Site Address: 53200 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 205 Lot: 15
Issued:
UNIT 20
PHONE
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
WESTLAKE
VILLAGE
Details: HVAC CHANGE OUT -REPLACES TON A/C, COIL AND 90,000 BTU FURNACE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
NAME TYPE'
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX.
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)512-1669
CONTRACTOR
COMFORT AIR
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)512-1669
OWNER
ANTHONY RAMOS
53200 AVENIDA VILLA
LA QUINTA
CA
92253
(760)512-1669
Printed: Wednesday, March 09, 2016 8:11:09 AM 1 of 2
SYSTEMS
Printed: Wednesday, March 09, 2016 8:11:09 AM 2 of 2 Or
SY57FM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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:00
Printed: Wednesday, March 09, 2016 8:11:09 AM 2 of 2 Or
SY57FM5
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
ANTHONY RAMOS I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-03-08
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
ANTHONY RAMOS
02
Date Prepared
2016-03-08
03
Project Location
53200 Avenida Villa
04
Building Type
Single family
.05
CA City
La Quinta
06
Dwelling Unit Name
ANTHONY RAMOS
07
Zip Code
92253
08
Dwelling Unit Conditioned
1750
wn.K R n k
M •%yigl`•.
'
bK 'M,
1w,..nr� `7ex1
Floor Area (ft2)
SC System
SC System j
CFA served
4
*,,system a�,,
ar
refrigerant t
Number of space conditioning
s
Clnstalling
09
Climate Zone
15
30
(SC) systems in this dwelling
1
'ducted
co taining
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
t I
01
02
s03 -
04 �V
05 [k
06
[ 1
iJ 07
08 f
09
10
_; . ....
R
av
'
?� FIs the SC�� yg
3 3'N—
lhstallTwing a-
wn.K R n k
M •%yigl`•.
'
bK 'M,
1w,..nr� `7ex1
SC System
SC System j
CFA served
4
*,,system a�,,
ar
refrigerant t
wb a�.1ti 9f°"
+;Installing new. SC
s
Clnstalling
w .
Installing,
Installing
Identification or
Location or Area
by this SC
'ducted
co taining
system
more than 40
entirely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1750
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0090728A-000000000-0000
Registration Date/Time: 2016-03-08 18:35:19
HERS Provider: CalCERTS.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-08 18:35:20
Schema Version: 0.555SDD
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)lE 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 & 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 compliance: 515%, ors 10% 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 2:300 CFM/ton required when.MCH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCHi20wDuct Leakage Testing requirements.
Handler/Furnace do Air Flow. MCH'23 Refrigerant`Chat a Nt requirements.,.,
-Heating-only systems and Air changes not require verificatio of or
-Existing duct systems constructed, insulated or sealed with asbestos Aare exemptFfrom MCH 20 Duit I_6kage Testing regwrements.
3t< ... _1( 4k if tt...... bE 4 tI if It 1& III W ... .
',,;vw^-cep ws -Aa...m.+.sem.-_w-.,d: «�.- ,.,a ..r �•-w...n- y�n.-n rMw ?+� eea..t-a„+
E. Entirely New or Complete Replacement D ct System, with or without; Equipment Changeout (Sections,150.2(b)1Diia�and.150.2(b)1E, F)
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-A0090728A-000000000-0000 Registration Date/Time: 2016-03-08 18:35:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Verslon: 2013 Rev 1.007 Report Generated: 2016-03-08 18:35:20
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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�/
Jacoby, Ian
cyan Cacoiy
Company:
Signature Date:
i PERMIT E RATERS
2016-03-08 18:35:19
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362 tt
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 Certificate of Compliance is true and correct.
2. I 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 deslgn identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California`Code of�Regulat o1 ns. �� �'" 1,
k
4. The building design features or system design features identified on this Certiflca f Compliance are consistentwiththe iriformatlon provided on othep¢rsapplicable compliance documents, worksheets,-
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application,.
5. 1 will ensure that a registered copy of this Certificate of,Compliance shall tie made available with the bulldingpermit(s� issued for,the bullding, and made available.to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certliiflcate of Compliance Is -required to be,included with the documentation_ h ,builder provides to -the building owner at occupancy.
Responsible Designer Name: r *-J-
Respons16le Deslgner Signature: V 1;�/A.. Je L�� 1� .
Jacoby, Ian
cyan �acobJc
Company:
Date Signed:
VOTTA ENTERPRISES INC
2016-03-08 18:35:19
Address:
License:
4803 E SUNNY DUNES ROAD
763937
City/State/Zip:
Phone:
PALM SPRINGS CA 92264
760-320-5800
Digitally signed by CaICERTS. 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-AO090728A-000000000-0000 Registration Date/Time: 2016-03-08 18:35:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-08 18:35:20
Schema Version: 0.555SDD
airy. #
City of La Quo:
Building &r Safety Division
P.O. Box [504,78-495 Calle Tampico
12.Quinta, CA 92253 - (760) 777V012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddtess: 53200 Avenida Villa
Owner's Name:. Anthony Ramos
A. P. Number.
Address: 53200 Avenida Villa
Legal Description:
City, ST, Zip: La Quinta, CA .92253
Contactor. Comfort Air
Telephone: 760-512-1669
Address: 4803 E Sunny'Dunes Road .
Project Description: Replace 5 ton A/C, Coil, & 90,000 BTU
City, ST, Zip: palm Springs, CA 92264
Furnace
Telephone: 760-320-5800
State Lic. # : 763937
9.
City Lie, M
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #: j, " � :
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft: #Stories: #Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of project $15,500.00 .
APPLICAN T:.DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRACMG
PERbErr FEES
Plan Sets
Plan (creek submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit,
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for corrections/issue
Electrical
Subcostactor List
Called CoatactPerson
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:- .
3" Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit.Fees