BMCH2017-010478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ' BMCH2O17-0104
Property Address:
45400 ASHWOOD CT CT
APN:
604405007
Application Description:
CARRICK / HVAC CHANGE
Property Zoning:
Application Valuation:
$15;000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERDAIT
r,!AR 3,1 NVIfi-
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 f the Business and Professions Code, and
my License is in full force and effect.
License Class: C20 License No.: 763937
Cate: 3611 ► 0 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/31/2017
Owner:
AUDRY CARRICK
45400 ASHWOOD CT
LA 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
1 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 polity 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, l
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, 1 shall forthwith
comply with those provisions.
3 31 1-7 �9
Date: Pplicant:
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.
�- 9
Dc 31 1-7 mature (Applicant or Agent): �L;,, _
S
Date: 3/31/2017
Application Number: BMCH2O17-0104 Owner:
Property Address: 45400 ASHWOOD CT CT AUDRY CARRICK
APN: 604405007 45400 ASHWOOD CT
Application Description: CARRICK / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,000.00
Applicant: Contractor:
IE INC VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA 72248 NORTHSHORE ST STE 101
WESAAKE VILLAGE, CA 91362 THOUSAND PE -.LMS, CA 92276
(760)320-5800
Llc. No.: 763937
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
r-
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
0
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
QTY
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
y
Bin .#
Qt* of U. Qu1n: to
Btdiding a Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
g M c H 2.o i 7- .d I'loq
Project Address: 45400 Ashwood Court
Owner's Name:.Audry Carrick
A. P. Number.
Address: 45400 Ashwood Court
Legal Description:
Contractor. Comfort Air
City, ST, Zip: La Quinta, CA' 92253
Telephone: 760-393-1475
Address: 72248 Northshore Street Suite 101
Project Description: Replace 5 ton A/C, coil, & 90,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
furnace
: �..
Telephone: 760-320-5800 `'' `
State Lic. #: 763937 L�ty Lie'. #;
Arch , Engr., Designer
Address:
City, ST, Zap:
Telephone:
State Lie. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Oc aupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
# Univ:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project: $15,000,00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKIIVG
PFJUAIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Salance.
Title 24 Cales.
Plans picked up
Construction,
Flood lin plan
Plaits resubmitted,
Mechanical
Grading plan
2i1 Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
lilt HOUSE:-
'Review', ready for corrections/issue
Developer rmpaet Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Pernit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Audry Carrick I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-03-30
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
Audry Carrick
02
Date Prepared
2017-03-30
03
Project Location
45400 Ashwood Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Audry Carrick
Dwelling Unit Conditioned
'Nes the SCT
07
Zip Code
92253
08
Floor Area (ft2)
2008
SC System
SC System
CFA served
system a
Number of Space
Installing new SC
09
Climate Zone ` "`" " `
15–
10
Conditioning (SC) Systems in
1
by this SC
ducted
containing
system
this Dwelling Unit:
entirely new
ar. a ` a LI :(.o""_a.,' I,['— d 17-11i /e"'" I.I
B. Space Conditioning (SC) System Information
01
02
03
04
F ' W
— OE6
07,
08
`69 X09
10
'Nes the SCT
I sialIingga ®-
> rA.
SC System
SC System
CFA 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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2008
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: 217-A020102369A-000-000-0000000-0000
Registration Date/Time: 2017-03-30 16:57:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-30 16:57:12
Schema Version: rev 10/16
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
80
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF211-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
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.
CF2R and CF311-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.
`' ' -
µ
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements... - Heating -only ono Ai F f
g y systems and Air Handler Furnace changes do not require venficat�ion of Air Flow MCH2 3 or Refrigerant Charge MCH -25
-Existing duct systems constructed, insulated or sealed with asbestos;are exempufrom MCH` -?0 bu&Uakage Testltng requir'&e
;ts.(71-11,t
'k
I, i A:f 1:1A4.. ff_.. . id 9i t7 » J�� tf
„be. "�'• ,:`.,.;"^°`A'-"�,"a+.+, �+ .,,���.�m.�� � :aye F....,.e.;• �� � .� �+e' `a+.-::.�'
E. Entirely New or Complete Replacement 0 1:13ystem, with ,or without4Equipment Changeout (Sections 1,50.2(b)1Diiaxand 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)iC)
This section does not apply to this project.
Registration Number: 217-A020102369A-000-000-0000000-0000 Registration Date/Time: 2017-03-30 16:57:07 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-30 16:57:12
Schema Version: rev 10/16
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
can �aco Jr
Company:
Signature Date:
i PERMIT E RATERS
2017-03-30 16:57:07
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 Certificate of Compliance is true and correct.
2. lam 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 o egulat ons
4. The building design features or system design features identified on this Certificate of Compliance areconsistent,,with+the information.provided on other applicable compliance documents, worksheets,
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 Cerfificate ofCompliance shall be,made!available withthe bulldingpermit(s) issued for�the building, and,made available tohthesenforcement agency for all applicable
a
inspections. I understand that a registered copy of this Certi%�cate of Compl ance#0jegyired to be�Induded with the�docum�enta�tion thejbuilder provides to the building owner at occupancy.
Responsible Designer Name: '
Responsible Desig er Siijnaf'ure: V 0 �/� I - l"-*.
Jacoby, Ian
cyan �acoK
Company:
Date Signed:
i PERMIT E RATERS
2017-03-30 16:57:07
Address:
License:
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-MY6
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: 217-A020102369A-000-000-0000000-0000
Registration Date/Time
2017-03-30 16:57:07
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-30 16:57:12
Schema Version: rev 10/16