BMCH2017-031278-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Date: 7/19/2017
Application Number: BMCH2O17-0312 Owner:
Property Address: 45375 DEERBROOK CIR KEVIN WALLACE
APN: 604304001 45375 DEERBROOK CIR
Application Description: WALLACE RESIDENCE / HVAC CHANGE OUT ® [Q QNTA, 92253
Property Zoning:
Application Valuation: $14,500.00
Applicant: JUL 1 2Qdgntra
IE INC' VOTTA RISES INC DBA COMFORT AIR
31225 LA BAYA 48 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362 _ C(r( OF LA OUj j Apj,�p,qp�15, CA 92276
DESIGN AND DEVELOPMEN(760)320-5800 1l� 1
Llc. No.: 763937
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
D`ate�7 I Contractor:
lvnwm��.
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).:
(1 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.).
(_) 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 Na
Lender's
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 bpi Section 3700 of the Labor Code, for the performance
ofjlvork for which this permit is issued.
�M I have and will maintain workers' compensation insurance, as required by
Sg-ct 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: INSURANCE COMPANY OF THE WEST Policy Number WSD5034539
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, 1 shall forthwith
comply with those provisions.
Oaf =jam i, 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.
17 Si!=re-(Applicant or Agent) S
11
Application Number: BMCH2O17-0312
Property Address: 45375 DEERBROOK CIR
APN: 604304001
Application Description: WALLACE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $14,500.00.
Date: 7/19/2017.
Owner:
KEVIN WALLACE
45375 DEERBROOK CIR
LA QUINTA, CA 92253
Applicant:
Contractor:
IE INC
VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA
72248 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)320-5800
------------------------------- -------------------------------------------------------------
Llc. No.: 763937
Detail: HVAC CHANGE OUT - 25 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
I
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101=0000-20306 0 $1.00
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
Bin. #
City. of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Pennit Application and Tracking Sheet
Permit #
Project Address: 45375 Deerbrook Circle.
Owner'sName:.Kevin Wallace
A. P. Number.
Address: 45375 Deerbrook Circle
Legal Description:
Contractor. Comfort Air�f'v
City, ST, Zip: La Quinta, CA' 92253
.'
Telephone: 760-609-6028 ,;,..�� �.�;X�,.^x„�,�>�;.
Address: 72248 Northshore Street Suite 101
Project Description: "Replace 4 ton A/C, coil, & 70,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
furnace
Telephone:760-320-5800_'"
(..--
"�
a . Q?., <
State Lic. #: 763937
City Lie. C.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lia #: , :✓'"
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.: #Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 8:18-735-7876
Estimated Value of project $14,500.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACKNG
PERMU FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calci.
Called Contact Person
Pian Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for correctionstissue
Electrical
Subcoetactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAU
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for eorreetions!issue
Developer Impact Fee
Planning Approval
Called Contact Person
M.P.P. "
Pub. Wks. ApprDate
of permit issue
School Fees "
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: KEVIN WALLACE Date Prepared: 2017-07-18
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
KEVIN WALLACE
02
Date Prepared
2017-07-18
03
Project Location
45375 DEERBROOK CIRCLE
04
Building Type
Single family
05
CA City
La Ctuinta
06
Dwelling Unit Name
HOME
SC System
SC System
CFA served
\Dwelling
refrigerant
07
Zip Code
9225308
Installing
Unit Conditioned
Identification or
Location or Area
by this SC
ducted
containing
Floor Floor Area (ft)
more than 40
entirely new
entirely new
�4 .`r
Name
Number of Space
System (ft2)
09
Climate Zone
15 [
10.
Conditioning (SC) Systems in
1
Alteration Type
SYSTEM 1
WHOLE HOME
1700
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information t .
01
02
03
04.
05
10" +
07
08
09
10
Is the SC
'€
Installing -a
j r?
* ilf rl
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
WHOLE HOME
1700
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. E=xtension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020303627A-000-000-0000000-0000
Registration Date/Time: 2017-07-18 08:26:01
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-18 08:26:01
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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
This field or
This field o r
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
25
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems y ,
for
- Duct insulation requirement the new portions of supply -air and return -air ducts or plenums •R6 (CZ 1 10, 12 and113) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <=15% or <= 30% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componen'ts,are7_IhlIled 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. -"
Exceptions: r'
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, o'r Refrigerant Charge MCH -2S.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
N- "'' 4 JI x IL_ !I- V ,g_..A _ TE -7
E. EntirelyNew or Complete Replacement Duct System, with or without E ui ment Chan eout Sections 150.2 b iDiia and 150.2 b 1E, F
P P Y 4 P g ( () O )
Th s sect onn des nota ply tothis proiect.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 417-A020103627A-000-000-0000000-0000
Registration. Date/Time: 2017-07-18 08:26:01
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-18 08:26:01
Schema Version: rev 10/16
N
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:
Stephanie Shryock
Stepha. V_5hryoc71_
Company:
Signature Date:
Votta Enterprises, Inc. dba Comfort Air
2017-07-18
Address:
CEA/ HERS Certification Identification (if applicable):
72248 Northshore Street #101
City/State/Zip:
Phone:
Thousand Palms CA 92276 " y�
760320-5800
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. ?�Ei
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility:forthe uilding 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.
4. The building design features or system design features identified on this Certificate of.Compliance are consistent 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 Certificate of Compliance shall be maade•FavailabIF-with the buildin�Tpermit(s) issued for the building, 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 builder provides to the building owner at occupancy.
Responsible Designer Name:
Tracy Garza Ur matched �Y�i
Responsible,DesignerSignature:
=S `ha±ier.`Sl ryoc%(authorvaed,)
Company:
Date Signed:
Votta Enterprises, Inc. dba Comfort Air
2017-07-18
Address:
License:
72248 Northshore Street #101
763937
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-320-5800
Digitally signed by CHEERS"". This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A020103627A-000-000-0000000-0000 Registration Date/Time: 2017-07-18 08:26:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-18 08:26:01
Schema Version: rev 10/16