BMCH2017-0238i
78-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0238
Property Address: 45480 DESERT FOX DR
APN: 604241003
Application Description: LOPEZ RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:. $15,750.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
[JUN 13 2017 J
�I
CITY OF LA QUINTf
COMMUNITY DEVELOPMENT DEPARTMENT]
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: (P T3 I 11 Contractor:, esu, T7�
C
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).:
( 11, 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.).
(_) lam exempt under Sec. B.&P.C. for this reason
Date
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/13/2017
Owner:
VICTOR LOPEZ
45480 DESERT FOX DR
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
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
ofthg�ork 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: 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, I shall forthwith
comply with those provisions.
Date; 3 �-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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name: 1 1 P
Date: 3 (� Signature (Applicant or Agent):
Lender's Address:
Date: 6/13/2017
Application Number: BMCH2017-0238
Owner:
Property Address: 45480 DESERT FOX DR
VICTOR LOPEZ
APN: 604241003
45480 DESERT FOX DR
Application Description: LOPEZ RESIDENCE / HVAC CHANGE OUT
LA.QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,750.00
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.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-203060 $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
1`.
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
VICTOR LOPEZ I Date Prepared:
CF1R-ALT 02-E
(Pagel of 3) 1
2017-06-09
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
VICTOR LOPEZ
02
Date Prepared
2017-06-09
03
Project Location
45480 DESERT FOX DRIVE
04
Building.Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
VICTOR LOPEZ
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253
08
Z
Floor Area (ft)
1830
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
'
Name
Number of Space
System (ft)
09
Climate Zone
15
30
Conditioning (SC) Systems in
1
Alteration Type
System 1
f• "
1830
this Dwelling Unit:
Yes
I .— 9..E !ew"`__— I.f•"'•,'-•" I.: L_-" k%"•'"]..E'-'•-•f:!!"__-z Irl
B. Space Conditioning (SC) System Information l[J1 y {ry5 ,
01
02
03 "N.
` 04
05
06
07"~
08
09
10
is the SCS
I Lalli g a x
r"" r%
t
Jr—
M
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1830
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this project.
Registration Number: 217-A020194537A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-09 09:45:23
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-06-09 09:45:52
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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
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
80
AC
cooling
SEER
25
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-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 CF311-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: <= 154 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 CF311-MCH-23 Airflow Rate >=.300 CFM'per ton required when MCH -25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.. - . -
$ Leakage.
a b —,,. ' k . ,
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH 23, or'Refrlgerant Charge MCH 251
} : i t k. e 5 ri
Existing duct systems constructed, insulated or sealed with asbestosare exemptifrom MCH-20�Duct Lea Page Test hg requirements.
'
?
E. Entirely New or Complete Replacement Ducta ysltem, with or without7Equipment Changeout,(Sections 150.2(b)Wiia: 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: 217-A020194537A-000-000-0000000-0000 Registration Date/Time: 2017-06-0909:45:23 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 09:45:52
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: /
Jacoby, Ian
cyan Jacoby
Company:
Signature Date:
i PERMIT E RATERS
2017-06-09 09:45:23
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. 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
lan�"^
requirements of Title 24, Part 1 and Part 6 of the California Code of.R gtio
{
4. The building design features or system design features identified on It Certificate of Compliance are consistent.with+the informatfon.provided on other,applicatile compliance documents, worksheets,
l w h
.. e, ...�,� ., � � n r
calculations, plans and specifications submitted tome en-fgrcement a4egency9forkapprovaf�wit�h this building perm application. �` {
S. I will ensure that a registered copy of this Certificate of,Compliance shall be marl available with the building permt(s)' ssued for<the building, andmade available;to3he enforcement agency for all applicable
,
inspections. I understand that a registered copy of this Cert $cate of Comp fiance is required to be included with the documentation,tthe builder pro torthe building owner at occupancy.
_yides
Responsible Designer Name:
n
Responsible Designer Signature:
Jacoby, Ian
cyan �aco y
Company:.
Date Signed:
i PERMIT E RATERS
2017-06-09 09:45:23.
Address:
License:
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Easy to Verify
at CaICERTS.com
K.1
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the contentof this registered document, and in noway implies Registration Provider responsibility f
the accuracy of the inforr
Registration Number: 217-A020194537A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 09:45:23 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 09:45:52
Schema Version: rev 10/16