BMCH2017-0171CG
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Td,�P- 4.4 Quit&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O17-0171
46860 HIGHLAND PALMS DR
643193004
DAVIDSON RESIDENCE / HVAC CHANGE OUT
$20,985.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
U 92017
CITYOF LA OUINTA
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: 1 _contractor: L
.i
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 contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/9/2017
Owner:
NORMAN DAVIDSON
150 INVERNESS DR
LA CANADA FLINTRIDGE, 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
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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5034539
1 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: J� 9 1 lApplicant: J
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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: �_ o
Date: 5 ri 1'% Signature (Applicant or Agent):
Lender's Address:
Date: 5/9/2017
Application Number: BMCH2017-0171
Owner:
Property Address: 46860 HIGHLAND PALMS DR
NORMAN DAVIDSON.
APN: 643193004
150 INVERNESS DR
Application Description: DAVIDSON RESIDENCE / HVAC CHANGE OUT
LA•CANADA FLINTRIDGE, C492253
Property Zoning:
Application Valuation: $20,985.00
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/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO F INAL INSPECTION. 2016 .
CALIFORNIA BUILDING CODES.
FINANCIAL FORMATION
DESCRIPTION ACCOUNT'
QTY
'AMOUNT
BSAS SB1473 FEE 101-0000-20306
0
$1.00
r - Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
i 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
-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
r DESCRIPTION r
-ACCOUNT
QTY
AMOUNT '.
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
• $5.00
' Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
Qty* of La QUlntd
Building St Safety Division
P.O. Boz 1504,78-495 Calle Tampico
1a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
Projectgddress:46860 Highland.Palms Drive
Owner's Name:. Nick Davidson
A. P. Number.
Address: 46860 Highland Palms Drive
Legal Description:
City, ST, Zip: La Quinta, Ck 92253
Contractor. Comfort Air
Telephone: rs mag°>�
ns. - '
Address: 72248' Northshore Street Suite 101
Project Description: Replace 5 ton A/C, coil, & 90,000
City, ST, Zip: Thousand. Palms, CA 92276
BTU furnace
Telephone: 760-320-5800
.;? ry M.
Q�
State Lic. #: 763937
City Lic. #;
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lia #: „rte �j;5
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.:#Stories:
#Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project $20,985:00 .
APPLICANT: DO NOT WRITE BELOW THIS FINE
#
Submittal
Req'd
Recd
TRAC1MG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.".
Mechanical
Gi ading plan
2s4 Review, ready for correctiionstissue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IM HOUSE:-
3d Review', ready for correctionsfiissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.T.P.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: Nick Davidson T Date Prepared: 2017-05-07
A. General Information
CF111-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.
O1
Project Name
Nick Davidson
02
Date Prepared
2017-05-07
03
Project Location
46860 Highland Palms Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Nick Davidson
SC System
Dwelling Unit Conditioned
CFA served
07
Zip Code
92253
08
Floor Area (ft)
1600
Identification or
Location or Area
by this SC
Number of Space
containing
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Served
System (ft)
system?
component?
this Dwelling Unit:
feet of ducts?
B. Space Conditioning (SC) System Information �� t
j �`
{{}n, a,
O1
02
03
:x 04
- 05
_ 06
07�J
08
09
'10
Is the SCS
I stalling a
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 1Location
1
1600
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-A020149805A-000-000-0000000-0000 Registration Date/Time: 2017-05-07 22:12:37 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-07 22:12:57
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-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)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
heating
AFUE
80
cooling
SEER
25
Setback
equal to 40
R-8
furnace
components
AC
components
feet
Reouired 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 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 CF3R-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.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23; or"Refrigerant'Charge MCH 25:
-2uct Leakage Testing requiremerits.
Existing duct systems constructed, insulated or sealed with asbestos are exemptifrom MCH0 D
s v. A i
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections-150.2(b)1Diia: and.150.2(b)1E, F)
a !ice 17— bid x ` 6 1 'it � t 51 ,1 1
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-A020149805A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-05-07 22:12:37
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-05-07 22:12:57
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
Jandaco�
Jacoby, Ian
Company:
Signature Date:
i PERMIT E RATERS
2017-05-07 22:12:37
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 building design or,system design identified on this Certificate of Compliance conform to the
-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 informan provided on other,,applicable compliance documents, worksheets,'
tio
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;made;available with the building permit(sy 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 Complyancesis,required to be -included with the.documentation theybuilder provides to the building owner at occupancy.
Responsible Designer Name: Y U .+. fi t5 ..»�
Responsible Designer Signature: 1 ` L �^
J9
Jacoby, Ian
n �acobJr
Company:
Date Signed:
i PERMIT E RATERS
2017-05-07 22:12:37
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
Digitally signed by Ca10ERTS. 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: 217-A020149805A-000-000-0000000-0000
Registration*Date/Time: 2017-05-07 22:12:37
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards.- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-07 22:12:57'
Schema Version: rev 10/16