BMCH2017-02610
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0261 Owner:
Property Address: 60585 LACE LEAF CT CT JEAN MCINTOSH
APN: 764330065
Application Description: MCI NTOSH / HVAC CHANGEOUT 25SEER/80 AFUE SPLIT SYSTEM 92253
Property Zoning:
Application Valuation: $16,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
IJt
UN 2-3 2017. l
CITY OF LA QUINTA
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
L
C Date: (oZJ 1'7 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).:
(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.).
( 11, 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: 6/23/2017
Contractor: . .
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763537
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
oft a 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 insurarce 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: Z3 li 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 =0R 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 aFplication 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 lo 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 cancella?ion.
I certify that I have read this application an 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.
�^ e
Date: � � �� Signature (Applicant or Agent): .�
Date: 6/23/2017
Application Number: BMCH2O17-0261• Owner:
Property Address: 60585 LACE LEAF CT CT JEAN MCINTOSH
APN: 764330065
Application Description:. MCINTOSH /. HVAC CHANGEOUT 25SEER/80 AFUE SPLIT SYSTEM 92253
Property Zoning:
Application Valuation: $16,000.00
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 - 25SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
PKIANfIAI INFCIRMATInK1
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
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
JEAN MCINTOSH I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-06-23
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
JEAN MCINTOSH
02
Date Prepared
2017-06-23
03
Project Location
60585 LACE LEAF COURT
04
Building Type
Single family
05
CA City
La Quinta -' '�
06
Dwelling Unit Name
HOME
SC System
SC System
served
system a
refrigerant
Installing new SC
07
Zip Code
92253
-�'J
08
Dwelling Unit Conditioned
2200
by this SC
ducted
„
system
Floor Area (ftZ )
entirely new
entirely new
1,14
Served
Number of Space
system?
09
Climate Zone
15 ``
10`
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOME
2200
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information 01W S CI'°" I f"N - 0*
01
02
03
04
05. "
06'x*
07.
08
09
30
CFA
Is the SC
st�E€
�. Installing -a.
� r+ r B'
€? W r I t c ri'�i
SC System
SC System
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
WHOLE HOME
2200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020099558A-000-000-0000000-0000
Registration Date/Time: 2017-06-23 08:14:01
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-23 08:14:01
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)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
This field or
This field or
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
- 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. W %LJ "r
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components.areinstalled 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.`"
1.
Exceotions:
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.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, With oe withouEq uiPtent Chng'eou (Sections 150.2 b lDiia and 150.2 b 1E F)
i hssto onotpplyrsprTedtothiject.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020099SS8A-000-000-0000000-0000 Registration Date/Time: 2017-06-23 08:14:01 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-23 08:14:01
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.
Docurrienlalion Author Name:
Documentation Author Signature:
Tracy Garza
Tracy (acwba.
Company:
Signature Date:
Votta Enterprises, Inc. dba Comfort Air
2017-06-23
Address:
CEA/ HERS Certification Identification (if applicable):
72248 Northshore Street #101
City/State/Zip:g
Thousand Palms CA 92276
Phone:
1760 320-5800
Responsible Person's Declaration statement'
1•certify the following under penalty of perjury, under the laws of the State of California:
E,{
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,Por.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 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 #th this building permit application.
5. I will ensure that's registered copy of this Certificate of Compliance shall be.made�available with the buildiri permit(ssued for the building, and made available to the enforcement agency for all applicable
if inspections. I understand that a registered copy of this Certificate of Compliance is required to be included Mth the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Tracy Garza1t�rt+ci't»iC'1 t
Responsible. Signature:
T G" lIV
Company:
Date Signed:
Votta Enterprises, Inc. dba Comfort Air
2017-06-23
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-A020099558A-000-000-0000000-0000
Registration Date/Time: 2017-06-23 08:14:01
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016. Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-06-23 08:14:01
Schema Version: rev 10/16
Bin #
City of La Quinta
Building & Safety Division -
78-495 Calle Tampico
La Quinta, CA 92253.- (760)777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: G O5 3S L, C ea
Owner's Name: .S �v
20\ \ `C--h�os�
A. P. Number:
Address: 6D s L��e_ �� -
Legal Description:
City, ST, Zip: C.A ZZS�
Contractor: •pp
Telephone: 1 - - QI 9 .s
Address: '� 2-Z y g
Project Description:
City, ST, Zip: CA -1 z z -.'-?(o
c c' -p- i'O— U"C- v
Telephone: '7 �0 0'
hone-EMEM
O-� 23
ZO- b
1 ±� S
State Lic. # : —7G--2.) 013 7
CityLic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
h
Telephone:
one:
>'>:<1:::
Construction struction TY P e: Occupancy:
StateLic: #:
Project • New Ad9'
type (circle one) n Alter r RepairDemo
Name of Contact Person:Sq.
FL:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calls.
Plans picked up
Construceion
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up*S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Develope.- Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees