BMCH2017-048978-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number:
BMCH2O17-0489
Property Address:
77333 CALLE MAZATLAN
APN:
658250042
Application Description:
MITTLEBOSHER / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$11,550.00
Applicant:
VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276
A
NOV 2 9 2017
CITYOFLAQUINTA
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
Dante: I 1� C�rctor:
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 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/29/2017
Owner:
EDWIN MITTELBUSHER
P0BOX 1361
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
of tl}gw�rk for which this permit is issued.
V I have and will maintain workers' compensation insurance, as required by
Sectiom3,700 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: 11 201 I I Applicant:
0111110—
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.
Dater' 1' A - 1_1 Signe (Applicant or Agent):
Date: 11/29/2017
Application Number: BMCH2O17-0489 _ Owner:
Property Address: 77333 CALLE MAZATLAN EDWIN MITTE:LBUSHER
APN: 658250042 P 0 BOX 1361
Application Description: MITTLEBUSHER / HVAC CHANGEOUT LA QUINTA, C4 92253
Property Zoning:_
Application Valuation: $11,550.00
Applicant: Contractor:
VOTTA ENTERPRISES INC DBA COMFORT AIR VOTTA ENTEFPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101 72248 NORTHSHORE ST STE 101
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)320-5800
Llc. No.: 763937
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 15 SEER/80AFUE SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL_
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
J
DESCRIPTION
IN INFORMATION
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402 0
$39.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600 0
$78.02
Total Paid for CHANGEOUT:
$117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0.
$98.83
Total Paid for PERMIT ISSUANCE:
$98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
Ir
r PERMIT #
I
PLAN LOCATION
Address:i
Sant, M Am ra.)A
City, St; Zip
Project Description: PToI; Remodel; 'dd-t Elect; I lunibFiV eh
Project Address: I'S3III Wmb
APN #:
V
Email:
Fire Sprinklers SF
Applicant Name:.
DOM N
Email:
Address:
State Lic: City Bus Lic:
City, ST, Zip:
hms.22
Telephone: IM, 3 2_ j • 000 0
Email:
!/�1 V� �- • l ► l
Contractor_Name: f
New SFD Construction:
Address:i
Sant, M Am ra.)A
City, St; Zip
Conditioned Space SF
Garage _ SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
-State-Lic:-.J ti-CityTBusL'ic:
# Units:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
1'.roperty _QTvner-' Name:W� r 0 M, le
New Commercial /Tenant Improvements:
-Add" ress�-Jj a�
Total Building SF
(6l2,M 3
Construction Type: Occupancy:
'-Telephone--- ��App-(�
Email:
78495 CALLE TAMPICO
LA QUI NTA, CA 92253 '
760-777-7000
4 1
:•
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: EDWIN MITTELBUSHER I Date Prepared: 2017-11-28
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
EDWIN MITTELBUSHER
02
Date Prepared
2017-11-28
03
Project Location
77333 CALLE MAZATLAN
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 �" r{
8
Dwelling Unit Conditioned
1922
by this SC
ducted
containing
j
Floor Area (ftZ)
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
C-
�!
Number of Space
Alteration Type
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
No
No
No
Altered space
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
U V 05 U -=a
LL --a 66'&
07
08
09
10
CFA
Is the SC
Qnr7
Installing a
Dt -0-6 ' vi
*) intith Intaalrih
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
1922
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020130737A-000-000-0000000-0000 Registration Date/Time: 2017-11-28 15:59:20 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-28 15:59:21
Schema Version: rev 10/16
r,.
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)
O1
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
Sysiem
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
15
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 duds or plenumsrR6 (CZ 1-10, 1z 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 dulled 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.' i J I__1 !'j
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 CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions:
Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud 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 dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
ff-- IL -Al 41—: It— Ii" -71 (
E. Entirely New or Complete Replacement Duct System, with orwlthout Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
UnThls section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 417-A020130737A-000-000-0000000-0000 Registration Date/Time: 2017-11-28 15:59:20 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-28 15:59:21
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CUR -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.
Docu'eL�ntuLiun Autlpar Nan -se:
Docurnentotlon Author Sianoturr::
Stephanie Shryock
S"haAL&Sh#yoCt,
Company:
Signature Date:
I Permit E Raters
2017-11-28
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Phone:
Westlake Village CA 91362 ; ��F,,
8187735-7876
Responsible Person's Declaration statement L"tif 1
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
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 iapproval this building permit application.
.with
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available -With the building perrnit(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:
Uf1fri`�CCh�)�`
Responsible.Designer Signature:
S"haC;,ShryockCaut�w+ed.)
Tracy Garza
Company:
Date Signed:
Votta Enterprises, Inc. dba Comfort Air
2017-11-28
Address:
Ucense:
72248 Northshore Street #101
763937
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-320-5800
Digitally signed by CHEERSTM. 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-A020130737A-000-000-0000000-0000 Registration Date/Time: 2017-11-28 15:59:20 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-28 15:59:21
Schema Version: rev 10/16