BMCH2017-0309I
78-495 CALLE TAMPICO D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/19/2017
Application Number: BMCH2O17-0309 Owner:
Property Address: 46325 ROADRUNNER LN CHERYLE PELONI
APN: 600041010 P O BOX 5365
Application Description: PELONI RESIDENCE / HVAC CHA G OUT. �I 11L 1 $ 207LA QUINTA, CA 92253
Property Zoning: 0
Application Valuation: $13,000.00
CITY OF lA ON%
Applicant: pESIGN. AND DEVELOPMENT DEPARTMENcontractor:
IE INC VOTTA ENTERPRISES INC DBA COMFORT AIR
31225 LA BAYA . 72248 NORTHSHORE ST STE 101
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
----------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 1 hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 763937 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
(760)320-5800
Llc. No.: 763937
Date:! 11 at n Contractor: a
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 ag s cy for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Add
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.
Dater I9 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. ��`��'
Date: -7 ! 9 l� Signature (Applicant or Agent):.�112—
Application Number: BMCH2017-0309
Property Address:
46325 ROADRUNNER LN
APN: .
600041010
Application Description:
PELONI RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$13,000.00
Owner:
CHERYLE PELONI
P 0 BOX 5365
LA QUINTA, CA 92253
Date: 7/19/2017
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 - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES:
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT CITY 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
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT.ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
City 0f Ld QUffita
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta; CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 46325 Roadrunner Lane
Owner'sName:.Cheryl Peloni
A. P. Number.
Address: 46325 Roadrunner Lane
Legal Description:
City., ST, Zip: La Quinta, CA' 92253
Contractor. Comfort Air
mss' -g ''�`�':s�'
Telephone: 760-256-3714 ,. M11
Address: 72248 Northshore Street Suite 101
PmjectDescription: Replace 5 ton A/C, coil, & 90,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
furnace
Telephone: 760-320-5800
ECMity Lic. #:
State Lic. # : 763937
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:'v
f,..`
State Lic #: .aw�rzd5
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: 818-735-7876 Estimated Value of Project: $13,000,00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sete
Pian Check submitted
Item Amount
Structural Calci
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
Pians resubmitted.'.
Mechanical
Grading plan
V Review, ready for correctiousliissue
Electrical
Subcontactor List
Called Contaci Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IM HOUSE.-
'j6 Review; ready for correctlonstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr -
Date of permit Issue
School Fees .
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
CHERYL PELONI I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-07-17
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
CHERYL PELONI
02
Date Prepared
2017-07-17
03
Project Location
46325 ROADRUNNER LANE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
07.
Zip Code
922538
R `Dwelling
Unit Conditioned
1700
Installing
Installing
Installing
Floor Area (ftZ)
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
,t `1
Ji
Number of Space
system?
09
Climate Zone
15
duct system?
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOME
1700
X10`
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information. s
01
02
.03
04
OS
06
07
08
09
10
Is the SC
riP rf
Installing.a
3 rj� rrvi
r ws{it 1 Irit irl
SC System
SC System
CFA served
system a
refrigerant
Installing new SC a
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?
I 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. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020103551A-000-000-0000000-0000
Registration Date/Time: 2017-07-17 16:36:12
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-17 16:36:12
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems '
R6(d;1-10
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums 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 e:inssttalled 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. ua�
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, o' 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 or Without Equipment Cha genu (Sections 150.2(b)lDiia and 150.2(b)lE, F)
ssei oneneowith ohs preThcda totoct.
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-A020103551A-000-000-0000000-0000 Registration Date/Time: 2017-07-17 16:36:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-17 16:36:12
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:
Stephanie Shryock
StxPhavuzShryock.
Company:
Signature Date:
Votta Enterprises, Inc. dba Comfort Air
2017-07-17
Address:
CEA/ HERS Certification Identification (if applicable):
72248 Northshore Street #101
City/State/Zip:Phone:
Thousand Palms CA 92276
760„320-5800
Responsible Person's Declaration statement i
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 -approval with this building permit application.
tf -
p lit _Jf F M if . .(-
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the b ilding=permits) 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 equii�ed tto be in included withsthe doccuu•xmentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Tracy Garza Unmatched Sorv4
Respons #ble,Designer Signature:
.Shari,�Shvyock.(atiu3'orvged.)
Company:
Date Signed:
Volta Enterprises, Inc. dba Comfort Air
2017-07-17
Address:
License:
72248 Northshore Street #101
763937
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-320-5800
Digitally signed by CHEERST”. 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-A020303553A-000-000-0000000-0000 Registration Date/Time: 2017-07-17 16:36:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-17 16:36:12
Schema Version: rev 10/16