BMCH2018-038678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
MECHANICAL/
BMCH2O18-0386
56498 PALMS DR
764020010
T44,v, 4 �p Qazk&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LEIDNER / HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM
$6,500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ROBERT LEIDNER
56498 PALM DRIVE
LA QUINTA, CA 92253
Date: 9/14/2018
Contractor:
D VOTTA ENTERPRISES INC DBA COMFORT AIR
72248 NORTHSHORE ST STE 101
SEP 14 2018 D THOUSAND PALMS, CA 92276
CITY OF LAQUINTA (760)320-5800
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 763937
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 fcommencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.:7§3 217
Date: a 4 i g Contractor: �s-csi—y
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 requlres the applicant for the permit to file a
Sighed 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 subyects 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:
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
owork for which this permit is issued.
1AZ
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: WSD503453902
~ 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: Applicant:
w
_ �,�
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
ssued as a result of this application , the owner, and the applicant, each agrees to, and
;hall 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
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
lot commenced within 180 days from date of issuance of such permit, or cessation of
vork 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
Lender's Name: above -mentioned property for inspection purposes.
Lender's Address: Date: 31I Signature (Applicant Or Agent .
Application Number:
BMCH2O18-0386
Property Address:
56498 PALMS DR
APN:
Application Description:
764020010
LEIDNER / HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$6,500.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 9/14/2018
Owner:
ROBERT LEIDNER
56498 PALM DRIVE
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
----------------------
---------------------------
Detail: HVAC CHANGE OUT - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONQXIDE!ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES. j
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
CITY AMOUNT
PERMIT ISSUANCE
101-0000-42404
0 $98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0 $10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta QaiKrCV
GEM nf,& DFSERr —
Project Address: 56498 Palms Drive
APN #:
Applicant Name: Steven Schnierer
Address: 31225 La Ba a Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-7 35-7876
Email: -zwrrhnierer-roadrunner.com
PERMIT #� 03
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
RAnlace 2 ton / 30,000 BTU com fete HVAC system
Valuation of Project $ 6,500.00
New SFD Construction:
Contractor Name: Comfort Air
SF
Conditioned Space
Address: 72248 Northshore Street Suite 101
-
Garage
SF
City, St, Zip Thousand Palms, CA 92276
SF
Patio/Porch
Telephone: 760-320-5800
Fire Sprinklers
SF
Email:
State Lic: 763937 City Bus Lic:
ruction Type:
Occupancy:
/ENme:
ing:_
EEaG
FEmail:
ooms: Stories:
Units:
— —
City Bus Lic:
Property Owner's Name: Robert and Sue Leidner
Address: 56498 Palms Drive
City, ST, Zip La Quinta, CA 92253
Telephone: 76 p-989-8120
Email:
New Commercial / Tenant Improvements:
Total Building - _ _ --_ SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal
—Req'd Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CF1R-ALT-02-E
CERTIFICATE OF COMPLIANCE
(Page 1 of 3)
Alterations to Space Conditioning Systems (formerly CF-1R-ALT HVAC)
ROBERT AND SUE LEIDNERd: Date�Prepare2018-09-13
Project Name:
A. General Information
n a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 is applicable to multiple space conditioning systems contained withi
CF111-ALT-02 document for each dwelling unit.
01 Project Name
ROBERT AND SUE LEIDNER 02 Date Prepared 2018-09-13
03 Project Location
56498 PALMS DRIVE 04 Building Type Single family
05 CA City La Quinta 06 Dwelling Unit Name ROBERT AND SUE LEIDNER
Dwelling Unit Conditioned 3111
07 Zip Code 92253 08
Floor Area (ft)
Number of Space
09 Climate Zone 15 30 Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04 `
05
06
Is the SC
Installing a
SC System
SC System
CFA served
system a
Y
refrigerant
Installing new SC
Identification or
Location or Area
by this SC
System (ftZ)
ducted
system?
containing
component?
system
components?
Name
Served
SYSTEM 1
LOCATION 1
3111
Yes
Yes
Yes
07 --T 08 1 09 1 10
Installing
Installing
Installing
more than 40
entirely new
entirely new
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Date/Time: 2018-09-13 11:04:14
HERS Provider: CHEERS
Registration Number: 418-A020070980A-000-000-0000000-0000
Report Version: 2018.0.001 Report Generated: 2018-09-13 11:04:13
CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 20180426
CF111-ALT-02-E
CERTIFICATE OF COMPLIANCE (Page 2 of 3)
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
g y 1E and F 11 12
D. Altered Space Conditioning System (Sections 150.2(b) 08 09 10
05 06 07
02 03 04 Cooling
01 New or
Heating Cooling Minimum Required
Minimum Altered g Thermostat Replaced New Duct
Heating Altered Heating Cooling Efficiency Efficiency
System Efficiency Efficiency Cooling g Value Type Duct Length R-Value
Identification System Heating stem Type Components Type
Components Type Value System This field or This field or
or Name Type All new Central split SEER 16
All new Setback section is not section is no
cooling applicable applicable
Central gas heating AFUE 0.8 AC
components
SYSTEM 1
furnace components
ppnwr,� ed ❑. rn nt tion:
air and return air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ Il and 14-16
CF2R-MCH-01 E Space Conditioning Systems
Duct insulation requirement for the new portions of supply
ore than 40 ft
CF 2R and CF3R MCH 20-H - Duct Leakage Test required when heating or
outside, or seal all components
sane i leaksed in ducted systems, or when m in CZ tog d 5)t length is replaced
Leakage rate compliance: <=15 percent or <= 10 percent leakage
CF2R and CF3R MCH 25 H Refrigerant
>Charge verification required when refrige
er on required when MCH 251s equaedng components are installed or altered(applicable
CUR and CF3R-MCH-23 Airflow
Exceptions:
Duct systems registered d itth HERSAir Handler oF mace cchanr as lges do note require xverification ofAirflow -20 uMCHct a23gor Refrigerae Testing nt Charge MCH-25.
Heating -only systems
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. I
e lacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
E. Entirely New or Complete R p
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.
HERS Provider: CHEERS
Registration Date/Time: 2018-09-13 11:04:14
Registration Number: 418-A020070980A-000-000-0000000-0000 Report Generated: 2018-09-13 11:04:13
Report Version: 2018.0.001
CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 20190426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Signature:
Documentation Author Name: Drew QuP.ew
Drew Queen
Signature Date:
Company: 2018-09-13
1 Permit E Raters
CEA/ HERS Certification Identification (if applicable):
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
CF1R-ALT-02-E
(Page 3 of 3)
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.
n or system desig
2. .1 am eligible iance (responsible designer).
under Division 3 of the Business nces ecfications, materials, rofessions components,, ade to accept ndbility for manufact r manufactured de1ng vices for the building design or system design identified on this Certificate cate of Compliance conform to the
3. That the energy features and perform p
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.
S. 1 will ensure that a registered copy of
his Certificat
of this Certificlate of Colmplianl be ce fsrequired available
beith hnc included we building tth he documentation tion the bfor the duilderp provides to the bnd made uilding owner occupancyY for all applicable
inspections. I understand that a S r
S' ture:
Responsible Designer Name:
Tracy Garza
Company:
Volta Enterprises, Inc. dba Comfort Air
Address:
72248 Northshore Street #101
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer igna
Tracy Garza.
Date Signed:
2018-09-13
License:
763937
Phone:
760-320-5800
a signed YHydigital
ln provided registered
document, and inway RgtrataProvider responsibility for the accuacy Of the information.
Registration Number: 418-A020070980A-000-000-0000000-0000 Registration Date/Time: 2018-09-13 11:04:14
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2018-09-13 11:04:13