BMCH2019-016278-495 CALLE TAMPICO Tit�t D �- Qu4a
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O19-0162
Property Address:
54922 SOUTHERN HILLS
APN:
775120048
Application Description:
TRAVIS/HVAC CHANGE OUT -
16SEER/80 AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$11,890.00
_
�.
ApplicantDJ
IE INC
31225 LA BAYA
f
MAY U ,l 201.9
WESTLAKE VILLAGE, CA 91362
IUM'.).LHINTA
l`i5i�='!lsf UWI.E)fi',-1;�i D ;^,%"TP1NT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing 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.: 763937
Date: _S 111 ) a► 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).:
(_) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/3/2019
Owner:
HERICCK ROBERT BRUCE/TRAVIS BARBARA
54922 SOUTHERN HILL
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 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 WE5I Policy Number: W D 3s sa 453902
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
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: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL•• •
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
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVACCHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT:
$120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT CITY
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:
$5.00
W
PERMIT # I
PLAN LOCATION:
Project Address: 54922 Southern Hill
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 5 ton / 90,000 BTU complete HVAC system
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com
Valuation of Project $ 11,890.00
Contractor Name: Comfort Air
New SFD Construction:
Address: 72248 Northshore Street Suite 101
Conditioned Space _ SF
City, St, Zip Thousand Palms, CA 92276
Garage SF
Telephone: 760-320-5800
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: 763937 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: Barbara Travis
New Commercial / Tenant Improvements:
Address: 54922 Southern Hill
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 760-2 38-4512
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
A. General Information
MR-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
Barbara Travis
02 Date Prepared
2019-05-02
03 Project Location
54922 Southern Hill
04 Building Type
Single family
05 CA City
La Quinta
06 Dwelling Unit Name
Barbara Travis
07 ZipCode
92253
Dwelling Unit Conditioned
08
3372
Floor Area (ftZ)
Number of Space
09 Climate Zone
15
10 Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System
Information
01 02
03 04
05
06 07
08 09
10
Is the SC
Installing a
SC System SC System
y Y
Identification or Location or Area
CFA served system a
by this SC ducted
refrigerant
Installing new SC Installing
Installing Installing
Name Served
System (ftZ) system?
containing
component?
system more than 40
components? feet of ducts?
entirely new entirely new
duct system? SC system?
Alteration Type
System 1 Location 1
3372 Yes
Yes
Yes No
No No7co
Altered space
nditioning 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: 419-A020043298A-000-000-o000o00-0000 Registration Date/Time: 2019-05-02 13:35:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-05-02 13:35:54
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CF1R-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
All new All new
S stem 1 Central gas Central split
y heating AFUE 0.8 cooling SEER
This field or This field or
furnace AC 16 Setback
components
section is not section is not
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 percent or-� 10 percent 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 CF3R-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.
-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 Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 419-A020043298A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-05-02 13:35:55
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-05-02 13:35:54
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Cassidy Snow
Company:
I Permit E Raters
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Responsible Person's Declaration statement
Documentation Author Signature:
Ca4sc4 Svww
Signature Date:
2019-05-02
CEA/ HERS Certification Identification (if applicable):
Phone:
818-735-7876
CF1R-ALT-02-E
(Page 3 of 3)
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.
5, f will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(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:
Tracy Garza
Company:
Votta Enterprises, Inc. dba Comfort Air
Address:
72248 Northshore Street #101
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer Signature:
Tracy Gar3. v
Date Signed:
2019-05-02
License:
Phone:
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: 419-A020043298A-000-000-0000000-0000 Registration Date/Time: 2019-05-02 13:35:55
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-05-02 13:35:54