BMCH2015-0288/,[/ Q�i , VOICE (760) 777-7125
78-495 CALLE TAMPICO T ,0 D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/21/2015
Application Number: BMCH2O15-0288 Owner:
Property Address: 54620 AVENIDA OBREGON JEFF BRESKIN
APN: 774274006 19746 AZURE FIELD DR
Application Description: BRESKIN RESIDENCE HVAC REPAIR NEWHALL, CA 92253
Property Zoning:
Application Valuation: $4,500.00
Applicant:Contractor:
DOVE AIR INC D `\�� G�1�
68-749 RISUENO ROAD w �Q��NOPPt�Z DOVE AIR INC
OF SEN 68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234 tJ\� vE�OQti CATHEDRAL CITY, CA 92234
co�M�N�r�E
(760)327-1890 .
Llc. No.: 794315
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 r License No.: 794315
Date: _ _!'Z /' �J^ 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 fora
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 Na
Lender's Address:
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:- Policy Number: _
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 t Labor Code, I shall forthwith
comply with those provisions.
Date: 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: ,Z 1'(1 Signature (Applicant or Agent)
Description: BRESKIN RESIDENCE HVAC REPAIR
Type: MECHANICAL Subtype:
Status: ISSUED
Applied: 7/21/2015 EVA
Approved: 7/21/2015 EVA
Parcel No: 774274006 Site Address: 54620 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 267
Lot: 6
Issued: 7/21/2015 EVA
UNIT 25
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,500.00 Occupancy Type:
Construction Type:
Expired: 1/17/2016 EVA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER/ 80 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES CBC
Printed: Wednesday, May 17, 2023 9:26:56 AM 1 of 2
WSYSiEMS
CHRONOLOGY
•
NAME TYPE
NAME
ADDRESSICITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL
CITY
CA
92234
(818)915-0083
CONTRACTOR
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL
CITY
CA
92234
(818)915-0083
OWNER
JEFF BRESKIN
19746 AZURE FIELD DR
NEWHALL
CA
92253
(818)915-0083
Printed: Wednesday, May 17, 2023 9:26:56 AM 1 of 2
WSYSiEMS
1 9m PARENT PROJECTS
. ?a O
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
■ ■
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/21/15
R7866
6536
CHECK
DOVE AIR INC
EVA
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$36.26
7/21/15
R7866
6536
CHECK
DOVE AIR INC
EVA
SOR
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$24.17
7/21/15
R7866
6536
CHECK
DOVE AIR INC
EVA
SOR PC
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$12.09
7/21/15
R7866
6536
CHECK
DOVE AIR INC
EVA
EVAPORATIVE COOLER
101-0000-42600
0
$12.09
$12.09
7/21/15
R7866
6536
CHECK
DOVE AIR INC
EVA
PC
Total Paid for MECHANICAL: $84.61 $84.61
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$91.85
7/21/15
1 R7866
6536
CHECK
DOVE AIR INC
EVA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:4. $177.46
1 9m PARENT PROJECTS
. ?a O
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
MECHANICAL FINAL"
BLD
1 9m PARENT PROJECTS
Printed: Wednesday, May 17, 2023 9:26:56 AM 2 of 2
WsYsrEMS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED
DATE
STATUS REMARKS
NOTES
Printed: Wednesday, May 17, 2023 9:26:56 AM 2 of 2
WsYsrEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -SR -ALT HVAC)
Project Name:
Jeff Breskin I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-07-20
A. General Information
CFIR-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
Jeff Breskin
02
Date Prepared
2015-07-20
03
Project Location
54620 Avenida Obregon
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Jeff Breskin
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
�{
Floor Area (ft2)
SC System
CFA served
system aj-
-'4
refrigerant
Ir,,.. *
NInstallinganew SC
� �.
Number of space conditioning
5Installing,
iO 4' '!�i�..:.
09
Climate Zone
15
10
(SC) systems in this dwelling
1
W , a
containing
k
system
,�.' Vit'
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information ,tom 4 4 t�=1T0 t�.
01
02
03
04
t05.
661M
1 07 ))
11. t)8. 11'
09
30
..�
FIs the SC`-`"`
Installing a
�{
SC System
SC System
CFA served
system aj-
-'4
refrigerant
Ir,,.. *
NInstallinganew SC
� �.
Installing
5Installing,
iO 4' '!�i�..:.
Installing
t.
Identification or
Location or Area
by this SC
#
ducted
W , a
containing
k
system
,�.' Vit'
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Entire house
2000
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: 215-A0198198A-000000000-0000
e
Registration Date/Time:
2015-07-20 10:27:45
HERS Provider: CaICERTS
nCA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 10:26:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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)
p
O1
02
03
04
05
06
07
08
09
30
it
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
No heating
This field or
This field or
Central split
C
All new
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
13
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing,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: 515%, or15 10% leakage to outside, or.seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions: ! -,
-Duct systems registered with HERS provider as previously sealed are exempt from°MCH-20 Duct LeakagerTestig regwrements. .
�a as )
Heating -only systems and Air Handler/Furnace changes do not regyve verificaion of Air Floww MCS 323, or RefrigeranYChageMECH-25�
Duct1daakage
nr-
Existing duct systems constructed, insulated or sealed with asbiestos are exempvfrrom MCH 20 Testing requirements. a
A - K A fes' f""
E. Entirely New or Complete Replacement Duct System, with or w,�thout�Equipment Changeout {sections 150.2(4)1Diia andj150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 215-A0198198A-000000000-0000
Registration Date/Time: 2015-07-20 10:27:45
HERS Provider: CalCERTS
+.CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 10:26:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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: s� �U�
Laster, Gary
�/l�R,
Company:
Signature Date:
DOVE AIR INC
2015-07-20 10:27:45
Address:
CEA/ HERS Certification Identification (if applicable):
68-749 RISUENO ROAD
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
(760) 327-1890
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.
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 ofd egulationss o
4. The building design features or system design features identified on this Certificate of Compliance are consistent with%the informafion,provided on otherrapplicatile compliance documents, worksheets,
err ti.
calculations, plans and specifications submitted to the enforcement agency for•approvalwith this building permit applications ( p
5. 1 will ensure that a registered copy of this Certificat ofCompliance shall,be.inade,:available with�the building,permit(s),issued forth .bwld�g, andmade available;to�the enforcement agency for all applicable
inspections. I understand that a registered copy of thi leertificate of Compliance is required to be -included wiith t4 documentation builder p ovdes t% he b ilil ding owner at occupancy.
if,Responsible
Designer Name:
Responsible Designer AgnAure: V 4/)kms IF -1
Laster, Gary
CEJ/ UILU'JL
Company :
Date Signed:
DOVE AIR INC
2015-07-20 10:27:45
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
(760) 327-1890
Digitally signed by Ca10ERTS. 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: 215-A0198198A-000000000-0000 Registration Date/Time: 2015-07-20 10:27:45 HERS Provider: CaICERTS
• " CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-20 10:26:50
Schema Version: 0.555SDD
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Box 1564, 78.495 Calle Tampico
La Qubka, CA 92253 -- (,760).777-7012
Bullding Permit Application and Tracking Sheet .
Permit ;iEP.O.
9,H&4
Project Address:Sq J {
A- P. Numbs: .
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