BMCH2016-0374r+
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78-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0374
Property Address:
77929 LAGO DR
APN:
658270051
Application Description:
REPLACE 4 TON EVAP. COIL IN CLOSET
Property Zoning:
Application Valuation:
$1,000.00
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LARRY CHAPPELL
Contractor:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
Date: 10/17/2016
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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: C210`� /License No.: 794315
D t5 e: ��• 1 1� f � Contra to�oYf i
OWNER -BUILDER DE RATION
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.).
(1 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:
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.
Ift 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: EXEMPT Polity 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 the abr Code, I shall forthwith
comply with those provisions.
,,/U- r I , / " APorieart%--
— A",—, N1—
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 l ®, fq , I / V Signature (Applicant or Agen
Date: 10/17/2016
Application Number: BMCH2016-0374
Owner:
Property Address: 77929 LAGO DR
LARRY CHAPPELL
APN: 658270051
Property Zoning:
Application Valuation: $1,000.00
Applicant:
Contractor:
DOVE AIR INC
DOVE AIR INC
68-749 RISUENO ROAD
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
(760)327-1890
-
---------------------------------------------------------------------------------------------
LIc. No.: 794315
Detail:.CHANGE OUT (1) 4 TON EVAPORATOR COIL IN CLOSET [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES. -
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
HVACCHANGEOUT-_REPAIR/ALTERATION
FINANCIAL INFORMATION
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
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
HVACCHANGEOUT-_REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for CHANGEOUT: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE.
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
J
s
$96.27
$96.27
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
Lynn Wiegers I Date Prepared:
2016-10-13
A. General Information
C17111 -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF111-ALT-02 document for each dwelling unit.
01
Project Name
Lynn Wiegers
02
Date Prepared
2016-10-13
03
Project Location
77929 Lago Dr.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Lynn Wiegers
07
Zip Code
92253
08
Dwelling Unit Conditioned
2200
( install ng I
lnstalli g
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information ! i I�� n .•
01
02
03 .+.
04'�k
! ,�05 11&
1061 f -"%N
I I 07 a
69 11
09
10
`FIs the SC
Installing a
SC System
SC System
CFA served
system a1--
r f ige nt
Installing ew C
( install ng I
lnstalli g
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
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
Bedrooms (2
Bdrms)
1600
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: 216-A0384169A-000000000-0000
Registration Date/Time: 2016-10-13 12:43:59
HERS Provider: CalCERTS
_ CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-13 12:44:27
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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)
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
System 1
Central gas
No heating
component
This field or
section is not
This field or
section is not
Centrals lit
p
Indoor coil
SEER
13
Setback
This field or
section is not
This field or
section is not
furnace
altered
applicable
applicable
AC
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CBR -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: <_ 15%, or <_ 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 Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verificatinof Air Flow IVCW23,-or Refrigerant Charge MECH-25.C
�
0
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 DuctFLeakage Testing requirements.
1 ! LI
.1
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections -150.2(b)1Diia and 150.2(b)1E, F)
FWC Qp1
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: 216-A0384169A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: . 2016-10-13 12:43:59
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
.HERS Provider: CalCERTS
Report Generated: 2016-10-13 12:44:27
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:
gt
Laster, Gary
V a2y
Company:
Signature Date:
DOVE AIR INC
2016-10-13 12:43:59
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 of Regulation s.1I $ � # � r�� � ` �
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 approvalkwith this building permit application. [J. IJ [(
e t t a l J t 1 L"�. 7? �l YI
S. I 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 tothe 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: L+ 9 A
Responsible Designer Signature: V I /)11L.00 1
Laster, Gary
CEJ/ �GUlt ('lb
Company:
Date Signed:
DOVE AIR INC
2016-10-13 12:43:59
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0384169A-000000000-0000 Registration Date/Time: 2016-10-13 12:43:59 HERS Provider: CaICERTS
' CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-13 12:44:27
Schema Version: 0.555SDD
Bin #
Permit„
tit/� l
/
Project Address:
City of La Quinta
Guifding &r Safety Division
78-495 Calle Tampico
037 La Quinta, C4 92253 (760) 7777012
�I3uilding Permit Applicatidn and Tracking Sheet
Q Owner's Name:
A. P. Number:
Address: LQ 2a 411,
Legal Description:
City, ST, Zip:
Contractor:
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Project Description:
City, ST, Zip: .l G 4A'd e 1
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State Lic. # :
City Lic. #-;0(0
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: h
one:
Construction O ane Y:
TYP Occupancy:
P
State to L ic_ # •
Project type (circle one • New Add'n Alter Repair. r Demo
0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 0 �� U
Estimated Value of Project: /006. 4a
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
.PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d. Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Con(act PersonA
.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
.
1
Total Permit Fees