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BMCH2016-0031' 3 / I IIIII� IIIII'lll I�'� 30 78-495 CALLE TAMPICO C` A D �f4Ni�Cl/ VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 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 I License No.: 794315 Date: Z ' 1'i— �° 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).: U 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 (760)327-1890 Llc. No.: 794315 WORKER'SCOMPENSATION 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 polity number are: Carrier:_ Polity Number: 1 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. 2-tt_ ///L Date: Applicants. - 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: 2 '11A Signature (Applicant or Agent):, , U- Date: 2/22/2016 . Application Number: BMCH2O16-0031 Owner: = Property Address: 50125 VIA ALDEA KENNETH HULBERT APN: 776300014 50125 VIA ALDEA cro a Application Description: HUBERT / CHANGE OUT CONDENSOR LA QUINTA, CA 92253 Property Zoning: C=Z' � L:, Application Valuation: $2,000.00 g � oil Applicant: Contractor: 00 w DOVE AIR INC DOVE AIR INC t -I- 68-749 RISUENO ROAD 68-749 RISUENO ROAD 1� o CATHEDRAL CITY, CA 92234 CATHEDRAL CITY, CA 92234 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 I License No.: 794315 Date: Z ' 1'i— �° 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).: U 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 (760)327-1890 Llc. No.: 794315 WORKER'SCOMPENSATION 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 polity number are: Carrier:_ Polity Number: 1 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. 2-tt_ ///L Date: Applicants. - 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: 2 '11A Signature (Applicant or Agent):, , U- x .s 4..•-�:tY::e x4£r. S £5`d:'3 3k' 'i'.e.., -f Kib � ..F.i'.e Yt. S�&u i fj' ACCOUNTt.` AMO�U�NT PAID�> PAIDgDATErc ,.-4CRTY5 ,, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 TYsy^ I f� Tc4-+Fi' U 4>Qix"^,4Y >�P� 4°"�n p2 PAID BY ^, ET:HOD 'FY^S.h SS ..4C -:...g(;..' RECEIRT# , ik.,i k4m ! F Ff-'X4. 'i,!"b:, CHECK# ca BY 3, Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 N _ '�' DESCRIPTION � �,� N .; qTY� AMOUNT Y 1` n �, :}x''%a� PAID .y.': ,_ k VDATE� �r � <u:..:.�...8f _x ..�-w ����ACCOUNT .� Eax°_ �: ,.�r„'?k 3 :ica..r�...�.,. N. s.<:,�: HVAC CHANGEOUT - CONDENSER ONyyLYj 101-0000-42402 0" $36.26 $0.00 A{ ..N.T Z �l C.'FSS �£ ::'Yry t}" F .z '°r"�yit. "'l..'% 3•§3 V"i+?es `.+ � 1„Re` iS r..ili�. 2 �'&9' S. .p `i. /r # Hvi4-1.iF 1`l3r€fl f. ",n"rT}` # �� _S.,4f >,x '$ CLTD BYM w €RECEIPT .�: CHECK u£4 a , € � � �- �DESCRIPTIONh.z�A000UNT ��;ij zf'S.;�.� �, l h xtgTY `. 3. 'S'.,�,_ xx�� %' _ g�ys'4 Y-� ,fir 4 g OUNT s . F PAID P D AI DATE% s w N.r . - �. y r AMS. £ �; a A':,:>'^ .ks"9..R's a-.,' ._3 , ,u�-.:s.�K HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $24.17p $0.00 PAIpBY T\H ( J :.?h' S CPT $ ,. i 13°� O EC` Total Paid for CHANGEOUT: $60.43 $0.00 DESCRIPTI1 - " sYa ;: h t `r 4s FC NT. ; COU f QTY U r�m� AMOUNT PAID : PAIDrDATE. . .... .... . .: .:.:.' .. -. :.<^ :::.:. ;:l yN., x...` -a; s,bA p ,.,e�8. s '..s.....-,}x-;..`53.w,<',e-£" §->..� x :qX3�..±fF..� _ '+rvSy ,� �. ,^4.':n-mz'",�# 'N... fig. .� Uil�b'clv.dn ,.h'ra� PERMIT ISSUANCE. 101-0000-42404 0 $91.85 $0.00 r`rP,AIDiBY sa aftl N�A�`r"� .�... ., .£OD`x,3Rrrrr:'-3� �� ,.,.CHECK Total Paid for PERMIT ISSUANCE: $91.85. $0.00 o 00 Description: HUBERT / CHANGE OUT CONDENSOR Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 2/22/2016 SKH Approved: Parcel No: 776300014 Site Address: 50125 VIA ALDEA LA QUINTA,CA 92253 Subdivision: TR 29858-1 Block: Lot: 76 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT 13SEER CONDENSOR [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY CA 92234 CONTRACTOR DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY CA 92234 OWNER KENNETH HULBERT 50125 VIA ALDEA LA QUINTA CA 92253 FINANCIAL INFORMATION Printed: Monday, February 22, 2016 12:03:43 PM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $0.00 CONDENSER ONLY HVAC CHANGEOUT - 101-0000-42600 0 $24.17 $0.00 CONDENSER ONLY PC Total Paid for CHANGEOUT: $60.43 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0i INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS --T REMARKS NOTES DATE Printed:. Monday, February 22, 201612:03:43 PM 2 of 2 r , , SYSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems;Jformerly CF -1R -ALT -HVAC) Project Name: Ken Hulbert I Date Prepared: CF1R-ALT 02-E (Page 1 of 3 ) 2016-02-22 A. General Information CF111-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 Ken Hulbert 02 Date Prepared 2016-02-22 03 Project Location 50125 Via Aldea 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Ken Hulbert 07 Zip Code 92253 08 Dwelling Unit Conditioned 3300 _. ..w� 41... Au Floor Area (ft2). System SCS stem SCS stem y CFA served ' , ystem of ' l '^_ refrigerant ' Number of space conditioning s,.... Install ng • 09 Climate Zone 15 30 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System Information Ol 02 03 04;�06! 0 10 3Is the SC Insfelling a _. ..w� 41... Au System SCS stem SCS stem y CFA served ' , ystem of ' l '^_ refrigerant ' -lnstallirig new SC s,.... Install ng Installing t 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 1200 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-A0068227A-000000000-0000 Registration Date/Time: 2016-02-22 08:46:40 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 08:45:57 Schema Version: 0.5555DD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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 No heating This field or This field or Central split Outdoor This field or This field or System 1 furnace component section is not section is not AC condensing SEER 13 Setback section is not section is not altered applicable applicable unit 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 & 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 SOY 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 2300 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 verification of Air Flow MCH -23; o'r'Refrigeraht Charge NIECH-2'5.'� i Existing duct systems constructed, insulated or sealed with asbestos.are exempt from MCH -20 DucfLeakage Testing-,regwremeriis. C E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and.150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) This section does not apply to this project. Registration Number: 216-A0068227A-000000000-0000 Registration Date/Time: 2016-02-22 08:46:40 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-22 08:45:57 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-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: Laster, Gary Company: Signature Date: DOVE AIR INC 2016-02-22 08:46:40 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 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 appioal. vwifh this building permit application. s 4 S. I will ensure that a registered copy of this Certificate of,Compliance shall; be'niade.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,documentationthe builder provides to the building owner at occupancy. Responsible Designer Name: " Responsible Designer Signature: �• .�J 0111 �JL Laster, Gary C7 Company: Date Signed: DOVE AIR INC 2016-02-22 08:46:40 Address: License: 68-749 RISUENO ROAD 794315 City/State/Zip:. Phone: CATHEDRAL CITY CA 92234 760-327-1890 Digitally signed by CaICERTS. 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: 216-A0068227A-000000000-0000 Registration Date/Time: _ 2016-02-22 08:46:40 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance' Report Version: 2013 Rev 1.007 Report Generated: •2016-02-22 08:45:57 Schema Version: 0.555SDD Bin # City of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet. Permit #1 Project Address: 5 O 5 V Owner's Name: U/ A. P. Number: Address: Legal Description: City, ST, Zip: C rf'pjA1 Contractor: $ d� �4. Telephone: hone: S P 5 5 Address: Project Description: G r rl & 1Y 51L City, ST, Zip: 6 c� a C C4- din G &a v f4 ne• TeleP h o . 6 0 State Lic. # : City Lic. #.: Arch., Engr., Designer: Address: City., ST, Zip: CoTelePhone.Type: truction Occupancy: State Lic. #. air DemoProJecthP �circle one •New Add'n A]ter ReP Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: �J 3.1) — Ir 0 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. 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 god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees