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BMCH2014-1151`'haw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNW92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING-PERMI Ilfli_ l°a IT n� Application Number: BMCH2O14-1151 Property Address: 52091 AVENIDA BERMUDAS APN: 773235015 Application Description: REPLACE 4 TON HEAT PUMP Property Zoning: Application Valuation: $4,000.00 Applicant: DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY, CA 92234 DEC G 9 2014 CITY CIF LA QUINT-- A . 2DEVELOPMENTDEPARTMENT 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 License No.: 794315 Date: FI • i- I 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).: (_J 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_) 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 I am exempt under Sec. B.&P.C. for this reason Date: I L C • i.`t 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: REBECCA PAUL 52091 AVENIDA BERMUDAS LA QUINTA, CA 92253 Contractor: DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY, CA 92234 (760)327-1890 Llc. No.: 794315 Date: 12/9/2014 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 the Labor Code, I shall forthwith comply with those provisions. Date: IN - � ` 1.4k Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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: Gl ' I y Signature (Applicant or Agent): FINANCIAL .• 1' ACCOUNT QTY AMOUNT PAID PAID DATE DESCRIPTION BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/9/14 PAID BY METHOD-• RECEIPT # CHECK # CLTD BY DOVE AIR INC CHECK R3157 6366 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $36.26 $36.26 12/9/14 PAID BY METHOD RECEIPT# CHECK # CLTD BY DOVE AIR INC CHECK R3157 6366 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $24.17 $24.17 12/9/14 PAID BY METHOD RECEIPT #. CHECK # CLTD BY DOVE AIR INC CHECK R3157 6366 MFA Total Paid forCHANGEOUT: $60.43 $60.43 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 12/9/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY DOVE AIR INC CHECK R3157 6366 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 TOTALS: $153.28 $153.28 Description: REPLACE 4 TON HEAT PUMP CONDITIONS Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 12/9/2014 MFA Approved: Parcel No: 773235015 Site Address: 52091 AVENIDA BERMUDAS LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 92 Lot: 4 Issued: UNIT 11 NAME TYPE NAME Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $4,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 DOVE AIR INC Details: HVAC CHANGE OUT- 13 SEER PACKAGED UNIT[2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CA 92234. 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. (760)485-3871 CONTRACTOR DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY CA 92234 (760)485-3871 OWNER REBECCA PAUL 52091 AVENIDA BERMUDAS LA QUINTA CA 92253 (760)485-3871 Printed: Tuesday, December 09, 2014 2:24:17 PM 1 of 2 erp SYSTEMS _- SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS_ NOTES MECHANICAL FINAL" 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 12/9/14 R3157 6366 CHECK DOVE AIR INC MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $36.26 12/9/14 R3157 6366 -CHECK DOVE AIR INC MFA PACKAGED UNIT HVAC CHANGEOUT - 101-0000-42600 0 $24.17 $24.17 12/9/14 R3157 6366 CHECK DOVE AIR INC MFA PACKAGED UNIT PC Total Paid forCHANGEOUT: $60.43 $60.43 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 12/9/14 R3157 6366 CHECK DOVE AIR INC MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS_ NOTES MECHANICAL FINAL" PARENT PROJECTS Printed: Tuesday, December 09, 2014 2:24:17 PM 2 of 2 CgrWIMCM5 t ie�ce�svuo r_vn o: 11 reaA La mu.LCLr Duale{LLgI•.7ts2�y �____r.__ __ .__ r i unth. - - &dk$v ex -Safety DM*n P.O. Bax 0-04, 78.4'9S Calle Tampico La -Qahka, CA'92253 •- (760 7.77-7012 Building. Permit Application and' Tracking Sheet . Petttdt •Piojeeta.aa: 57A!a q 1 A ve 611 a1' t srl0M �_caqav ' A- P. Nutttlaa : • ' Atkttess: S O Y .� ` P a P Legal Cotttt=tD v� ,�; r - cay. ST.Z* %q ; ,n A LLS- 3 Telephoner AdLMw ctty,ST, = ►\ o. C�� 3y f ur(�.� Telepl�wna 6 n Z =1P � s o A. i2u t . state um l : ,- Lias: City; St; 'Lip: . . iCl�%G - mare Lia �: Name of Colmd-Petson:SQ.. �OnSti:l�iiOnType: OcalpenCy: Pmjm t*"mla ones Now. Add'n . -JAMW Repair Demo . F4» # 50otias: # Units: -relom Of Coma Parson . Bsf>>t»ed YaLnt o Pm - Q D ..�. 9 0 APPUbANT CO Ma LNE . a sabmifbia JWd At :: Pt#tlYD1'1>l Pbm CSIs Pbo ateei sntrmitfea item Amoant StructezalCYtcs : Heatewed,wady for onm PIga:Chee>kDepwtt "Truss cmea. Caibd.Co Prayctt Pten ChwkBalatox Energy Cates TFUssMchea opCoarteuetiov Flood plain -plan . - Plass rmbmttted Mcehantad .Gradingplsu >"a Rtirte+v, ceadp i os eotsoas/lssua ®eetrleet . 8sboantactor Idat 6'aS6Q Consul P;e=IS PtmnWag Grant Deed PlttpsPitd.np ':-, _ . SQL ILOA. Approval D: eioiital" . .. Gndldg IN HOU$Bs- " tnY ,rind, toreomef[onsJiaae Davelape:Impact Fee. . Plamdw Agpraval- CaIIed (bntadPerson AaI1' F. Pati. wits. Apyr Data of penult ism . s pool Feel Bea i CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) CF1R-ALT 02-E 1 (Page 1 of 4 ) IProject Name: Rebecca Paul I Date Prepared: 2014-12-08 I 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 MR -ALT 02 document for each dwelling unit. 01 Project Name Rebecca Paul 02 Date Prepared 2014-12-08 03 Project Location 52091 Avenida Bermudas 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Rebecca Paul 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 Installing new SC Installing Installing Installing Floor Area (ft2) Identification or Location or Area by this SC ducted containing Number of space conditioning more than 40 09 Climate Zone 15 10 (SC) systems in this dwelling 1 system? component? components? feet of ducts? unit. SC system? B. Space Conditioning (SC) System Information,,. �' r Ol 02 03 �' • -04 ,. ,05 i 06? 07• - ;. `08 09 10 is the SC Installinga - r SC System SC System CFA served system a refrigerant Installing new SC Installing Installing 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? dud system? SC system? Alteration Type System 1 Entire house ( Ex. 1600 Yes Yes Yes No No No Altered space MBR.) conditioning system C. Extension of Existing Dud System, Greater Than 40 Feet (SectioniS0.2(b)1Diib) This section does not apply to this project. Registration Number: 214-A0154414A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-12-08 11:10:10 Report Version: 2014-03-31 Schema Version: 0.5515DD HERS Provider: CaICERTS Report Generated: 2014-12-08 11:10:47 CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 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 All new Central All new This field or This field or System 1 packaged HP heating AFUE 0.78 kd HP pacage cooling SEER 13 Setback section is not section is not components 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 & CF311-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: 5 15%, or15 30% 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: r' ' -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. i' -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. -Existing dud 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)lDiia and 150.2(b)IE, F) This section does not apply to this project. Registration Number: 214-A0154414A-000000000-0000 Registration Date/Time: 2014-12-08 11:10:10 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-08 11:10:47 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 ) F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)' This section does not apply to this project. rr � . �.... � � ' e •Ij - I R 1 y1` '•;• � �9 iJ is �' � p+, � .µ c 'Registration Number: 214-A0154414A-000000000-0000 Registration Date/Time: 2014-12-08 11:10:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-08 11:10:47 Schema Version: 0.5515DD CERTIFICATE OF COMPLIANCE CF11R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4 ) 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 salyCUJ��IG Company: Signature Date: DOVE AIR INC 2014-12-08 11:10:10 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 performan'ce'-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. the 4. The building design features or system design features identified on this Certificate of Compliance are consistent with information provided on other applicable compliance documents, worksheets, calculations, plans and specification's submitted-to'the enforcement agency for approval witfi this building permit application. 5. 1 will ensure that a registered copy of this Cert fcate of Compliance shall be made available w th 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: Responsible Designer Signature: /7 M �^ VUll[. A Laster, Gary vim/ Company: Date Signed: DOVE AIR INC 2014-12-08 11:10:10 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: 214-A0154414A-000000000-0000 Registration Date/Time: 2014-12-08 11:10:10 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-08 11:10:47 Schema Version: 0.551SDD