BMCH2015-0308fi aw
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0308
79100 BIG HORN TRAIL
7760300
MCLENN
$25,000.
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
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 ( License No.: 794315
Date: ` 1 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
permit subjects the applicant to a civil penalty of not more than five hundred dollar
($500).: .
(1 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/10/2015
Owner:
JON & LAURIE MCLENNAN
79100 BIG HORN TRAIL
LA QUINTA, CA 92253
Contractor:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
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: !�' Applicant: e
i
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.
,Q: ' /Q Signature (Applicant or Agent): '
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING'STANDARDS ADMINISTRATION'BSA $1.00 $0.00
DESCRIPTION
ACCOUNT .
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00 "
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT # -
CHECK #
CLTD BY .
Total Paid for PERMIT ISSUANCE:' $91.85 $000
TOTALS:00
Description: MCLENNAN RESIDENCE CENTRAL SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/10/2015 PJU
Approved:
Parcel No: 776030019 Site Address: 79100 BIG HORN TRAIL LA QUINTA,CA 92253
Subdivision: TR 25429 Block: Lot: 27
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $25,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
APPLICANT
Details: REPLACE CENTRAL SPLIT SYSTEM 13 SEER [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL
CITY
CA
92234
(760)413-6190
CONTRACTOR
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL
CITY
CA
92234
(760)413-6190
OWNER
JON & LAURIE MCLENNAN
79100 BIG HORN TRAIL
I LA QUINTA
I CA
1 92253
1 (760)413-6190
FINANCIAL INFORMATION
Printed: Monday, August 10, 2015 2:27:41 PM 1 of 2
SYSTEti1S
INSPECTIONS
SEQID- INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
CLTD.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
$72.52
$0.00
SPLIT -SYSTEM
HVAC'CHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
INSPECTIONS
SEQID- INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
BOND INFORMATION
Printed:. Monday, August 10, 2015 2:27:41 PM 2 of 2
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P.O. Box 10441-70495 Ca[[e' Tampico
Permit 9
la Quanta, CA 92253 - (.766).777-1012
Building Permit-Appiicat on and Trackift Sheet .
Pioject Address d..D OwMeSNA o �4U r ,' t..
A P. Numbs.Addt+�s: Q p.Jr,.l Tpo i
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state Ida # : t to # D3 S Ll
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State Lia #: Project ty e(Circle one): New, Add'n Wber .Repair Demo
Name of Contact'Peraon: Sq. FL: # 3toties: Unils:
Telephone # of Contact Pam: 6 � - � �. Es Mi%d vaLtaof MOCt:..
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Pub. WIL Appr
Date.of permlt Wae ,
School Fees
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CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
Project Name:
Jon & Laurie McLennan I Date Prepared:
CF111-ALT-02-E
(Page 1 of 3 )
2015-08-07
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
ion & Laurie McLennan
02
Date Prepared
2015-08-07
03
Project Location
79100 Big Horn Tri
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Jon & Laurie McLennan
07
Zip Code
92253
08
Dwelling Unit Conditioned
800
'system al---
r f ige+ant
Installing new k
Installing
Floor Area (ft2)
installing
Identification or
Location or Area
by this SC
Number of space conditioning
containing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Served
System (ft2)
system?
component?
unit.
feet of ducts?
B. Space Conditioning (SC) System Information y'rt
'ohm V `""` C
i
fj di..,a Y: rem
01
02
03
t 04k;
U5 `V
06
07
f 08
09
10
-d
'''
,,,Ay
t)ti'�Is the St"
r —' st—
Installing a
SC System
SC System
CFA served
'system al---
r f ige+ant
Installing new k
Installing
stalling
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
Office & Bedroom
800
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-A0219204A-000000000-0000
CA Building Energy'Efficiency Standards - 2013 Residential Compliance
Registration Date/Time
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-08-07 09:40:41
HERS Provider: CaICERTS
Report Generated: 2015-08-07 09:40:10
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)lE and F)
01
02
03
04
0S
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
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
Required Documentation:
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF211-1VICH-20-14 & 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%, or 5109 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: 3
-Duct systems registered with HERS provider as previously sealed are exempt froth MCH 20 Duct Leakage T red q irements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flew MCH=23; or Refrigerant Charge-MECH-25
are -20 Duct'Leakage t, n
-Existing duct systems constructed, insulated or sealed with asbestos exempt from MCH Testing requir`emen'ts.N'_
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)
This section does not apply to this project.
1. Registration Number: 215-A0219204A-000000000-0000
Registration Date/Time: 2015-08-07 09:40:41
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-07 09:40:10
1 Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CFiR-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: `�^ '
Laster, Gary
�R
CUL(.eA
Company:
Signature Date:
DOVE AIR INC
2015-08-07 09:40:41
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 Re'gulitons '" '#
4. The building design features or system design features identified on this Certificate of Compliance are consistent:wtth the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the a forcemeni agency for approval,with this building perml pplicatiori. DA ±
M. IN •.. kA J nA 'C-- rM :'a {at
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 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 b iu lcler proyides to the building owner at occupancy.
_.
Responsible Designer Name: `�c fi t • t `,
Responsible Designer Signature:?
Laster,.Gary
C-JCJ �[[ILt E'lV
Company:
Date Signed:
DOVE AIR INC
2015-08-07 09:40:41
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: 215-A0219204A-000000000-0000 Registration Date/Time: 2015-08-07 09:40:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-07 09:40:10
Schema Version: 0.5555DD