BMCH2016-038478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
F
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Tw�p 4 4 QuiKrcv-
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O16-0384
79175 RANCHO LA QUINTA DR.
602100015
BAKER / CHANGEOIUT (1)COIL AND (1)CONDENSOR
$3,715.00
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:
RALPH BAKER
79175 RANCHO LA:QUI
LA QUINTA, CA 9253
Contractor:
DOVE AIR INC
68-749 RISUENO
CATHEDRAL CITY,
Date: 10/24/2016
tp _
� 2
_ tit Cdr O
(760)327-1890 Jill
Llc. No.: 794315
7
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 794315
of the work for which this permit is issued.
T
Date: [ V L
I have and will maintain workers' compensation insurance, as required by
Contractor: /I
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:
OWNER -BUILDER DECLARATION
Carrier: EXEMPT Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_
t-*:ff I certify that in the performance of tie work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions. `
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 Business
c,:
/ ,— ' / �
of the and Professions Code) or that he or she is exempt therefrom and the
Date! - ( Applicant: L -14
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( ) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,006). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application:
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owne_, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the -ity of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to tre work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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 Add
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: "'T Signature(Applicant:orAgent)
V
Date: :10/24/2016
Application Number: BMCH2O16-0384
Owner:
Property Address: 79175 RANCHO LA QUINTA DR
RALPH BAKER
APN: 602100015
79175 RANCHO LA:QUINTA DR
Application Description: BAKER / CHANGEOIUT (1)COIL AND (1)CONDENSOR
LA QUINTA, CA 9253
Property Zoning:
{� Application Valuation: $3,715.00
Applicant:
Contractor:
DOVE AIR INC
DOVE AIR INC
68-749 RISUENO ROAD
687749 RISUENO R.DAD
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
(760)327-1890
LIc. No.: 794315
Detail: HVAC CHANGE OUT - (1)CONDENSOR AND (1)COIL. [2013 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLID PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
FINAWAL INFORMATION.
DESCRIPTION ACCOUNT QTY AMOUNT
- BSAS SB1473 FEE 101-0000-20306 0 . $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- CONDENSER ONLY PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- 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: $81.07
DESCRIPTION
ACCOUNT
afTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
lain # p.
City of La QC rota
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA-92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # -
Project Address: Lcav t
Owner's Name: a e
A. P. Number:
Address: Or fir-K0
Legal Description:City,
ST, Zip: �. ,"Nle C� C ZZ S3
Contractor: d R-
Te
le hone:
Address: Kt f a e h
Project Description:
City, ST, Zip: e (46 &Q I C. (7ef � Z1�.y
� le O.� CO3J4 &r/ S 6
Te le h ne 0
3
G
:;;
State Lic. # Z p Y215
CityLic #.:00
Arch., Engr., Designer:
Address:
City., ST, Zip:
ele h
Telephone:
one:
Contructi n T
s o e: Occa_zc u
Y P P Y:
State to Lic. #
0roJ
Pect tYPa (circle one • New Add'n A'..te r Repair D em
Name of Contact Person:
Sq. Ft.:#Stories:..
# Units:
Telephone # of Contact Person: 2
Estimated Value of Project: 3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes. .
Reviewed, ready for corrections
Plan Check Depoit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for eorrectionsrssue
Developer Impar_ Fee
:Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue. .
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Ralph Baker I Date Prepared: 2016-10-24
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
Ralph Baker
02
Date Prepared
2016-10-24
03
Project Location
79175 Rancho LaQuinta Dr.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Ralph Baker
07
Zip Code
92253
08
Dwelling Unit Conditioned
400
feet of ducts?
duct system?
SC system?
Alteration Type
Floor Area (ft2)
casita
400
Yes
Yes
Yes
Number of space conditioning
No
09
Climate Zone
15
10
(SC) systems in this dwelling -
1
unit.
B. Space Conditioning (SC) System Information ux ,.
01
02
03
04
05 `.
< _ %6
v' 07' _
08'i
09
10 .
SC System
Identification or
SC System
Location or Area
CFA served
by this SC
`.Is the SC ""
system a�-,
ducted
,_-:s
`I _talhn:g a
refrige�ent '
containing
Installing ne SC
system
`Installing
more than 40
I sn talling
entirely w
Installing
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
casita
400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) -
This section does not apply to this project.
0" Registration Number: 216-A0396071A-000000000-0000
i-' CA Building Energy Efficiency Standards - 2013 Residential Compliance
r
Registration Date/Time: 2016-10-24 08:16:13
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-10-24 08:16:05 .
CERTIFICATE OF COMPLIANCE CFiR-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
05
06
07
08
09
30
11
12
Hoating
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 split
All new
heating
AFUE
78
Central split
All new
cooling
SEER
13
Setback
This field or
section is not
This field or
section is not
HP
components
HP
components
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: 5 15%, or 510% 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..
Air Flow MCH'23,or Refngerarit Charge NIECH-25.
-Heating-only systems and Air Handler/Furnace changes do not require verificatiori of
-Existing duct systems constructed, insulated or sealed with asbestos are exempt -'from MCH 20 Duct*Leakage Testing regwrements. ti
,w. L '-1, ti. of & .{w± v.5 yip. fe _§ a F 4n c.w
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#r
-/Registration Number: 216-A0396071A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-10-24 08:16:13
Report Version: 2013 Rev 1.008
Schema Version: 0.5555DD
HERS Provider: CalCERTS
Report Generated: 2016-10-24 08:16:05
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: jj
Laster, Gary
C:JC1
Company:
Signature Date:
DOVE AIR INC
2016-10-24 08:16:13
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 S�175re
q €
x.
4 s» . .—�.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with -the information.provided on. therfapplicab(e�compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall_ be;made;available with the building.permit(s),issued fordhe,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: ''4, st ,-4
Responsible Designer Signature:/�ti,. ✓ r.� t X
Laster, Gary
CEJ/
Company:
Date Signed:
DOVE AIR INC
2016-10-24 08:16:13
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
=Y responsibility for the accuracy of the information.
o
Registration Number: 216-A0396071A-000000000-0000 Registration Date/Time: 2016-10-24 08:16:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-24 08:16:05
Schema Version: 0.555SDD