BMCH2015-012978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9,
Application Number:
BMCH2O15-0129
Property Address:
78223 SAN TIMOTEO ST
APN:
646160014
Application Description:
HALES RESIDENCE/HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$1,500.00
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
DEVELOPMENT DEPARTMENT
DUILDING 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 License No.: 794315
Date: 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).:
(_) 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 I 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
Lender's Address:
Owner:
MICHAEL HALES
4701 W 114TH I
LEAWOOD, KS 9i
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/15/2015
10
Contractor. Gi" 0� IAOOINpE AATteENT
DOVE AIR INC C003t lDVJELOPMEt�
68-749 RISUENO ROA
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: 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 La or Code, I shall forthwith
comply w�iith thosseprovisions.
D ate:
: I `,U `I APP,I" nt: /
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 nter upon the above-
mentioned property for inspection purposes. �)
Date: Signature (ApplicantorAgent):
FINANCIAL ' •
F,M DESCRIPTION„' �» #.” ACCOUNT ` Y`` QTY "j' ,'AMOUNT:; , PAID PAID BATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $1.00 4/15/15
+ PAID BY. - METHOD`: �; RECEIPT #. CHECK # ` CLTD BY,
DOVE AIR INC CHECK 115067 6480 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
,DESCRIPTION .,
ACCOUNT' :.;r
QTY
"AMOUNTrPAID�
„
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$36.26
$36.26
4/15/15
PAID BY .r%
METHOD
' RECEIPT #
y' CHECK #
CLTD BY `
DOVE AIR INC
CHECK
R5067
6480
MFA
DESCRIPTION rs °, s „>_,
ACCOUNT k :i
QTY
AMOUNT
;s PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$24.17 r
$24.17
4/15/15
t
PAID• BY F
. •METHOD ` '
r :RECEIPT W"w" •
]"',CHECK #z
CLTD BY
DOVE AIR INC
CHECK
R5067
6480
MFA
Total Paid forMECHANICAL: $60.43 $60.43
DESCRIPTI6N4
? `ACCOUNT { , `
QTY ._
'AMOUNT `
PATO „ . ;
PAID,DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
4/15/15
:PATO BY '
_
WETHODr 1,
RECEIPT #
CHECK # >.
`CLTD BY
DOVE AIR INC
CHECK
R5067
6480
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: HALES RESIDENCE/HVAC CHANGE OUT
Type: MECHANICAL Subtype:. Status: ISSUED
Applied: 4/15/2015 MFA
Approved: 4/15/2015 MFA
Parcel No: 646160014 Site Address: 78223 SAN TIMOTEO ST LA QUINTA,CA 92253'
Subdivision: LA QUINTA GOLF ESTATES 2 Block: Lot: 14
Issued: 4/15/2015 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,500.00 Occupancy Type: Construction Type:
Expired: 10/12/2015 MFA
No. Buildings: 0 No: Stories: 0 No. Unites: 0
Details: CONDENSER CHANGE OUT IN CASITA- 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES 7B
Printed: Wednesday, April 15, 2015 12:30:53 PM. 1 of 2
SYS7EAdS
Fd
FINANCIAL
CHRONOLOGY
INFORMATION
CONTACTS
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STATE
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ZIP `£ PHONES yp FAX. yEIVIAIL=H
.
APPLICANT.
DOVE AIR INC'
68-749 RISUENO ROAD
CATHEDRAL
CA
92234
CITY
CONTRACTOR
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL
CA
92234
CITY
OWNER
MICHAEL HALES
4701 W 114TH TER
I LEAWOOD
KS
92253
Printed: Wednesday, April 15, 2015 12:30:53 PM. 1 of 2
SYS7EAdS
Fd
FINANCIAL
INFORMATION
Printed: Wednesday, April 15, 2015 12:30:53 PM. 1 of 2
SYS7EAdS
Fd
mf'.C.
DESCRIPTION
a `..
" , -ACCOUNT
; FQTY
, r v :.. ..af
__AMOUNT ;;
iwF ..
PAID
PAID GATE
'RECEIPT # -
CHECK #
METHOD
BY .,�`'
{. D
'.
,
..
r
,PAID
B y ,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
4/15/15
R5067
6480
CHECK
DOVE AIR INC
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$36.26
4/15/15
R5067
6480
CHECK
DOVE AIR INC
MFA
SOR
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$24.17
4/15/15
R5067
6480
CHECK
DOVE AIR INC
MFA
SOR PC
Total Paid forMECHANICAL: $60.43 $60.43
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
4/15/15
I R5067
6480
CHECK
DOVE AIR INC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
PARENT PROJECTS. .
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, April 15, 2015 12:30:53 PM 2 of 2
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La Quanta, CA 992S3.- (.760).777-7012
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VON
ICERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: Mike Hales Date Prepared: 2015-04-14
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit.. When multiple dwelling units must be
documented, use one CFIR-ALT 02 document for each dwelling unit.
01
Project Name
Mike Hales
02
Date Prepared
2015-04-14
03
Project Location
78223 San Timoteo St.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Mike Hales
.07
Zip Code
92253
08
Dwelling Unit Conditioned
400
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
� Installiftg
09
Climate Zone
15
10
(SC) systems in this dwelling
1
'ducted
containing
- system
more than 40�
unit.
entirely new
B. Space Conditioning (SC) System Information { �., �,, ��• ' �, T
01
02
03
04 ?_'.
'' t3 05 ' s"
06 a ' =
Y 07
ti 08
i 09
10
F Y"
0i the SC "
Installing a
SC System
SC System
CFA served
systema
refrigerant
Installir g new SC
� Installiftg
Installing
kQ nstalling
Identification or
Location or Area
by this SC
'ducted
containing
- system
more than 40�
e t ely new
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 (Section 150.2(b)1Diib)
This section does not apply to this project. -
Registration Number: 215-A0097205A-000000000-0000• Registration Date/Time: 2015-04-14 16:04:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-14 16:04:20
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
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
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
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%, ors; 10% leakage to outside, orseal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant ChargeVerification'_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: # ~M$>> xw� :
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 verfication of Air Flow MCH.-' a', Refrigerant _Charge MECH 251r
Existing duct systems constructed, insulated or sealed with asbestosare exempti.from MCH=20 Duct;Leakage Testing reguirements.�s
irk
- .s
a
E. Entirely New or Complete Replacement Duct Sy�Stem, with"or without cl pment Changeout (Sections 15U.2(b);1Diias 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.
Registration Number: 215-A0097205A-000000000-0000 Registration Date/Time: 2015-04-14 16:04:13 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-14 16:04:20
Crhomo \/orcinn• n CCCCrI�I
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:
Laster, Gary
Company:
Signature Date:
DOVE AIR INC
2015-04-14 16:04:13
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. I am eligible under Division 3 of the Business and Professions Code tQa.ccept 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 land Part 6 of the Cahfornia'Code ofggR�egulations. y ^ e x� 1
lff'
2✓'' "Af�'db.
res or system design features intified on this Certificate co
4. The building design featude of Compliance are nsistent `the i4ormation provided on;otherMapplicableT'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for,,approvpI1#t this building permit application.
t, •
%?`'ct•. '*� . lir � s' •.."r .n,`C. • 'hYF' *lw• . �'. fs?- �.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be:mad(�available with he building;permit(s) issued forthetbuilding, and_rimade avaitableao•.the Anforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliancels.required to be included with the documentation the�builder provides to the building owner at occupancy. '
m
Responsible Designer Name: y s +: =
Responsible Des`Igner signature: 1 /2 K
Laster, Gary
v// eak&&
Company:
Date Signed:
DOVE AIR INC
2015-04-14 16:04:13
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: 215-A0097205A-000000000-0000 Registration Date/Time: 2015-04-14 16:04:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-14 16:04:20