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BMCH2014-1118�w �F 4VQuikrw 78-495 C4LE TA1VIPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/17/2014 Application Number: BMCH2O14-1118 Owner: Property Address: 78195 CLOUD VIEW WAY LAWRENCE LANGNER APN: 770032012 78195 CLOUD VIEW WAY 5' Application Description: REPLACE (1) COIL LA QUINTA, CA 92253 Property Zoning: z p �0 Application Valuation: $1,200.00 n - _n s ►_. Applicant: Contractor: m o 'J DOVE AIR INC DOVE AIR INC o �5 0 68-749 RISUENO ROAD 68-749 RISUENO ROAD T n . CATHEDRAL CITY, CA 92234 CATHEDRAL CITY, CA 92234 3 (760)327-1890 Llc. No.: 794315 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: �( �' 17? Y Contractor: a 'J 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.). (� 1 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 Address: 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. 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: r/O• I I Applicant / ✓ — 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:' ��U' �� \ Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ' ACCOUNTQTY` . AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION " . ACCOUNT QTY AMOUNT. PAID PAID DATE HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $16.92 $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 $0.00 TOTALS:0• 00 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: Lawrence Langner I Date Prepared: CF111-ALT 02-E (Page 1 of 4 ) 2014-10-17 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 CF11R-ALT 02 document for each dwelling unit. 01 Project Name Lawrence Langner 02 Date Prepared 2014-10-17 03 Project Location 78195 Cloud View Way 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Lawrence Langner 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 Floor Area (ft2) SC System SC System CFA served system a refrigerant Number of space conditioning Installing 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'lnformatioin s Ol 02 03 04 06 » ":07;.'08' ! 09 10 ;OS Is the SC Installing a 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? duct system? SC system? I Alteration Type System 1 Entire house 1600 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. r Registration Number: 214-A0120140A-000000000-0000 t� CA Building Energy Efficiency Standards - 2013 Residential Compliance b Registration Date/Time Report Version: 2014-03-31 Schema Version: 0.5515DD 2014-10-17 14:23:44 HERS Provider: CalCERTS Report Generated: 2014-10-17 14:24:24 CERTIFICATE OF COMPLIANCE CFlR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) O1 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 Dud or Name Type Components Type Value System Type Components Type Value Type Dud Length R -Value Central gas No heating This field or This field or Central split This field or This field or System 1 furnace component section is not section is not AC Indoor coil SEER 13 Setback section is not section is not altered applicable applicable applicable applicable Required 0 cumentation: CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF211-MCH-20-1-1 & CF311-MCH-20-11 — 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, or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-2S-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. -----,-�� t,"P --�-. 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, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with,asbestos are exempt from MCH -20 Duct Leakage Testing requirements. 1-7 t E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) R This section does not apply to this project. Registration Number: 214-A0120140A-000000000-0000 Registration Date/Time: 2014-10-17 14:23:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-17 14:24:24 Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-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. '.+.•sr""4•i _ ^ x�..._....� .rj "'.�`r Jr"".,,�'.';""' Imo'"-. a -. Registration Number: 214-A0120140A-000000000-0000 Registration Date/Time: 2014-10-17 14:23:44 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-30-17 14:24:24 - Schema Version: 0.551SDD CERTIFICATE OF COMPLIANCE CF1R-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: /j Laster, GaryvC/ Company: Signature Date: DOVE AIR INC 2014-10-17 14:23:44 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 devices for the building`design or system design identified on this Certificate of Compliance conform to the !manufactured requirements of Title 24, Part land 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 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 permits) 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: Laster, Gary Company:. Date Signed: DOVE AIR INC 2014-10-17 14:23:44 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 noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214-A0120140A-000000000-0000 Registration Date/Time: 2014-10-17 14:23:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-17 14:24:24 Schema Version: 0.5515DD a ick ,:c� cvvo rvn o: as rA& a.o Bind �Ii f i Ouinta Wd q at Safety DivlsWon P.O. Box 0104,18-495 78-495 Calle Tampico La Quanta, CA 92253 — (760). 777-7012 Building Permit-App[lcatton and Tracking. Sheet . Permit # -Project Address: b ,5 C L 1 v Owmes NBme; . nce; �Rn A. P. Number: Address: _2 f ! _ C L u - fj Vl w 4 Legal1)escr tion Contractor 0.V e_A. c- City, ST, zip: 1_1' •S3 Telephone: . Address; V n v Yrojoct I?oseriptiou: �� .(� (O.TV t: City. ST, Zip: n &I - _ 1-L ? Telephone p I—Ilrg 0 { state I.ic• I: -7vOIFL Arch., Engr., Designer: Addrass: City: EX. 'Lip: mcpltoue: $lase Lia iF:Projeetty�e(c4role Name of Contact Ptason: " Q (n/ f e viC e— Construeion Typo: Ocatpaney: ortt): New. Add -n Ater .Repair Demo Sq. Ft. #Stories: # Units. Telephacu # of Contact Petaan: — 7 0 • Esilmated YaLus otPto eel: , , o� 0 a APPUBAHT.. DO. NIt�TXiAITE BBQ THIS {SIE a . S%bmlttal R Phu Pets W d RmId-TRAC�tR!iG : Plat Check mbw#pd PERWr FEES Item Aarognt Structaral.Crtla., Reviewed, ready for corrections Plan check Deposit T rass Calm callea'contatt person Plan Cheep Ealuee Energy CA& I%w bieked up Constnetios . Floodplain—plan, , Platy sranbnitted Merirardeal Gradingplan VReview, ready foreorteedoaeMstt Fleetrud . Sabcontactor List 6116d Contact Person Plumbing Gant Deed Plaps kNted np ILOA. A. Approval > 'Aims testdrAiiifal : :.. Gradidg IN HOUSE:- Uimmm. ready for eorreettomnsme .Developer Impact Fee Plaordrrg Approval Caled Contact Pusan Pub. Wks. Appr Date orpermit issee , Sebool Fees Ttt41 1=14 Few Permit Details PERMIT NUMBER City of La Quinta BMCH2O14 11.18. q_*w'-1 Description: REPLACE (1) COIL Type: MECHANICAL Subtype: Status: APPROVED Applied: 10/17/2014 SKH Approved: 10/17/2014 KHE Parcel No: 770032012 Site Address: 78195 CLOUD VIEW WAY LA QUINTA,CA 92253 Subdivision: TR 28019 Block: Lot: 51 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,200.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 EMAIL Details: HVAC CHANGE OUT -REPLACE (1) COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. 68-749 RISUENO ROAD CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI .. CITY _ _ ............ . STATE ZIP PHONE FAX EMAIL APPLICANT DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CA 92234 ( WAY Printed: Friday, October 17, 2014 5:08:18 PM 1 of 2 jCfflr DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CL 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 $12.09 $0.00 REPAIR/ALTERATION HVAC CHANGEOUT - 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid forCHANGEOUT: $16.92 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 0• 00 PARENT PROJECTS Printed: Friday, October 17, 2014 5:08:18 PM 2 of 2 raw_-