BMCH2015-035078-495 CALLE TAMPICO _
LA QUINTA, CALIFORNIA 92253'
^&4v4urrw
COMMUNITY DEVELOPMENT DEPARTMENT
Application Number:
BMCH2O15-0350
Property Address:
78317 TERRA COTTA CT
APN:
604022009 '
Application Description:
SCHIELEIN RESIDENCE/ 3 TON HEAT
Property Zoning:
Application Valuation:
$2,000.00
Applicant:
DOVE AIR INC
44125 VILLETA DR
LA QUINTA, CA 92253
BUI7=R NG,.RERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
wner:
SEPn C
JHIELEIN FAMILY
2015 10 LAND FALL CT
J, rf R- NEWPORT BEACH, CA 92663
INIlyDEVF<OP QUINTA
MENT)EPARTMENT
Contractor:
DOVE AIR INC
44125 VILLETA DR
LA QUINTA, CA 92253
.(760)327-1890
Llc. No.: AEC139
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: _ License No.: AEC139
Contractor:
17
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 t
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- builderwi11 have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(1 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
Lender's Address:
Date: 9/9/2015
WORKER'S COMPENSATION DECLARATION d4
I hereby affirm under penalty of perjury one of the following declaratidris:`'x •: „
I have and will'maintain a certificate of consent to self-insure,for'workers'
compensation, as provided for by Section 3700 of the Labor Cod e'for`the perfo'.rmance
of the work for which this permit is issued. ~• : =�'4.
I have and will maintain workers' compensation insuZrance, as required by
Section 3700 of the Labor Code, for the performance of the work for whic.K: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.
sApplicaht
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 ($100,000). IN ADDITION TO THE COST OF .
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application', the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes. /7
FINANCIAL INFORMATION
t -$ DESCRIPTION'" ACCOUNT , ' QTY: :` PAID DATE
mr,: _ Via. rte: ..; [t;� >AMOUNTA„s� s x. ,gig kPAID
BSAS SB1473 FEE. 101-0000-20306 0 $1.00 $1.00 9/9/15
PATO BY RECEIPT # `�CHECK # ” CLTD BY
L
DOVE AIR INC CHECK R9112 6591 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
�f DESCRIPTIONACCOUNT
QTY,
AMOUNT...,L
»' `PAID REPAID
DATE
CONDENSER/COMPRESSOR
101-0000-42402
0.
$36.26
$36.26
9/9/15
8. ` "3 y... TAID: BY;
METHOD
CHECK # �-
CLTD BY "
i <
DOVE AIR INC
CHECK
R9112
6591
MFA
4R EDESCRIPTIONcs �A
s `s�ACCO.UNt�. _y a
+QTY1
j s `AMOUNT
`r' PAID,
PAID`DATE.
.:,
� ^;
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$24.17
$24.17
9/9/15
g� PAID'BY '
w t
r " METHOD '
'RECEIPT # #a YS ,
�, ;..�e CHECK #
CLTD BY
a� a t.z
DOVE AIR INC
CHECK
R9112
6591
MFA
Total Paid forMECHANICAL: $60.43 $60.43
µt+, pESCRIPTION '
s ` ACCOUNT
TY
«AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/9/15
PAID�BY f <ay
METHODS
RECEIPT # `
CHECK #
CLTD BYs
x
DOVE AIR INC
CHECK
R9112
6591
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91:85
TOTALS:
Description: SCHIELEIN RESIDENCE / 3 TON HEAT PUMP CONDENSER
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 9/9/2015 MFA
Approved: 9/9/2015 MFA
Parcel No: 604022009 Site Address: 78317 TERRA COTTA CTLA QUINTA,CA 92253
Subdivision: TR 18915 Block: Lot: 1
Issued: 9/9/2015 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,000.00 Occupancy Type: Construction.Type:
Expired: 3/7/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE 3 TON HEAT PUMP CONDENSER ON ROOF -13 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, September 09, 2015 2:56:39 PM 1 of 2 ;
SYS7EiNS
IIV3Nt� I IUIV
r
PARENT PROJECTS,,,,
Printed: Wednesday, September 09, 2015 2:56:39 PM 2 of 2 C
SYSTEMS
"A000LINT M
'PAID
PAID -DATE=.
`,rryrr
RECEIPT #
'',CHECK #
'METHOD
PAID BY
CLTD,
tks f)ESCRIPTIbN
QTY
,AMOUNT
: ;
r
,
'
BY !
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$36.26
9/9/15
R9112
6591
CHECK
DOVE AIR INC
MFA
SOR
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$24.17
9/9/15
R9112
6591
CHECK
DOVE AIR INC
MFA
SOR PC
Total Paid for MECHANICAL: $60.43 $60.43
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/9/15
R9112
6591
CHECK
DOVE AIR INC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
� t
IIV3Nt� I IUIV
r
PARENT PROJECTS,,,,
Printed: Wednesday, September 09, 2015 2:56:39 PM 2 of 2 C
SYSTEMS
✓4 ro�ql
3i„# •
City of La' Quinta
Building 8& Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking.Sheet
Permit #P.O.
N(1 V
Project Address: 3 I T(,,( r6, CO o f
Owner's Name: Cc,,(
A. P. Number:
Address: 703/7 R Klq •co
Legal Description:
City, ST, Zip: 1/ 0; k f-" C F 11-f
Contractor: o�!
,r�
�-9
Telephone: — Z
6 3 l F
Address: L2 �,F a r,.% Al
Project Description: tl (/�.� j O r) He -r
/1
City, ST, Zip: l I`n &6� CC4-e, V0
a
�l ��19 Q ►�t or Q jt�v —
Telephone: �. -r F
State Lic. # :
CityLic. M..
Arch., Engr., Designer:
Address:
City., ST, Zip:
,telephone:
Construction Type: Occupancy:
cY•
State Lic.
tYPa �citcle one . New Add'n Alter Repair Demo
Name of Contact Person: �21d 0 `
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: LO 1 0
Estimated Value of Project: psi
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
_
Reviewed, ready for corrections
Plan Check Deposit
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.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' Review, ready foncorrections(ssue
Developer Impact 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
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC)
CF1R-ALT-02-E
(Page 1of3)
Project Name: Carol Schielein I Date Prepared: 2015-09-09
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.
01
Project Name
Carol Schielein
02
Date Prepared
2015-09-09
03
Project Location
78317 Terra Cotta Ct n
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Carol 5chielein
07
Zip Code
92253
08
Dwelling Unit Conditioned
Floor Area (ft2)
1000
Installing newp
Installing �
;Installing
Installing
Number of space conditioning
-
09
Climate Zone
15
10
(SC) -systems in this dwelling
1
entirely new
entirely new
Name
unit.
System (ft2)
B. Space Conditioning (SC) System Informationft .. .
01
02
03
041&-X
05
U6
07'.
08
09
10
V
41kls.the SCS"
I S all ng a�w
."" �""` �.
�b �`'�`
W
SC System
SC System
CFA served
ystem A-«'
refrigerant
Installing newp
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?
Alteration Type
System 1
Entire House
1000
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-A6319315A-000000000-0000
Registration Date/Time
2015-09-09 10:51:21
HERS Provider: CalCERTS
"'A Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-09 10:51:15
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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 split
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
component
section is not
section is not
HP
condensing
SEER
13
Setback
section is not
section is not
HP
altered
applicable
applicable
unit
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Duds 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 dud length is replaced.
-Leakage rate compliance: s 15%, ors 10% 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 a 300 CFM/ton required when MCH725 is required.
Exceptions: ya
Duct with HERS as sealed are exempt from'MCH-20 Duct Leakage Testing regwrementd. 't
systems registered provider previously •,
rr' R9 nef"^ Fj l! il+ '� �1
Air Flow<MCH-23 :or RefngerantiCharge,MECH-25.
-Heating-only systems and Air Handler/Furnace changes do not require verification of
dud insulated or sealed with a besto'ab a exempt.from MCH 2O Due 'kTestingTesting requiremen s.
Existing systems constructed,
. k. yE x"'+3 ju,•-."� �1 '2w
E. Entirely New or Complete Replacement Duct System, with or withouthfquipment Changeout (Se.ctions 150.2(b•)1Diia_andf150.2(b)lE, 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-A6319315A-000000000-0000 Registration Date/Time: 2015-09-09 10:51:21
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-09-09. 10:51:15
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: n
Laster, Gary -
C�CJI
Company:
Signature Date:
DOVE AIR INC
2015-09-09 10:51:21
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
t fi
requirements of Title 24, Part 1 and Part 6 of the California Code of Reg lot ons t
�� !��'#:as'a.T.
4. The buildingdesign features or stem design features identified onathis Certificate;of Compliance are�copslstent with the information, provided on`other applicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement.agency for approvakwith this building permit application.
i
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be;"made:avaiIable withTthe building:permit(s);issued for theibuilding, and,made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this CerEificate 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: o r
Laster, Gary
CJ
Company:
Date Signed:
DOVE AIR INC
2015-09-09 10:51:21
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-A6319315A-000000000-0000 Registration Date/Time: 2015-09-09 10:51:21 HERS Provider: CaICERTS
• -CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-09-09 10:51:15
Schema Version: 0.555SDD