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BMCH2014-1062LICENSED 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 1/1 I /X Ch Date: / `1 _ r { C/ 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 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. ( 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: 5LApplicant: 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 ter upon the above. mentioned property for inspection purposes. i Date: ` ` / Signature (Applicant or Agent): T4ht VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011COMMUNITY LA QUINTA, CALIFORNIA 92253 DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/2/2014 Application Number: BMCH2O14-1062 Owner: Property Address: 78045 COBALT PALM ROYALE PARTNERSHIP �� `0T'�---' APN: 604023050 2 N LAKE AVE STE 800 � Application Description: REPLACE 1 AIR HANDLER IN CLOS PASADENA, CA 0 Property Zoning: Z u� Application Valuation: $2,000.00 Applicant: Contractor: DOVE AIR INC DOVE AIR INCN t� C) O 68-749 RISUENO ROAD J 68-749 RISUENO ROAD rn v CATHEDRAL CITY, CA 92234 / CATHEDRAL CITY, CA 92234 (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 1/1 I /X Ch Date: / `1 _ r { C/ 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 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. ( 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: 5LApplicant: 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 ter upon the above. mentioned property for inspection purposes. i Date: ` ` / 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 If CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - CONDENSER ONLY 101-0000-42402 0 $35.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $59.58 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 Description: REPLACE 1 AIR HANDLER IN CLOSET Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/2/2014 SKH Approved: Parcel No: 604023050 Site Address: 78045 COBALT LA QUINTA,CA 92253 Subdivision: TR 18915 Block: Lot: 7 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 13SEER/78AFUE AIR HANDLER SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAMETYPE' NAMEADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY CA 92234 CONTRACTOR DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY CA 92234 OWNER PALM ROYALE PARTNERSHIP 2 N LAKE AVE STE 800 PASADENA CA 0 Printed: Tuesday, September 02, 2014 2:19:37 PM 1 of 2 CRVL/ SYS iEMS Printed: Tuesday, September 02, 2014 2:19:37 PM 2 of 2 N?WYS TEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL** 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 $35.75 $0.00 CONDENSER ONLY HVAC CHANGEOUT - 101-0000-42600 0 $23.83 $0.00 CONDENSER ONLY PC Total Paid forCHANGEOUT: $59.58 $0.00 PERMIT ISSUANC� 101-0000-42404 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:• 00 Printed: Tuesday, September 02, 2014 2:19:37 PM 2 of 2 N?WYS TEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL** Printed: Tuesday, September 02, 2014 2:19:37 PM 2 of 2 N?WYS TEMS CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4 ) Project Name: Brian SmithDate Prepared: 2014-09-01 A. General Information CHR -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: Brian Smith 02 Date Prepared: 2014-09-01 03 Project Location: 78045 Cobalt Ct. 04 Building Type: Single family -05- CA City: La Quinta— 06 Dwelling Unit Name: Brian Smith 07 Zip Code: 92253' 08 Dwelling Unit Conditioned 960 accessible Are all of the Floor Area (ft2): condensing unit, Number of space conditioning for sealing, 09 Climate Zone: 15 10 (SC) systems being altered in 1 Altering or or more than 40 and is more this dwelling unit.: B. Space Conditioning (SC) System, Information 01 02 zy;.. 03 ,� 04d ., ,' OS','`; a 06 _ 07 ?;#74 8 09 10 k Installing new,* Is the entire �4 components? duct system (packaged unit, or accessible Are all of the condensing unit, Installing for sealing, system's Is the altered Altering or or more than 40 and is more components or installed installing a cooling/heating linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or the duct or replaced? Identification or Location or Area by this SC ducted containing air -handling unit, replacement system new (entirely new Name Served System (ft2) system? component? etc) ducts? or replaced? system) Alteration Type Altered space System 1 Entire house 960 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 214-A0086419A-000000000-0000 Registration Date/Time: 2014-09-01 21:13:55 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-01 21:13:58 F CERTIFICATE OF COMPLIANCE CFlR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 30 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 Central split This field or This field or System 1 HP Fancoil AHU AFUE 0.78 HP Fancoil AHU SEER 13 Setback section is not section is not 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: <_ 15%, ors 30% 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 >_ 300 CFM/ton required when MCH -25 is required. y 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. T ` Existing duct systems constructed, insulated or sealed with asbesto1.s are exempt from MCH -20 Duct Leakage Testing requirements. / E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)IE, F) This section does not apply to this project. Registration Number: 214-AC086419A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-09-01 21:13:55 Report Version: 2014-03-31 HERS Provider: CalCERTS Report Generated: 2014-09-01 21:13:58 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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. Registration Number: 214-A0086419A-000000000-0000 Registration Date/Time: 2014-09-01 21:13:55 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-01 21:13:58 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: Laster, Gary satyC��IG Company: Signature Date: DOVE AIR INC 2014-09-01 21:13:55 Address: CEA/ HERS Certification Identification (if applicable): _ 68-749 RISUENO ROAD City/State/Zip: Phone: CATHEDRAL CITY CA 92234 (760)327-1 890 Responsible Person's Declaration statement z' I certify the following under penalty of perjury, under the laws of the State of California: " N. 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 bwlding<design or.system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specif c tions, materia s° components,izand manufactured devices for the wilding 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. 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 this building permit applicationtAk F _with 5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s),issued Wthe building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is•n=quired to 6e included with the'documentatiori the builder provides tothe building owner at occupancy. Responsible Designer Name: Responsible Responsible Designer Signature: Laster, Gary v^C/ C(ILI�JG Company: Date Signed: DOVE AIR INC 2014-09-01 21:13:55 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-A0086419A-000000000-0000 Registration Date/Time: 2014-09-01 21:13:55 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-01 21:13:58 icr oar cuuo -un o:_it me "g %juiaca aui ic�a ugr . .......... . .. _.- - • .. --_ .._-.a..._.,.:��„_:- ate. _"xp-�s:."•'�, •� e,.�.:�;.,r;�—..._ Birk a. QuInta Bni[ 8[ Safety Dh i n P:O. Box 1 4, 78 -499 -Calle Tampico La.Quinik CA 92253'- (-76%7.77-7012 Bullding Pennit Appllcadon and Tracking Sheet . Petntft;ll •projedAddress: - 0 O o, 4— C4-. Owttur'sNatge: rrJ M; A P. Ptutuher Addrm: b f C u Va If C -F Leggy Comractor. '�� l9 r' 1- city. a. zip: �; n C' A- 0;5'3 Telephone: Ptojoctl?tisttiptilou: 1�.� �qC ��� � d - h City. Sr. Zip: cert � S``t__ ee Lie, tf : VL .. n C. LO 'T I.iO. & 3 - .. Address City; Sr. 'Lip: . . .eitpitene: staeLia Name of Cotttact•Person: �1 �Fv� J .� Telepbmf ofContadpera n. 0 °j 73 L Ccnstc;.tptioa yps: ommancr. Projedty�e#dreieone- Now. AM. •,Ater .Repair Demo &q F%: #$totias: €Units: Bsdrtttited Valttn of Fro" 0 0 ct Mwubali. i io°•�igT 8El0 Ti4fS SIE . # s�6mNhi d • Re4'd CAijUI![�r:: Pt�VArr"= Pfau S� PIlc �erZ sabe+ittjd iteof Amount Stnrdsrt6Gitea.: M".Che* Deposit 17asa Cabs Celled Corte Pttiou Pian Cheek Rdsvtr Enagy Cate- i'faaabittccdt4� Co�tntetiau . blood P 1►tao . Plaem eesabmlthed Medxulad C�adingpbar It"'lew.ce"yibrwnvedoneftas 8leste�wl'. s bmtsdw Idst = .C�6d Contort Person = numbing Gtaut Deed -POE ` ::...:•L ILO.A. Approval ';'iae (!al' : :. Gradidg IN SOUSE:- d tt'jCrp, Mdy 6orauvadawAnue Davdoper Impact Fee Pianrdag A" vai. Coged CbMad Perron A:I,I'd•. Pati. Wk& Appr Data of permit (alae . : .School Fees Fen _..