13-1352 (MECH)4.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00001352
45950 LAS COLINAS
604-460-015-15 -29563
MECHANICAL
LOW DENSITY RESIDENTIAL
900
T4&f
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
,WIP,
LICENSED CONTRACTOR'S DECLARATION
1 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 an rofessio s Code, and my License is in full force and effect.
license Class: C20 XA
No.: 794315
/
Date: 'Iq 2Z • Ij 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 ISec. 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 ) ' 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.).
1 _ 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.).
( 1 Lam 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 Name:
Lender's Address:
LQPERMIT
Owner:
ROBERT MCLEMORE
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA
(760)327-1890
Lic. No.: 794315
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/22/13
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 EXEMPT Policy Number EXEMPT
ertify 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 Aall forth�omwithe provisions.
Dat;� 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 0100,0001. 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 Director of Building and Safety 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 county to enter upon the above-mentioned property f pection p oseess..
Datel(J.-I1 Signature (Applicant or Agentl:'�
Application Number . . . . . 13-00001352
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 11.92
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 4/20/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH APPL
REP/ALT
11.92
----------------7-----------------------------------------------------------
Special Notes and Comments
HVAC - REPLACE (1) COIL [2008 ENERGY] -
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2010
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees .. . . . . . . . . PERMIT
ISSUANCE M/P/E
90.57
PLAN CHECK,
MECHANICAL
4.77
Fee summary Charged Paid
---------------------
Credited
--------------------
Due
-----------------
Permit Fee Total 11.92
.00 .00
11.92
Plan Check Total .00
.00 .00
.00
Other Fee Total 95.34
.00 .00
95.34
Grand Total 107.26
.00 .00
107.26
LQPERMIT
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City a Quinta
Buildir; ax Safety Division
4, "�11 k Tampico
P.O. Box 1$0 -495 Cal
Permit #
La QuInta, CA 99253- (.760). 777-7012
Bul IdIng. Permit -Applic. adon and 'Tracking: Sheet
owneesNamm -e
-Project Address: 5-0
A. P. Number: Addrm.-'
LegalOncriptiotr City, ST, Zip:
APPLICANT: 60.',140t. WNTEMOW THIS UNE
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Contractor: U -t -'1t A --t
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Plan bets
Add
Pr**tDe;cr1pti0h. 4c -P
Reviewed, ready for corrections
City, ST, Zip* L(4aylvk C44.
CA .5 1,7.l'174
Truss Coles.
Called Contact Person
plan check B2111tet
Energy Cali&
Phan bickcd up
consfirtwtiou
.6
Flood pwn-plaz'i
Plass resubmitted
Arch., Engr, Designer.,
Gradlug.plav:
2' RvOew, ready lbr correcdowAssut
Addross:
Subcoutictor List
G1t1l6d Contact Person
City; Sr, Zip:
Griot Deed
'clepholle;
Cflnstrlction Typo:
Occupancy:
State Lic.;9:
PC I(CirCle One).- New, Add'n Ater.Repair Demo
Name. ofcontftot-Peraon-.'
-Developer Impact .Fee
Sq. Ft. # stories:
Plannin Approval
Telephone # of Contact Person:
0.01 /
Estimated Value of Project:..
Pub. Wk& Appr
APPLICANT: 60.',140t. WNTEMOW THIS UNE
N
Submittal
4eW4
AWN 'CRAM- ING.- PERMF FEES
Pla6 Check submitod item Amogat
Plan bets
structural -Calm
Reviewed, ready for corrections
Plan check Deposit
Truss Coles.
Called Contact Person
plan check B2111tet
Energy Cali&
Phan bickcd up
consfirtwtiou
Flood pwn-plaz'i
Plass resubmitted
Mechaoteal
Gradlug.plav:
2' RvOew, ready lbr correcdowAssut
Electrical
Subcoutictor List
G1t1l6d Contact Person
plaullAng
Griot Deed
-d
H.O.A. Approval
'rgd1dg
IN HOUSE:-
oF, ready tot correctiouslissue
-Developer Impact .Fee
Plannin Approval
Called Contact Person
Pub. Wk& Appr
Date of permit [out.
School Fees
7
lip
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date: 7
Permit #:
45950 Las Colinas La Quinta, CA 92253
City of La Quinta
Oct 21, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
[3 Furnace
® Indoor Coil
[3 AFUE
❑ SEER
13COP
❑ HSPF
[3R 6 (CZ 10-13)
Served by system
®Setback
If not already present, must be
[3 Condensing Unit
13 EER
[3 Resistance
[3 R 8 (CZ 14-15)
200 sf
—�
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system.
Z. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111
and CF-611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF-4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Indoor Coil and /or
CF-4R forms: MECH-21 and (for split systems) MECH-25
. Furnace
For Split Systems: Duct leakage'< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
..r
e A....kage d IInit-s- 1'l,.e•t leakage, i 15
p
Exempted from duct leakage testinif:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. The system: will not be Ducted(ie.,0uctless;Mini-Split;System) (Also;Exempt.from,Refrigerant Charge)
112. NevoHVAC System Required Forms: #
. Cut in or Changeout with: (for split systems) MECH-22-HERS., and
CF-6R forms: MECH-04, MECH2O-HERS,, and m
new ducts: (all new MECH 25=H.ERS l .ducting and all new *{
CF 4R forms`. MECH-20,and (for split systems) and MECH-25 °'
-MfECH-22, a
equipment) l�` k< •K lith
For Split Systems:Ouct leakage <,6 percent; RC; CCA'>_ 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with/or without'
Required Forms:
Replacement
. Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF-4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF-6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF-411 forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
. I certify that this Certificate of Compliance documentation is accurate and complete.
. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
. I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Gary Laster Signature: Gary Laster
Company: DOVE AIR INC Date: Oct 21, 2013
Address: 68-749 RISUENO ROAD License: 794315
City/State/Zip: CATHEDRAL CITY / CA / 92234 Phone: (760) 327-1890
Reg: 213-A0079612A-000000000-0000 Registration Date/Time: 2013/10/21 14:39:27 HERS Provider: Ca10ERTS, inc.
2008 Residential Compliance Forms July 2010
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