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BMCH2016-026878495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twy 44� 0": COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0268 Property Address: 47730 VIA MONTANA APN: 643120036 Application Description: ADAMS RESIDENCE / HVAC Property Zoning: I have and will maintain workers' compensation insurance, as required by Application Valuation: $3,000.00 Applicant: is issued. My workers' compensation insurance carrier and policy number are: DOVE AIR INC Carrier: _ Policy Number: 68-749 RISUENO ROAD I certify that in the performance of the work for which this permit is issued, I CATHEDRAL CITY, CA 92234 shall not employ any person in any manner so as to become subject to the workers' 0 VOIf (760) 777-7125 —F 1(760) 777-7011 INSPECTIO S (760) 777-7153 JUL 2u 2015 CITY- L,4 QUINTA atl: 7/20/2016 VITYDEVELOPFdENT DEPARTMENT I ARNE ADAMS 47730 VIA MONTANA LA QUINTA, CA 92253 Contractor: DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY, CA 92234 (760)327-1890 Llc. No.: 794315 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C20 License No.: 794315 of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by 4IDate: �' [ �'' G Contractor: 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: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 *e: / 1 V Wpplicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($$00).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves. shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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. 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: 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. 191 Da: ) _2 0 -4 soature (Applicant or Agent) FINANCIAL INFORMATION `DESCRIP..T10 , ' 'ri > ACCOUNTx YQTY�# f;:. AMOUNT . ;'f tPAID DATE $ „ ., ,PAID BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/20/16 PA6Y 't ' �$ R' METHOD OID RECEIPT # R £ CHECK #4 CLTD BY . ` F DOVE AIR INC CHECK R17259 6898 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 ''¢ ''DESCRIPTION v�CCOUNT ' iFi kQTY F kAMOUNT'"PAID°� PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 7/20/16 PAIDyBY*zz<METIiODr�.'raRECEIPT#� s CHECK#,' =CLTDBY` DOVE AIR INC CHECK R17259 6898 MFA !' `i' F ._ Y 8 . �» yy">:..'F'K DESCRIPT1ONr Y��r,�ACCOUNT 4 F ky F :,QTY>AMOUNT 53 ry" 4 a C '.z. y,� .�.d {*PAID' ? 4 3PAID;VATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $24.17 7/20/16 PAID BY�METHOOKT ��:"fix # �, 4 CHECK #�. :CLTD BY' �r 4RECEIPT DOVE AIR INC CHECK 1117259 6898 MFA Total Paid for MECHANICAL: $60.43 $60.43 r# f' `DESCRIPTIONf '��ACCUUNT��QTYYAIVIOUNT x`' �r 4 PAID PAID.DATE'' {�'. �A ei PERMIT ISSUANCE 301-0000-42404 0 $91.85 $91.85 7/20/16 �� 'x xi �. v '' kw= �� ,+` r ✓ti'a., rw.a r: w'"z �� 'aa. ,�. �, METHOD �,,�, *;+,, RECEIPT #, �« CHECK #) g .. . ,CLTD BY; ,;. DOVE AIR INC CHECK R17259 6898 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 urn r.bar s Description: ADAMS RESIDENCE HVAC Type: MECHANICAL Subtype: Status: ISSUED Applied: 7/20/2016 MFA Approved: 7/20/2016 MFA, Parcel No:.643120036 Site Address: 47730 VIA MONTANA LA QUINTA,CA 92253 Subdivision: TR 26152 = Block: Lot: 264 Issued: 7/20/2016 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: 1/16/2017 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: CONDENSER CHANGE OUT ONLY - 13 SEER/80AFU E. SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Wednesday, July 2 . 0, 2016.4:25:35 PM 1 of 2 SYSTEMS W 1�JUCU ,•.J I Z-7., Z_ .. ..... ... . . .... . ADDITIONAL SITES . ..... FINANCIAL INFORMATION Printed: Wednesday, July 2 . 0, 2016.4:25:35 PM 1 of 2 SYSTEMS 404 26 DESCRIPTION r" ACCOUNT QTY ;AMOUNT x. PAID PAID DATE #, CHECK # , METHOD PAID BY r; `"DUE>DATE.' ' STATUS: �� H R . y�{ REVIEW TYPE.T" ;i ="REVIEWER ]SENT6ATE�: A' S . T 9 't - '?: DATE ' • •n `r1 ✓n By BSAS SB1473 FEE • 101-0000-20306 0. $1:00 $1.00 7/20/16 R17259 6898 CHECK DOVE AIR INC MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 7/20/16: R17259 6898 CHECK DOVE AIR INC MFA SOR . CONDENSER/COMPRES 101-0000-42600 0 $24.17 $24.17. 7/20/16 R17259 6898 "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 7/20/16. R17259 6898 CHECK DOVE AIR INC MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $1S3.28 $153.28. INSPECTIONS �i `"DUE>DATE.' ' STATUS: �� REMARKS. ;. . REVIEW TYPE.T" ;i ="REVIEWER ]SENT6ATE�: A' S . T 9 't - '?: DATE ' •T �,.`1.. 3. K �k $� �N . 2 OTES !H " 'C'.o. -.� ,lt: f 4 •v)e� ; 'S ��Y.. �h.. � � � Y , , 4+.:. BOND INFORMATION ATTACHMENTS ) Printed: Wednesday, July 20, 2016 4:25:35 PM SYSTEMS 2 of 2 e� "' City of La Quinta Building 8T Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Nae: tf� kfCt ks A. P. Number: Address: i % 7 3 () V; p, Legal .Description: City, ST, Zip: V: `� CA— 1)- 53 Contractor: Telephone: " Address: ; r—, e Project Description: City, ST, Zip: C kJ1K kva i Zia I &A JJr` Telephone: 7 6 0 — p D 0 State Lic: # : 5 � _ City Lic. #A 035f Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: an tructi n C s o T e• Occupancy: Y P P Y: tate ic. #• S L Project type (circle one):: New Add'n Alter Repair Demo Name of Contact Person: lI\ rn Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: !, S ^ b L Estimated Value of Project: �• vJ 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 Cafes. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcdntactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.[. H.O.A. Approval Plans resubmitted Grading fIN HOUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees C CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: Arne & Patrica Adams I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2016-07-19 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 MR -ALT -02 document for each dwelling unit. 01 Project Name Arne & Patrica Adams 02 Date Prepared 2016-07-19 03 Project Location 47730 Via Montana 04 Building Type Single family 05 CA City _ La Quinta 06 Dwelling Unit Name Arne & Patrica Adams 07 Zip Code 92253 08 Dwelling Unit Conditioned 1200 Floor Area (ft2) SC System SC System CFA served system af—• refriget ran 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 Information 01 02 03 041is 0617 07Y�k: 08 09 10. . k , Is the SC Installing a SC System SC System CFA served system af—• refriget ran Installin gnevv SC Installing § In stalling• 4lnstalling 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 Bedrooms ( 3 - 1200 Yes Yes Yes No No No Altered space bdrms) 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: 216-A0265508A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Y ' Registration Date/Time: 2016-07-19 07:48:44 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2016-07-19 07:49:19 CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF-lR-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 Outdoor This field or This field or System 1 furnace component section is not section is not AC condensing SEER 13 Setback section is not section is not altered applicable applicable unit applicable applicable Required Documentation: . CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. MR -MCH -20-H & MR -MCH -20-1-1 — 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: 515%, or <_ 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 2 300 CFM/ton required when MCH -25 Is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements ME9CH -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCHW23 or Refrigerant Charge -Existing duct systems constructed, insulated or sealed with asbestos are exempf from MCH 20 Duct;Leakage Testi !,ggwreriVs. t, r x Ck 173 I V, 4't -;:„ E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Section s..150 2(b)1Dna--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)lC) This section does not apply to this project. Registration Number: 216-A0265508A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-07-19 07:48:44 Report Version: 2013 Rev 1.007 Schema Version: 0.5555DD HERS Provider: CalCERTS Report Generated: 2016-07-19 07:49:19 CERTIFICATE OF COMPLIANCE C'1`111 -ALT -024 '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: /j Laster, Gary C_JC/ Company: Signature Date: DOVE AIR INC 2016-07-19 07:48:44 Address:. CWHERS 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 requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations h,K4 V y w . 4. The building design features or system design features denUfied ori this Certificate of Compliance areIconsistent wiittffthe iriformatlon,proviiled on other app1 1,ax licatile'compliance documents; worksheets, calculations, plans and specifications submitted to the eiiforcemeni:agency forapprovaF'whh this building permit apphca4idn. . •40 i 5. • I will ensure that a registered copy of this Certificate of Compliance shall:be'made:available with.the building.permit(s) issued for the;boildm"g, andmade available to;theenforcement agency for all applicable inspections. I understand that a registered copy of this Cetfificate'of Compliance, is required to be,included with the. documentation the�builder provides to the building owner at occupancy. Res onsible Designer Name:. P g l ••' Responsible Designer Signature: r .. Laster, Gary Company: Date Signed: DOVE AIR INC 2016-07-19 07:48:44 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: 216-A0265508A-000000000-0000 Registration Date/Time: 2016-07-19 07:48:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 07:49:19 Schema Version: 0.555SDD