BMCH2014-101378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1013
Property Address: 52940 AVENIDA DIAZ
APN: 773312010
Application Description: SPLIT SYSTEM
Property Zoning:
Application Valuation: $3,000.00
Applicant:
DOVE AIR
68749 RISUENO ROAD
LA QUINTA, CA 92253
c&ty, 4 aw VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/11/2014
Owner:
GLADIS BERKOWITZ
52940 AVENIDA DIAZ
LA QUINTA, CA 92253
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. A
License Class: License No.: AEC137 r4/\-
Date: � / 11 I � 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
Lender's Address:
Contractor:
DOVE AIR
68749 RISUENO ROAD
LA QUINTA, CA 92234
(760)327-1890
Llc. No.: AEC137
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 3709 of the Labor Code, I shall forthwith
comply with those provisions.
Date:JC 1 ADDlicant:
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 r u on th bove-
mentioned property for inspection purposes. y J
Date:
FINANCIAL ,• /•
DESCRIPTION
ACCOUNT QTY ' . AMOUNT
PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$1.00 7/14/14
PAID BY
METHOD RECEIPT #
CHECK # CLTD BY
DOVE AIR
CHECK R360
6186 PJU
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
- QTY .
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$71.50
$71.50
7/14/14
PAID BY
METHOD
RECEIPT # .
CHECK #
CLTD BY
DOVE AIR
CHECK
R360
6186
PJU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$35.75
7/14/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DOVE AIR
CHECK
R360
6186
PJU
Total Paid forCHANGEOUT: $107.25 $107.25
DESCRIPTION
.ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
7/14/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DOVE AIR
CHECK
R360
6186
PJU
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS: $198.82 $198.82
I
•e! [e! evuo min o: Lt rr-% i.a uinea tautitt�tug! aas 'y _- - ---•- -- -" �••
Bni ctj g Safety DI sion
P.O. Box l�4,7$-495 Calle Tampico
La .Quanta, CA 99253— (.760).777-7012
Building' Pennit A'pptication and Tracking Sheet .
Permtt #
•Frojeet Address- a ` 4 Owneeswatne: c V` u Wf
A- P. Nunthtr. Address: l c7 q Z
Legal!)escrrptton city, sr, dip: V {'I�6 t
Contracror: 0 Ja Telephone. %
Project I?eseriptioa
.
city, sr, zip. C (A Ila
C c�} 9 lL�y .. Caw Gw ` I"? 6 r,a.,� '
�c1Q��
Telaphoae b t) 22T-1 F 7 _
state l.ie. # :79
Arch., Esp. Designer: '
Addr= ?
Cityi Sr,Lrp:
TOlephOtte: conSh'19ion TypC: Occupaacy:
State Lia #: Project r* one): New. Add'n . ;Ater .F.epair Demo
Name of Contact?"n: err L b W ) tt• . &q. Ft.: # Stories: #Units:
Tel2=0 of Contact Person:
Bsdavited Value of Pto
IK
APPLICANT: DO. KOT �iITE 159WTHIS UNE
a
.sRhmittat
4W4 -
Pmed .`E1tAi Cixc:
PERMT FEES
Plan Feb
P121i check subw*d
Item Amount
Stractural.calcs.:
Reviewed, ready fortorreeflons
PlanCtteciFD it
Trass Cala.
CdW Contact Person
Pian geek Balanee
Energy Cala.
Maas -b"Fa tut
Ccattttnretlon
Flood plaln.plan •
Plow reaabmtrted
Meehanieal
Gradhtg.plan"
Z'Ite*1m,ready kreortecdonslissut
®ettckal'•
Sabcontactor List
Cwtd Contact Person
Plitiablug
Grant Deed
Filapa li9tcd up ':.
S M.L
H.OA.Approval
_ I'iieCiestdrliiilfal: :..
Oradidg
IN HOUSE:-
' ifd��+ wn ready W eorreettomUne
Developer Imptd Fee
PlawAlm Approval
CRUed Contact Person
I1:IT.P.
Pub. Wk& Appr
Date.orpermlt Latae ,
School Fees
-:
Tog M11 P4N' .
to
N
.4
LO
0
CO
O
cr
n
Cb
CEWIFICA?E OF COMPLIANCE CFIR-AEI'-02•E
Alienations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page i of 4 )
Project Name. Glad is Berkowitz Date Prepare: 2014-07-09
A. General Information
CFIFL-ALT42 is applicable to muttipie space conditioning systems contained within a single dweiNng unit, When multiple dwelling ups must be
documented, use oste CF11i-ALT-02 document for each dwelling unit.:
03
Project flame:
Gladis Berkowitz
02
Date Prepared:
2414-07-09
03
Project1"lon:
5294OAvenidaDiaz
04
Su9ciiitgType:
Sing lefamiiy
05
CA City:
La Quinta
06
Dwel&ng Unit Name:
Giadis Berkowitz
07
Zip Code:
92253
OS
DvMhng Unit Conditioned
1600
Plexor Area (ftZ):
(packaged unit, or
accessible
Are all of rite
Number of space comlitioning
09
Climate Zone:
15
30
(SC) systems being attered In
1
System's
this dweffift unit.:
Altering or
8. Space Conditioning {SC) System ft ftrmatlon
01
02
03
: •'•a04 ::: '.
45.
07..:•:...
OB .
09 10
:instal0ng nom.:`
Is the entire
components?
duct system
(packaged unit, or
accessible
Are all of rite
condensing tout,
unsling
for sealing,
System's
Isthaaliered
Altering or
or
more than 40
and is more
components
or in:itaiied
installing a
cooling heating
linear Feat of
than 7596 of
and duds 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 St
ducted
cootalning
air -handing unit,
replacement
system new
(entirely new
Maine
Served
System (ftZ)
system?
component?
etc)
ducts?
or replaced?
system) Alteration type
System i
Entine House
1600
Yes
Yes
Yes
No
No
No Ahered space
tondif ionsng SySbeifl
C. Extension of Existing Duct System, Greater Than 40 Feet (Secti:on1S4.2(b)2D1ib)
Ths section does not apply to this project.
RegistratbDn Natmber: 214-AWS321OA-OOODODOOO-0000 Registration OatelTi Me: 2014-07-09 23:03,26 HERS Prv.ider: CaICERTS
CA Building Energy ffn`cisncy Standards - 2013 Residential Compliance Report Verskm. 2014-03-31 Report Generated: 2014-07.09 22:":03
(V
'-1
Rr
kD
LO
0
kD
r,
-y
w
r�
Co
CERTIFICATE OF COMPLIANCE CF1 ii-AiT-02•E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT41[VACj (Page 2 of 4 )
D. Altered Space CondlMonift System (Sections M.2(b)li and F)
61
02
03
Oa
0S
06
07
08
09
10
11
12
Heating
Cooft
System
Heating
Altered
heating
Minimum
Altered
Cooling
Wnih m
Re:quilmd
New or
Identification
System
Heating
EffiderKy
Etftaency
Cooling
Coaling
Effidwcy
€ jjdency
Thermostat
Replaced
New Otto
or Name
Type
Components
Type
Value
System Type
Coimoomrits
Type
Value
Type
Duct Length
it -Value
Central split
No heating
This field of-
This field or
Centra] spkt
Outdoor
This field or
Tfiis field or
systern 1
H?
component
section is not
sectitirt is not
wndeming
SEER
13
SetbackHP
section is hot
section is not
altered
appilcabte
applicable
un
applicable
appiicablee
�j�rirerl Do�vmenta4brt:
CFA-hA kF 014 -Space Conditioning SvtternsDu-csand 0ans
-Duct lasutation regi9rerhent snf neve plenurns: R6.
CF2 :-MCH-20+1 & CO3R44Crs-213-H Ductt.eabge testing require]] wfien luting or cooling components are Installed in ducted systems, or wren mare than CO It of duct length is replaced.
-Leakage rate compliance: s 15%, ors 10% leakage to ouWde, or seal all accessible leaks.
[frai3_mCri-25-H & CF3R-34CF_25-H Refrigerant 0-aW Yemlcatlori required vrhen refrprant oarttainiq components ate Installed ce altered (appncebte in (17, 8.15j-
C€2RCF3R-N1CH•Z3 & MR -MCH -23 stir Flow 2 300CFWtDn requiredwhen M0�25 isrerruired: .
F.xc:eotidns• •
-OW systems regestered with HERS provider as pre0busly seated are apt frixirs WH -20 ouct t eat.34e Tewng re}iiirari�i it4s
tfezting oa+ty systems and Air Handter%Furnace sC3itges do nbt requlre.veriflekn u? AltFlow RS01-23, iuitefrigetar't C7'arge h1f4
-£xtstingductsystemscoiancted, Insulatedorsea'Pedwithashestas 3reexzmpt�fiosis?LGH 23Dtbct.teakageiev"g e"r+erroents:
E. Entirely New or Complete Replacerreerli Duct System], with or without Equipment ChaNeout (Sections 150.2(b)2D11a and 250.2(b)lE, F)
This section does not apply!' to this project.
Registration Number: 214-A0053214A-MOOD000-OOW
CA Building Energy ffficrency Standards - 2013 Residential Compliance
Registration Date/Time: 2014.47-D923:(13113
Report Version: 2014.03-31
HERS Provider: CaIC£RTS
R.etioA Generated]: 2017-£)9 22.54:03
CEATIF[CATE OF COiv DANCE IMM -ALT -024
Alterations to Space Cand}tioniing Systems (forMerly CF -IR -ALT -HVAC) {Page 3 of A j
F. Entirely New or Complete Replacement Spare Conditioning System (Section IS0.2(b)1C)
This section d6es not apply to this projecL
ko
N
'-1
LO
IT
ko
LO
O
LD
n
4
�i
1
M
V Registration Number:214-A003321DA-000000000-0000
1
' CA Building Energy E#iicierncy Standards - 2013 Res€den4al Compliance
Registration Date/Time: 2014-07-09 23M:28.
Report Version; 2014.03-31
HERS Provider. CatCERTS
Report Generated: 2014-07.09 22:54:03
IT
0
a
ko
N
LO
�r
LO
0
LD
r -
Cl)
0
CERTMCATE OF COM-PLIANCE CPIR-ALT-02•E
Alterations to Spam Conditioning Systems jformeri?y GF-1111-ALT4WAQ (Page 4 of 4 j
Documentation Au t es Declaration Statement
L I certify that tins Certificate of Compliance documentation is accurate asW complete.
C=rnentatlon Author ka'me:
Documentation Author51gratixe:
Laster, vary
Pant
51gseature Date:
DOVE AIR INC
2014•-07-09 23:03:28
Address:
CEA/ HERS Certification Identlfr-atloa (it apocaue):
68-749 RISUENO ROAD
LStyfStatelZ�D
Phone:
CATHEDRAL CITY CA 92234
4760) 327-1890
ReWonsible Person's Dedaration statement
I certify the following confer penalty of perjury, under rtLe WM of the State of Caldomia:
1. The information ptov led an this Certifiicine of Compliance i3 true and correct.
2. i am efygibie Lmdet DFrisioi 3 of the 9vsiness and Qrofessioes Co& to accept resporsfiility for the Wilding disign or system design Identified or. this Certificatecgf Compliance (responsible design&).
3. That the energy feazures and perfmrniarim speciflratlons, materials, coritgwa .rets, rind mar+uUcdired devices for the birilding.aesigrtar sy+s design identified on this Certificate of Cowflince conform to the
retluimments of Title 24, Part 1 and Part:6 of the California Code of Regt4tions.
4, Thebuiiding design features or system %sign features Were A040'ri W.6-tertlflcale of Coinii�anceare [ novt6 it with the information provided on otsierapp8cabie compliance docurneks, voorksheets,
hatlo
calcuns,plaitsandspecl ationss6hinittedtotheenfGrcem,e*M` ,*,", forappro+kiwithtlJsbuililirigp�rmitappii aA6. .... .:.; .:;. ..
5. 1 will ensure that a registered copy of tlsis CerWtcati 0 CgknO�eshali be made ayaitatk� viith *wugd ng jierrtisE{s) tssiied Fol the buiF�ng, and iiiade available tithe enforcerroeiit agency for all apphicahte
inspections. I understand that a Mgistered Dopy of t3iist.,eiRifaraie of CoM'Oinoe is ra=giiftie6 to be IridGiied w4 the dcxii3ni> nY3tiion ihelyaiatder prpvides in the building owner atoocupancy.
Responsible Designer Marne:
Rezpansltile Designer Stgriature: a C
Laster, GaryNCCCiL('lii
Company :
Date Signed r
DOVE Alii INC
20'14-07-09 23:03:28
.address:
License:
68-749 RISUENO ROAD
794315
ty/5tateJZrp:
Phone:
CATHEDRAL CITY CA 92234
{760} 327-1890
Dighaffy signed byWCEM, This &gital signature is provided in order to secure the content of this registered document and in tan way implies Registration Provider respobsitiNty for the accuracy of df e
irrformadan.
Registration Number: 214-AO053210A-000D- Region Date/Time: 2014ti7-D9 2:.�3^a:28 HERS Provider: CACERTS
CA Bu Ilding Energy Ef€ictencV Standards - 2013 Residential Compliance Report Version: 2014-03-3:
Report Generated: 2014-07-09 22:54.-03