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BMCH2014-104878=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT Application Number: BMCH2O14-1048 Property Address: 52940 AVENIDA DIAZ APN: 773312010 Application Description: MECH REPLACE 4TON AIR HANDLER Property Zoning: �+ Application Valuation: $2,500.00 Applicant: O C DOVE AIR INC 4t: -- 68-749 RISUENO ROAD CATHEDRAL CITY, CA 92234 U BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that.1 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 (Date: ' �' ' 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 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 nol 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: GLADIS BERKOWITZ 1447 BIG SKY DR BEAUMONT, CA 92253 Contractor: DOVE AIR INC 68-749 RISUENO ROAD CATHEDRAL CITY, CA 92234 (760)327-1890 Llc. No.: 794315 Date: 8/15/2014 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 th Labor Code, I shall forthwith comply with those provisions. Date' 0 1 1 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 ($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. 2� Date: �° i Signature (Applicant or Agent) C Z n 5 �+ �S M Qn N C3 O C �a 4t: -- Z H U 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 th Labor Code, I shall forthwith comply with those provisions. Date' 0 1 1 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 ($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. 2� Date: �° i Signature (Applicant or Agent) ` 3 �}qir Fj- W of Description: MECH REPLACE 4TON AIR HANDLER Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 8/15/2014 SKH Approved: Parcel No: 773312010 Site Address: 52940 AVENIDA DIAZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 170 Lot: 17 Issued: UNIT 17 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 13SEER/78AFUE AIR HANDLER [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. >ry.r .... - FIwN-ANsr..Ca..,.m..-r>rne•.-aro..:,.or,.xz..-x.a;�, �E. ,•'4 i1'f ra ,� IALINFO VATION-"Xi` 'WIM 0900m, Printed: Friday, August 15, 2014 4:18:37 PM 1 of 2 SYSTEMS Permit Det -ails PERMIT NUMBER City of La Quinta BIVICH�2014-1048 Printed: Friday, August 15, 2014 4:18:37 PM 2 of 2 Ll U LJ IJ SYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: AIR HANDLER 101-0000-42402 0 $35.75 $0.00 AIR HANDLER PC 101-0000-42600 0 $11.92 $0.00 Total Paid for MECHANICAL: $47.67 $0.00 PERMIT ISSUANCE 1 101-0000-42404 1 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE: $90.57 $0.00 - r- ::4. Vie,' . 4� '<. n, • �S'+ 1 11 +"s .�51'' 4 :.,, x'�_ rN�,t`y��n..jy ,� ..�. r.k_: �. _.�-"' a, -'t �f�' <� Printed: Friday, August 15, 2014 4:18:37 PM 2 of 2 Ll U LJ IJ SYSTEMS r suu9 cvn o: J.i ria+► "CL .., aeea aua.aRtunt —.•_ Bin ff g+ L QWInta SuROV EL -Safety Da ibn CO. Box 1 4, 7$-435 Caffe Tatmpleo La .Quanta, CA 92253— (76% 7.77-7012 Bu(ldtng- Permit -Appilcadon and Tracking Sheet . Peemit # Pwjed Addtew..- (�... Astip, dot• ORm 'sNaa e �14E it O 1N 1f 7- A- P. Numb A- Legal l)escTlPttoa Contractor aq _ -;- Addttss: �� D t city, sr. zjr. Telephone~ !. — �✓ dw. RC to 01 3 Adr3ress; �f 9 Aped.PeajeetAesra OW, ST, 74=,ia � k 6 !� 4 Tolephona: u State Lfo. # : _7? Y Arch., FgW.. DeApw. .. -.. , Adder City: sl', 4 , . Toi� batt lac. #: Nemo of Cot►tact Faison ,� ConstriFtion Tppc: OcMpaacy; Ptoject qJA-*droio one): New. Add'n . Ater .Repay demo . Tei # of ContactPn:Bon =V,ina of Pro 0 V u® APPLICAtfTa DO *10-T jwm 8MO TMS UNE a sn� a 1a a Adm!t :: PERMr FM Planula - Ptaot7tcetcsn[+�tt<d .- •. Item.:. Amount• . StrueteraLCailea: Revtegfed,read>for con aote Platn:tlttel Deposit Trans (:ala. Cd[ed. Coaha Penis Plan Meek Ealuee Euergy Coles. Phna bkjmd IT Co�ttretetlon . Flood plain -plan . -. -Plans reanbnitted Mecdanieal Gradingplaw : 21Rtir w. ready boreorrecdonsfisste Fdeetr�a] . subcontaetor s lot offia Cootaet Person Plamblne GrsntDeed $.�.L ILO A. Approval 1YeD iesubliiltted' : :.. t�radldg INHOUSE: ' ptv]aw, ready Eoreorr�etttonalistae •Developer Napace Fel Planning Approval. Colied (.bntaet Person Pub. Wks. Appr Dahe udpe,�tt issue . School Feet =z: Toil M' hFep CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 4 ) Project Name: Gladis & Jeffry Berkowitz Date Prepared: 2014-08-13 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: Gladis & Jeffry Berkowitz 02 Date Prepared: 2014-08-13 03 Project Location: 52940 Avenida Diaz 04 Building Type: Single family 05 CA City: La Quinta 06 Dwelling Unit Name: Gladis & Jeffry Berkowitz 07 Zip Code: 92253 08 Dwelling Unit Conditioned 1600 components? duct system Floor Area (ft2): Number of space conditioning 09 Climate Zone: 15 10 (SC) systems being altered in 1 condensing unit, Installing this dwelling unit.: system's B. Space Conditioning (SC) System Information �- 0 .e 91 01 02 1 03 . ` 041 .05 1 06 l . 07 08f4- . 09 10 Installing new e ` Is the entire 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 System 1 Entire house 1600 Yes Yes Yes No No No Altered space 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-A0074781A-000000000-0000 Registration Date/Time: 2014-08-13 21:06:27 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 21:06:12 CERTIFICATE OF COMPLIANCE CFiR-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) O1 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 This field or This field or System 1 Central split Fancoil AHU AFUE 0.78 Central split Fancoil AHU SEER 13 Setback section is not section is not HP HP 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 & CF311-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 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 > 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 LeakageTesting requirements. i -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. Existing duct systems constructed, insulated or'sealed with asbestos 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)1E, F) This section does not apply to this project. Registration Number: 214-A0074781A-000000000-0000 Registration Date/Time: 2014-08-13 21:06:27 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 21:06:12 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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-A0074781A-000000000-0000 Registration Date/Time 2014-08-13 21:06:27 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 21:06:12 CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-iR-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: .1 Laster, Gary Company: Signature Date: DOVE AIR INC 2014-08-13 21:06:27 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 performs n e'specifications, materials, components and marufactured 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 _Ca lifornia-Code`of Regulations. f ! �I 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information providedion other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.- pplication. 5. 1 will ensure that a registered copy of this Certificate of Compliance, shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable 5. inspections. I understand that a registered copy of this Certificate 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: n s Laster, Gary Company: Date Signed: DOVE AIR INC 2014-08-13 21:06:27 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-A0074781A-000000000-0000 Registration Date/Time: 2014-08-13 21:06:27 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-13 21:06:12