BMCH2017-046278-495 CALLE TAMPICO D �i4l�1ACl/ VOICE (760) 777-7125
FAX (760) 777-7011
LA QT9MTJ , M1_TFORIV A92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/30/2017
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O17-0462 SPENCER PROFFER
Property Address: 80440 WEISKOPF 17020 RANCHO ST
APN: 762090014 ENCINO, CA 92253
Application Description: PROFFER / HVAC CHANGEOUT CONDENSOR AND COIL ONLY 14 SEER
Property Zoning:
Application Valuation: $4,000.00
Applicant: Contractor:
DOVE AIR INC ® DOVE AIR INC
68=749 RISUENO ROAD 68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234 OCT 3 ® .2017DCATHEDRAL CITY, CA 92234
CITY OF LA QUINTA (760)327-1890
DESIGN AND DEVELOPMENT DEPARTMENT LIC. 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
Date: / Q' J' 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 o 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).:
(_j 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 Name:
Lender's
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 polity number are:
Carrier: EXEMPT Polity 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: /0-% 0� ( Applicant:
c
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. 4.e) A
Date: P-) Q I Signature (Applicant or Agent)
Date: 10/30/2017
Application Number: BMCH2017-0462 Owner:
Property Address: ..'80440 WOSKOPF SPENCER PROFFER
APN: 762090014 17020 RANCHO ST
Application Description: PROFFER / HVAC CHANGEOUT CONDENSOR AND COIL ONLY 14 SEER ENCINO, CA 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant: Contractor:
DOVE AIR INC DOVE AIR INC
68-749 RISUENO ROAD 68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234 CATHEDRAL CITY., CA 92234
'
(760)327-'1890
Llc: No.: 794315
Detail: HVAC CHANGE OUT - (CONDENSOR AND COIL ONLY) 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO INAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT. QTY AMOUNT
A BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
.'HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $65.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ilin#
Permit #
Project Address:4K 410
Qty.of La Quinta
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: 5 en f 0
A. P. Number:
Address: o (, we 1` 4 f
Legal Description:
City, ST, Zip:ka (9J r .21,x' 3
Contractor: O ve r T
A �
Tele hone 0 1Q
P f 6 I
Address: b y l
`-X)
Project Description: �� S 7-61
ii
City, ST, Zip: �G.1 ��
�y
A 1
6m-14 &,Vrd
Telephone: P
ho e. 0 6
—
C.. Q_t_ �
r a`
State Lic. # :
City Lic. D,3S
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
one:
Construction TY Pe: Occupancy:
:
State Lic. #•
Add'n Alter Repair
Demo tYPa circle ne • New
Name of Contact Person:
Sq. Ft.:
# Stories:.
# Units:
Telephone # of Contact Person: 6 4
Estimated Value of Project: �� Q 0 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical '
Grading plan
2°" Review, ready for-corrections/issue
Electrical
Subcontactor List
Called ContactTerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
Review, teady 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
q
CERTIFICATE OF COMPLIANCE
Alterations.to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
SPencer Proffer I Date Prepared:
CF111-ALT-02-E
((Page 1 of 3)
2017-10-30
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
SPencer Proffer
02
Date Prepared
2017-10-30
03
Project Location
80440 Weiskopf
04
Building Type
Single family
05
CA City
La Quinta
.06
Dwelling Unit Name
SPencer Proffer
`'Is the SCT
Installing a
>
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ftZ)
3796
Installing new SC
Installing
Installing
Installing
Number of Space
Identification or
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
entirely new
entirely new
Name
this Dwelling Unit:
System (ftZ)
B. Space ConditioningSCS stem Information "N
r�.
—N '
�' )
r-
01
02
03 '`t
04
�05
_06 ri ._
07 F`
w 08�
09
10
`'Is the SCT
Installing a
>
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ftZ)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
MAIN AREA (
3-13DRMS)
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 217-A020374069A-000-000-0000000-0000
Registration Date/Time: 2017-10-30 05:34:52
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-30 08:35:05
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) i(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
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
ReplacedNew
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
All new
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-50, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per 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.
�
Heating -only systems and Air Handler Furnace changes do not require verification'of Air Flow MCH-23;'or`Refrigeranntt Charge-MCH-25� i,
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duct Leakage Testing requirements. f #
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.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 217-A020374069A-000-000-0000000-0000 Registration Date/Time: 2017-10-30 05:34:52 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-30 .08:35:05
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
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: N� GULWIi
Laster, Gary
Company:
Signature Date:
DOVE AIR INC
2017-10-30 05:34:52
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. I 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. ` .e.r-�
4. The building design features or system design features identified on this Certifica a bf Compliance are co. nsistent with the information, provided on ther applica, a compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval wi6 this building permit application. i (
t =T a ti, 1i.'f- �a v. .y 7' �' v
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
S. I will ensure that a registered copy
inspections. I understand that a registered copy of this Certificate of Compliance is.required to be.included with the documentation builder provides to the building owner at occupancy.
_ d
Responsible Designer Name: R -- �*
Responsible Designer Signature: ij 1 4—,0 A
Laster, Gary
Company:
Date Signed:
DOVE AIR INC
2017-10-30 05:34:52
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
760-327-1890
Easy to Verify
at CaICERTS.com
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020374069A-000-000-0000000-0000
Registration Date/Time: 2017-10-30 05:34:52
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-30 08:35:05
Schema Version: rev 10/16