BMCH2017-045478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O17-0454
60485 WHITE SAGE DR
764330032
LORD RESIDENCE / HVAC CHAN
$2,800.00
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: / 0 / F' ) ) ,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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/2017
Owner:
GAYLORD
60485 WHITE SAC DR
LA QUINTA, CA 9-4253
Contractor:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of :he 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: _
1 certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so ar 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 37)0 of the Labor Code, I shall forthwith
comply /wiitth those provisions.
Daher: / - IQ '( 1 AWApnt:
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 ACKNOWIEDGEMENT
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 performe i 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 C Ity 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 applicallion becomes null and void if work is
not commenced within 180 days from date of is!uance of such permit, or cessation of
work for 180 days will subject permit to cancella-ion.
I certify that I have read this application and stat= 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 en er upon the
above-mentioned property for inspection purposes.
.Date: U,`40 Signature (Applicant on AgentLl/ it
I v
Application Number: ,
BMCH2O17-0454
Property Address:
60485 WHITE SAGE DR
APN:
764330032
Application Description:
LORD RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$2,800.00
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
Owner:
GAYLORD
60485 WHITE SAGE DR
LA QUINTA, CA 9253
Contractor:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
Date: 10/18/2017
Detail: CONDENSER CHANGE OUT ONLY - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$26.01
Total Paid for MECHANICAL: $65.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
1 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
14
Setback
section is not
section is not
altered
applicable
applicable
unit
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 1-10, 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 Refrigerant Charge MCH -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)lE, 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-A020356965A-000-000-0000000-0000
Registration Date/Time: 2017-10-16 06:23:40
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-16 09:24:15
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:
g
Laster, Gary
C^JC1ay
Company:
Signature Date:
DOVE AIR INC
2017-10-16 06:23:40
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 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 l and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement.agency for approval with this building permit application.
S. 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
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:
[CIJWL
Laster, Gary
CEJ/
Company:
Date Signed:
DOVE AIR INC
2017-10-16 06:23:40
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
760-327-1890
Easy to Verify
at CaICERTS.com
N�Xrc.
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: 217-A020356965A-000-000-0000000-0000
Registration Date/Time: 2017-10-16 06:23:40
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-16 09:24:15
Schema Version: rev 10/16
B'" #
city of La Quinta
Building a Safety Division
78-495 Calle Tampico
La Quinta,-CA 92253 - (760) 777-7012-
77-7012Building Permit Application and Tracking Sheet
Building
Permit #i
Project Address: 60 Y95 W h j 1 e a,
Owner's Name: PC
A. P. Number:
Address-, G 0 1
Legal Description:
City, ST, Zip:
Contractor: o J �.
- n
K-
Telephone: hone: chi
P G V 3 t
............................. .........:.
Address: ;
Project Description: tl f�W C LI-4 "
City, ST, Zip: C'a flhe da• C i C4 �1ti --3 Y
oA 6&wvo •
Tele h one: 2
P V �.
t�
State Lie. # 7523111 City Lie. #.: C)%O359'
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
hone:
.............................
Con truction TY Pe:Occupancy:
State Lie. #
Po'hPa circle ne • New Add'n Alter
0Ject
Repair Demo
Name of Contact Person: �11
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ?6 0Estimated
Value of Project: 07F0 0 , o n
APPLICANT: DO NOT WRITE BELOW THIS LINE
It
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depo--it .
Truss Calcs.
Called Contact Person
Plan Check Balar_ce
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
14.0.A. Approval
Plans resubmitted
Grading
IN 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
CF1R-ALT,02-E
CERTIFICATE OF COMPLIANCIE
(Page 1 of 3) '
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
=GayDate Prepared: 2017-30-16 ..
Project Name:
A. General Information
Ms contained within a single dwelling unit. When multiple dwelling units must be documented, use one
MR -ALT -02 is applicable to multiple space conditioning syste
CF1R-ALT-02 document for each dwelling unit.
01
Project Name,
Gay Lord
02
Date Prepared
2017-10-16
04
Building Type
Single family
03
Project Location
60455 White Sage Dr.
06
Dwelling Unit Na
Gay Lord
05
CA City
La Quinta
08
Dwelling Unit Conditioned
Floor Area (ft2)
2600
07
Zip Code
92253
10
Number of Space
Conditioning (SC) Systems in
this Dwelling Unit:
Y
09
Climate Zone
15
B. Space Conditioning (SC) System information
01
02
03
04
Installing a
refrigerant
is the SC
SC System
SC System
CFA served
system a
Identification or
Location or Area
by this SC
ducted
Name
served
System (ft2)
system?
Main Area (3-
1.200
Yes
System 1
gdrms )
Ido
NO
i
O6
Installing a
refrigerant
_
::10
Installing
Installing
containing
component?
system
components?
05
O6
Installing a
refrigerant
Installing new SC
Installing
Installing
Installing
containing
component?
system
components?
more than 4o
feet of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
Altered space
yes
Yes
Ido
NO
No
conditioning system
C. Extension of Existing Duct Syster", Greater Than 40 Feet (Section 150.2(b)113iib)
This section does not apply to this project.
Registration Date/Time: 2097-10-1606:23.40 HERS Provider: CaICERTS
Registration Number: 217-A020356965A-000-ODO-0000000-GOOD g
Report Version: 2016.1-006 Report Generated: 2017-10-16 09:24:15
CA Eui[ding Energy Efficiency Standards - 2016 Residential Compliance Schema Version: rev 10/16