BMCH2017-04903
78-495 CALLE TAMPICO C& 0 D
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O17-0490
Property Address:
50180 VISTA MONTANA
APN:
Application Description:
777020013 a
SHIMMICK RESIDENCE / CONDENSER C N E, T
PropertyZoning:
�V 9
Application Valuation:
$3,000.00
,2017
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:.
JOHN SHIMMICK
180 VISTA MONTANA RD
QUINTA, CA 92253
cmOF�aulNr- Av
COMMUNITypEyELOPMEMOEpgRTMEW Contractor:
Applicant:
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
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
QDate: fl Z 7Conntra tor:
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 Name:
Lender's Address:
Date: 11/29/2017
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 oftheLabor Code, for the performance
of the work for 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 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 ofLabor de, I shall forthwith
comply with those provisions.
:gate //. LS' If I APPlit` anti — A
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 citytYer upon�the
above-mentioned property for inspection purposes. //�
Datr a Te f Signature•(Applicant orlAgent)C
Date: '11/29/2017
Application Number: BMCH2017-0490
Owner:
Property Address: 50180 VISTA MONTANA
JOHN SHIMMICK
AM: 777020013
50180 VISTA MONTANA RD
Application Description: SHIMMICK RESIDENCE / CONDENSER CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,000.00
Applicant:
Contractor:
DOVE AIR INC
DOVE AIR INC
68-749 RISUENO ROAD
68 749 RISUENO ROAD.
CATHEDRAL CITY, CA 92234 t
CATHEDRAL CITY, CA 92234
`.
(760)327-1890
Llc. No.: 794315
Detail: CONDENSER AND COIL CHANGE OUT -14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES
•
i
i
'
_ r
FINANciAL
DESCRIPTION '
f
•
ACCOUNT —F—QTY7. AMOUNT .
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1'.00 '
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR' _.
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'CONDENSE R/COM PRESSOR PC
101-0000-42600
0
$26.01
Total Paid for MECHANICAL: $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 , 4
ACCOUNT
QTY.
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-000043611
0
$5.00
.
r
ict .:ci cvvo r_vn o: Li rAA t,a .,. RL6 autit�Luy�•ao•s•py . -.- --- --•--_—.._._
VF t
Bin if
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89th BL Safety DM ton
Poo. Box IPA, 70 495 Calle Tampico
La Quittta, CA 91253 - (.760).777-7012
Building Permit A:ppiicatton and • Tracking Sheet .
Permit #
•PiojectAddreas: -5-0 ( 0 �I �,. M o q
owner's Na fl h 5 r ,'r�
A P. Numbs:
Address: 0 % $ 6 V ),S 00 fah el iij
Legal lkscrtpttoa
City, ST. Zip: iA 1,4, /}
Contractor:
d J�.. V �vf _ '
Tolephone: /s gat
b6f,3401\ Cd fYj :1'4 �&
Address; W-71 ,'S rva --A
Ory, ST, Zip, �. �If .. c-� . L Y
a �► G ri���, p v c �
Tel4hono: 76 0 � a. � —/r q. 0 dr o o. - C( S' �(
State 1,10. #: 7 � S City Lie. #:6 V .S
At&., Sag.. Designer:
Address
City; SI', 'Lip:
Te)epilODC: Const6ption Tpo: Occupancy:
State Lia #: Projea type felmlo one): New, Add'n . ,Mter .Repair Demo
Name of Contact Person: ' Sq. Ft # stories: � Units:
Telephone # of Contact Person:3d� - : S Esftiftd Value of Project:. _3000, 0 0
E1PPUCAHT Q0.90—T WNTE'8 TM UNE
a
Submittal
ReLd
Ree'a �Ac�tnr� ,.. PERMT FM
Pb m $eta
Phi Che It SM1, 140
Item Amognt
Stracdual.Caics-;
Reviewed, ready for correeHona
Pian:Che*Depoatt
'Trim Codes.
I.Cidled Contact Person
Plan Cheek Batana
EMU Cates-
i
.Tim N&cdup
Caartrmtaon .
Flood plain.plai ,
-Plans rraabmined
Meekanled '
Grading.pfan
VReview, ready[aarreedonaliea s
®ettrkal'.
sabcoutactor List
C'Wbd Coutset)Persaa
Platpbiag
Grant Deed
Plapa°pkked.0 U.
1LOA. Approval
;' 'lie reatdt>tiWed
Grading
IN HOUSE:-
' �`t ew, ready for correctiowllatte
Developer Iitptd Fee
Planning Approval
Called Contact Person
Pub. NVU Appr
Date.of permit lanae ,
Stdool Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to. Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: John Shimmick Date Prepared: 2017-11-29
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
John Shimmick'
02
Date Prepared
2017-11-29
03
Project Location
50180 Vista Montana Rd
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
John Shimmick
SC System
Dwelling Unit Conditioned
CFA served
07
Zip Code
92253
08
Floor Area (ft)
6210
Identification or
Location or Area
by this SC
Number of Space
containing
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Served
System (ft)
system?
component?
this Dwelling Unit:
feet of ducts?
R
B. Space Conditioning (SC) System Information ,I; ' prY xi 'Y '"4�:
Yi .,
?r .4 _ .{�:
a _ -moi•
01
02
03
% 04
',.,ate•;
05
06
r _
07j� w
,,..
08
.•.,. :r -
09
a 30
Is the SC'!'*'
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 (ft)
system?
component?
I components?
feet of ducts?
duct system?
SC system?
Alteration Ty"pe
Altered space
System 1
Bdrms ( 7 Bdrms)
1200
Yes
Yes
Yes
No
No
No
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-A026549884A-000-000-0000000-0000
CA Building. Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-11-29 05:49:34 .
HERS.Provider: CaICERTS
Report Generated: 2017-11-29 08:49:36
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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 Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type.
Dud 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 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CBR -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 MR -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 reqs iremenuts.
Heating -only systems and Air Handler Furnace changes do not.require verification of Air Flow MCH 23 -.or Refngerarit Charge MCH 25
P20:Duct
-Existing duct systems constructed, insulated or sealed with asbestosµare exemA'irom MCH Leakage Testi g,regwrem-ents
701
E. Entirely New or Complete Replacement Duef-System, with or withouttEquipment Changeout (Sectionsr150.2(b)1Diia and 150.2(b)lE, F)
..� w s
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-A026549884A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time:. 2017-11-29 05:49:34 HERS Provider: CaICERTS
Report Version: 2016.1.006 Report Generated: 2017-11-29 08:49:36
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
U�Wb
Laster, Gary
Company:
Signature Date:
DOVE AIR INC
2017-11-29 05:49:34
Address:
CEA/ HERS Certification Identification (if applicable):
68-749 RISUENO ROAD
City/State/Zip: t , ,
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,manufact_ured devices for the building design or. system design identified on this Certificate of Compliance conform to the
< ` fi7 ( tVf :7'4 ✓ :'' Y
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. f*y
4. The building design features or system design features identified on•this Certificateof Compliance arerconsistentwh the mformaUon provided on other'applicable compliance documents, worksheets,
nr
calculations, plans and specifications submitted to the enforcementagency forKapprovatl?wit this building perm f apphcatio}n. y ' -
5. I will ensure that a registered copy of this Certificate of Compliance shall;be,made`available wrthithe building permit(s).issuetl forthe buildjng,and•made available`to#d;'enforcementagency for all applicable
inspections. I understand that a registered copy of thi �C&tificate of Compliance,is required to be.included with the documentation the. builder provides to the building owner at occupancy.
Responsible Designer Name: °N ; q m x
Responsible Designer Signature:
Laster, Gary
Company:
Date Signed:
DOVE AIR INC
2017=11-29 05:49:34
Address: ..
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
760-327-1890
Easy to Verify
at CaICERTS.com
by Ca10ERTS. This digital signature is in order to secure the content of this registered document, and in noway implies
6ffl2A'
1"AW
Digitally signed provided
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A026549884A-000-000-0000000-0000
Registration Date/Time:
2017711-29 05:49:34
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-29 08:49:36
Schema Version: rev 10/16