BMCH2017-037678-495 CALhE TAMPICO.F a
LA QUINTA, CALIFORNIA 92253
cep. 4.4 Qu&z
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0376
Property Address:
50035 CAMINO PRIVADO
APN:
776300022
Application Description:
CHEVALIER / CHANGE OUT (1) CONDENSOR
Property Zoning:
eeCIE
Application Valuation:
$3,500.00
Applicant:
d
DOVE AIR INC
10
u.. —1
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
_ p
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
Dat�O ' L 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
(_) 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
VOICE (760) 777-7125.
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: - 8/28/2017
Owner:
LORI CHEVALIER®
rLU
.
eeCIE
N
Ze
LLJ
co
d
Contractor: .—i
10
u.. —1
DOVE AIR INC z
®
68-749 RISUENO RO >
_ p
CATHECIRAL CITY, CA 92 34
t7
(760)327-1890
Llc. No.: 794315
ii
WORKER'S COMPENSAMON DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificat= 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 perfor-nance of the work for which this permit
is issued. My workers' compensation insuranm carrier and policy number are:
Carri :EXEMPT Policy Number:
I certify that in the performance of :he 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 ?700 of the Labor Code, I shall forthwith
comply with those provisions. A J
/—
Date: "t'/ Applica
WARNING: FAILURE TO SECURE WORKERS' CO%4PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00D). 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 thi! 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 appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance 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,�
Date Signature (Applicant or Agent):`-
V
0
Date: +8/28/2017
Application Number:
BM4H2017 0376 "
Owner:
Property Address:
50035 CAMINO PRIVADO
LORI CHEVALIER
APN:
776300022
Property Zoning: .
Application Valuation:
$11500.00
Applicant:
Contractor:
DOVE AIR INC
DOVE AIR INC
t
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 - (1)14SEER CONDENSOR. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
0
ti
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS S131473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$25.33
Total Paid for.CHANGEOUT: $63.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
.0
i
Bin #
Permit #f
Project Address: 0 C7 3 ��
Qty of %a Quinta
Buifding &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
C' �h0 A Owner's Name: 0�' 1't CY G X6
A. P. Number:
Address:.5003 5 CQ i 0 I Vq V
Legal Description:
City, ST, Zip: Lk J ; ^ CA
Contractor:
T ele
hon0 e:
Address: �'Z
,z y` -Project
Description: - L Cr rod
City,: ST, Zip: Catk
q
4��_ G C q L1 -3O
Y . -)n DrJ 6x-ejV YV 0.
Tel eP hone: 76 0 3
4
11
•
State Lic. # : 7
.—
city Lie. #.v...03.5.....
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: hone:
Cons n TY Pe: OccuPncY:
State a
t ic. #
L
(circle one)• New Add'n
Demo ProJec
'type Alter Repair
Name of Contact Person:
f
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
//
a 3 XT
Estimated Value of Project: SO_ []. 04
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready foreorrections/issue
Electrical
Subedntactor List '
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
'Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impart Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fccs
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Lori Chevalier I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3)
2017-08-28
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
Lori Chevalier
02
Date Prepared
2017-08-28
03
Project Location
50035 Camino Privado
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Lori Chevalier
SC System
Dwelling Unit Conditioned
CFA served
07
Zip Code
92253
OS
Floor Area (ftZ)
3278
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?
duct system?
SC system?
Alteration Type
System 1
Main Area (3-
1800
B. Space Conditioning (SC) System information ` i� fir—.
` il�' 3 N
F
01
02
03 �`:
a' �� 04
O5
06
0T� � `
X08
"d
09
10
is the SCS
Installi g -a t
SC System
SC System
CFA served
systema
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?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Main Area (3-
1800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Bdrms)
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 217-A020294513A-000-000-0000000-0000
T
".)N CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-08-28 07:30:42
HERS Provider: CaICERTS
Report Generated: 2017-08-28 07:28:08
CERTIFICATE OF COMPLIANCE
CF11R-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)lE and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Mlnhnuni
Altered
Cooling
Minimum
Roquirod
Now 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
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
Central gas
component
section is not
section is not
AC
condensing
SEER
14
Setback
section is not
section is not
furnace
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 MR -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.
of Air Flow MCH 23,'orRefngerarit Charge MCH 25'
Heating -only systems and Air Handler Furnace changes do not require verification
Testing
-Existing duct systems constructed, insulated or sealed with asbestos are exempt'from MCH -20 Duct Leakage require
E. Entirely New or Complete Replacement Duct,System, with or without Equipment Changeout (Sections-150.2(b)lDiia and 150.2(b)lE, F)
-,.: Y -y' �,.A � � b•� i; -•t' k : ! it ! } s-^• �'
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 217-A020294513A-000-000-0000000-0000 Registration Date/Time: 2017-08-28 07:30:42 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-28 07:28:08
ca Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CUR -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:
w L
Laster, Gary
CJ � Z
Company:
Signature Date:
DOVE AIR INC
2017-08-28 07:30:42
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
1
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations, rr
'applicable
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other mpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. y V
1 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 totheenforcement agency for all applicable
5. will ensure
inspections. I understand that a registered copy of this Certificate of Compliance is.required to be included with the.documenta_tion,the builder provides to the building owner at occupancy.
Responsible Designer Name: `' . ! 1 L
Responsible Designer Signature: W
Laster, Gary
C_J1 C�JG
Company:
Date Signed:
DOVE AIR INC
2017-08-28 07:30:42
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92234
760-327-1890
Easy to Verify
at CaICERTS.com
2000
t
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies
1.
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020294513A-000-000-0000000-0000
Registration Date/Time:
2017-08-28 07:30:42
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-28 07:28:08
Schema Version: rev 10/16