BMCH2017-0495787495 LAL E TAMPICO .
LA QUINTA, CALIFORNIA 92253
may' °%4�w
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
PAX (760) 777-7011
INSPECTIONS (760) 777-7153
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O17-0495 BENJAMIN DOBBS
Property Address: 44825 FRONTERRA DR 44825 FRONTERRA DR
APN: 604271019 LA QUINTA, CA 92253
Application Description: DOBBS / HVAC CHANGEOUT 14 SEER SPLIT SYSTEM
Property Zoning:
Application Valuation: $2,500.00
Applicant: ® Contractor:
D
pP
DOVE AIR INC DOVE AIR INC:
68-749 RISUENO ROAD DEC 0.'4 •2017 68-749 RISUEVO ROAD
CATHEDRAL CITY, CA 92234 CATHEDRAL CITY, CA 92234
COY
EU
DESIGNANDDELpM (760)327-189)UINTA (76o)3-1s�o .
ENT DEPARTMENT Lic. No.: 794375
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
D®: CContrT -actor?
/a
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).:
(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.).
(_J 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: 12/4/2017
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 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: _
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 tabor Code, I shall forthwith `
comply with those provisions.
Date:. 1 L ' y (�' •,_App ant:
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 ATTORNEYS FEES.
APPLICANT.ACKN O W LEDGEMENT
IMPORTANT: Application is hereby made t:) the Building Official for a permit subject to
the conditions and restrictions set forth ondhis 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, aid the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cty of La Quinta, its officers,' agents, and
employees for any actor omission related -o 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-
ment'ioned,property for inspection purposes. p _ A
Date 2` I `)SigL nature (Applicant or Agent)
Date: 12/4/2017
Application Number: BMCH2O17-0495.
Owner: j
Prop,e ty'Address " '"'r.^"A4825 FRONTERRA DR
BENJAMIN DOBBS
APN: 604271019
44825 FRONTERRA DR
Application Description: DOBBS / HVAC CHANGEOUT 14 SEER SPLIT SYSTEM
LA QUINTA, C4 92253
Property Zoning:
Application Valuation: $2,500.00
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 - 14 SEER SPLIT SYSTEM CONDENSER ON GROUND AND COIL.
CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2.016 CALIFORNIA BUILDING CODES.
—DESCRIPTION ACCOUNTQTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - OTHER EQUIPMENT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600
0
$39.01
DESCRIPTION
PERMIT ISSUANCE
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
Total Paid for CHANGEOUT: $78.02
ACCOUNT
QTY
AMOUNT
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
ACCOUNT
QTY
AMOUNT
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
ACCOUNT
QTY
AMOUNT
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
Contractor Name: ����
PERMIT'
PLAN LOCATION
Project Address p��� �� Q�
Project Description: Pool, Remode, Add't, Elect, Plumb, Mech
APN
Garage SF
Telephone: Q'� — g (�
�NT,�oI ; c rdxt--
Applicant Name:.
Fire Sprinklers SF
Address: �'Di� 4 d✓1 • (1/ C4 VC
City, ST, Zip:
Telephone:
1
Email:
Valuation of Project S asC)
Contractor Name: ����
New SFD Construction:
Address: ��
Conditioned Space SF
City, St, Zip C� C` �� '1, 3
I•i/
Garage SF
Telephone: Q'� — g (�
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: •,� City Bus Lic: 6 t Q STI
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
City, ST, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:i CV-\� a �. `> d ��
New Commercial / Tenant Improvements:
Address: ��. tl T. �rq
Total Building SF
City, ST, Zip
-L <`^ a �2 5�
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE CF1R-ALT-02:E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: Benjamin Dobbs Date Prepared: 2017-12-04
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When midtihla dwelling units must bo documented, u3c one
MR -ALT -02 document for each dwelling unit.
01
Project Name -
Benjamin Dobbs
02
Date Prepared
2017-12-04
03
Project Location
44825 Fronterra Dr.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Benjamin Dobbs
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253
08
Floor Area (ftz)
2800
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System Information
01
02
03 {`.
04
.05
06
07
08
09
10
"s the SC
Installingga
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
Bedrms (2) T-4
Altered space
System 1
Bdrms.
900
Yes
- Yes
Yes
No'
No.
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)iDiib) 7
This section does not apply to this project.
Registration Number: 217-A026554525A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-04 06:39:01 HERS Provider: CaICERTS
Report Version: 2016.1.006 Report Generated: 2017-12-04 09:39:01
Schema Version: rev 10/16
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)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 Duct
or Name
Type
Components
.Type
Value
System Type
Components
Type
Value
Type
Duct Length
R=Value
Central
No heating
This field or
This field or
Central split
All new
This field or .
This field or
System 1
gas
component
section is not
section is not
AC
cooling
SEER
14
Setback
section is not
section is not
furnace
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 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.
CF213 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. r..,.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH 23 for Refrigerant Charge MCH 25
, -
Existing duct systems constructed, insulated or sealed with asbestos:are exempt_ from MCH 2O Duct Leakage Testi' g;regwremenIs.
E. Entirely New or Complete Replacement Duct`System, with or without Equ:ipmentChangeout (Sections 150.2(0)1Diia 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)lC)
This section does not apply to this project.
Registration Number: 217-A026554525A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-04 06:39:01
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-12-04 09:39:01
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:
Laster,.Gary
Company: `
Signature Date:
DOVE AIR INC
2017-12-04 06:39:01
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 1 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 otherapplicable compliance documents, worksheets,
calculations; plans and specifications, submitted to the enforcement agency for approval ith this bwlding permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall Abe made. available with,,the building permit(s) issued forthe.builclirig, 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:
Laster, Gary
vGUJWL
Company:
Date Signed: -
DOVE AIR INC
2017-12-04 06:39:01
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
.CATHEDRAL CITY CA 92234
760-327-1890
Easy to Verify
5�
at CaICERTS.comW 'Y
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies
❑��4
Registration Provider responsibility for the accuracy of the information.
f Registration Number: 217-A026554525A-000-000-0000000-0000.
t)
CA Building Energy Efficiency Standards'- 2016 Residential Compliance
Registration Date/Time: 2017-12-04 06:39:01
Report Version: 2016.1.006
Schema Version: rev 10/16 .
HERS Provider: CaICERTS
C Report Generated: 2017-12-04 09:39:01