BMCH2017-0420t
78-495 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
MECHANICAL/
BMCH2O17-0420
50805 CALLE GUAYMAS
770102005
c&ht 4 e(P QuiKro
DESIGN & DEVELOPMENT DEPARTMENT,
BUILDING PERMIT
VANDEVEN / HVAC CHANGEOUT 14SEER/81AFUE SPLIT SYSTEM
$4,500.00
-A 0
SEP 19 2017A
OF LL
CITY F - ._-.A QUINTA
COMMUNI-EVELOPMnIWD
EPAR7MENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C220 License No.: 794315
Dates �' t{ 7 , 7 1 Cont�racttor:
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.).
(_J 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
1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/2017
Owner:
NELIA VANDEJEN
2236 SUNBURY RD
INVERARY ON CANADA KOH, XO 92253
Contractor:
DOVE AIR INC
68-749 RISUEIWO ROAD
CATHEDRAL OTY, CA 92234
(760)327-1890
Llc. No.: 794315
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certifiote of consent to self -insure for workers'
compensation, as provided for by Section 3'00 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 pertormance of the work for which this pe'rmit is
issued. My workers' compensation insuran _e carrier and policy number are:
Carrier: EXEMPT Policy Number: _
fI certify that in the performance of the work for which this permit is issued, I
shall 1�t employ any person in any manner 3o 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, 1 shall forthwith
comply with those( provisions.
Da�atteh4�w ` Q Ap' 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 tc the Building Official for a permit subject to,
the conditions and restrictions set forth on chis application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perfarmed 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 Ciy 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 cancellat on.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county orjinances and state laws relating to building
construction, and hereby authorize represeetatives of this city to enter upon the above-
mentioned property for inspection purpose!. a/
D . ' ° r) Signature-(Applicaot-or-Agent)
Date: 9/19/2017
Application Number: BMCH2017-0420
Owner:
Property Address: 50805 CALLE GUAYMAS
NELIA VANDEVEN.
APN: 770102005
2236 SUNBURN' RD
. Application Description: VANDEVEN / HVAC CHANGEOUT 14SEER/81AFUE SPLIT SYSTEM
INVERARY ON; CANADA KOH, XO 92253 .
Property Zoning:
Application Valuation: $4,500.00
Applicant:
Contractor:
DOVE AIR INC
DOVE AIR INC
68-749 RISUENO ROAD
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
CATHEDRAL CTY, CA 92234
(760)327-189C
--------------------------------------------------------------------------------------------
Llc. No.: 7943:.5
Detail: HVAC CHANGE OUT - 14SEER/81AFUE 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
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
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
i
Bi" #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking SFeet
Permit #
6MCHI?ZI-1- Ohm
Project Address: a 8 d
Owner's Name: VC VCIV)
/J&//,
A. P. Number:
Address: ISO d 5 cq, C uR r,
Legal Description:
City, ST, Zip: LL.
Contractor: o. r
ele hone:
TP 6 3d 3
Address:t J
Project Reh((Xt -Y-6/J r—
/�
City, ST, Zip: C� da C_ of Ll�
���^ti° Ga' �✓ o-� �dln o vq 6A dein/
Telephone: —
0 � �:
C
t
State Lic. # : 7 Y 3f ,S
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
�Telephone:Con Construction Type:
O ec aneY
State Lic #
Project tYPa (circle one): New Add' n Alter Repair r Dem 0
Name of Contact Person: r
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7G o
Estimated Value of Project:
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 Cales.
Called Contact Person
Plan Check Ba-ante
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'''Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit L-'ees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
Nelia Van De Ven I Date Prepared:
CF1R-ALT 02-E -
(Page 1 of 3)
2017-09-18
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
Nelia Van De Ven
02
Date Prepared
2017-09-18
03
Project Location
50805 Calle Guaymas
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Nelia Van De Ven
SC System
SC System
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253
08
Floor Area (ftZ)
2400
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
30
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
"_-OS
_ - -66
�'
08
---d9
10
`1s the SO
Installi ga
s i
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?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
DOES BEDROOMS
1200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
(4Bdrms)
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-A020320303A-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
2017-09-18 03:47:40
HERS Provider: CalCERTS
Report Generated: 2017-09-18 06:48:29
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
All new
All new
This field or
This field or
System 1
Central split
heating
AFUE
81
Central split
cooling
SEER
14
Setback
section is not
section is not
HP
components
AC
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.
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 LeakageTesting requirements., ,
,23;,8'r Refrigerant -MCH +
- Heating -only systems and Air Handler Furnace changes do not require verification'of Air Flow MCH- Charge 25 r
r;
-Existing duct systems constructed, insulated or sealed with asbestos are exempt -from M6-20 Ductleakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or withoutEquipmentChangeout (Sections; 150.2(b)1Diia.and.150.2(b)1E, F)
�# r- 1-d -�. -► t x s .i s .I 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-A020320303A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
r
Registration Date/Time
Report Version: 2016.1.006
Schema Version: rev 10/16
2017-09-18 03:47:40
HERS Provider: CaICERTS
Report Generated: 2017-09-18 06:48:29
CERTIFICATE OF COMPLIANCE CFiR-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: gad?
((lJ��li
Laster, Gary
Company:
Signature Date:
DOVE AIR INC
2017-09-18 03:47:40
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 1 and Part 6 of the California Code of Regulations. 6 ? ,F"" "Y r { "� ' e � `'4�i t``7 K * ti ,
I .s
of with the information provided on other;applicable compliance documents, worksheets,
4. The building design features or system design features identified on this Certificate Compliance are'consistent
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
the building issued for thebuilding, and made available to the.enforcement agency for all applicable
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with permit(s)
included the documentation therbuilder provides to the building owner at occupancy.
inspections. I understand that a registered copy of this Certificate of Compliance is required to be with
Responsible Designer Name: f I
Responsible Designer Signature: k n'� } 0 A
Laster, Gary
Company:
Date Signed:.
DOVE AIR INC
2017-09-18 03:47:40
Address:
License:
68-749 RISUENO ROAD
794315
City/State/Zip:
Phone:
CATI ICDRAL CITY CA 92234
760-327-1890
Easy to Verify
51at
CaICERTS.com
01�*
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-A020320303A-000-000-0000000-0000
Registration Date/Time: 2017-09-18 03:47:40
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-18 06:48:29
Schema Version: rev 10/16