BMCH2018-039378-495 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
`e,d4t4lwQ"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0393
54635 WINGED FOOT
775110010
BLACK / CHANGE OUT (1)14SEER CONDENSOR
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: /C2G0 �tLicense No.: 7 4 1 �f
Date: 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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/2018
Owner:
RICHARD BLACK v
11333 MOORPARK NO 446
STUDIO CITY, CA 92253 Z
90
�"
C
m
Contractor:
to
DOVE AIR INC
O
68-749 RISUENO ROAD
rrl
C
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
-4
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 abor Codl shall forthwith
comply with those provisions. J
Date: � ` 17 � ( i Applicant
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 city to enter upon the
above -mentioned property for inspection purposes.
Date: 7 S Signature (Applicant or Agent): C
Application Number: BMCH2018-0393
Property Address: 54635 WINGED FOOT
APN: 775110010
Application Description: BLACK / CHANGE OUT (1)14SEER CONDENSOR
Property Zoning:
Application Valuation:
,Applicant:
DOVE AIR INC
68-749 RISUEN,O ROAD
CATHEDRAL CITY, CA 92234
Owner:
RICHARD BLACK
11333 MOORPARK NO 446
STUDIO CITY, CA 92253
Contractor:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
Date: 9/19/2018
Detail: HVAC CHANGE OUT - (1)14SEER CONDENSOR FOR SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $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
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
Project Address:
PERMIT#�,�-" ' - -
PLAN LOCATION
r!aa-¢� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
l
APN #:
�, Q 1 �✓1
��` �i
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $,
Contractor Name: D Q a�New SFD Construction:
Address: Q� Sit M G Conditioned Space SF
City, St, Zip �'�, �a61 11 Garage SF
Telephone: 6 V 0 Patio/Porch SF
Email: Fire Sprinklers SF
State Lic: 77.1
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
I C City Bus Lic: (91 �
Property Owner's Name:
City, ST, Zip
Telephone:
City Bus Lic:
Construction Type:
Grading:
Bedrooms: I Stories:
Occupancy:
# Units:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3) 1
Project Name:
Richard Black I Date Prepared:
2018-09-17
A. General Information
CHR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CHR-ALT-02 document for each dwelling unit.
01
Project Name
Richard Black
02
Date Prepared
2018-09-17
03
Project Location
54635 Wingrd Foot
04
Building Type
Single family
05
CA City
La quinta
06
Dwelling Unit Name
Richard Black
07
Zip Code
92253
08
Dwelling Unit Conditioned
2379
Floor Area (ft)
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
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?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
2 Bdrms & 2 Bath
1200
Yes
Yes
Yes
No
No
No
Altered space
(3-Bdrms)
conditioning system
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: 218-A020258925A-000-000-0000000-0000
Registration Date/Time: 2018-09-17 10:14:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-17 10:14:04
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
CF111-ALT 02-E
(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
Cooling
Efficiency
Minimum
Efficiency
Required
Thermostat
New or
Replaced
New Duct
Identification
System
Heating
Efficiency
Efficiency
Value
Cooling
System Type
Components
Type
Value
Type
Duct Length
R-Value
or Name
Type
Components
Type
This field or
This field or
Central gas
No Heating
This field or
This field or
Central split
Outdoor
condensing
SEER
14
Setback
section is not
section is not
System 1
Component
section is not
section is not
AC
applicable
applicable
furnace
Altered
applicable
applicable
unit
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of SuPPIY-air and return air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-15)
CF2R and CM-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 percent or c=10 percent leakage to outside, or seal all accessible leaks.
CF2R and CF311-MCH-25-11 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 r- 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 Dud Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)lC)
Registration Number: 218-A020258925A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2018-09-17 10:14:10
HERS Provider: CalCERTS
Re ort Version: 2018.0.001 Report Generated: 2018-09-17 10:14:04
CA Building Energy Efficiency Standards - 2016 Residential Compliance p
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Signature:
Documentation Author Name:
Laster, Gary
Company:
DOVE AIR INC
Address:
68-749 RISUENO ROAD
City/State/Zip:
CATHEDRAL CITY CA 92234
Signature Date:
2018-09-17 10:14:10
CEA/ HERS Certification Identification (if applicable):
Phone:
760-327-1890
CF111-ALT-02-E
(Page 3 of 3)
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.design
idntified on this 2. i am eligible under Division 3 of the ications, mat or alsiance (responsible designer).
tocomponentsp andbmanufacturedIdelv'accept resonsiility for the ges fogn or system the building Id ng des gn or system identifieddesign lonth s Clertificate of Compliance conform to the
performance s
3. That the energy features and Pec
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 other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
cle 5, I will ensure that a registered copy of eked Certificate
ifi a e os Certificate of Compliance is availrequiable
with
tebuilding
included with the dsocumedfor ntati the
the building,
an provides to the building Iding owner at occupancyY for all applicable
inspections. !understand that a resist MY
Responsible Designer Signature: l� ,U
Responsible Designer Name: zf 7
Laster, Gary
Company:
DOVE AIR INC
Address:
68-749 RISUENO ROAD
City/State/Zip:
CATHEDRAL CITY CA 92234
Date Signed:
2018-09-17 10:14:10
License:
794315
Phone:
760-327-1890
Digitally signed by CalCERTS. This digital ignalure is providedder i order
responsibility for there accuracyntent of this of the info oration red document and in noway implies
Registration
Registration Date/Time: 2018-09-17 10:14:10
Registration Number: 218-A020258925A-000-000-0000000-0000
Easy to Verify
at CaICERTS.com
HERS Provider: CaICERTS
Report Generated: 2018-09-17 10:14:04
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426