BMCH2018-043978-495 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
c&t!t 4 s(P Q9&&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O18-0439
81260 KINGSTON HEATH
767490023
MORSE / COIL CHANGEOUT ONLY 14SEER SPLIT SYSTEM
$2,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ALAN MORSE
19449 IRONWOOD CIR
BEND, OR 92253
DP� 0 Contractor:
DOVE AIR INC
D68-749 RISUENO ROAD
OCT 2 6 2018 CATHEDRAL CITY, CA 92234
CITY OF LA QUINTA LIcONo 7943015
DESIGN & DEVELOPMENT DEPARTMENT
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
Date: /a.L 6' l0 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. Q.
Lender's
Lender's
Date: 10/26/2018
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 Labor Code, I shall forthwith
comply with those provisions.
�0 c ��
Date: 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. /f'
Date: 1 U.7- 6 � t r Signature (Applicant or Agent):
Application Number:
BMCH2O18-0439
Property Address:
81260 KINGSTON HEATH
APN:
767490023
Application Description:
MORSE / COIL CHANGEOUT ONLY 14SEER SPLIT SYSTEM
Property Zoning:
Application Valuation:
$2,000.00
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
Owner:
ALAN MORSE
19449 IRONWOOD CIR
BEND, OR 92253
Contractor:
DOVE -AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Cia. No.: 794315
Date: 10/�6/2018
Detail: EVAP COIL CHANGEOUT- 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
DESCRIPTION ACCOUNT QTY
BSAS SB1473 FEE 101-0000-20306 0
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
DESCRIPTION ACCOUNT QTY
HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0
DESCRIPTION
HVAC CHANGEOUT - OTHER EQUIPMENT PC
DESCRIPTION
PERMIT ISSUANCE
DESCRIPTION
RECORDS MANAGEMENT FEE
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT
QTY
101-0000-42600
0
Total Paid for CHANGEOUT:
ACCOUNT
QTY
101-0000-42404
0
Total Paid for PERMIT ISSUANCE:
ACCOUNT
QTY
101-0000-42416
0
Total Paid for RECORDS MANAGEMENT
FEE:
ACCOUNT
QTY
502-0000-43611
0
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
AMOUNT
$1.00
$1.00
AMOUNT
$40.02
AMOUNT
$40.02
$80.04
AMOUNT
$101.40
$101.40
AMOUNT
$10.00
$10.00
AMOUNT
$5.00
$5.00
f_
PERMIT # 906I � W— 0q3 J
PLAN LOCATION �1•(l 7,
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech.
APN
Applicant Name: M rxc
Address: k) oil
City, ST, Zip: J ■ C L'L, S 3
Telephone:
Email:
Valuation of Project $
Contractor Name: �� - `�- ��C�
New SFD Construction:
Address: (r �-7 U
Conditioned Space SF
Ciry, St, Zip
Garage SF
Telephone: , i p
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: :7 Y 3 f City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories: # Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: A Ian
Address: S''1' A G
City, ST, Zip (94,A o, a CA 1-1 titi Sj
Telephone: (� 0 b 1 3 S 1— a l l
Email:
New Commercial / Tenant Improvements:
Total Building
Construction Type: Occupancy:
SF
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:
Alan Morse Date Prepared: 2018-10-26
A. General Information
CF113-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 Alan Morse
02
Date Prepared 2018-10-26
03 Project Location 81260 Kingston Heath
04
Building Type Single family
I
05 CA City La Quinta
06
Dwelling Unit Name Alan Morse
07 Zip Code 92253
08
Dwelling Unit Conditioned
4057
Floor Area (ftz)
Number of Space
09 Climate Zone 15
10
Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
O1
I 02
03 04
Is the SC
SC System
SC System
CFA served
system a
Identification or
Location or Area
by this SC
ducted
Name
Served
System (ft2)
system?
System 1
Bedrooms (
1900
Yes
3-BDRMs )
05
Installing a
06 1 07 1 08
09
refrigerant
Installing new SC Installing Installing
Installing
containing
system more than 40 entirely new
entirely new
component?
components? feet of ducts? duct system?
SC system?
Yes
Yes No No
No
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
10
Alteration Type
Altered space
conditioning system
Registration Number: 218-A020289738A-000-000-0000000-0000 Registration Date/Time: 2018-10-26 12:21:41 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-10-26 12:21:32
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CF111-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 I Type
Duct Length R-Value
{ No Heating This field or This field or
Central split
This field or This field or
Central gas
System 1 Component section is not section is not AC Indoor coil SEER 14 Setback
section is not section is not
furnace Altered applicable applicable
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 Itand 14-16)
CF2R and CF3R•MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when rRoethan 40 ft of duct length is replaced
-Leakage rate compliance: <- 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
are installed or altered (applicable in CZ 2, 8-15)_
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-25 is required.
Exceotions:
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 Duct Leakage Testing requirements,
E. Entirely Nev,, or Complete Replacement Duct System, with or vAthout Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, 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: 218-A020289738A-000-000-0000000-0000
Registration Date/Time: 2018-10-26 12:21:41
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-10-26 12:21:32
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 Name:
Laster, Gary
Company:
DOVE AIR INC
Address:
68-749 RISUENO ROAD
City/State/Zip:
CATHEDRAL CITY CA 92234
Responsible Person's Declaration statement
Documentation Author Signature
Signature Date:
2018-10-26 12:21:41
CEA/ HERS Certification Identification (if applicable) -
Phone:
760-327-1890
zaj&& ,
CF1R-ALT-02-E
(Page 3 of 3)
I certify dhe 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 I 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 arld Part 6 of the California Code of Regulations.
r"z3ture, system design f_=-tures.identified on this Certificate o` Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
�;, cukdtions, pie ii and specifications submitted to the enforcement agen,=y for approval with this building permit application.
; L113t a i egiste: e: copy u: 01r 6 Certificate of Con;pllance shah be niaJe available wltl: ti is ballding pem it(s) issued fo,, the building, at4 made available to the enfcrceme�H agency for a!i applicable
-_•rd=rstand 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:
Laster, Gary
Company:
DOVE AIR INC
Address:
68-749 RISUENO ROAD
City/State/Zip:
CATHEDRAL CITY CA 92234
Responsible Designer Signature:
Date Signed:
2018-10-26 12:21:41
License:
794315
Phone:
760-327-1890
Digitally signed by CaICERTS. This digital sigrrature is provided in order to secure the conlent of this registered document, and in no way implies
Registratran Provider responsibiilry for the accuracy of the information.
Registration Number: 218-A020289738A-000-000-0000000-0000 Registration Date/Time: 2018-10-26 12:21:41
Easy to Verify r
at CaICERTS.com
i
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
Report Generated: 2018-10-26 12:21:32