BMCH2019-009778-495 CALLE TAMPICO '�� U� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/1/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0097 GRAHAM ILLINGWORTH
Property Address: 81145 MUIRFIELD VILLAGE 81145 MUIRFIELD VILLAGE
APN: 762410002 LA QUINTA, CA 92253
Application Description: ILLINGWORTH / INDOOR COIL CHANGEOUT
Property Zoning:
Application Valuation: $1,100.00
Applicant: Contractor:
DOVE AIR INC
DOVE AIR INC
68-749 RISUENO ROAD � ry 68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234 N 1\ 1 LCATHEDRAL CITY, CA 92234
Cjy 4F }.A (760)327-1890
DESIGN & DEV ELUMEM DEPi�H�MEN� Llc. No.: 794315
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: / - / / 5 Contractor: 2L
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 Ad
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: E PT Policy Number:
I certi{y 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 Qf the Labor Code, I shall forthwith
comply with those provisions.
Date: q_ I - 19 Aoolicant:
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 upq}I the
above-mentioned property for inspection purposes. � rl
Date: Y-/ / ./5 Signature (Applicant or Agent): �p
Application Number:
BMCH2O19-0097
Property Address:
81145 MUIRFIELD VILLAGE
APN:
762410002
Application Description:
ILLINGWORTH / INDOOR COIL CHANGEOUT
Property Zoning:
Application Valuation:
$1,100.00
Applicant:
DOVE AIR INC
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
Owner:
GRAHAM ILLINGWORTH
81145 MUIRFIELD VILLAGE
LA QUINTA, CA 92253
Contractor:
DOVE AIR -INE----- -
68-749 RISUENO ROAD
CATHEDRAL CITY, CA 92234
(760)327-1890
Llc. No.: 794315
Date: `4/1/2019
Detail: HVAC CHANGE OUT - 14 SEER EVAP COIL ONLY REPLACEMENT. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
` FINawial INP(1RMATIMI
DESCRIPTION
ACCOUNT QTY 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 - REPAIR/ALTERATION
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.34
Total Paid for CHANGEOUT: $18.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION ACCOUNT
QTY AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416
0 $10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
11
0
Bin ff
pennit #
'Project Address*
City Of - la Quinta
BuIldirs; 4Z'Safety Division
P.O. Box 1$04, 70-495 We Tampico
LaWrka, CA 91253- (-760).777-7012
BuIlding PermItApplicaflon and Tracking Sheet
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A. P. Nunt =:
Address;
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Contractor:
city, Sr, Zip: ll-,� 7
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Address; bY "7/ T
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City, Sr, Zip: C44 G-4 'I U-3
Telephone -
21 ar
,arch., Engr., Designer:
Addross.,
City; 3r, Zip:
State Lie.
CDwtapdoa TYP; Occupaacy-,
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NaMe Of ClDntact Pemn:
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plan sets
Plan Cheek nbmitW
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Structural cales.•
Reviewed, ready for correellow
Plawche*Deposit
-Trus Calm
Cdw Contact Person
Plan Cheek b2fluct
Energy Cales.
14M Mckod up
CAwastnoeign
Flood Plain Iasi
Plants resubmitted
Meekluded,
Grsding.lFlaa'
Z's Review, ready for correedonsiftsut
Electrical,
Sakoulactor List
cidwd C*Nmd pervao
Plumbing
GrsutDeed
flWplikW up
ILOA.Approvel
OraditAg
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Dwelaper lillwel IF"
Pawning Approval
Cowed Contact Person
Pub. Wks. Appr
Date of permit [Mac.
School Fees
Tom{ lirmie Fen*
CERTIFICATE OF COMPLIANCE
(SC) System
Information
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
01
(Page 1 of 3)
Project Name:
04
Graham Illingworth Date Prepared: 2019-03-26
A. General Information
07
08
CF111-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.
Is the SC
01 Project Name Graham Illingworth
02
Date Prepared 2019-03-26
03 Project Location 81145 Muirfield VLG
04
Building Type Single family
05 CA City La Quinta
06
Dwelling Unit Name Graham Illingworth
07 Zip Code 92253
08
Dwelling Unit Conditioned
Installing
Installing
Floor Area (ft2) 4000
Identification or
Number of Space
09 Climate Zone 15
10
Conditioning (SC) Systems in 1
system
more than 40
this Dwelling Unit:
B. Space Conditioning
(SC) System
Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SCS stem
Y
SCS stem
Y
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
S stem 1
y
Bedrooms
(3-Bdrms)
2000
Yes
Yes
Yes
No
No
No
Altered spaceco
nditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 219-A020070811A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-03-26 13:17:31
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-26 13:17:25
Schema Version: rev 20180426
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)1E and F)
O1
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 gas
No Heating
This field or
This field or
Central split
This field or
This field or
System 1
furnace
Component
section is not
section is not
AC
Indoor coil
SEER
14
Setback
section is not
section is not
Altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Dud 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 - Dud 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 <=10 percent 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.
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 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)1C)
This section does not apply to this project.
Registration Number: 219-A020070811A-000-000-0000000-0000
Registration Date/Time: 2019-03-26 13:17:31
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-26 13:17:25
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:
2019-03-26 13:17:31
CEA/ HERS Certification Identification (if applicable):
Phone:
760-327-1890
CF1R-ALT-02-E
(Page 3 of 3)
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 other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure 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 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:
Laster, Gary
Company:
DOVE AIR INC
Address:
68-749 RISUENO ROAD
City/State/Zip:
CATHEDRAL CITY CA 92234
Responsible Designer Signature: -(] ZW C-,-�- k^
41
Date Signed:
2019-03-26 13:17:31
License:
794315
Phone:
760-327-1890
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies
Registmdon Provider responsibility for the accuracy of the information.
Registration Number: 219-A020070811A-000-000-0000000-0000 Registration Date/Time: 2019-03-26 13:17:31
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-26 13:17:25
Schema Version: rev 20180426