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BMCH2016-042778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 9,2253 Application Number: BMCH2O16-0427 Property Address: 54830 AVENIDA OBREGON APN: 774294005 Application Description: ELIYA / HVAC CHANGE OUT Property Zoning: Application Valuation: $700.00 c&t�t 4 4v Qubtz. DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: SUSAN ELIYA 54830 AVENIDA OBREGON LA QUINTA, CA 92253 Date: 11/28/2016 I co C7 O CV Applicant: Contractor: Oa PREC H & A INC PREC H & A INC Oq P O BOX 10991 P O BOX 10991 p PALM DESERT, CA 92255 PALM DESERT, CA 92255 z 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, C36LicenseNo.: 818759 Date: 1 ` 0 l 6 ContractoI 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).: (1 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 (760)776-1550 Llc. No.: 818759 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' compens tion, as provided for by Section 3700 of the labor Code, for the performance I ft which this permit is issued. I have and will maintain workers' compensation insurance, as required by ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier: TRUCK INSURANCE EXCHANGE Policy Number: N20087119 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 of the Labor Code, I shat forthwith comply with those provisions. / Date: 271 / � Applicant C N/ WARNING: FAILURE TO SECURE WORKERS' COM PE SATION COVERAGE IS UNLA 4, 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 representativesof th' city enter upon the above-mentioned property for inspection purposes. Date: �' 2 ( �qature (Applicant or Agent): Date: 11/28/2016 Application Number:. BMCH2O16-0427 Owner.- wner:Property PropertyAddress: 54830 AVENIDA OBREGON SUSAN ELIYA APN: 77`4294005 54830 AVENIDA OBREGON Application Description: ELIYA / HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $700.00 Applicant: Contractor: PREC H & A INC PREC H & A INC P 0 BOX 10991 P O BOX 10991 PALM DESERT, CA'92255 PALM DESERT, CA 92255 (760)776-1550 LIc. No.: 818159 Detail: HVAC CHANGE OUT - 14SEER/78 PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT QTY AMOUNT BIAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT 101-0000-42402 0 $38.00 DESCRIPTION ' ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $25.33 Total Paid for CHANGEOUT: $63.33 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 TOTALS:$160.6o 1 Bin # Permit„ Project Address: �� 30Ave City of La Quinta Building &,-Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet V, 1 C" ' re per's Name: � E— I \-. A. P. Number: Address: n Obve Y Legal Description: City, ST, Zip: Uk Contractor: Y � b S 1 i P T h n ele o e: P Address: .l 1 Project Description: City, ST, Zip. n el ne: T oh 0 P b � D 2 3 State Lic. # : S� City Lie. Arch., Engr., Designer: Address: City, ST, Zip: , 0 Telephone: ele h ne: P _ ........................... Occupancy: Construction Type: an cY: State # S le Lac • Project circle one • New Add'n Alter r Re ai r De m 0 Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: q6 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2qd Review, ready for corrcclions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks_ Appr Date of permit issue School Fees, Total Permit Fees 1 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems l(formerlyiCF-1R-ALT HVAC) (Page 1 of 3 ). Project Name: Susan Eliya Date Prepared: 2016-11-21 A. General Information MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When imultiple dwelling units must be documented, use one CF1R-ALT 02 document for each dwelling unit. 01 ProjectlName SusanlEliya 02 Date Prepared 2016-11-21 03 Project ILocation 54830 Avenida Obregon 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name home 07 Zip Code 92253 08 Dwelling Unit Conditioned 1940 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? feet of ducts? duct system? unit. I Alteration Type 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 (ft2) system? component? components? feet of ducts? duct system? SC system? I Alteration Type Altered space Unit 1 house Q940 Yes Yes Yes INN No No conditioning system C. Extension pf Existing Duct System, Greater Than 40 Feet (Se:ction1501(b)IDiib) This section does not apply to this project. Registration Number: 416-A0008992A-000000000-0000 Registration Date/Tirne: 2016-11-21 10:27:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-21 10:2727 :Schema Versiop: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems l(formerly,CF-lR-ALT HVAC) (Page 2 of 3 ); D. Altered Space Conditioning System (Sections'150.2(b)lE and F) 01 02 Q3 04 05 06 07 08 09 10 >3 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Codling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value" Central All new - Central All new This field or This field or Unit 1 packaged HP heating AFUE 0.78 packaged HP cooling SEER Setback section is not :section is not components components applicable applicable Required Documentation: _ CF211-Iy1CH-014 -.Space Conditioning Systems Ducts and Fans _ -Duct insulation requirement for new plenums: R6. ' CF2R-MCH-20-H & CF3R-MCH'20-H — Duct.Leakage testing 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: 515%, or 510%Ileakage to outside, or seal all accessible leaks. CQR-t�CH-25-H & CF311-MCH-25-1­1 Refrigerant Charge Verification required when refrigeranbcontaining components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow t 300 CFM/ton required when MCH -25 is required. >xceotlons: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only syste{ns and Air Handler/Furnace changes do not require verification o4Air Flow `NIGH -23, or Refrigerant Charge MECH-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:Z(b)1Diia end 150.Z(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space conditioning System (Section 150.Z(b)1C) This section does not apply to this project. Registration Nuri ber: 416,-A0008992A-000000000-0000 " CA Building Energy Efficiency Standards - 2013 Residential Co6npliance 0 Registration Date/Time: 2016-11-21 10:27:23 Report Version: 2013 Rev 1.008 'Schema Versiop: 0.555SDD HERS Provider: CHEERS Report Generated: 2016-11-21 10:27:27 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems l(formerly,CF-iR-ALT HVAC) (Page 3 of 3 Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation its accurate and complete. Documentation Author Name: Documentation Author Signature: Albert Aceves AUJe�AC:evey Company: Signature Date: Predision Heat & Air, Inc. 2016-11-21 Address: CEA/ HERS Certificatiqn Identification (if applicable): PO Box 11090 City/State/Zip: Phone, Palm Desert CA 92255 760-275-2362 Responsible' Person's Declaration statement I certify the following under penalty of peryury, under the laws of the State of Cdlifornia;