BMCH2016-038278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O16-0382
49541 MONTANA WAY
602170029
SKORETZ / CHANGE OUT (1)COIL
$664.00
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 essions Code,
and my License is in full force and effect.
License Class: 20 CC36 .License No. 18759
�t� �1 t� Contra ter: /
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/24/2016
Owner:
E SKORETZ
49541 MONTANA
LA QUINTA, CA 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(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'
W
rovided for by Section 3700 of the Labor Code, for the performance
ch this permit is issued.
nd will maintain workers' compensation insurance, as required by
Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: TRUCK INSURANCE EXCHANGE Polity 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 beco jest to the
workers' compensation provisions of Se 00 of the Labor C hall forthwith
comply with thoprovisigAs.
DatAppli nt` —
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 ing
construction, and hereby authorize representatives of this city to enter upon e
above- en oned roperty for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 10/24/2016
Application Number:
BMCH2O16-0382
Owner:
Property Address:
49541 MONTANA WAY
E SKORETZ
APN:
602170029
49541 MONTANA
Application Description:
SKORETZ / CHANGE OUT (1)COIL
LA QUINTA, CA 92253
Property Zoning: .l
Application Valuation:
$664.00
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
Llc. No.: 818759
Detail: HVAC CHANGE OUT - (1) COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA
BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY 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 - REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for CHANGEOUT: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
• •
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) -
Project Name:
CFIR-ALT-02-E 4
(Page 1 of 3 )
E. Skoretz Date Prepared: 20116-10-24
Registration Number: 316-A1035532A-000000000-0000 ''
r Registration Date/Time: 2016-10-24 10:38:07 HERS Provider: USERA '
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-24 10:38:20
Schema Version: 0.555SDD
B. Space Conditioning (SC) System Information
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,
01 02 03
04 05 06 07
use one MR -ALT -02 document for each dwelling unit.
09
10
Ol Project Name E. Skoretz 02 Date Prepared 2016-10-24
03 Project Location 49541 Motana 04 Building Type Single family
05 CA City La Quinta i 06 Dwelling Unit Name House
•
07 Zip Code 92253 08 Dwelling Unit Conditioned
system a refrigerant Installing new SC Installing
ducted
:Installing
1600
Floor Area (ft2)
Number of space conditioning
09 Climate Zone 15
09 Climate Zone 15F
Name Served System (ft2)
containing system more than 40
system? component? components? I feet of ducts?.
10
10 (SC) systems in this dwelling 1
entiiely'new
SC system?
Alteration Type
unit.
Registration Number: 316-A1035532A-000000000-0000 ''
r Registration Date/Time: 2016-10-24 10:38:07 HERS Provider: USERA '
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-24 10:38:20
Schema Version: 0.555SDD
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
Identification or location or Area by this SC
system a refrigerant Installing new SC Installing
ducted
:Installing
Installing
Name Served System (ft2)
containing system more than 40
system? component? components? I feet of ducts?.
entirely new
duct system?
entiiely'new
SC system?
Alteration Type
System 1 home 1600.
Yes Yes Yes No
No
Nol
Altered space
Y
conditioning system
d.
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectlon150.2(b)1DIIb)
This•section does not apply to this project.
Registration Number: 316-A1035532A-000000000-0000 ''
r Registration Date/Time: 2016-10-24 10:38:07 HERS Provider: USERA '
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-24 10:38:20
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (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
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
System 1
Central gasLess
furnace
Indoor coil
AFUE
80.00
Centralsplit
Indoor coil
SEER
14
Setback
than or
equal to,40
R-8
AC
feet
Reauired Documentation:
CF211-MCH-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: 5 15%, or 510% leakage to outside, or seal all accessible leaks.
MR -MCH -25-1-1 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable
in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air.Flow a 300,CFM/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 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 150.2(b)iDiia and 150.2(b)1E, 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.
y Registration Number 316-A1035532A-000000000-0000 Registration Date/Time: 2016-10-24 10:38:07 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013_ Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-10-24 10:38:20
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify thafthis Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: +
Documentation Author Signature:
Alberto Aceves
Company:
Signature Date:
Precision Heat & Air
2016-10-24
Address:
CEA/ HERS Certification Identification (if applicable):
68805 Perez Rd.F42 ` " '-
818759
City/State/Zip:
Phone:
Cathedral City CA 92234
760-776-1150
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.
i 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,
calculatlons, plans and specifications submitted.to the enforcement agency for approval with this building permit application.
S. - I 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 apelicable
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.
�i Responsible Designer Name:
Responsible Designer Signature: /
i�C�e.�T �CP✓eS
Alberto Aceves
Company:
Date Signed:
Precision Heat & "Air
2016-10-24
Address: -
License:
68805 Perez Rd.F42
818759
City/State/Zlp:
Phone: -
Cathedrai City CA 92234
760-776-1150
• � , t:)... d�;J�f£1J $liirciiiu'C t.$ .J:'.^•iq{ICii Vit, 4Yd6-.!' C:• °f':'ia'C
, - • 5�i< Onfr!,t :? (It;s rr.:7aiett:;i 7+::r,;r„t;r�t. ,�r. �' a> .,n .
• • .° S'fn!i ami)!; f. No,.'.Si!'&:ion-�>!'�.�, :.OGrf;.•.Sr Q^.Si tti lily !ori .
• ' , � i.,11,' i7C:'iR:�Cy r1J f77r f;7t0Tm.:7i14•i
,
Registration Number: 316-A1035532A-000000000-0000 Registration Date/Time: 2016-10-24 10:38:07 HERS Provider: USERA ;
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 - Report Generated:'2016-10-24 10:38:20
Schema Version: 0.555SDD
Jin #
• Permit
Project Address: L4 5
City. of La Quints
Building 8i: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name: ire Z
A. P. Number:
Address:q �'d7a in0,-J
Legal Description: A C
City, ST, Zip:
Contractor C S
T n nn C
ele ho c:
P O
c'1 J
............................:..:....::::
Address: V
Project Description:
City, "ST, Zip: \ C.
. ^7 trD-
Telephone--7( 1
d 1Ou
State Lic. # : - 5 City Lic #..
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:
Construction TY Pe:Occupancy:
cY
Lic.#
0Stato
Project type circle one): New Add'n Alter Repair.ai
r Demom
Name of Contact Person:
Sq. Ft.:#Stories:
# Units:'
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Req'd
Rcc'd
TRACE rNG'
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
Construction •
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plan's resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees;
Total Permit Fees