BMCH2016-043778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0437
Property Address:
54735 AVENIDA ALVARADO
APN:
774272023
Application Description:
MEJIA RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
PREC H &A INC
P 0 BOX 10991
PALM DESERT, CA 92255
`&r 4 IFQ"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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, C36 License No.: 818'%9 /
Date:' !� t
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
$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
Lender's Address:
<:0;0,O�
IV0:ICXV777-7125
,77 -7011
ECTI@NS (76153
o � is+
Dare: 1
Owner: 9 y
SERGIO MEJIA %11
54735 AVENIDA ALVARADOI,
LA QUINTA, CA 92253. 2lF
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'
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: 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 3700 of the Labor Code, I shall ort ith
comply with
those provisions.
Date: 1 " 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 ci o nter upon the.
above mentioned proi��
foLinspection purposes.
Date:-igr,ature (Applicant or Agent):
Date: 12/6/2016
Application Number: BMCH2016-0437
Owner:
Property Address: 54735 AVENIDA ALVARADO
SERGIO ME11A
APN: 774272023
54735 AVENIDA ALVARADO
Application Description: ME11A RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,000.00
Applicant:
Contractor:
PREC H & A INC
PREC H & A INC
P O BOX 10991
P 0 BOX 10991
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)776-1550
---------------------------------------------------------------------------------------------
LIc.,No.: 818759
Detail: HVAC CHANGE OUT -14 SEER/80AFUE PACKAGED SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
l .` 1.
FINANCIAL
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 - 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
0
n
M
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems f(formerly,CF-1R-ALT HVAC)
Project Name:
-Sergio Mejia I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-12-05
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. Whenimultiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01
ProjectlName
Sergio Mejia
02
Date Prepared
2016-:12-05
03
ProjectlLocation
54735 Avenida Alvardo
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
home
07
Zip Code
92253
08
Dwelling Unit Conditioned
1661
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.
Alteration Type
B. Space Conditioning (SC) System Information
O1
02
03
04
05
06
107
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?
Alteration Type
Unit 1
house
1661
Yes
Yes
Yes
INo
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)INb)
This sedtion does not apply to this project.
Registration Number: 4167A0010238A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
*Registration Date/Time: 2016-12-05 09:52:25
;Report Version: 2013 Rev 1.008
:Schema Version: 0.5555DD
HERS Provider: CHEERS
Report Generated: 2016-12-05 09:52:28
�t�l
CERTIFICATE OF COMPLIANCE CFMALT 02-E
Alterations to Space Conditioning Systems l(formerly1CF-1R-ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
0.6
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
This field or
All new
This field or
Central
All new
This field or
This field or
Unit 1
section is not
heating
AFUE
section isinot
ackaed HP
Pg
cooling
SEER
14.00
Setback
section is not :section
is not
applicable
components
applicable
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-03-E -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%, or15 10%lleakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH=25-H Refrigerant Charge Verification required when refPigerantcontairiing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/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 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 1501(b)Mia 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.
Registration Number: 41'6-A0010238A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
;Registration Date/Time: 2016-12-05 09:52:25
)Report Version: 2013 Rev 1.008
:Schema Version: 0.555SDD
HERS Provider: CHEERS
Report Generated: 2016-12-05 09:5218
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems l(formerly,CF-1R-ALT HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation Iris accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Albert Aceves
AUyewtAcewew
Company:
Signature Date:
Predision Heat & Air, Inc.
2016-12-05
Address:
CEA/ HERS Certification 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 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 withithe documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible'. Designer Signature:
Albert Aceves
AUnwtAceve4-
Company :
Date°Signed:
Predision Heat & Air, Inc.
2016-12-05
Address:
License:
PO Box 11090
818759
City/State/Zip:
Phone:
Palm Desert CA 92255
760-275-2362
Registration Number: 416-A0010238A-000000000-0000
Digitally signed by CHEERS'". This digital signature is provided in order
to secure the content of this, registered document, and in no way implies
Registration Provider responsibility forithe accuracy of the information.
+Registration Date/Time: 2016-12-05 09:52:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance ;Report Version: 2013 Rev 1.008 Report Generated: 2016-12-05 09:52:28
:Schema Version: 0.555SDD
Bin # , '
Permit #f
Project Address: �
City of La Quin to
Building 8i Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
a wncr'sName:
A. P. Number:
Address: S -7-2-..,,:;;- J',en t Gi '— A\vcoov
Legal Description:
City, ST, Zip:
Contractor:
C 1 SL D n
Telephone:
ele P
Address: F0 R)CY,
Project Description:
City, ST, Zip: PaA
Telephone: D rn�
State Lie. # : l -7 `
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
..........................
Construction TY ane e• Occupancy:
P p y:
State te Lu. #:
ProJet type (circle one): New Add'n Alter Repair r De m 0
Name of Contact Person:
Sq. Ft.: (Q
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: "
APPLICANT: DO NOT WRITE BELOW THIS LINE
t/
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plait 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
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Reyiew, 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,
1
Total Permit Fees