BMCH2016-0315Applicant:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
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.: 818759
D
_ Contractor: a--
`
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
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/2016
Owner:
RICHARD HOADLEY
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 tF}e w k for which this permit is issued.
t 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•f rtJ*thcomply with those provisions.
Date: pplicant:
i
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T
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 abstatelaws relating t it ingconstruction, and hereby authorize representatives of to enter upon heabove-mentioned prgprty forin- pection purposes.
Date: lJ Signature (App
A
Date: 8/18/2016
Application Number:
BMCH2016-0315
Owner:
Property Address_:
79322 CETRINO
RICHARD HOADLEY
APN:
776120013
Property Zoning:
.Application Valuation:
$14,057.00
Applicant:
Contractor:
PREC H & A INC
PREC H & A INC
P 0 BOX 10991
P 0 BOX 10991
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)776-1550
---------------
--------------
Llc. No.: 818759
Detail. HVAC CHANGE OUT
-----------------------------------------------------------------
- 14.0SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION:
2013 CALIFORNIA BUILDING CODES.
A
f •• 1.
FINANCIAL
DESCRIPTION. ACCOUNT CITY 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 - SPLIT -SYSTEM
101-0000-42402
0
$72.52 .
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid foe PERM IT'ISSUANCE:.' $91:85
Gin # _
-Qy of La Quiiita
Building St Safety Division
Permit # 78-495 Ca11e Tampico
La Quinta, CA 92253 - (760) 777-7012
$►X k- - 03 (C Building Permit Application and Tracking Sheet
Project Address: 3 �� Com- �i Owner's Name: 1CvAy_ I
A. P. Number:
Address:
Legal Description:
City, ST, Zip: W aU inCA <
Contractor:
� C � oil �c
....................
Telephone:
P hone:
Address: I .
V b
Project Description:
City_ ST, Zip: P C
.C6.J OU
Telhone:
e P 1..6
State Lie. # : S City Lie.
Arch., Engr., Designer:
5
Address:
City, ST, Zip:
T ele h ne:
_
�
Occu PaneY
:Construction Type:
,.
a #
St to Lac. •
Project type (circle ne • New Add'n Alter Repair Demo
0
Name of Contact Person:
Sq. Ft.:1-7 0
1# stories: I
#Units:
Telephone # of Contact Person:
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 Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact person
Plan Check Balance.
Title 24 Cales.
Plans•picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionslissue
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
.:�
CERTIFICATE OF COMPLIANCE
CF111-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 1 of 3 ) I
Project Name:
Hoadley I Date Prepared:
2016-08-18
A. General .Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwellling unit. When multiple dwelling units must be documented,
use one CF111-ALT-02 document for each dwelling unit.
01
Project Name
Hoadley
02
Date Prepared
2016-08-18
03
Project Location
79322 cetrino
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
07
Zip Code
92253
system a
Dwelling Unit Conditioned
1700
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
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?
Alteration Type
System 1
livubg spa
1700
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.Z(b)iDiib)
This section does not: apply to this project.
rz.
Registration Number: 316-A1031759A-000000000-0000
CA Building Energy Efficiency Standards- 2013 Residential Compliance
Registration Date/Time: 2016-08-I8 10:40:50
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
ti
HERS Provider: USERA
Report Generated: 2016-08-18 10:41:09
41
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 1S0.2(b)1E and F)
01
02
03
04
0S
06
07
08
09
30
it
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 gas
No heating
component
AFUE
3.30
Central split
Indoor coil
SEER
14
Setback
Less than or
equal to 40
R-8
furnace
altered
AC
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Duds and Fans
-Dud Insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Dud Leakage testing required when heating or cooling components are installed in ducted!systems, or when more than 40 It of dud length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & 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 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud 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 dud 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(6)1E, F)
This section does not apply to this project.
F.'Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 316-A1031759A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:2016-08-18 10:40:50
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: USERA
Report Generated: 2016-08-18 10:41:09
i:-�
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 that this Certificate of Compliance: documentation is accurateand complete.
Documentation Author Name:
Documentation Author Signature:
Alberto Aceves��
Signature Date: �C
Company:
Precision .Heat & Air
2016-08-18
Address:
CEA/ HERS Certification Identification (ifapplicable):
68805 Perez Rd.F42
818759
City/State/Zip:
Phone:
Cathedral City!CA 92,234
760-776-1250
Responsible Person's Declaration statement
I certify: he 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 Gertificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components,;and manufactured devices forthe 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 Callfornia Code of Regulations.
4. The building design features;or system design features Identified on this Certificate of Compllance 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.
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 agencylfor all applicable
Inspections. (.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:
Responsible Designer Signature:
/TLd
Alberto Aceves
K
Company:
Date Signed:
Precision Heat & Air
2016-08-18
Address:
License:
68805 Perez Rd.F42
818759
City/State/Zip:
Phone:
Cathedral City, CA 92234 1760=776-1!150
Registration Number:',316-A1031759A-000000000-0000'
-07.-5si I..
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':/t�y'^?a1:C9l�lf�:ii.Si�a.�,^,Y� F:l�2•,nC.'Wrrf:.•Sf(.'7?.Slyd�f('%lri1;'
LhI? C%".c r L -Y off
Registration Date/Time: 2016-08-18 10:40:50
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 10:41:09
Schema Version: 0.555SDD