BMCH2016-036278-495 CACLE TAMPICO C&If Olt Q� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/7/2016
Application Number:
BMCH2O16-0362
Owner:
Property Address:
57403 PASEO DE LA PAZ
SUZANNE BOUCHONNET
APN: '
764630016
6999 CALABAZAS CREEK CIR
Application Description:
ROTH -HVAC CHANGE OUT SPLIT SYSTEM 3 TON
SAN JOSE, CA 92253
0
Property Zoning:
Application Valuation:
C�
c3' -7 '
Applicant:
Contractor:
® I
PRECH&AINC
PRECH&A INC
'_`
r"`
P O BOX 10991
P O BOX 10991
I N G
O
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)776-1550
LIC. No.: 818759
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: la1C3
ss: C20, C3/6 License No.: 818759
ats• :1 V A \IIS
h 1 / - ( �&f
nntr.n,- 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, orrepair
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 isnot 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 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. Q.
Lender's Name:
Lender's Address:
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 t�_ ^^'or -for which this permit is issued.
l.f�have and will maintain workers' compensation insurance, as required by
Sect 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:
Barrier: 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 forthwith
comply with those
provisions.
Dat�lJ�- 1 (0 Applicant. �K
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 persoh 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 representati es of this city to enter pon the
above-mentioned property for inspection pur oses. Q � �1
Dated+= `c5ignature (Applicant or
WIN
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
BMCH2O16-0362
57403 PASEO DE LA PAZ
764630016
ROTH - HVAC CHANGE OUT SPLIT SYSTEM 3 TON
Owner:
SUZANNE BOUCHONNET
6999 CALABAZAS CREEK CIR
SAN JOSE, CA 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(760)776-1550
Llc. No.: 818759
Date: 10/7/2016
Detail: HVAC CHANGE OUT - 14SEER/8HSPF SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES. "
DESCRIPTION , {` ' �.":• .' ACCOUNT rc
QTY AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM 101-0000-42402 0 $76.00
DESCRIPTION ACCOUNT QTY AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600_ 0 $38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION ACCOUNT QTY AMOUNT
PERMIT,ISSUANCE , ' '101-0000=42404 0: $96.27
, s To9fpP id for.PERMIT ISSUANCE: $96.27
{
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
S.Roth I Date Prepared:
2016-10-07
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,
use one-CFIR.ALT-02 document.for each dwelling unit.
01
Project Name
S.Roth
02
Date Prepared
2016-10-07
03
Project Location
57403 Paseo De La Paz
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
07
Zip Code
92253
08
Dwelling Unit Conditioned
1500
more than 40
fducts?
entirely new
entirely new
Floor Area (ft2)
�Sy;tem
componens?:4
Number of space conditioning
duct system?
09
Climate Zone
15
10.
(SC)systems in.this dwelling
1
",�
Yves.
YesNo'
No
unit. .
Altered s ace
p
B: Space Conditioning (SC) System Information
01 '
02
03
-04 •
05'06
07
08
09
10
SC System
Identification or
SC System
Location or Area
CFA served
by this SC
Is'the SC
system a
rr
ducted.
,' Installi gar,.m
refrigerant
contaimg
Installing new -SC
Isystem
Installing
Installing
Installing
Name
Served
(;` �2�)
..
1
system?
r compt
,n f
more than 40
fducts?
entirely new
entirely new
�Sy;tem
componens?:4
duct system?
., SC system?
Alteration Type
System 1
l lvin pace
1t500
r
Yes -
",�
Yves.
YesNo'
No
No
Altered s ace
p
.
.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 316-A1034944A-000000000-0000
This section does not apply to this project.
Registration Date/Time: 2016-10-07 11:25:36
CA Building Energy Efficiencv Standards - 2013 Residential C.mmnlianra ao.. t W—;...,• ,n, 2 o..,. , nn-,
HERS Provider: USERA
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)IE and F)
01
02
03
04
05
06
07
08
09
10
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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
HSPF
8.00
AC
cooling,
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-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%, 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 & MR -MCH -23 Air Flow 2 300 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.
Registration Number: 316-A1034944A-000000000-0000 Registration Date/Time: 2016-10-07 11:25:36 HERS Provider: USERA
CA Building Enerev Efficiencv Standards - 2013 Residential Comnlianra Rpnnrt %hPreinn- )nl i pay, 1 nn7 ,
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Alberto.Aceves,
Documentation Author Signature:
Signature Date:
Company:
Precision Heat & Air.
2016-10-07
Address:
CEA/ HERS Certification Identification (if applicable):
68805 Perez Rd.F42
818759. -
City/State/Zip:
Pfione:
Cathedral City CA 92234
760-776' 1150
.Responsible Person's Declaration statement
statement
certify the following under penalty of perjury, under the -laws of the State of California:
1. The information provided on this Ceriificate 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 eneigy 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 PaM6 of4he 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 ensurbA t a registeredUM copy of this Certif Cate of:Comp) 'trwepihall be acle.available with the building permit(s)1ssued for the building, and made available�to the enforcement agency for all applicable
inspectio s. I understand,tharegi tesred copy of thjsz r - =
to included
_ernficate�of�Complianee is re wired -be with the documentation the builder provides to the building owner at occupancy.
Res onsible Desi ner Mame:
g
Alberto Aceves �w
fqp
esponsible De"'Ng/�91
. ril e�To Afeves
Alberto Aceves Oct Z: 20161
Company zH * x r
"
- _
Precislon Heat &Air
-�� ate} •.
Date Signed -
4
201f610 Or7'
Address: y
68805 Perez Rd. F42 U.S., `En rgiy ,'RaI
License."
8 As,s,o'o'i,atio'n
City/State/Zip:
Phone:
Cathedral City CA 92234
760-776-1150
-
Thin drgrtaisignature rs provided ih order to. secure
tha contenfofahis registered document, and In no
way implres Reglsfration Providerresponsrbility-for
the.`.accuracrof the:'informalion: "'
Eh' f3ater Associ',atfan.
Registration Number: 316-A1034944A-000000000-0000 Registration Date/Time: 2016-10-07 11:25:36 HERS Provider: USERA
CA B`uildinlz EnerRv Efficiencv Standards - 2013 Residential CmmnlianrP Pannrt uarc n..• W11 Q oma., 1 nn,
Bin #
Qty of La Quffl to
Building U Safety Division
Permit # 78-495 Calle- Tampico `
La Quinta, CA 92253 = (760) 777-7012•
Building Permit Application and Tracking Sheet
Project Address: ��4 V 7.Q wncr's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
G 1 0
City, ST, Zip: La "Ur W 3
h nc:
o b
Address: �j (��
Q`' .� Project Description:
City- ST, Zip: /
^� A G
�G
r_ t�
P —7
Telephone:
e one: lJ V - I
-G -
State Lic. # : D. City.Lie.:#>»:»I>:i::sr:i::::
s s
Arch., Engr., Designer:LP OZ min
Address:
City, ST, Zip-
ip:Tele
-
Telephone:
hone:Type:
State Lac. #•
•
Name of Contact Person:
Construction e• O ecu aneY=
Alter Repair Demo
ProJectty P (circle one • New Add'n 0
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Lstimated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
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
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IiOUSF_:-
''d. Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. 1\'ks. Appr
Date of permit issue
School Fees,
1
"
Total Permit Fees
/3 0