BMCH2016-030578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0305
Property Address:
54645 AVENIDA VELASCO
APN:
774283018
Application Description:
BRITO RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$9,500.00
Applicant:
CYNTHIA HENRY
Tw�t 4 4� Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
AUG 1 2016
COdAMUN EF Pbl ,'TD-r�RTr'EfJ7
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.: §47S9
mrrate: I __contractor: Y '^
V
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 contractors) 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 Ad
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/15/2016
Owner:
E BRITO
54645 AVENIDA VELASCO
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'
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,forthwith
comply with those provisions.
Date: ` 6*pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMATION 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 city to enter upon the
above-mentioned property for inspection purposes.
Ate: QSig#ture (Applicant or Agent):
Date: '8/15/2016
Application Number:
BMCH2O16-0305 ,
Owner:
Property Address:l
54645 AVENIDA VELASCO
E BRITO
APN:
774283018
54645 AVENIDA VELASCO
Application Description:
BRITO RESIDENCE/ HVAC
LA CiUINTA, CA 92253
Property Zoning: .
Application Valuation:
$9,500.00
Applicant:
Contractor:
CYNTHIA HENRY
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(760)776-1550
---------------------------------------------------------------------------------------------
Llc. No.: 818759
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
K
r
4
DESCRIPTION
FINANCIAL .• 1.
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
10.1-0000-20306 0
$1.00
Total Paid"for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
- HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE:
TOTALS:
$91.85
$201.63
k
0
#
City 'f La Qui is
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777 7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
7jAve lk
Owner's Name:.
A. P. Number.
Address: `] y 10 -5— e ok
Legal Description:
City, ST, Zip: 0 1 tn, CA
Contractor. Tte—c`S d
Telephone:
Address: (p g �(� -e Z
Project Description:.
City, ST, ZZiip: ` `122
Tele�l oittr' (,CJ1-1-1—
'O Is \' �y
State Lic. # ;City
L. 9-:i,
,
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
Y
State Lic. #: ;w: j y
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): Now Add'n Alter Repair Demo
Sq. Ft.: # Stories: a# units:
Telephone # of Contact Person:G el Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
p
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs..
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Rood plain plan
Plans resubmitted
Mechanical -
Grading plan
Tad Review, ready for correctionslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grunt Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted •
Grading
(iY HOUSE:-
'^' Review; ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: ' E.Brito Date Prepared: 2016-08-14
•A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
E.Brito
02
Date Prepared
2016-08-14
03
Project Location
54645 Avenida Velasco
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
CFA serv%V
. F - .vim
system a
s
refrigerant Installing new SC
-
Installing
t
Dwelling Unit Conditioned
Installing
07
Zip Code
92253
08
Floor Area (ft2)
1282
more than 40
>f et of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
Number of space conditioning
09
Climate Zone
15
10
(SC) systems in this dwelling
1
System 1
Living
unit.
Yes.,-
B. Space Conditioning (SC) System Information `
01
02
. 03
04
05 06
07_
. 08
09
10
Is the SCS
Installing a
SC System
SC System
f
CFA serv%V
. F - .vim
system a
s
refrigerant Installing new SC
-
Installing
t
Installing
Installing
Identification or
Name
Location or Area
Served ty
by this SGpy
ystem (#2)
ducted *"
system?""
containing system
component?-° components?• -
more than 40
>f et of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
>- a �
System 1
Living
Yes,
Yes.,-
).,.No
No
No
Altered space
ce
Spa`y
tzm�.
,.
es
_
=
conditioning system
i:i.�. GI IAF rr�!>t�i � /'1.3a�94Y1:,.LC1E.lv7 �
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 316-A1031406A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-14 20:52:12
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: USERA
Report Generated: 2016-08-14 20:52:16
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 150.2(b)1E and F)'
01
02
03
04
05
06
'- 07
08
09
30
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
Central split
All new
�
Central split
All new
Less than or
System I'
HP
heating
HSPF
8.00
HP
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:'
CF211-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: 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;-- 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-A1031406A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-14 20:52:12 HERS Provider: USERA
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-14 20:52:16
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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 accurate and complete.
Documentation Author Name:
Alberto Aceves/
Documentation Author Signature:
r
Signature Date:
Company:
Precision. Heat & Air
2016-08-14
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.
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 thir_'Certifi'cate of Compliance"shall•be°madRe available with the -building permit(s),issued for the building, and made available to the enforcement agency for all applicable
' p ` � � g a � py- � mpliarice is regwred to be included,with the documentation the builder provides to the building owner at occupancy.
inspections I understand that a re istered ce of this Certificate,of Co
Responsible Designer Name:,
v �+
Responsible Designer Signature:
i�CbefTo �Ce✓eS
Alberto Aceves
.._ .;
_ n
Company :
PateSigned-
Precision Heat & Aires. - '_ V''
2016=0814
Address:'
68805 Perez Rd.F42 U.S. Energy ('' pya
License:
ssoclation
City/State/Zip:
Phone:
Cathedral City CA 92234
760-776-1150
TM
,This digital signature is provided in order to secure
r the content of this registered document, and in no
►vay implies Registration Provider responsibility for
U.S. Energy Raters Assoclation the accuracy of the information.'
Registration Number: 316-A1031406A-000000000-0000 Registration Date/Time: 2016-08-14 20:52:12 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-14 20:52:16
Schema Version: 0.555SDD