BMCH2016-035578-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address: '
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O16-0355
79455 N SUNRISE RIDGE DR '
604100023
LEHAM. RESIDENCE/ HVAC
$750.00
VOICE (760) 777-7125
FAX (760) 777-7011
)777-7153
9/29/2016
Applicant:
Contractor:`r�
PREC H &'A INC
PREC H & A INC
P 0 BOX 10991
P 0 BOX 10991
1.0slf11SIItT; CA'9-2255
PALM. DM-RTyCA92255,
(760)776-1550
Llc. No.: 818759
---------------------------------------=-------
LICENSED CONTRACTOR'S DECLARATION
----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter"
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 C� `License No.: 8187 "
ofthe work for which this permit is issued.' "
I
Date:
I have and will maintain workers' compensation insurance, as required by
Contractor:
'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:
OWNER -BUILDER DECLARATION
Carrier: TRUCK INSURANCE EXCHANGE Policy Number: N20087119
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance.of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county.that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California,:and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I All forthwith
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
comply wi f ose provisions
rip
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: . AppTcant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner ofthe property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work; and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST,. AND ATTORNEY'S FEES.
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
- APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to'
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application:
he or she did not build or improve for the purpose of sale,).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request'and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application., the. owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit. "
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
Date: Owner:
„
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY
I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to enter upon the
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
above-mentioned property tor inspection purposes.
Lender's Name:
Date: Signature Agent)`
(Applicant or
Lender's Address:
Date: 9/29/2016
Application Number:.
BMCH2O16-0355
- Property Address:
79455 N SUNRISE RIDGE DR
APN:
604100023
Application Description:
LEHAM RESIDENCE'/ HVAC
Property Zoning:
Application Valuation:
$750.00
Applicant:
' PREC H & A INC
P O BOX 10991
PALM DESERT, CA 92255.
Date: 9/29/2016
"TINANCIlNFORIVIAT
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.- 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
CERTIFICATE OF COMPLIANCE r CF1R-ALT 02-E,
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) r 1 o (Page 3 )
' f
'Project Name: , 'G. Leham Date Prepared: 2016-09-29
A. General information'
6111, ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit:' ' 14
03
01
Project Name
G. Leham l7ai\ ��•
02
Date Prepared
2016-09-29
.03
Project Location
79455 N. Ridge
04
Building Type -
Single family-
05
CA City -
La Q.uinta
06
Dwelling Unit Name •
House
07
Zip Code r,
92253
08
Dwelling Unit Conditioned
1600 `
Installing
Installing
p
Identification or
Floor Area (ft2)
..
ducted
containing
;-
more than 40
Number. of space conditioning
entirely new
09
Climate Zone `'
15
10
(SC) systems -in this dwelling
1`
components?
r
duct system?
SC system?
unit:
System 1
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
y
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
house
1600
Yes ::�
_Yes f
: ;Yes.
No
No
No _
Altered space
conditioning system
C. Extension'of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
• u This section does not apply to this project.
Registration Number: 316=A1034556A-000000000-0000 Registration Date/Time: 2016-09-29 10:43:51 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-29 10:44:19
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE - "-CFlR-ALT 02-E
Alterations to.Space Conditioning. Systems (formerly CF -1R -ALT -HVAC) (Pate 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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
Dud Length
R -Value
'System
Central split
All new.
-
-Central split
All new
`cooling
: Less than 6r1
1
.heating
AFUE
80.00
HP
SEER
14
Setback
equal to 40
R-8
HP.
components
components
"feet
$epufred Documentation: - -
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
"
-Duct Insulation requirement for new plenums: R6.
CF211-1VICH40-1-1 & 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%, or15 30% leakage to outside, or seal all accessible leaks.
^
CF2R-MCH-25-H & CO3R-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:
-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. "
s..
Registration Number: 316-41034556A-000000000-0000 Registration Date/Time: 2016-09-29 10:43:51 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-29 10:44:19
Schema Version: 0.5S5SDD '
Documentation Author's Declaration Statement,+
1. I certify that this Certificate of'Compliance documentation is accurate and complete..
Documentation Author Name: `
Documentation Author Signature:. °
`��•�
Alberto Acevesn.,
Signature Date:
Company:
Precision Heat & Air " ' . ,' . `
2016-09-29
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 Lhis•Certificate of -Compliance is true and correct.
2.' - . I -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 Compllance (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 Compllance 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 applicablecompliance 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 with the documentation the builder provides to the building owner at occupancy. °
Responsible Designer Name:
Responsible Designer Signature:
Alberto Aceves r 'El
Company :
Date Signed:
Precision Heat & Air `
2016-09-29 `
r
Address: -License:
68805 Perez Rd.F42 '
818759 _
City/State/Zip: - ' `.✓
Phone:
Cathedral City CA 92234 •• -
760-776-1150
t(ji. S7 r7 ' it. i•$ )f' :!''i 7 �° - ?r)^,': J'r' r
75 746 :a ihl F i. Ct !) 4; G(•:' a: t s
;. .. tits: contrnl .;t ti)7$ rE,Sir!-d ,-Cunlen. t, nd;!? f)O.-+' • '
way !mvi;n a i"0..?•i tr£di^f? ✓',�'^L!'0•Cr rr:.•Sr'QnSir:�liiiy tor-
'�- _ t t?tinr (no ,;)tor!r ntlon.
Registration Number: 316-A1034556A-000000000-0000 Registration Date/Time: 2016-09-29 10:43:51 ,, HERS Provider: USERA
CA Building Energy Efficiency Standards, 2013 Residential -Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-09-29 10:44:19
Schema Version: 0.555SD0 }
r.
Bin 1f
.. ' Qty'af-La QuIntj
' Building 8l; Safety Division
rPermit #f - 78-495 Calle Tampico .
La Quinta, CA.92253 - (760) 777-701,2. '.
BLrilding Permit. Application and Tracking Sheet
Project Addressc
_7qL1 J . ,' • Owner's Name: ' C :+
A: P. Number: "`
Address:-'" Gjg4{.
Legal Description:
City, ST, Zip:: Lk
Contractor:
'� C� V
T elehn.
P o c•
Address: b 0S� 2Project
Description.
city; sr, Zip:
Telephone /
�P 1
•
State Lic. # : 'City Lic. #:
Arch.; Engr., Designer:
_
Address:
City, ST, Zip:
e
Telephone:
one:
�Gonstriction T Pe• ccuP
x O ancY
State Lic.
_
ect tYPa (circle ones • New Add'n• AIt eJr .
DeProJ
Repair. r Mo.
Name of Contact Person: ' _
: Sq. Ft.:(Jp %
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: • _
APPLICANT: DO NOT WRITE BELOW THIS LINE
li
Submittal
Req'd.
Rcc'd •
"
TRACKING
PERMIT FEES.
Plan Sets '
Plan Check submitted . �_
Item y; • _�_ _
,.. Amount -
Structural Calcs.
Reviewed, ready for corrections'
Plan Check Deposit
-
Truss Calls.
r
Called Contact Person ••
r
Plan Check Balance
1 �"
.Title 24 Calcs. ..
Plans picked up ~ y
e
Construction
r
Flood plain plan.
Plans resubmitted _ .
Mechanical
Grading plan.
2°" Review, ready for corrections/issue, •„
Electrical
4
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILO.A. Approval.
Plans resubmitted
Grading
IN ROUSE:- •
Jrd Review, ready for corrections/issue t
Deve'lopci Impact Fee'
Planning Approval
Called Contact Person ;
r
A.I"P.P.
<
Pub. Wks. Appr '"
'Dale orpermit issue
School Fccs,
Total Permit Fees
m
y
n•