BMCH2015-00334 ei� aw(
r ,
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTME
" INS
BUILDING PERMIT
FEB 4 3 2C �5
Application Number: BMCH2O15-0033 Cwner:CITy OF LA QUINTA
Property Address: 78235 CALLETORTUNA WILLIAM LONG'PMENTDEP4
APN: 770154007
Application Description: LONG RESIDENCE 16 SEER SPLIT SYSTEM 92253
Property Zoning:
Application Valuation: $5,700.00
Applicant: Contractor:
PRECISION HA INC PRECISION HA INC
PO BOX 11090 PO BOX 11090
PALM DESERT, CA 92255 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
' Date: ContractJor:
.(%
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 Division3
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.).
( ) 1, 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 Name:
Lender's Address:
(760)776-1550
Llc. No.: 818759
ICE(760)777-7125
AX (760) 777-7011
NS (760) 777-7153
Date: 2/3/2015
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:— Policy Number: _
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
c7ply with tthhose/ provisions. /
Date: Z-3 "rJ AppI licant
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 city to enter upon the above•
mentioned property for inspection purposes.
1
Date: C—'(� Signature (Applicant or Agent):v•_
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DESCRIPTION AMOUNT4 PAID DATE:
,..
:.; .k'r y aACCOUNT a s.3 s - EPAID�
BSAS SB1473 FEE 101-0000-20306
.0
$1.00., $1.00
2/3/15
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f"Yi°� fSsk
fib" CHECK #
CLTD BY
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x t :RECEIPT,# s
.� s
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PRECISION HA INC CHECK
113575 1687
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
. - }7� x+<ay g .
s,a DESCRIPTION+ s `_
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-,ACCOUNT
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TY>sAMOUNT
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RAID
tayd ."x_
PAID DATE<
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t
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HVAC CHANGEOUT - SPLIT -SYSTEM'
101-0000-42402
0
$72:52
$72.52:
2/3/15
.
PAID BY�;METHODRECEIPT#
E
CHECK #�RNIE
CLTD BY'
zT
PRECISION HA INC
CHECK'
R3575
1687
MFA
it
ACCOEINT=Y
AMOUNT
r,;DESCRIP,.TION
a .Y..z,.. ;..Sx.frcF��' 4
5t.: "P.kf .w (rYc9�v*' 3,e 4k�';='Px'^: :.:sP: te-" .`4-..f S,w^4e'
.i '. . "-�`R'eL
.`.��3Fi<@:iP
>PAIUr ,,
xPAID<DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
10170000-42600
0
$36.26
$36.26
2/3/15
• ""3X Ojai P'
� b't3i$io. _"
,,1iY
usF,.:; rPAID.BYY �s�,xxIVIETHOD�:'a:t�RECEIPv.#'CHECK
rr
PRECISION HA.INC
CHECK
R3575
1687
MFA
Total Paid forCHANGEOUT: $108.78 $108.78
f <<�l*
>s
�_ DESCRIPTION
:at'e 4 -
ACCC►UNT
$ "2'X`aq..
TY
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# AMOUNT�x
" '
z PAID f
I
PAID;DATE;
PERMIT 155VANCE
101-0000-42404
0
$91.85
01.85'.
2/3/15
.� u.g"zoi�,€:ti's
AID' BY
t",*
.".-..'�
RECEIPT #
CHECK #
CLTOyBY
. � ' � �
HOD n..s`,
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"PRECISION HA INC
CHECK
R3575
1687
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
10TALS:- $101.f61201.63
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1
Description: LONG RESIDENCE 16 SEER SPLIT SYSTEM '
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 2/3/2015 MFA
Approved:
Parcel No: 770154007 Site Address: 78235 CALLE FORTUNA LA QUINTA CA 92253
Subdivision: DESERT CLUB TR UNIT 1 Block: 8 Lot: 7
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,700.00 Occu pa ncy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16.SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, February 03, 2015 10:33:1b AM 1 of 2 CREW SYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL'
APPLICANT
PRECISION HA INC
PO BOX 11090
PALM DESERT
CA
92255
CONTRACTOR
PRECISION HA INC
PO BOX 11090
PALM DESERT
CA
92255
OWNER
WILLIAM LONG
92253
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT QTY
.. AMOUNT P
PAID
PAID.DATE
RECEIPT# CHECK # METHOD pplp gy
EMFA
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$1.00
2/3/15
R3575 1687 CHECK PRECISION HA INC
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
Printed: Tuesday, February 03, 2015 10:33:1b AM 1 of 2 CREW SYSTEMS
DESCRIPTION '
ACCOUNT
QTY
AMOUNT
PAID '
PAID•DATE
RECEIPTp
CHECK'q
METHOD
PAID BY
CBYD
HVAC CH T-
101-0000-42402
0
$72.52
$72.52
2/3/15
R3575
1687
CHECK
PRECISION HA INC
MFA
SPLIT-SYSTEMSYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$36.26
2/3/15
R3575
1687
CHECK
PRECISION HA INC
MFA
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT:
$108.78
$108.78
PERMIT ISSUANCE
101-0000-42404 0
$91.85
$91.85
2/3/15
R3575
1687
CHECK
PRECISION HA INC
MFA
Total Paid forPERMIT ISSUANCE:
TOTALS:
$91.85
$91.85
i
Printed: Tuesday, February 03, 2015 10:33:10 AM 2 of 2 CRWsysTI.s
CERTIFICATE OF COMPLIANCE CFIR-ALT 01-E
Prescriptive Residential Alterations (Page 1 of 3 j
Project Name: Long - 78235 Calle Fortuna Date Prepared: 2015-02-02
A. General Information
03
Project Name
Long
02
Date Prepared
2015-02-02
03
Project location
78235 Calle Fortuna
04
ld ng Front Orientation
180
`du
05
CA City
La Quinta
06
Number of Dwelling Units
1
with Additions
07
Zip Code
92253
08
Fuel Type
Electricity
09
Climate Zone
15
10
Total Conditioned Floor Area
1600
(ft2)
it
Building Type
Single family
12
Slab Area
1600
Exceptions to Minimum Ages
13
Project ScopeSpace
_
cooling system
Space heating system
�
14
Solar Reflect'~ance and
'' + -
Min'imum Thermal or. SRI
No Exceptions
150.2(b)1141 VN
A l L40-1 Uf1 1 ,! 1 l ,,1I 1 I t\ I t ! k i I /I . J 7 11,. r f
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
This section does not apply to this project.
C. ROOF REPLACEMENT (Section 150.2(b)iH)
This section does not apply to this project.
D. Fenestration/Glazing Areas Allowed (Section 150.2(a)1)
This section does not apply to this project.
E. Fenestration Proposed Areas and Efficiencies - Add (Section 150.2(b)1A)
This section does not apply to this project.
Registration Number: 215-A0032506A-000000000-0000 Registration Date/Time: 2015-02-02 10:38:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-12-02 Report Generated: 2015-02-02 10:18:57
Schema Version: 0.554SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 01-E
Prescriptive Residential Alterations (Page 2 of 3 )
F. Fenestration Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B)
This section does not apply to this project.
G. SPACE CONDITIONING
(SC) SYSTEMS - HEATING/COOLING - SINGLE FAMILY DWELLING (Prescriptive section 150.2(b).
01
02
03
Dwelling Unit Name
Dwelling Unit CFA (ft2)
Comments
Long
1600
H. Water Heating Systems (Section 150.2(b)1G)
IThis section does not apply to this project.
1. Space Conditioning Systems And Water Heating Systems In Multifamily Dwelling Units
r _ -lz a i ♦.
This section does not apply to this project
Registration Number: 215-A0032506A-000000000-0000
Registration Date/Time: 2015-02-02 10:38:52
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-12-02 Report Generated: 2015-02-02 10:18:57
Schema Version: 0.554SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (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:
Documentation Author Signature:Cz2GG�%?/%IP
Marianne Hernandez
��&wllzdV
Company:
Signature Date:
PREC H & A INC
2015-02-02 10:38:52
Address:
CEA/ HERS Certification Identification (if applicable):
P O BOX 10991
City/State/Zip:
Phone:
PALM DESERT CA 92255
1(760) 776-1550
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. 1
the
4. The building design features or system design features Identified on this Certificate of Compliance are consistent with Information, provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. f k r `'
5. 1 will ensure that a registered copy of this Certificate of,Compliahce 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 bullder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Marianne Hernandez
Company:
Date Signed:
PREC H & A INC
2015-02-02 10:38:52
Address:
License:
P O BOX 10991
818759
City/State/Zip:
Phone:
PALM DESERT CA 92255
1(760) 776-1550
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0032506A-000000000-0000 Registration Date/Time: 2015-02-02 10:38:52 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-12-02 Report Generated: 2015-02-02 10:18:57
Schema Version: 0.554SDD
Bin #City
of La- Q uni to .
Building 81: 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?.ddress:
Owner's Name:. C_d C
A. P. Number:
Address: G //C td
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address w �d �wCry
Project.Description:
City, ST, Zip:. ��S ✓l' C4.
Telephone:
Statc Lic. # : PT -7-17
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
�.
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New • Add'n Alter. Repair Demo
Name of Contact Person: '
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Projcct:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Rcq'd Rcc'd TRACKING PERMIT FEES
Plan Sets
PIan Checksubmitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Chcek Deposit
Truss Calcs.
Called Contact Person
Plan Check 1321ance_
Title 24 Ca]cs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for eorrcctions(ssue
Electrical
Subconfaclor List
Called Contact'Pcrson
Plumbing
Grant DccdPlans
picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Revicw, ready for eorrcc(ions(ssuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.T.P.P.
Pub. Wks. App r
I)ate of permit issue
School FCes
Total Permit Fees