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BMCH2017-034578-49S CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: - Applicant: PREC H & A INC P.0 BOX 10991 PALM DESERT, CA 92255 D QUM&. VOICE (760) 777-7125 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/7/2017 BMCH2O17-0345 Owner: 47625 VIA MONTIGO FRANKLIN F,ANDLER 643120030 DPREC, 25 VIA MIONTIGO HANDLER RESIDENCE / HVAC CHAN O. QUINTA,: CA 92253 $750.00 AUG 0 7 2017 tractor: C H & AIINC CITY OF LA QUINTA P 0 BOX 10991 DESIGN AND DEVELOPMENT DEPARTMER4M 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 Cylays : C20. C36 License No.: 8 9 Date'lls 7 7 Contractor 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 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 Iice nsed.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.). I Lender's Name: Lender's Address: (760)776-1--50 Llc. No.: 815759 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 worters' 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 iruurance carrier and policy number are: Carrier: TRUCK INSURANCE EXCHANGE I Policy Number: N20087119 I certify that in the performa,ice of the work for which this permit is issued, I . shall not employ any person in any mariner 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 See.tion 37 of the Labor Code, I shall forthwith comply With Ihos provisions. .Date: / /7 Applicantx WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C=RIMINAL 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 maon to the Building Official for a permit subject to the conditions and restrictions set forthon this application. 1. Each person upon whose behalf th6 application is made, each person at whose request and for whose benefit work is p'rformed 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 thi_ application becomes null and void if work is not commenced within 180 days from tate of issuance of such permit, or cessation of work for 180 days will subject permit tocancellation. 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 repesentatives of this ci to enter upon the above -men 'oned property.for inspectic n purposes: Date: .Signature (Apolicant f - FA Date: 8/7/2017 Application Number: BMCH2O17-0345 Owner: Property Address:. 47625 VIA MONTIGO FRANKLIN FANDLER APN: 643120030 47625 VIA MONTIGO Application Description: HANDLER RESIDENCE /HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation:. $750.00 Applicant: Contractor: PRECH &AINC PREC H & A INC P.0 BOX 10991 J P 0 BOX 10391 PALM.DESERT, CA 92255 PALM.DESERT, CA 92255 (760)776=1:550 Llc. No.: 813759 . Detail: COIL CHANGE OUT ONLY-14'SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL •• • 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 APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.67 DESCRIPTION ACCOUNT QTY, AMOUNT APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $5.07 Total Paid for MECHANICAL: - . $17.74 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404/ 0 $96.27 Total Paid for PERMIT ISSUANCE:" $96.27 -DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE. '502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $120.01 •) { STATE OF CALIFORNIA ,- ALTERATIONS - HVAC CEC-CFIR-ALT-04-E (Revised 01116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: Date epa ed: Permit#: -fir /Q M0/)/7 J I Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Conditioned Z Floor Area (ft ) Thermostat ❑ Packaged &Evaporator Coil AFUE COP ❑ R-6 (CZ 1-10, 12&13) Ducts Served by system ❑ Setback System . ❑ Condensing Unit ❑ R-8' (CZ 11, 14-16) Ducts ft (If not already ❑ Split System ❑ Compressor 1W SEER HSPF ❑ > R-2.8 Lineset` ' present, must ❑ Mini Split ❑ Lineset be installed) ❑ Furnace ❑ TXV EER ' HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. . HVAC Changeout/Repair Required Compliance Documents to be left on site for Fir al: All Equipment, 121`111 -ALT -02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)'-H; MCH -25-W Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H', MCH -25-H? Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (:-S_15%, or 5109 to outside, or seal all accessible leaks); Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from dud leakage testing if' ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear fee: of duct in unconditioned space, or ID 3. Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of building 0-2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CFIR-ALT-02-E including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-1-2, MCH -25-H' . CF3R-MCH=20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-=1' Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow z 350 CFM/ton.(or alternativE), Refrigerant Charge ❑ 3. All New Ducts with. Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H,'MCH-25+ Compressor, TXV, Lineset, Furnace' CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H Installer Requirement: Duct leakage < 5%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be.left on site for Fir.al: New ducting but less than All New Ducts3 CF111-ALT-02-E, CF2R-MCH-20-H, CF311-MCH-20-11 Installer Required to: Duct leakage (< 15% or, 5510% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting requires R-8 insulation when more than 40 ft installed in Cts 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25 3 All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of re ised parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-2.8 (1" thick insulation) -for linesets 1" and less. Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations,(CCR). 4. 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 CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance docu s worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this buildin er it applicakion. esponsible Design Name: eas Designer signatu Date Si ned: up, AA,- ceL)PS FT 7 lC�7s9 ompany : ess: rPC/5lol a. // // U J State/Zi Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-8007772-3300 Bin # City of LQ Quinia Building &I Safety Division ' • - 78-.495 Calle Tampico La Quinta, CA 92253.- (760)777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: �v ^ Owner's Name: A. P. Number: Address: 771140 Legal Description: City, ST, Zip: ZeZ Contracf r o. e �' o Pr c Telephone: ne• Address: Q Ila 9U Project Description:. s. 7"Q City, ST, zip: 6l Telephone: t� -,S '- O State Lic. # : CityLic. #: Arch., Engr., Designer Address: City, ST, Zip: Telephone: Construction Type: Occupancy:- ic. State L #: Project type ci rcle one) : eAdd'n Alter Repair Demo Name of Contact Person: Sq. Ft: # Stories:# Units: Telephone # of Contact Person: eP Estimated Value of Project: v0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIONG PERMIT FEES Plan Sets Plan Check submitted Itetr. Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plar. Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2w° Reviewla ready for corrections/issue Electrical - Subcontactor List Called Contact Person Plumbing GrantDeed Plans picked up H.O:A: Approval Plans resubmitted Grajing IN HOUSE:- 3d Review, ready for corrections/issue Devtloper Impact Fee Planning Approval Called Contact Person A.T.?.P. Pub. Wks. Appr Date of permit issue School Fees Tota Permit Fees