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78-495 CALLE TAMPICO '' �-
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VOICE 760
( ) 777-7125
LA QUINTA, CALIFORNIA 92253 -T
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(760) 777-7011
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IMMUNITYFAX
UNITY DEVELOPMENT DEPARTMENT
NSPECTIONS
(760) 777-7153
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BUILDING PERMIT
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Date: 4/23/2015
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' Application Number:. BMCH2Oi5-0144Owner:
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Property Address: 47085 VIA LORCA;
JOHN VANDER HOEK;
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-APN: 643160035
47085 VIA LORCA
Application Description: VANDER HOEK/CHANGOUT
(1)16SEER/80AFUE SYSTEM
LA QUINTA CA 92253
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Property Zoning: o p
Application Valuation: $7,100.00
Applicant: �. r : Contractor: M �
PREC H& A INC PREC H& A INC
P O BOX 10991 : c P O BOX 10991Fri Q C� -
PALM DESERT, CA 92255 PALM DESERT, CA 92255 o z No
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Llc. No.: 818759 z
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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: -Y
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, I have'and will maintain a certificate o- consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 o1 the Labor Code, for the performance
License Class: C20 C36 License_ N 18759 - of. ork,f ich his permit is issued.AN
I have and will maintain workers' com )ensation insurance, as required by
D`at' Contract `y- S n 3700 of the Labor Code, for the performance of the work for which this permit
V is issued. My workers' compensation insurance orrier and policy number are:
OWNER -BUILDER DECLARATION Carrier: Policy Number: '
' I 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, f 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 37M of the Labor Code, I shall forthwith
- signed statement that he or she is licensed pursuant to the provisions of the comply with those p ovisions.
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 Da" •Applican . -
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora L I
permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' COM'?ENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALLSUBJECT AN EMPLOYER TO CRIMINA. PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, ormy 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. ,, ti
'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 ACKNOW.EDGEMENT ,..
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 perirrnit'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.: t
• 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 I; as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performe J 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 Cty-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 applica_ ion becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
f r; work for 180 days will subject permit to cancellation. r
Date: Owner:
I certify that I have read this application and sta-e 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 representat ves of this city to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned property for inspection purposes.
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Lender's Name: ) Date � Signature (Applicant cr Age ):
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Lender's Address:. # _
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STATE OF CALIFORNIA
ALTERATIONS - HVAC
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CEC-CFIR-ALT-04-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address: A
Enforcement Agency:
Date Prapared:
Permit#:
— d [Jl !-7
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
'❑ Packaged System
P�fvaporator Coil
�U AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served :)y system
❑ Setback
ig,Split System
($Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
sgft
(If not already'
❑ Mini Split
❑ Compressor
-SEER
HSPF
❑ R -6.(a11 CZ's) Plenums
present must
furnace
❑ Linesetbe
EER
❑ R-5 or R7.5) Lineset°
installed)
❑ TXV
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.
❑ 1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)Z -HERS, MECH-25-HERSZ
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS=, MECH-25-HERS2
Air Handler/FurnaceZ (Can include new ducting)
Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow -2 300 CFM/ton, Fefrigerant Charge.
Exempted from duct leakage testing if:
111. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct ini unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building 1
112. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CFIR-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)4iERSZ, MECH-25-HERS1
CF3R:. MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 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 CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, FurnaceZ. CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow 2t 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 Final:
New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
Z Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts*is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist :)f reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (15' thick insulation) for linesets over 1 inch. Most mfg will7Equire Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T-2%', 5T-4%"
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 info-mationon this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Complian=e 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 forthe 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.
5. The building design features or system design features identified on this Certificate of Compliance are consisten? with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency forapproval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Date. igned:
license:
l00
Company:
Address:
060 i/o90
City/State/Zip: phone:
f G6 77/ - /sso
.
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For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
I
FINANCIAL••
NrT r •r ; Ly ,' Y M .a,'.7 ACCOUNT.' ;e
DESCRIPTION
•
',,QTY
•",; AMOUNtt','' PAID .` x. PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 '' $0.00
PAID BY b� '
'sem - '� METHOD T -
RECEIPT # Fw CHECK # {CLTD BY'
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1:00 $0.00
DESCRIP-TION r `` '. `�
:' • ;ACCOUNT
QTY
' AMOUNT . e�
i;= 'PAID
PAID DATE
HVAC CHANGEOUT -*SPLIT-SYSTEM
101-0000-42402
0
$72.52
$0.00
"•' , a ' • PAID BY . ` ', . Z . k
: m Y .. :METHOD
RECEIPT #
CHECK # ,;
CLTD'BY
„DESCRIPTION S r
s ACCOUNT ;Y ,�
QTY
,,. _ AMOUNT t.
,' -1PAID' t
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
' i`•s. ", c;* PAID'BY :' '+
.<°. 'WE THOD Y:.
` ` ;.� RECEIPT#
CHECKW, _
CLTD BY,a.
Total Paid forCHANGEOUT: $108.78, $0.00
_.
,•,.' ; ,< DESCRIP.TION :
T 'ACCOUNT
TY;
�' z"AMOUNT'. "�
"PAID
PA61'. E
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
�" s 4PAID' BY,��` >
` METHOD M
v RECEIPT #
"CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 9-
Description: VANDER HOEK/CHANGOUT (1)16SEER/80AFUE SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/23/2015 SKH
Approved:
Parcel No: 643160035 Site Address: 47085 VIA LORCA LA QUINTA,CA 92253
Subdivision: TR 26152 t Block: Lot: 161
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,100.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
. • c. CLTD
PAID,DATE RECEIPT # CHECK # ; METHOD - PAID BY
Details: HVAC CHANGE OUT-16SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES .
CHRONOLOGY _ -
CONDITIONS • i
Printed: Thursday, April 23, 2015 2:04:56 PM 1 of 2 c6qwsiEms
FINANCIAL
INFORMATION
,DESCRIPTION.. "rACCOUNT QTY
AMOUNT
_
PAID E
. • c. CLTD
PAID,DATE RECEIPT # CHECK # ; METHOD - PAID BY
y
cr
!.
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
* BSA:
7.
Printed: Thursday, April 23, 2015 2:04:56 PM 1 of 2 c6qwsiEms
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'AMOUNT:.
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RETURNEI)v
REMARKS.;,,,.,.
CLTb,
'iDESCRIPTIONW 0 4
"'ACCOUNT
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PAID DATEA
RECEIPT #,
-CHECK#-
METHOD'
PA ID BY:
REMARKS
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�`NOTES
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t.
By,,�
HVAC CHANGEOUT-
101-0000-42402
0,
$72.52
$0.00.
DATE AT
dktE.
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00.
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78. $0.00
PERMIT ISSUANCE --T-101-0000-42404
'0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
AME 1�
Ms
30
W�2
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RETURNEI)v
REMARKS.;,,,.,.
REVIEW TYPE,
REVIEWER
SENT DATE
DUEDATE.
Sk"-'
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_,jNS'FiriCT6&N'tYI1E:_
i f—ANSPECuTOAV:
i'SCHEDULED
COMPLE-f(CD
RESULT
REMARKS
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�`NOTES
DATE AT
dktE.
MECHANICAL FINAL"
BLD
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RETURNEI)v
REMARKS.;,,,.,.
REVIEW TYPE,
4
RETURNEI)v
REMARKS.;,,,.,.
REVIEW TYPE,
REVIEWER
SENT DATE
DUEDATE.
_STATUS
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Bin. # .:
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CIS}/ Of ; Qui'
Recd TRACKING 'ERbIIT FEES
Building Bt Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 •x(760) 777-7012
Permit #
Structural Calcs.
Building Permit Application and Tracking Sheet
Project Address:ulot V60iii Owner's Name:.
rU��
A. P. Number. Address: 71085 Vca/ Lvrcw
Legal Description: City, ST, Zip: L,4/W1 n'TW NA 2 � J 3
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1-1 Contractor. l,. Telephone: 2 t0� qly
v eu is
Project Description: sAM
Address: ,C) �0
__..__
City, ST, Zip: V (: P/Y4 jk5 --IV Y11P SPS Own
Plans resubmitted Mechanical
Telephone: r�//n��,//2""�""
7Y.� I �
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�/�,/� lye c
��7�qy% der ,•'�:�,'lr�G'�aY W! I l W /
Statc laic. # : 8
City Lic. #;
Subcontactor List
_
Arch., Engr., Designer.
Address:
City, ST, Zip:
i
Telephone: ction Type: Occupancy:Constru
State Lie.* k- ? � . Project type circle one New Add'n. Alter Repair Demo
,rte.,-r„.;�� .:�.w r --z' J YP � )� P
Name of Contact Person: �GeAl” po�6l� Sq. FL: #Stories: T_ nits:,
Plans resubmitted Grading
Telephone # of Contact Person: Estimated Valise of Project: �-
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd TRACKING 'ERbIIT FEES
Plan Sets
Plan Check submitted it. Amount
Structural Calcs.
Reviewed, ready for corrections Plan Chcck D4posit
Truss Calcs.
Called Contact Person Ph.Cheek Balance.
Title.24 Calcs.
Plans picked up Construction
Floud plain plan
Plans resubmitted Mechanical
Grading plan
2`"Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plutnbing
Grant Deed
Plans picked up SALL
fLO.A. Approval
Plans resubmitted Grading
IN HOUSE:-
'"d Reyiew, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.U.P.
Pub. VYks. Appr '
Date of permit Issue
School Fees
Total Percent Fees