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BMCH2017-0407;, 78-495 CALLE TAMPICO I LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O17-0407 Property Address: 43615 ALBA CT APN: 609542022 Application Description: BARDSNESS RESIDENCE / Property Zoning: Application Valuation: $6,100.00 Applicant: PREC H & A INC P 0 BOX 10991 PALM DESERT, CA 92255 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT SEP 13 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEF 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: CZO C36 License No/8187�9 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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/13/2017 Owner: SHIRLEY BARDSh ESS 43615 ALBA CT LA QUINTA, CA 52253 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 clf the following declarations: I have and will maintain a certificaW 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 ofthe work for which this permit is issued, I shall not employ any person in any manner sons 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 =700 of the Labor , I shall forthwith comply with Tae pr visions t ? /7 A,Api cant: r 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 ($100,00]). IN ADDITION TO THE COST OF- COMPENSATION, F•COMPENSATION, DAMAGES AS PROVIDED FOE. 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 thi! 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 amity 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 appliotion 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 cancel tion. I certify that I have read this application and stzte 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 ofthis c(ity to enttey�ji on the a�-men lon?e pr—o7a perty for inspection purposes. l'✓'//pa Date: ✓ / Sign�nt x Age(� Date: 9/13/2017 Application Number: BMCH2O17-0407 Owner: Property Address: 43615 ALBA CT SHIRLEY BARDSNESS APN: 609542022 43615 ALBA CT Application Description: BARDSNESS RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253 Property. Zoning: Application Valuation: $6,100.00 Applicant: Contractor: PREC H &A INC PREC H & A INC P O BOX 10991 P O BOX 10991 PALM DESERT, CA 92255 PALM DESERT, CA 92255 (760)776-1550 --------------- ------------------------------------- Lic. No.: 818759 ---------------------- Detail: HVAC CHANGE O.UT - 14 SEER/80AFUE SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ------------------- ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. . l .• l• FINANCIAL DESCRIPTION. ACCOUNT . CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 • 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $114.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY AMOUNT '-TECHNOLOGY ENHANCEMENT FEE. 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin# • City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application. and Tracking Sheet Permit# Project Address: -z/6&v rL q,60 0� 1z Own e 's ame: 1- A.P. Number J A.P. Address:" 3/5-T Legal Description: City, ST, Zi / �� , `? `�� Contractor: Telephone: Address �/0 �! �V [[� l�J Project Descripdon: City, ST, Zip: �S— Telephone:'76,D —77,0 151-0 State Lie. #: City Lie #: Arch, Engr., Designer: Address- City,-ST, Zip: Telephone: Construction Type:_ Proj. TypeAdd'n 'ew Occupancy: D yU nom, Alter Repair Demo State Lie. #: Name of Contact: SgFt: #Stories # Units: Telephone of Contact: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up ConStrLction: Flood Plain Plan . Plans Resubmitted Mechasical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbi.-ig: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P' Pub. Wks. Apps Date of permit issue School Fees Total P_rmit Fees STATE OF CALIFORNIA ALTERATIONS, HVAC R CEC-CFIR-ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION �r CERTIFICATE OF COMPLIANCE i CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Sit � cjdre s:Enforcement Agency: D ,t repqred: Permit#: P Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Cc nditioned 2 Floor Area (ft ) Thermostat ❑ Packaged ❑ Evaporator Coil AFUE COP ❑ R-6 (CZ 1-10, 12&13) Ducts Served by system El Setback System ❑ Condensing Unit ❑ R-8' (CZ 11, 14-16) Ducts ft (If not already 05plit System ❑ Compressor SEER HSPF ❑ 2 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 belhw. At permit application this form is alloyed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allDwed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25 -HZ Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25 -HZ Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (:5.15%, or <_10%to outside, or seal all accessible leaks), Air Flow 2 300 CFM/tin, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of dcct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 Mini Splits require CFIR-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 3S0 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-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H Compressor, TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H Installer Requirement: Duct leakage < 5%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbes=os ❑ 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-MCH-20-H, CF3R-MCH-20-H Installer Required to: Duct leakage (5 15% or, 510% 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 CZS 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. 2 Heating only systems and Air Handler/Furnace changes do not require.Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25 ' All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of reused 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 andcorrect. 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 Comp lance 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. 5. 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. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: Company: Address: City/State/Zip: Phone: . For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-300-772-3300