BMCH2017-043278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning: .
Application Valuation:
Applicant:
PREC H & A INC
P O BOX 10991
PALM DESERT, CA 92255
Td4t4 XP Qubtz
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/�_
BMCH2O17-0432
54465 AVENIDA ALVARADO
774235022 I SEP 2 6 2011
TINDALL RESIDENCE / HVAC CHANGE OUT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 _
Date: 9/27/2017
f Ow�r\
JEN NIFERTINDALL
5446�5 AVENIDA ALVARADO
�UINTA, CA 92253
$1,000.00 CITY OF (..{), 0,VN IA
DESIGN AND DEVFI.GPMENT DEPAR*4ENT
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: �20C36 License No.: Vf
^
Date: I//J' /y //1 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 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.).
L J1, 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
Lender's Address:
Contractor:
PREC H & A INC
P O BOX 10991
PALM DESERT, CA 92255
(760)776-1550
Llc. No.: 818759
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 37® of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' ompensation insurance, as required by
Section 3700 of the Labor Code, for the perfo -mance 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 of the work for which this permit is issued, 1
shall not employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree tfat, if I should become subject to the
workers' compensation provisions of Section .3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date, Applicant: �G✓--- v`'-� '
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 FCR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tie Building Official for a permit subject to
the conditions and restrictions set forth on th;s application.
1. Each person upon whose behalf this app ication 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 th? City of La Quinta, its officers, agents, and
employees for any act or omission related to :he work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appl cation becomes null and void if work is
not commenced within 180 days from date o " 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 -4ate 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-mentior.wd prqperty for inspection puiposes.
Date: / 7Signature (Applicart or Agent):
f
`
Date: 9/27/2017
Application Number:
BMCH2O17-0432
Owner:
Property A:ddre9s:
54465 AVENIDA ALVARADO
JENNIFER TINDALL
APN:
774235022
54465 AVENIDA ALVARADO
Application Description:
TINDALL RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$1,000.00
Applicant:
Contractor:
PREC H & A INC
PREC H & A INC
P O BOX 10991
P 0 BOX 10991
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)776-1550
-------------=-------------------------------------------------------------------------------
LIc. No.: 818759
Detail: HVAC CHANGE OUT
- 14 SEER/80AFUE PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
f
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
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$25.33
Total Paid for CHANGEOUT: $63.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $9627
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
,0
N
STATE OF CALIFORNIA
ALTERATIONS - HVAC
"r"' 1
CEC-CFI1R-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterafloii's =HVAC CZ 2, and 8-15 (Page 1 of 1)
Site Address:
Enforcement Agency:
D -e repar d:
Permitil:
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Required R -value
ConditicAed 2
Flog Area (ft )
Thermostat
"ckaged
❑ Evaporator Coil
AFUE
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Served by system
11 Setback
System
❑ Condensing Unit
❑ R-8' (CZ 11, 14-16) Ducts
ft2
(If not already
❑ Split System
❑ Compressor
SEER
HSPF
❑ z 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 Final:
•AII Equipment, CFIR-ALT-02-E
Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2
Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2
Air Handler/Furnace= (Can include new ducting)
Installer Requirement: Duct leakage (< 1S%, or 510% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/tol, 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 duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. 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-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-1-12
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-1-12
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 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 Duds' 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-H
Compressor,.TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H
Installer Requirement: Dud leakage < S%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from dud leakage testing if: ❑ 1. Existing dud 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 Duds' CF1R-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (< 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
3 All New Ducts is when at least 7S%of the duct system is new duct material, and up to 2S%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 I" 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. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the'iniormation 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 fcr the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Fart 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 documents, worksheets, calculations, plans and specifications submited to the enforcement
agency for approval with this -building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
pant s/
Address: / 0 O
City./state/2i P` / Phol�Yrrz.
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-820-772-3300
Bin#
City of La Quin-ta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
-
Project Address:
r/2
Dim
N� i
VAN �� r
A.P. Number
Address:
Legal Description:
Ci , ST,
Contractor:
Tel one:
-
Address:
/O
Project Descriptlon A 0) 5 Z07�
City, ST, Zip:
Telephon
State Lic. #: % �✓ /
it' Lic #:9
Arch, Eng ., Designer:
Address:
City; ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
/ U2
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
Construction:
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
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 Permit Fees