BMCH2017-032378-495 CALLE TAMPICO
4 aw
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
& DEVELOPMENT DEPARTMENT
FAX (760) 777-7011DESIGN
� INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/28/2017
Application Number: BMCH2O17-0323
Property Address: 79475 HORIZON PALMS
CIR
PEOUTJuL
Owner:
BRIAN SMITH
APN: 604100011
5515 SW CHARLESTOWN
Application Description: SMITH RESIDENCE / HVAC
Property Zoning:
CHIJ,
2 2017
SEATTLE, WA 92253
Application Valuation: $990.00
u -Coit
�FSIGNAND(Applicant:D,C , &14) QU P
TA8AA
/E�Op�?nlrDfipgRT1�FREC
PREC H & A INC
H & A INC
P 0 BOX 10991
N%
P 0 BOX 10991
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)776-1550
Llc. No.: 818759
LICENSED CONTRACTOR'S.DECLARATION
I hereby affirm under penalty of perjury that I a nsed under provisions of Chapter
9 {commencing with Section 7000) of Division of th Business an rofessions Code,
and my License is in full force and effect.
License Class: C2 C36 License No.: 875
rontractor
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:
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: TRUCK INSURANCE EXCHANGE Policy Number: N20087119
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 Sectio of the Labor Co, hall forthwith
comply with th lse�p/roo inions.
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 oto enter upon he
above-mentioned pro erty for inspection purpose ZL:7
Date: Signature=(Applicant ot
11
Application Number: BMCH2017-0323
Property Address: 79475 HORIZON PALMS CIR
APN: 604100011
Application Description: SMITH RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $990.00
Applicant:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
Owner:
BRIAN SMITH
5515 SW CHARLESTOWN
SEATTLE, WA 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
Date: 7/28/2017
(760)776-1550
Llc. No.: 818759
---------------------------------------------------------------------------------------------
Detail: AIR HANDLER, ONLY TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIALINFORMATION • /.
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
AIR HANDLER
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER PC
101-0000-42600
0
$12.67
Total Paid for MECHANICAL: $50.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42.404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
1 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
11
0
0
r
Bin �� a
City of La Qui [ to
Guildin. 8F Safery Division
Permit 78-495 Calfe Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: '7 L l wner's Name:
A. P_ Number:
Address:
Legal Description:
City, ST, Zip: �lT� /� s�S
Contractor:
-1-4,/.
Telephone %
Address:PoaQ�
110?_6
Project Description:�.� s ��
City_ ST, Zip:
h e
Tele on �
P Y , le /5
State Lic. # : l
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P
<'` <f<:.;.:.;::•>;:
:•;:
:.::ProJect
c
Construction Type: Occupancy: (��y/ or—
type circle one):: Add'n Alter Repairair Demo
State Lic.
Name of Contact Person:
Sq. Ft_:
# Stories:
# Units:
Telephone # of Contact Person:
�d
Estimated Value of Project: 49
to Submittal
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd Rcc'd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Calcs.
Called Contact Person
Plan Cluck Balance,
Title 24 Calcs.
Plans picked up
Construction '
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correctionsriissue
Electrical
'Subcontaetor Lis(
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IH ROUSE:-
7rd Review, ready for correctionsfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
I
Total Permit Fecs
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: C. Smith Date Prepared: 2017-07-26
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
C. Smith
02
Date Prepared
2017-07-26
03
Project Location
79475 Horizon Palms Cir
04
Building Type
Single family
05
CA City
La Quinta
-06
Dwelling Unit Name
Condo
07
Zip Code
92253D
08
welling Unit Conditioned
1280
system
more than 40
entirely new
entirely new
Floor Area (ftz)
Name
Served
System (ft)
u
component? .
components?
feet of ducts?
09
Climate Zone
15
FNumberofSpace
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04 %W.+
0.5 05 t
06
07
08
09
10
SCS stem
System
SC System
y
CFA served
Is the SC.
c s[ri
system a
Installing.a,.
4tf°'r�r t �i � rE
refrigerant
JddY►3 hlte; !"'r
Installing new SC^
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component? .
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Unit #1
Condo
1280
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)iDiib)
This section does not apply to this project.
Registration Number:417-A020105773A-000.000.0000000-0000 Registration Date/Time: 2017-07-26 20:24:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards: 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07.26 20:24:31
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 1S0.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling '
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Unit ql
Central as
g
furnace
furnace
All new
heating
AFUE
0.81
Centralsplit
Indoor coil
SEER
14.01
Setback
Less than or
equal to 40
R-8
components
I
feet
Required Documentation:
CF211-MCH-01-E - Space Conditioning Systems •,
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums:'R6 (CZ 1 10 12'an13) and R8 (C2 11 and 14-16)
CF2R and CF3R•MCH-20-H -Duct Leakage Test required when heating or cooling components are Instal edlnductedsystems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 1S% or <= 10% leakage to outside, or seal all accessible leaks.
ter, is
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componerits:areimstalled or altered )applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceotions:
• Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or withouNuip int Ch ngeou (Sections 150.2(b)1Diia and 150.2(b)IE, F)
Tctnoso pytlsejside'aplto prdct.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020105773A-000-000-0000000.0000 Registration Date/Time: 2017-07-26 20:24:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-26 20:24:31
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT HVAC) (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:
Albert Aceves AtberCaceveb•
Company: Signature Date:
Precision Heat & Air, Inc. 2017-07-26
Address: CEA/ HERS Certification Identification (if applicable):
PO Box 11090
City/State/Zip: - Ph
Palm Desert CA 92255 1',7_60Z75-2362
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. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for uilding 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.
4. 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 enforcementpeacy for.approvalmith this budding pBerrnit appljcation.
5. 1
will ensure that a registered copy of this Certificate of Compliance shall be madeW.t budding:peelrmit(sK) sued 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 requl1`6 to be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Albert Aceves un YWCChed rVjCt
1 Responsible Designer Signature:
rq q" ?Py rlCjr
Company:
Date Signed:
Precision Heat & Air, Inc.
2017-07-26
Address:
License:
PO Box 11090
818759
City/State/Zip:
Phone:
Palm Desert CA 92255
760-275-2362
Digitally signed by CHEERS'". This digital signature is provided in order to secure the content of this registered
document and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A02010S773A-000-000-0000000-0000 Registration Date/Time: 2017-07.26 20:24:31 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-26 20:24:31
Schema Version: rev 10/16