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BMCH2017-004878-495 CALLE TAMPICO VOIC�60777-7125 LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT "! a_ INS ELTIONS 7 BUILDING PERMIT z. � tee: Application Number: BMCH2O17-0048 Owner: � �) O Property Address: 56670 MERION PAUL SPITZER m o f O APN: 762032002 26670 MERION ry Application Description: SPITZER. RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92 ?53 m D o _o Property Zoning: Application Valuation: $11,300.00 z Applicant: Contractor: %v PREC H & A INC PREC H & A INC P 0 BOX 10991 P 0 BOX 10991 PALM DESERT, CA 92255 PALM DESERT, CA92255 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: C20 C36 License No.:8187 9 2j_ (Date: I ontractor: 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 Add (760)776-1550 Llc. No.: 818759 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 perfornance 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 ::s to become subject to the workers' compensation laws of California, and agree thac, if I should become subject to the workers' compensation provisions of Section 3-0 of the Labor Code, I shall forthwith comply with those provisions. te: Applicant: - WARNING: FAILURE TO SECURE WORKERS' COCAPENSATION 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 th = Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this applioation•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 Zity of La Quinta, its officers, agents, and employees for any act or omission related to tfie 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 ssuance 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 of this city to ter upon above-mentio 71-7Pe4 roperty for inspection purposes. e: U% (Applicant or Agent): ` Application Number:. BMCH2O17-0048 Property Address: 56670 MERION .APN: 762032002 Application Description: SPITZER RESIDENCE / HVAC CHANGE OUT .Property Zoning: Application Valuation: . $11,300.00 Owner: PAUL SPITZER 26670 MERION LA QUINTA, CA 9253 Date: 3/6/2017 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 Llc. No.: 8187S9 --------------------------------------------------------- -------------------------------------- Detail: (2) HVAC CHANGE OUTS - 14 SEER/80AFUE SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. t FINANCIAL •R • DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 F EE' 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $76.00 Total Paid for CHANGEOUT: $228.00 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: $5.00 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALrf-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION 10 CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site ddress: - 541("7bNl�r►�n I�a �v�n-i-a, C 2_s3 Enforcement Agency: Date Prepared: 11117 Permit#: Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Conditioned Z Floor Area (ft) Thermostat ❑ Packaged )$'Evaporator Coil AFUE COP ❑ R-6 (CZ 1-10, 12&13) Ducts Served by system Setback System •��Split System 2— A Condensing Unit ❑ Compressor , ❑ R-8 (CZ 11, 14-16) Ducts /6Ud ftz (f not already p SEER HSPF ❑ > R-2.8 Lineset° /fid present, must ❑ Mini Split ❑ LinesetEER be installed) )P1 Furnace ❑ 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-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H' 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 (< 15%, or <_10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, 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)-H', MCH -25-H' CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H2 Mini Splits require CF111-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 >_ 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 Ducts3 and one or more of the following CF111-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 >_ 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 Ducts3 CFIR-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 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 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. 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. Resp 1e Des' ner N e: V. Responsib esign Sig ture: Date Si ned• 3 License: k187 S Nrnpany:• d reC�St�n �� C�C • A ress: 1 )^'. O. a L90 City/State Zip: F�wLL)ese14 Phone: (Io) 776, S I -or assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300