BMCH2018-0027VOICE (760) 777-7125
78495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
BUILDING PERMIT
Date: 1/31/2018
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O18-0027
HARMON JOHNSON
Property Address:
79705 N N TOMFAZIO LN LN
APN:
766032021
LA QUINTA, 92253
Application Description:
HARMON / HVAC CONDENSER AND COIL CHANGEOUT
Property Zoning:
Application Valuation:
� IJ
D 'J
Applicant:
Contractor:
PREC H & A INC
JAN 3 1 2018
PREC H & A INC
P 0 BOX 10991
P 0 BOX 10991
PALM DESERT, CA 92255
CITYOFLAQdINTq
COMMUNITY
PALM DESERT, CA 92255
DEVELOPMENTDEPARTMENT
(760)776-1550
Llc. No.: 818759
--------------------------------------------------------------------------------------------
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.: 75
i
Date'!. -3 / 1 Y 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).:
(—1 1, 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.).
(1 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 ork for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Section 00 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
_ I certify that in the performance of the work for which this permit is issued, l
II not employ any person in any manner so as to become subject to the workers'
ipensation laws of California, and agree that, if I should become subject to the
,kers' compensation provisions of Section 00 of the Labor Code, I shall forthwith
iply with those provisions. /I
29 3 Q APPlicat' i i
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 of this cit to enter upon the above-
mentioned p/rope for inspection purposes.
Da�—t7 / 1 J�/ igraatuse (Applicant or Age ���
Date: 1/31/2018
Application Number: BMCH2O18-0027'
Owner:
Property Address: 79705, N N TOMFAZIO LN LN
HARMON JOHNSON
APN: 766032021
Application Description: HARMON / HVAC CONDENSER AND COIL CHANGEOUT
LA QUINTA, 92253
Property Zoning:
Application Valuation:
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
-------------------------------------------------------------------=------------------------
Llc. No.: 818759
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM CONDENSER AND INSIDE COIL.
CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
..: flESCRIPTION ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$26.01
Total Paid for MECHANICAL: $83.22
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE:, $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
F $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
I
.............�.� f.itiM rfrin 1.11'�l»ti:.t.• .�.__........
PERMIT #
PLAN LOCATION: .
Project Address:. 7C�7D� �Um `Q �D 1� /
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
to (114
Patio/Porch SF
Email: �,^,eC19, on{,c��� rl , C_
Applicant Name: ' arr lb y)q' C/12 be�SSdin5on
off- D?�. Se o
Address: 7. 7b 6 / o in F -Q ?4,D
State Lic: City Bus Lic.
City, ST, -Zip: P61m be se l -f 69# 9aa�5-3
Telephone: (`%cec�� 77/ - yr7 7
Email: he --h E QQ 0 /, (10 7n ,
Valuation of Project $
Contractor Name: Si077 T/e �r
New SFD Construction:
Address:
eg 6C
Conditioned Space SF
City, St, Zip 4 `� - l���S-�--
Garage SF
Telephon : ' 40�) 7 -7Le —16-G-0
Patio/Porch SF
Email: �,^,eC19, on{,c��� rl , C_
Fire Sprinklers SF
State Lic: ,g/?75 q City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grad
City, St, Zip
Construction Type. Occupancy:
Telephone:.
Bedrooms:Sto
'es:
# Units: ,
Email:
State Lic: City Bus Lic.
Property Owner's Name: }+a.rWLv Ck6-24-b1' d 0�0
7 New Commercial / Tenant Improvements:
Address: 05 oVn rC 2�v
Total Buildin SF.
City, ST, Zip Pal Yr D,95& --�- A/ d-95-5-
Construction Type. Occupancy:
Telephone:
Email: ` ✓�
78495 CALL TAMPICO
LA QUINTA, CA 92253
760-777-7000
#
Submittal
Req'd
•Reed
Plan Sets
Structural Calcs
Truss Calcs
Title•24 Calcs
Soils Report . .
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Wotks approval
Fire approval
City Business License
STATE OF CALIFORNIA
ALTZRATIONS - HVAC
Enforcement Agency:
Da a Pre red:
l�3/ V
Permit#1:
CE C I F1R-ALT-04-E Revised 01/16
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15
(Page 1 of 1)
Site Address:
`7q
Enforcement Agency:
Da a Pre red:
l�3/ V
Permit#1:
d b Z
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Conditioned
-
Required R -value
Floor Area (ft)Thermostat
❑ Packaged
li k&Qporator Coil
ip
0 AFUE
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Served by system
❑ Setback
System
M
2 Condensing Unit
❑ R-8' (CZ 11, 14-16) Ducts
ft
(If not already
Split System
❑ Compressor
SEER
HSPF❑
.8 Lineset
2 R2 4
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.
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 -20-1-1, MCH -(23 or 24)'-H, MCH -25-H'
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 (L15%, or 510% to outside, or seal all accessible leaks), Air Flow 2 300 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
Q 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'
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 -25-1-12
Mini Splits require CF1R-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 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 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' CF1R-ALT-02-E, CF2R-MCH-20-H, CF311-MCH-20-1-1
Installer Required to: Duct leakage (L15% 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.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 2'4), 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)
4 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.
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 submitted to the enforcement
agency for approval with this building perrpopplication.
Re onsible Designer Na e:
R spo ible Designer S'
DateSi n
License:
Co any:
/eC/ �S/U /
Apress:
/3"//01U
C' y/State/Zip:
W
Phone: v 77G.�s.�D
55
¢�`� _ n0
als�tLSV-. "O
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300