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BMCH2018-042878-495 CALLE TAMPICO D -! VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/16/2018 Permit Type/Subtype: MECHANICAL/ Owner: Application Number: BMCH2O18-0428 TAIN SOREBOE Property Address: 53580 AVENIDA OBREGON 53580 AVENIDA OBREGON APN: 774115003 LA QUINTA, CA 92253 Application Description: SOREBOE / 14SEER HEAT PUMP, CONDENSER AND AIR HANDLER Property Zoning: Application Valuation: $1,375.00 Applicant: r Contractor: PREC H & A INC 54j D PREC H & A INC P 0 BOX 10991 7. P 0 BOX 10991 PALM DESERT, CA 92255 DPALM DESERT, CA 92255 iLOCT 16 2018 . �\ I (760)776-1550 Ct l e ORAG A Llc. No.: 818759 jr- )I)lAta"—r0prr.irp ---------------------------------------------------------------------------------------- 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: Cr200 C3 License No.: Date: / LQ { Ie5� Contract r: 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(sl 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 Ad 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' com kesation, as provided for by Section 3700 of the Labor Code, for the performance of th rk far which this permit is issued. I have and wilt maintain workers' compensation insurance, as required by Sect 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number: 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 Section f the Labor Code, I shall forthwith complywith t ose provisions. Date: , Applica 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 MPORTANT: 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 'equest and for whose benefit work is performed under or pursuant to any permit ssued as a result of this application , the owner, and the applicant, each agrees to, and ;hall defend, indemnify and hold harmless the City of La Quanta, its officers, agents, and !mployees for any act 0r omission related to the work being performed under or ollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is )ot commenced within 180 days from date of issuance of such permit, or cessation of vork for 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinanceaands laws relating tobuilding :onstruction, and hereby authorize representatives to enter upon t e above-m%entioned property for inspection purposes. )ate: +` 0 � Signature (Applicant or Age �� C FINANCIAL INFORMATION 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 - CONDENSER ONLY 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - CONDENSER ONLY PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 1 $40.02 Total Paid for CHANGEOUT: $146.74 DESCRIPTION ACCOUNT QTY AMOUNT AIR HANDLER 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT AIR HANDLER PC 101-0000-42600 0 $13.34 Total Paid for MECHANICAL: $53.36 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT CITY 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 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 t0"fra - �P F.\Iq/,, I,I*sI HI' PERMIT # -M-M PLAN LOCATION: Project Address: �wJ��� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: C/ fJ LP Applicant Name: Address: City, ST, Zip: Telephone: Email: Valuation of Project $ Contractor Name: Pr C A�� New SFD Construction: Address: P • o JE)CV, Conditioned Spa SF City, St, Zip �� ��} 9�� 5-S Garage SF Telephone: `7� o '7-7L Patio/Porch SF Email: Q, (�dy� Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: 1Q j17 �0 rC° ©� New Commercial / Tenant Improvements: Address: 6-3 ® �U����� �j�� Total Buil g SF City, ST, Zip /r, il�Jf7 v5 Construction T Occupancy: Telephone: 76c) - Email: 0I-e-6 C) &—s 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-700.0 OFFICE USE ONLY # Submittal Req'd Rec'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3) Project Name: Obregon I Date Prepared: 2018-10-03 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 Obregon 02 Date Prepared 2018-10-16 03 Project Location 53580 Avenida Obregon 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Obregon 07 Zip Code 92253 Dwelling Unit Conditioned 08 1620 Floor Area (ftZ) Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant 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 (ftZ) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1620 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) Registration Number: 418-A020081240A-000-000-0000000-0000 This section does not apply to this project. Registration Date/Time: 2018-10-16 08:50:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-10-16 08:50:46 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(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 Fancoil AHU Central gas No Heating This field or This field or Central split Indoor coil This field or This field or System 1 furnace Component section is not section is not AC Outdoor SEER 14 Setback section is not section is not Altered applicable applicable condensing applicable applicable unit Required Documentation: CF2R-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 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <= 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed 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. Exceptions: 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 without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 418-A020081240A-000-000-0000000-0000 Registration Date/Time: 2018-10-16 08:50:46 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-10-16 08:50:46 Schema Version: rev 20180426