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BMCH2019-012878-495 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 0 BOX 10991 PALM DESERT, CA 92255 c&ty/ 4 4v Qum& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT MECHANICAL/ BMCH2O19-0128 53625 AVENIDA ALVARADO 774113032 GENTON / AC CHANGEOUT 3 TON 16 SEER PACKAGE SYSTEM $7,600.00 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 Clan., CC20. C36 License No 8187 Date: P f)1//q Contract '.0 'e, .4 Cata, 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 ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). () I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.), (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/2019 Owner: JUDY GENTON 75600 FAIRWAY DR INDIAN WELLS, CA 92253 ContracC � 11 D PREC H e$a P 0 BOX 10991'' LaJ 17 q PALM DE15 RT, CA 99A P L. (760)776-1550 CITY OF l q0 QlU iN 1A LIC. NoDOW DEVE O JIMIEN I DEP"i",.'R i L'1ENT 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 oftV370D which this permit is issued. e and will maintain workers' compensation insurance, as required by Secthe 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 the Labor Code, I shall forthwith Comply with t17 Sep islons. L` ./lDater I � Aoeliran 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 city to Ater upon the above-m/7ejn oned property for inspection purposes. Date: e 11q Signature (Applicant or Age ~ Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: PREC H & A INC P 0 BOX 10991 PALM DESERT, CA 92255 BMCH2O19-0128 53625 AVENIDA ALVARADO 774113032 GENTON / AC CHANGEOUT 3 TON 16 SEER PACKAGE SYSTEM $7,600.00 Owner: JUDY GENTON 75600 FAIRWAY DR INDIAN WELLS, CA 92253 Contractor: PREC H & A INC P O BOX 10991 PALM DESERT, CA 92255 (760)776-1550 Llc. No.: 818759 Date: 4/17/2019 Detail: HEAT PUMP, AIR HANDLER AND CONDENSER CHANGE OUT - 14 SEER/PACKAGE SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-42404 101-0000-20306 0 $1.00 $10.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION QTY ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT $5.00 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT- PACKAGED UNIT PC 101-0000-42600 0 $26.68 Total Paid for CHANGEOUT: $66.70 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 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 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 taPERMIT # PLAN LOCATION: Project Address: 6-3 (." ,�.S FF.ueNI QL Project Description: APN #: C C-kicc e (] U - < Patio/Porch SF Fire Sprinklers SF `2 ti Applicant Name: Address: v+ (-- a r �� .�eovL- t:vl aer- City, ST, Zip: Telephone: Email: U U Valuation of Project $ Contractor Name: Pre C l 1,e A-J:r,e . New SFD Construction: Address: P. 6 /K D c/ CondNO ned Sp ce SF City, St, Zip PI m 4 q lit. Garage SF Telephone: f7 -&o-) 7-7,-, / j—SY� Email: 0(-e015/6-n1-,� Patio/Porch SF Fire Sprinklers SF State Lic4/ F 7S9 City Bus Lic: Email: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Construction T.y e: O upan cy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name:: v dv6e4 AoA New Commercial / Tenant Improvements: Address: �j,�j ��s� ��r ,� ��utrQ Total BO ing SF City, ST, Zip q_ vI Construction T.y e: O upan cy: Telephone: Email: 07 e pt �-G bo 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) i 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 Ullt-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)3E 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 Identification New or System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat or Name Type Components Type Value Replaced New Duct System Type Components Type Value Type Dud Length R -Value Central No Heating This field or This field or All new System 1 Component section is not section is not Central HP cooling SEER Less than or packaged packaged HP 14 Setback Altered applicable applicable components equal to 40 R-8 Reoulrcd Ogcur�gtg[ion: feet 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 ICL 11 and 14-16) CF2R and MR -MCH -20-1-1 - Duct Leakage Test required when heating or cooling components are Installed In ducted systems, or when more than 40 it of duct length is replaced -Leakage rate compliance: <=15 percent or <=10 percent leakage to outside, or seal all accessible leaks. CUR and MR -MCH -25-1-1 Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. EK5:S+ F3iP_AA: - 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 asbestosam exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Dud System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)3E, 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:419-A020036764A-000-000-0000000-0000 Registration Date/Time: 2019-04-16 18:23:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-16 18:23:55 Schema Version: rev 20180426 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Documentation Author's Declaration Statement I. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Authot Name: Afbert Aceves Doeu mentatlon Author Signature: _ A3Im�tAreves• Company: Precision Heat & Air, Inc. PO Box 11090 City/State/Zip: Palm Desert CA 92255 Responsible Person's Declaration statement Signature Date: 2019-04-16 CEA/ HERS Certification Identification (If applicable): Phone: 760-275-2362 CFIR-ALT-02-E (Page 3 of 3) 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, t am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building 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 t 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 enforcement agency for approval with this building permit application 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable Inspections, t understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Albert Aceves Responsible Designer Signature: Acen+rsi- Company . Precision Heat & Air, Inc. Address: PO Box 11090 #627 City/State/Zip: Palm Desert CA 92255 Olgitafly signed by CHEERS'". This digital signature is provided In order to secure the cement orchis registered document, and In no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 419-A020036764A-000-000-0000000-0000 Registration Date/Time: 2019-04-16 18:23:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-16 18:23:55 Schema Version: rev 20180426 TE OF COMPLIANCE CF1R-ALT-02-E 0 tAlterationsto Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 3) me: Judy GentonDate Prepared: 2019-04-16 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 Judy Genton 02 Date Prepared 2019-04-16 03 Project Location 53625 Avenida Alvarado 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Judy Genton 07 Zip Code 92253Dwelling Unit Conditioned OS Flour Area (ftZ) 1400 Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: B. Space Conditioning (SC) System Information O1 02 03 04 OS O6 07 08 09 10 Installing a SC System SC System CFA served refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC containing system more than 40 entirely new entirely new ;ducted Name Served System (ftZ) component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1400 Yes Yes No No No Altered space - _ conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib) This section does not apply to this project. Registration Number: 419-A020036764A-000-000-0000000-0000 Registration Date/Time: 2019-04-16 18:23:55 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-16 18:23:55 Schema Version: rev 20180426