BMCH2017-04600
L '
78495 CALLE TAMPICQ,.
to QUINTA, CALIFORNIA`92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
4 auucicv VOICE (760) 777-7125
FAX (760) 777-7011,
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
�. BUILDING PERMIT
Date: 10/25/2017
MECHANICAL/
BMCH2O17-0460
80545 VIA TALAVERA
777270026
LEVY / MECHANICAL'CONDENSER CHANGE OUT
$1,005.00
Applicant:
PREC H & A INC
P 0 BOX 11090
PALM DESERT, CA 92255
Owner:
MITCHELL LEVY
,80545 VIA TALAVERA
LA QUINTA, CA 92253
Contractor:
PREC H &A INC
P 0 BOX 11090
PALM DESERT, CA 92255
i (760)776-1550
Llc. No.: 818759 `
LICENSED CONTRACTOR'S DECLARATION' WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and _ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effectcompensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C36 License No.- 875 ti of theskork for which this permit is issued.
I ave and will maintain workers' compensation insurance, as required by
2� Cont tor, 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:
OWNER -BUILDER DECLARATION Carrier: TRUCK INSURANCE EXCHANGE Policy Number: N20087119
a fhereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Busiriess and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any compensation laws of California, and agree that, if I should become subject to the
structure, priorto its issuance, also requires the applicant for the permit to file a signed workers' compensation provisions of Section 3700 of the Labor e, I sfia orthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those. provisions.
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 Date: `' ZS �� Applicant:
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penaltyof not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA LAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 + APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
(
11, as owner of the property, am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, as'a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.). employees for any act or omission related to the work being performed under or
(_) I am exempt under. Sec. B.&P.C. for this reason 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
Date: Owner: for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. -3097, Civ. C.). construction; and hereby authorize representatives of t ' city to enter upon the above-
mentioned proper for inspection purposes.
Lender's Name:
Date <'J Signature (ApplieantT -Ager.
Lender's Address:
Date: 10/25/2017
Application Number: BMCH2O17-0460 Owner:
Proper 'Address "8d5A3`V1A TALAVERA f MITCHELL LEVY
ASN: 777270026 80545 VIA TALAVERA
Application Description: LEVY / MECHANICAL CONDENSER CHANGE OUT LA QUINTA, CA 92253 f
Property Zoning:
Application Valuation: $1,005.00
Applicant: Contractor:
PREC H & A INC PREC H & A INC
P 0 BOX 11090 P 0 BOX 11090
PALM DESERT, CA 92255 PALM DESERT, CA 92255
' (760)776-1550
. '. Llc. No.: 818759
Detail: HVAC CHANGE OUT - 14.1SEER. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING
CODES.
f
l F.
FINANCIAL INFORMATION
ACCOUNTQTY 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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER'ONLY PC
101-0000-42600
0
.$26.01
Total Paid for CHANGEOUT: $65.02.
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
502-000043611
0
$5.00
lain#
. '
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
hermit#
Project Add �,-•-
I G 1/ erg-
Owner's Name:
a
v
�P. Number
•
Address: /
SGS � a� 2 (�t/2r •
Legal Description:.
City, ST, Zip: U • ��
Contractor:
Tele one:
ddress: 0 (5 �7 �0�n
Project Description:
City, ST, Zip:
GK
Telep n .G 11
t,✓ A v .
La
State c. #: 8 7
City Lie #:
rch, Engr., Designer:
ddress:
City, ST, Zip:.
Telephone:
Construction Type:
Occupancy:
State Lie. #:
Proj. Type
w
Add'n
Alter
Repair
Demo
ame of Contact:
a
SgFt:
#Stories
#. Units:
Telephone of Contact:
Estimated Value of Project:
�y ��d 5-.50
F�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES .
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact, Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
.
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
W
CEC-CF1 R -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:
Enforcement Agency:
Date repa ed:
Permit#:
5' a. a lawe
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Required R -value
Co ditioned 2
Floor Area (ft)
Thermostat
❑ Packaged
❑ Evaporator Coil
AFUE
COP
❑ R-6 (CZ 1-10, 12&13) Ducts
Served by system
❑ Setback
System
Ij8-Enndensing Unit
Iq
,
R-8 (CZ 11, 14-16) Ducts
2
ft
(If not already
;ff❑
-Split System
❑ Compressor
SEER
HSPF❑
> R-2.8 Lineset'
present, must
❑ Mini Split
❑ Lineset
be installed)
❑ Furnace
0- 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-03-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2
Compressor, TXV, Lineset,
CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2
Air Handler/Furnace2 (Can include new ducting)
Installer Requirement: Duct leakage (!5.15%, or <_10% 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
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building — ------- I
❑ 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-H2
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 Ducts3 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 z 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 I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CF1R-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (5 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 R n a verI'Vco
' All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist o reused parts. rom the dwe ing 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. OCT 2 5.2017
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: CITY OF LA QUANTA
1. The information provided on this Certificate of Compliance is true and correct.■n��
2. 1 am. eligible under Division 3 of the California Business and Professions Code to accept respon �F. o rtPAXRt.
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, work ets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building per ' ap licatigtf
Res nsible Designer me:
spo le Desig er Si
Date Sig ed:
License:
i� 5
ompany:
el
ress•
D II
Cit tate Zip:
Phone:
7�0 -7761-15-5-b
For assistancd 6r questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-71 -3300
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: M. Levy Date Prepared: 2017-10-23
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
M. Levy
02
Date Prepared
2017-10-23
03
Project Location
80545 Via Talavera .
04
Building Type.
Single family
05
CA City
La Quinta mss. --n
„06
Dwelling Unit Name
House
Identification or
Location or Area
by this SC
ducted
containing
- system
more than 40
entirely new
it �, ���r,C✓
Dwelling Unit Conditioned:
Served
07
Zip
Zi Code
92253 �
'08
ri 1
t
Floor Area (ft),
1800
SC system?
Alteration Type
Unit #1
Living space
Number of Space
Yes
09
Climate Zone
`�
15 ?,��
10
�
Conditioning
g SC ( ) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04'x-
05'i
06
07
08'
09
10
SC System
SC System
CFA served
Is the SC.
4tf tLan-3-5
systema
Installing a,
::.. E,V,i
refrigerant
_tt i=aC+�'€
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 2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Unit #1
Living space
1800
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)
This section does not apply to this project.
Registration Number: 417-A020123796A-000-000-0000000-0000 Registration Date/Time: 2017-10-23 12:50:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-23 12:50:38
` Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CFlR-ALT-02-E
(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
Unit #1
Central gas
No heating
component
This field or
section is not
This field or
section is not
Central split
Outdoor
condensing
SEER
14:1
Setback
Less than or
equal to 40
R-8
furnace
altered
applicable
applicable
AC
unit
feet
Required Documentation: '
CF2R-MCH-01-E -Space Conditioning Systems � k", V? r
-Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums. R6'(CZ 1 10 12�an`d 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 dud length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
a�.t �r^r
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' f
<
Exceptions:;/�
Dud 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, o'r`Refrigerant Charge MCH -25.
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
• Rf 0 L_ _..74 n U__., yI . +1
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, 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: 417-A020123796A-000-000-0000000-0000 Registration Date/Time: 2017-10-23 12:50:37 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-23 12:50:38
Schema Version: rev 10/16
f.).-
CERTIFICATE
.).
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
John Henry
Company:
Signature Date:
John Henry's Home Energy Rating Service
2017-10-23
Address:
CEA/ HERS Certification Identification (if applicable):
13699 Monument Street
RCN13130
City/State/Zip:;
Phone:
Desert Hot Springs CA 92240' - �,
;864=367-3484
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. 1 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 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 enforcement agency forapproval with this building permit application.
twill that of this Certificate of Compliance shall be madeavailable with tie building permit(s)-issued for the building, and made available to the enforcement agency for all applicable
5. ensure a registered copy
inspections. I 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: *„
('-I#"tft�`cche' 1-142r (Ct
Responsible Designer Signature:
A1i'tACev'e5I4L"
Albert Aceves
Company:
Date Signed:
Precision Heat & Air, Inc.
2017-10-23
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-A020123796A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 203.6 Residential Compliance
Registration Date/Time: 2017-10-23 12:50:37
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-10-23 12:50:38