BMCH2018-000678495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype: MECHANICAL/
Twyl 41 4. a"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O18-0006
Property Address:
78920 RANCHO LA QUINTA DR
APN:
646370008
Application Description:
O'NEIL / HVAC COIL CHANGEOUT.14.1 SPLIT SYSTEM
Property Zoning:
Application Valuation:
$819.00
Applicant:
PREC H & A INC
2 0 BOX 10991 ,
PALM DESERT, CA 92255
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, C366 License No.: AU759
Date: O
Contrail 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).:.
(_J 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.).
.( ) 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.).
(_J 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/11/2018
-Owner:
MIKE ONEILL
3770 NW BRONSON CREST LP
PORTLAND, OR 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(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'
com ensation, as provided for by Section 3700 of the Labor Code, for the performance
of
ork for is permit is issued.
have and will maintain workers' compensation insurance, as required by
Se 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:
SWC1159655
_ 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 be ubject to the
workers' compensation provisions of Section 3700 of the or Code, I s II forthwith
comply with those provisions.
Date: I I ) / I / C: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE RJNLAWFUL,
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 to pon a above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent
j Date: 1/11/2018
Application Number: BMCH2O18-0006 Owner:
Propetty'Address: <<'`'• `• ?.78920 RANCHO LA -.QUI NTA DR MIKE ONEILL
APN: - 646370008' 3770 NW BRONSON CREST LP
Application'Description: O'NEIL / HVAC COIL CHANGEOUT 14.1 SPLIT SYSTEM PORTLAND, OR 92253
Property Zoning:
Application Valuation: .$819.00
Applicants Contractor:
PREC H & A INC PREC H.& A INC
P 0 BOX 10991 P 0 BOX 10991
PALM.DESERT, CA 92255 PALM DESERT, CA 92255
• (760)776-1550. •
Llc. No.: 818759
Detail; HVAC COIL CHANGE OUT - 14.1SEER SPLIT SYSTEM -CARBON MONOXIDE ALARMjS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL
,DESCRIPTION
INFORMATION
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 - OTHER EQUIPMENT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT.- OTHER EQUIPMENT PC
101-0000-42600
.0
$39.01
Total Paid for CHANGEOUT:
$78.02
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 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
wo 777 -70
PLAN LOCATION
Project Address:
���
'Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Telephone:��� �� s�
�i2�'✓��/l2 �- �2w�lC�i GI ��/
Email: fif C� 5LD n
Fire Sprinklers SF
State Lic: City Bus Lic:
Applicant Namc:
tate Lic: City Bus Lic:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation.of Project $ �l
Contractor
New SFD Construction:
Address:, 6 A U �% 0
Conditioned Space SF
City, St, Zip [ ��` �S
Garage — SF
Telephone:��� �� s�
Patio/Porch • SF'
Email: fif C� 5LD n
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
�ity, St, Zip
Construction Type: Occupancy:
telephone:
Bedrooms:
Stories:
#t Units:
:mail:
tate Lic: City Bus Lic:
'roperty Owner's Name:M, !v J,
New Commercial /Tenant Improvements:
iddress: �n Q (J�ry/
Total.Building. SF
:ity, ST, Zip 0 1 n1A UYL
Construction Type: Occupancy:
elephone: 3 .
.mail: tM��� I �c/C�JYY1CQisfr
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly'CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: M.O'Neill Date Prepared: 2017-11-14
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
CFIR-ALT-02 document for each dwelling unit. i
01
Project Name
M.O'Neill
02
Date Prepared
2017-11-14'
03
Project Location '
78920 Rancho La Quinta Dr
04
Building Type
Single family
05
CA City
La Quinta
-06
Dwelling Unit Name
House
07
Zip Code
92253
CFA served
Dwelling Unit Conditioned
g00
'Installing new`SC'
Installing
Installing
Installing
Floor Area (ft)
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Number of Space
System (ft)
09
Climate Zone
15
s 10
Conditioning (SC) Systems in
1
Alteration Type
Unit #1
Living space
800
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
.
01
02
03
04 %,,0
s 105 L—
O6L %;
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system'ar1
'' 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 (ft)
system?
component?
components?
feet of ducts?
ductsystem?
SC system?
Alteration Type
Unit #1
Living space
800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Secti6n150.2(1b)1Diib)
This section does not apply to this project. .
Registration Number: 417-A020128411A-000-000-0000000-0000 Registration Date/Time: 2017-11-14 19:06:49 HERS Provider: CHEERS
.CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-14 19:06:50
Schema Version: rev 16/16 /
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)IE and F)
01
02nHeating
04
05
06
07
08'
09
10
11
12
Heating
Cooling
System
Heating
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
SystemEfficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
No heating
This field or
This field or
Central split
Less than or
Unit cal
furnace
component
section isnot'
section is not
AC
Indoor coil
SEER
14.1
Setback
equal to 40
R-8
altered
applicable
applicable
feet
Renuired Documentation:
CF2R-MCH-01-E- Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and retum-air ducts or plenums: R6 (Q 1�i0 12'antl13) and R8 (Q 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed In duRed;iystems, or when more than 40 it of duct length is replaced
-Leakage rate compliance: r- 15% or — 10% leakage to outside, or seal all accessible leaks.
- %-."_ "�:�� -
.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant Containing come a 6lied or altered (applicable in CZ 2, 8-15).
y�
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.
'
-� 1-n:.:
E. Entirely New or Complete Replacement Duct System, with or.wlthout Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)IE, F)
EtTfiis section d'o`es 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-A020129411A-000-000-0000000-0000 Registration Date/Time: 2017-11-14 19:06:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:.2016.1.006 Report Generated: 2017-11-14 19:06:50
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:.
Albert Aceves
afberracewti
Company:
Signature Date:
Precision Heat & Air, Inc.
2017-11-14
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 11090.
City/State/Zip:
Phone:
Palm Desert CA 92255
760275-2362
Responsible Person's Declaration statement «
I certify the following under penalty of perjury; under the laws of the State of California - '
3. The information provided on this Certificate of Compliance is true and correct. - -
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibi1416or theibuilding 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 for approval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance s��ial�be m de'pavailabkM' whh the'tiuildir��p imh(s) ued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is�krequired to be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible,Designer Signature:
Albert Aceves - t ` "ditiebrkcevrvl'tY
-
Company:
Date Signed:
Precision Heat & Air, Inc.
2017-11-14
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-A020128411A-000-000-0000000-0000 Registration Date/Time: 2017-11-14 19:06:49
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-11-14 19:06:50