BMCH2018-000578-495 CALLE TAMPICO 4 0 D 0"'. VOICE (760) 777-7125
FAX (760) 777-7011
1A QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/11/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application'Number: BMCH2O18-0005 MICHAEL KWIATKOWSKI
Property Address: 48614 VISTA PALOMINO 48614 VISTA PALOMINO
APN: 602200026 LA QUINTA, CA 92253
Application Description: KWIATKOWSKI / COIL CHANGEOUT 14 SEER. SPLIT SYSTEM
Property Zoning:
Application Valuation: $1,339.00
Applicant: Contractor:
PREC H & A INC ® PREC H & A INC
P-0 BOX 10991. P O BOX 10991
PALM DESERT, CA 92255 JAN 4 2018 PALM DESERT, CA 92255
CITY OF LA-QUINTA DD (760)776-1550
DESIGN AND DEVELOPMENT DEPARTMENT LIC. 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 Professions Code, and
my License is in full force and effect.
License Class: C20, C36 License N . 818 9
Q� r
Date: I I O Contract
OWNER -BUILDER DECLARATION
1 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 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.).
(' 11, 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 Seca B4P.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 Na
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, ided for by Section 3700 of the Labor Code, for the performance
oft,�rpv
which this permit is issued.e and will maintain workers' compensation insurance, as required by
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:
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 become subject to the
workers' compensation provisions ofSe 00 of the LabOCI shall forthwith
comply with those provisions.
Date: ` a Applic t:
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 oft to ter upprythe above-
mentioned property for inspection purposes. x Af
Date: < « Signature (Applicant or Ag t): ~
Date: 1/11/2018
Application Number:
BMCH2018-0005
Owner:
Property Address:
48614 VISTA PALOMINO
MICHAEL KWIATKOWSKI
APN:
602200026
48614 VISTA PALOMINO
Application Description:
KWIATKOWSKI / COIL CHANGEOUT 14 SEER SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$1,339.00
Applicant:
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 CbIL CHANGE OUT'ONLY- 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL ••
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 -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 PERMITISSUANCE: $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
TOTALS:
j+
0"if Ira
........... _Wcr.M.r51sk.rrr --
PERMIT # Pt6
&001S_
PLAN LOCATION:
City, St, Zip �cw l w1 �5. c�s"—I �l'7 9� Z S
Project Address: ��L� y51
Project. Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
C vim{"
u TonP (%,Se
State Lic: 7559 City Bus Lic:
-Yt'o W C
ly/ X
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $
1 3 3 9
Contractor Name:h, t D ¢ • f, C .
New SFD Construction:
Address: f, j O V C1 0
Conditioned Space K SF
City, St, Zip �cw l w1 �5. c�s"—I �l'7 9� Z S
Garage .. SF
Telephone(- v) 7 7 SSU
Patio/Porch SF
Email: reaI 5 L v n (Z)Fire
Sprinklers SF
State Lic: 7559 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
#Units:
Email:
State Lic: City Bus Lic:.
Property Owner's Name: (� ate' ta0w5,k
New Commercial /Tenant Improvements:
Address: L( V b4r, ?4 O
Total Building SF
City, ST, Zip v , ZZS 3
Construction Type: Occupancy:
�jl O� (—
!emephone:
ail L� �. 0a)
U 78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
#
A4
Submittal
Req'd
-Rec'd
Plan Sets
� Y
Structural Calcs
r .
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
i
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval .
Fire approval -
City Business License
� Y
r .
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space`Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: Michael Kwiatkowski Date Prepared: 2018-01-11
A. General Information
CFIR-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
Michael Kwiatkowski
02
Date Prepared
2018-01-11
03
Project Location
48614 Palomino
04
Building Type
Single family
05
CA City
La Quinta 1;
06
Dwelling Unit Name
house
SC System
SC System
CFA served
system a
refrigerant.
Installing new SC
07
Zip Code.
92253
Dwelling Unit Conditioned
4243
by this SC
ducted
containing
O8
Floor Area (ftZ )
entirely new
entirely new
f
Served'
System (ft)
system?
component?
components?
, f. 'C
! ,
Number of Space
Alteration Type
09
Climate Zone
15- i10
Conditioning (SC) Systems in
1 ,
,,
this Dwelling Unit:
house
B. Space Conditioning (SC) System Information
01
02
03
04%90
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
Unit #1
house
4243
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-A020001900A-000-000-0000000-0000
CA Building Energy Efficiency Standards- 2016 Residential Compliance
Registration Date/Time: 2018-01-11 10:42:02
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-11 10:42:03
CERTIFICATE OF COMPLIANCE CF1R-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)lE and F)
s:
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
Central gas
No heating
This field or
This field or
Central split
Less than or
Unit #1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems y
- 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% or <= 10% leakage to outside, or seal all accessible leaks. 0 E. Vcf
.mow
4^Y.� ...Tl�
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 ' �'µ
Exceotions:
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.
!�: it
11.E 1A '614
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C)
This section does not apply to this project.
Registration Number: 418-A020001900A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-11 10:42:02
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-11 10:42:03
CERTIFICATE OF COMPLIANCE CF1R-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
AUvwtAcevey
Company:
Signature Date:
Precision Heat & Air, Inc.
2018-01-11
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 11090
City/State/Zip: *..
f i
-Phone:
760-275-2362
Palm Desert CA 92255 `�.r
Responsible Person's Declaration statement
.::
I certify the following under penalty of perjury, under the laws of the State of California: - r�7,;
1. The information provided on this Certificate of Compliance is true and correct. A
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•forapprovakwith this building permit application.
5. 1 will ensure that a registered copyof this Certificate of Compliance shall be.made available with the buildi4permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of C pliance isrequired to be ibnc tided with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Albert Aceves
AUyertAcevey
Company:
Date Signed:
Precision Heat & Air, Inc.
2018-01-11
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: 418-A020001900A-000-000=0000000-0000 Registration Date/Time: 2018-01-11 10:42:02
CA Building Energy Efficiency Standards - 2016 Residential Compliance _ Report Version: 2016.1:006
Schema Version: rev 10/16 .
HERS Provider: CHEERS
Report Generated: 2018-01-11 10:42:03