BMCH2019-0135to. 1111'a
78-495 CALLE TAMPICO '�. D i- � VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/22/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0135 WILLERTON KEITH E. & KATHLEEN
Property Address: 54612 OAK TREE A104 54612 OAKTREE #A104
APN: 775081042 LA QUINTA, CA 92253
Application Description: WILLERTON / 14SEER EVAPORATIVE COIL CHANGEOUT
Property Zoning:
Application Valuation: $858.00 �� n
Applicant:D
/ [� \ 1 l Contractor:
PREC H & A INC - CARMEN ACEVES ,[r^� 1 LLLJJi PREC H & A INC
P O BOX 10991 P O BOX 10991
PALM DESERT, CA 92255 APR 2 2 2019 D PALM DESERT, CA 92255
CITY OF LAQUINTA (760)776-1550
DESIGN & DEVELOPMENT DEPARTMENT Llc. 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 Business and Professions Code, and
my License is in full force and effect.
License s¢ C C� License N�� ` (�
Oa[e' 1fJ
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
Lender's
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'
c*1, on,as provided forbySection 3700 ofthe Labor Code, for the performance
orwhich thispermitisissuedhave and willmaintain workers'compensation insurance, as required by
S0 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: gfr.01Ty (NATIONAL INSURANCE CQbdeaN.Y_ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shat I 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 oLSection 00 ofthe ode. I shall forthwith
comply wf those rovisions.
Dater Appll0
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 behalfthis 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 representatl s)f this city to upon the above-
mentione propjrty for inspection purposes. J`
Date: ! Signature (ApplicantLrg )
Application Number:
BMCH2019-0135
Property Address:
54612 OAK TREE A104
APN:
775081042
Application Description
WILLERTON / 14SEER EVAPORATIVE COIL CHANGEOUT
Property Zoning:
Application Valuation:
$858.00
Applicant:
PREC H & A INC - CARMEN ACEVES
P 0 BOX 10991
PALM DESERT, CA 92255
Dater 4/22/2019
Owner:
WILLERTON KEITH E. & KATHLEEN
54612 OAKTREE #A104
LA QUINTA, CA 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(760)776-1550
Llc. No.: 818759
Detail: HVAC EVAPORATIVE COIL CHANGE OUT - 14SEER 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
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.34
Total Paid for MECHANICAL: $18.68
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
Property Owner's Name: 1Lei +11 "1 lev`bv,
Address: S LI �f a- 00-t-
City, ST, Zip L_,a_
Telephone: 77& �
Email: H °v
New Commercial / Tenant Improvements:
Total Building
SF
V�. [ u "-S I Construction Type: Occupancy:
J 1
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Required Received
Pian 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.-O -E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
(Page 4 ofa_
Project Name:
Keith Wlllerton Date Prepared:
2019-0419
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 Keith Willerton
02 Date Prepared
2019-04-19
03 Project Location 54612 Oak Tree
04 Building Type
Single family
05 CA City La Quinta
06 Dwelling Unit Name
Oak Tree LQ
07 Zip Code 92253
08 Dwelling Unit Conditioned
Floor Area (ft2)
1400
Number of Space
09 Climate Zone 15
10 Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
02 02 03 04 0571nstalling
08 09
30
:�J
Is the SC Installing a
SC System SC System CFA served system a refrigerant
nfeetof
Installing InstallingIdentification
or Location or Area by this SC ducted containing
entirely new entirely newName
Served System (ft2)system? component?
duct system? SC system?
Alteration Type
System 1 Location 1 1400 Yes Yes
Yes No
No No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib)
This section does not apply to this project.
Registration Number:419-A020038100A-000-000-0000000-0000 Registration Date/Time: 2019-04-19 11:09:45 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-0419 11:09:45
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CFIR-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)
01
02
03
04
0S
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
Dud Length
R -Value
Central g as
No Heating
This field or
This field or
Central split
Less than or
System 1
furnace
Component
section is not
section is not
AC
Indoor coil
SEER
14
Setback
equal to 40
R-8
Altered
applicable
I applicable
feet
ReQuIced Dnc umentation=
0213•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 CF311-MCH-25-11 Refrigerant Charge verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15).
CUR and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
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.
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.
I F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) f
This section does not apply to this project.
Registration Number: 419-A020038100A-000-000-0000000-0000 Registration Date/Time: 2019-04-19 11:09:45 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-19 11:09:45
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
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 I AfbertFltxhry
Company:
Precision Heat & Air, Inc.
PO Box 11090
citylstatellip:
Palm Desert CA 92255
Responsible Person's Declaration statement
Signature Date:
2019-04-19
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. 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 for approval with this building permit application.
S. I will ensure that at registered copy ofthis 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. 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:
Albert Aceves
Company:
Precision Heat & Air, Inc.
PO Box 11090
City/statol7.ip:
Palm Desert CA 92255
Responsible Designer Signature:
AUWtAC.&
Date Signed:
2019-04-19
License:
818759
Phone:
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: 419-A020038100A-000-000-0000000-0000 Registration Date/Time: 2019-04-19 11:09:45
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018,0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-04-19 11:09:45