BMCH2020-005178-495 CALLE TAMPICO C& 0 D 4,v Qum&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O20-0051
Property Address: 79845 RANCHO LA QUINTA DR
APN: 602220023
Application Description: AMMONS / 14SEER EVAPORATIVE COIL CHANGEOUT
Property Zoning:
Application Valuation: $834.00 n
Applicant: n
U u
PREC H & A INC u
P0BOX 10991
PALM DESERT, CA 92255 MAR 17 2020
CITY OF UWUINTA
DESIGN &DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C20. C36 License No.: 818759
Date:= -0__kZ0 Contractors ,,
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/17/2020
Owner:
STEPHEN AMMONS
79845 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
PREC H & A INC
P O 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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thee wo for which this permit is issued.
have 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: kCURITY NAT10NAL I INSURANCECOMPANY 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:—Mm pplicant: W..;&._1—f XLA�_ f
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 enter upon the above -
mentioned property for inspection purposes.
Dater Signature (Applicant orAgen
Date: 3/17/2020
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
BMCH 2O20-0051
79845 RANCHO LA QUINTA DR
602220023
AMMONS / 14SEER EVAPORATIVE COIL CHANGEOUT
$834.00
Owner:
STEPHEN AMMONS
79845 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
PREC H & A INC
P 0 BOX 10991
PALM DESERT, CA 92255
(760)776-1550
Llc. No.: 818759
Detail: 5 - TON HVAC EVAPORATIVE COIL CHANGE OUT - 14SEER CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2019
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$13.42
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.37
Total Paid for MECHANICAL CHANGEOUT 2019: $18.79
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Qa�fra
(:a1IFORNIA ---
Project Address: M
APN #:
Applicant Name: S%tE AS c0KnK C-T0IL
Address:
City, ST, Zip:
Telephone:
Email:
KHtHzoto - �r�
ect Description: 0- �CCGl pL-7
1 C�ir 1 — rj +zJ 00 1
?) P 0 U Y�1
Valuation of Project $ `W
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
er. .
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
(Page 1 of 3)
Project Name:
Steve Ammons Date Prepared:
2020-03-16
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 Steve Ammons
02 DAte Prepared 2020-03-16
03 Project Location 79845 Rancho La fluinta Dr.
04 Auii01ng Ty pc Single family
OS CA City La Quinta
06 Dwelling Unit Name Stem Ammons
07 Zip Code 92253
06 Dwelling Unit Conditioned Floor 1800
Area (ft)
Number of Space Conditioning
09 Climate Zone SS
10 (Sr) Systems In this Dwelling 1
Unit-
B. Space Conditioning (SC) System Information
01 02 03 04
OS
O6 07 OB
09
IO
SC S SC System
ID or CIA served by this Is the 5C system a
Location or Area
Install a
Installing
refrigerant
ant
Installing new SC Installing more
Installing entirely
installing entire
g entirely
Nam
Name Served SC System (ft2) ducted system?
containing
system than 40 feet of new duet system?
new ducted SC
Alteration Type
component?
cornducts?
system?
System 1 Location 1 1800 Yes
Yes
Yes No No
No
Altered space
conditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1DRb)
This section does not apply to this project.
Registration Number: 420-A020031071A-000-000-0000000-0000 Registration Date/Time: 2020-03-16 10:08:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-03-16 10:08:42
Schema Version: rev 20191201
CERTIFICATE OF COMPLIANCE MR-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)SE and F)
01
02
03
04
0S
06
07
08
09
10
11
12
13
SC System
Heating
Cooling
Description
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
System ID/
of Area
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
Name
Served
System Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R-Value
System 1
Location 1
Central gas
furnace
No Heating
Component
n/a
n/a
Central split
Indoor coil
SEER
14
Setback
Less than or
equal to 40
R-8
Altered
AC
fee[
Reatilred
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 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Dud 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 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.
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)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.Z(b)1C)
This section does not apply to this project.
Registration Number: 420-A020031071A-000-000-0000000-0000 Registration Date/time: 2020-03-16 10:08:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-03-16 10:08:42
Schema Version: rev 20191201
CERTIFICATE OF COMPLIANCE CFIR-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:
Albert Aceves
A Uvw t AGPI
Company:
Signature Date:
Precision Heat & Air, Inc.
2020-03-16
Address:
CEA/ HERS Certification Identification (if applicablel:
PO Box 11090
City/State/tip:
Phone:
Palm Desert CA 92255
760-275-2362
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 deslgnerl
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design orsystem 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 Certlflcate 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 bullding permits) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered ropy 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:
Responsible Designer Signature:
Albert Aceves
AU)e4,tAcevek
Company,
Date Signed:
Precision Heat & Air, Inc.
2020-03-16
Address:
License:
PO Box11090
818759
City/State/Zip:
Phone:
Palm Desert CA 92255
760-275-2362
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Registration Number: 420-A020031071A-000-000-0000000-0000 Registration Date/Time: 2020-03-16 10:08:10 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1,002 Report Generated: 2020-03-16 10:08:42
Schema Version: rev 20191201