BMCH2016-01020
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0102
Property Address: 55269 RIVIERA
APN: 775153010
Application Description: JAY AGUADO / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $13,492.60
Applicant:
TIMO'S AIR CONDITIONING & HEATING INC
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
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 License No.: 920062
Date:, Contractor:
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 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.).
(1 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
Owner:
1AY AGUADO55269 RIVIERA l u\ U
LA QUINTA, 2�`�j
CA
j'�ptir?S�j�����
n {app
Contractor: DptAttU
TIMO'S AIR CONDITIONING & HEATING INC
72-067 NORTHSHORE STREET.STE A
THOUSAND PALMS, C 92276
(760)770-4357
Llc. No.: 920062
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 thew k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3760 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:._ 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: �� b Applicant:
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.
Date: 1_�-43"-16—Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION „-`' �` �rACCOUNT� QTY; AMOUNT + ` DATE
;PAID ,PAID,
.n
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY, 'METHOD { � : s'* y RECEIRT # a km Y CHECK #,' 4 CLTD BY
„
r
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 .
DESCRIPTION'. u
M * ACCOUNT 5„
"QTY
k7.' s'AIVIOUNT,�
PAID
PAID DATE
t ,
,
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
M PAID BY f ' >
Y METHOOf'
a CHECK4,
CLTD BY
,
,RECEIPTS#� N,
`FDESCRIPTION� "��
ACCOUNT. `
' TY,
AMOUNT
¢' PAID
PAID DATE
r
w
rzE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0 .
$72.52
$0.00k`e.
PAID4'BY Q
CHECK# `.CLTD
r'�'METHOD,�'"
. RECEIPT#
BY„
Total Paid for CHANGEOUT: $217.56 $0.00
" DESCRIPTION`'
�ti
ACCOUNT t �•{
QTY._
AMOUNT4
PAID
PAID DATE
:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
4AID.BY, � #
_ r+ r METHOD g>Y '-
';;RECEIPT # �;
` „+CHECK # ro :fir
; 'CLTD BY"'
k
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
Description: JAY AGUADO / HVAC CHANGE OUT
CONDITIONS
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 4/13/2016 RSE
Approved: 4/13/2016 RSE
Parcel No: 775153010 Site Address: 55269 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 21381-2 CM 064/031 CM 067/001 Block:
Lot: F-42
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $13,492.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0,
TIMO'S AIR CONDITIONING &
Details: HVAC CHANGE OUT (2) - 14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CA
92276
FINANCIAL INF6WATIM
Printed: Wednesday, April 13, 2016 1:57:50 PM 1 of2 .
SYS7ENiS
CONDITIONS
CONTACTS
NAMEiTYPE
r 3. ,NAME ': ' ` ADDRE551° CITYE ZIP ",FA EMAIL
STAT E� X�y
, .PWON , �
APPLICANT
TIMO'S AIR CONDITIONING &
72-067 NORTHSHORE
THOUSAND
CA
92276
HEATING INC
STREET STE A
PALMS
CONTRACTOR
TIMO'S AIR CONDITIONING &
72-067 NORTHSHORE
THOUSAND
CA
92276
HEATING INC
STREET STE A
PALMS
OWNER
JAY AGUADO
55269 RIVIERA
LA QUINTA
CA
92253
FINANCIAL INF6WATIM
Printed: Wednesday, April 13, 2016 1:57:50 PM 1 of2 .
SYS7ENiS
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, April 13, 2016 1:57:50 PM 2 of 2 C
srsreMs
yACCOUNT
" '
DESCRIPTION
- t
QTY,
`AMOUNT
PAID;
I '*'
CERTIFICATE OF COMPLIANCE CFSR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Jay Aguado Date Prepared: 2016.04-11
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
02
Jay Aguado
02
Date Prepared
2016-04-11
03 Project Location
U
55269 Riviera
04
Building Type
Single family
05 CA City
Is the SC p"•'
La Quinta
06
Dwelling Unit Name
lay Aguado
07 Zip Code
92253
08
Dwelling Unit Conditioned
Floor Area (ftZ)
2600
09 Climate Zone
... +
15
,a.+ - i IL -,
30
Number of space conditioning
(SC) systems in this dwelling , '
unit.
2
"L Y�
B. Space Conditioning (SC) System Information xN s
01
02
tai ,a03 ,!�,
ik 041,
0%05j 1,
W-66"
.IA 07'% w
U
t 09
10
Is the SC p"•'
`In Wllin'8 a
AW, as
.W ,
�'' *0'
� %0
SC System
SC System
CFA served
system a��+
rFrrigeta t
�Jnstalli o�ew�Sc
l it stA g I
.��nstallf�
Installing
Identification or
Location or Area
by this SC
ducted
�
containing
system
more than 40
entirety new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Common area
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedrooms
1100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectIon1S0.2(b)1DIib)
This section does not apply to this project.
Registration Number: 216-AO1339SIA-000000000-0000 Registration Date/Time: 2016-0411 13:24:31 . HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.00.7 Report Generated: 2016-04-11 13:24:48
Schema Version: O.SSSSDD
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 15O.2(b)1E and F)
01
02
03
04
05
06
07
09
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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
System 2
Centralas
g
All new
heating
X
Central split
All new
This field or
is
This field or
furnace
AFUE
0.8
AC
cooling
SEER
14
Setback
section not
section is not
components
components
applicable
applicable
Repulsed Documentation: i`�
CF2R-MCH-01-E -Space Conditioning Systems Ducts andTans
i
«�'+.,:,,�
-Duct Insulation requirement for new Wit
CF2R-MCH-20-H & CF3R.MCH40-H — Duet'lzakag� ge esting required when heating^or croolirig'iomponents are installed in ducted systems, or when more than 40 h of duct length is replaced.
-Leakage rate compliance: s 15%, or 5 30% leakage'to outside or seal all accessibl�gaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge VeriRcatlon requlied whet re`frigeras nit contai 1 mpone is a e l" ed Srk' re epp cable In CZ Y 8-_15).
MRCOR-MCH-23 & CF3R-MCH-23 Air Flow 2 30O CFM/ re'quir'edwhen MCH ---25 is required
Exceptions: J,`£ '"�° � '
en��
-Duct systems registered with HERS provider as previously sealedar,�e exempt from,MCHs2I'Dy�t-,Lea�age.lT,tles�ting -
-Heating-only systems and Air Handler/Furnace ciianges do not iegyy,I�r��e, ri0wtion of Air Flow MCH -23, or�e(rigeront Charge MECH-25.
-Existing duct systems constructed, Insulated orsealed with asbestos"3'te�exempt frAm�avICHDugakage:T�sting reulremr . V
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDila and 15O.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
This section does not apply to this project.
Registration Number: 216-A0133951A-000000000-0000 Registration Date/Time: 2016-04-11 13:24:31 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-11 13:24:48
Schema Version: O.SSSSDD
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:
,�1Q/,I/Ol
Timo , Joseph
C/� r
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2016-04-11 13:24:31
Address:
CEA/ HERS Certification Identification (if applicable):
72-067 NORTHSHORE STREET STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276 „
760-770-4357
Responsible Person's Declaration statement`s
I certify the following under penalty of perjury, under thei ws of the State of California:
+ acz
1. The information provided on.this.Certificate 6/Compliance is true and correct.
"I �-~t-,�„.o.-ate
2. 1 am eligible Division 3 of theaBusiness Professlons Code to.accept for the building design design identified this Certificate Compliance designer).
under and responsibility or system on of (responsible
3. That the energy features and performance specifications,,materials, components, and anufactured devices for the building design r stem design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the Califomia C69e of Reg�u`lad�0ons.
4. The building design features or system design features Identified onthis Certif cai�'te,'of Cwtkp)lance are co �sistent.withRhe InformatiM.provided o ther�llcab compliance documents, worksheets,
A+ s}t BxF v's 3 n , ti4
calculations plans and specifications submitted,to' he e f r m nt- n r w't I I i r l�
4 b, s
p p t n o ce a dge ry fo approval ith this bull d g pe mk applicat o.If
�
S. I w01 ensure that a registered copy °
g py of this CertfRca of, tnpliance s1iaU e°metleayaR@ple wkp-j�$ b,W_Sting:permit(sS issued for Fie,•.bull ing, and 'n ava ble,-,Fthe ghforcement agenryfor all applicable
Inspections. I understand that a registered cepy of the ++Certt icate of Compliance i; requ�red to bgjnduded with thesdocu mae„nWtlon tha.1 Il er pjov1, des tS,the building owner at occupancy.
Responsible Designer Name: ` tea. �I se
Responsible De'sTener Signature: V -L -OK , Q46-(/Iii�
Timo , Joseph
C
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2016-04-11 13:24:31
Address:
License:
72-067 NORTHSHORE STREET STE A
920062
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-770-4357
Digitally signed by CaICERTS. This digital signature is provided
in order to secure the content of this registered document and
in noway implies Registration
Provider responsibility for the accuracy of the information.
Registration Number: 216-AO133951A-000000000-0000
Registration Date/rime:
201E-04-11 13:24:31
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-11 13:24:48
Schema Version:O.SSSSDD
Bin # City Of La ' Quinta
Bui/ding $z Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
Permit # La Quinta, CA 92253 - (760) 777-7012
f3N�G� 201 6f 0_1 p2 Building Permit Application and Tracking, Sheet
Project Address: ��v2 �p %f ��/� Owner's Name:
A. P. Number.
Address:
Legal Description:
City, ST, Zip- L( ll� t�� � .
Contractor:%�v.r TTr "S
Telephone:
cP
Pr ' Description:
Address: l(z e
City, ST, Zip: RC1 L>/C.S t�
e �L�Lft�/<�
Telephone: 66 776-513457Z
�jYS°-+Sa...r'sf3a�,?�:f=Y:C.Y. •'rn $:i�:::�.
f'6�d t.rr;'•�%
X-f
Construction
State Lic. # :e -3
CityLic.
Plans resubmitted
Arch.; gFngr., Desi
l 0� �—
Address:
City, ST, Zip:
Construction Type:Occupancy'
Telephone: r� ;?`SI�j✓g ,' ,r
`," k
State Lic. #: r d•.ys ?.. P7AMroject type (circle one): New Add' n Alter Repair Demo
Name of Contact Person: —:29 19L ---7e Sq. FL: # Stories. # Units:
Telephone # of Contact Person:
# Submittal
Platt Sets
Structural Ca1cs.
Truss Cala.
Title 24 Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
Ii.O.A. Approval
IN IiOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
Req'd
.- —el?S Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACMG
Plan Check submitted
PERMIT FEES
Item Amount
Reviewed, ready for corrections
Plan Clicck Deposit
Called Contact Person
Plan Check Balance.
Plans picked up
Construction
Plans resubmitted
Mechanical
2'' Review, ready for corrcctionslissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.L
Plans resubmitted
Grading
srd Review, ready for correctionstissuc
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees