BMCH2015-024378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
Application Number: BMCH2O15-0243
Property Address: 53435 AVENIDA RAMIREZ
APN: 774081026
Application Description: INSTALL NEW HVAC SYSTE
Property Zoning:
Application Valuation: . $10,425.00
Applicant:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
�/ ���,
UU
VOICE (760) 777-7125
_
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
THOUSAND PALMS, CA 92276
Date: 6/30/2015
Owner:
JAMES LIVELY
53435 AVENIDA RAMIREZ
N
LA QUINTA, CA 92253
LJIUN v 0 2015 U
Contractor:
_
TIMO'S AIR COND11TIONING & HEAT
Clil' OF LA QUINTA
72-067 NORTHSHORE STREET STE A
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 92 62
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).: .
(1 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.).
(_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 Address:
(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 :)f the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' con pensation 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: -Policy Number:
I certify that in the performance of t8:e work for which this permit is issued, I
shall not employ any person in any manner so az 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 37`10 -the Labor Code, I shall forthwith
comply with hose provisions.
Date: � Applicant: C�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE AGE IS -UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000,. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWSEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Cty of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit. '
2. Any permit issued as a result of this applica»on becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stat-- that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to buildin
construction, and hereby authorize representati7es of this city t nter upon the v
mention pro/ rty foLinspection purposes.
Dat- �G ! Signature (Applicant oo Agent
FINANCIAL INFORMATION.
„DESCRIPTION ��$.;� ';a,.ZA000UNT.._.. ';QTY `. PAID�ct:
$xAMOUNT� ePAIDDATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
`t. "RECEIPT# ;CHECK#z +` �3CLTDBY.
i?_ BY `. � " 'METHOD
.,PAID S
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION,s� s `} s�
a ACCOUNTxT ;>
QTYx
r AMOUNT'zxg'
i PAID s x
PAID DATE
4
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
xx ` PAID;BY i�
r �, t'p r METHOD `as ",`
F RECEIPT#r!
.: CHECK ` `
;CLTO BY,;
}s� - x y
. e
;,"f;x+
��',`°ACCOUNTS :'�
` TY
Q
`,AMOUNT.F
PAID
PAID DATE'
.DESCRIPTION r t.r
ost', A
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY +'
ci *t -:� METHOD `:RECEIPT
#k
CLTD BY `
�rx.
Total Paid forCHANGEOUT: ' $108.78 $0.00
DE SCRIPTION`yr,,,K >�"Y,'
x. ACCOUNT
QTY,
°.s AMOUNT...$;
rs rPAID
;PAID DATE:
_
.PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
+ f `x PAID;BY
•
# METHOD ,
q;t�. RECEIPT #�
` CHECK #
CLTDryBY,r'
; ,i4r ^�
, M
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Bir, # City of La Quinta
Building 8i Safety Division
P.O. Box 1504; 78-495 Calle Tampico .
Permit# La Quinti, CA 922..53 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
ProjectAddress:��' ��� liptj!` ftp Owncr'sName: `
A. P. Number. Address:.
Legal Description: City, ST, Zip: ULitlT� GL z5..
Contractor:1.1�5 u /� ! •� Tcicphonc: �6. :; ``' ''"' :'" ;
Address: Project Description:
City, ST, Zi{i�u
Te
` .........
..j......•.}''4f;:<;;
:z<�>:.s--; ;sins-�<.;si:-:>si::•:;:r,�::,,; � ' /
State Lic. # : �V�e �` ty T
Arch., Engr., Designer.
Address:
City., ST, Zip:
:::.::�c:,:>-fin:, >;,<:� .:;:->•;:-;:•<. Construction Type: Occu an
eP h
Tel
Project a circle one): New Add'n Alt -,-r Repair Demo
to Lic. #:..:..:.:.::.....
•
Name of Contact Pcrson%Sq. Ft.: #Stories: .11 Units:
, F& f9 /
Telephone # of Contact Person: ` Q •— �— �!Q Estimated value of Proj
�f+A Arr r,n nlnT WRITF RFLOW THIS LINE
tJ
Submittal
Req'd
Rce'd
TRACKING
PERMIT FEES
Plan Check submitted
Reviewed, read for corrections
y
Called Contact Person
Plans icked u
p p
Plans submitted
2"' Review, ready for corrcctions/issue
Callcd ContactPcrson
Plans picked up
Plans resubmitted
Review, ready for correctionsfissue
P
Called Contact Person
Date of permit issue
•
Item Amount
Plan Cluck Deposot
Plan Check Balance.
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
-
Developer Impar Fee
.
Plan Sets
Structural Cala.
- �
Truss Cala.
Title 24 Cala.
Flood plain plan
Grading plan
Subcontactor List
. Grant Deed
H.O.A. Approval
M HOUSE--
Planning Approval
Pub. Wks. Appr
School Fees
•
Total Permit Fees
Description: INSTALL NEW HVAC SYSTEM _
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 6/30/2015 EVA
Approved: 6/30/2015 EVA '
Parcel No: 774081020 Site Address: 53435 AVENIDA RAMIRF7I A fel IINTo rc cm.;3
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 223
Lot: 9
Issued:
UNIT 21
PHOE
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $10,425.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 -
No. Unites: 0
APPLICANT
Details: , HVAC NEW INSTALL - 17 SEER / SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
THOUSAND CA
92276
FINANCIALa
Printed: Tuesday, June 30, 2015 3:21:43 PM 1 of 2
SYSTEMS
TP
E*
ADDRESSiNAMETYPE
CITY AfU
PHOE
FAX EMAIL ,
atS
r
a s
-. .
APPLICANT
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE
THOUSAND CA
92276
(760)391-2563
STREET STE A
PALMS
CONTRACTOR
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE
THOUSAND CA
92276
(760)391-2563
STREET STE A
PALMS
OWNER
JAMES LIVELY
53435 AVENIDA
LA QUINTA CA
92253
(760)391-2563
• RAMIRI
FINANCIALa
Printed: Tuesday, June 30, 2015 3:21:43 PM 1 of 2
SYSTEMS
DESCRIPTION: -S t
.. ^ �.,<
ACCOUNT
9".1
PAI
T
IPT:
a HE K # i
",METH D
BY
Tp z
.
1
v-7, 't y
v-7,,al ,� �.:
QTY..�
, ,AMOUNT>��
� N, r f
;TPAID
.,PAID
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC"CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC"CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
T7—F$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT PROJECTS V
Printed: Tuesday, June 30, 2015 3:21:43 PM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE ' CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly 1;F -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: James Livery Date Prepared: 2015-06-30
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
James Lively
02
Date Prepared 2015-06-30
03
Project Location
53435 Avenida Ramirez
04
Building Type Single family
05
CA City
La Quinta
06
Dwelling Unit Name James Lively
07
Zip Code
92253
08
Dwelling Unit Conditioned 1600
SC System ,
FA served
system a
re�frige nt a
Floor Area (ft2)
tstall�ng
I s anstalli�
Rnstalling
Number of space conditioning
09
Climate Zone
1�
30
(SC) systems in this dwelling 1
more than 40
entirely new
entirely new
unit.
B. Space Conditioning (SC) System Information ' —
03
02
f�sf E 3 —
.s
#£
a �k
5
If—06n\
g#
ii &)J ..if
di 'N
: . 09
10
%is the SCS°
' 'Ihsta lling a
SC System
SC System ,
FA served
system a
re�frige nt a
-nstalling ew SC
tstall�ng
I s anstalli�
Rnstalling
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0177716A-000000000-0000 Registration Date/Time: 2015-06-30 11:18:53
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
4
HERS Provider: CaICERTS
Report Generated: 2015-06.30 11:19:11
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)1E and F)
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
All new
All new
This field or
This field or
System 1
Central split
heating
HSPF
7,7
Central split
cooling
SEER
15
Setback
section is not
section is not
HP
components
AC
components
applicable
applicable
Required Documentation: tk
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans,k
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testing iegired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 510%leakage to ootiide or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verifim loon'required:whemrefrigent containing components are installed or altered (applicable in CZ 2, 8-15).
MRMR-MCH-23 & COR -MCH -23 Air Fldw2 300 CFM%ton required when MCW2SJs required:'•'
'
Exceptions:: "'°. ,•^R`.
-Duct systems registered with HERS provider as previously sealed are.exempt frgm`MCH-20 Duct Leak age Testing r gwremeennts. r
-Heating-only systems and Air Handler/Furnace changes do not require venfication of Atr FlowwdMCH-23or Re(rigerant;Charge-MfCH-2S•
Int
-Existing duct systems constructed, Insulated or sealed with asbestos re exem from MC,nQo quct L akage Testr' re" ir' m=s.
IF 9 An
E. Entirely New or Complete Replacement Duct System, with or vy thoutsEquipment Cftangeout (Sections
te150.2(b).1Diid-Laand)150.2(b)3E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 215-A0177716A-000000000-0000 Registration Date/Time: 2015-06-3011:18:53 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-30 11:19:11
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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: , Q
Timo , Joseph
i/�
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2015-06-30 11:18:53
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
I certify the following under penalty of perjury, under the�la`ws of the State of California:
i'i
1. The information provided on this ,Cemficate of Compliance. is true and correct.
.+' eirs...a.-�'de l;
2. I am eligible under Division 3 of the�Rusiness'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, 2bmponents, and manufactured devices for the building, design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6af the Clifom`iaCode ofd g'latlons. ,it ;
'mpliance
4. The building design features or system design featum"identified on this CertiG* ij.of Compliance are consistent with the information. provided on;otherapplicab documents, worksheets,
3^ , .moie as >-ngp %pR Ft
calculations, plans and specifications submttteiJdo'theenfofcement agency for approval with this building permh applicattotl.
ii
e aditEie,available wthe building'permrt(s);issued fori�'heabuilding and.maila avadable3gth"nforcement agency for all applicable
5. 1 will ensure that a registered copy of this Certificate of,C�mPliance sFialla6m
Inspections. I understand that a registered copy of this C�.erttficate of ComplianceIS,req *trend to be,(ncluded w{th the,doocumptationrthebuilder provides to the Willing owner at occupancy.
Responsible Designer Name: a �[. � .. If «s
Responsible Designer Signature: V I� 'Sm+- yy
JLC
Tinto, Joseph
v
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2015-06-30 11:18:53
Address:
License:
72-067 NORTHSHORE STREET STE A
920062
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 770-4357
Digitally signed by CeICERTS. This digital signature is provided
in order to secure the content ofthis registered document and
in noway implies Registration
Provider responsibility for the accuracy of the information.
Registration Number: 215-AO177716A-000000000-0000
Registration Date/Time:
2015-06-30 11:18:53
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-30 11:19:11
Schema Version: O.SSSSDD