BMCH2016-032178-495 CALLE TAMPICO 4,
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0321
Property Address: 79967 RANCHO LA QUINTA DR
APN: 602370007
Application Description: MURPHY/ HVAC CHANGE OUT
Property Zoning:
Application Valuation: $9,175.00
Applicant:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
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: I b Contractor:
VOICE (760) 777-7125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TIMOTHY MURPHY
760 SOMERSET LN
EDMONDS, WA 92253
Contractor:
TIMO'S AIR CONDIT
72232 CORPORATE
THOUSAND PALMS,
(760)770-4357
Llc. No.: 920062
Date: 8/22/2016
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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 tho 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:
OWNER -BUILDER DECLARATION
Carrier: NORGUARD INSURANCE COMPANY Policy Number: TIWC721117
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisi ns.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division$r•�—��
�
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: (% Applicant: �----
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN.EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_J I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
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:
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.
41
Date: 61'_p -Z
(Applicant or Agent):
Date: 8/22/2016
Application Number: BMCH2O16-0321
Owner:
Property Address: 79967 RANCHO LA QUINTA DR
TIMOTHY MURPHY
APN: 602370007
760 SOMERSET LN
Application Description: MURPHY/ HVAC CHANGE OUT
EDMONDS, WA 92253
Property Zoning:
Application Valuation: $9,175.00
Applicant:
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276-
(760)770-4357
----------------------------------------------=-------------
Llc. No.: 920062
---------------------------------
Detail: HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL a
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 - SPLIT -SYSTEM
101-0000-42402'.
0
$72.52
DESCRIPTION
ACCOUNT',.
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85 ,
Total Paid for PERMIT ISSUANCE:
$91.85
Tclephone;;662b-'b
+ A
State Lie. # : Q (�
City Lie. #:
-- .� j • I -�c7
s�
_
Arch., Engr., DesiV
Address:
City., ST, Zip:
_ _.
_ •
Telephone,
Construction Type: Occupancy:
Project type (circle one): New Add'n Altcr Repair Demo
State Lie #:
Name of Contact Person: fie'
_
• Sq• EL:
# Stories:
id Units:
Telephone #.of Contact Person;
# Submittal Rcq'd
Estimated Value of Project
APPLICANT; DO NOT. WRITS BELOW THIS UP1E
Itcctd TRAt�t M _
CL
PERMIT FEES
.
Plan Sets
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Cluck Deposit
Structural Ca1cs.
Truss C210.
CalM Contact Person
Plan Check Balance.
Title 24 Calc;.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
•
2'' Review, ready for eorre;tionr gi ue
Electrical
Called Contact Person
Plumbing
Subeontactor List
. Grant Decd
Plans picked up
S:11 X
11.0.& Approval
Plans resubmitted,
Grading
IN HOUSE:-
3a. Review, ready for corrcctioWissue
Called Contact Person
Date of permit issue
Developer Impact Fee:
A.I.P.P.
Planning Approval
Pub. Wks. Appr
Sowdl Fee;
Total Permit Tees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF 1R•ALT HVAC) (Page 1 of 3 )
Project Name: Laurie Murphy Date Prepared: 2016.08-22
A. General Information
CFSR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit, When multiple dwelling units must be documented,
use one CFIR-ALT-02 document for each dwelling unit.
Ol Project Name
Laurie Murphy
02
Date Prepared 2016 08.22
03 Project Location
79967 Rancho La Quint?
04
Building Type Single family
05 CA City'
La Quints
D6
Dwelling Unit Name Laurie Murphy
07 Zip Code
92253
08
Dwelling Unit Conditioned
1600
Floor Area (ft2)
.-. .. . ,. ,ry,�
SC System
..�.
`CF/1 served
Is the 5C.
F systema
Number of space conditioning
09 Climate Zone
15
S0
(SG) systems in this dwelling 1
Identification or
Location or Area
unit.
B. Space Conditioning (SC) System Infgrmatlon. + Y
a ' 4F
01
02
0
... Q6
67—'%
. 0$ ' . ,
09
10
.•t,:03
:
.. ._
SC System
.-. .. . ,. ,ry,�
SC System
..�.
`CF/1 served
Is the 5C.
F systema
7 i'' '
Installla
re igerant '
.wiii o"�.yi- . rib
Installing ev C
vL __ ...
I t ta7 i $
.. �+Y . i'
risia"IF ,
,..
nstalling
Identification or
Location or Area
by this SC
ducted
containing
system
mere thpn 40
gntirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of duets?
duct system?
SC system?
Alteration Type
Entirely new or
System 1
Location 1
1600
No
Yes
Yes
No
NO
Yes
completereplacement 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: 216•AO31223OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016.08-22 08:47:32
Report Version: 2013 Rev 1.007
Schema Version: 0,SSSSDD
HERS Provider: CaICERTS
Report Generated: 201608-22 08:47:30
CERTIFICATE OF COMPLIANCE CF1R-ALT.-02.E
Alterations to Space Conditioning Systems (formerly CF-1R-A`TMVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 1502(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Dlia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
01 ,
...
02,
0j,
04
0$ :.
09 ...
07 ...:.
08
09
10
..11.
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System,
i'F
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type 7
Csmponent—
Type,;
*Owvalue
System Type
Component
Type
Value
Type
R -Value
oft
IlaThis
field
ystem 1
Central gas
furnace
All new heatingCeR.
,
compon nts
AFIJEai—
08a
ral, tit
AC
Allrnew tAoling
components
SEER
16
SetbackTher
mostat
or section
Is not
�
applicable
kfqujredDocumentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans-
-Duct Insulation requirement for new plenums: R6.
CF2R 81 CF31t-MCH.20-H Duct Leakage Verification required.
-Leakage rate compliance: 5 6%.
CF2R & CF3R-MC14-22 Fan Efficacy Verification
CF2R & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy 5 0.58 W/dm and System Airflow a 350 cfm/ton.
- Alternative Compliance: CF2R & CF311-MCH-28 Return Duct Design Verification Is an alternative to MCH -22 and MCH -.23 verification,
CF2R & CFiIR-MCH.2S-H Refrigerant Charge Verification required when refrlgerant containing components ore Installed or altered (applicable in CZ 2, 8-15).
Exceotiorm
Heating -only systems are exempt from the 0.58 W/cfm and $50 drn/ton requirements.
Nota:
An "entirely new or replacement duct system" means at least 75 percent of the duct system 4 new duct materlal, and up to 25 percent may consist of roused
parts from the dwelling unit's existing duct system (e.g.,
registers, grilles, boots, air handler, mil, plenums, duct material) if the reused parts are access@le and can be sealed to prevent leakage
'
Registration Number: 216-AO31223OA-000000000.0000 Registration Date/Time: 2016-08-22 08:47:32 HERS provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-22 08:47:30
Schema Version: 0.555SDD
4
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. i Sertify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
d&MPA�J
Timo , Joseph
Company: Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC 2016-08-22 08:47:32
Address: CEA/ HERS Certification Identification (if applicable):
72.067 NORTHSHORE STREET STE A
Clty/State/Zip:. - .. .... .. Phone: -
THOUSAND PALMS CA 92276 760-770-4357
Responsible Person's Declaration statement
I cern the following under enal. of er u ., , _ .. .. :. ......, _.. .. _ _, .. .... ._
certify g P N P i r ', under the,laws of the State of California:
2. The Information provided orjthis ertificatd of Coinplidnce If;-- ru and correct.
2. I am eligible under Division 3 of the Businessand Professions Coda to accept responsi4fllty for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and perforrrlance specifications, materials, cdm�PP vents, and manybout devicosfor the bu ding_ de ig system dell n identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part6;of the California Code of Reons. ,i8e
4. The building design feature; or system design fearur 3lsd-a"ntiRed on his Cert(f f f CompNance are ter, wi Rhe I{ form0 an; provided an otha6 a pilrati a compliance documents, worksheets,
ra.
subml�dto the s+ 'agenry f [.with this bulli! Ing app iwtipn
calculations, plans and speclflca(lons �P9'�ipfgv r
s4rcemen
fp5. I willensure thata registered caDY a bl �Ntgorcement agency for all applicable
jery
Inspections. I understand that a regigeiedwpy of this-, rt cote of Co�mpllllano:�is fequ�te to bg,induded w.iteh th5$ocumen^t I9n jhekbuilder p[gyldes to�,;ile building owner at occupancy.
. .: ..�.-.. > �r
Responsible Designer Name: .. -. .,y
Raspondble Desi® r 5 gnat �re: Cav
Timo , Josephs%
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2016-08-22 08:47:32
Address: .. .. ..
ticense: .... .. .. _
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 o secure the content of this registered document and in noway implies Regis(ration Provider responsibility for the accuracy of the informatiop.
Registration Number: 216A0312230A-000000000-0000 Registration Date/Time: 2018A8-22 08:47:32 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 201608-22 08:47:30
Schema Version: 0.555500