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BMCH2016-0367ff 78-495 CALLE TAMPICO c&t0 D 4 �1tiN1�Cl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0367 Property Address: 49235 CASA DEL RIO APN: 646330051 Application Description: HVAC CHANGEOUT 2 SPLIT SYSTEM Property Zoning: Application Valuation: 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 -ate: L% Contrail4 OWNER -B D DECLARATI 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.). ( )1, 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 Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 the wor for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Se .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: NORGUARD INSURANCE COMPANY Policy Number: TIWC721117 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 370�t abor Code, I shall f rthwith comply with those provisions. Dat` e:*0* Applicant:'`��'"� WARNING: FAILURE TO SECURE WORKERS' CO NSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 ter upon the above-mentioned property for inspection purposes. D Signature (Applicant or A f ",Oi Date: 10/12/2016 Owner: RANDALL MACDONALD PARKSVILLE BC CANADA V9P, Y2 92253 Fr�, Contractor: TIMO'S AIR CONDITIONING & HEA 72232 CORPORATE WAY y� o DI THOUSAND PALMS, CA 92276 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 the wor for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Se .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: NORGUARD INSURANCE COMPANY Policy Number: TIWC721117 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 370�t abor Code, I shall f rthwith comply with those provisions. Dat` e:*0* Applicant:'`��'"� WARNING: FAILURE TO SECURE WORKERS' CO NSATIO COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 ter upon the above-mentioned property for inspection purposes. D Signature (Applicant or A f ",Oi Date: 10/12/2016 Application Number: BMCH2O16-0367 _ Owner: Property Address: 49235 CASA DEL RIO RANDALL MACDONALD APN: 646330051 PARKSVILLE Application Description: HVAC CHANGEOUT 2 SPLIT SYSTEM BC CANADA V9P, Y2 92253 Property Zoning: Application Valuation: 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 2 SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL DESCRIPTION ••, ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $76.00 Total Paid for CHANGEOUT: $228.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 APPUCANT: it Submittal Req'd Recd City of Ld Quinta - Bind Plan Sets B11i(ding &r Safety Division P.O. Box 1504, 78-495 Cale Tampico . Permli # La Quinta, CA 92253 • (760) 777-7012 y (� (� Building Permit Application and Tracking Sheet .,O,Wk- Projict Address: l�7 3 `- ! C`� Owner'sName:o Pjlf,( A. P. Number. Address: Legal Description: (1 city ° ST, Zip. !!? da% c` c+l► a. 'TGlephone: Contractor Project y)eseription: City. ST, Zip: 7`f� S G.�' s Telephones~? State Lic. # : QQ City Lic. #; Arch., Engr., Dcsipncr. Plans resubnatttcd Review, ready for eorrectionsfissu Address: e City., ST, Zip: Cosutruction T} pe: Occupancy: Coiled Contact Person Telephone; p�rojed type (circle one): Now Add'n Alter Repair Demo State Lie. #: Name of Conrad Puson e s[.�, Sq. Ft.: #Stories: # Units: a Telephone # of Contact Person: Q �5 Estimated Value of Project: TE BELOW T141S LINE APPUCANT: it Submittal Req'd Recd DQ IMPWRl TRACIMG Plan Sets Plan Check submitted $fractural Cala Revicwed, ready for corrections Truss Cala. Called Contact Person Title 24 Cates. Plans picked up Flood plain plan Grading plan' Plans resubnatttcd Review, ready for eorrectionsfissu Subeontactor List Coiled Contact Person Grant Decd Plans picked up H.OA. Approval Plans rtsubmiticd OUSE: 1N HOUSE:- 314 Review, ready for corrcetionsfissu Planning Approval Planning Called Contact Person Pub. Wks. Appr Date of permit issue Sel!ool Fees 1?ERW= FEES It Amount Plan Cluck Deposit Plan Cheek Valance • Construction Mechanical e ElPDcVe10Ptr1MP2ctFccP trical e 'Total Permit Fees I _ -� _- i OCT 12 2016 CITY OF LA ©PINTA COMMUNITY DEVELOPMENT CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E f Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: KEN NEWCOMBE Date Prepared: 2016-10-12 A. General Information MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFSR-ALT-02 document for each dwelling unit. 01 Project Name KEN NEWCOMBE 02 Date Prepared 2016-10-12 03 Project Location 49235 CASA DEL RIO 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name KEN NEWCOMBE 07 Zip Code 92253 08 Dwelling Unit Conditioned 2566 "r" Floor Area (ft2) SC System served Number of space conditioning r 09 Climate Zone 15 j (> 10 (SC) systems in this dwelling 2 ..---- Identification or unit. by this S[ B. Space Conditioning (SC) System Informal -n: `r --, n �j1O8 Ol 02 I1,o3�, , �1 _sJ�V r II 06,,'N 1F 07>> �f �. 09 10 SC System CFA 3 11s the SC — 'Instilling a— frige'raet t "' "" ` �" `" "` " ( f "r" SC System served system a�. r Installig nnew SC - stalling + Installing RInstalling Identification or Location or Area by this S[ 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 1300 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 1266 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib) This section does not apply to this project. Registration Number: 216-A0382347A-000000000-0000 Registration Date/Time: 2016-10-1211:08:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10.12 11:06:49 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 150.2(b)3E 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 Duct Length R -Value Centralas 8 All new 4 Central split All new This field or This field or System 1 furnace heating AFUE 80 AC cooling SEER 16 Setback section is not section is not components I components I I applicable applicable System 2 Central as g All new heating AFUE 80 Central split All new This field or This field or furnace AC cooling SEER 16 Setback section is not section is not components � components applicable applicable Reaulmd Documentation• f CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. -r'-1 ! CF2R-MCH-2D-H & CF3R-MCH-20-H - Dua Leakage testing 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: s 15%, ors 10% leakage to outside, or seal all a¢essible leaks. �y,,,� y �„•* , CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required whe4mfrigerant;ontaining componentsaminstalled or altered (applicable in C2;, 8-15).0 :�)�r nco CF Exceptions: & CF3R-MCN-23 Air Flow? 300 CFM/ton requir+e�d.`when MC{Ht=25 is regwred`, (j (f Exceptions: /I!�1 I -Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct,Leakage Testing requirements. -Heating-only systems and Air Handler/Fumace changes do not require verification of Air Flow MCH 23 or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are�exempt from.MCH 20 Duct Leakage;Testmg requirements: - 'F E. Entirely New or Complete Replacement Dud System, with or without Equipment Changeout (Sections 150.2(b)iDiia 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) This section does not apply to this project. Registration Number: 216-A0382347A-000000000-0000 Registration Date rime: 2016-10-1211:08:30 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-12 11:06:49 Schema Version: 0.555SDD 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. j Documentation Author Signature: d�g,�ph hO, gU—Mo &J 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: Timo Documentation Author Signature: d�g,�ph hO, gU—Mo &J , Joseph M " Company: Signature Date: TIMO'S AIR CONDITIONING & HEATING.INC. 20.16-10-12.11:08:30. Address: - CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way City/State/Zip: - - Phone: THOUSAND PALMS CA 92276 A 760-770-4357 Responsible Person's Declaration statement`' I certify the following under penalty of perjury, under the taws 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 _toaccept responsibility for the building design or system design identified on thisCertificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materiais, 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 Part6'of the California. Code ofR egulations. jt LIZ,'applicable 4. The building design features or system design features identified on this Certifies of Compliance are consistent with the information provided o' 'compliance documents, worksheets, calculations, plans and specifications submirted.tc the enforcement agency for approval with this budding permit' applicationi. 1 { S. I will ensure that a registered copy of this Certificate of CI ompliance shall be made,avadable with -the buildirig permits) issued forithe building, andava11able,(o the enforcement agency for all applicable _made inspections. I understand that a registered copy of this Certificate of Compliance. is_required to be_induded with the.documentation.the.builder p%v�de'to.the building owner at occupancy. Responsible Designer Name: ll�, VA r+2 Timo, Joseph Responsible Designer Signature: V 0 La# �JUI7Z4 Company: Date Signed: TIMO'S'AIR CONDITIONING & HEATING INC 2016-10-12 11:08:30 Address: License: 72232 Corporate Way 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-A0382347A-000000000-0000 Registration Date/Time: 2016-10-12 11:08:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-12 11:06:49 Schema Version: 0.555SDD '•1