BMCH2016-010378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
`ter 4 4Qu&Z
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O16-0103 .
78780 CASTLE PINES DR
770080014
DONNA SCHNEIDER / HVAC CHANGEOUT
$9,431.00
Applicant:
TIMO'S AIR CONDITIONING &.HEATING INC
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
LJ
EAPR 13 2015i
CITYOFLAOUiNTA i
GOMAEU NITY PEU'ELOP?AI-t1T DEPAr1T',1ENT
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: C200 r License No.: 920062
rContracro
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, after, 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 ) 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
Owner:
JACK BARKER
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/13/2016
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
(760)770-4357
LIC. 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 work for which this permit is issued.
1 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: _ 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.
Dat ?_66 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.
Dat& Signature (Applicant or Agent):
4
DESCRIPTION
FINANCIAL ,
ACCOUNT
.
QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
METHOD
RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY,
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION.
ACCOUNT,
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #.
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: DONNA SCHNEIDER / HVAC CHANGEOUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied:'4/13/2016 RSE
Approved:
Parcel No: 770080014 Site Address: 78780 CASTLE PINES DR LA QUINTA,CA 92253
Subdivision: TR 25389-2 Block: Lot: 14
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,431.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
TIMO'S AIR CONDITIONING & 72-067 NORTHSHORE
HEATING INC STREET STE A
Details: HVAC CHANGE OUT - 17.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
TIMO'S AIR CONDITIONING & 72-067 NORTHSHORE
HEATING INC STREET STE A
THOUSAND
PALMS
CA
92276
CONTRACTOR
TIMO'S AIR CONDITIONING & 72-067 NORTHSHORE
HEATING INC STREET STE A
THOUSAND
PALMS
CA
92276
OWNER
JACK BARKER
92253
FINANCIAL INFORMATION -
Printed: Wednesday, April 13, 2016 2:07:54 PM 1 of 2
sysrrrns
Printed: Wednesday, April 13, 2016 2:07:54 PM 2 of 2
' SYSTEMS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE
STATUS REMARKS NOTES
-7
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING 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 for CHANGEOLIT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
Printed: Wednesday, April 13, 2016 2:07:54 PM 2 of 2
' SYSTEMS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED
DATE
STATUS REMARKS NOTES
-7
Printed: Wednesday, April 13, 2016 2:07:54 PM 2 of 2
' SYSTEMS
.•s; �•,-cam'*,;
Din #
City of La ' Quinta
City, ST, Zip:
;
Building tai Safety Division
. r „ s' Construction Type: Occupancy:
P.O. Box 1504, 78-495 Calle Tampico .
.
Add'n Alter Repair Demo
Permit #
La Quinta, CA 92253 - (760) 777-7012
Project type (circle one): Now
Building Permit Application and Tracking Sheet
ProjectAddress:78j 780 el}•S'!e_ Owncr'sName:
A. P. Number.
Address:
Legal Description:
' City, ST, Zip Ufw � .Of
�
telephone: , ....Sf :=�
Contractor: ldCJ -I
Plan Sets
Address:SI�R�
Project Description:
Plan Check submitted
City, ST, Zip:NC"'r' Com'
Item
Amount
Telephoner-•� (}
�Y'a�, 4y�:j�::.S:,•a7yi''�<T"Gif:%x<tf `$.:�;.'
/
.3�
s.�;;a-;,s•;,.:.•"/''i��-'<:i
State Lic. # : QQ
Designer
City Lic. #; _
Arch., Engr.,
Truss Cala.
Address:
City, ST, Zip:
;
Telephone:
. r „ s' Construction Type: Occupancy:
.
Add'n Alter Repair Demo
State Lic. #
Project type (circle one): Now
Name of Contact Person: l}"��'- �� Sq. Ft.: # Stories: its -
Telephone #,of Contact Person: alQ Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Rcq'd Recd TRACMG PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Valance
Titic 24 Cala.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrcctionslissue
Electrical
Subeontact'or List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I1.0.& Approval
Plans resubmitted
Grading
;
IN HOUSE:
'`d Review, ready for correctionsfissue
Developer Impact Fee
`
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permlt issue
Sehodi Fees
Total Permit Feu
CERTIFICATE OF COMPLIANCE CFSR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Donna Schneider Date Prepared: 201604-11
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Donna Schneider
02
Date Prepared
2016-04-11
03
Project Location
78780 Castel Pines Or
04
Building Type
Single family
05
CA City
La Cluinta
06
Dwelling Unit Name
Donna Schneider
07
Zip Code
92253
}
08
Dwelling Unit Conditioned
Floor Area (ft2)
2600
Znstalllr eco 5Cnl
sta"I�I�"ig I
� n "IFF
Rnstaillng
Number of space conditioning
Identification or
09
Climate Zone
15
10
(SC) systems in this dwelling
1
entirely new
�....,,-
Name
unit.
System (ft2)
B. Space Conditioning (SC) System Iriformati0n
01
02
r! f X03
04
^P!U
106
1 07'1
0$
09
10
Is the SC"`'
Installing @'"+
W"
'''
`°°�
SC System
SC System
'CFA served
em a
i rige�r it <
Znstalllr eco 5Cnl
sta"I�I�"ig I
� n "IFF
Rnstaillng
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
2600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)IDlib)
This section does not apply to this project.
Registration Number: 216-A0133787A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Datefime: 2016-04-11 11:45:53
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
t
HERS Provider: CaICERTS
Report Generated: 2016-04-11 11:46:14
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 J
D. Altered Space Conditioning System (Sections 15O.2(b)1E and F)
O1
02
03
04
05
06
07
as
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
17
Setback
section is not
section Is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E. Space Conditioning Systems Ducts and Fans.
-Duct Insulation requirement for new plenums: R6. J'
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct 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%, or s 30% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable In C2 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2'300 CFM /ton required; when: MCH -25 Is required.
Exceptions: J"-
-Duct systems registered with HERS provider as Drevlously sealed are exempt from,�M.CH—w20 Duct Lealwge TesUn required ants.
FA, FI n `23 - r Refr geRnf Cher-ge M -
-Heating -only systems and Air Handler/Furnace changes do not require verificatio -of
-Existing duct systems constructed, Insulated or sealed with asbestos+are examfrom MCH=20 DuctLgkage Test harwgquE�ents.
V"' , A� '^p Vat X*... .. A IleW uE .w x 'ft A R
_ .. o..
°. Entirely New or Complete Replac ment Duystem, with or without Egl�ipment hangeeout Sections 5 .2(b)SDila:and 15O.2(b)1E, F)
sa ` € kM^lf Nr alp I fir 1 t � t►� d
This section does not apply to this project.
Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 216-A0133787A-000000000-0000 Registration Date/rime: 2016-04.11 11:45:53 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-11 11:46:14
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:
Tiro, Joseph
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2016-04-11 11:45:53
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 k
I certify the following under penalty of perjury, under the Uws,of the State of Californla:
1. The Information provided on.this.Certiflcate of Compliance is true and correct.
2. I am eligible under Division 3 of the Busine6s and Professions Code to accept responslbilityfor the building design or system design Identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, co _onents, and 1nufact r d devices far t e building dosig o . stem design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of Reg7Pons R3 -
4. The building design features or system design features identified o his Certffic5te.of Co pliance are cn,sLste twl tTIrm n rov(ded ootherapplicab'mpllance documents, worksheets,
calculations, plans and specifications subm(tted.to'the enforcemen agency for *-p`rprova� Ithisbuil jngperr�gltapIl- `. `
M bµj14Cngpmgmit( fori'theFbuild
S. I will ensure that a registered copy ofthis CertlFlcatrAve O,f.
rnpliance �e"+nadg'aft'avalleble t5iith'" ,Issu g and„maiie avatlable.to the'gbforcement agency for all applicable
Inspections. I understand that a registered wpy of this C4ertEtlwta of Comp ante l,req slrgd to cluded Wjt thr$ $tum�eptatlon(the iilderpipyfd/.ess tttg#e bull Ing owner at occupancy.
Y
Responsible Designer Name: - .q i-'rii
Responsible Deslg r S gn re:
Timo , Joseph
�J I/1Yt19
Company: -
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2016-04-11 11:45:53
Address:
License:
72-067 NORTHSHORE STREET STE A
920062
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-770-4357
Digitally signed by Ca10ERTS. 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•A0133787A-000000000-0000 Registration Date/rime: 2016-04-11 11:45:53 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016.04-11 11:46:14
Schema Version: 0.5555DD