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BMCH2015-0280Property Zoning: Application Valuation: $16,463.00 Applicant: Contractor: TIMO'S AIR CONDITIONING & HEAT TIMO'S AIR CONDITIONING & HEAT 72-067 NORTHSHORE STREET STE A 72-067 NORTHSHORE STREET STE A THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)77.0-4357 Llc. No.: 920062 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 Clas : C20 License No.: 920062 Date: ( �� t Contractor: OWNER-BUILDE ECLA TION I hereby affirm under penalty of perjury that I am exe rom 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.). (_) 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 Lender's Address: 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. I 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 cf the work for which this permit is issued, I shall not employ any person in any manner sm 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 Sectior• 3Zofbon Code II forthwith comply with those rovisions. IL Date: Applicant: WARNING: FA LURE TO SECURE WORKERS' PENSAT COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIVINAL PENA CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FDR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKWWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on triis application. 1. Each person upon whose behalf this apolication is made, each person at whose request and for whose benefit work is perfarmed 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 0e 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 ,fit not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to carr: ellation. y� 1 I certify that I have read this application anc 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 c' entve- mentioned rope y for ins ection purposes. ..1,. Date: v Signature (Applicant or Agent)' A " 78-495 CALLE TAMPICO D wNl��l/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDIN.G9P_ERM11T pDate:. 7/17/2015 Application Number: Property Address: BMCH2O15-0280 44180 OCOTILLO DR JUL Z015 `Owner: RICHARD BUTLEF APN: Application Description: 604180039 BUTLER RESIDENCE / HVAC ` _'} I� 4180 OCOTILLO DR CHANGE OUT �,L(1(j((g'iA QUINTA, CA 92253 Property Zoning: Application Valuation: $16,463.00 Applicant: Contractor: TIMO'S AIR CONDITIONING & HEAT TIMO'S AIR CONDITIONING & HEAT 72-067 NORTHSHORE STREET STE A 72-067 NORTHSHORE STREET STE A THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)77.0-4357 Llc. No.: 920062 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 Clas : C20 License No.: 920062 Date: ( �� t Contractor: OWNER-BUILDE ECLA TION I hereby affirm under penalty of perjury that I am exe rom 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.). (_) 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 Lender's Address: 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. I 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 cf the work for which this permit is issued, I shall not employ any person in any manner sm 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 Sectior• 3Zofbon Code II forthwith comply with those rovisions. IL Date: Applicant: WARNING: FA LURE TO SECURE WORKERS' PENSAT COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIVINAL PENA CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FDR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKWWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on triis application. 1. Each person upon whose behalf this apolication is made, each person at whose request and for whose benefit work is perfarmed 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 0e 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 ,fit not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to carr: ellation. y� 1 I certify that I have read this application anc 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 c' entve- mentioned rope y for ins ection purposes. ..1,. Date: v Signature (Applicant or Agent)' '.9 FINANCIAL INFORMATIO DESCRIPTION ;`€ aFPACCOUNT �x ": eQTY PAID PAID DATE: ? BSAS SB1473 FEE - 101-0000-20306 0 $1.00 $1.00 7/17/15 PAID BYr��#r+`e;METHOD € �"# # CHECK # % CLTD BY Y. .RECEIPT ^y TIMO'S AIR CONDITIONING & HEAT CHECK R7804 19854 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00'. <°-7.7DESCRIPTIONE QTYr€ AMOUNT DATE] x .,'.° z ;a`r .' ..:�A000UNT^r s� $PAID a HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $145.04 7/17/15 : METHOD `� ;k x CHECK# BPAID'BY .w:..e � v;CLTD TIMO'S AIR CONDITIONING & HEAT CHECK R7804 19854 MFA °:DESCRIPTION ' : , `°� �g s € ACCOUNT, '� - QTY,` �;. � AMOUNT'S gPA1rD ' PAID'DATE x •_ HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $72.52 7/17/15 PAID BY ; a METHOD r. �x C4 RE EIP.T # I� CHECK # CLTD BY, g� ¢ r ; a. .' TIMO'S AIR CONDITIONING & HEAT- CHECK R7804 19854 MFA Total Paid forCHANGEOUT: $217.56 $217.56 ,'DESCRIPTION . r>' b ' s ` ACCOWNT `x, 'QTY F` AMOUNT PAID " :iPAID'DATE: „ . .. X: ;� �� s PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 7/17/15 BY METHOD t v " ''€ " ' ': RECEIPT #, �u r CHECK # s tl`"CLTD BYw. -- ♦ ...i.- .., .... '�'Y.f t.: 'M ;. 1-i' ... .: ',. ., aN 'A c S ., t ...: .. '.-5 c f F_3i%' •3r TIMO'S AIR CONDITIONING & HEAT CHECK R7804 19854 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 TOTALS:0.4 Description: BUTLER RESIDENCE HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: ISSUED Applied: MFA Approved: 7/17/2015 MFA Parcel No: 604180039 Site Address: 44180 OCOTILLO DR LA QUINTACA 92253 Subdivision: TR 24517 Block: Lot: 1 Issued: 7/17/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $16,46100 Occupancy Type: Construction Type: Expired: 1/13/2016 MFA No. Buildings:.O No. Stories: 0 No. Unites: 0 Details: 2 HVAC CHANGE OUT - 16 SEER/ SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. A"i I 'A. V' . . ..... ......... CONDITIONS PNTACTS, 7�77 NAME TYPE z��,"NAME A, W APPLICANT TIMID'S AIR CONDITIONING & HEAT 72-067 NORTHSHORE THOUSAND CA 92276 (760)360-6801 STREET STE A PALMS CONTRACTOR TIMO'S AIR CONDITIONING &*HEAT 72-067 NORTHSHORE. THOUSAND CA 92276 (760)360-6801 STREET. STE A PALMS OWNER RICHARD BUTLER 44180 OCOTILLO DR LA QUINTA CA 92253 (760)360-6801 DESCRIPTION'' -.. :. ., ACCOUNT QTY :AMOUNT PAID ,PAID DATE RECEIPT # CHECK # ;:METHOD' PAID BY .. CLTD�< Y TIMO'S AIR BSAS'SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/17/15 R7804 .19854 CHECK CONDITIONING & MFA HEAT Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: TIMO'S AIR HVAC CH T - 101-0000-42402. 0 $145.04 $145.04 7/17/15 R7804 . 19854 CHECK CONDITIONING & MFA SPLIT-SYSTEMSYSTEM HEAT TIMO'S AIR HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $72.52 7/17/15 R7804 19854 CHECK CONDITIONING & MFA SPLIT -SYSTEM PC HEAT Total Paid forCHANGEOUT: $217.56 $217.56 TIMO'S AIR PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 7/17/15 Ft7804 19854 CHECK CONDITIONING & MFA HEAT Total Paid for PERMIT ISSUANCE: $91.85 $91.85 $310.41 $310.41 PARENT PROJECTS ATTACHMENTS Printed: Friday, July 17, 2015 12:56:08 PM 2 of 2 ' SYS7fnnS A ,r � r-1 f Bin # City of La Quit to Building gz Safety Division P.O. Box 1504; 78-495 Calle Tampico . Permit # I La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: ae-4677- Fv. Name:� A. P. Number. : 1 ge T, Zip: moi 7;?Legal Description:v' ;::<: s ::< >: ,.. .... Contractor:.C1ls i �.ti Tcicphonc: w,,., 3•.y,,,::" Address: t Pro'ect Description: City, ST, Zip.�� (t5� 41 lGt C Telephone: �(>1-• �! C'• `t 3� "'�%�!'%"y �f `�:��s<:>:�:"�<»����?s>s»� , . State Lic. # : t�c t' City Li,.k. Called Contact Person Plans picked up . Plans resubmitted 21' Review, ready for corrcctions/issue Called Contact Person Plans picked up Arch., Engr., Designer. Flood plain plan �� \ Address: Grading plan City., ST, Zip: Tel h >;r <i•.::_ Y ::�::� rr;:::::«:;•; Construction Type: Occupancy: Grant Decd Project type (circle one): New Add'n f .iter Repair Demo to Lie. #: II.O.A. Approval Name of Contact Person: CD Sq. Ft.: # Stories: # Units: Tcicphonc # of Contact Person: ` Q - �lQ Estimated Value of Project: rl�A srrnn ninT WRITF BELOW THIS LINE , # Submittal Req'd Rec'd TRACKING Plan Check submitted Reviewed, ready for corrections Plan Sets Structural Calcs. Truss Cala. Called Contact Person Plans picked up . Plans resubmitted 21' Review, ready for corrcctions/issue Called Contact Person Plans picked up Title 24 Cala. Flood plain plan Grading plan Subcontactor List Grant Decd II.O.A. Approval Plans resubmitted Review, ready for corrections issue Called Contact Person Date of permit issue IN HOUSE: Planning Approval Pub. Wks. Appr School Fees PICRMIT FEES Item Amount Plan Check Deposit Plan Check Dalsnce, Construction Mechanical Electrical Plumbing S.M.I. . Grading Developer .P. Impact Fee A.I.P Total Permit I :cs CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 J Project Name: Marty Butler Date Prepared: 2015-07-17 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 Marty Butler 02 Date Prepared 2015-0'-17 03 Project Location 44180 Ocotillo Dr 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Marty Eutler 07 Zip Code 92253 08 Dwelling Unit Conditioned 2550 � �Is the SC 1 Floor Area (ft2) eNumber of space conditioning 09 Climate Zone 15 10 (SC) systems in this dwelling 2 r. _.._ unit. B. Space Conditioning (SC) System Information �gg r:= ', to .. _.... 01 02 )1 403 g t A 04"�� 05 F W. 11-061Mtf1 y _ 0711 .. 1.OS 09 10 � �Is the SC Installing a SC System SC System �,�'� `CFA served 'wystem a rew,,,frige nt a*�Installing ew�SfInstalli�ng i Ili g Installing 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? ductsysten-3 SC system? Alteration Type System 1 Location 1 1275 Yes Yes Yes No No No Altered space conditioning system System Location 2 1275 I Yes I Yes Yes No i No i No I Altered space conditioning system I :. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number:215-A0197076A-000000000-0000 Registration Date/fine: 2015-07-1711:54:59 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-17 11:55:22 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 l0 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 gas heating AFUE 0.8 en Ctral split cooling SEER 16 Setback section is not section is not furnace components AC components applicable applicable All new All new This field or This field or System Central gas heating AFUE 0.8 C Central split cooling SEER 16 Setback section is not section is not furnace components AC components applicable applicable Required Documentation: f MR -MCH -014 • Space Conditioning Systems Ducts and:Fans -Duct Insulation requirement for new plenums R6-"�-�'� - • "'"`'"� g CF2R-MCH-20-H & CF3R-MCH-20-H - Duct Leakage testing required when heating o_ l components are,installed,in ducted sys�tems, or when more than 40 ft of duct Ength is replaced. - -Leakage rate compliance: 515%, or510%leakage to`'outside or seal all accessi 'leaf s. Id xal- CF2R-MCH-2S-H & CF3R-MCH-25-H Refrigerant Charge Verification iequired whep refrigerant wm t g components•are installed ora red (applicable In CZ 8.15i CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow 2 300 CFM/ton requiredgwhen MCH. 25 is requl ed vt - Exceptions:, - - -Duct systems registered with HERS provider as previously sealed are exempt from MC i 20 Duct Leakage Tes,,,,ting requirements. -Heating-only systems and Air Handler/Furnace:changes do not requireriflcattonofmplr flowrMC or Refrigerant Charge MECH•25 x23, Testing -Existing duct systems constructed, insulated cr sealed with asbestos are exempt from MCH!20 Duct Leakage requirements: E. Entirely New or Complete Replacement Dud System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)!E, 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: 215-A0197076A-000000000-0000 Registration Date/Time: 2015-07-1711:54:59 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-17 11:55:22 Schema Version: 0.5555DD 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: Tinto, Joseph Company: Signature Date: TIMO'S AIR CONDITIONING & HEATING INC 2015-07-17 11:54:59 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'wi�of the State of California: 1. The Information provided on.thi; Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3'ofthe auslnessand Professionz C de 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, materlals; components, and manufactured devices for the building., design or system design Identifed on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6Df the Ca lffornia`Code of R ons. _ g iK r 4. The building design features or system design features'Identified on his Certiflchat of Comp�Iance are,`consiste t the in�formati n:provided on other's apt2' caBle mpliance documents, worksheets, calculations, plans and specifications submitted to the enforcemenngency forap�proval witfi this building permh application. '4— �► rr€ �+ �. S. I will ensure that a registered copy of this Certificate- C�mpRance sha11 be made evadable with jhe bugtftng'permrt(s};issued forfth "lding, and_ir available, Athe enforcement agency for all applicable �of Inspections. I understand that a registered copy of thisCertificate of Compliance -Is,req uired to be„Induded with the �do�cum ta�tionghe2builder ppyides to the buLlding owner at occupancy. Responsible Designer Name: w;i Responsible Designer Slamt%re: Ci�� Timo ,Joseph Company: Date Signed: TIMO'S AIR CONDITIONING & HEATING INC 2015-07-17 11:54:59 Address: License: 72-067 NORTHSHORE STREET STE A 920062 City/State/Zlp: 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 esponsibility for the accuracy of the information. Registration Number: 215-A0197076A-000000000-0000 Registration Date/rime: 2015-07-17 11:54:59 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-17 11:5522 Schema Version: C.555SDD 4.