BMCH2017-025778-495 CALLE TAMPICO D O.�i
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0257
Property Address: 54873 SOUTHERN HILLS.
APN- 775.101079
Application Description: . SOMERVILLE RESIDENCE-/ HVAC CHANGE OUT
Property Zoning:
Application Valuation: $6,454.00
Applicant:
TIMO'S AIR CONDITIONING &HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
VOICE (760) 777-7125
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/2017
Owner:
JEFF SOMERVILLE
54873 SOUTHERN HILLS
LA QUINTA, CA 92253
Q/(/rT
Con _Factor: 91S AIR CONDITIONING & HEATING INC.
�/ g 32 CORPORATE WAY
UIJZSAND PALMS, CA 92276
l TYO�� 60)770-'4357
DESIGNANUp
FV�
QUTAI
��p.M.FNI• p�pART�y9 Llc. No.: 920062
----:_--
------------ --------------------------------------- ---FNT--------------------------------
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: � 2-� � 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).: '
(� 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 Name:
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
otll=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: 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Dater`. 'l 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.
Date: sc Z3 Signature (Applicant or Agent):
Date:, 6/23/2017
Application.Number: BMCH2O17-0257
Owner:
Property Address: 54873 SOUTHERN HILLS
JEFF SOMERVILLE
APN: 775101079
54873 SOUTHERN. HILLS
Application Description: SOMERVILLE RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:.
.. .
Application Valuation: $6,454.00 .
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)77.0=4357.
Llc. No.: 920062
Detail: HVAC CHANGE OUT.- 14 SEER/80 AFUE PACKAGE SYSTEM. CARBON,MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO.FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
r
DESCRIPTION
-ACCOUNT QTY
AMOUNT
BSAS S81473 FEE
101-0000-20306
0
$1':00
r7 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1:00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
,
HVAC•CHANGEOUT- PACKAGED UNIT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOU,T= PACKAGED UNIT PC -
101-0000-42600
0
$2533
Total Paid for CHANGEOUT:
$63.33
DESCRIPTION
-ACCOUNT
QTY,
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for, PERMIT ISSUANCE:
$96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT)FEE
502-0000-43611
0
$5.00
Total Paid for -TECHNOLOGY ENHANCEMENT FEE:
$S.00
•
.0
r
1
Bin. #
Qty of La Qurnta
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Applicatlon and Tracking Sheet '
Permit #
Project Address: 54873 Southern Hill
Owner's Name:. Jeff Somerville
A. P. Number.
Address: 54873 Southern Hill .
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor: Timo's Air Conditioning & Heating
Telephone: 909-227-0460 _ f';s`
Address: 72232 Corporate Way
ProjectNscription: Replace 4 ton package unit
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-7704357
State Lic. # : 920062
City Lic. #;
Arch., Engr., Designer
Address: , 1
City., ST, Zip:
Telephone:Construction
State Lic. #:awj . ' »
Name of Contact Person: Steven Schnierer
Type- . Occupancy:'
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.;
#Stories:
#Units:
Telephone # of contact Person: 818-735-7876
Estimated Value of project: $6,454.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Reed
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Pian Check Balance:
Title 24 Calm
Plans picked up
Construction.
Floodplain plan
Plans resubmitted
Mechanical
Giading plan
2'1 Review, ready for correctionsfissue.
Electrical
Subcoutactor List
Called Contact Person
Plumbing
.Grant Deed
Plans picked up:
S.M.I.
H. OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'' Review; ready for corrections! -issue
Developer Impact Fee
Planning Approval
Called Contact Person
M.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE . CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: JEFF SOMERVILLE Date Prepared: 2017-06-22
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
JEFF SOMERVILLE
02Date
Prepared
2017-06-22,
03 •
Project Location
54873 Southern Hill
04
Building Type
Single family
05
CA City
LA QUINTA "^
X06
Dwelling Unit Name
JEFF SOMERVILLE
07
Zip Code
#Dwelling
92253 4
00�2596
Unit Conditioned
Installing new SC
Installing
Installing
Installing
Floor Area (ftZ )
Location or Area
by this SC
ducted
f,
system
more than 40*
entirely new
entirely new
Name
f
Number of Space
system?
09
Climate Zone
15�
duct system?
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLEHOUSE
2596
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04 40
05
06 ?
07
08
09
10
CFA
Is the SC .
tInstalling,a '
Ewr�r��
SC System
SC System
served
systema
refrigerant
Installing new SC
Installing
Installing
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?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLEHOUSE
2596
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40.Feet (Section 150.2(b)1Dill b)
This section does not apply to this project.
Registration Number: 417-A020099508A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-22 17:18:20
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-06-22 17:18:20
CERTIFICATE OF COMPLIANCE CF1R-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
Central
All new
Central
All new
This field or
This field or
SYSTEM 1
packaged HP
heating
AFUE
0.8. _
kdHP
pacage.
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: `
CF2R-MCH-61-E - Space' Conditioning Systems
Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZ 1 10 X12 a6 13) and R8 (CZ 11 and 14-16)
,._
t
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed.+ in ducted.' stems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 30% leakage to outside, or seal all accessible leaks. :
..r
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing compoo nents are installed or altered (applicable in CZ.2, 8-15).
y..
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct LeakageSesting requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. .
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
ii�Ph�fai K 1riv
This section does Mfaxpply 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: 417-A020099S08A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-22 17:18:20 HERS Provider: CHEERS
Report Version: 2016.1.005 Report Generated: 2017-06-22 17:18:20
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E'
Alterations to Space Conditioning Systems (formerly CF -1R -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: -
Joey Timo
J Timo- ,
Company:
Signature Date:
Timo's Air Conditioning & Heating " -
2017-06-22 '
Address:, f. r ''' "' - ' ' .
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: ' ` -
Phone. .
760 770-4357
Thousand Palms CA 92276.
Responsible Person's Declaration statement.
I certify the following under penalty of perjury, under the laws 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 to accept responsibilitVAir th'e building design or system design identified on this Certificate of Compliance.(responsible designer).
3. That the energy features and performance specifications, materials, components, and ma ifactu ed`devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 arid Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency forapprovalkwith this building permit application.
= E N LA ._"
5.' .. 1 will ensure that a registered. copy of this Certificate of Compliance shall be;made available with the building permit(s). issued for the building, and made available to the enforcement agency for all applicable '
inspections. (understand that a registered copy of this Certificate of Compliance is`required to be included witfi the documentation the builder provides to the building owner at occupancy..
Responsible Designer Name: .. Unmatched �
R spans ible� ets g ner Signature:
Joey Timo
JO2y Tt.wco-
Company:
Date Signed: ,
Timo's Air Conditioning & Heating
2017-06-22
Address: :. w -
License: c w
72232 Corporate Way - -
920062 '
City/State/Zip:
Phone:
Thousand Palms CA 92276 ._ � •.
760-770-4357 ' ' • '
s Digitally signed by. CHEERS'"'. This digital signature is provided in order to secure the content of this registered
- -document; and m no way implies Registration Provider. responsibility for the accuracy of the information.
Registration Number: 417-A020099508A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 17:18:20 HERS Provider: CHEERS
t CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.005 a Report Generated: 2017-06-22 17:18:20
Schema Version: rev 10/16
_
-rA