BMCH2014-106678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O14-1066
79210.DIANE DR
604313005
REPLACE (1) SPLIT SYSTEM
$6,824.00
Applicant:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
Tdv 4 lwQumz
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
8d
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: 20 License No.: 920062
Dat ` ` 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
PAUL SALISBURY
79210 DIANE DR
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING &
72-067 NORTHSHORE STREET
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Date: 9/4/2014
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'
com ion, as provided for by Section 3700 of the Labor Code, for the performance
oh for which this permit is issued.
I.ve and will maintain workers' compensation insurance, as required by
Sec'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 Secti 00 of the Labor Code II forthwith
comply with t osse rovisions.
Aft
D: ( Applicant f�
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 a
mentione proArty for inspection purposes. z
Dat Signature (Applicant or Agent): ���
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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'
com ion, as provided for by Section 3700 of the Labor Code, for the performance
oh for which this permit is issued.
I.ve and will maintain workers' compensation insurance, as required by
Sec'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 Secti 00 of the Labor Code II forthwith
comply with t osse rovisions.
Aft
D: ( Applicant f�
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 a
mentione proArty for inspection purposes. z
Dat Signature (Applicant or Agent): ���
FINANCIAL INFORMATION
DESCRIPTION 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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$71.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:• •0
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: Paul Salisbury Date Prepared: 2014-09-04
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 CFIR-ALT-02 document for each dwelling unit.:
01
Project Name:
Paul Salisbury
02
Date Prepared:
2014-09-04
03
Project Location:
79210 Diane Dr
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Paul Salisbury
07
Zip Code:
92253
OB
Dwelling Unit Conditioned
1500
` components?
''
duct system
Floor Area (1`1:2):(1`1:2):
Number of space conditioning
09
Climate Zones
15
30
(SC) systems being altered in
1
condensing unit,
Installing
this dwelling unit.:
system's
B. Space Conditioning (SC) System Information f P rr J^
rr) e„^
O7
02
03
t y D4'
3-.
OS •'
06 ..1 4"ti
O7 - t
” 08
09
10
. -Installing new ,*
Y-.
tf th°e entire
` components?
''
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
System 1
Location 1
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-A0088304A-000000000-0000 Registration Date/rime: 2014-09-0412:25:25 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014.09-04 12:25:51
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
05
06
07
08
09
30
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
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -
-Duct Insulation requirement for new plenums: R6.-
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 it of duct length is replaced.
-Leakage rate compliance: s 1S%, or 510%leakage to outside, or seal all accessible leaks.
CF2R-MCH-2S-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow 2 300 CFM/ton,required when MCH -25 is required -
s _ p"
Exceptions: �r *+� t r
A / Y , .' A 7 3 `%.t
Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct Leakage Testing requirements
-Heating-only systems and Air Handler/Fumacechanges do not rrequire verification of Air Flow M614-23,or Refrigerant Charge MECH 25
-Existing duct systems constructed, insulated orsealed with.asbesto3 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)1Diia and 150.2(b)1E, F)
12 This section does not apply to this project.
Registration Number: 214-A0088304A-000000000-0000 Registration Date/Time: 2014-09-04 12:25:25 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-04 12:25:51
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
This section does not apply to this project.
4-4
Registration Number: 214-A0088304A-000000000-0000 Registration Date/rime: 2014-09-04 12:25:25 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-04 12:25:51
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
'�1P/'�oL
Timo , Joseph
C/ '
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2014-09-04 12:25:25
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 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.Prrofessions Code to accept responsibility.focthe building design orsystem.design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and perfortnance`epeciflcations, matenals, componentswand 'manufactured devices for the budding design or ryitem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. '� .
4. The building design features or system design features Identified on"This Certificate of.Campl ance am consistent with the Informatn provided on otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted,to the enforcement agency for approval with this building permit application.
5. 1 will ensurethat a registered copy of this,Certificate ofCompliance shall be made available with.the building permits) issued for the.building and made available to the enforcement agency for all applicable
Inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder thebuilding owner at occupancy.
Responsible Designer Name:
'provides atto
Responsible Designer Signature:
Timo, Joseph
Company: -
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC2014-09-04
12:25:25
Address:
License:
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 to secure the content of this registered documen4 and in noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 214-A0088304A-000000000-0000 Registration Datefl-ime: 2014-09-04 12:25:25 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-04 12:25:51
Description: REPLACE (1) SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 9/4/2014 SKH
Approved: 9/4/2014 SKH
Parcel No: 604313005 Site Address: 79210 DIANE DR LA QUINTA,CA 92253
Subdivision: TR 26188 Block: Lot: 21
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,824.00 , Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 16SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, September 04, 2014 1:38:19 PM 1 of 2
RWYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
;x DATE DATE
RESULT REMARKS NOTES
-
CLTD
DESCRIPTIONACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
1ME__THODY
PAID BY
BY
BSAS SB1473 FEE
1 101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$71.50
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$35.75
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $107.25 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
Total Paid forPERMIT ISSUANCE: $90.57 $0.00
TOTALS:$0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
;x DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL**
PARENT PROJECTS
Printed: Thursday, September 04, 20141:38:19 PM 2 of 2
CM9SYSTEMS
Bin # Qty of La Quinta
Building 8I• Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 2 qj Owner's Name:kit
A. P. Number: Address: /�,o
Legal Description: City, ST, Zip: Y
"lw.:fti• =:Sfw., •::yn;: itiniSi�j.
Contractor:G➢ia�r� Telcphon —
Address: � � eke _ Project Description:
City, ST, Zip: d�
Telephonc7 —7,70 --��>s#%s;:;:;;s:r:;:.Y«>.;:;:.:;>;><'-<'>• �•i
State Lic. # : O.60a City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone::;.h:>:;:::;;;;;v:<::.::;:;;>>.:::<•;:;> Construction Type Occupancy:
cy:
State L tc. #•
Project type circ1
a one)
Now Add n Alter r RaP
air
Demo
Name of Contact Person: Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: � Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
i
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance_
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionsrissue
Developer Impact Fee
—Planning -Approval
-Called-Corta-crPerson
Pub. Wks. Appr
Date of permit issue
School Fccs
Total Permit Fees