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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): ��� LU oN JC'3 z 0 �rL u, ® u - H w 5 ST A C/")UZ 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