BMCH2015-024278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
l
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
4 4v QuiKr(u
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2OIS-0242
44030 GOLDENROD CIR CIR
604081008
HVAC CHANGE OUT
$8,260.00
Applicant:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
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 C�la s: C20 License No.: 920 2
Date+se� � Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Coritractor'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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/30/2015
Owner:
JAMES WRIGHT
44030 GOLDEN CIRCLE
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. 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. .
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 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 Sectio f the Labor Cod forthwith
comply wit tho provisions.
Dat Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION k46MGE 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 Delated 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 b ilding
construction, and hereby authorize representatives of this c' y to enter u above:
mention prope y for inspection purposes. °
DatP;? �� J Signature (Applicant or ent
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
L 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
QTY
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 forCHANGEOUT: $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 forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Din #_ Qty 0f LA Quinta
Building 8t Safety Division
Permit #
ML� ZO l �
Project Address 'A
P.O. Box 1504; 78-495 Calle Tampico .
La
,2,�-t Z Quinta, CA 92253 - (760) 777-7012 .
Building Permit Application and Tracking Sheet
Owner's Name: r
A. P. Number:
Rec'd
Address: d�
Legal Description:
City, ST, Zip:
Contractor. ��(-��S
L• �` !•t�
elc hon'''
I p '�
Address: .0 t��Tn fT/10� F
Project ption:
City, ST, Zip ct qty)
s 64--
Telephone: 4C-- 7,76- (t 3 "
Reviewed, ready for corrections
µ ::
Plan Check Deposit
State Lic. #
Lic. #t
Arch., Engr., Designer.
Called Contact Person
Address:
City., ST, Zip:
Tel e h
p
to Lic. #:
, ,. • .. „
' 'i"'" `5%< :« '«::=>: .....
........::::..::.:....�-::.3:.:.::>::::....
Construction Type: Occupancy:
Project type (circle ane): Ncw Add'n Alter Repair Demo
Name of Contact Pcrson:f(i��f9
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact �(Q '
Estimated Value of Project: 02
tr a
APPLICANT: 00 NOT WRITE BELOW THIS LINE
tt
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Catcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Reyiew, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fecs
Total Permit Fecs
Description: HVAC CHANGE OUT
CHRONOLOGY
rONDITIONS
Type: MECHANICAL
Subtype:.
Status: APPROVED
Applied: 6/30/2015 EVA
Approved: 6/30/2015 EVA
Parcel No: 604081008 Site Address: 44030 GOLDENROD CIR CIR LA QUINTA,CA 92253
Subdivision: TR 22982
Block:
Lot: 100
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,260.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
ZIP
Details: HVAC CHANGE OUT - 16 SEER/ .80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013
CALIFORNIA BUILDING CODES.
APPLICANT
TIMO'S AIR CONDITIONING & HEAT
__j Applied to Approved
FINANCIAL INFORMATION
Printed: Tuesday, June 30, 2015 3:13:17 PM 1 of 2 0?
SYSTEMS
CHRONOLOGY
rONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE
STREET STE A
THOUSAND
PALMS
CA
92276
(
FINANCIAL INFORMATION
Printed: Tuesday, June 30, 2015 3:13:17 PM 1 of 2 0?
SYSTEMS
REVIEWS
REVIEW TYPEREVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, June 30, 2015 3:13:17 PM 2 of 2
0rA?SYS TEh1S
CLTD
DESCRIPTION
ACCOUNT
CITY
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 forCHANGEOUT: $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•
REVIEWS
REVIEW TYPEREVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, June 30, 2015 3:13:17 PM 2 of 2
0rA?SYS TEh1S
t
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: James Wright Date Prepared: 2015-06-30
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
James Wright
02
Date Prepared 2015-06-30
03
Project Location
44030 Goldenrod Circle
04
Building Type Single family
05
CA City
La Quinta
06
Dwelling Unit Name James Wright
07
Zip Code
92253
08
Dwelling Unit Conditioned 2000
N
3 -"FIs the SC
A
Floor Area (ft2)
kA 44
SC System
Number of space conditioning
09
Climate Zone
15''•x`.
10
(SC) systems In this dwelling 1
,I Ilng,Installing
,- ,
Identification or
Location or Area
B. Space Conditioning (SC) System Information M )
41
02
%k
§ ript'
6t'
07
11 08 I
09
10
e 6
O5 ?a
1.t 1
.�
N
3 -"FIs the SC
Installing a
kA 44
SC System
SC System
CFA served
system a
refrigerant ..
installing newS�e
Install ng
,I Ilng,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
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0177658A-000000000-0000 Registration Date/Time: 2015-06-30 11:00:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-30 11:00:26
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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)lE 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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
coaling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Reoulred 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 wh cooling components are installed in systems, or when more than q0 of duct length is replaced.
-Leakage rate compliance: 5 15%, ors 30% leakage to outside; or,seal all accessible leaks.
CF2R.MCH-25-H & CF3R-MCH-25-H Refriger5nt{Iiai 6'-'rlRration �required.when refrigerant containing components are installed or altered lapplicable in C2 2, 8-15).
CF2RCF3R-MCH-23 & COR -MCH -23 Air Flow.Z300 CFM/ton required when MCH-25:is required.' -
-Duct systems registered with HERS provider as previously sealed are.exempt from MCH 20 Duct Le kagel Ming =m "0 -
ge,MECH•25.
-Heating systems and Air Handler/Furnace changes do not require verfRatfon of Au FI`ow'�MCHF23jfor Refrigerar- -.
v'a " s a-° sc , o-
-Existing duct systems constructed, insulated or sealed,with-asbestos are exempt rom MCN-20f0u%Leakage Testing requirements
nr
E. Entirely New or Complete Replacement Duct S gem, with"1pr 1aitho �Equ pment C an eout ectio s 150.2 r11% Difa nd� 50.2 b 1E, 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-A0177658A-000000000-0000 Registration Date/Time: 2015-06-30 11:00:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-30 11:00:26
Schema Version: 0.555SDD
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:
)(y1�'/Q� v UiI28
Timo , Joseph
C/r ,
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2015-06-30 11:00:11
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 Compliancels true and correct.
2. 1 am eligible under Division 3 of the 8uslness and Professions Code 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, materials components, and manufactured devices for the building design or system design Identified on this Certificate of Compliance conform to the
Title 24, Part 6lof Ca lifornia`Code eg factions
requirements of 1 and Part the ofR
t
4. The building design features or system design features identified oh this Certif te;of Compliance are wrisistentwitR the Aformation.provided on other applicable'wmpliance documents, worksheets,
ass cis h �^-� a- a
calculations, plans and specifications suhmitted to the eaforcement<'agency for.approval with this building permR apphcatio','n
t
de
+, ,� 7t yr o. 1 " " ,N
S. I will ensure that a registered copy of this Certificate of mpliance sfw11. 'niade.available wnhjtthe building'pe_ (s)pssued fori�heAbdilding, and.made avaiWble�torthe enforcement agency for all applicable
Inspections. I understand that a registered copy of thirGertNicate of Complanceisrequired to beincluded with thedocumentation�the�builder prsovides to Rthe building owner at occupancy.
Responsible Designer Name: `
Responslhle Desig rSignature:C/�(/%%i�
Timo, Joseph
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2015-06-30 11:00:11
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 document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0177658A-000000000-0000 Registration Date/ Time: 2015-06-30 11:00:11 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-30 11:00:26
Schema Version: C.SSSSDD