BMCH2015-010378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O15-0103
Property Address:
80586 HERMITAGE
APN:
762210033
Application Description:
SEEGERT APRIL. (2) H
Property Zoning:
Application Valuation:
$21,670.00
Applicant:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
r
Ti,t(t 4 4 Q*ral
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VAI, LtN I KAL
MAR 3 0 20115
fYOFLA0UINTA
DEVEIAPMENT DEPARTMENT
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: �-Y 5—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 Divisio 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
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.).
(1 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/30/2015
Owner:
APRIL SEEGERT
80586 HERMITAGE
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE STREET STE A
THOUSAND PALMS, CA 92276
(760)770-4357
Lic. 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 Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. --7
e:!6/ Applica
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. 11`1�
0 te:.ao=�CSignature (Applicant or Agen
FINANCIAL •• •
DESCRIPTION
ACCOUNT QTY
AMOUNTPAID 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
$145.04
$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
$72.52
$0.00 .
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $217.56 $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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• • 00
Description: SEEGERT APRIL (2) HVAC CENTRAL SPLIT UNITS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/30/2015 PJU
Approved:
Parcel No: 762210033 Site Address: 80586 HERMITAGE LA QUINTA,CA 92253
Subdivision: TR 28603-1 Block: Lot: 51
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $21,670.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (2) HVAC UNIT CHANGE OUT FURNACE,CONDENSER,19 SEER 3 TON EACH PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1.
CITY
STATE
ZIP
PHONE
FAX
EMAIL'
APPLICANT
TIMO'S AIR CONDITIONING & HEAT
72-067 NORTHSHORE
STREET STE A
THOUSAND
PALMS
CA
92276
(
Printed: Monday, March 30, 2015 4:17:49 PM 1 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT, REMARKS NOTES
,..
MECHANICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS S81473 FEE'
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0.40.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT, REMARKS NOTES
,..
MECHANICAL FINAL" BLD
BOND INFORMATION
Printed: Monday, March 30, 2015 4:17:49 PM 2 of 2
RWYSTEMS
0
a
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: April Seegert Date Prepared: 2015-03-30
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within.a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.
O3 Project Name
April Seegert
02 Date Prepared
2015-03-30
03 Project Location
80586 Hermitage
04 Building Type
Single family
05 CA City
La Quinta
06 Dwelling Unit Name
April Seegert
07 Zip Code
92253
Dwelling Unit Conditioned
2500
W N, dl
A08
Floor Area (ft2)
SC System
SC System'
CFA servedS�ystem
Number of space conditioning
reige nt 'a
09 Climate Zonery
15
10 (SC) systems in this dwelling
2
g�;a
Iunit.
by this SC
ducted
containing
system
more than 40
B. Space Conditioning (SC) System Information:
s
01
02
# 4R!11"041
06
071
V
09
10
V1
"`$tea
., Is the SC
9 vSY.v'aN
Installing a
19 bA
W "• itN'
W N, dl
"�,�pdi `pi
SC System
SC System'
CFA servedS�ystem
a
reige nt 'a
Installing newTSC
'Installing
Ilnstalli
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
Common Area
1250
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedrooms
1250
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150Z(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0083032A-000000000-0000 Registration Date/Time: 2015-03-3012:38:29 r HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-30 12:38:33
Schema Version: 0.555SDD
F
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 15O.2(b)3E and F)
O1
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
cooling
SEER
19
Setback
section is not
section is not
components
-
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
i',t
z�AFUE
0.8
AC
cooling
SEER
19
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
$4�g„
CF2R-MCH-01-E• Space Conditioning Systemv0dtts and'Fans '.-3z ,>�-••.
-Duct insulation requirement for new plenums`�R6
CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testing required when heatmg pr cooking components are.nstalled,in ducted systems or when more than 40 ft of duct length Is replaced.
-Leakage ratecompliance: 5 15%, ors 10-A leakage to°outside or seal all accessible lei aks
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Chaige Ven0ptitin required when refrigerant tonq�ining compone^ts.are i^sta0ed or a� ( ble in CZ?,8-''3T5).
-
CF2RCF3R•MCH-23 $ CF3R-MCH-23 Air Flow 2 300 CFM/ton required•when MgF25 is req- e k
-Duct registered HERS from 20 Lege Testing requirements
systems with provider as p eviously sealedam mpt OMC Duct
-Heating -only systems and Air Handler/Furnace changes do not requue rification.04, FOa. MCH�',2�, or'Refrigerant,Garge MESH -2
-Existing duct insulated from MCH Du Leakage Testing requirements.
systems constructed, or sealed with asbestos are exempt -10` c[
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C)
This section does not apply to this project.
Registration Number: 215A0083032A-000000000-0000 Registration Date/ Time: 201503-30 12:38:29 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-30 12:38:33
Schema Version: 0.5555DD
a
CERTIFICATE OF COMPLIANCE CF1R-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:
Timo,Joseph
Company:.
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2015-03-30 12:38:29
Address:
CEA/ HERS Certification Identification (if applicable):
72-067 NORTHSHORE STREET STE A
Gty/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. Theinformation provided on.this.Certifirate of Co pliance is true and correct.
2. 1 am eligible under Division 3 ofthe Rosiness 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
requirements of Title 24, Part 1 and pa ii of the California Code of Reg lation%,
4. The building design features or rystem deiign features identified on this CertidFat�e,of mpilance are consistentwitf the 16furmati�ovlded o the licaWe compliance documents, worksheets,
QF v;A .✓ppI Xs
calculations, plans and specifications submitted td the etdorcement;agency for appmva��lW5itF1 this building permh applKatibrl
.
.01 UA Sk'g+. � j�d 3: 10i ai 'f� . 3 N
S. I that thisfeitif6te�of Compliance shaD�be�madeavailable wittL" brUild g permitlshissued forithe(building, and_made available rothe gnforcement agency for all applicable
will ensure a registered copy of
building
inspections. I understand that a registered copy of thWCertMicate of Cc�mphance�is.,requiced to bejr cluded with the documeentation the�builder p�oyides to,the owner at occupancy.
Responsible Designer Name: r,. 'gam
Responsible Designer 59rurtUre: 'iif
Timo , Joseph
v�
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2015-03-30 12:38:29
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 docummt and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0083032A-000000000-0000 Registration Date/Time: 2015-03-30 12:38:29 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-30 12:38:33
Schema Version: 0.555SDD
Bin #
Submittal
City Of La • Quin ta
-Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking -Sheet
Rec'd
Permit #
Project Address: D ScV
�AFX*
Owner's Name:
A. P. Number:
Plan Check submitted
AddressZ0-5-41 We
Item
Legal Description:
City, ST, yx UaS
3
Contractor.
Tdc P
Project Description:
Plan Cluck Deposit
Address:D QPM
06 2
City, ST, Zip"p(;��iJ
�(�
Q- 5_
`1 >:
:::r.:>.•:.;':}<:.:>:::,..>;:t...Telephone:
:.....:.:.,-...:
StateLic.#:
CiyLie. #:
�•
Arch., Engr., Designer.
Address:
V07
City., ST, Zip:
Plans resubmitted
-3
� p
Teleph
-..-fizz%>:>
Construction Type: Occupancy:
Project type circle one): New Add'n Alter Repair
Demo
to Lic. #:
`:«<:::>"?:?:%?:>`::- ::':'.<;:'?:r<
Name of Contact Person:
Sq. Ft.:
# St ries:
# Units:
Telephone # of Contact Person: -
Estimated Value of Prc j 0 -!--
Plumbing
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Cala.
Called Contact Person
Plan -Check Balance-
Title 24 Cates.
. .-.
'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 Decd
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 Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
M