BMCH2017-039478-495 CALLE TAMPICO
LA QUINTA , CALIFORNIA 92253
c&ty/ 4 4. QUM&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0394
Property Address:
80305 VIA VALEROSA
APN:
777250002
Application Description:
ADORNI RESIDENCE / HVAC CHANGE
Property Zoning:
Application Valuation:
$19,253.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
AUG 3 12017
CITY OF LA QUiNTA"
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 920062
tDate . 311: • wEon�traict-or
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
VOICE (760) 777=7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/2017
Owner:
ROY ADORNI.
80305 VIA VALEROSA
LA QUIN NTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
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: NORGUARD INSURANCE COMPANY Policy Number: TIWC8S1602
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.
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.'
O. TJI �i I
Date ignature,(ApplicanYorAgent):
Date: 8/31/2017
Application Number: BMCH2O17-0394
Owner:
Property Address:' 80305 VIA VALEROSA
ROY ADORNI
APN: 777250002
80305 VIA VALEROSA
Application Description: ADORNI RESIDENCE / HVAC CHANGE OUT
LA QUIN NTA, CA 92253
Property Zoning:
Application Valuation: $19,253.00
Applicant:
Contractor:
IE INC"
TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA
72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92216
(760)770-4357
------------------------------------------
LIc.:No.: 920062
Detail: (2) HVAC CHANGE OUTS - 16 SEER/80AFUE SPLIT SYSTEM. -CARBON MONO_IDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES. .
. x
ONNATION.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS S81473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101'-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
HVAC CHANGEOUT.- SPLIT -SYSTEM PC
101-0000-42600 :.
0
$76.00
'Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-000042404
0
$96.27
Total Paid for. PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
r
,
#
Qtk O ;Ld. Qut'nth
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
LA.Quinta, CA 92253 -:(760) 777-7012
Building Pennit'Application and Tracking Sheet
Permit #
PiojerAAddtess: 80305 Via Valerosa
Owner's Name:.Roy Adorni
A. P. Number.
Address: 80305 Via Valerosa
Legal Description:.
Contractor. Timo's Air Conditioning &Heating
City, ST, Zip: La Quinta, CA 92253
�s 3:ti?a „�:�
Telephone: 973-525-3146 �, „;s
Address: 72232 Corporate Way
Proje4Description: Replace 5 ton / 100,000 BTU complete
City, ST, Zip: Thousand Palms, CA. 92276
HVAC system,
Telephone: 760-770-4357
P -M ... .
f " "'
,. x
Re lace 3.5 ton / 80,000 BTU cum tete HVAC s stem
P P Y
State Lic. #: 920062
City.Lic. tR
Arch., F.ngr., Designer
Address:
City., ST, Zip:
Telephone: P .� , .
State Lia #:�% ` °»,`' _
,N
.Construction Type:. Occupancy:
project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $19,253.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted.
Item Amount
Structural Cake.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Grading plan
V Review, ready for corrections/issue
Electrical
Subcoitactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILOA. Approval
Plans resubmitted
Grading
IN HOUSE:,
3 d Review; ready for correctionsfissue
Developer Impaet Fee
Planning Approval
Called Contact Person'
A.LP.P. .
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
ROY AI)ORNI I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-08-29
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.
O1
Project Name
ROY ADORNI
02
Date Prepared
2017-08-29
03
Project Location
80305 VIA VALEROSA
04
Building Type
Single family
05.
CA City
La Quinta f,
06
Dwelling Unit Name
HOUSE.
07
ZipCode
#
92253
8.
Dwelling Unit Conditioned
Installing new SC"
Installing
Installing
Installing
Floor Area (ft)3420
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
Number of Space
system?
09
Climate Zone
15 ,4
167
Conditioning (SC) Systems in
1
SYSTEM #1
PART OF HOME
1710
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information i ) I
AP%i CM -7 1 knN e
01
02
03
04`
` Ii 65.
06' '
07
08
09
10
Is the SC
Vi
Installing a, .:
t'r r3 ' rl Vi
Vhf :Irate rif'
SC System
SC System
CFA served
system a
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
PART OF HOME
1710
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM #2
PART OF HOME
1710
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing -Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020112914A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 16:36:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-29 16:36:55
Schema Version: rev 10/16
J
CERTIFICATE OF COMPLIANCE _ - CUR -ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
0.81
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
'SYSTEM
Central gas
All new
-�'`t
Centralisplit
x All new
`cooling
This field or
This field or
tit
furnace
heating
AFUE
0.81
AC =
,:
SEER
16
Setback
section is not
section is not
components
p
+
^components
applicable
applicable
Required Documentation: t )j
CF2R-MCH-017E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6'(CZ 1 10 12 and 13) and R8 (C2 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed iri ducted systems, or when more than 40.ftof duct length is replaced
-Leakage rate compliance: <=15% or <= 10% leakage to outside; or seal all accessible leaks.. ' ✓ `
g P g
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (aoplirahle in f7- 2; 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions: j I
HERS fro�mmMMCH-20 Duet Leakage Testing
-Duct systems registered with provider as previously sealed are exempt requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification -of Air Flow=MCH'23;�or Refngerarit Charge MCH z25.
-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)lDiia and 150.2(b)lE, F)
This section does not apply 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-'A020112914A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 16:36:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-29 16:36:55
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-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
Joey rano-
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-08-29
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip:
Ph
Thousand
Thousand Palms CA 92276 {
71 0 -4357
Responsible Person's Declaration statement.;€ .
I certify the following under penalty of perjuunder the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.K �t
2. 1 am eligible under Division 3 of the Business 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 ma'nufa to ed devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 2.4, Part 1 and Part 6 of the California Codc 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 for.. -.approval with this building permit application.
i. M )) :::...
5.. 1 will ensure that a registered copy of this Certificate of Compliance shall be'made available with the building permlt(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered co of this Certificate of Com liance is re wired ib be included withtthe doc mentation the builder provides to the building owner, at occupancy.
g PY P q P g P cy
Responsible Designer Name: (
IP
lfth a"
Responsible;Designer5ignature:
<J.T,,io�rif y
Joey Timo
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-08-29
Address:
License:
72232 Corporate Way
920062
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-770-4357
Digitally signed by CHEERS'"'. This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information. -
Registration Number: 417-A020112914A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 16:36:55
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:'2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-29 16:36:55