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BMCH2017-0062i 78-495 CALLE TAMPICO V VOICE (760) 777-7125 (760) 777-7011 LA QUINTA, CALIFORNIA 92253 FAX DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/20/2017 Application Number: BMCH2O17-0062 Owner: Property Address: 80575 VIA TALAVERA GEORGE CRISPO Appl 777270024 80575 VIA , CA 92 5 O Application Description: CRISPO RESIDENCE /HVAC CHANGE OUT 16 SEER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $9,600.00 ® Q O � � Applicant: Contractor: N Z TIMID'S AIR CONDITIONING & HEATING INC TIMID'S AIR CONDI G & HIMTING Z 72232 CORPORATE WAY 72232 CORPORAT N S THOUSAND PALMS, CA 92276 THOUSAND PALMS, 227 v0 (760)770-43570-----.,U O Llc. No.: 9200 ® Z Z -------------------------------- C? O LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my license is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C20 License No.: 92006 of the work for which this permit is issued. ' / I have and will maintain workers' compensation insurance, as required by ate: 7Contractor: (/`' 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: OWNER -BUILDER CLARATIO Carrier: NORGUARD INSURANCE COMPANY Policy Number: TIWC721117 I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division. �7 3 of the Business and Professions Code) or that he or she is exempt therefrom and the( D• ate: 1 l�A� ppm li 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for.sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. . he or she did not build or improve for the purpose of sale.). . 1. Each person upon whose behalf this application is made, each person at whose () I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued'as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempfunder Sec. . B.&P.C. for this reason 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. 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. Q. Lender's Name: . Lender's Address: h 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 t r upon a bove -menti ed pr erty for inspection purposes. ter Si� e -(Applicant o_ r A Date: 3/20/2017 Application Number: BMCH2O17-0062 Owner: Property Address: 80575 VIA TALAVERA GEORGE CRISPO APN: 777270024 80575 VIA TALAVERA Application Description: CRISPO RESIDENCE / HVAC CHANGE OUT 16 SEER LA QUINTA, CA 92253 Property Zoning: \ Application Valuation: $9,600.00 Applicant: Contractor: TIMO'S AIR CONDITIONING 8c HEATING INC TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)770-4357 Llc. No.: 920062 Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. M. a • l 1 FORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 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 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT _ SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT:• $114.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for -PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT qTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin# Permit # Project Address: City Of La-QUinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet �� Owner's Name: &01e4 cS lb A. P. Number. Recd Address: Legal Description: City, ST, Zip: �3 Contractor: lot(u Thr t%ate ct'C 2+�. Address:- sem.-. .. __._,.- O c7�- 'N�' --C��T Tel hone: Project Description: / %7- —77- City, ST, Zip:IGCs //-��� Telephone: eP Tel hone: 7 �} ' -3� Amount Af' 3'i `" '% - max""•,�r:�.,.--�� I.�SFTic c� / .6 State Lic. # : ©� Qty Lia M. Arch., Engr., Designer: Plan Check Deposit �• � t� �T- J C ` �t Address: Truss Cates. City, ST, Zip: Called Contact Person Telephone. P State Lie. #: =r: f""^ , ,� _;;" Y�r ..r.. .,'.4::.... - Construction Type: Occupancy: Projxt type (circle one): New Add'n Alta Repair Demo rte -r' Name of Contact Person: �v �l - c`7 Sq. Ft:# Stories: �1 Unitr. Telephone #,of Contact Person: 7�o �? -C�3� Estimated Value of Project ql, �(� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Recd TRACMNG PERMIT FEES Plan Sets Plaa Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Cheek Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for corrcctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up MOA. Approval Plans resubmitted Grading M HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Feet s CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: GEORGE CRI PO Date Prepared: 2017-03-17 A. General Information MR -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 GEORGE CRISPO 02 Date Prepared 2017-03-17 03 Project Location 80575 Via Talavera 04 Building Type Single family O5 CA City La Quinta 06 Dwelling Unit Name GEORGE CR15PO 07 Zip Code ` 92253 i� �t / 1 fi 08 Dwelling Unit Conditioned Floor Area (ftz) 4449 - system a refrigerant Installing new SC Installing Number of Space Installing 09 Climate Zone 15= 10 Conditioning (SC) Systems in 1 system more than 40 \ entirely new this Dwelling Unit: Name B. Space Conditioning (SC) System �F1 11.,A k( PRIM IM R � l i� 11- *.*"� — 11 # ) (C N Ol 02 a � 03 04 OS _ 06 _ _ '07' � `� 08 _ _ 09 10 Nis the SGS Installing:a I— I<"fi 'lJ V 11 rt-,# C M 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 (ftz) system? component? components? feet of ducts? ductsystem? SC system? Alteration Type System 1 Location 1 2000 Yes Yes Yes No No No Altered space conditioning system Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020085804A-000-000-0000000-0000 Registration Date/Time: 2017-03-17 13:36:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-17 13:36:42 Schema Version: rev 10/16 r 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 150.2(b)1E and F) 02 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 All new All new This field or This field or System 1 Central gas heating AFUE 81 Central split cooling SEER 16 Setback section is not section is not furnace components AC components applicable applicable Required Documentation: CF2R-MCH-01-E- Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and retum-air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >=.300 CFM per ton required when MCH -25 is required. Exceptions: - Duct systems registered with HERS provider aspreviously sealed are exemptfrom MCH -20 Duct Leakage Testing requirements. - Heating -only systems and Air Handler Furnace chaniis do not require venficati n of Air Flow MCN 123 or"Refs geranCCharge M'01 25'. o -r +, t• + re �i' } -Existing duct systems constructed, insulated or sealed with aibestos are exem li fmm MCH40 Duct Leakage Testing requirements. }thy f t f pw, +1Y 1t+ 4r sr rt '4\ 7} $1 16% It it ... it It Ir 11,\ E. Entirely New or Complete Repla1 cement Duct•System, with or without.Equipment Changeout (Sections-150.2(b)1Diia:and,150.2(b)1E, F) v hd iii _ i4 "+. 4.0` iF 4' k I %Je # b 4 11— O -X_ This section does not apply to this project. _ A F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC) This section does not apply to this project. Registration Number: 217-A020085804A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-03-17 13:36:23 HERS Provider: CaICERTS Report Version: 2016.1.005 Report Generated: 2017-03-17 13:36:42 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE 1, ., k CF1R-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: Timo , Joseph Company: - Signature Date: _ - TIMO'S AIR CONDITIONING & HEATING INC " 2017-03-17 13:36:23: Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way 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: - a 1. The information provided onihis Certificate of Compliance is true and correct. 1 2. 1 am eligible under Division 3'of`heBusiness 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 ofTitle 24, Part 1 and Part fi of the C'Ifiomia Code of gula ions, 11 T � 11 V— J� 4. The building design features or system design features identified ori this Certificate of Compliance are consistent,with the information,provfded on 4otherr,appliicable�compliance documents, worksheets, f m , i e* 9. „zw ♦ t E ..•..mac.. k.— A if' calculations, plans and specifications submitted to the enforoemenf agency for approval�with this bwlding permit application. Ilk in AQ fi9• /Pi ." 3 of #ti' S. 1 .111 ensure that a registered copy of,.this Certificate,gf,, fiance shaLbbe mede,available with•�the bullding-permit(s),issued forthhee Ailding, and made avail_able•to the enforcement agency for all applicable inspections. I understand that a registered'copy of this Certificate ofCompliance required, to 6e included with theldocumentation�theybuilder prorov des to building owner at occupancy. Responsible Designer Name: , r" ..� Responsible De'sig er Signature:,V i t -,O pZ.n�-7�'�t� Timo , Joseph Company: - • Date Signed: TIMO'S AIR CONDITIONING & HEATING INCl 2017-03-17 13:36:23 Address: - - i License: 72232 Corporate Way 920062 City/State/Zip: - Phone: .. - THOUSAND PALMS CA 92276 760-770-4357 f, CERTIFICATE OF COMPLIANCE 1, ., k CF1R-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: Timo , Joseph Company: - Signature Date: _ - TIMO'S AIR CONDITIONING & HEATING INC " 2017-03-17 13:36:23: Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way 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: - a 1. The information provided onihis Certificate of Compliance is true and correct. 1 2. 1 am eligible under Division 3'of`heBusiness 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 ofTitle 24, Part 1 and Part fi of the C'Ifiomia Code of gula ions, 11 T � 11 V— J� 4. The building design features or system design features identified ori this Certificate of Compliance are consistent,with the information,provfded on 4otherr,appliicable�compliance documents, worksheets, f m , i e* 9. „zw ♦ t E ..•..mac.. k.— A if' calculations, plans and specifications submitted to the enforoemenf agency for approval�with this bwlding permit application. Ilk in AQ fi9• /Pi ." 3 of #ti' S. 1 .111 ensure that a registered copy of,.this Certificate,gf,, fiance shaLbbe mede,available with•�the bullding-permit(s),issued forthhee Ailding, and made avail_able•to the enforcement agency for all applicable inspections. I understand that a registered'copy of this Certificate ofCompliance required, to 6e included with theldocumentation�theybuilder prorov des to building owner at occupancy. Responsible Designer Name: , r" ..� Responsible De'sig er Signature:,V i t -,O pZ.n�-7�'�t� Timo , Joseph Company: - • Date Signed: TIMO'S AIR CONDITIONING & HEATING INCl 2017-03-17 13:36:23 Address: - - i License: 72232 Corporate Way 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 no way implies Registration Provider - responsibility for the accuracy of the information. Registration Number: 217-A020085804A-000-000-0000000-0000 Registration Date/Time: 2017-03-17 13:36:23 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-17 13:36:42 Schema Version: rev 10/16 y r