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13-0476 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1_1000476 Property Address: 80605—VIA-TALAVERA APN: 777 -270 -021 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13600 Q"� VOICE (760) 777-7012 4 4 _D FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: DOYLE RANDY 80605 VIA TALAVERA LA QUINTA, CA 92253 (760)777-9310 Contractor: Applicaa Architect or Engineer- TIMO' S AIR CONDITIONING & HTG 72067 NORTHSHORE STREET THOUSAND PALMS, CA 92276 (760)770-4357 APRJ �nq� q Lic. No.: 920062 CITY OF LA QU 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 Busines Professionals Cogpewpmy License is in full force and effect. License Class: C20 n LicengeDltf.. 920062 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 theireon, 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.). 1 _ 1 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 Address: LQPERN11T ` .s Date: 4/17/13 .-----,----------------------------------------- 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 INS Policy Number TIWC3310605 .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' c pensation laws of California, and agree that, if I should become subject to the wo�9E ovisions of Section 3 0 of the Labor Code, I afY of"tiiwith co ly wi- - —Date. P�� ant: . WAR NG: AILURE TO SECURE W S' COMPENSATION GE 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 Director of Building and Safety 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 o mply with all city and county ordinances and state laws relating to buildin a str ction, and hereby uthori epreser*atives of this coupfy to griter upon the above-mentioned propert or in ction pur ses. Date. ignature-(Applicant or Agent): Application Number .13-00000476" L Permit MECHANICAL _ Additional desc . Permit Fee . . . ,51.00 Plan Check Fee 12.75 Issue Date Valuation . . . . 0 Expiration Date 10/14/13 Qty Unit,Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K-BTU 18.00 --------.-------------------------_--------_ Special Notes and Comments - _ • REPLACEMENT OF (2)A/C AND HEATING �- EQUIPMENT (1) 13 SEER ' (1) 15, SEER 4 TON , EACH. 2010` CODES. - •„� -- ---. --------------_-------- �. f Other Fees BLDG STDS.1ADMIN,(SB1473)` 1.00 ~ t. f '• k Fee summary Charged Paid - Credited Due Permit'Fee Total 51:00 _" 00 -.00 51.00 Plan Check Total 12.75 .00 00.'12.75 Other Fee Tota '1.00, 00 .001 1 w 1.00 r Grand Total 64.75 00 ..00 64.751 } LQPERMIT Bin.# �� f b Qdin ia 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 Permit # r Project Address: A. P. Number. Legal Description: //�� rS e bit1 aJl�v Contactor. �p /`Y! City, ST, Zip: lj lPr l Z-2 .y Telephone: � - - 3 Address: b 7 Pmj ription: City, ST, Zip:b U Sa47�.) S io Telephone: 6- 26 q3'5e •Qt �ot--r �� [�! IPrL{� to State Lic. N: 0 0. O CP p2. City Lie'. fk Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type:. Occupancy: Project type (circle one): New Add'a Alter Repair Sq. Ft.: # Stories: # Units: Demo Telephone # of Contact Person: Bt5 Estimated Value of Proj=4 azo,66 . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACMG PERMIT FEES- Pip Sets Plan Check submlued Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calve. . Called Contact Person Plan Check Balance. Tide 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.L H.O.A. Approval Plans resubmitted Grading IPI HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 _ Site Address: -$qt' Enforcement Agency: Date: Permit #: 80605 Via Talavera La Quinta, CA 92253 City of La Quinta Apr 17, 2013 - Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit - ® Furnace ® Indoor Coil ®AFUE go/a ® SEER 130 ❑COP ❑ HSPF 0 R 6 (CZ 10-13) Served by system ® Setback not t alread must be y present, ® Condensing Unit � EER` [3D ❑Resistance.. R 8 (CZ 14-IS) 1600 sf installed) E3 Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6111 and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-1R and CF-611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems_) MECH-25-HERS replaced CF-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS ., . Furnace CF 4ltxforms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage <;15.!percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH ^^'^^ Rt Exempted from duct,iee-akage testing if �.p iWDuct system was"documentedct have been previously sealed and confirmed through HERS verification, or u02. Duct systems with less than 40 linear feet in unconditioned space, or " ❑ 3.',Existing duct systems are constructed insulated or sealed with asbestos 04. The system will not be Ducted (iDuctless'Mini�'Split Sysfith)'(Also Exempt fFom RefrigerantChii-rge) D 7: New"HVAC Systeri Required :Forms ' K fit»,' +�' �; a + <. ) . h '-. ,.-...-.. . Cut=in orChangeout with" new ducts: (all new "'- t ' �- ;w CF 611forms MECH 04 ;MECH-20 HERS; andL(for split systems) MECH-22 HERS and J '8'' - V ' : ducting and all new -..� m, "M MECH''-25 HERS . ' f ►* 1 f T q a t- ` h, * a� .x y CF 4R forms "MECH 20 and (for•split systems)"MECH-22 and,MECH 25 equipment)`f t x :.:zi . • u s ^E °�,-� � . For.Split Systems;', Duct; leakage <'6 percent RC, CCA zt 350,CFM/ton,>FWD TMAH;'STMS;'and either. HSPP,.oKPSPP: :. For Package8 Units Duct<1eakage ,< 6" pe ent D 3.,New•Ducts with/or without' siry Required Forms: :'Indudes'Yeplacing:'br installing all newf ducting and/or outdoorticondensing CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS unit and/or indoor coil and/orfurnace..No or some CF-411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. , For Split Systems: Duct leakadeeJ<.,6 percent; RC, CCA Z 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ' D 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF-611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space.' CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ' ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify that this Certificate of Compliance documentation is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. - • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Joseph Timo Signature: Joseph Tina Company: TIMO"S AIR CONDITIONING & HEATING INC Date: Apr 17, 2013 Address: 72-067 NORTHSHORE STREET STE A ' License: 920062 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 770-4357 Reg:=13-A0022768A-000000000-0000 Registration Date/Time: 2013/04/17 14:47:28 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 80605 Via Talavera La Quinta, CA 92253 City of La Quinta I Apr 17, 2013 � Equi�ent Type1 List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit H Furnace - 19 Indoor. Coil ® AFUE 78% ® SEER 15.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ®Condensing Unit [3 EER [3 Resistance [3 R g CZ 14-i5) ( 1600 sf' — installed) ❑ Other 1. Equipment Type: Choose the equipment being installed, if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF -411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -611 shall also be onsite for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or Indoor Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • CF=4R}forms: MECH-21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage <j 5., percent; RC, CCA < 300 CFM/ton (Minimum Air Flow Requirement), TMAH 15 r^^ Rt Exempted from duct�leakege"testing if: I `❑ 1" Duct system wm as aocuented to have been previously sealed and confirmed through HERS verification, or t ❑ 2 ,Duct systems with less' than 4D,linear feet in unconditioned space, or - ❑ 31Existing duct systems are constructed insulated or sealed with asbestos 4" jhe system will not be"Ducted (ie.�Ductless Mini -Split System) (Also Exerrfpt fromrRefrigerant"Charge) ❑ 2: New HVAC System? Required Forms ::''��} Y:rx "g ' i . r°'` 4-•.. _ . Cutin'or Chan eout with:. g new ducts';: (all new " - t CF -6R forms: MECH lJ4;-'MECH 20 HERS, and (f6rr split systems). MECH-22 HERS, ander, " '' -•" ducting and all new * MECH-2257HERS' y� sr>� .• i , . <71� MECH 25 7: e ui ment ) CF -4R forms MECH 20'and (for,split systems) MECH±22, and q. P 'i, _ • = ,, t;v ;an ;.'r..•...a `�" .1:+ b'^;�,j P �•r +3.•-a:i `.: :w `•r. #+fl'_ y'!:k';,•..nM�'Z' For Split. Systems: ,Duct leakage < 6,oerceent ,RC,.CCA 2!350 CFM/tonFWD TMAH,sSTMS;..and eitherASPP,or.PSPP.1 For Packaged,Units: Duct leakage"<6,percent�,-`„.',;;� 13;3. News. Ducts with/otmithout: 4 Required Forms: w Replacement .'Includes replaang,or installing all newt d6ctmg `and/or outdoor. condensing'`unit CF -6R forms: MECH-04; MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace No or some -4R i"' CF forms: MECH-20 and (for split systems) MECH-25 equipment changed.; , ` . .• For Split Systems: Duct leakage:<,61percent; RC, CCA >_ 300 CFM/ton, TMAH ' For Packaged Units: Duct leakage < 6 percent, ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. - CF -411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing'duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. ' - • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. - I ' • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Joseph Timo Signature: Joseph Ti.. , Company: TIMO"S AIR CONDITIONING & HEATING INC Date: Apr 17, 2013 Address: 72-067 NORTHSHORE STREET STE A - , , License: 920062 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 770-4357 Reg: 313-A0022778A-00000000070000 Registration Date/Time: 2013/04/17 14:53:50 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms t July 2010