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BMCH2015-0400T4hf 69 ' 78-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/16/2015 Application Numb ) er: BMCH2O15-0400 r Owner: �J Property AddressC `� sgj l3 �� (�� � RICHARD MOORS APN: 55813 CONGRESSIONAL 0 N `5k' tl�l Application Description: MOORS /CHANGE OUT (1) 165EER/8AFUE PACKAGE SYSTEM LA QUINTA, CA 92-2- 353 Property Zoning: Application Valuation: $9,300.00 ni Applicant: CM Contractor: n v TIMO'S AIR CONDITIONING & HEATING INC TIMO'S AIR CONID- 10 ING & HEATIN ' INC 72-067 NORTHSHORE STREET STE A 72-067 NORTHSHORE STREET-STE A� THOUSAND PALMS, CA 92276 THOUSAND PALMS;C'A-9-2276 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: IU ����—� 1 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 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 Name: Lender's Address: (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. 61& 1 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. D® 5 : /044ZApplicant® 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 ori 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. Date: ® 4 f? t SSignature (Applicant or Agent FINANCIAL • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 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 - PACKAGED UNIT 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $120.86 $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: MOORE / CHANGE OUT (1) 16SEER/8AFUE PACKAGE SYSTEM Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 10/16/2015 SKH Approved: Parcel No: Site Address: , Subdivision: Block: Lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,300.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: 16SEER/8AFUE PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TIMO'S AIR CONDITIONING & HEATING INC 72-067 NORTHSHORE STREET STE A THOUSAND PALMS CA 92276 (760)771-0076 CONTRACTOR TIMO'S AIR CONDITIONING & HEATING INC 72-067 NORTHSHORE STREET STE A THOUSAND PALMS CA 92276 (760)771-0076 OWNER RICHARD MOORE 55813 CONGRESSIONAL LA QUINTA CA 92253 (760)771-0076 Printed: Friday, October 16, 2015 11:15:06 AM 1 of 2 COR"W SVS7EM5 INSPECTIONS Printed: Friday, October 16, 2015 11:15:06 AM 2 of 2 CRWsysreMs TCITY CLTD DESCRIPTION ACCOUNT 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 PACKAGED UNIT HVAC CHANGEOUT - 101-0000-42600 0 $48.34 $0.00 PACKAGED UNIT PC Total Paid for CHANGEOUT: $120.86 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•• INSPECTIONS Printed: Friday, October 16, 2015 11:15:06 AM 2 of 2 CRWsysreMs Bin # City Of La I Quinia Rcq'd Reed -Building 82• Safety Division PERMIT FEES Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Item Building Permit Application and Tracking -Sheet Project Address: � S/� Owner Name: A. P. Number. Reviewed, ready for corrections Address: Plan Check Deposit Legal Description: City, ST, Zip: �"'^� Contractor. a�CJ Tele ho •Kit 3ry/�Ni-:�`%'f--... Address:r. /4,A,C- Project City, ST, Zip: Pians picks d up Telephone: 7?�) ri j} 3� Construction Jam- >.�;.�;"�> Flood plain plan `."as��"�.•�:. �/l Mechanical State Lic. # : City Lie. C Arch., Engr., Designer. Electrical ''• 11 Subcontactor List /jtV Address: Plumbing City., ST, Zip: Grant Deed Telephone: � Tele p ,r-y� = ,• ��y� ;�•��<�- �?z' Construction Type: Constru yp Occupancy: P cY= State Lie. #: , rv,dF y . Project type (circle one): New Add'n Alter Repair Demo ��- Name of Contact Person: ~�f �'` c� Sq. FL: Sq. # Stories: IN I10USE: # Units Telephone #,of Contact Person: Q /?SEstimated Value of Project: SO®, APPLICANT: DO NOT WPJTE BELOW THIS LINE tr Submittal Rcq'd Reed TRACING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. C217e4 Contact Person Plan Check Balance_ Title 24 Calcs. Pians picks d up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'` Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN I10USE: srd Review, ready for correctionslssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Dale of permit issue School Fees - Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: Richard Moore Date Prepared: 2015-10-16 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 Richard Moore 02 Date Prepared 2015-10-16 03 Project Location 55-813 Congressional 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Richard Moore 07 Zip Code 92253 System Dwelling Unit Conditioned 2900 'CFAserved `systemaf igerant installing new SC Floor Area (ft2) ;! Iling= Installing ',�� Identification or Number of space conditioning 09 Climate Zone 15` 10 (SC) systems in this dwelling 1 entirely new entirely new F Name unit. B. Space Conditioning (SC) System Information ' ema+ �g Ol 02 ' ,03•" {� -k �i4q ��5 qq yynn 1 066 .07)) W_ t� .11 OS 19 09 10 j - � 41s the SCFlnstalling x tie a . i���iket }�SC hP #sE `w...+ is System SC System 1 'CFAserved `systemaf igerant installing new SC Installing ;! Iling= Installing Identification or Location or Area by this SC ductedcontaining < 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-A6359763A-000000000-0000 Registration Date/Time: 2015-10-16 08:54:52 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-16 08:54:45 Schema Version: O.SSSSDD 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 Cenral All new Central All new This field or This field or System 1 packaged HP heating AFUE 0.8 Pacage kd AC cooling SEER 16 Setback section is not section is not components components applicable applicable Renuired Documentation: MR -MCH -01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. f CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testing required when heating or cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 5 15%, or 5 100A leakage to outside, or seal all accessible leaks. MR -MCH -25-H & COR -MCH -25-1-1 Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCM-MCH-23 & CF3R-MCH-23 Air Flow 2`300 CFM/ton required when.PACH-25 is required. Exceptions: -Duct systems registered with HERS provide as s previously sealed are exempt from. MCH 20 Duct Leakage Testing requirements -Heating-only systems and Air Handler/Furnace changes do not require verification f Ir Flow MCHS23,�p-olr'Refilgerbn CChaige -Existing duct systems constructed, Insulated or sealed with asbestos are exempt�from MCH 20 Du4� akage Testmg_re„quIr' riIs. 4 1l .. rd is 5 hi. AF AA aB at "F .r -r 44 'At 8f !R. E. Entirely New or Complete Replacement Duct -System, with or without Equipment Changeout (Sections-150.2(b)1Diia.and.150.2(b)3E, F) �_ •� a iP°' ii tic» ' `mow *41 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-A6359763A-000000000-0000 Registration Cate/Time: 201510-1608:54:52 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-16 08:54:45 Schema Version: 0.555SDD 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: (� Q (-7� A Timo , Joseph C'/`y(/_¢_7p7� �/ Company: Signature Date: TIMO'S AIR CONDITIONING & HEATING INC 2015-10-16 08:54:52 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's I certify the following under penalty of perjury, under the laws of the State cf California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the`Business and Professions Ccde to accept responsibility for the building design or system design identified an this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices forythe building,design,orsystem design Identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of.Regurattons ¢ q�'`-"? �""' . 4. The building design features or system design featurei identified on this Certificate of Compliance are;mnsistent,with�the informati^b�n.pa{rrrovided o1a9 of thaVr pplica6¢Fle cWompliance documents, worksheets, 4 e= i t .-+-� k c{ l d_ per calculations, plans and specifications submltted,to the erdarcement agency for approval with this huilding permR appbcatipn k e A a „�. e i E 3 c } t 4 111 S. I will ensure that a registered copy of.this Certificate of,_Compliance shall'be;