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BMCH2016-006178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Qu,6t& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0061 Property Address: 78840 ZENITH WAY APN: 609560017 Application Description: KPAM SCHIKPPOREIT / HVAC CHANGE OUT Property Zoning: Application Valuation: $12,173.00 Applicant: TIMO'S AIR CONDITIONING & HEATING INC 72-067 NORTHSHORE STREET STE A THOUSAND PALMS, CA 92276 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: —22—I 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).: (__J 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.). U 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 Lender's Add 11111111111111111111 68 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/22/2016 Owner: PAMELA SCHIPPOREIT 92253 ' IS\ i,i M 2 2 2016 Contractor: - ,� ^TfF1 n h,)At�l,l TIMO'S AIR fONDITIiONII%,HEAT 72-067 NORLHSHOWE=STREEYSTEA THOUSAND I .NG:INZi7 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 offor which this permit is issued. Vhave 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. Date: 3 -Z? -1 Applicant: 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-permitsubject 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. Date: 3-ZZ4C Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION :' ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/22/16 PAID BY METHOD' RECEIPT # CHECK # CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:$1:00 $1.00. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $72.52 3/22/16 PAID BY METHOD - RECEIPT # CHECK # CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE DESCRIPTION ACCOUNT CITY -AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $36.26 3/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE Total Paid for CHANGEOUT: $108.78. $108.78 DESCRIPTION ACCOUNT- . , QTY AMOUNT PAID PAID DATE OTHER MECHANICAL EQUIPMENT 101-0000-42402 0 $36.26 $36.26 3/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE OTHER MECHANICAL EQUIPMENT PC 101-0000-42600 0 $36.26 $36.26 3/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE Total Paid for MECHANICAL: $72.52 $72.52 DESCRIPTION ACCOUNT :: QTY ', AMOUNT- PAID, PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 3/22/16 PAID BY METHOD RECEIPT # CHECK.# CLTD BY TIMO'S AIR CONDITIONING & HEAT CHECK R14073 20436 RSE Total Paid for PERMIT ISSUANCE: $91.85 $91.85, � Permit Details PERMIT NUMBER City of La Quinta BMEH2O16'0061 Description: KPAM SCHIKPPOREIT / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 3/22/2016 RSE Approved: 3/22/2016 RSE Parcel No: 609560017 Site Address: 78840 ZENITH WAY LA QUINTA,CA 92253 Subdivision: TR 23773-5 Block: Lot: 17 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,173.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS CITY Details: HVAC CHANGE OUT - 20.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR_ TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT TIMO'S AIR CONDITIONING & HEATING INC 72-067 NORTHSHORE STREET STE A THOUSAND PALMS CA 92276 CONTRACTOR TIMO'S AIR CONDITIONING & HEATING INC 72-067 NORTHSHORE STREET STE A THOUSAND PALMS CA 92276 OWNER PAMELA SCHIPPOREIT 92253 Printed: Tuesday, March 22, 2016 8:30:36 AM 1 of 3 SYSTEMS INSPECTIONS Printed: Tuesday, March 22, 2016 8:30:36 AM 2 of 3 NAAF SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY TIMO'S AIR BSAS SB1473 FEE 101-0000-20306 `0 $1.00 $1.00 3/22/16 R14073 20436 CHECK CONDITIONING & RSE HEAT Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: TIMO'S AIR HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $72.52 3/22/16 R14073 20436 CHECK CONDITIONING & RSE SPLIT -SYSTEM HEAT TIMO'S AIR HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $36.26 3/22/16 1114073 20436 CHECK CONDITIONING & RSE SPLITSYSTEM PC HEAT Total Paid for CHANGEOUT: $108.78 $108.78 TIMO'S AIR OTHER MECHANICAL 101-0000-42402 0 $36.26 $36.26 3/22/16 R14073 20436 CHECK CONDITIONING & RSE EQUIPMENT HEAT TIMO'S AIR OTHER MECHANICAL 101-0000-42600 0 $36.26 $36.26 3/22/16 R14073 20436 CHECK CONDITIONING & RSE EQUIPMENT PC HEAT Total.Paid for MECHANICAL: $72.52 $72.52 TIMO'S AIR PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 3/22/16 R14073 20436 CHECK CONDITIONING & RSE HEAT Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $274i15 $274.15 INSPECTIONS Printed: Tuesday, March 22, 2016 8:30:36 AM 2 of 3 NAAF SYSTEMS Printed: Tuesday, March 22, 2016 8:30:36 AM 3 of 3 . SYS TEIv1S CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: pam schipporeit Date Prepared: 2016-03-21 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 JProjeCtName pam schipporeit 02 Date Prepared 2016-03-21 03 Project Location 78840 zenith way 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name pam schipporeit 07 Zip Code 92253 Dwelling Unit Conditioned 2000 SC System 'CFA served systema re igen nt Floor Area (ft2) lnsta ling 'Installing "s d Number of space conditioning 09 Climate Zone J 5jtty 10 (SC) systems in this dwelling 1 more than�40 enn ely w w,w�-•f"¢.,.,, unit. B. Space Conditioning (SC) System Inforrttation^ r r alw'Ott _" 01 02 jE 03 04 O5 -.s �06 07 w, OB 09 10 +n> r . sado.;. SC Installing a ai.-10. k. -the ;W ... ar ass W 'may aa+ SC System SC System 'CFA served systema re igen nt +Jnstallingmew°�SC g lnsta ling 'Installing Installing sentirely Identification or Location or Area by this SC ducted containing system more than�40 enn ely w new Name Served System (ft2) system component? components? feet of ducts? duct system? SC system? Alteration Type Entirely new or System 1 Location 1 2000 No Yes Yes No No Yes complete replacement space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib) This section does not apply to this project. Registration Number: 216-A0106263A-000000000-0000 Registration Datefrime: 2016-03-21 08:47:13 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007' Report Generated: 2016-03-21 08:47:28 Schema Version: 0,SSSSDD CERTIFICATE OF COMPLIANCE CFIR-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: U ' Timo , Joseph v Company: Signature Date: ' TIMO'S AIR CONDITIONING & HEATING INC 2016-03-2108:47:13 Address: CEA/ HERS Certification Identification (if applicable): 72-067 NORTHSHORE STREET STE A City/State/Zip: Phone: THOUSAND PALMS CA 92276 A 760-770-4357 Responsible Person's Declaration statement certify the following under penalty of perjury, under the,lavis oaf the State of California: 1. The Information provided on thisNCertifiate of Complianceistrue and correct. 2. 1 am eligible under Division 3 of the'8usiness and Professions Code to accept.responittiRity 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 nufactured devices for the. building. design or system design Identified on this Certificate of Compliance conform to the -.-.�. ,�, ... r requirements of Title 24, Part 1 and Part 6 of the CaliforniaCode of Regulations.' "El" 4. The buildingdesign features or re � 4. inform ti provided on Other'appiicabe compliance documents, worksheets, B system desgn features'Identtfied on'thts Cert�flcat of Co pliance are nsiste calculations, plans and specifications subWttedan the atvs°iforcemenfigency forappmf�oval with this building permit pplicatl 0n. t h "- R � +AP +. bulldltig.permitts),tssurrd fors' building 'tfiephforcement for S. I will ensure that a registered co and:mad4 available agency all applicable B copy oflthi; Certificate of mpliance shaUiletnadg�vailable with the a Inspections. I understand that a registered copy of thi - rolcate of Compfiance�r;, egwred to br�,lnduded,w%1 thead�ocumentatlorQhe�bdill jer pr,; fides tow„the b u(Iding owner at occupancy. Responsible Designer Name: Responsble Desig r signAre; V I X Timo , Joseph Company: Date Signed: , TIMO'S AIR CONDITIONING & HEATING INC 2016-03-2108:47:13 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 document and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0106263A-000000000-0000 Registration Date/Time: 2016-03-21 08:47:13 HERS Provider: Ca10ERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-21 08:47:28 Schema Version: 0.5555DD V 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)3E and F) . This section does not apply to this project. 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 150.2(b)1C) 01 02 03. 04 05 06 07 08 09 30 11 Heating Cooling System r. Heating Minimum Cooling Minimum Required Identification or Heating System Altered Heating Efficiency Efficiency Cooling Altered Cooling Efficiency Efficiency Thermostat New Duct Name Type Component "Type .. 7_ Value System Type Component Type Value Type R-Value Central All new heatin 2.. � F, Central,spik All'lnew piing COQ,; SetbackTher This field or section System 1 gas furnace (components � AFUE 0.8 AC , +t components SEER 20 mostat is not r � 0 0-70 applicable Required Do umentation: CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans ' -Duct insulation requirement for new plenums: R6. CF2R & MR -MCH -20-H Dud leakage Verification required. -Leakage rate compliance: s 6%. CF2R & COR -MCH -22 Fan Efficacy Verification CF2R & COR -MCH -23 System Air Flow Rate Verification -Compliance; Fan Efficacys; 0.58 W/dm and System Airflow 2 350 cfm/ton. - Alternative Compliance: CF2R & COR -MCH -28 Return Dud Design Verification is an alternative to MCH -22 and MCH -23 verification. MR & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). ' Exceptions: Heating -only systems are exempt from the 0.58 W/dm and 350 dm/ton requirements. An "entirely new or replacement dud system" means at least 75 percent of the dud system Is new dud material, and up to 25 percent may consist of reused parts from the dwelling unit's existing dud system (e.g., registers, grilles, boots, air handler, coil, plenums, dud material) if the reused parts are accessible and can be sealed to prevent leakage ' Registration Number: 216-A0106263A-000000000-0000 Registration Date/fine: 2016-03-2108:47:13 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-21 08:47:28 Schema Version: 0.5555DD _ Bin #Cid Permit # Project Address: -7 Of LJ •Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Sheet —A_) Owner's Namc:�A. P. Number. Address: �-�� U Z✓t✓� Legal Description: City, ST, Zip: Qv-✓��s-A t — rGA : ZZ�3 _ Telephone:Van Contractor: �o.lu t1 a� c~�+ l r�•� 'Address: Project ProjectDescription: oV �— City, ST, Zip: Telephone: ;k 7 = State Lic. # : Q City Lic. #c Arch., Engr., Designer: Address: City, ST, Zip: Telephone: x, Construction Type: IA V A L Occupancy: State Lic. #: • Project type (circle one): New Add'n Repair Demo �o-' Name of Contact Person: �� a Sq. FL; #Stories: #Units Telephone #,of Contact Person: #I Submittal Rcq'd Estimated Value of Project: ' `L 3 APPLICANT: 00 NOT WRITE BELOW THIS LINE Recd TRACKING PERMTT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit ----------------- Truss C21cs. Called Contact Person Plan Cheek Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 1 2"' Review, ready for corrcctionsrasue I Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.XL Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correctionslssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees