BMCH2017-023778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
~_
BUILDING PERMIT
Application Number:
BMCH2O17-0237
Property Address:
57630 BALLYBUNION
APN:
762360002
Application Description:
LYON RESIDENCE / HVAC CHANGE OUT
Property Zoning: .
C)
4J
Application Valuation:
$34,304.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.l 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: Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TOM LYON
57630 BALLBUNION
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING &
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Date:. 6/13/2017
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I certify that in the performance of the work for which this permit is issued, I
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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
a
EATIGIND
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C)
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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.
"3::� 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:
OWNER -BUILDER DECLARATION
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
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: 13 11 Applicant:
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' COMPENSATION COVERAGE IS UNLAWFUL,.
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 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 exempt under 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. C.).
Lender's Name
Lender's
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.
e
Date: (3 lei Signature (Applicant or Agent):
Application Number:
BMCH2017-0237
Property Address:
57630 BALLYBUNION .
APN:
762360002'
Application Description:
LYON RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$34,304.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 6/13/2017
Owner:
TOM LYON
57630 BALLBUNION
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
.72232 CORPORATE WAY
THOUSAND PALMS. CA 92276
Llc. No.: 920062
----------------------=-------------------------------------------------------=--------------
Detail: (2) HVAC CHANGE OUTS - 20 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
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
DESCRIPTIONACCOUNT
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
n
Bin. #
0ty Of Lel Quo :
Building 8z Safety Division
P.O. Box 1504,78-495 Calle Tampico
L4.Quinta, CA 92253 -:(760) 777-7012
Building Pennit'Application and Tracking Sheet
Permit #
Project Address: 57630 Ballybunion
Owner's Name: Tom Lyon
A. P. Number.
Address: 57630 Ballybunion
Legal Description:
Contractor: Timo's Air Conditioning & Heating
City, ST, Zip: La Quinta, CA:' 92253
Telephone: 213-725-3920 mgg
Address: 72232 Corporate Way
Project Description: Replace (2) 5 ton / 100K BTU
City, ST, Zip: Thousand Palms, CA 92276
complete HVAC systems
Telephone: 760-770-4357
City Lic. #;
State Lie. #: 920062
Arch., Engr., Designer.
Address:
City., ST. Zip:
Telephone: yv `�
State Lic #:
NameofContactPerson: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: # Stories: ft units:
Telephone # of Contact Person: 818-735.-7876
Estimated Value of Project: $34,304:00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
'Reed
TRACMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amouut
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cities.
Called Contact Person
Plan Check Balance
Title 24 Cities.
Plans picked up
Constmetioa
Flood plain plan
Plaits resubmitted.'.Mechanical
Giading plan
2'" Review, ready for correctionslime
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IM HOUSE:-
'"' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
C,
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioi
Project Name:
TOM LYON I Date Prepared:
CFiR-ALT-02-E
(Pagel of 3) 1
2017-06-09 1
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
TOM LYON
02
Date Prepared
2017-06-09
03
Project Location
57630 Ballybunion
04
Building Type.
Single family
05
CA City
La Quinta r'
06
Dwelling Unit Name
TOM LYON
SC System
SC System
CFA served
systema
�..r?
refrigerant
.Icr>F
Installing new SC
Installing
f� )e' '+ `� 'f'�
Installing
DwellingUnit Conditioned
Identification or
07
Zip Code
92253 ;�'`
08
1,FloorAr a-(ft2)
4600
entirely new
entirely new
Name.
Served
System (ft2)
system?
component?
'(
J
Number of Space
SC system?
09
Climate Zone
15
10;Conditioning
(SC) Systems in
1
Yes
No
No
No
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04 .
05 (6-
LL -06 j °`?
67
08
09
10
Is the SC
nry
Installing a
at t I"" w
V
SC System
SC System
CFA served
systema
�..r?
refrigerant
.Icr>F
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
WHOLEHOUSE
2300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM 2
WHOLE HOUSE
2300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020097446A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 14:52:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-09 14:52:54
Schema Version: rev 10/16
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)lE and F)
O1
02
03
04
0S
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
0.8
AC
cooling
SEER
20
Setback
section is not
section is not
components
,1
components
applicable
applicable
SYSTEM 2
Central gas
All new-
heating
AFUE
0.8
+'t1i ,,
Central split.
y
-All�new
SEER
20
Setback
This field or
is
This field or
is
furnace
31AC�'rt
d`components
cooling
section not
section not
components
applicable
applicable
Required Documentation: I
CF2R-MCH-01-E -Space Conditioning Systems f.
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6, (CZ1-10; 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 -2S is required.
i
Exceptions: t ;„ € -
from -Duct
Duct systems registered with HERS provider as previously sealed are exempt MCH -20 Leakage Testing,requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23;r"or Ref€'lg-e&arit Charge MCH -25.
_
-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)1E, F)
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: 417-A020097446A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-06-09 14:52:54
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-06-09 14:52:54
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:
Joey Timo
Joey TLvvL&
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-06-09
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip:
Phone:
Thousand Palms CA 92276 j ;
X760-770-4357
Responsible Person's Declaration statementi;?:
I certify the following under penalty of perjury, under the laws of the State of California:�`� ff.1
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 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 of Title 24, Part 1 and Part 6 of the California Code 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 agencyIfor approval with this building permit application.
'S. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the buildinIf
g permit(s)-itsued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliarice rs required'to be iheluded wlti the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: (ti f7�8 M1i Y' I `i
.R' apo risible DesignerSignature:
Joey T.imo
J TivVLo-
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-06-09
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-A020097446A-000-000-0000000-0000 Registration Date/Time: 2017-06-09 14:52:54
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-06-09 14:52:54