BMCH2017-029278-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0292
Property Address: 81645 BROWN DEER PARK
APN: 767540001
Application Description: BROWN / HVAC CHANGEOUT 14SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $6,923.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
KARI BROWN
81645 BROWN DEER PARK
LA QUINTA, CA 92253
Date: 7/13/2017
Applicant: Contractor:
IE INC TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 JUL 13 2017 THOUSAND.PALMS, CA 92276
CITY OF LA ONINTA (760)770-4357
DESIGN AND DEVELOPMENT DEPARTMENT Llc. No.: 920062
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
terms 13 17 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
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 INSURANCE COMPANY Policy Number: TIWC851602
_ 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: -71,�� I� a•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 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. r
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 17 Signature=(Applicant or -Agent)
Application Number: BMCH2017-0292
Property Address: 81645 BROWN DEER PARK
APN: 767540001
Application Description: BROWN / HVAC CHANGEOUT 14SEER/91AFUE SPLIT SYSTEM
Property Zoning: .
Application Valuation: $6,923.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 7/13/2017
Owner:
KARI BROWN
81645 BROWN DEER PARK
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
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.#
Clty of La Quinta
Building 8r Safety Aivision
P.O. Box 1504,78-495 Calle Tampico
L..Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennit #
Project Address: 81645 Brown Deer Park
owner'sName:.Karl Brown
A. P. Number.
Address: 81645 Brown Deer Park
Legal Description:
Contractor. Timo's Air Conditioning &Heating'
City, ST, Zip: La Quinta, CA' 92253
S „aim 1> '
Telephone: �O;,
Address: 72232 Corporate Way
Project Description: Replace 5 ton A/C, coil, & 100,000 BTU.
City, ST, Zip: Thousand Palrns, CA 92276
furnace
Telephone: 760-770-4357
City Lia 9'.
State Lic. #: 920062
Arch, Engr., Designer
Address:
City, ST, Zip:
Telephone: IN
State Lie. #: M
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project $6,923.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRACENG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2id Review, ready for correctionskssue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Groot Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for corrections issue
Developer Impact Fee
Planning Approval,
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
KARL BROWN I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-07-12
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
KARL BROWN
02
Date Prepared
2017-07-12
03
Project Location
81645 BROWN DEER PARK
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
^Dwelling
HOUSE
SC System
SC -System
i E
A
Unit Conditioned
Installing new SC
07
Zip Code
9225308
''
12000
Floor Area (ftZ)
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
Number of Space
system?
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
SYSTEM #1
WHOLE HOUSE
2000
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04
0 05
U6' i
07
08
09
10
CFA
Is the SC
urkry
Installing _a.
ryes z ar`�i
-1p, V t Ince �r�ih
SC System
SC -System
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?
duct system?
SC system?
Alteration Type
SYSTEM #1
WHOLE HOUSE
2000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020302600A-000-000-0000000-0000 Registration Date/Time: 2017-07-12 13:14:17 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-07-12 13:14:18
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)1E 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
Central gas
All new
Central split
All new
This field or
This field o r
SYSTEM #1
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems K.
-Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums:',R6 (CZ 1 10„12 56dj13) 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 component are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. '11
Exceotions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leak6' Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant 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 quip ent Ch ngeo t (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does nota ply�tohis 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-A020102600A-000-000-0000000-0000 Registration Date/Time: 2017-07-12 13:14:17 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-07-12 13:14:18
Schema Version: rev 10/16
ca
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3)
Documentation Author's Declaratio n`Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Joey Timo
Joey? -C4+
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-07-12
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip:.
Phone:
Thousand Palms CA 92276
760770-4357
Responsible Person's Declaration statement 1 : N�i�`)
I certify the following under penalty of perjury, under the laws of the State of California: S `,
1. The information provided on this Certificate of Compliance is true and correct. ®T ' r
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility;forthe building design or system design identified on this Certificate of Compliance (responsible'designer).
3. That the energy features and performance specifications, materials, components, and manufactu ed 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 agency for-approva11pith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits sued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be includw
ed dh'the dlocumentation the builder provides to the building owner at occupancy.
Responsible Designer Name:ResponsibleDesigner
'fit match&d rvi
Signature:
sJ vTurw f rlit
Joey Timo
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-07-12
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-A020102600A-000-000-0000000-0000
Registration Date/Time: 2017-07-12 13:14:17
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-12 13:14:18
Schema Version: rev 10/16