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BMCH2017-010878-495 CALLE TAMPICO T4b/ D "i Qum& VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/3/2017 Application Number: BMCH2O17-0108 Property Address: 78270 DESERT FALL WAY APN: 770032005 Application Description: JIMENEZ RESIDENCE / HVAC CHANGE Property Zoning: Application Valuation: $17,589.00 Applicant: TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY 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' in full force and effect. License Class: 20 License No.: 920062 Date: Contractor: OWNER -BUILD ECLA ION I hereby affirm under penalty of perjury that I am exemp rom 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, after, 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 Owner: LAURO & JENNY. IMENEZ 78270 DESERT F.C.LL WY LA QUINTA, CA 92253 Contractor: TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY THOUSAND 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 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: TIWC721117 I certify that in the performance of3he 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 t bar Code I shall forthwith comply with th e p visions. Date: Applican WARN G: AILURE TO SECURE WORK - PENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIUAL P NALTIES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). I TION 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 tFe Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appl'cation 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 Quints, 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 ofiissuance of such permit, or cessation of work for 180 days will subject permit to tante lation. I certify that I have read this. application and state that the above information is correct. I agree to comp y with all city and county ordinances and state laws relating to building construction, d he eby authorize representatives of this city to e above- en oned roperty for inspection purposes. Date Signature (Applican) or A r .j Application Number: BMCH2017-0108 Property Address: 78270 DESERT FALL WAY APN: 770032005 Application Description: JIMENEZ RESIDENCE / HVAC CHANGE OUT 18 SEER Property Zoning: Application Valuation: $17,589.00 Applicant: TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 Date: 4/3/2017 Owner: LAURO & JENNY JIMENEZ 78270 DESERT FALL WY 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 - 18 SEER/80AFUE 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 CHANGE --OUT: $114.00 DESCRIPTION ACCOUNT 1QTY 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 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 31 Project Name: Lauro Jimenez Date Prepared: 2017-03-31 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units n-ust be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name Lauro Jimenez 02 Date Prepared 2017-03-21 03 Project Location 78270 Desert Falls Way 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Lauro Jimenez V I L.% ii In SC System Dwelling Unit Conditioned CFA served 07 Zip Code 92253 08 Floor Area (ftz) 1532 Identification or Location or Area by this SC ducted Number of Space system 09 Climate Zone is w 10 Conditioning (SC) Systems in 1 system? component? components? feet of ducts? this Dwelling Unit: Alteration Type B. SpaceConditioning (SC) System Informet^ � � ii it� � n1 ji i i. r A 01 02 03 *1 04 `"'" 'Ug' x`06`" _ _ 07— 68 " ' <... 169 10 �I`stheSC Installing.a D t— r% V I L.% ii In SC System SC System CFA served system a refrigerant Installing new SC Installing Installing i 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 Location 1 1532 Yes Yes Yes Yes No No Altered space conditioning system :. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)SOiib) This section does not apply to this project. Registration Number: 217-A020104301A-000-000-0000000-0000 Registration Date/rime: 2017-03-31 18:09:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-31 18:09:06 Schema Version: rev 10/16 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 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 Central split All new Greater than System 1 furnace heating AFUE 81 AC cooling SEER 18 40 feet R-8 components components Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and retum-air ducts or plenums: R6 (CZ 1-10, 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 >= 3.00 CFM per ton required when MCH -25 is required. Exceptions: - Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. - Heatingonly systems and Air Handler Furnace changes do not require verification ofAir Flo. MCH'23 of RefrigerauYCharge MCH=254 -Existing duct systems constructed, insulated or sealed with asbestos are exempti 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: d640A�%w Timo , Joseph Company: Signature Date: TIMO'S AIR CONDITIONING & HEATING INC 2017-03-31 18:09:01 Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-770-4357 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of 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 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 ofd eg lafi�on �� `rfr2t�""j 11 {• R A� �A 4. The buildingdesign features or stem design features identified on this Certificate f Compliance liance n i t w g sy g o Co p are co s sten , ith,the information.p rovided on othecapplicable�compliance documents, worksheets, d -w a r+ a r t ng P s .,t ii calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 91 S. I will ensure that a registered copy of this Certificate ofCompliance shall;be"made;av_adable with the budding permit(s):issued fonthe building, and made availble.to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliances m "fired to be iincluded with the documentation the builder prcniididessQ7t�oFthe building owner at occupancy. 4 Responsible Designer Name: � .� Responsible Designer Signature: V I n �!/I%Z� Timo , Joseph / Company: Date Signed: TIMO'S AIR CONDITIONING & HEATING INC 2017-03-31 18:09:01 Address: License: 72232 Corporate Way 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 noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 217-A020104101A-OOD-000-0000000-0000 Registration Date/Time: 2017-03-31 18:09:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-31 18:09:06 Schema Version: rev 10/16 Qin # City Of is - Quint Req'd Recd -Building &r 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•5hee. Project Address: �C3 t S Owncr'sName: z/g-I/e6 —7� A. P. Number. Reviewed, ready for corrections Address:}�ttp Plan Check Depos4 Legal Description: City, ST, Zip- r�q"(— t a. Contractor: ci i ic[�2+1,� `� Telephone: 7,6 �`z'd � x Plan Check Balance • Title 24 Cala. Address: - Project Description: 07 City, ST, Zip: Telephone: ::!:F k:- �.f"-.�-'G- n':�-: •.7h`6T�fyi.',:%.)'2:. - City Lic. #; > �' 4' V Stats Lic. # : ©Q Mechanical Arch., Engr., Designer. Grading plan Address: 2'' Review, ready for corrcctionsfissue Electrical City., ST, Zip: Subcontactor List Telephone: - rs�,��s.� ` x ;,;.-�'�-• Construction Type: Occupancy: State Lic- #: s "Z irk" s>------ Grant Deed Prcjcct type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Tcl hone # of Contact Person: Q C cp Estimated Value of Project �% APPLICANT- tell•] hInT WAITr- RFI nW "mm 1 INF tel Submittal Req'd Recd TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Depos4 Truss Calcs. Called Contact Person Plan Check Balance • Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for corrcctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- and Review, ready for eorrectionsliissue Developer Impact'Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fccs Total Permit Fees 0, - P���4 - - ON