BMCH2018-0001aw.
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O18-0001
Property Address: 51361 ELDORADO DR
APN: 777350019
Application Description: AMBROSINI RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $7,100,00
Applicant: D Q
IE INC
31225 LA BAYA JAN 2
WESTLAKE VILLAGE, CA 91362 2018
CITY OF LA QUINT A
COMMUNITY DEVELOPMENT DEPARTMENT
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: CZO License No.: 920062
Date �motor:SZZ�P
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 Divisiona
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
Lender's Address:
VOICE (760) 717-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/2/2018
Owner:
JAY AMBROSINI
51361 ELDORADO DR
LA QU I NTA, 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: 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.
I
12 400—Applicant:�ry 6
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.
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.
2 ?Signature-(Applica` nt-o Ag nt)���
Date: 1/2/2018
Application Number: BMCH2O18-0001 Owner:
Property Address: 51361 ELDORADO DR JAY AMBROSINI
APN` 777350019 51361 ELDORADO DR
Application'Description: AMBROSINI RESIDENCE /'HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,100.00 5
Applicant: Contractor:
IE INC TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 'THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14 SEER/81 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
19
r
FINANCIAL
DESCRIPTION f 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
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
'$78.02
Total Paid.for CHANGEOUT: .$117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0.
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
1
.CERTIFICATE OF COMPLIANCE
CFiR-ALT-02-E
Alterations,to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Pagel of 3) I
.Project Name: JAY AMBROSINI I Date.Prepared:� 2018-01-02 I
A. General Information
CFiR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented; use one
CFIR-ALT-02 document -for each dwelling unit.
01
Project Naine
JAY AMBROSINI •
02
Date Prepared
2018-01-02
03
Project Location
51361 ELDORADO DRIVE
04
Building Type
Single family
05
CA City
La Quinta. �"
06
Dwelling Unit Name
JAY.AMBROSINI.
SC System
SC System
CFA served
system a.
refrigerant
Installing new SC
Installing
Installing
Installing
Dwelling Unit Conditioned
Location or Area
07
Zip Code
92253
08
�
E
Floor Area (ft )
3969
entirely new
..,. ,
.
System (ftz)
system?
component?
components?
`,Fay
duct system?
Number of Space
p
Alteration Type
09
Climate Zone
15
x,10
Conditioning (SC) Systems in
1
Altered space
this Dwelling Unit:
WHOLE HOUSE
B. Space Conditioning (SC) System Information
LJ .:
01
02
03
04
05
** U6
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA 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
Altered space
SYSTEM 1
WHOLE HOUSE
3969
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dii1b)
This section does not apply to this project.
Registration Number: 418-A020000020A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-01-02 07:59:21
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-02 07:59:22
CERTIFICATE OF COMPLIANCE CF111-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
05
06
07
08
09
10
it
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 Duet.
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
All new
All new
This field or
This field or
SYSTEM 1
Central gas
heating
AFUE
80
Central split
cooling
SEER
14
Setback
section is not
section is not
furnace
components'
AC'
components
applicable
applicable
Required Documentation:
CF211-MCH-01-E -Space CdndRioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums Rfi,(CZ 1 10 13 and:13) and R8 (CZ 11 and 14-16)
CF211 and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components areinstalled m duetedsystems, or when more than 40 ft of duct length is replaced
` '�tt
fat Y
-Leakage rate compliance: <=15% or <= 10% leakage to outside, or seal all accessibleleaks.
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components:are i stalled 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 v?+
Exceptions: c ,
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage 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'withou`t 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)
This section'does not apply to this project.
Registration Number: 418-A020000020A-000-000-0000000-0000 Registration Date/Time: 2018-01-02 07:59:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-02 07:59:22
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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 T',mo-
Company:
Signature Date:
Timo's Air Conditioning & Heating
2018-01-02
Address:
CW HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: -^f*
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,
( x
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 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 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 agency fonapproval,with this building permit application.
r v�£ 0
S. I will ensure that a registered copy of this Certificate of Compliance shall b a made avails _ with the building.pe�rmit(s) &ued 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 requiredto be'nduded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: .'
'Responsible Designer Signature:'
Joey Timo
Joey -mm
Company:
Date Signed:
Timo's Air Conditioning & Heating
2018-01-02
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 in
Registration Number: 418-A020000020A-000-000-0000000-0000 Registration Date%Tme: 2018-01-02 07:59:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-02 07:59:22
Schema Version: rev 10/16
B,rr # -
City of La Qu>Tnta
Building 8i Safety Division
P.O. Box 1504,18-495 Carle Tampico
La.Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 51361 EI Dorado Drive
Owner's Name:. Jay Ambrosini
.A- P. Number: _ .
Address: 51361 EI Dorado Drive
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Timo's Air Conditioning & Heating
Telephone: �:" errs • ••a.. `
Address: 72232 Corporate Way
Project Description:. Replace 5 ton A/C, coil, & 100,000 BTU
City, ST, Zip: Thousand Palms, CA 92276.
furnace
Telephone: 760-770-4357
State Lic. # : 920062 City Lie'. #,.
Arch, Engr., Designer.
Address:
City., ST, Zip:
Tele honer
P .a .,
State Lic. #:., • '
Name of Contact Person: Steven SchniererSq.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair . Demo
Ft-: #Stories: # Units:
Telephone #'of Contact Person: 818-7354876
Estimated Value of Project: $7,100.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance. '
Title 24 Cares.
Plans picked up
Construction
Floodplain plan
Plans resubmitted..
Mechanical
Grading plan
2'" Review, ready for correctiionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-'
''" Review; ready for correctionsRssue
DeveloperImpact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees