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BMCH2017-0056
78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O17-0056 Property Address: 55405 FIRESTONE APN: 775051011 Application Description: CARPENTER RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $8,000.00 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 is in full force and'effect. License Class: C20 License No.: 920062 Contractor: OWNER -BUILD ECLARATION 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 contractors) 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 Address: V ICE (76 77-7125 7-7011 INSPE I 7 7-7153 `CITY OF Owner: (,kwNMDEVEI BOB CARPENTER 55405 FIRESTONE LA QUINTA, CA 9253 Contractor: TIMO'S AIR CONDI-IONING & 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 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, iif I should become subject to the workers' compensation provisions of Section 37CO of the Labor Code, I shall forthwith comply with those provisions. ate: ��—�. Applican. 1 WARNING: FAILURE TO SECURE WORKERS �°ENSATI N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA"_ PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR III SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT. ACKNOW9EDGEMENT IMPORTANT: Application is hereby made to the building Official for a permit subject to the conditions and restrictions set forth on'this a?plication. 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'applicat©n becomes null and void if work is not commenced within 180 days from date of issiance of such permit, or cessation of work for 180 days will subject permit to cancellaton. 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'ordinaaces and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposas. 7 Signature (Applicant or,Agent . e Application Number: BMCH2017-0056 Property Address: 55405 FIRESTONE APN: 775051011 Application Description: CARPENTER RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $8,000.00 Owner: BOB CARPENTER 55405 FIRESTONE LA QUINTA, CA 92253 Date: 3/15/2017 Applicant: Contractor: TIMO'S AIR CONDITIONING & HEATING INC TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)770-4357 Llc. No.: 920062 --------------------------------------------------------------------------------------------- Detail: HVAC CHANGE OUT - 16 SEER/80AFUE PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. ►w Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 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- PACKAGED UNIT 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - PACKAGED UNIT PC 101-0000-42600 0 $25.33 Total Paid for CHANGEOUT: $63.33 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 0 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3) Project Name: BOB CARPENTER Date Prepared: 2017-03-14 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units m 1st be documented, use one CFIR-ALT-02 document for each dwelling unit. 01 Project Name BOB CARPENTER 02 Date Prepared 2017-03-17 03 Project Location 55405 Firestone 04 Building Type Single farsly. 05 CA City La Quinta 06 Dwelling Unit Name BOB CARPENTER f G. SC System Dwelling Unit Conditioned CFA served 07 Zip Code 92253 ra 08 Floor Area (ft) 3141 Identification or Location or Area by this SC Number of Space containing 09 Climate Zone 15 ��+r..— 1 10 Conditioning (SC) Systems in 1 Served System (ft) 11-1 component? this Dwelling Unit: feet of ducts? B. Space Conditioning (SC) System Inform L on ., 01 02 03 04 �"" 'd' " "y `'66' `+ " '07' Y 08 _ """`09 10 `�1s the SCJ'`' IistallingSa r- M 'µ..Vi V i f G. 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 morethan 40 entirely new entirely new Name Served System (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1575 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Dud System, Greater Than 40 Feet (Sedion150.2(b)1Diib) This section does not apply to this project. Registration Number: 217-A020082058A-000-000-0000000-0000 Registration Date/ Time: 2017-03-14 17:17:01 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 17:17:15 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)3E and F) 01 02 03 04 05 06 07 08 09 30 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 All new Central All new This field or This field or System 1 packaged HP heating HSPF 8 packaged HP cooling SEER 16 Setback section is not section is not components components applicable applicable 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 MR -MCH -20-1-1 - 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 <= 30% 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 iequired when MCH -25 is required. Exceptions:r` �„"~"� - Duct systems registered with HERS provider as previously sealed are exemptfmm MCH 20 Duct Leakage Testing requirements. - Heating -only systems and Air Handler Furnace changes do not require verificatio 'of Air Flow M6!23;., R&ngeran£Charge'MCH-25. -Existing duct systems constructed, insulated or sealed with asbestosare exempt{from MCH 20 DuheLealoge Testmgrequliemen`ts. i _ i\ kt i1 i9 ie if ,-. St #t i4 OA �.wi 1�rb'I 1!H "'r,.wf W,.rw.i �{ W .cal dF.M',�� iJ ..I ��'✓ E. Entirely New or Complete Replacement Duct,System, with or without Equipment Changeout (Sections•150.2(b)1Diia:and 150.2(b)1E, F) All'�1 1F-�11 f�- lid `►� !wt A% i1 Ir ~ 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: 217-A020082058A-000-000-0000000-0000 Registration Date/Time: 2017-03-14 17:17:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 17:17:15 Schema Version: rev 10/16 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: �� Timo , Joseph Company: Signature Date: TIMO'S AIR CONDITIONING & HEATING INC 2017-03-14 17:17:01 Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way City/State/Zip: F76C�770-4357 THOUSAND PALMS CA 92276 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: - A 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, matehals, 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 CalifomiaCode ofR egula[ n ` r y--- ` 4. The building design features or system design features identified on this Certificate of Compliance arelc$on„sµistent with the ianfortnation,pirovided one tother appylicaiolecompliance documents, worksheets, ,.—p r t I r.. ♦. a E 3 calculations, plans and specifications submitted to the enfon:ement agency for approval with this bwlding permit application. •.nom '^i <n F{ Yd•r< ik ha IiY ie dp S. I will ensure that a registered copy of this Certificate of,C�ompliance shall'be made;avadable wdh:the building permit(s),issued for, building, and,made availaba;,to the enforcement agency for all applicable inspections. I understand that a registered copy of this'Certficate of Compliance.i�.requ!red to be,included with the_documentation�theµbullder p_r�ovgdes to_the tuilding owner at occupancy. Responsible Designer Name: . X.. Z, Responsible Designer Signature: ' Lp;—�"�1 Timo, Joseph Company: Date Signed: TIMO'S AIR CONDITIONING & HEATING INC 2017-03-14 17:17:01 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-A020082058A-000-000-0000000-0000 Registration Date/Time: 2017-031417:17:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 17:17:15 Schema Version: rev 10/16 lain# Submittal Oty Of is-Quinto -Building 81: Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking- beet Permit # Project Address: �Sy1J l�s�$ io.) Owner's Name: 1 a,b M_ PtJ Plan Sets A. P. Number: Address: Legal Description: Amount City, ST, Zip' �3 Contractor: ci pTi�L c}a% cif�Z+l.� Address: Te lephone• 3 ' 3 $-33b % rl-w, 3 "f Pro ect Description: Plan Cluck Deposit City, ST, Zip: Telephone: Truss Calcs. Called Contact Person State Lic. # : Plan Check Balance City Lic. c _ Title 24 Cales. Arch., Engr., Designer: Plans picked up Address: Flood plain pian City., ST, Zip: Plans resubmitted ' Telephone: .,,,v s • ,,,Hc rry .w ra Construction Type: Occupancy: State Lie. #:•�`"` 2'' Review, ready for corrcctions/issue Project type (circle one): New Add'n Aber Repair Demo Name of Contact Pcrson: _ V� 191 �L �� Sq. FL: # Stories #Units Telephone #,of Contact Person: Q •- —�3 Estimated Value of Project: T m®©• �® APPLICANT: DO NOT WRITE BELOW THIS LINE I tr Submittal Rcq'd Reed T'RACI@iG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cluck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading plan 2'' Review, ready for corrcctions/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. 11.0.A. Approval Plans resubmitted Grading IN HOUSE: 3" Repiew, ready for eorrectionsrisstic Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Feet