BMCH2018-008278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O18-0082
iL
53120 DEL GATO DR
APN:
770330028
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$7,502.00
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78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O18-0082
Property Address:
53120 DEL GATO DR
APN:
770330028
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$7,502.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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
Date: 3 7_7 1 Fs r `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 Address:
r
ENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/2018
Owner:
JESSICA GARTNER.
53120 DEL GATO DR
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDTIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALN6, CA 92276
(760)770-4357
Llc. No.: 920062
WORKER'S COMPENSATDN 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''cornpensation 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: Thk851602
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: 3 Z7 1 1g 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 owne-, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the =ity 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 13suance of such permit, or cessation'of
work for 180 days will subject permit to cancelstion.
l
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 ordirances and state laws relating to building
construction, and hereby authorize representa-ives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: 312-71 Ig -Signature (Applicant x Agent):
Date: 3/27/2018
Application Number: BMCH2O18-0082
Owner:
Property Address: 53120 DEL GATO DR
JESSICA GARTNER
APN: 770330028
53120 DEL GATO OR
Application Description: HVAC CHANGE OUT
LA QUINTA, CA 92253 .
Property Zoning:
Application Valuation: $7,502.00
Applicant:
Contractor:
IE INC
TIMO'5 AIR CONDITIONING & HEATING INC
" 312251A BAYA
72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)770-4357
-------------------------------------------------------------
Llc. No.: 920062
----------------------------•---
Detail: HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
L
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
$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
1
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
0
$5.00
tea Oai4&a
— cervi l
PERMIT #
PLAN LOCATION:
Project Address: 53120 Del Gato Drive
Project Description: Pool, Remodel, p dd't, Elect, Plumb, Mech
APN #:
Replace 5 ton / 100,000 BTU complete H%/AC system
Patio/Porch SF .
Email:.
Applicant Name: Steven Schnierer
State Lic: 920062 City Bus Lic:
Address: 31225 La Baya Drive Suite 213
State Lic: City Bus Lic:
City, ST, Zip: We Village, CA 91362
Telephone: 818-735-7876
Email:
swschnierer@roadrunner.com
Valuation of Project $ 7,502.00
Contractor Name:Timo's Air Conditioning &Heating
New SFD Construction:
Address: 72'232 Corporate Way
Conditioned Space SF
City, St, Zip Thousand Palms, CA 92276
Garage SF
Telephone: 760-770-4357
Patio/Porch SF .
Email:.
Fire Sprinklers SF
State Lic: 920062 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:.
Units:
F#
Email:
State Lic: City Bus Lic:
Property Owner's Name: Thomas Gartner
New Commercial / Tenant Improvements:
Address: 53120 Del Gato Drive
Total Building SF
City, ST, Zip La Quin'ta, CA 92253
Construction Type: Occupancy:
Telephone: 760-564-9710
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: THOMAS GARTNER Date Prepared: 2018-03-26
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units mist be documented, use one
CFIR-ALT-02 document for each dwelling unit.
03
Project Name
THOMAS GARTNER
02
Date Prepared
2018-03-25
03
Project Location
53120 DEL GATO DRIVE
04
Building Type
Single family
OS
CA City
La Quinta w. +
M06
Dwelling Unit Name
HOME
SC System
„ f
CFA served
Dwelling Unit Conditioned
refrigerant
07
Zip Cade
92253 ��,: ��.
08 !
Floor Area (ftZ)
2100
Location -or Area
by this SC
{
f%
Number of Space
more than 40
09
Climate Zone
15
30'
Conditioning (SC) Systems in
1
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
B. Space Conditioning (SC) System Information
k""%
01
02
03
04'0*w0
0 # 05 �
! 06
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?
dud system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
2100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.Z(b)1Diib)
This section does not apply to this project.
Registration Number: 418-AO20018498A-000-000-0000000-0000 Registration Date/Time: 2018-03-26 17:54:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-26 17:54:27
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 15O.2(b)1E and F)
O1
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
Dud 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
14
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 return -air ducts or plenums: R6 (CZ i-10; 12 andd3) and Fig (CZ 11 and 14-16)
_ -
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed m dulled systems, or when more than 40 ft of duct length is replsed
-Leakage rate compliance: r- 35% or r- 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 -25 is required.
Exceptions: - _.-
- 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, wtor without Equipment Chn eoL (Sections 150.2 b 1Diia and 150.2 b 1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)1C)
This section does not apply to this project.
Registration Number: 418-A020018498A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-26 17:54:25 - HERS Provider:'CHEERS
Report Version: 2016.1.006 Report Ge6erated:.2018-03-26 17:54:27
Schema Version: rev 10/16
t
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:
Stephanie Shryock
StPPha1U411Sh1yodr.
Company:
Signature Date:
I Permit E Raters
2018-03-26
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
hone:
Westlake Village CA 91362
818-735-7876
Responsible Person's Declaration statement,''%rl
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. I am eligible under Division 3 of the Business and Professioni Code to accept responsibility' Tor 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 agency forapproyal with this building permit application.
}i f jd
5. 'I will ensure that a registered copy of this Certificate of Compliance shahbe madee3iavailable with the bmldmg:permit(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 requfnr d fo be �nduded;04thi documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: .
Joey Timo
Joey r4v o
Company : -
Date Signed: '
Timo's Air Conditioning & Heating
2018-03-26
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: 418-A020018498A-000-000-0000000-0000 Registration Date/Time: 2018-03.26 17:54:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-26 17:54:27
Schema Version: rev 10/16