BMCH2017-043778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O17-0437
Property Address:.
50265 GRAND TRAVERSE AVE AVE
APN:
Application Description:
770050031
POSS RESIDENCE / HVAC CHAN
T Q
Property Zoning:.
D
Application Valuation:
$9,229.00
OCT p 3 2017
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
CITY OF LA QUINTA
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: C20 License No.: 920062
Date: 1 1111-7 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. Q.
Lender's Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/3/2017
Owner:
STEPHEN POSS
50265 GRAND TRAVERSE AVE.
LA QUINTA, CA 9;253
Contractor:
TIMO'S AIR CONrATIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND,PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
WORKER'S COMPENSATON 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 370C of the Labor Code, for the performance
of the work for which this permit is issued.
C� I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perforinance of the work for which this permit
is issued. My workers' compensation insurancB carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPANY Policy Number: TIWC851602
I certify that in the performance of _he work for which this permit is issued, I
shall not employ any person in any manner so 3s to become subject to the workers'
compensation laws of California, and agree thzt, 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: Applicant: !S�_ e
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 FOF 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 thi 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 ssuance of such permit, or cessation of
work for 180 days will subject permit to cancel ation.
I certify that I have read this application and st ite 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 representacives of this city to enter upon the ,
above-mentioned property for inspection purposes.
Date: )� 3 1-1 Signature (Applicant or Agent): --
Date: 10/3/2017
Application Number: BMCH2017-0437 Owner:
Property Address: 50265 GRAND TRAVERSE AVE AVE STEPHEN POSS
APN: 770050031 50265 GRAND TRAVERSE AVE.
Application Description: POSS RESIDENCE / HVAC CHANGEOUT LA QUINTA, CA 9253
Property Zoning:
Application Valuation: $9,229.00
Applicant: Contractor:
IE INC TIMO'S AIR CONCITIONING &-HEATING INC
31225 LA BAYA 72232 CORPORA -E WAY
WESTLAKE VILLAGE, CA 91362 THOUSAND PALLS, CA 92276
(760)770-4357
LIc. No.: 920062
Detail: HVAC CHANGE O.UT - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE.INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT I IQTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 1 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
iQTY
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
S02-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
Birt.#
Oty of La Quinta
Building 8L Safety Division
�.�j� P.O. Box .1504,*78-495 Calle Tampico
' 14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking S.)eet
Perin tt #
'
Project Address: 50265 Grand Traverse Avenue
Owner'sName:.Steve Poss
A- P. Number.
Address: 50265 Grand Traverse Aven je
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor.•Timo'sAir Conditioning & Heating
p
Telephone: 310-418-8806 •;�:sa
Address: 72232 Corporate Way
Project Description: Replace 4 ton A/C, coil, & 80,000
City, ST, Zip: Thousand Palms, CA 92276.
BTU furnace
Telephone 760-770 4357 ra
State Lic. # : 920062 y Lie. #.:
Arch , Engr., Designer
Address: ;
•
City., ST, Zip:
Telephone:
^Aw%yzs
Construction Type: . Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter R4De=mo
Name of Contact Person: Steven Schnierer
Sq. Ft-: # Stories:
#Units:
Telephone # of Contact Person: 818-7354876
Estimated Value of Project: $9,229.00
APPLICANT: DO NOT WRITE BELOW THIS LIME
M
Submittal
Req'd
Reed
TRACKNG
PERWW FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Plan Check Salance
Titre 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mechanical
Grading plan
rd Review, ready for corrections(ccsue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
MOA.Approval
Plans resubmitted
Grading
1N HOUSE:-
"d Review, ready for correctionsflssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
STEVE POSS I Date Prepared:
(Page 1 of 3)
2017-09-29
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
STEVE POSS
02
Date Prepared
2017-09-29
03
Project Location
50265 GRAND TRAVERSE AVENUE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
SC System
SC System
systema
refrigerant
Installing new SC
07
Zip Code
92253
08 1
Dwelling Unit Conditioned
1500
by this SC
ducted
containing
system
Floor Area (ft)
entirely new
. entirely new
j { `;
)E
Number of Space
system?
09
Climate Zone
15 '
101
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOME
1500
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information i
01
02
03
04
05
Lir 06
07
08
09
10
CFA served
Is the SC
ry
Installing«a,
�tt.1 ` �vVi
� Y►Oh .Intec�lril .
SC System
SC System
systema
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
1500
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-A020119299A-000-000-0000000-0000
Registration Date/Time: 2017-09-29 08:43:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-29 08:43:26
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
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 or
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: -
Systems
CF2R-MCH-01-E - Space Conditioning
-Duct insulation requirement for the new portions of supply -air and return -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 , J i
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componentsare 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
f
Exceotions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage,Tesl ng 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.
t.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeolrit (Sections 150.2(b)iDiia and 150.2(b)lE, F)
This section do sno a ply totth s 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-A020119299A-000-000-0000000-0000 Registration Date/Time: 2017-09-29 08:43:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-29 08:43:26
Schema Version: rev 10/16
'CERTIFICATE OF COMPLIANCE CF111-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 Nanic;
uULUI11e11La LIUtI AUthtlr Slghat&r :
Stephanie Shryock
Staph—Lce,Shryock
Company:
Signature Date:
I Permit E Raters
2017-09-29
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Phone:
Westlake Village CA 91362 i
815 735-7876
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. l
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 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 agencyfor approval,with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall beim'ade available with the building pe�mit(sj issued for the building, and made available to the enforcement agency for all applicable
'01F
.,ro,fy Kr k4 'oro r5
inspections. l understand that a registered copy of this Certificate of Compliance is required to be included wlth'the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:.
Joey Timo
Responsible Designer Signature:
ha+i.eShryPock.C)
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-0949
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-A020119299A-000-000-0000000-0000 Registration Date/Time: 2017-09-29 08:43:25 HERS Provider' CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-29 08:43:26
Schema Version: rev 10/16