BMCH2017-038978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O17-0389
Property Address: 50680 GRAND TRAVERSE
APN: 770320038
Application Description: MATELLI RESIDENCE/ HVAC
Property Zoning: r
Application Valuation: $9,929.00 II
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362.
C� D a � VOICE (760) 777-7125 .
v FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:. 8/31/2017
Owner:
MICHAEL MATELLI'
50680 GRAND TRAVERSE AVE
CHANGE--�a
LA QUINTA, CA 92253
��-�
AUG31 2017 �V Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
Cay pF (ApU1NTA72232 CORPORAIrE WAY
COMMUNITY_ �EOPc ITDFPARTME�T 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: License No.: 920062
� a
'-Date: I Con-tractor:M�
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 11, 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: -
(760)770-4357
Llc. No.: 920062
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one cf 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.
,y 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 ofrthe work for which this permit is issued, I
shall not employ any person in any manner spas 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 _700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: g 31 17 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIAAL 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 ttv 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 actor omission related to t; a 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 orditeances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Dater 31 i, Signature (Applicant or Agent):
-
Date: 8/31/2017
Application Number: BMCH2017-0389
Owner:
Property Address: 50680 GRAND TRAVERSE
MICHAEL MATEL`•LI
APN: 770320038
50680 GRAND TRAVERSE AVE
" Application Description: MATELLI RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 92253"
Property Zoning:
Application Valuation: $9,929.00
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 - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $216.27
FINANCIAL
DESCRIPTION
INFORMATION
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 CHANGEOUT: $114.00.
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
TOTALS: $216.27
F
#
Qty of Lit Qulhta
Building 8E Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Ia.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 50680 Grand Traverse Avenue
Owner'sName:.Michael Matelli
A. P. Number.
Address: 50680 Grand Traverse Avenge
Legal Description:
City, ST, Zip: La Quinta, CA 92253R-11
Contactor. Timo's Air Conditioning &Heating
9 Qp)
N
Telephone: 831-539-9689 .;s>w
Address: 72232 Corporate Way
Project Description: Replace 5 ton / 100,000 BTU complete
City, ST, Zip: Thousand Palms, CA 92276.
HVAC system,
Telephone:
P . 760-770-4357
State Lic. # : 920062
City Lie. 9.
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone
`
"
Construction Type: Ocupancy:
State Lic. #:jy
project type (circle one): New Add'n_ Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Name of Coatact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project $9,929.00
APPLICANT: DO NOT WRITE BELOW THIS LIME
#
Submittal
Req'd
Recd
TRACKNG
PERWY FEES
Plan Sets
Plan Check submitted
item Amount
Structural Cala.
Reviewed; ready for corrections
Plan Check Deposit_ .
Truss Cates.
Called Contact Person
Plan Check 3alance
Title 24 Calci.
Plans picked up
Constructiol
Flood plain plan
Plans resubmitted
Mecharilcal
Grading plan
2`6 Review, ready for correctionVissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for corrections issue
Developer hapact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Perudt Fees
FIREPLACE (EA)
SERVICE
PARTITION (EA)
PROJECT DESCRIPTION
STUCCO APPLICATION (SF)
MISC ELECTRICAL
ADDRESS
APPLICATION
DOOR/WINDOW - NEW (EA)
New Construction
Mechanical Units
Unit Counts Qty
CONDITIONED (SF)
FURNACE
TOILETS
GARAGE/UNCOND (SF)
HEATER
BIDET/URINAL
PATIO/COVERED (SF)
APPLIANCE (ALT/ADD)
SHOWERS
FIRE SPRINKLER (SF)
COMPRESSOR
BATHTUBS
CODE EDITION
AIR HANDLER
SINKS
CONSTRUCTION TYPE
EVAP COOLER
BAR SINK
NUMBER OF FLOORS
VENT FAN
BBQ
gUMBER OF BEDROOMS
EXHAUST HOOD
OVEN
NUMBER OF UNITS
MISC MECHANICAL
RANGE
OCCUPANTLOAD
COOKTOP'
OCCUPANCY
Electrical Units
DRINKING FOUNTAIN
MSHCP
WASHER
ROOF TYPE
NEW ELECTRICAL (SF)
DRYER
and/or
WATER HEATER
Remodel/Addition
RECEP/SWITCH/LIGHT
ROOF DRAINS
plus
FLOOR DRAINS
REMODEL AREA (SF)
APPLIANCE - RES
KITCHEN SINK
ADDITION AREA (SF)
APPLIANCE - NONRES
VEGGIE SINK
AWNING/CANOPY (EA)
POWER APPARATUS
LAUNDRY SINK
BALCONY ADDITION (EA)
SIGNS
FIREPLACE
FIREPLACE (EA)
SERVICE
PARTITION (EA)
TEMPORARY SERVICE
STUCCO APPLICATION (SF)
MISC ELECTRICAL
DOOR/ WINDOW - REP (EA)
LIGHT POLES
DOOR/WINDOW - NEW (EA)
PV SYSTEM - ARRAY
CARPORT (EA)
PV SYSTEM - MISC EQ
VALUATION
IAS SHOWN ON BUILDING APPLICATION)
• Plumbing Units
Development Information
FIXTURE/TRAP
SEWER
TRACT/6V9BIV PJ AME
SEPTIC
TRACT NO.
ROOF DRAIN
SCANNED PLAN NO.
WATER HEATER
IMAGE CORRIDOR
GREASE INTERCEPTOR
OTHER
WATER PIPING
BACKFLOW
GAS OUTLETS
RESIDENTIAL
RESIDENTIAL
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF71R-ALT-HVAC)
Project Name:
Michael Matelli I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
Michael Matelli
02
Date Prepared
2017-08-30
03
Project Location
50680 Grand Traverse Avenue
04
Building Type
Single family
05
CA City
LA QUINTA s
-06
Dwelling Unit Name
Michael Matelli
SC System
L ';
'
Dwelling Unit Conditioned
refrigerant
07
Zip Code
92253°
08
Floor Area (W)
2000
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Number of Space
System (ft)
09
Climate Zone
15
10`
Conditioning (SC) Systems in
1
Alteration Type
SYSTEM 1
WHOLEHOUSE
2000
this Dwelling Unit:
B. Space Conditioning (SC) System Information
a—it
01
02
03
04.
051
i 06"x '=
07
08
09
10
Is the SC
�'rkry
Inst ailing_a,
at.;i1�,� Z,'',rvi
saSt 1 i t7rtP
SC System
SC System
CFA served
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
WHOLEHOUSE
2000
Yes.Yes
Yes
No
No
No
Altered space
.
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib)
Registration Number: 417-A020113215A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/time: 2017-08-30 15:51:23
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-30 15:51:23
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to.Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
AWE
81'
AC
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 return -air ducts or plenums R6 (CZ1-10,12 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 du ted.syitems, 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 component ar_eAinstalled 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 Leakagelesting 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 without Equipment Changeout (Sections 150.2(b)113iia and 150.2(b)lE, F)
This section dos jot apply torthis prject.
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-A020113215A-000-000-0000000-0000 Registration Date/Time: 2017-08-30 15:51:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-30 15:51:23
Schema Version: rev 10/16
e
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:
Joey Timo
Joe' Tina '
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-08-30
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: — ..
Phone:
Thousand Palms CA 92276 Il }F
7607 70-4357
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: a [ v
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 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 for;approvalawith this building permit application.
ip t6 —0 ' e _ . 0 P r1 .
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building..permit(s), issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered co of this Certificate of Com Compliance is re required be included with the documentation the builder provides to the building owner at occupancy.
P g• PY P q P g
Responsible Designer Name:(
l-t`t!"t ai -.iter .tel" 'i
Responsible'Designer Signature:
J ;€r�iiw`. rfLy
Joey Timo
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-08-30
Address:.
License:
72232 Corporate Way
920062
ty/State/Zip:
rT
Phone:
housand 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-A020113215A-000-000-0000000-0000 Registration Date/Time: 2017-08-30 15:51:23 HERS Provider: CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-30 15:51:23
Schema Version: rev 10/16