BMCH2017-0360y
78-495 CALLE TAMPICO Ct 0 D i NMIACt/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0360
Property Address: 52905 AVENIDA MENDOZA
APN: 773332022
Application Description: COLOMA RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $6,682.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
AUG 18 2017
CITYOFLAQUINTA
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
6
Date: ' 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 oi� 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.).
(_) 1, 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/2017
Owner:
GABRIEL COLOMA
52905 AVENIDA MENDOZA
LA QUINTA, 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 o` the following declarations:
I have and will maintain a certificat-e 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' ccmpensation insurance, as required by
Section 3700. of the Labor Code, for the perfor Hance 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 :he 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, 1 shall forthwith
comply with those provisions.
Dater 1$ 11 Applicant: 1 — a
WARNING: FAILURE TO SECURE WORKERS' CO'APENSATION 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 this application.
1. Each person. upon whose behalf this appli.ation 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 =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 6suance 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 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 representa,ives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: iS l Signature (Applicant ar Agent): S'Iz Q-
=,
Date: 8/18/2017
Application Number: BMCH2O17-0360
Owner:
Property Address: 52905 AVENIDA MENDOZA
GABRIEL COLOMA
APN: 773332022
52905 AVENIDA MENDOZA
Application Description: COLOMA RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 9253
Property Zoning:
Application Valuation: $6,682.00
Applicant:
Contractor:
IE INC _
TIMO'S AIR CONC ITIONING & HEATING INC
31225 LA BAYA
72232 CORPORA -E 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.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY •
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin. #
City 0f LaQuo:
uo : La
Building 8L Safety Division ,
P.O. Box 1504,78-495 Calle Tampico
L..Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 52905 Avenida Mendoza
Owner'sName:.Gabriel Coloma
A. P. Number:
Address: 52905 Avenida Mendoza
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Timo's Air Conditioning i3 Heating
Telephone: 442-300-2229
pp
rr,M#:�
Address: 72232 Corporate Way
Project Description: Replace 3.5 ton AP-- in back yard, coil, 8
City, ST, Zip: Thousand Palms, CA 92276.
arage- .
80,000 BTU furnace in garage-
1:2.1—M.
Tele hone: ?Z .,
P 760-770 4357
State Lic. #: 920062 City Lie. 9,
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: V
State Lic. #: rj!.
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: #Unit:
Telephone # of Contact Person: 818-735-7876
Estimated value of project: $6,682.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Reed ..
TRACMG
PERMiT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. ..
Truss Calcs.
Called Contact Person
Plan Check f-alance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zi° Review, ready for correct'ionsfissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
r
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for correctionsrissue
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 CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3)
Project Name: GABRIEL COLOMADate Prepared: 2017-08-16
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
GABRIEL COLOMA
02
Date Prepared
2017-08-16
03
Project Location
52905 Avenida.Mendoza
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
GABRIEL COLOMA
SC System
SC System
CFA served
system a
refrigerant
Installing new SC`
07
Zip Code
92253;'x
08
Dwelling Unit Conditioned
1400
by this SC
ducted
•-
:
Floor Area (ft)
entirely new
entirely new
Name
Served
System (ftz)
system?
component?
components?
§;,
r
Number of Space
Alteration Type
09
Climate Zone
15
10'
Conditioning (SC) Systems in
1
No
No
No
`
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
'04 %1:0
4 0 05
f ` 06' '
' 07
08
09
10
Is the SC
» :nrt
Installing,a
atC;1j* �.�i ��r s
:n Vej*h :IntecfrOA
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
SYSTEM 1
WHOLEHOUSE
1400
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-A020110102A-000-000-0000000-0000 Registration Date/Time: 2017-08-16 09:10:18 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-16 09:10:18
Schema Version: rev 10/16
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)1E and F)
01
02
03
04
05
06
07
08
09
10
it
12
Heating
aCooling
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
81
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:'S
CF2R-MCH-01-E w`
- Space Conditioning Systems' i
Duct insulation for ducts R6 10, 12 in 13) R8 11 14-16)
- requirement the new portions of supply -air and return -air or plenums -(C21 and (CZ and
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are Installed In ducted 6ystems, 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. ( "r
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required When refrigerant containing componentss 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, with or without'Equipment Chi ngeotit (Sections 150.2(b)1Diia and 150.2(b)1E, F)
t "ThsLn epirelse ds oaplyto thspojct.
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-A020110102A-000-000-0000000-0000 Registration Date/Time: 2017-08-16 09:10:18 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-16 09:10:18
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-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
Joey rtmo-
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-08-16
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip:
Phone:
Thousand Palms CA 92276 �, �{
',7607.70 4357
Responsible Person's Declaration statement, `
f
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. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on thi's 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,
ing permit application.
calculations, plans and specifications submitted to the enforcement agency for -approval with this buildi
S. I will ensure that a registered copy of this Certificate of Compliance shall mad Mavailable with the buil ding:pe�mit(s)ssfued 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-requi'red`to be included with�ahe documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:Responsible
i,..(t`fff'rntchp Srvio
Designer Signature:
J. rt n;o Mgrs'Cy
Joey Timo
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-08-16
Address:
License:
72232 Corporate Way.
920062
City/tato/7i�
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-A020110102A-000-000-0000000-0000 Registration Date/Time: 2017-08-16 09:10:18 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-16 09:10:18
Schema Version: rev 10/16