BMCH2017-033478-495 CALLE TAMPICO (� U
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0334
Property Address: 54850 RIVIERA
APN: 775031032
Application Description: SHEARD / HVAC CHANGE OUT - 16S EA 81AFUtSPL_ SPLIT ,STEM""
Property Zoning: I .l ---
Application Valuation: $12,329.00 (uj_ AUG
®2 2011 I
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
CITYOFLAQUXNq
COf✓iM,(!N_ _n _IDEVELOF V 2EPgRTWNT
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: 2, 1-2 Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/2/2017
Owner:
GEORGESHEARD
54850 RIVIERA
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-435'
Llc. No.: 920052
WORKER'S COMPEN;ATION 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: TIWC851602
I certify that in the performance cf 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 `hat, 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:TlApplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKh OWLEDGEMENT
IMPORTANT: Application is hereby made to -he 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 Cit- of La Quinta, its officers, agents, and
employees for any act or omission related torthe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appfcation 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 <--tate 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 representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: 2 li Signature (Applicant or Agent): a_-17_��
Application Number:
BMCH2O17-0334
Property Address:
54850 RIVIERA
APN:
775031032
Application Description:
SHEARD / HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$12,329.00
Owner:
GEORGE SHEARD
54850 RIVIERA
LA QUINTA, CA 92253
Date: 8/2/2017
Applicant: Contractor:
IE INC TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA 72232 CORPC•RATE WAY
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920022
--------------------------------------------------- ------------------------------------
Detail: HVAC CHANGE OUT - 16SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
c
FINANCIAL
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
$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: $S.00
I
Bin.#
Cit}/ Of Ld QUlhta
Building 8f Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 54850 Riviera
Owner's Name: George Sheard
A. P. Number.
Address: 54850 Riviera
Legal Description:
City, ST, Zip: La Quinta, CA' 92253•
Contractor: Timo's Air Conditioning &Heating
Telephone: 204-573-4443
Address: 72232 Corporate Way
Project Description: Replace.5 ton ArC, coil, & 100,000
City, ST, Zip: Thousand Palrns, CA 92276
BTU furnace
.Telephone: 760-770-4357
City Lie'. #
State Lic. #: 920062
Arch., Eng., Designer.
Address:
City., ST, Zip!'
Telephone: `��A•. Construction Type: . occupancy:
State Lic. #:�'�" r Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer Sq. Ft.: #Stories: #Units.
Telephone # of Contact Person: 818-735-7876
Estimated Value of project: .$12,329.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
!1
Submittal
Req'd
Recd
TRACICII�IG
PERMIT FEES
Pfau Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections .
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Pian Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechaelcal!
Grading plan
2iQ Review, ready for correctiohsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,M,f,
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
''° Review; ready for correctionsfissae
Developer =mpact Fee
Planning Approval
Called-Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
n
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
GEORGE SHEARD I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-07-31
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
GEORGE SHEARD
02
Date Prepared
2017-07-31
03
Project Location
54850 RIVIERA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOUSE
07
Zip Code
92253 !" *�
�8
Dwelling Unit Conditioned
3370
Installing
Installing
Installing
Floor Area (ftp)
Location or Area
by this SC
ducted
.j
system
Number of Space
entirely new
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
component?
components?
feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information
i -1 or rer :m
01
02
03
04 %wO`
05 11�06
' ,
07
08
09
10
Is the SC.
+ nff
Installing a,
--R-wlH ,EJvi
p LAriti`i Inteorh
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM #1
[WHOLE HOUSE
3370
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020106652A-000-000-0000000-0000
Registration Date/Time: 2017-07-31 20:05:08
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-31 20:05:08
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(6)1E and F)
01
02
03
04
05
06
07
08
09
10
it
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
0.81
AC
cooling
SEER
16
Setback
section is not
section is not
components
`
components
applicable
applicable
Required Documentation: -
CF211-MCH-01-E - Space Conditioning Systems''i
Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZA-1 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.
�'°-�*t•,r
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are insEalled 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
Exceotions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Lea kage 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.
R__ hiJ.l 1= Imo, f .l!"_ . (1"
E. Entirely New or Complete Replacement Duct System, with or withou quipm nt Changed t (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section dos not aply t6 this project.
F. Entirely New or Complete Replacement. Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 417-A020106652A-000-000-0000000-0000
Registration Date/Time: 2017-07-31 20:05:08
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-31 20:05:08
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:
Joey Timo
Joey rc*,
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-07-31
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: 1.
Phone:
Thousand Palms CA 92276
760770-4357
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: " s
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 responsibiliiy,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 manufactu ed"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 -approval with this building permit application.
44,_
S. I will ensure that a registered copy of this Certificate of Compliance shall be mad__J4 vailable with the building.pe�mit(s)-issued 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 requiredlo bei eluded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: t S ti:
Responsible,Designer Signature:
.J.r;N„�:rtty
JoeyTimoC..11
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-07-31
Address:
License:
72232 Corporate Way
920062
City.Ktate/Zip:
Phnne:
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-A020106652A-000-000-0000000-0000 Registration Date/Time: 2017-07-31 20:05:08 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-07-31 20:05:08
Schema Version: rev 10/16