BMCH2017-0426a w
78-495 CALLE TAMPICO T�4 VOICE (760) 777-7125
LA gUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O17-0426 DENIIS GIFFORD
Property Address: 54465 AVENIDA RUBIO P 0 BOX 133E•
APN: 774234023 LA QUINTA, CA 92253
Application Description: GIFFORD / HVAC CHANGEOUT 14 SEER/ 81 AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $7,287.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LE2 0 2017
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: I2 fContractor:
OWNER -BUILDER DECLARATION
I hereby affirmunder 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 Na
Lender's Address:
Date: 9/20/2017
Contractor:
TIMO'S AIR CONDITIONING Sc HEATING INC
72232 CORPC°RATE WAY
THOUSAND PIALMS,, CA 92276
(760)770-4357
Llc. No.: 920062
WORKER'S COMPENSATION 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 3 X00 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
Secfio 3700 of the Labor Code, for the per ormance of the work for which this permit is
issued. My workers' compensation insuram.e carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPAN't Policy Number: TIWC851602
_ 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.
.1 r _
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 ($100000). 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 tathe 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 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 ap{iication 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 cancellat"on.
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 representatives of this city to enter upon the above-
mentioned property for inspection purposes
Date: q 20 Signature (Applicar,YorAgent): �7�
Date: 9/20/2017
Application Number:. BMCH2O17-0426
Owner:
Property Address: 54465 AVENIDA RUBIO
DENIIS GIFFORD
APN: 774234023
P 0 BOX 1336
Application Description: GIFFORD / HVAC CHANGEOUT 14 SEER/ 81 AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,287.00
Applicant:
Contractor:
IE INC
TIMO'S AIR CONDITIONING.& HEATING INC
31225 LA BAYA
72232 CORPORATE WAY
WESTLAKE.VILLAGE, CA 91362
THOUSAND P)4LMS, CA 92276
'(760)770-435,7
----------------------------------------------------------
Llc. No.: 920062
-----------------------
HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
a ,1.
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: $5.00
Bing
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking S'rieet
Permit-#
Project Address:
S�y'�S
Owner's Name: -
A.P. Number
Address:
,
Legal Description:
City, ST, Zip: L
C Ck ZZS �
Contractor:i
Y`r� OS
C_Telephone:
� �A� � h
-1�p _ :50 S 3 - 3 (o•Z
Address:._.',ZZ�Z
Project Description: �,� \ ce
}Q� A C =
City, ST, Zip: --1
1�0�1 cr,s CA �►Z-z"7b
100 �Gid, VC' Y.4GG
Telephone: - D- T
State Lic. #. 9 ZDOtoZ
City Lic M
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
i Construction Type:
Proj. Type New Add'n
Occupa-icy:
Alter- Repair Demo
State Lic. #:
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
1 Z�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd .
Rec'd
TRACKING
PERMIT' FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Chock Deposit:
Truss Calcs
Called Contact Person
Plan CI-_ek Balance:
Title 24 Calcs
Plans Picked Up
Constrwtion: .
Flood Plain Plan
Plans Resubmitted
Mecha6cal:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbieg:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Gradin€
1N -HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P_
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
l
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: SHIRLEY GIFFORD Date Prepared: 2017-09-20
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
SHIRLEY GIFFORD
02
Date Prepared
2017-09-20
03
Project location
S446S AVENDIA RUBIO
04
Building Type
Single family
05
CA City
La Quinta
.-06
Dwelling Unit Name
HOUSE
07
Zip Code
922534
08
Dwelling Unit Conditioned
1704
Installing
Installing
Installing
Floor Area (ftZ )
Location or Area
by this SC
ducted
'
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 .
1 F7 I..(f" '% (rt
O1
02
03
04 '%e*
05
06
07
08
09
10
Is the SC
'Unri
Installing_a
)Vr.' *w Q r
44rirf I it ri
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
1704
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-A020117337A-000-000-0000000-0000 Registration Date/Time: 2017-09-20 11:35:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-20 11:35:23
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
AFUE
0.81
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 1l 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. "I �J
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components areinstalledor 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 TOZingequirements.
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.
-- tLil fry" ICLL ' K"_)1 K,"
Without --Equipment tr.
E. Entirely New or Complete Replacement Duct System, with'�� or Changeoat (Sections 150.2(b)lDiia and 150.2(b)lE, F)
Thissect on do s niot a ply to this 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-A020117337A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-09-20 11:35:21
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-09-20 11:35:23
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 7 -Co o-
Company:
Signature Date:
Timo's Air Conditioning & Heating
2017-09-20
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip:
,Phone:
Thousand Palms CA 92276 i$
760.770-4357
I
Responsible Person's Declaration statement 1 ''
I certify the following under penalty of perjury, under the laws of the State of California:
� rl�
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 apprmalwith this building permit application.
5. 1 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 copy of this Certificate of Compliance is requiredto be includedIuded withNhe d'ocu mentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
i3'iCf'��Ttthed t31"V(b
Responsible,Designer Signature:
J r
Joey Timo
Company:
Date Signed:
Timo's Air Conditioning & Heating
2017-09-20
Address:
License:
72232 Corporate Way
920062
r7ity/Statgt7.ip•
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-A020117337A-000-000-0000000-0000
Registration Date/Time: 2017-09-20 11:35:21
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-20 11:35:23
Schema Version: rev 10/16