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BMCH2018-0060wit 78-495 CALLE TAMPICO T D 4 Qu,,�tro VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 BUILDING PERMIT Date: 3/13/2018 Permit Type/Subtype:. MECHANICAL/ Owner:. Application Number: BMCH2O18-0060Q LIAM CAMPBELL Property Address: 81891 SEABISCUIT WY PGE 1 8 1 SEABISCUI- WY APN: 767740040 7r INTA, CA 9253 Application Description: CAMPBELL RESIDENCE / HVAC CT MAR 1 g 2O'� Property Zoning: d Application Valuation: $26,616.00 , CITY OF LA QUINTA Applicant: DESIGN AND DEVELOPMENT DEPARTM�Contractor: IE INC ENO'S AIR CONDITIONING & HEATING INC 31225 LA BAYA 72232 CORPORATE WAY WESTLAKE VILLAGE, CA 91362 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20 License No.: 920062 fie: 3 I� 1 ontractor: SwwZ�� 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).: ( 11, 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 Name: Lender's Address: (760)770-4357 Llc. No.: 920062 WORKER'S COMPENSATUON 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. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfornance 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 the work for which this permit is issued, I shall not employ any person in any manner so z s to become subject to the workers' compensation laws of California, and agree tha:, if I should become subject to the workers' compensation provisions of Section 3-00 of the Labor Code, I shall forthwith comply with those provisions. 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,($100,00C). 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 the 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 th 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 cancelli tion. I certify that I have read this application and sta:e 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 representat ves of this city to enter upon the above-mentioned property for inspection purposes. 131)z nature (Applicant or Agent) Date: 3/13/2018 Application Number: BMCH2018-0060 Owner: Property Address:' 81891 SEABISCUIT WY WILLIAM CAMPBELL APN: 767740040 81891 SEABISCUIT WY Application Description: CAMPBELL RESIDENCE / HVAC CHANGE OUT LA QUINTA,.CA 92253 Property Zoning: Application Valuation: ". $26,616.00 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 ----------------------------------------------------------------------------------------------- LIC. No.: 920062 Detail: (2) HVAC CHANGE OUT - 19 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: FINANCIAL •• L. DESCRIPTION. ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306. 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT HVACCHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $78.02 DESCRIPTION - ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $156.04 Total Paid for CHANGEOUT:. $234.06 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 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: C.rim njdx nrctarr--....... PERMIT # PLAN LOCATION: Project Address' 81891 Seabiscuit Way Project Description: Pool, Remodel, Add't, Elect; Plumb, Mech APN #: Replace (2) 4 ton / 100,000 BTU complete HVAC systems Patio/Porch SF Email: Applicant Name: Steven Schnierer State Lic: '920062 City Bus Lic: Address: 31225 La Baya Drive Suite 213 State Lic: City Bus Lic: City, ST, Zip: Westlake Village, CA 91362 . Telephone: 818-735-7876 Email: swschnierer@roadrunner.com Valuation of Project $ 26,616.00 Contractor Name: Timo's Air Conditioning & Heating New SFD Construction: Address: 72232 Corporate Way Conditioned Space SF City, St, Zip Thousand Palms, CA 92276 Garage SF . Telephone: 760-770-4357 Patio/Porch SF Email: Fire Sprinklers SF State Lic: '920062 City Bus Lic: Arch/Eng Name: ' Construction Type: Occupancy: Address: Grading: City, St, Zip Construction' Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: William Campbell New Commercial / Tenant Improvements: Address: 81891 Seabiscuit Way Total Building SF City, 'ST, Zip La Quinta, CA 92253 Construction' Type: Occupancy: Telephone: 949-663-0565 Email: 78495 CALLE TAMPICO LA QUI NTA, CA 92253 760-777-7000 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) Project Name: WILLIAM CAMPBELL I Date Prepared: CF1R-ALT-02-E (Page 1 of 3) 2018-03-12 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 WILLIAM CAMPBELL 02 Date Prepared 2018-03-12 03 Project Location 81891 SEABISCUIT WAY 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name HOUSE SC System SC System . CFA served Dwelling Unit Conditioned refrigerant 07 Zip Code 922534 08 Floor Area (ft) 2906 Location or Area by this SC ducted . containing system more than 40 entirely new entirely new f Name Number of Space System (W) 09 Climate Zone 15 �. 10, Conditioning (SC) Systems in 1 Alteration Type this Dwelling Unit: B. Space Conditioning (SC) System Information 01 02 03 04,1111410 a tr 05 &m 106} i 07 08 09 10 Is the SC Installing a 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 (W) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space SYSTEM #1 PART OF HOME 1453 Yes Yes Yes No . No No conditioning system SYSTCM #2 FART Of I IOIv1E 1433 ��!s Yes Yes No No No ®ltorod tpaco 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: 418-A020015052A-000-000-0000000-0000 Registration Date/Time: 2018-03-12 17:01:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance _ Report Version: 2016.1.006 Report Generated: 2018-03-12 17:01:57 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-lR-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 80 AC cooling SEER 19 Setback section is not section is not components components applicable applicable Central gas All new - -" Central split x� All new This -field or This field or SYSTEM #2 furnace heating AFUE 80 �� z 1 cooling SEER 19 Setback section is not section is not components t` components applicable applicable Required Documentation:, `" L,'; CF2R-MCH-01-E - Space Conditioning Systems 1, (� i - 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. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components 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: t- -� ' I -Duct systems registered with HERS provider as previously sealed are exempt frofm MCH-20'1Duurct Leakaget� TestingTomrequi.rements. � - Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCHE23; or Refrigeirant 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)'1Diia and 150.2(b)lE, F) This section does. not apply 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. 2 Registration Number: 418-A020015052A-000-000-0000000-0000 Registration Date/Time: 2018-03-12 17:01:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-12 17:01:57 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 o'. Company: Signature Date: Timo's Air Conditioning & Heating 2018-03-12 Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way City/State/Zip: _'`_ooj,. Thousand Palms CA 92276it. Phone: E,t,t 1760-770-4357 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California:d('';' � , 1. The information provided on this Certificate of Compliance is true and correct. yf 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 forrappr oyallwkth this building permit application. 5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with tl bwlding:permit(s) issued for the building, and made available to the enforcement agency for all applicable uito be included witf the docurmentation the builder provides to the building owner at occupancy. inspections. I understand that a registered copy of this Certificate of Compliance is'reqred' Responsible Designer Name: Responsible Designer Signature: Joey Timo Joey rc* o- Company:. Date Signed: Timo's Air Conditioning & Heating 2018-03-12 Address: License: 72232 Corporate Way 920062 City/State/Zip: Phone: Thousands Palma CA 87776 760=770=4337 Digitally signed by CHEERSTm. 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: 418-A020015052A-000-000; 0000000-0000 Registration Date/Time: 2018-03-12 17:01:56 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-12 17:01:57 Schema Version: rev 10/16