BMCH2018-008778-495 CALL 4 al VOICE TAMPICO VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 7.77-7153
BUILDING PERMIT
Date: 3/30/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0087 MARK GOSTINE
Property Address: 81580 TIBURON DR 81580 TIBURON 1111APN: . • 767531001 LA QUINTA, CA 9: 253
Application Description: GOSTINE RESIDENCE / HVAC CH- GE.OUT
Property Zoning:
Application Valuation: $20,042.00 D 'y^ I
Applicant: MAR 3.0 201 Contractor:
IE INC _ TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA �OMMUN CIIYOFLAQUINTA 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 m DEVELOPMENTOEPARTMENT THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
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: 3 ldo Contractor:t
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).:
(_J 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 contractors) 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
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700of 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 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 tie 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 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.
Date: 31301 19 Applicant
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 ($100,000. 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 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 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 issuance of such permit, or cessation of
work for 180 days will subject permit to cancell.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 ordin;�nces 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: -3f --so I Ila Signature (Applicant or Agent): S7ulry
•
Date: 3/30/2018
Application Number: BMCH2O18-0087
Owner:
Property Address: 81580TIBURON DR
MARK GOSTINE
APN: 767531001
81580TIBURON DR
0
Application Description: GOSTINE RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $20,042.00
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 OUTS - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE.INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
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
$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 MANAGEMENIT 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:
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: MARK GOSTINE Date Prepared: 2018-03-29
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
MARK GOSTINE
02
Date Prepared
2018-03-29
03
Project Location
81580 TIBURON DRIVE
04
Building Type
Single family
05
CA City
La Quinta :;
06
Dwelling Unit Name
HOUSE
SC System
SC System
CFA served
system.a
refrigerant
Installing new SC
Installing
i' V
' -4
Dwelling Unit Conditioned
Identification or
07
Zip Code
92253
' 08 '
Floor Area (ft)
3742
entirely new
entirely new
..-
Served
System (ft)
system?
component?
- ?L
feet of ducts?
Number of Space
SC system?
09
Climate Zone
15
'1G
Conditioning (SC) Systems in
1
Yes
No
No
F '
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04 �-P
Jr U 05 iia :
ILS 06` t4
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM .
M
PART OF HOME
1871
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM #2
PART OF HOME
1871
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
G. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-A020019521A-000-000-0000000-0000 Registration Date/Time: 2018-03-29 21:01:00 HERS Provider: CHEERS
CA Building Eriergy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-29 21:01:01
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-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-
16
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
+l
Central,' -'split,
All new
This field or
This field or
SYSTEM #2
furnace
heating
AFUE
0.81
4._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 (CZ 4-10,-12 and 13) and R8 (CZ 11 and 14-16)
CF211 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...fr
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 CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. '
Exceptions:
Duct systems registered with HERS provider as previouslysealed are exempt from MCH -20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verificat n"of Air Flow MCH-23"'or Refrigeeaht 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 (Sec;ion 150,2(b)1C)
This section does not apply to this project.
Registration Number: 418-A020019521A-000-000-0000000-0000 Registration Date/Time: 2018-03-29 21:01:00 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-29 21:01:01
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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 T-imo
Joy 76
Company:
Signature Date:
Timo's Air Conditioning & Heating
2018-03-29
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: +
_Phone:
Thousand Palms CA 92276 ,1
760 770-4357
Responsible Person's Declaration statement
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 responsibilify,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 land 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.
,e,^ 1, . 1� 3f i 5- - hl &r 31 4"-,.
5. 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 Compliance is�req uiredlo be in Ic uded with^the documentation the builder provides to the building owner at occupancy.
P g" PY P 4 P g
Responsible Designer Name:
Responsible Designer Signature:
Joey Timo
Joey -mm&
Company:
Date Signed:
Timo's Air Conditioning & Heating
2018-03-29
Address:
License:
72232 Corporate Way
920062
City/State/Zip:
Phone:
Thni.icand palms CA 92276
766-770-4357
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: 418-A020019521A-000-000-0000000-0000 Registration Date/Time: 2018-03-29 21:01:00 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-29 21:01:01
Schema Version: rev 10/16
W
ac
• ........-- GF.M afi& L)G.Srxr—......-.
PERMIT #
PLAN LOCATION:
Project Address: 81580 Tiburon Drive
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace (2) 5 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:
swsdhnierer@roadrunner.com
Valuation of Project $ 20,402.00
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:'
PropertyOwner's Name: Mark Gostine
New Commercial / Tenant Improvements:
Address: 81580 Tiburon Drive
Total Building SF
City, ST,'Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 616-540-7230
Email:
78495.CALLE TAMPICO
LA QUINTA, CA 92253
. 760-777-7000