BMCH2018-0025IE
is'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`&t^r °G 1'wQulnrw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O18-0025
Property Address:
51245 VIA SORRENTO
APN:
777330011
Application Description:
BRODERICK RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$18,270.00
Applicant: nD
FF IE INC
31225 LA BAYA 9 2013
WESTLAKE.VILLAGE, CA 91362 �7
CITY0FLAOUINTA"
COPAPAUNITYDEVEL OPMEI,ITDEPARTPAEf9T
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 �A
Date: ( 3b 1g Contractors. ��� `
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).:
(_) 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/30/2018
Owner:
PETER BRODERICK
51245 VIA SORRENTO
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 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 ork for which this permit is issued.
Z�& 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 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.
Date: �b )g Applicant--A�
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 cancellation.
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: t t8 Signature(ApplicantorAgent):�y�
Date: 1/30/2018
Application Number: BMCH2018-0025
Owner:
Property Address: 51245• VIA SORRENTO
PETER BRODERICK
APN: 777330011
51245 VIA SORRENTO
Application Description: BRODERICK RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 92253
Property,Zoning:
-
Application Valuation: •$18,270.00
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
---------------------------------------------------------------------------------------------
Llc. No.: 920062
Detail: (2) HVAC CHANGE OUT - 16 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 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
101-0000-426000
$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
City of 4 Quinta
Butlding 8L Safety Divislon
P.O. Box t504,78-495 Calle Tamptco
14.Qutnta, CA 92253 - (760) 777-7012
Building Permit Applicatlon and Tracking Sheet
Permit #
Project Address: 51245 Via Sorrento
Owner's Name:.Peter Broderick
A. P. Number-.
51245 Via Sorrento
Legal Description:
City, ST, Zip: La. Quinta, CA 92253.
Contractor: Timo's Air Conditioning &Heating
Telephone: 442-300-2468IffiN t,
Project Description: Replace (2) 3.5 ton A/C in side yard
Address: 72232 Corporate Way
City, ST, Zip: Thousand Palms, CA 92276 .
Telephone: 760-770-4357
City Lie'. #.:
State Lic. # : 920062
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: " •
State Lic. #: '
�....
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:" #Stories: #Univ:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $18,270.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMr FEES
Plan Sets
Pian Check submitted,Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.' :
Mechanical
Giading plan
2" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O A Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review', ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.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) (Pagel of 3)
Project Name: PETER BRODERICK I Date Prepared: 2018-01-29
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CFiR-ALT-02 document for each dwelling unit.
01
Project Name
PETER BRODERICK
02
Date Prepared
2018-01-29
03
Project Location
51245 VIA SORRENTO
04
Building Type
Single family
05
CA City
LA QUINTA ''
x06
Dwelling Unit Name
PETER BRODERICK
SC System
SC System
CFA served
system a
refrigerant
07
Zip Code
92253 N
08
Dwelling Unit Conditioned
r
2500
Location or Area
by this SC
i•. ��
I mr r
containing
Floor Area (ftZ)
more than 40
entirely new
entirely new
fy
:7 f
J"20!,
Number of Space
System (ft2)
09
Climate Zone
15
10!
Conditioning (SC) Systems in
1
Alteration Type
SYSTEM 1
WHOLEHOUSE
1250
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information i
Ute`
01
02
03
04 "`
OS
( 06
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLEHOUSE
1250
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM 2
WHOLE HOUSE
1250
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 418-A020005619A-000-000-0000000-0000 Registration Date/Time: 2018-01-29 16:30:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-29 16:30:53
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)lE and F)
61
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
No heating
This field or
This field or
Central split
All new
This field or
This field or
SYSTEM 1
furnace
component
section is not
section is not
AC
cooling
SEER
16
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Central gas
No heating
This field or
This field or
"•� *
Central split
y All new
This field or
This field or
SYSTEM 2
furnace
component
section is not
section is not
h, ,cooling
ACS
SEER
16
Setback
section is not
section, is not
altered
applicable
applicable
'
omponents
x
applicable
applicable
Required Documentation: i„J
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ1-T0 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 in's[alled.in ducied 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 CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components'are installed or altered (applicable in CZ 2, 8-15).
CF211 and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required
Exceotions: i
llkage
Duct HERS from -Duct
systems registered with provider as previously sealed are exempt MCH -20 LeaTesting requirements.
Heating -only systems and Air Handler Furnace changes do not require verification•of Air FlowIMCH=23xor Refri`gerarit Charge MCH -35.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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)lC)
This section does not apply to this project.
Registration Number: 418-A020005619A-000-000-0000000-0000 Registration Date/Time: 2018-01-29 16:30:51 HERS Provider: CHEERS
CA. Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-29 16:30:53
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE. CF111-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
Joe' -rano-
Company:
Signature Date:
Timo's Air Conditioning & Heating
2018-01-29
Address:
CEA/ HERS Certification Identification (if applicable):
72232 Corporate Way
City/State/Zip: Y -;.
Phone:
Thousand Palms CA 92276A
760-770-4357
:a
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 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 manufaefured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part l 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 `forapproval-with this budding permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the 60cling: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 required to be included Withthe documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Joey Timo
J&e Tz
Company :
Date Signed:
Timo's Air Conditioning & Heating
2018-01-29
Address:
License:
72232 Corporate Way
920062
City/State/Zip:
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 Reg€stration Provider responsibility -for the accuracy of the information.
Registration Number: 418-A020005619A-000-000-0000000-0000 Registration Date/Time: 2018-01-29 16:30:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-01-29 16:30:53
Schema Version: rev 10/16