BMCH2018-039678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
MECHANICAL/
B MCH 2O18-0396
`may 4 4vQa;««rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
576671NTERLACHEN
762230003
FOLLI / HVAC CHANGEOUT 14 SEER 80 AFUE / MINI SPLIT
$4,770.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
S E 2 Y 2018
CITYOFU} QUINTA
COPJIiv9UN!7,' DEVELOPMENT DEPARTP,,1EkT
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.: 92006622� C
Oi 2-1 1 Con[Lavw
Uts.KsT��'
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 N
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/21/2018
Owner:
HUGO FOLLI
57667INTERLACHEN
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 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: TIWC986097
_ I certify that in the performance of the work for which this permit is issued, I
shall nw 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.
Z.1 , nt: �w-.1 'Y S�
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 benefitwor is performed under or pursuant to any permit issued
as a result of this application , the a er, and the applicant, each agrees to, and shall
defend, indemnify and hold harmless=issuance
inta, its officers, agents, and
employees for any act or omission relbeing performed under or
following issuance of this permit.
2. Any permit issued as a result of tomen null and void if work is not
commenced within 180 days from dau h 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.
(Applicant or Agent):
Lender's
Application Number:
BMCH2018-0396
Property Address:
57667 1NTERLACHEN
APN:
762230003
Application Description:
FOLLI / HVAC CHANGEOUT 14 SEER 80 AFUE / MINI SPLIT
Property Zoning:
Application Valuation:
$4,770.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 9/21/2018
Owner:
HUGO FOLLI
576671NTERLACHEN
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
LIc. No.: 920062
Detail: HVAC CHANGE OUT - 14SEER/80AFUE MINI SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
• 1
— c ; F NIt `i'l"I' : rr t=.s t : r<r --..
Project Address: c,
APN #: I
Applicant Name:
Address: 3Q25
City, ST, Zip: WesAAa.. e Vt ��ctJz, CA 91-662
Telephone: $I 2--73,5 -7 2-7(_
Email:
Arch/Eng Name:
Address:
City, St, Zip
"Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name: o711
�.
Address: 57X,(o-7 ...L►•%,kertar-ke- r ,,
City, ST; Zip tQ G Qv ' o- CA 92Z572,
Telephone: ^
Email:
PERMIT N
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
1��a� e Z •�o� dvo,��e � � m � ►-� � �t7� �
Valuation of Project $ 44, 77D.cx--�:)
Construction Type:
Grading:
Bedrooms: I Stories
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd -Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
(Page 1 of 3)
Project Name:
HUGO FOLLI Date Prepared:
2018-09-21
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
CF1R-ALT-02 document for each dwelling unit.
01 Project Name HUGO FOLLI
02 Date Prepared 2018-09-21
03 Project Location 57667 INTERLACHEN
04 Building Type Single family
05 CA City La Quinta
06 Dwelling Unit Name HUGO FOLLI
07 Zip Code 92253
08 Dwelling Unit Conditioned g00
Floor Area (ftZ)
Number of Space
09 Climate Zone 15
10 Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01 02 03 04 05
06 07 08 09
10
Is the SC Installing a
SC System SC System CIA 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 (ftZ) system? component?
components? feet of ducts? duct system? SC system?
Alteration Type
Entirely new or
SYSTEM 1 LOCATION 1 800 No No
Yes No No Yes
complete
replacement 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-A020073498A-000-000-0000000-0000 Registration Date/Time: 2018-09-21 07:04:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-09-21 07:04:47
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
This section does not apply to this project.
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)
01 02 03 04 05 06 07 08
09 10 11
Heating
Cooling
System Heating Minimum Cooling
Minimum Required
Identification or Heating System Altered Heating Efficiency Efficiency Cooling Altered Cooling Efficiency
Efficiency Thermostat New Duct
Name Type Component Type Value System Type Component Type
Value Type R-Value
Heating
Seasonal
SYSTEM 1 Ductless All new heating Performanc 0_8 Ductless All new cooling
This field
SetbackTher or section
SEER
mini -split HP components e Factor mini -split HP components
14
mostat is not
(HSPF)
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 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H Duct Leakage Test required
- Leakage rate compliance: <= 5%.
CF2R and CF3R-MCH-22 Fan Efficacy
CF2R and CF3R-MCH-23 Airflow Rate Verification
Compliance: Fan Efficacy <= 0S8 W per cfm and System Airflow>= 350 cfm per ton.
Alternative Compliance: CF2R and CF3R-MCH-28 Return Duct Design verification is an alternative to MCH-22 and MCH-23 verification.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-1S).
Exceptions:
Heating -only systems are exempt from the O.S8 W per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement duct system" means at least 7S% of the duct system is new duct material, and up to 2S% may consist of reused parts from the dwelling
grilles, boots, air handler, coil, plenums, duct material) if the reused
unit's existing duct system (e.g., registers,
parts are accessible and can be sealed to prevent leakage
Registration Number: 418-A020073498A-000-000-0000000-0000
Registration Date/Time: 2018-09-21 07:04:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.D01 Report Generated: 2018-09-21 07:04:47
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Stephanie Shryock
Company:
I Permit E Raters
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Responsible Person's Declaration statement
Documentation Author Signature:
sixph—ze-shryociv
Signature Date:
2018-09-21
CEA/ HERS Certification Identification (if applicable):
Phone;
818-735-7876
CF1R-ALT-02-E
(Page 3 of 3)
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 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 identlfled 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.
5. i will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(sl Issued for the bullding, 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 with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Joey Timo
Company :
Timo's Air Conditioning & Heating
Address:
72232 Corporate Way
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer Signature:
Joey Tuna
Date Signed:
2018-09-21
License:
Phone:
760-770-4357
Digitaily signed by CHEEiRSTM. 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-A020073498A-000-000-0000000-0000 Registration Date/Time: 2018-09-21 07:04:47
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2018-09-21 07:04:47