BMCH2019-002178-495 CALLE TAMPICO Tity, D seP Qu&gj VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/16/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0021 EDWARD MIRZABEGIAN
Property Address: 50060 CAMINO PRIVADO 50060 CAMINO PRIVADO
APN: 776300025 LA QUINTA, CA 92253
Application Description: MIRZABEGAIN / (2)HVAC CHANGE OUT5-15SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $17,310.00
Applicant: 0 Contractor:
IE INC. � TIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA D 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 JAN 16 2019 THOUSAND PALMS, CA 92276
CITY OF LA QUINTA (760)770-4357
DESIGN & DEVELOPMENT DEPARTMENT LIc. 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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:920Q42—__
Date" t rfo COntraCtor:^�������
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 Name:
Lender's Ad
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
oft rk=.For which this permit is issued.
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 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 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 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: I� ) Signature (AppiIca nt or Agent}_ �tiiJ7��a
Date: 1/16/2019
Application Number:
BMCH2019-0021
Owner:
Property Address:
50060 CAMINO PRIVADO
EDWARD MIRZABEGIAN
APN:
776300025
50060 CAMINO PRIVADO
Application Description-
MIRZABEGAIN / (2)HVAC CHANGE OUTS-15SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$17,310.00
Applicant:
Contractor:
IE INC.
TIMO'S AIR CONDITIONING & HEATING INC
32115 LA BAYA
72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Detail: (2) HVAC CHANGE OUTS REPLACE (3)-TON, AND (4)-TON - 15 SEER/80 AFUE SPLIT SYSTEMS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT I CITY I AMOUNT
BSAS SB1473 FEE 1 101-0000-20306 I 0 I $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$160.10
Total Paid for CHANGEOUT: $240.14
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
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
ter QazKra
— GEM nfd-DES F. KI —
PERMIT # �MCr�-12DI - bd2 `
PLAN LOCATION:
Project Address: 50060 Camino Privado
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 3 ton / 60,000 BTU complete HVAC system
Applicant Name: Steven Schnierer
Replace 4 ton / 80,000 BTU complete HVAC system
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner com
Valuation of Project S 17,31 0.00
j
Contractor Name: Timo's A/C & 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
Telephone:
Bedrooms:
Stories:
Funits:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Ed Mirzabegian
New Commercial / Tenant Improvements:
Address: 50600 Camino Provado
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type. Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PMl0)
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
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC)
Project Name:
Ed Mirzabegian I Date Prepared:
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple c
CF1R-ALT-02 document for each dwelling unit.
01 Project Name Ed Mirzabegian 02 Date Prepared
03 Project Location 50060 Camino Privado 04 Building Type
05 CA City La Quinta 06 Dwelling Unit Name
07 Zip Code 92253 08 Dwelling Unit Conditioned
Floor Area (ft)
Number of Space
09 Climate Zone 15 10 Conditioning (SC) Systems
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
Is the SC
Installing a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Identification or
Location or Area
by this SC
ducted
containing
system
Name
Served
System (ftz)
system?
component?
components?
System 1
Location 1
1447
Yes
Yes
Yes
System 2 ' Location 2 1447 I Yes I Yes Yes
07
CF1R-ALT-02-E
(Page 1 of 3)
2019-01-08
welling units must be documented, use one
2019-01-08
Single family
Ed Mirzabegian
2894
n
2
j 08 1 09 j 10 1
Installing
Installing
Installing
more than 40
entirely new
entirely new
feet of ducts?
duct system?
SC system?
No
No
No
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
No 1 No
Registration Number: 419-A02000198SA-000-000-0000000-0000 Registration Date/Time: 2019-01-08 09:40:15
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Srhama Varcinn: rav?nlR0426
No
Alteration Type
Altered space
conditioning system
Altered space
conditioning system
HERS Provider: CHEERS
Report Generated: 2019-01-08 09:40:14
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
CF1R-ALT-02-E
(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 as
g
All new
Centralsplitsplit
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
cooling
SEER
15
Setback
section is not
section is not
components
components
applicable
applicable
Central as
g
All new
CentrAaCl split
All new
This field or
This field or
System 2
furnace
heating
AFUE
0 g
cooling
SEER
15
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 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 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF2R and MR-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:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Dud Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25.
-Existing dud 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)iDiia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 419-A020001985A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-01-08 09:40:15
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-08 09:40:14
Srhpma Vprcinn: rpv 7n1Rn496
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT HVAC)
CF1R-ALT 02-E
(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:
Drew Queen 'Drew Queen,
Company: Signature Date:
I Permit E Raters 2019-01-08
Address: CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: Phone:
Westlake Village CA 91362 818-735-7876
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 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 approval with 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 required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Joey Timo Joey nw
Company: Date Signed:
Timo's Air Conditioning & Heating 2019-01-08
Address: License:
72232 Corporate Way
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 Registration Provider responsibility for the accuracy of the information.
Registration Number: 419-A020001985A-000-000-0000000-0000 Registration Date/Time: 2019-01-08 09:40:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-01-08 09:40:14
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