BMCH2018-027078-495 CALLE TAMPICO , VOICE (760) 777-7125
C� Q�i D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/5/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0270 SLAWSON BEVERLY TRUST
Property Address: 51877 AVENIDA VALL60 51875 AVE VALLEJO
APN: 773171025 LA QUINTA, CA 92253.
Application Description: SLAWSON RESIDENCE / HVA E OUT
Property Zoning: JUL1 C
Application Valuation: $13,323.00 . .O J ZOi$
Applicant: CITY DESIGN AND p OFLAQUINr4 Contractor:
IE INC EVELopfo NTDEFq CORPORATE CONDITIONING & HEATING INC
31225 LA BAYA RTMEIVr
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 7000) of Division 3 of the Bus, ss and Professions Code,
and my License is in full force and effect.
License Class: C20 License N,,..00..::920062
&-htwractor*.
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 e
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 Addre<
--
(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 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 La Code, l shall forthwith
comply with those provisions.
D® ✓ plicant.
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'ACKN OW LEDG EMENT
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 relat, o building
construction, and hereby authorize representatives of this enter u on he
above -mentioned property for inspection purposes. .7
Date4, 7 748 SignQtu (IApplicant or Agent)
Date: 7/5/2018"
Application Number: BMCH2O18-0270
Owner:
Property Address: 51877 AVENIDA VALLEJO
SLAWSON BEVERLY"TRUST
APN: 773171025
51875 AVE VALLEJO
Application Description: SLAWSON RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
" Property Zoning:
Application Valuation:, $13,323.00
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- 18 SEER/80AFUE MINI SPLIT SYSTEM. CARBON MONOXIDE ALAR(2) (S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIALANFORMATION
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
HVACCHANGEOUT- SPLIT -SYSTEM
101-0000-42402.
0
$78.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000 42600
0
$156.04
Total Paid.for CHANGEOUT: $234.06
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: $S.00 '
TOTALS: $348.89
Ar
PERMIT #
PLAN LOCATION:
Project Address: l jd V�
Project Description:, Pool, Remodel, Add't, Elect, Plumb, Mech '
S
Applicant Name:
Address: .la�2J
Z_ b1-$
/ g� 6
Telephone:
Email:
Valuation of Project $
Contractor Name:
; r
New SFD Construction:
Address: 3 2 r&
UA
I/
Conditioned -Space SF.
A
Garage SF
Telephone:./ 7
/OT rD� ��
Patio/Porch '
SF
Email:
Fire Sprinklers SF
State Lic: DD City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy: .
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
#Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Erik I
!~/
New Commercial / Tenant Improvements:
Address:
Total,Building SF
-City; ST, ZipLh �� s`'3
Construction .Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
#�.
Submittal
Req'd
Rec'd
Plan Sets
+t
Structural' Calcs
T
Truss Calcs
}•�
Title 24 Calcs
`
Soils Report
Grading Plan (PM IQ)
Landscape.Plan
+
Subcontractor List
°
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Busines's License
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: ERIN SLAWSON Date Prepared: 2018-07-03
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
ERIN SLAWSON
02
Date Prepared
2018-07-03
03
Project Location
51877 AVENIDA VALLEJO
04
Building Type
Single family
05
CA City
La Quinta �
�06
Dwelling Unit Name
HOUSE
08
LDwelling Unit Conditioned
1326
07
Zip Code
92253
Floor Area (ft2)
a�
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
N 05
i 0— 9* 1 -4-61
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
HALF OF HOME
663
No
Yes
Yes
No
No
No
Altered space
conditioning system
Altered space
SYSTEM 2
HALF OF HOME
663
No
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 418-A020046382A-000-000-0000000-0000
Registration Date/Time: 2018-07-03 13:24:05
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2016.1.006
Schema Version: rev 10/16
Report Generated:2018-07-03 13:24:06
CERTIFICATE OF COMPLIANCE CF111-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)lE and F)
01
02
03
04
05
06
07
08
09
10
it
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
All new
Ductless
All new
This field or
This field or
SYSTEM 1
heating
AFUE
0.81
Multi -Split Air
cooling
SEER
18
Setback '
section is not
section is not
mini-splitDuctless HP
components
Conditioned
components
applicable
applicable
All new
All new
This field or
This field or
SYSTEM 2
Ductless
heating
AFUE
0.81
Ductless
2
cooling
1,�cdmppnents
SEER
18
Setback
section is not
section is not
mini -split HP
components
mim`spltt AC ,
}-
grit
applicable
applicable
Required Documentation: 1
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 110 1'2 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'falled inducted 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.
'ts
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing compone are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF313-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH-25 is required.
Exceptions: d W. 4 1 a
Duct systems registered with HERS provider as previously sealed are exempt from MCH 2O:Duct Leak g Testing regwr�nts
of Flow MCH=25.
Heating -only systems and Air Handler Furnace changes do not require verification Air MCH-23rbr Refrigerant Charge
-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)iC)
This section does not apply to this project.
Registration Number: 418-A020046382A-000-000-0000000-0000
Registration Date/Time: 2018-07-03 13:24:05
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Report Version: 2016.1.006
Schema Version: rev 10/16
Report Generated: 2018-07-03 13:24:06
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:
laci Jones
Jacijo 1 *
Company:
Signature Date:
I Permit E Raters
2018-07-03
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. r
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 mariufacfired devices for the building design or system design identified on this Certificate of Compliance conform to the
,"i
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.appro6rith this building permit application.
It 1 lY tK: for
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 all applicable
eAa-.aR �4 ok. ':Z-n i h$ , r,�
�f. Z
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 rcw�
Company:
Date Signed:
Timo's Air Conditioning & Heating
2018-07-03
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 Registration Provider responsibility for the accuracy of the information.
Registration Number: 418-A020046382A-000-000-0000000-0000 Registration Date/Time: 2018-07-03 13:24:05 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-07-03 13:24:06
Schema Version: rev 10/16