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BMCH2017-010978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O17-0109 Property Address: 54998 OAK TREE A22 APN: 775081053 Application Description: BARRIBALL RESIDENCE / FURNACE CHANG Property Zoning: Application Valuation: $3,326.00 t .� R701,2 017 VOICE (760) 777-7125 . FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Owner: JAY BARRIBALL 54998 OAK TREE �A QUINTA, CA 92253 Date: 4/3/2017 Applicant: 'Contractor: TIMO'S AIR CONDITIONING &HEATING INC COAdM11NITYDEVEOPp�ENTO�PaRTb1ENT TIMO'S AIR CONDITIONING &HEATING INC 72232 CORPORATE WAY - 72232 CORPORATE WAY • . THOUSAND PALMS, CA 92276 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 05/a Date: Contracto, OWNER-BUILD CLARATI 1 hereby affirm under penalty of perjury that I am exem m 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).: (1 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.). (_J 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 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 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: TIWC721117 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 rthwith comply wit t se pr Isions. c. Date: Applicant - WARNIN : FAIL RE TO SECURE WORKERS' ENSATIO OVER E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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 b ding construction, a herby authorize representatives of this cit nt po above -me i ed p perty for inspection purposes. Date: Signature (Applicant or Date: 4/3/2017 Application Number: BMCH2O17-0109 Owner: Property Address: 54998 OAK TREE A22 JAY BARRIBALL APN: 775081053 54998 OAK TREE " Application Description: BARRIBALL RESIDENCE / FURNACE CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $3,326.00 Applicant: Contractor: TIMO'S AIR CONDITIONING & HEATING INC TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)770-4357 Llc. No.: 920062 ---------------------------------------------------------------------------------------------- Detail: FURNACE CHANGE OUT - 80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. 0 9 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 - FURNACE ONLY 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - FURNACE ONLY PC 101-0000-42600 0 $25.33 Total Paid for CHANGEOUT: $63.33 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0, $5.00 Total Paid.for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:.r 1 _r , f ' t?� lain# City Of La-Quinta Rcq'd -Building &r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . Project type (circle one): New La Quinta, CA 92253 - (760) 777-7012 Sq. FL: Building Permit Application and Tracking -Sheet Project Address: 'Ee- "C� - Owner's Name: /Q[ A. P. Number. Q . -Ci%� Address: Legal Description: City, ST, Zip: .� `� f�� o+ O'er sti Contractor: `Ct��r! �.rl.L- fi clC�2+�.� ' :;.„ ',:,^>ys%.• r. 0 H '" o"�c:K� : Telephone: ��o� 0237 / T �,100.0":11=100M Plan Check Deposit Project Description: Address: City, ST, Zip: Called Contact Person Telephone: � LLS%`..rr SrY/r ``yH-<<.l •::' :Y.�f .fix.;- •,.- b •. ��€.x Title 24 Cala. State Lic. # : ©Q City Lie. C s � Arch., Engr., Designer. Address: City., ST, Zip: Mechanical • Telephone: pry.. .;+`.:c ?c^r..>�v�+�v M. ht! J'? .0 <n X .. '^''` A :--w;Y`A,.<,f �•<s�,. ,. 'may?= Construction Type: Occupancy: tr Submittal Rcq'd Rec'd State Lic. #: Name of Contact Person: ig- `h ,, .µ �L t`7 Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: Plan Check submitted #I Units: -- Telephone # of Contact Person: Q . -Ci%� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Reviewed, ready for corrections tr Submittal Rcq'd Rec'd TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for corrcctionslissue Eleetrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.OA. Approval Plans resubmitted Grading IN HOUSE: snd 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 -1R -ALT -HVAC) (Page 1 of 3) Project Name: Jay Barriball Date Prepared: 2017-03-31 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 Jay Barriball 02 Date Prepared 2017-03-31 03 Project Location 54998 Oak Tree 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Jay Barriball i M k—A* it ( L -1i, r- M Dwelling Unit Conditioned SC System 07 Zip Code 92253 08 Floor Area (fe) 1400 Installing Installing Identification or Number of Space by this SC 09 Climate Zone :15: , "- - 10 Conditioning (SC) Systems in 1 Name Served System (ft2) this Dwelling Unit: component? ki B. Conditioning Space P g (SC) System lrifbrmatidn 01 02 03 NA 04 'US '06� _ 07'r Y (a `09 M SO the SCr In'"stalling a i M k—A* it ( L -1i, r- M 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? ductsystem? SC system? Alteration Type System 1 Location 1 1400 Yes No No No No No No alteration performed C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 217-A020103741A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-03-31 15:19:12 Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CaICERTS Report Generated: 2017-03-31 15:19:17 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) 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)iDiia and 150.2(b)3E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. CUR -ALT -02-1! (Page 2 of 3) Registration Number: 217-A020103741A-000-000:0000000-0000 Registration Date/Time: 2017-03-31 15:19:12 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-31 15:19:17 Schema Version: rev 10/16 r