BMCH2020-003078-495 CALLE TAMPICO D� VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/5/2020
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O20-0030 RICHARD & SUE MONTOYA
Property Address: 57877 SANTA ROSA TR 57877 SANTA ROSA TRAIL
APN: 762460004 LA QUINTA, CA 92253
Application Description: MONTOYA / HVAC CHANGE OUT - 20SEER/80AFUE MINI -SPLIT SYSTEM
Property Zoning:
Application Valuation: $4,935.00
Applicant: Contractor:
IE INC F
TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA 72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 FEB U 5 2020 THOUSAND PALMS, CA 92276
CITY OF LA QUINTA (760)770-4357
DESIGN & DEVELOPMENT DEPARTMENT 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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: ��
.:* W_ - �.
Date: ractor.�, :f., __
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 Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 k 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: NQRQLJARD JNSURANCE COMPANY Policy Number: TIWC056706
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
com I I with those provisions.
D 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: N SL7 ( Signature (Applicant orAgenty:`�
Dratq: 2/5/2020
Application Number:
BMCH2020-0030
Owner:
Property Address:
57877 SANTA ROSA TR
RICHARD & SUE MONTOYA
APN:
762460004
57877 SANTA ROSA TRAIL
Application Description:
MONTOYA / HVAC CHANGE OUT - 20SEER/80AFUE MINI -SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$4,935.00
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
LIc. No.: 920062
Detail: 2 - TON HVAC CHANGE OUT OF EXISTING - 20 SEER / 80 AFUE MINI -SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2019 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
$40.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.50
Total Paid for MECHANICAL CHANGEOUT 2019: $120.75
DESCRIPTION ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE 101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
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
TOTALS:
Qaiorra
qf,b, UPSLRI —
PERMIT# �C(4 C)C) 3�
PLAN LOCATION:
Project Address: 57877 Santa Rosa Trail
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 2 ton mini split system in side yard
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@outlook.com
Valuation of Project $ 4,935.00
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: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Rich Montoya
New Commercial / Tenant Improvements:
Address: 57877 Santa Rosa Trail
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
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
MR-ALT-02 document for each dwelling unit.
01
Project Name
RICH MONTOYA
02
Date Prepared
2020-02-05
03
Project Location
57877 SANTA ROSA TRAIL
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RICH MONTOYA
07
Zip Code
92253
OS
Dwelling Unit Conditioned Floor
3201
Area (ft)
Number of Space Conditioning
09
Climate Zone
15
10
(SC) Systems in this Dwelling
1
Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
SC S stem ID or
y
SC S stem
y
CFA served b this
y
Is the SC system a
Installing a
refrigerant
Installing new SC
Installing more
Installing entirely
Installing entirely
Name
Location or Area
Served
SC Sstem ftz
y ( )
ducted s stem?
y
containin g
system
than 40 feet of
new duct system.7
new ducted SC
Alteration Type
component?
components?
ducts?
stem?
Entirely new or
complete
System 1
Location 1
3201
No
No
Yes
No
No
Yes
replacement
space
conditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 420-A020013646A-000-000-0000000-0000 Registration Date/Time: 2020-02-05 07:50:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-02-05 07:51:18
Schema Version: rev 20191201
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)lE 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)lC)
O1
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
SC System
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
System ID/
Description of
Heating
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Area Served
System Type
Component
Type
Value
System Type
Component
Type
Value
Type
R-Value
System 1
Location 1
Ductless
All new
heating
HSPF
8
Ductless
All new
cooling
SEER
20
SetbackTherm
n/a
mini -split HP
components
mini -split HP
components
ostat
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 <= 0.58 W/cfm for non -gas furnaces and 0.45 W/cfm for gas furnaces 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, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement duct system" means at least 75% of the duct system is new duct material, and up to 25% may consist of reused parts from the dwelling unit's existing duct
system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 420-A020013646A-000-000-0000000-0000
Registration Date/Time: 2020-02-05 07:50:57
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-02-05 07:51:18
Schema Version: rev 20191201
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-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:
Cassidy Snow
C S VI&W
Company:
Signature Date:
I Permit E Raters
2020-02-05
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
r6mo-
Company :
Date Signed:
Timo's Air Conditioning & Heating
2020-02-05
Address:
License:
72232 Corporate Way
920062
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-770-4357
NOTICE: This certificate has been generated by California Energy Registry, Inc. ("Cal Energy) using information uploaded by third parties not affiliated or related to Cal Energy.
Therefore, Cal Energy is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate.
Registration Number: 420-A020013646A-000-000-0000000-0000 Registration Date/Time: 2020-02-05 07:50:57 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-02-05 07:51:18
Schema Version: rev 20191201