BMCH2020-003678-495 CALLE TAMPICO D "'i -riV
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O20-0036
Property Address:
79365 TORONJA
APN:
776260041
Application Description:
SEYMOURE / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$4,935.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ROBYN SEYMOURE
79365 TORONJA
LA QUINTA, CA 92253
Date: 2/20/2020
Applicant: �✓ Contractor:
IE INC D TIMO'S AIR CONDITIONING & HEATING INC
31225 LA BAYA72232 CORPORATE WAY
WESTLAKE VILLAGE, CA 91362 FEB 2 n 2020 THOUSAND PALMS, CA 92276
CITYOF LAQUINIA (760)770-4357
DESIGN & DEVELOPMENT DEPARTMENT" LIB. 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.: 920062
---
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 Nam
Lender's Address:
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 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: NORGUfk.RDINSURANCE P Policy Number:TJWCO56706
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.
-j .I— -
ApplTeaht€:''
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-
mentioned2C3 raperty for inspection purposes.
[h c.' 2t
D'at� yfJVP;WApplicantorAgent]:-
Date: 2/20/2020
Application Number:
BMCH2020-0036
Property Address:
79365 TORONJA
APN:
776260041
Application Description:
SEYMOURE / HVAC CHANGEOUT
Property Zoning:
Application Valuation:
$4,935.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
ROBYN SEYMOURE
79365 TORONJA
LA QUINTA, CA 92253
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
Detail: HVAC CHANGE OUT - 20SEER/80AFUE MINI SPLIT SYSTEM. LIKE FOR LIKE NO CHANGE OF LOCATION. CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 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
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.50
Total Paid for MECHANICAL CHANGEOUT 2019: $120.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
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
!�V W
--.•••C;EYI ofPbe'UE:SLItI ---
PERMIT
PLAN LOCATION:
Project Address: 79365 Toronja
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 2 ton ductless mini split system
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 S 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: 760-7704357
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic:920062 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: Robyn Seymoure
New Commercial / Tenant Improvements:
Address: 79365 Toronja
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone 2
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
1 CERTIFICATE OF COMPLIANCE
CFIR-ALT-02-E
d
I Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
I
_
(Page 1 of 3) i
Project Name:
ROBYN SEYMOURE
Date Prepared:
2020-02-14
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
ROBYN SEYMOURE
Date P pared
2020-02-14
03
Project Location
79365 Toronja
8u "04g Type
Single family
05
CA City
La Quinta
A,
_
dwelling Unit Name
ROBYN SEYMOURE
07
Zip Code
92253
r"
$
Dwell g Unit Conditioned Floor
2577
2
Area
•
a
Number of Space Conditioning
09
Climate Zone
15
i
C) Systems in this Dwelling
1
Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
08
09
10
SC System ID or
SC System
Y
Location or Area
<.
CFA served by this
Is tlfe SG system a `'}
' Installing a
refrigerant
Installing hew' SC
Installing more
Installing entirely
Installing entirely
Name
Served
SC System (ft2)
ducted system?
containing
System
than 40 feet of
new duct system?
new ducted SC
Alteration Type
component?
components.'
ducts.
system?
F0
ERL.Y
Entirely new or
complete
System 1
Location 1
2577
No
,
No
No
Yes
replacement
space
conditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 420-A020017869A-000-000-0000000-0000
Registration Date/Time: 2020-02-14 07:56:51 HERS
Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Report Version: 2019.1.002 Report Generated: 2020-02-14 07:57:14
Schema Version: rev 20191201
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
D. Altered Space Conditioning System (Sections 1S0.2(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Cha2gjj '.ions 150.2(b)1Diia and 150.2(b)lE, F)
This section does nt pply to tiRf%project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b);l
01
02
03
04
05
06
He
SC System
Altered
Heating
M#im
System ID/
Description of
Heating
Heating
Efficiency
f_"
Name
Area Served
System Type
Component
Type
u
Ductless
All new
System 1
Location 1
MiniSplit HP
heating
HSPF
0.8
corraaQnents
CF1R-ALT-02-E
(Page 2 of 3)
08
09
10
11
12
Cooling
Altered
Cooling
Minimum
Required
Cooling
Efficiency
Efficiency
Thermostat
New Duct
Component
Type
Value
Type
R-Value
Ductless
All new
cooling
SEER
20
SetbackTherm1
n/a
mini -split HP
- +
ostat
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
-Duct insulation requirement for the new portions of %1uPUP?V-'ANrn6arcts or p enums: R6 1-10, 12 an 13 and R8 ( Si and 1 16)
CF2R and CF3R-MCH-20-H Duct Leakage Test required` ,
- Leakage rate compliance: <= 5%. ' 411
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 CF311-MCH-28 Return Duct Design verification is an alteFQiWYbWVA2 and MCH-23 verification.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containin components are installed or altered (applicable in CZ 2, 8-15).
Excentinns:
Heating -only systems are exempt from the 0.58 W per cfm and 350 cfm per toQuii�
N_nke: 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, hoots, air handler, coil, plenums, duct material} if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 420-A020017869A-000-000-0000000-0000 Registration Date/Time: 2020-02-14 07:56:51
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002
Schema Version: rev 20191201
Report Generated: 2020-02-14 07:57:14
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Jo Anne Orono r
Company:
I Permit E Raters
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Responsible Person's Declaration statement
Identification (if applicable):
CF1R-ALT-02-E
(Page 3 of 3)
I certify the following under penalty of perjury, under the laws of the State of California:
�a
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 he -Zing design or system design identified on this Certificate of Compliance (responsible designer)
3. That the energy features and performance specifications, materials, co anents, and manufactured devices for the building des! nor system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of th a Co Reg bons.
4. The building design features or system design f res -dent' thi rtifica f n re co e� onovidid anr.the: applicable compliance documents, worksheets,
calculations, plans and specifications submitted fo g!-oa i ith thi er icatn.
5. I will ensure that a registered copy of this Gertlfip o nce al a ale with the ding p mit ss d for {fie bUtldliig, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of tUis CertiHcateof Compliance is required to be included with thedocumentation 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 Designdr Signature:
Date Signed:
License:
760-770-4357
NO77CE: This certificate has been generated by Californla 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-A020017869A-000-000-0000000-0000 Registration Date/Time: 2020-02-14 07:56:51 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.1.002 Report Generated: 2020-02-14 07:57:14
Schema Version: rev 20191201
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DOC # 2020-0064762
PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY:
FIRST AMERICAN TITLE
AND WHEN RECORDED MAIL TO:
AND MAIL TAX STATEMENTS TO:
Robyn Seymoure and Everett Seymoure
588 Bell Street
Seattle, WA 98121
TRA: 02o-a21
DTT: $792,011
02/11/2020 03:44 PM Fees: $23.00
Page 1 of 4
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
""This document was electronically submitted
to the County of Riverside for recording—
Receipted by- MARY #659
Space above this line for recorder's use only
GRANT DEED
Title of Document
Exemption reason declared pursuant to Government Code 27388.1
This document is a transfer that is subject to the imposition of documentary transfer tax.
This is a document recorded in connection with a transfer that is subject to the imposition
❑
of documentary transfer tax.
Document reference.
❑ This document is a transfer of real property that is a residential dwelling to an owner -
occupier.
❑ This is a document recorded in connection with a transfer of real property that is a
residential dwelling to an owner -occupier.
Document reference:
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
($3.00 Additional Recording Fee Applies)
ACR 238 (Rev. 01=18) Available in Alternate Formats
Recording Requested By
First American Title Company
Recording Requested By
First American Title
When Recorded Mail to
And Mail Tax Statements To
Robyn Seymouro and Everett Seymoure
588 1P11 St
3eatt!G, 98121
Escrow No: 210-10175-KC
Order No: 6123935
DOC #2020-0064762 Page 2 of 4
APN: 776-260-041 SPACE ABOVE 1SRESERVED FOR RECORDERS USE
Property: 79365 Toronja, La Quinta, CA 92253
70,90 vZO- to 1
GRANT DEED
The undersigned Grantor(s) Declare(s):
Documentary Transfer Tax is $792.00 City Tax is $
x Computed on the full value of the interest or property conveyed; or
Computed on the full value less value of liens or encumbrances remaining at time of sale
Unincorporated Area X City of La Quinta
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Richard Guy and Marilyn Guy, Trustees of The Richard and Marilyn Guy Revocable Trust dated March 9, 2001
I3erebygrrntst0 Everett J. Seymoure and Robyn Leevers-Seymoure, Husband and
wife as Community Property with Ri ht of Survivorship
zed,y�>��6���dd�►��k��y�t6�>��I��dal�6dp��
the following described real property in the City of La Quinta, in the County of Riverside, Statc of California:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
DATED: January 17, 2020 Tl Riclt rd and rilyn Gu Revo ble Trust dated h 9, 2001
By:
�1xic13a�icl�Guy�`�'1. 'r�i st�j
By
MAIL TAX STATEMENTS AS DIRECTED ABOVE
DOC #2020-0064762 Page 3 of 4
Notary Acknowledgement attsohment to Grant heed dated January 17, 2020, executed by Richard Guy and Marilyn Guy, Trustees of The Richard and Nlarilyn Guy
Revocable Taut dated March 9, 2001
Properly address: M65 Toraida, La Quints, CA 92253
Date: January 17, 2020
A notary public or outer officer completing this certificate ❑wifids only ih,. identity of the individual wbo signed the document to which this
cd rtiiit:{td ir,_atfashed, and not the truthfulness, accuracy, rar �aiidit7 of t71a[ deananent.
STATE OF N*: I N Ui a At
COUNTY OF I + .
On .._ Z-0 Z0 before a, � tG� ` -{ WV1 U A Notary Public personally appeared
euv CK LIN. OU7 who proved to me on the basis of
satisfactory evidence to be the pars n(s) whose name(s) is arc subsdxibed to the within Instrument and acknowledged to me that he/she/they
executed the same In his/her/their authorized capacity(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.
I certify under PENAI.YY OF PERJURY under the laws of the State of �1IN�r�� that the foregoing paragraph is true and correct,
WITNESS my hand apd official va"
.+" �7
.
- NpTAfir'`��
sPUBLIC e�'.�o
DOC #2020-0064762 Page 4 of 4
EXHIBIT "A"
LEGAL DESCRIPTION
Lot 41 of Tract 28797, as shown by Map on Me in Book 273 Pages 84 through 87, inclusive, of maps, records of Riverside
County, California;
Except all minerals, oil, gas, and other hydrocarbon substances below a depth of 500.00 feet from the surface of said land,
without the right of surface entry. as said substances are more particularly described in and reserved by KSL Land
Corporation. in the document recorded April 21,199S as Instrument No.153499 of Official Records of Riverside County,
California.