BMCH2016-0360T ter S
78-495 CALLE TAMPICO
4 auudw
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0360
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
Property Address:
55613 RIVIERA
_ I have and will maintain a certificate of consent to self -insure for workers'
D
APN:
Application Description:
775242005
CUMMINS RESIDENCE / HVAC
of the work for which this permit is issued.
_
�i.,
Property Zoning:
f Date: • Contractor: i� =-�G
Section 3700 of the Labor Code, for the performance of the work for which this permit
pry �O�C
2 ! O
Application Valuation:
$29,874.00
OCT
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
-pQMDE AFtilAEM
COMMUNITY DEVELO
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/27/2016
Owner:
ROBERT CUMMINS
55613 RIVIERA
LA QUINTA, CA 9253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DFIVE
THOUSAND PALMS., CA 92276
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of tie following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C36 License No.: 686310
of the work for which this permit is issued.
_
�i.,
I have and will maintain workers' compensation insurance, as required by
f Date: • Contractor: i� =-�G
Section 3700 of the Labor Code, for the performance of the work for which this permit
01-- - _
is issued. My workers' compensation insurance =arrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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-
Date: Ib 2 ILe ---Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( 1, as owner of the property, or my employees with wages as their sole
1
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000` IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED,FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOW-_EDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
( 11, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to thework being performed under or
(_J I am exempt under Sec. . B.&P.C. for this reason
following issuance of this permit.
Date
Owner:
2. Any permit issued as a result of this applicaton becomes null and void if work is
not commenced within 180 days from date of is9uance of such permit, or cessation of
work for 180 days will subject permit to cancella7 ion.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and stat 2 that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purpo4es.
Lender's Name: ,
Date: (O Z7 lto Signature (Applicant op. Agent):
Lender's Address: .- i
Applicant: Contractor:
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DFIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALM., CA 92276
(760)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: REPLACE (2) 4 TON SPLIT SYSTEM, COIL AND 90K BTU FURNACE. [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
Date: 10/27/2016
Application Number:
BMCH2016-0360
Owner:
Property Address:
55613 RIVIERA
ROBERT CUMMINS•
APN:
775242005
55613 RIVIERA
Application Description:
CUMMINS RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$29,874.00
Applicant: Contractor:
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DFIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALM., CA 92276
(760)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: REPLACE (2) 4 TON SPLIT SYSTEM, COIL AND 90K BTU FURNACE. [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
DESCRIPTION ACCOUNT D.TY
AMOUNT
BSAS SB1473 FEE 101-0000-20306. 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
EfTY
AMOUNT
HVAC CHANGEOUT- FURNACE ONLY
101-0000-42402
0
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
ProjecYName: -
ROBERT CUMMINS I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-10-03
A. General Information
MR -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
ROBERT CUMMINS
02
Date Prepared
2016-10-03
03
Project Location
55613 RIVIERA
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
WHOLE HOUSE
07
Zip Code
'
92253>
`
Dwelling Unit Conditioned
Floor Area
3038
Installing
Installing
Installing
(ft2)
Location or Area
09
Climate Zone
15 `
! 103
Number of space conditioning
(SC) in this dwelling
1
entirely new
Name
I f'
systems
system?
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04 orw
a P 05 r
rr- 06.E a
07
08
09
10
Is the S`C!•+
)Ins'ialIirig:a+
lie'
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ductedjrirt
atcontairii'ng;vi
:a:?. � i� Mieni`.,Qri <
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
WHOLE HOUSE
3038
Yes
Yes
Yes
No
No
No
Altered 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: 416-A0005232A-000000000-0000 Registration Date/Time: 2016-30-03 16:11:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-03 16:11:58
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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
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 gas
All new
Central split
All new
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
80.00
AC
cooling
SEER
18.00
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans 1�
-Duct insulation requirement for new plenums: R6..
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components arejihstalied in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, ors 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH -25 is required.
Exceotions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-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 Chan aut (Sections 150.2(b)lDiia and 150.2(b)lE F)
ar4,r?�� wo 1po;-,c rov
This section does nof 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.
Registration Number: 416-A0005232A-000000000-0000 Registration Date/Time: 2016-10-03 16:11:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-30-03 16:11:58
Schema Version: 0.555SDD
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:
Patrick Somers
Pa 6cJc ,$Orn.Prs-
Company:
Signature Date:
General Air Conditioning
2016-10-03
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Phone:
Thousand Palms CA 92276 i �
{760 J143-7488
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 i 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 for�apparovalwith this building permit application.
agency
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) 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,pesigner
f (tttsl t?€t �.'i
Signature:
Patrick Somers
Company:
Date Signed:
General Air Conditioning
2016-10-03
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
ThoLlcand Palmc CA 92276
760 343 7488
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: 416-A0005232A-000000000-0000 Registration Date/Time: 2016-10-03 16:11:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-03 16:11:58
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
ROBERT CUMMINS I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-10-03
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
ROBERT CUMMINS
02
Date Prepared
2016-10-03
03
Project Location
55613 RIVIERA
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
WHOLE HOUSE
07
Zip Code
92253h
08
Dwelling Unit Conditioned
3038
*+
:Floor Area (ft2)
SC System
SC System
CFA served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10f
(SC) systems in this dwelling
1
ducted.ilIFt
?`co` ritairi
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (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
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
Central gas
All new
Central split
All new
This field or
This
This field or
SYSTEM 1
furnace
heating
AFUE
80.00
AC
cooling
SEER
18.00
Setback
is not
section is not
components
components
applicable
applicable
Required Documentation:.''
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans �« &, x•
. ,
-Duct insulation requirement for new plenums: R6. k "fig
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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: 5 15%, or15 10% leakage to outside, or seal all accessible leaks. k
CF2R-MCH•25 H & CF3R-MCH-25 H Refrigerant Charge Verification required when refrigerant contaI cod�mpponents are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow t 300 CFM/ton required when MCH -25 is requirexr"
fwExceptions:S
>;
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage. -Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not•require verification of Air Flow MCH -23, ci� frigerant Charge MECH-25.
-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`wip' thoutE44uipm nt Chan eot (Sections 150.2 b 1Diia and 150.2(b)lE, F)
'.i^1't LtS'S1 .,:;A€:.VIC".S:':. '�4Ye r -'r ',FTrs�.i t`iL!i
This section dd6s not apply to this protect.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 416-A0005232A-000000000-0000 Registration Date/Time: 2016-10-03 16:11:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-03 16:11:58
Schema Version: 0.555SDD
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:
Patrick Somers
PatKc;k S&mzrk
Company:
Signature Date:
General Air Conditioning
2016-10-03
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Phone
Thousand Palms CA 92276 ,,� .
X760 343-7488
�
Responsible Person's Declaration statement`-'
I certify the following under enalt ofunder the laws of the State of California: -�
Y g penalty perjury, x« ''
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business Professions Code to design design identified on this Certificate of Compliance (responsible designer).
and accept responsibility:for.,the building or system
3. That the energy features and performance specifications, materials, components, and marfufaetuied 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 bwlding 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 C pliance is �egwred'to be included with'the documentation'c the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible,Designer Signature:
Patrick Somers.
Company:
Date Signed:
General Air Conditioning
2016-10-03
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
7G0.343 7400
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: 416-A0005232A-000000000-0000 Registration Date/Time: 2016-10-03 16:11:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-10-03 16:11:58
Schema Version: 0.555SDD
Bin.#
City of LQ Quinta
Building 8i• Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project.Address: 55613 Riviera
Owner's Name:. Robert Cummins
A. P. Number. .
Address: 55613 Riviera
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning and Plumbing
Telephone: '-
Address: 31170 Reserve Drive
Project Description: Replace 4 ton A/C, Coil, & 90,000 BTU.
City, ST,, Zip:, Thousand Palms, CA 92276
Furnace
Telephone: 760-343-7488
_
£' -
ffi
State Lie. # : 686310
City Lie. M.
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: ' `
State Lic. #:'
,- 5jdx�•�•M„
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.* Ft.: #Stories: #Units:
Telephone # of Contact Person: 818-735=7876
Estimated Value of Project: $14,937.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calci.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Pian Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'
Mechanical
Grading plan
2'4 Review, ready for correctionsicssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'id Review; ready for correetionsfissue
Developer Impaet Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr, ,
Date of permit Issue
School Fees
Total Permit Fees