BMCH2017-009578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
CE. 44Qw.nfw
DESIGN & DEVELOPMENT- DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2017-0095
Property Address:
80425 RIVIERA
APN:-
762200010
Application Description:
TOMPKINS / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$1,104.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
EER
. 2,1' 7
CITY OF W)UINTA
COAaMUN;TY C�VELOFNENTDEPA00ENT
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, C36 License No.: 686310
Date: 31 ( Contractor:
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 We 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
C
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/2017
Owner:
RICHARD & HELYN TOMPKINS
80425 RIVIERA
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
33170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
LIc. No.: 686310
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. .
17�_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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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.
e
c�
I�
Date:3 ' 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, orcessation 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.
e
3\ li
Date: Signature (Applicant or Agent): ��.LJI�1
T
Date: 3/27/2017
Application Number: BMCH2O17-0095
Owner:
Property Address: 80425 RIVIERA
RICHARD & HELYN TOMPKINS
APN: 762200010
80425 RIVIERA
Application Description: TOMPKINS / HVAC CHANGE OUT 14 SEER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,104.00
Applicant:
Contractor:
IE INC
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343=7488
---------------------------------------------------------------------------------------------
Llc. No.: 686310 .
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
1
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS S131473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
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: $114.00
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
c
City of- La Qurnta
Ra Box 1504,-7849S Cath iampko
parir* f
La!JQt*K4 CA 92253 -4760) 777-7012
&"ig Permit AWG ion -and Traddng Sheet
WcJMA4do=-o�eesN mG. c .:..
1.
A. r: r>mbw. AAddm= W,
o r -D A 4 P�4 4.- iftb=
70 :� D
Tdco=
ctr. sr. 4c
Teie�hooc C�notonlyppc; . -
9taUeIx.0: ptosoetWK(&de=4 ?Inv &Wit Alta Repan Demo
I�me of Pasou: S� a ftmiw f Unhx
YeiepLooa f of Coc�art PRmd fibod VaSx of Pivjock
APPlJCANt: W MW WM W"W TINS UM
P Sobaet
8eq'd
13u'd
nwomp p.
PinSeb
PleuCieet<abeiaed -- Ieea - ArMnt "
S ocstt Olm
7 fw Pias Cied�DePait_
'llnatLllo.
411edl�Otatinsaa Timm *Balaaa.
1tQeZ� tlhi
lfa�s pidmd r! a -
�t�QW
Aatl�ii0ed Meebaainl
��
z"!Rnkw,nzdPEtrcasree6ony� tDeotrkat •
Saboo�aeoorrbt
.
C>s�conae:i�o: - - -
. GnatDeed
ras.l er s�ru.
s oa. Appn;,al
ems radn�t Graft
WHOM-
''��:���� De+daperIupriFm
r-aftAPpmd
Q"Cadtretpessa
Phb.WkLAWr "
D�eaipendtlaae
Scion Fen
Tota Pa Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
RICHARD TOMPKINS I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-03-23
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
RICHARD TOMPKINS
02
Date Prepared
2017-03-23
03
Project Location
80425 RIVIERA
04
Building Type
Single family
OS
CA City
LA QLIINTA
Installing
Dwelling Unit Name
RICHARD TOMPKINS
07
Zip Code
`
92253 '�
'�
Dwelling Unit Conditioned
'Floor Area (ft2)
3441
more than 40
entirety new
entirely new
Number of Space
Served
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
SC system?
Alteration Type
`.
WHOLEHOUSE
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04
1165 }'`
66' A,
07
08
09
10
SC System
SC System
CFA served
Is the SC
+ r i t
systema
installing a
t:,.: k F F � " , v
refrigerant
„.F .
IN I; k �
Installing new SC"
Installing
Installing
Installing
Identification or
location or Area
by this SC
ducted
containing
system
more than 40
entirety new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLEHOUSE
3441
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniS0.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020086881A-000-000-0000000-0000
Registration Date/Time: 2017-03-23 15:05:49
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-23 15:05:51
Schema Version: rev 10/16
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)1E 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
No heating
This field or
This field or
Central split
This field or
This field or
SYSTEM 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
section Is not
section is not
altered
applicable
applicable
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems t
- 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 1416)
CF2R and CF3R-MCH-2D-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length Is replaced
-Leakage rete compliance: <=15% or <-10% leakage to outside, or seat all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are Installed or altered (applicable In CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 Is required
Exceotions:
Duct systems registered with HERS provider as previously seated are exempt from MCH -20 Duct LeakaggTesting requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -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, wth or without tiiuloinint Chiangedui
(Sections 150.2(b)iDila 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: 417-A020086881A-000-000-0000000-0000 Registration Date/Time: 2017-03-23 15:05:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-23 15:05:51
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-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
Patrick Somers
Company:
Signature Date:
General Air Conditioning
2017-03-23
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip: r .Phone:
Thousand Palms CA 92276
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 Professlons 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 land 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,approvafwlth this building permit appilcation.
S. I will ensurethat a registered copy of this Certificate of Compliance shall made available with thebuilding permits) - Issued for the building, and made available to the enforcement agency for all applicable
�be
Inspections. I understand that a registered copy of this Certificate of Compliance Is required io be Iriduded with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:pw:
Patrick Somers #' ` ". tst e :1 r `
Responslble:DesignerSignature:
pa tiTck�S6 M.ers
Company:
Date Signed:
General Air Conditioning
2017-03-23
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Registration Number: 417-A020086881A-000-000-0000000-0000
Digitally signed by CHEERST`°. 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 Date/Time: 2017-03-23 15:05:49
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-23 15:05:51
Schema Version: rev 10/16