BMCH2016-0310J f '
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78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
'BUILDING PERMIT
Application Number: BMCH2O16-0310
Property Address:
79824 ARNOLD PALMER
APN: 1775241075
Application Description:
CINDY GIBBONS / REPLACE DUCT
Property Zoning:
Application Valuation:
$3,080.00
Applicant:
IE INC'
31225 LA BAYA
WESTL4KE VILLAGE, CA 91.362
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: r. )Se l Contracto
C
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 8/16/2016
Owner:
SUNRISE DESERT PARTNERS o
300 EAGLE DANCE CIR
PALM DESERT, CA 92253
C
r' +�
Contractor:
HARRISON ENTERPRISES INC DBA GEN€RAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
, r—
(760)343-7488
Llc. 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.
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.
Date: $ 16 Ilo 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: $ (� I l . Signature (Applicant or Agent):
i
Date: 8/16/2016
Application Number:
BMCH2016-0310
Owner:
Property Address:
79824 ARNOLD PALMER
SUNRISE DESERT PARTNERS
APN:
775241075
300 EAGLE DANCE CIR
Application Description:
CINDY GIBBONS/ REPLACE DUCT
PALM DESERT, CA 92253
Property Zoning:
,
Application Valuation:
$3,080.00
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: REPLACE 10 DUCT RUNS. 2013 CALIFORNIA BUILDING CODES.
i
FINANCIAL INFORMATION
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-. REPAIR/ALTERATION
101-0000-42402
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
Total Paid for CHANGEOUT: $16.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: '$91.85'
19
11
Bin.#
City 0f I.Q Quo:
InLA
Miding lit Safety Division
P.O. Box 1.504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: •79824 Arnold Palmer
Owner's Name:. Cindy Gibbons
A. P. Number.
Address: 79824 Arnold Palmer
Legal Description:
City; ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioningg
Telephone: ..,.s ��;""s>. .:
Address: 31170 Reserve Drive
Project Description: Replace 10 Duct.Runs
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
City Lie'. #:
State Lic. # : 686310
Arch, Engr., Designer
Address:
City., ST, Zip:
Telbphone:
State Lic. #:
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 Valae of Project: $3,080.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
"Reed
TRAMNG
PERMfTFEES
Plan Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'. .
Mechanical
Grading plan
2id Review, ready for correetionsirissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsftssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
1
Total Permit Fees
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CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) - (Page 1 of 3)
Project Name: CINDY GIBBONS I Date Prepared; 2016-08-15
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 CF1R-ALT-02 document•for each dwelling unit.
01
Project Name
CINDY GIBBONS
02
Date Prepared
20113-08-15
03
Project Location
79824 ARNOLD PALMER
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
HOUSE
07
Zip Code
92253< ",_J'
;�
08
DwellingUnit Conditioned
Floor Area (ft2)
3033
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ductedk'in
Otcontainiiig V
t* V16sysf&W�gi`ii)
Number of space. conditioning
entirely new
09
Climate Zone
15 _ Y
Served
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
0405
r`
row � 06N �
07
08
09
10'
Is the SCP
_.r ..
Installing a!
I
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ductedk'in
Otcontainiiig V
t* V16sysf&W�gi`ii)
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
No
No
Yes
No
No
Extension of existing
duct system
T. Extension of -Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
01
02
System Identification or
Name
New Duct R -Value
SYSTEM #1
R-8
Reauired Documentation:
b
Registration Number: 416-A0002901A-000000000-0000
is
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-15 20:38:07 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-15 20:38:10
Schema Version: 0.5SSSDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 )
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H — Duct Leakage Verification
- Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks
Exceptions:
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 duct leakage testing requirements
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`Equ%ipym+�en.'t Changeout (Sections 150.2(b)Wlia and 150.2(b)lE, F)
�i� tea -
This sectlomdoes not apply to this project.
Lac
F. Entirely New or Complete Replacement Space Conditioning System (Section 150'.2(b)1C)
This section does not apply to this project.
,
HIE.
i
Registration Number: 416-A0002901A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-15 20:38:07 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-15 20:38:10
Schema Version: 0.5S5SDD
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
PoL&Cck.So-yp"k
Company:
Signature Date:
General Air Conditioning
2016-08-15
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Phone:
Thousand Palms CA 92276 ,
760 3x43-7488
Responsible Person's Declaration statement, �+
I certify the following under penalty of perjury, under the laws of the State of California: x`
1. The information provided on this Certificate of Compliance is true and correct �'. °
-#5
c
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility'for th' .t uildsing design or system design identified on this Certificate of Compliance (responsible designer).
tir+�af'
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 forr--approval+with this buvilding permit application.
for the building, to the agency for all applicable
S. I will ensure that a registered copy of this Certificate of Compliance sh e;ma�devailab�e^with the-buildin pe�rmit(s)ued and made available enforcement
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: P .h, t{ j„ l t i
Patrick Somers
Respons Ible�Designer Signature:
�atv�ck�Sowlevs�
Company:
Date Signed:
General Air Conditioning
2016-08-15
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488'
1�
Registration Number: 416-A0002903A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
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 Date/Time: 20N-08-15 20:38:07 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-15 20:38:10
Schema Version: 0.555SDD
a