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BMCH2016-019678-495 CALLE TAMPICO aw VOICE (760) 777-7125 � h LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 1 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, C36 License No.: 688663100 MDate. 11c C� ontractor:,� OWNER -BUILDER DECLARATION 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 thegerformance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address: (760)343-7488 Llc. No.: 686310 . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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: _ Policy Number: 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:% 1 Applicant: Z 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. �� a Date: 6 1 b ignature (Applicant or Agent):gjza_ S — Date: 6/9/2016 Application Number: BMCH2O16-0196 Owner: Property Address: APN: 79300 BRIARWOOD 776020009 DKENNETH CUMMINS D , 79300 BRIARWOOD } Application Description: CUMMINS RESIDENCE / HVAC CHANGE 0 I LA QUINTA, CA 92253 Property Zoning: Application JUN 0 9 2016 Valuation: $17,498.00 COMMApplicant:.UNI CI OF OU1N-`. �EIOFMtMOEPgR1'Mt'4T HARRISON ENTERPRISES INC DBA GENERAL AIR T 1 HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE . 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION 1 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, C36 License No.: 688663100 MDate. 11c C� ontractor:,� OWNER -BUILDER DECLARATION 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 thegerformance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address: (760)343-7488 Llc. No.: 686310 . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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: _ Policy Number: 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:% 1 Applicant: Z 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. �� a Date: 6 1 b ignature (Applicant or Agent):gjza_ S — FINANCIAL + DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT,SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY (METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY. Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $201.63 00 Description: CUMMINS RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/9/2016 MFA Approved: 6/9/2016 MFA Parcel No: 776020009 Site Address: 79300 BRIARWOOD LA QUINTA,CA 92253 Subdivision: TR 26524 Block: Lot: 9 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $17,498.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: (2) HVAC CHANGE OUT - 19 & 80 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES __j Applied to Approved CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 (760)771-2636 FRANCISCO@CALLTHE GENERAL.COM CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND I PALMS CA I 92276 I (760)771-2636 I I FRANCISCO@CALLTHE I GENERAL.COM OWNER KENNETH CUMMINS 7930013RIARWOOD I LA QUINTA I CA 1 92253 1 (760)771-2636 Printed: Thursday, June 09, 2016 8:27:20 AM 1 of 2e 7P - SYSTEMS Permit Det►aI��S P.ERM.IT MB:0, �� , • City of La Quinta BMCN�2fl16-0196 • rrg4_ INSPEGTIUNS PARENT PROIEGTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INF.QRMATiION A�7jTjACHMENiTS Printed: Thursday, June 09, 2016 8:27:20 AM 2 of 2 (7 l_S ��I_J 1YSTFMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 1 101-0000-20306 0. $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 ►�. ►► INSPEGTIUNS PARENT PROIEGTS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE BOND INF.QRMATiION A�7jTjACHMENiTS Printed: Thursday, June 09, 2016 8:27:20 AM 2 of 2 (7 l_S ��I_J 1YSTFMS Bin.# City. of La Quo:' . BttPlding 8r Safety Dilrision P.O. Box 1504,78-495 Calle Tampico L4.Quinta, CA 92253 -:(760) 777-7012 ' /// Building Permit Application and Tracking Sheet Permit # 110 Project Address: 79300 Briarwood Owner's Name:. Ken & Deborah Cummins A. P. Number. Address: 79300 Briarwood Legal Description: Contractor. General Air Conditioning City, ST, Zip: La Quinta, CA 92253 s° Telephone: as,� „ Address: 31170 Reserve Drive PrqjectDescriptiion: Replace Ston A/C, Coil, & 90,000 BTU . City, ST, Zip: Thousand Palms, CA 92276 Furnace, Replace 3ton Coil . Telephone- 760-343-7488 Qr' State Lic. # : 686310 City Lie'. tR: Arch., Engr., Designer Address: City., ST, Zip: Telephoner. .� ,.• �yi Construction Type:. Occupancy: State Lic. #:,- Project type (circle one): New Add'n Alter Repan Demo Name of Coatact Person: Steven Schnierer Sq. FL: # Stories:#Univ: Telephone # of Contact Person: 8.18-735-7876 Estimated Value of project: $17,498.00. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd . Reed TRACMG PERMIT FEES Plan Sets Plan Checit submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i6 Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correetionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P'. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: KEN CUMMINS I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2016-06-08 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 KEN CUMMINS 02 Date Prepared 2016-06-08 r. 03 Project Location 79300 BRIARWOOD 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name KEN CUMMINS 07 Zip Code 92253 08 Dwelling Unit Conditioned 4590 Installing I installi g Installing Floor Area (ft2) Location or Area by this SC 'ducted containing system 0more Number of space conditioning enn ely a 09 Climate Zone 15 10 (SC) systems in this dwelling 2 component? components? feet of ducts? duct system? unit. Alteration Type System 1 c_ 2295 Yes Yes Yes B. Space Conditioning (SC) System Information `� rn � 01 02 03 �. 04' 05I i f706 l � I 1 07)) [ 08 1 J 09 SO }Is the SC Installing a SC System SC System CFA served ",,,system al--« re rfrf igerant f %Installing new SC Installing I installi g Installing Identification or Location or Area by this SC 'ducted containing system 0more than 40 enn ely a entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 2295 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 2295 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 216-A0213614A-000000000-0000 Registration Date/Time: 2016-06-08 18:29:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:28:40 Schema Version: 0.55SSDD CERTIFICATE OF COMPLIANCE CF1R-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)lE and F) O1 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 78 AC cooling SEER 80 Setback section is not section is not components components applicable applicable All new This field or This field or System 2 Central gas Fancoil AHU AFUE 78 Central split cooling SEER 19 Setback section is not section is not furnace t AC components applicable applicable Required Documentation: r , '4 CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans ' -Duct insulation requirement for new plenums: R6. 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: 515%, or 510% 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 CZf2; 8-15), CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 300 CFM/ton required when MCH 25 is requlred I,.,J Excentions: 1�5 lit( � nc, -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 requl�e'verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 0 Duct L ak4e esting reguiuireme'nts: > V I f: R 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)1C) This section does not apply to this project. Registration Number: 216-A0213614A-000000000-0000 Registration Date/Time: 2016-06-08 18:29:00 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:28:40 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: 7 Shanley, Barbara Company: Signature Date: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-06-08 18:29:00 Address: CEA/ HERS Certification Identification (if applicable): 31-170 RESERVE DRIVE STE A City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-343-7488 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 Certificatetof 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 egulatlons l t rw, 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the informationprovided on othecappllcatile compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency fora proval with this building permit application.. r� ° t, +, _ f t A4 •{ �� yn J0 _t Ix ra► S. I 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,biiilder provides to the building owner at occupancy. Responsible Designer Name: 1 I L.� W-% -J Responsible Designer Signature: V Shanley, Barbara Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-06-08 18:29:00 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-343-7488 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0213614A-000000000-0000 Registration Date/Time: 2016-06-08 18:29:00 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08* 18:28:40 Schema Version: 0.555SDD