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BMCH2016-0298I . I um 78-495 CALLE TAMPICO c&t., 4.4 Q(u LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0298 Property Address: 78147 CALLE NORTE APN: 770011076 Application Description: TOMPKINS RESIDENCE / HVAC Property Zoning: Application Valuation: $3,080.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: 8/11/2016 Owner: . BILL TOMPKINS 78147 CALLE NORTE LA QUINTA, CA 92253 Contractor: �...- HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 pUG S ZQ1 (760)343-7488 Llc. No.: 686310 C�i1Y OF ir+GlWtv�TP, UNITY DcV�t.OP11"sNTDEi'RRTfA�NT - 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: C204 C36 License No.: 686310 Date: 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 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: WORKER'S COMPENSATION DECLARATION 1 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. Daie: $ tt lC.o Applicant: SQL 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. . APP LICANT ACKNOWLEDGEMENT - IMPORTANT: Application is hereby made to the Building Official fora 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: g N 1 Signature (Applicant or Agent):<71. ' 1 Date: 8/11/2016 Application Number: BMCH2O16-0298 Owner: Property Address: 78147 CALLE NORTE BILLTOMPKINS APN: 770011076 78147 CALLE NORTE Application Description: TOMPKINS RESIDENCE/ HVAC LA QUINTA, 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 (9) DUCTS. PER 2013 CALIFORNIA. BLIII.DING.CODE FORMATION, DESCRIPTION ACCOUNT QTY AMOUNT BSAS S61473 FEE 101-0000-20306 0 t $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $4.83 Total Paid for MECHANICAL: $16.92 DESCRIPTION ACCOUNT QTY. AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 a R Bfn.# Clty of t.d Quinta Building ez Safety Division P.O. Box 1504,78-495 Calle Tampico 1A.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 78147 Calle Norte Owner's Name:. Bill Tompkins A. P. Number. -,b 72 Address: 78147 Calle Norte Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor. General Air Conditioning Telephone: 714-343-4083 0,i, ;x K. axy: Address: 31170 Reserve Drive ProjectDescription: Replace Complete System's Duct Work - . City, ST, Zip: Thousand Palms, CA 92276 9 Ducts Telephone: 760-343-7488 City Lie'. M. State Lic. # : 686310 Arch., Engr., Designer. Address: City., ST, Zip: Telephone: ��. State Lic. #: >- .. N":'✓mac ;M w�jS�� 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: $3,080.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACENG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calci. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Pian Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechatilcal Grading plan r4 Review, ready for correctionsrmue Electrical Subcontactor List Called Contact Person Plumbing I. Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'i° Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Paged of 3 ) Project Name: BILL TOMPKINS Date Prepared: 2016-08-10 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 MR -ALT -02 document for each dwelling unit. 01 Project Name BILL TOMPKINS 02 Date Prepared 2016-08-10 03 Project Location 78147 Calle Norte 04 Building Type Single family 05 CA City LA QUINTA 06 Dwelling Unit Name HOUSE 07 Zip Code „ 4 92253 Com" y08 Dwelling Unit Conditioned 1786 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ductetl1tir'r =` 'e We sysLdliih!grit! Number of space conditioning entirely new 09 Climate Zone 15 r3vo; (- (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 04 n ix 05 r—'06-� SYSTEM.1 07 . 08 09 10 Is the ko' =installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ductetl1tir'r Et containing4j, 'e We sysLdliih!grit! 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 1786 Yes No No Yes No No Extension of existing duct system C. 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 Reouired Documentation: Registration Number: 416-A0002682A-000000000-0000 Registration Date/Time: 2016-08-10 19:30:30 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-10 19:30:37 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF111-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 & CF311-MCH-20-1­1 — Duct Leakage Verification - Leakage rate compliance: 5 154, or 5104 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. - f Registration Number: 416-A0002682A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance E IEftw R Unraatched Sprviee with Int-egrity, Registration Date/Time: 2016-08-10 19:30:30 HERS Provider: CHEERS Report Version: .2013 Rev 1.007 Report Generated: 2016-08-10 19:30:37 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 Patvick�Some-rk Company: Signature Date: General Air Conditioning 2016-08-10 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip:Phone: Thousand Palms CA 92276'° I #: )6Q343-7488 Responsible Person's Declaration statement C ;'" w 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 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 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 Compliarice is required to be included withthe documentation the builder provides to the building owner at occupancy. Responsible Designer Name: c, r. itt Responsible Designer Signature: ��� 5?r� Patrick Somers Company: Date Signed: General Air Conditioning 2016-08-10 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: Thousand Palms CA 92276 760-343-7488 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 Number: 416-A0002682A-000000000-0000 Registration Date/Time: 2016-08-10 19:30:30 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-10 19:30:37 Schema Version: 0.555SDD '