BMCH2017-017978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit 4lwQumz
DESIGN & DEVELOPMENT DEPARTMENT
. BUILDING PERMIT
Application Number: BMCH2O17-0179
Property Address: 79824 ARNOLD PALMER
APN: 775241075
Application Description:6, f 604RESIDENCE / HVAC0 IA OUT
Property Zoning: ®
Application Valuation: '$15,736.00 Z-, —
Applicant: MAY 5 2017
IE INC
31225 LA BAYA CITY OF (�{
WESTLAKE VILLAGE, CA 91362 QUINTADESIGN AND DEVELOPMENT DEPARTMENT
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:4
I —7 Contractor: �t11���---
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 fora
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:
.1
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/15/2017
Owner:
LEE & CINDY GIBBONS
79824 ARNOLD PALMER
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(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 ork for which this permit is issued.
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
l
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: l- 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:-� � ) / `Signature (Applicant or Agent):
r
A)
Date: 5/15/2017
Application Number: BMCH2017-0179 Owner:
Property Address: 79824 ARNOLD PALMER LEE & CINDY GIBBONS
APN: 775241075 79824 ARNOLD PALMER
Application Description: ERNST RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,736.00
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 - 19 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27•
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
A'
1
Bin .#
Qty of La QUlnta
Buiiding 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
1a.Quinta, CA 92253 -:(760) 777-7012 .
Building Permit Application'and Tracking Sheet
Permit #
ProjeccAddress: 79824 Arnold Palmer
Owner's Name:. Lee and Cindy Gibbons
A. P. Number.
Address: 79824 Arnold Palmer
Legal Description:
City, ST, Zip. La Quinta, CA' 92253
Contractor. General Air Conditioning
Telephone:
q
Address: 31170 Reserve Drive
Project Description: Replace 3 ton A/C, coil, & 70,000
City, ST, Zip: Thousand Palms, CA 92276
BTU furnace
Telephone: 760-343-7488
.
;� Q..,
State Lic. #: 686310
City Lie. M.
Arch, Engr., Designer:
Address.
City., ST, Zip:
Telephone: `�
State Lic. #: ,rjf'
:.... w
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: 15,736.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
tad Review, ready for correetions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
.Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review; ready for correctionslissue
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
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
LEE / CINDY GIBBONS I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
�a
2017-05-11
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
LEE / CINDY GIBBONS
02
Date Prepared
2017-05-11
03
Project Location
79824 ARNOLD PALMER
04
Building Type
Single family
05
CA City
La Quinta :,:;
06
Dwelling Unit Name
HOUSE
SC System
SC System
served
systema
refrigerant
Installing new SC'
07
Zip Code '
92253 �
08 '
Dwelling Unit Conditioned
1162
by this SC
ducted
,'�
system
Floor Area (ft2 )
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
Number of Space
Alteration Type
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Altered space
this Dwelling Unit:
WHOLE HOUSE
B. Space Conditioning (SC) System Information
O1
02
03
04.
:l l05 "g
k 06'4
07
08
09
10
CFA
Is the SC
3`tn
Installing -a,
alcl yWi,� °� - r v�
-- ? with jt tearih
SC System
SC System
served
systema
refrigerant
Installing new SC'
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLE HOUSE
1162
Yes
Yes
Yes
No
No
No
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: 417-A020093323A-000-000-0000000-Q000
Registration Date/Time: 2017-05-11 11:33:04
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-11 11:33:04
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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)
01
02
03
04
0S
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
0.8
AC
cooling
SEER
19
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: ` -
CF2R-MCH-01-E - Space Conditioning Systems ` +'
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (c21-10, 12 and;13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-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 rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks. 9 L y ;
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Rw
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. '
Exceptions:
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 MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
�.i'�...r�
E. Entirely New or Complete Replacement Duct System, with or without"Equipment Chafir ngeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
hstoesna pl'S roeTecidoytothipct.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
0
Registration Number: 417-A020093323A-000-000-0000000-0000 Registration Date/Time: 2017-05-11 11:33:04 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-11 11:33:04
Schema Version: rev 10/16 v-
im
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
I
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
PatYLcJ<1So-fNzrs-
Company:
Signature Date:
General Air Conditioning
2017-05-11
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
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 Certificate of Compliance is true and correct. own fir`
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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made availabje with the b iilding..permit(s)isssued 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 requirecl 1io be included wii!Nhe documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
UnlmatChed Sen,4
Responsible -Designer Signature:
;IktsOtiti
Patrick Somers
ery
Company:
Date Signed:
General Air Conditioning
2017-05-11
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms 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: 417-A020093323A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-05-11 11:33:04
Report Version: 2016. 1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-05-11 11:33:04