BMCH2017-033778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t 4 4 Qu.1Krcu
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0337
Property Address:
79300 BRIARWOOD
APN:
776020009
Application Description:
CUMMINS RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$22,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/3/2017
Owner:
E 3: 0 BR CUMMINS
® 3 0 BRIARWOOD
INTA, CA 9?253
AUG 03 2017
CITY OF LA QUINTA Contractor:
DESIGN AND DEVELOPMENT DEPARTN'i�NT/O ROESERVE DRIVEES INC DBA GENERAL AIR
THOUSAND PALMS, CA 92276
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
Ir -
Date: -0J --J
r-
��``—_
Date:3 l�i 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.).
(_) 1, 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:
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one o* the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370C of the Labor Code, for the performance
of the work for which this permit is issued.
I.have and will maintain workers' canpensation 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.
C c
Date: i ' Applicant: Jt�
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 FORIN 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 th.2 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 iesuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and sta,_e that the above information is correct.
I agree to comply with all city and county ordin snces and state laws relating to building
construction, and hereby authorize representat Yes of this city to enter upon the
above-mentioned property for inspection purposes.
_ 6
Date: 3 1 Signature.(ApplicantcrAgent):�
ID
Date:. 8/3/2017
Application Number: BMCH2O17-0337
Owner:
Property Address: 79300 BRIARWOOD
KENNETH CUMMINS
APN: 776020009
79300 BRIARWCOD
Application Description: CUMMINS RESIDENCE / HVAC
LA QUINTA, CA 52253
Property Zoning:
Application Valuation: $22,000.00
Applicant:
Contractor: j
IE INC
HARRISON ENTEIPRISES INC DBA GENERALAIR
31225 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276 1
(760)343-7488
------------------------------ -------------------
Llc. No.: 686310
(2) HVAC CHANGE OUTS - 16 AND 14 SEER/80 AFUE SPLIT SYSTEM. CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2016 CALIFORNIA BUILDING CODES.
ID
FINANCIAL •R •
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
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
TOTALS: $330.27
s
Bin #
City. of La Quints
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
1 a.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjecxAddress: 79300 Briarwood
Owner's Name: Ken & Deborah Cummins
A. P. Number.
Address: 7.9300 Briarwood
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor: General Air Conditioning
Telephone: 2636ss'"'.
Address: 31170 Reserve Drive
Project Description: Replace 2 ton NC, coil, & 70,000
City, ST, Zip: Thousand Palms, CA 92276
BTU furnace
Telephone: 760-343-7488
` f
Q....' ,State
ralty
Replace 2.5 ton heat pump & air handler
Lie. # : 686310
Lie. 9.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lir- #: `�� •.vw'�.:V
Construction Type: Occupancy:
•
Project type (circle one): New Add'n Alter Repair Demo
Ft.: Stories: # Units:
Name of Contact Person: Steven SchniererSq.
Telephone # of Contact Person: 818-73577876
Estimated Value of project: $22,000..CO .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Strudural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical.
Grading plan
2id Review, ready for correctionsrissue
Electrical
Subcontaetor 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 correctionsrissue
Developer I mpact 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 & DEBORAH CUMMINS I Date Prepared:
a
CF1R-ALT-02-E
(Page 1 of 3)
2017-08-02
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.
91
Project Name
KEN & DEBORAH CUMMINS
02
Date Prepared
2017-08-02
03
Project Location
79300 BRIARWOOD
04
Building Type
Single family
05
CA City
La Quinta ' .;,.
06
Dwelling Unit Name
HOME
SC System
SC System
CFA served
system a
refrigerant
07
Zip Code
'
92253
81
Dwelling Unit Conditioned
5098
Location or Area
by this SC
ducted
containing
Floor
Floor Area (ft)
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
Number of Space
SC system?
09
Climate Zone
15
W
' 1i)
Conditioning (SC) Systems in
1
Yes
No
No
' .
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
1; 05
.07
68
09
30
Is the SC
Installing tt;lifa ng ary
„ wool
SC System
SC System
CFA served
system a
refrigerant
Installing newSC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
2549
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM 2
WHOLE HOME
2549
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020107142A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-02 12:07:34
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-02 12:07:34
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)
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 split
All new
Central split
All new
This field or
This field or
SYSTEM 1
HP
heating
AFUE
0.8
HP
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
All new
All new
This field or
This field or
SYSTEM 2
Central gas
furnace
heating
AFUE
0.8
Central split.
i AC�,�; �"
' ;-:
cooling
�" �i
SEER
16
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 (CZ 1 10,-_'f2 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF311-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed inducted 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.
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.
Exceptions: T:2* P t it 'kt fZ14
Duct systems registered with HERS as sealed are exempt from MCH -20 -Duct Leakage Testing requirements.
provider previously
Heating -only. systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23-br Refrigerant Charge M6H=25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
F mIlio)-i 1%«...! u"=l WS;L x V[ S$.t 6 91 xE.fi: ?i iL�
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or -Complete Replacement Space Onditionine System (Section 1.50.2(h)1r)
This section does not apply to this project.
Registration Number: 417-A020107142A-000-00.0-0000000-0000 Registration Date/Time: 2017-08-02 12:07:34 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-02 12:07:34
Schema Version: rev 10/16
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:
Stephanie Shryock
StPPha fe Sh Y0a, .
Company:
Signature Date:
General Air Conditioning
2017-08-02
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
S `
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: I. 1
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 responsibllityfor 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 forapproval ,with this building permit application.
0 14 :f
.
S. 1 will ensure that a registered copy of this Certificate of Compliance shall be maid ;available with th�bwlding permit(s)-issued sued 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 requiredto be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Patrick Somers Unmatched S#er }+. i
Responsible}Designer. Signature:
Stejihii►u�`Sh ryock.(authorL�ed.)
Company:
Date Signed:
General Air Conditioning
2017-08-02
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
I f)OLISai)d Halms LA 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-A020107142A-000-000-0000000-0000 Registration Date/Time: 2017-08-02 12:07:34
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-02 12:07:34