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BMCH2017-027978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: MECHANICAL/ BMCH2O17-0279 51193 ELDORADO DR 777360006 RIGGS / MINI -SPLIT SYSTEM INSTALLATION AT GARAGE $6,791.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 IU FEB 2 6 2018 G CPIYOFLA QUINTA COA4MIIN iTv "VFLOPMENT 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 r Date: 21, 1 Pr Contractor: u 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 11, 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/26%2018 Owner: JERRY RIGGS 51193 EL DORADO DR 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 oft work for which this permit is issued.. �S I have and will maintain workers' compensationinsurance, 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: WSDS0316S802 —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: 4!JJ61$ 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. .. c Date: Signature (Applicant or Agent):.—=—� Date: 2/26/2018 Application Number: BMCH2017-0279 Owner: Property Address: 51193 ELDORADO DR JERRY RIGGS APN: 777360006 51193 ELDORADO DR Application Description:. RIGGS / MINI -SPLIT. SYSTEM INSTALLATION AT GARAGE LA QUINTA, CA 92253 Property Zoning: Application Valuation: $6,791.00 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERALAIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 ------------------------------ LIc. No.: 686310 ----------------------------------------=------- Detail: HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) -------------- TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT HOURLY CHARGE - CITY BUILDING STAFF `101-0000-42600 1 $156.00 Total Paid for BLDG CITY STAFF - PER •HOUR: $156.00 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 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANGEOUT: $114.00 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 78-495 CALLE TAMPICO D �KtiIIICl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O17-0279 Property Address: 51193 ELDORADO DR APN: 777360006 Application Description: RIGGS RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $6,791.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JERRY RIGGS 51193 ELDORADO DR LA QUINTA, CA 92253 Date: 7/3/2017 0 c� Applicant: Contractor:' CD IE INC HARRISON ENTERPRIS�E`S`ING DBA GE 31225 LA BAYA 31170 RESERVE DRIVE. VJ __D WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, & 9227f 6 (760)343-7488 '--� Llc. No.: 686310 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: _ License No.: 686310 Date: 3 I—% Contractor: SZ. 'S 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: U � U 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 3100 of the Labor Code, I shall forthwith comply with those provisions. Date: -71'3111 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:' 7 1 Signature (Applicant or Agent): Date: 7/3/2017 Application Number: BMCH2O17-0279 Owner: Property Address: 51193 ELDORADO DR JERRY RIGGS APN: 777360006 51193 ELDORADO DR Application Description: RIGGS RESIDENCE/ HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $6,791.00 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 Uc. No.: 686310 ---------------------------------------------------------------------------------=--=-------- Detail: HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY 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 Bin. # City. of La Quints Buildhy 8T Safety Msion P.O. Box 1504,78-495 Calle Tampico l a.Quinta, CA 92253 - (760) 777-7012 Building Permit'Applicatlon and Tracking Sheet Permit # Project Address: 51193 EI Dorado Drive Owne7Narne:.Jerry Riggs A. P. Number. . AddreEI Dorado DrivLegal Description: Contractor: General Air Conditioning Address: 31170 Reserve Drive City, a Quints, CA' 92253 Telephone: 510-909-6767 W11,.: .�..,�. Project Description: 2 ton ductless mini split heat pump City, ST, Zip: Thousand Palms, CA 92276 & air handler in side yard 760-343-7488 Telephone: Taue. State Lic. # : 686310 Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lie. #: ': 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: $6,791.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . 'mss Coles. Called Contact Person Plan Check Balance Tide 24 Calle. Plans picked up Construction Flood plainplan Plans resubmitted,'. Mecharilcal Girading plan 2" Review, ready for correctionsfessue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up 5.1 LL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- kd Review; ready for correctionsl[ssue 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) CF1R-ALT 02-E (Page 1 of 3) Project Name: JERRY RIGGS I Date Prepared: 2017-06-30 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. OS Project Name JERRY RIGGS 02 Date Prepared 2017-06-30 03 Project Location 51193 ELDORADO DRIVE 04 Building Type Single family 05 CA City La Quinta " 06 Dwelling Unit Name HOME SC System SC System ,-. systema «car3e'i refrigerant Installing new SC Installing Installing 92253 Dwelling Unit Conditioned Location or Area 07 Zip Code containing *08t . Floor Area (ft) 3855 entirely new Name Served Number of Space system? 09 Climate Zone 15Z 10` Conditioning (SC) Systems in 1 SYSTEM 1 WHOLE HOME ._ r this Dwelling Unit: Yes B. Space Conditioning (SC) System Information i f I V F77 I i 01 02 03 04 05 06 ! 07 08 09 10 Is the SC Installing.a, r+c r -t, !tet. rrtcRr.<:t SC System SC System CFA servedrrtl"t systema «car3e'i 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 (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type. SYSTEM 1 WHOLE HOME 3855 Yes Yes Yes No No No Altered space 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-A020100852A-000-000-0000000-0000 Registration Date/Time: 2017-06-30 12:29:16 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-30 12:29:16 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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 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 11012 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 m 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. 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: 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. ff. xT___ ] 71_ . s 4-...)X tC__'. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) ' �..°.�r'('R'��$,")•1�? a+`l' This section does not apply to this -project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) This section does not apply to this project. Registration Number: 417-A020100852A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-06-30 12:29:16 Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-06-30 12:29:16 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: Stephanie.Shryock StePh_V_Shvyock. Company: Signature Date: General Air Conditioning 2017-06-30 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip: Phone: Thousand Palms CA 92276 ,r'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. The information provided on this Certificate of Compliance is true and correct. c 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 available with the bwlding: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 ComPfiance is required to be includedIuded withpthe doumentation the builder provides to the building owner at occupancy. ccu ancY- Responsible Designer Name: Responsible Patrick Somers Unmatched servr Responsible Designer Signature: .Stepha+i%ri5hryocic.(aufhorv�ec�) Company: Date Signed: General Air Conditioning 2017-06-30 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-A020100852A-000-000-0000000-0000 Registration Date/Time: 2017-06-30 12:29:16 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-30 12:29:16 Schema Version: rev 10/16