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BMCH2018-0049(760)343-7488 Llc. No.: 686310 LICENSED CONTRACTOR'S DECLARATION ' I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, . _ I have and will maintain a certificate of consent to self -insure for workers' ' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance. License Class: C20, C36 License No.: 686310of th work for which this permit is issued. 78-495 CALLE TAMPICO � I have and will maintain workers' compensation insurance, as required by V VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 I hereby affirm under penalty of perjury that I am exempt from the Contractor's State FAX (760) 777-7011 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that In the performance of the work for which this permit is issued, I DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the BUILDING PERMIT workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply w' h those provisions. .3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date: 2/27/2018 Permit Type/Subtype: MECHANICAL/ permit subjects the applicant to a civil penalty of not more than five hundred dollars Owner: Application Number: BMCH2O18-0049 (_) I, as owner of the property, or my employees with wages as their sole JOHN FOLEY Property Address: 57095 WINGED FOOT b . 57095 WINGED. FOOT. APN: 762170023 (t"""" --- r, �' LA QUINTA, CA 92253 Application Description: FOLEY RESIDENCE /HVAC CHANGE within one year of completion, the owner -builder will have the burden of proving that Property Zoning: 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 Application Valuation: $8,446.00 �LJ 2a18 State License Law does not apply to an owner of property who builds or.improves Issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to'. . the Contractors' State License Law.). Applicant: (_) I am exempt under Sec. B.&P.C. for this reason CITY OFLA QUINTA COMMUIWTyOEyE Contractor: IE INC not commenced within 180 days from date of issuance of such permit, or cessation of HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA�ARTMEW 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 Llc. No.: 686310 LICENSED CONTRACTOR'S DECLARATION ' I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, . _ I have and will maintain a certificate of consent to self -insure for workers' ' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance. License Class: C20, C36 License No.: 686310of th work for which this permit is issued. �"�_ � I have and will maintain workers' compensation insurance, as required by Date - Z 21 I Contra to 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: OWNER -BUILDER DECLARATION Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802 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 I certify that In the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, Improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply w' h those provisions. .3 of the Business and Professions Code) or that he or she is exempt therefrom and the a �Z basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Z7 ) Ap Date: plicant: Jwur� —tel permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS.($ 100,000). IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,. apply to an owner of.property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. . 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (_) I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit y State License Law does not apply to an owner of property who builds or.improves Issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to'. shall defend, Indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. B.&P.C. for this reason 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 Date: Owner: work for 180 days will subject permit to cancellation. 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: 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. z1 =�Sign-ata7repl cant or Agent): F �ry Cl Date:. 2/27/2018 Application Number: BMCH2O18-0049 Owner: Property Address: 57095 WINGED FOOT JOHN FOLEY APN: 762170023 57095 WINGED FOOT Application Description: FOLEY RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $8,446.00 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 _ 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION 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 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT' HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $78.02 Total Paid for CHANGEOUT: $117.03 DESCRIPTION ACCOUNT QTY. AMOUNT PERMIT ISSUANCE •101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY j AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $S.00 . Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $231.8 r • ............. _._�: CEM grill C)i SL•'RX—..... ...._...... PERMIT # .. PLAN LOCATION: Project Address: 57D 9�' (,J; r�9eaProject Description: Pool, Remodel, Add't, Elect; Plumb, Mech APN #: e �a�� Z Dov., -70, Ooo Corn plJa_ �t vAc Patio/Porch SF s s}err-- Applicant Name:e�ver` State Lic: G 2la 3 to City Bus Lic: Address: 3 izzs 1--, � `v State Lic: City Bus Lic: City, ST, Zip: (,Jes�l�lce V t1—se CA 9131oZ Telephone: Fs l8 X35- 78�� Email: Valuation of Project $ 8 1444 •� Contractor Name:New A r CO, SFD Construction: Address: 31��0 �eserv��c Conditioned Space SF City, St, Zip l��5vva�"�o.1vY�s CA clgz?� Garage SF. Telephone: ? coo - 3q3 -7,f 88 Patio/Porch SF Email: Fire Sprinklers SF State Lic: G 2la 3 to City Bus Lic: Arch/Eng Name: Construction,Type: Occupancy: Address: Grading: City, St, Zip Construction Type: 'Occupancy: Telephone: Bedrooms: Stories: # Units: Email:. State Lic: City Bus Lic: Property Owner's Name: �o�<. c �1-ov�a� ��e New Commercial / Tenant Improvements: Address: 5--7 p 9 LJ �r , Total Building SF City, ST,.Zip LA ;Y4, CA 'q�X53 Construction Type: 'Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 # : Submittal Req'd -Rec'd . Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM 10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License . CERTIFICATE OF.COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Pagel of 3) 1 Project Name: JOHN FOLEY I Date Prepared: 2018-0247 A. General Information CFIR-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 JOHN FOLEY 02 Date Prepared 2018-02-27 03 Project Location 57095 WINGED FOOT 04 Building Type Single family 05 CA City_ La Quinta � 06 Dwelling Unit Name HOUSE 07 Zip Code 92253 x+ 08 Dwelling Unit Conditioned 4000 Installing Installing . Floor Area (ft) Location or Area by this SC ducted containing ? Number of Space entirely new' 09 Climate Zone 15 IOf Conditioning (SC) Systems in 1 component? components? feet of ducts? duct system? this Dwelling Unit: Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 Os 06' 07 08 . 09 10 Is the SC 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 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 LOCATION 1 4000 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: 418-A020011921A-000-000-0000000=0000 Registration Date/Time: 2018-02-27 11:46:20 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-27 11:46:21 Schema Version: rev 10/16 n CERTIFICATE OF COMPLIANCE CF1R-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)1E 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 gas All new Central split All new Less than or SYSTEM 1 furnace heating AFUE 0.8 AC cooling SEER 14 Setback equal to 40 R-8 components components feet 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 i-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF31R-MCH40-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. •�- r CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing cope nt 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.},•j 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. E. Entirely New or Complete Replacement Duct System, withth or without Equipm nt Chn eut (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 Conditioning System (Section 150.2(b)IC) This section does not apply to this project. Registration Number: 418-A020011921A-000-000-0000000-0000 Registration Date/Time: 2018-02-27 11:46:20 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-02-27 11:46:21 Schema Version: rev 10/16 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: Patrick Somers Patirck.Somerb Company: Signature Date: General Air Conditioning 2018-02-27 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip: j:; Phone: Thousand Palms CA 92276 760343-7488 Responsible Person's Declaration statement. °.. 11 I cern the following under penalty of perjury, under the laws of the State of California: certify g P Y P J rl 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. *' A, _,J �. 167 L if )t I 33K.. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building-permlt(s)-issued for the building, and made available to -the enforcement agency for all applicable cinspections. I understand that a registered copy ofthis Certificate ofCm liane is re uiredto be incuded witthe documentation the builder provides to the building owner at occupancy. cY• Responsible Designer Name: Responsible Designer Signature:' Patrick Somers Pa*tCJC S0 erV Company: Date Signed: General Air Conditioning 2018-02-27' 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: 418-A020011921A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time:2018-02-27 11:46:20 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2018-02-27 11:46:21