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BMCH2015-0237Applicant: ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY, CA 92235 a � 2015 1AQ�\NpE ARjMENS G\Tj �F`OpMEN CO�MUNt� VN 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 �1 Class: C20 License No.: 489046 rr Date: 30I15 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.). ( 11, 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: t Lender's Contractor: ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Llc. No.: 489046 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. y� 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: Polity Number:_ 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: J301 IS Applicant: s 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: �O Signature (Applicant or Agent):5�:�',C7- VOICE (760) 777-7125 .8-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 i BUILDING PERMIT a Date: 6/29/2015 Application Number: BMCH2O15-0237 Owner: Property Address: 55040 RIVIERA JUDY BENNETT APN: 775153089 55040 RIVIERA Application Description: BENNETT RESIDENCE HVAC CH ANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $8,600.00 Applicant: ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY, CA 92235 a � 2015 1AQ�\NpE ARjMENS G\Tj �F`OpMEN CO�MUNt� VN 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 �1 Class: C20 License No.: 489046 rr Date: 30I15 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.). ( 11, 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: t Lender's Contractor: ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Llc. No.: 489046 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. y� 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: Polity Number:_ 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: J301 IS Applicant: s 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: �O Signature (Applicant or Agent):5�:�',C7- FINANCIAL INFORMATION ti ,DESCRIPTION j#ACCOUNT,;, ` . ;QTY AMOUNT"`; aPAID .PAID DATE'. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 4PAID BY r METHODS J "CHECK # 'CLTD BY. Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 "DESCRIPTIONx� max.-; a ;AACCOUNT`«� QTY AMOUNT PAID , .�;; PAIDbATE. HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID,BY` �:> �A +METHOD <:, ."RECEIPT# # ?CHECK# +r t, , l SCLTD BY r`s ;DESCRIPTION . ` Y ACCO.UNT� z y ` `' Es �� `QTY AMOUNT y', a� PAIDt_ ' PAID DATE: HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID' BY'' p `METHOD-','�'' .w RECEIPT #CHECK _ w # CLTD BY . _ Total Paid forCHANGEOUT: $108.78 $0.00 s DESCRIPTION �`<' x� L m ACCOUNT1. QTYp -` AMOUNT s " .: PAID :'PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 s s „ • .PAID BY , r 1 METHOD F G 4 ;RECEIPT # E r CHECK # '"`" CLTD BY, Total Paid for PERMIT ISSUANCE: $91.85 $0.00 " • 00 I m 0 Bln.# Clty. of,.La Qutntd Bullding SL Safety Aivision P.O. Box 1504,•78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 r 02 39 Building Permit Application and Tracking Sheet Permtt # �3MC1A• 20'1.5 Project Address: 55040 Riviera Owner's Name:. Judy Bennett A. P. Number. Address: 5.5040 Riviera Legal Description: Contractor: Esser Services Inc. City, ST, Zip: La Quinfa, CA 92253 Telephone: i fs " .. . �,,>x,,;�.> Address: PO Box 1636 Project Description: Replace 4ton A/C, Coil; & 80,000 City, ST, Zip: Cathedral City, CA 92235 BTU Furnace Telephone: 760-324-0550"'' -! State Lie. #: 489046 City Lie. M Arch., Engr., Designer Address: City., ST, Zip: Telephone: t. :; w . State Lie. #: ~� Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Steven Schnlerer Telephone # of Contact Person: 818-735=7876 x 1 Estimated Value of Project: $8,600.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Calcs. Reviewed, ready for corrections Pian Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calls. Plans picked up Construction Flood plain plea Plans resubmitted. , Mechanical Grading plan r, Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review,' ready for correctionsAssuc Developer Impset Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Description: BENNETT RESIDENCE HVAC CHANGE OUT. Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 6/29/2015 EVA Approved: Parcel No: 775153089 - Site Address: 55040 RIVIERA LA QUINTA,CA 92253 Subdivision: TR 21846-5 Block: Lot: 2 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,600.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 18 SEER/ .80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Monday, June 29, 2015 5:00:24 PM 1 of 2 SYSTEMS COFIDITIONS CONTACTS NAME TYPE "NAME a _ ADDRESSI'' CITY 4STATE ' . ZIP PHONE FAX EMAIL APPLICANT ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CA 92235. ( FINANCIAL INFORMATION Printed: Monday, June 29, 2015 5:00:24 PM 1 of 2 SYSTEMS BOND INFORMATION ATTACH M E NTS.... Printed:. Monday, June 29, 2015 5:00:24 PM 2 of 2 ` SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AlAID MOUNT PAID DATE RECEIPT # CHECK # METHOD PAID BY -, BY.. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid fo.rCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 00 BOND INFORMATION ATTACH M E NTS.... Printed:. Monday, June 29, 2015 5:00:24 PM 2 of 2 ` SYSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) CF1R-ALT-02-E (Page 1 of 3 ) Project Name. JUDY BENNETT I Date Prepared: 2015-06-28 I A. General Information CRR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF111-ALT-02 document for each dwelling unit. 01 Project Name JUDY BENNETT 02 Date Prepared 2015-06-28 03 . Project Location 55040 RIVIERA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name. JUDY BENNETT 07 Zip Code 92253 08 Dwelling Unit Conditioned 1330 Floor Area (ft2) SC System ClA served system a ref igerant Instalhng�newrSC Number of space conditioning Installing• Eog Climate Zone 15 10 (SC) systems in this dwelling 1 containing system r, more than 40 entirely new unit. _. . B. Space Conditioning (SC) System Informationlow 01 02 03 04 O5 �06' _ 08 10 `U7 ^m _09 ` 5; "`"'i �s the SC .t V -,d6 ai in '^V. Installing a ` �., YG.F�pY� SC System SC System ClA served system a ref igerant Instalhng�newrSC Installing Installing• installing Identification or Location or Area by this SC ducted containing system r, 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 Location 1 1330 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: 215-A0174992A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-06-28 09:57:46 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-06-28 09:57:42 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)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 gas All new Central split All new This field or This field or System 1 furnace heating AFUE. 0.8 AC cooling SEER 18 Setback section is not section is not components components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans , -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing'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: 515%, or 510% leakage to outside,'or seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required.when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow:2300 CFM/ton required when MCH -25 is required. Exceptions: e systems !; p p Y p g g q Y Heating -only systems and Air Handler/Furnace changesldo not equ rexvenfi croon of Air20ow MCH 23or Refrigerant --Cha, ge ME t4�8 ?t$ r.Fd sr 'N.;b r�rr•--"- iF ,^.sCH-25, ! _. -Existing duct systems constructed, insulated or sealed with asbestos are exempt rom MGHU20;Dud�Leakyage Testllng requir�mentus. Wal E. Entirely New or Complete Replacement Duct System, with�or w thout Equ pment h ng out Sectio t 150.2(b 1Diia nd 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)1C) This section does not apply to this project. Registration Number: 215-A0174992A-000000000-0000 Registration Date/Time: 2015-06-28 09:57:46 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-28 09:57:42 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CFiR-ALT=02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ��// Jacoby, Ian cSrandacoiy Company: Signature Date: Stratz Permit Service 2015-06-28 09:57:29 Address: CEA/ HERS Certification Identification (if applicable): 5858 Dovetail Drive City/State/Zip: Phone: Agoura Hills CA 91301 818-735-7876 Responsible Person's Declaration statement' I certify the following under penalty of perjury, under thelaws.of the State of California: 1. The information provided on this Certificate'bf 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 Regufa ions.` this onsistenti -the pplicable compliance documents, 4. The building design features or system design features identified on Certificate of Comp lance ares with infoorrmation,provided on theFr worksheets, „ sx • d t o A •' * kd A W calculations, plans and specifications submitted.to the enforcement agency for�approvaLwitli.this building permit application.$�t S. I.will ensure that a registered copy of this Certificat6o ,Compliance shallmbeGmade.available with the buildingapecmd(s};issued for he building, and,mad'e available.to the,ehforcement agency for all applicable inspections. I understand that a registered copy of this Certcate of Comp*ance�is,requWred to be included witch the documttion�thebu der prFovi�des torthe building owner at occupancy. Responsible Designer Name:- .:,.7 Responsible Designer Signature: /GC%��vC�dPJti Esser, Michael Company: Date Signed: ESSER SERVICES INC 2015-06-28 09:57:46 Address: License: P 0 BOX 1636 489046 City/State/Zip: Phone: CATHEDRAL CITY CA 92235 (760) 324-0550 Digitally signed byCa10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0174992A-000000000-0000 Registration Date/Time: 2015-06-28 09:57:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-28 09:57:42 Schema Version: 0.5555DD