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BMCH2015-037678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O15-0376 Property Address: 47100 VIA ORVIE APN: 643160043 Application Description: GROFF RESIDENC Property Zoning: Application Valuation: $10,875.00 Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 c% 4ZfvQu;.rw ELOPMENT DEPARTMENT BUILD�I)IG OCT 012015 CITY OF� QUINTA INTA � 11111111111111111111 48 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/1/2015 Owner: JOHN GROFF 47100 VIA ORVIETO LA QUINTA, CA 92253 Contractor: ESSER SERVICES INC DBA ESSER AIR CONDITI P 0 BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Llc. No.: 489046 LICENSED CONTRACTOR'S DECLARATION 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 License No.: 489046 of the work for which this permit is issued. Z=� I have and will maintain workers' compensation insurance, as required by Date: 101 ► b Contractor: �.CSection 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 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 ) 1, 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 Lender's Carrier: _ Policy 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: f O ► 16 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 her6by authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: (3 1 Signature (Applicant or Agent) OR N� ky� �'PAID,'k'OATE, _�:`!DESCRIP ACCOUNT�MM�'I-';--�'.�V AiQT,, IOUNTCj.nllk�--PAlb— EEL j-q,�Z x, wm 7� BSAS S131473 FEE 101-0000-20306 0 $1.00 $0.00 i �,,, �: �! PAID B Y 04 E.", ET % IT up, 4" n4m SEEM BY` Total Paid for BUILDING STANDARDS. ADMINISTRATION BSA: $1.00J.. $0,00 C N- w DES RIPTIOW��'�qFH.-t 1 + R4 -"QT_y" 10 U NTT 1" PAID" �,PAID _Z� ��F WOE W,z -1 rMiNt.U", Nmv, fmy.Fv, -j M .:DATE: HVAC CHANGEOUT - SPLIT-SYSTEM 101-0000-42402 0 $72.52 $0.00, PAID mosm-m nn"",", g RECEIPT ru i:,K! Q 1'. #- NP CHECWW% 'J� 'f*�lPAID%,�J��.,:_,,� ATfi, 315 'Tj, 1 ,,y, w HVAC CHANGEOUT - SPLIT-SYSTEM PC 101-0000-42600 0 $36.26 $0.00 q, IPAID BY 41T "d MET a," n CLTMBYiN _M3."e. Ifficib W -N, RRA IBM Total Paid for CHANGEOUT: $108.78 $0.00 DESCRIPTION'` ESC X IN NT -W MAT �.; # PERMIT ISSUANCE 101-0000-42404 .0 $91.85 $0.00 PAI I) bY:t' t,",V Am , N,-,,,,ogETHO1Q az Mm —IN ----- - w" k. Total Paid for PERMIT ISSUANCE: $91.85 $0.00 7: TO$0:06 TALS:.,e 20163 Description: GROFF RESIDENCE ADDRESSI Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 10/1/2015 AZA Approved: Parcel No: 643160043 Site Address: 47100 VIA ORVIETO LA QUINTA,CA 92253 Subdivision: TR 26152 Block: Lot: 169 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,875.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 91362 Details: HVAC CHANGE OUT - REPLACE (1) 3 TON, 18 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONDITIONS . NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT' IE INC. 32115 LA BAYA WESTLAKE VILLAGE CA 91362 (760)774-9259 CONTRACTOR ESSER SERVICES INC DBA ESSER AIR CONDITI P 0 BOX 1636 CATHEDRAL CITY CA 92235 (760)774-9259 OWNER I.JOHN GROFF 47100 VIA ORVIETO LA QUINTA I CA 92253 (760)774-9259 Printed: Thursday, October 01, 2015 2:07:02 PM 1 of 2 sysrrMs PARENT PROJECTS ATTACHMENTS Printed: Thursday, October 01, 2015 2:07:02 PM 2 of 2 Or srsnnns CLTD DESCRIPTION ACCOUNT QTYAMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING 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 for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•• PARENT PROJECTS ATTACHMENTS Printed: Thursday, October 01, 2015 2:07:02 PM 2 of 2 Or srsnnns Bin # QtY Of La Qulhtd Bldlding 8t Safety Division P.O. Box 1504, *78-495 Calle Tampico la.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # �jlt't.G Project Address: 47100 Via Orvieto Owner'sName:.John Groff A. P. Number. Address: 4.7100 Via Orvieto Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor. Esser Services Inc. � � 760-774-9259hone• el Tp e Address: PO Box 1636 Project Description: City, ST, Zip: Cathedral City, CA 92235 Installing 3ton A/C & 80,000 BTU Furnace Telephone: 760-324-0550 State Lic. # : 489046 City Lic. fb: Arch , Engr., Designer: Address: City., ST, Zip: Telephone: " `�. p .T , y State Lia #:M`.... Name of Contact Person: Steven Schnierer Construction Type:. Occupancy: . Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: #Units: Telephone # of Contact Person: 818-735-7876 X 1 Estimated Value of Project $8,667.00 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Pian Check Balance Title 24 Calci. Plans picked up Construction Hood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctiousfissue Electrical Subcontactor List Called ContactPerson Plumbing Grant Deed Plans picked up S.M I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review; ready for correctiionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION 10 CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: 1-F`71 Vi Enforcement Agency: Date Prepared: ermit#: DO v i Arm C," io , I is Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Co di coned hermostat Required R -value Floor Area (sq ft) ❑ Packaged JKEvaporator Coil B�AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system Setback System Split System �( Condensing Unit❑ ❑Compressor J�SEER HSPF 12-8' (CZ 11,14,15) Ducting sgft (!f not already I ❑ Mini Split ❑ Lineset ❑ R-6 (all CZ's) Plenums ❑ R-5 or R7.5) Lineset° resent must a installed) �( Furnace O TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit app l cation this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy 1. ft on site. ),K1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-Di, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH=25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 30% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Ch'rge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provideras previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditione • space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts, CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-gS-HERS' CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage :< 6%, Fan Efficacy (.58W/CFM), Air Flow 2 3SO CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left ori site for Final: All New Ducts, and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-03, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos 114. New Ducting over 40 feet'Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts, I CF111-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (<15%or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification ECH-25 , All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused partslfrom the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) Ia ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction Diameter with insulation as the following 1.5-2T-2%', 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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. 2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3: That the energy features and performance specifications for the design identified on this Certificate of Compliance conform tot ie requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 CCR.fi 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the inforn ration provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency forapproval with this building permit application. Responsible Designer Name: Res risible Designer Signature: Date Signed: License: S 1 o � is W8904G 2V LY1 nC.� Company: - Address: City/5[ate/ZIp: Phone: I CA -7seo 32';-SsO For assistance or questions regarmng the tnergy acanuarus, Lull Wuk %._ =••=.ss — - ..-_