BMCH2015-004778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0047
Property Address:
52380 AVENIDA RAMIREZ
APN:
773262008
Application Description:
DUQUE RESIDENCE REPLACE FU
Property Zoning:
Application Valuation:
$1,890.00
Applicant:
ESSER SERVICES INC DBA
ESSER A
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
(u FEB 18 2015CITY L
E
TA
COMMUNITYOLOPME�NTDEPgRTAP,ENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/18/2015
Owner:
EDGAR DUQUE
52380 AVENIDA RA.MIREZ
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550
Llc. No.: 489046
---------------------------------------------------------------------------------------------
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.: 489046
Dat Z - I '2ir 115 Contractor:,S�------
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 ofproving 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 Addre:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of tie following declarations:
I have and will maintain a certificate •)f 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 =arrier and policy number are:
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 37 ]0 of the Labor Code, I shall forthwith
comply with those provisions.
'
r�—
e! ? I $ �5 App II cant:
WARNING: FAILURE TO SECURE WORKERS' COIV;PENSATION 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'N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOIA LEDGEMENT
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 cancellction.
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 ordinances and state laws relating to building
construction, and hereby authorize representaVyes of this.city to enter upon the above-
mentioned property for inspection purposes.
Date Ip Signature (Applicant (dr Agent)
CERTIFICATE OF COMPLIANCE ' A CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) •.'` , (Page 1 of 3 )
Project Name: ` ISABEL DUQUE Date Prepared: 2015-02-16
A. General Information' ,
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. Whenmultipledwelling units must be '
documented, use one CF111-ALT-02 document for each dwelling unit. • " �- '
01
Project Name
ISABEL DUQUE
02
Date Prepared
2015-02-16
03
Project Location
52380 AVENIDA RAMIREZ
04
Building Type -
Single family '
-05
CA City
La Quinta
06
Dwelling Unit Name
ISABEL DUQUE
07
Zip Code
92253
08
Dwelling Unit Conditioned •
1672
Installing new SC.
Installing
Installing
Installing ,
Floor Area (ft2)
Identification or
Location or Area
—by this SC
s.
containing
Number of space conditioning
more than 40
09'
Climate Zone
15 '
1.0
(SC) systems in this dwelling
1 .
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) Systemnformation!®n
Ol
027;
07
apg'?
=, 09
10
10
c,
is the SC :T
'� Installing a
"'. r "A" rMy
;.
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
Sewed
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
r
1672
a, _•
Yes
No
Yes
No c .
No
No
Altered space
-conditioning system
.Registration• Number: 215-A0045212Al000000000-0000 ' �' Registration Date/Time: ' 2015-02-16'15:43:38° 2 HERS Provider: CaICERTS +'
,'- CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31- + Report Generated: 2015-02-16 15:39:34
Schema Version: 0.5515DD • i k `
A
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)
i
-
01
02
03
04
05
06
07
08
09
10
11
12
•
HedUng
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
Cental gas
All new
Central split
No cooling
This field or
This field or
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
component
section is not
section is not
Setback
section is not
section is not
components
altered
applicable
applicable
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: <_ 15%, or15 10% 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).
y
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow > 300 CFM/ton required when MCH -25 rs requireed
Exceptions: r s�
Skv
`
Duct systems registered with HERS provider as previously sealedare exempt from MCH -20 Duct Leakageestmg'requirements a
-Heating-only systems and Air Handler/Furnacechanges do not require venfication'of Air Flow MCH -23 or Refrigerant Charge MEC4-25.
-Existing duct systems constructed, insulated or sealed with.asbestos`are exempt from MCH;20 Duct Leaka a Testin 're- uirements.'"
F. Entirely New or.Complete'Replacement Space Conditioning System (Section 150.2(b)lC)
. s . This section does not apply to this project.
' ', , .. S ',• .� •'` , '' .. _• R •'� .• _ ' •. ^• , i•' r � - •2 � .• '• Al '
Registration Number: 215-A0045212A-000000000-0000 Registration Date/Time: 2015-02-16 15:43:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards = 2013 Residential Compliance _ Report Version: 2014-03-31" ;, A. "• ',+ Report Generated: 2015-02-16 15:39:34
+r Schema Version: 0.551SDD-:,,
Documentation Author's Declaration Statement ,
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: -
Documentation Author Signature: ��// /
Jacoby, Ian
cJan dacot'i�
r
Company:
Signature Date:
Stratz Permit Service
2015-02-16 15:39:33
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 ;r• ..
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. i
2. 1 am eligible under Division 3 of the Business and Professions Code to accept,respo�nsibiillityFfor,tt he building design or system design identified on this Certificate of Compliance (responsible designer).
3.'- That the energy features and performance se pecifications, materials; components -and manufactured devices for building design or sy tem design identified on this Certificate of Compliance conform to the
s
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.{.. r � �•-
a..=Y
4. The building design features or system design features entified on'this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specificatioris submitted.to the enforcement agency for approval with this building permit application } '°A-
�
iLL
P _ •t
5. I will ensure that a registered co of thisCertificate of Com Bance shall be_available.wdh the buildin ade,ayailable to the enforcement agency for all applicable
g copy g permits) issued for,the building and m
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: -� �" : 1 , `
Responsible Designer Signature:
Esser, Michael
Company: '-
Date Signed: - t
ESSER SERVICES INC
2015-02-16 15:43:38
Address: -
License:
P 0 BOX 1636
489046
City/State/Zip: , .
Phone:
CATHEDRAL CITY CA 92235,
(760) 324-0550 t •
_
r _
Digitally signed by CaICERTS. 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: 215-A0045212A-000000000-0000. } Registration Date/Time: 2015-02-16 15:43:38 t HERS Provider: CaICERTS
i., CA Building Energy Efficiency Standards 2013 Residential Compliance . Report Version: 2014-03-31 .' 3 Report Generated: 2015-02-16 15:39:34
Schema Version: 0.551SDD
m
1 . • l •
FINANCIAL
. uDESCRIPTION Nfr Fx�`; M`;ACCOUNT Yq +QTY r`AMOUNT`{� PAID4�4;;PAID=DATE`
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
G �Y �s METHOD`y
a PAID BYa 4 -ti a s c
s ..
g:RECEIP7#x .`:k CHECK#��:' CLTD BY,
�.,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
� : E DESCRIRTION
. t &
:k
QTY
, _
AMOUNTS azv
g rc�
PATOACCOUNT
:
iPAID DATE
FURNACE
101-0000-42402
0
$36.26
$0.00
PAID.BY .
RECEIPT # W;CHECK
# >
CLTD BY
fpESCRIff?TIONk`�
Ea��> ACCOUNTSnQTY
E AM)UW
�PAID�PAIDD
ATE `
FURNACE PC
101-0000-42600
0
$24.17
$0.00
13 -. a I
�7.sM1.ETHOD +
_<
. p
CHECK# ; a
x
'CLTD BY w.PA
Total Paid for MECHANICAL: .$60.43 $0.00 .
'DESCRIP.T
Zs=ACCOUNTa
;QTY
sAMOxUNTtx F
y,PAIDIPAID:DATE
0_'
:S<..
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
�a
PAID'BY f #
x rK -i,a
s "WETHOD,;" gr'
s. ±,,'•t .v
RECEIPT # �`
::i -tai a. r
:� CHECK #
'CLTD BY
Total Paid forPERMIT ISSUANCE:. $91.85 '$0.00
TOTALS:00
r
�
c
1
Description: DUQUE RESIDENCE REPLACE FURNACE
Type: MECHANICAL ' Subtype:
Status: UNDER REVIEW
Applied: 2/18/2015 MFA
a
Approved: --
Parcel No: 773262008 _ Site Address: 52380 AVENIDA RAMIREZ LA QUINTA,CA 92253.
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 82
Subdivision:
Lot: 15
Issued:
UNIT 10
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $1,890.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
_
Details: REPLACE 80,000BTU FURNACE[2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013
• CALIFORNIA BUILDING CODES.
• Printed: Wednesday, February 18, 2015 1:01:28 PM_ • 1 of 2
• - - SYSTC.mS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, February 18, 2015 1:01:28 PM 2 of 2 cB?w.1YSTcmS
. .." r � , , .
-
7;17
LTD
'DESCRIPTION,
0
QTY
JAM O.0 NT�,
2, PAID ,
AID ATE:
RECEIPT #
H K, #
MET'HOC�,
-ZY"
BSAS SB14*73 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
FURNACE
101-0000-42402
0'
$36.26
$0.00
FURNACE PC,
101-0000-42600
0
$24.17
$0.00
. ....................
1 -
Total Paid forMECHANICAL: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
'TOTALS: $153.28 $0.00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, February 18, 2015 1:01:28 PM 2 of 2 cB?w.1YSTcmS
Bin tf .
Qty of La Q urn to .
Building &r Safety Division
l� P.O.�Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760). 777-7012
Building Permit Application and Tracking -Sheet
Permit #
k map,1
Project Address: 523-Rp AVe-Y\"a c_cern i eel .
Owner's Name:
A. P. Number:
Address: S 2-3,3C>, Ave�io� ��•r� i ez
Legal Description:.
City, ST, Zip: CA A Z Z S3
tr
C n act r
0 0. C ssec S�rv;e.�s �
`7 100-
one: S(o F-
Telephone:
P
'.?»�i'`:><?€`>`•'<`�':'s''<?€
Address: l �(o
Project Description:
City, ST, Zip: CGe cjo,� CA C1.223Sl2e
c C CY(3 i3SU •jrr\o, ce—
Telephone: estop- -3244- OSSA
><>
r
State Lic. # : y 8 cJ OL}to
City Lie. #-.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
`?<:`•<: >":> •;>::::<>:;<:>;>« ><>.•>• :;:
Fc •
n TYPe• Occupancy:
Construction 0
State Lic. #:
P ro'ect c circle one): 'New Add'n _filter Repair Demo
J tYP ) P
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone #,of Contact Person:
Estimated Value of Project: 41, $. 9 0 . 0c;1-
r APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Ree'd'.
TRACKING
PMMITFEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
'Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan .!."
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
IIA.A. Approval
Plans resubmitted -
Grading.
IN HOUSE:-
3" Review, ready for corrcctionsCssue
Developer Imp:.ct Fee
Planning Approval.
Called Contact Person
A.I.P.P...
Pub. Wks. Appr
Date of permit issue.
School Fees
Total Permit F. -es