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BMCH2016-015978-495 CALLE TAMPICO J LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description:' Property Zoning: . Application Valuation: Applicant: IE INC c&tY' °&,tPQwxfw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BMCH2O16-0159 Owner: 53650 AVENIDA RAMIREZ RICHARD ROGEFS 774122008 53650 AVENIDA RAMIREZ ROGERS RESIDENCE / HVAC CHANGE.OUT LA QUINTA, CA 422S� $8,258.00 Contractor: ESSER SERVICES II 31225 LA BAYA P O BOX 1636 WESTLAKE VILLAGE, CA 91362 CATHEDRAL CIT-, (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 D"ate: J I� i ` 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.). (_) 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 Date: 5/17/2016 v ;ARCOND eo.+ tq WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one :>f the following declarations: I have and will maintain a certificzte of consent to self -insure for workers' compensation, as provided for by Section 37-30 of the Labor Code, for the performance of the work for which this permit is issued. i I have and will maintain workers' :ompensation 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: _ Policy Number: _ I certify that in the performance cf 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. 11 ll� Applicant: Jam-- Cid F WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIIVJNAL 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 perfo `med under or pursuant to any permit issued as a result of this application , the owier, 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 tc 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 andlstate 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. Dater I - .) to Signature (Appliean or Agent): FINANCIAL •R• DESCRIPTION g ,W .y ACCOUNT `_ _. `QTY, AMOUNT � PAID,DATE ;PAID s;'R, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAI D,BY "4 METHOD "'>%'RECEIPT #' CHECK,V CLTD BY � Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION?� <n ;ACCOUNT' ` PAID, PAID DATE: XQTYAMOUNT.Y HVAC CHANGEOUT - SPLIT-SYSTEM 101-0000-42402 U $72.52 $0.00 dPAID BYr 4� METHOD:.':,A yA RECEIPT # a # CLTD BY Y` F; w .;� ,CHECK ,DESCRIPTION, �� ACCOUNTS "°>. QTY ' ; AMOUNT PAID r PAID DATE'; zr , HVAC CHANGEOUT - SPLIT-SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID .BYr % ` ' METHOD a 4 RECEIPT #'CHECK # i CLTD BY Total Paid for CHANGEOUT: $108.78 $0.00 ?� DESCRIPTION < ,� ' fi ACCOUNT* 4 QTY; 4 AMOUNT; PAID °'' PAIO'DAT, ,. ; PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 gf :PAID BY<<, METHOD RECEIPT # <� 'CHECK #kfa CL BY x & x r$ Total Paid for PERMIT ISSUANCE: $91.85 $0.00 •ago= f Description: ROGERS RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/17/2016 MFA Parcel No: 774122008 Site Address: 53650 AVENIDA RAMIREZ LA QUINTA,CA 92253 Approved: 5/17/2016 MFA Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 231 Lot: 17 Issued: UNIT 22 Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $8,258.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 15 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. x: _ FINANCIAL INFORMATION Printed: Tuesday, May 17, 201612:06:30 PM 1 of 2 SYSTEMS . ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS, .a.:'..: ,rv. u. ,: ...3.. <. . ... * r •+ .. 5'. ...'..,,- .. .�,.w. +. ':i. n.. va. " CITY � - STi4TE 'ti:,w.,:.i.' w: 2` '�F.. . ZIP FAX `�. EMAIL e ..ADDRESSI� :' ..e'-s,d� .§:`"•, � APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 (760)564-8148 VILLAGE CONTRACTOR ESSER SERVICES INC DBA ESSER AIR P 0 BOX 1636 CATHEDRAL CA 92235 (760)564-8148 CONDITI CITY OWNER RICHARD ROGERS 53650 AVENIDA LA QUINTA -CA 92253 (760)564-8148 RAMIREZ x: _ FINANCIAL INFORMATION Printed: Tuesday, May 17, 201612:06:30 PM 1 of 2 SYSTEMS . 0. ACCOUNT ,;AMOUNT PAID PAIDDATE ;;R.ECEIPT:# CHECK # METHOD PAID BY CLTD , BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTR,ATIUN $1.00 .$0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVACCHANGEOUT- 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 TOTAI_St $201.63 $0.00 INSPECTIONS PARENT PROJECTS _7 BOND INFORMATION ATTACHMENTS Printed: Tuesday, May 17, 201612:06:30 PM 2 of 2 CRWSYSTEMS #4 Bin.# Qty Of La QUII1ta Buildings[ Safety Ai Uon P.O. Box 1504,78-495 Calle .Tampico 14.Quinta, CA 92253 - (760) 777-7012 Building Permit •Application and Tracking Sheet Permit # Project Address: 53650 Avenida Ramirez Owner's Name:. Richard Rogers A P. Number Address: 53650 Avenida Ramirez Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor. Esser Service In Services c. A. �sTg Telephone: 760-564-8148 Address: PO Box 1636 PmjecxDescription: Replace 4ton Hea- Pump & Air Handler. City, ST, Zip: Cathedral City, CA 92235. Tele hone: p 760-324-0550F° � . State Lic. #: 489046 City Lie'. iR: Arch., Eugr., Designer Address: City., ST, Zip: Telephone: �s� Y State Lia #: ,� ,w ' '�" Name of Contact Person: Steven Schmierer 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:. $8,258.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACICING °PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted Mecharilcal Grading plan 2'd Review, ready for correctionsfissue Electrical Subcontaetor 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Perm t Fees STATE OF CALIFORNIA ALTERATIONS - HVAC y, y9:en, Y CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA EN _RGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-04-E Alterations - HVACCZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: $3(c5D �vGr:GiC �oYril'GZ Enforcement Agency: Dae Pr Fared: Permit#: �; . p� L� �c� 5 t7 )� Equipment Type Equipment Efficiency PlenumsLineset: New Ducting, , Conditioned one Thermostat Required R -value Floor Ares (sq ft) ❑ Packaged Evaporator Coil gFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system JSetback System ❑ Split System Condensing Unit ❑ Compressor SEER ❑ R-8' (CZ 11, 14, 15) Ducting sgft (lfnotolready ❑ Mini Split ❑ Lineset HSPF ❑ R-6 (a// Q's) Plenums present must ❑ Furnace ❑ TXV EER ❑ R-5 or R7.5) Lineset` be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below- At permit application 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 left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-Hi-RS2 Compressor, TXV, Lineset, CF311: MECH-20-HERS, MECH-(23 or 24)-HERSz, MECH-25-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (<15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Reftigerant Charge. Exempted from duct leakage testing if: ❑.L Duct system registered with HERS provider.as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building n 112. 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)-HERSz, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERSz, MECF-25-HERSz Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CQR-CF311)'NECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow Z 350 CFM/ton (or alternative), Refrigerant c=harge ❑ 3. All New Ducts with Replacement I Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following I CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R. MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HORS Compressor, TXV, Lineset, Furnace 2 CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage :< 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-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 wall:, between floors etc. z Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge -erification MECH-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 mused parts from the dwelling unit's existing duct system (e.g., registers, grilles; boots, air handler, coil, plenums, duct material) ` 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 line Diameter with insulation as the following 1.5-2T-2s/e", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer's Declaration Statement) 1 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 oonform to the requirements of Title 24,, Parts land 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 E of the CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent wi:h the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted tD the enforcement agency for approval with this buildirig permit application. Responsible Designer Name: aevet,EC-\,V,,2TeC Re nsible Designer Signature: - 111z�2 D Signed: s11-111(, license: Company :Address: Ess r- E`�Ic_e-S T-,- C-- o a� 163(o City/State/Zip:Phone: +heacc�e, q&2 G 7fo•D - 3Z4 - 0sS0 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at:1-800-772-3300