BMCH2016-014078-495 CALLE TAMPICO`
LA QUINTA, CALIFORN�Ac92253
r.
Application Number: BMCH2O16-0140
Property Address: 49065 QUIMERA CT CT
APN: 646300028
Application Description:
Property Zoning:
Application Valuation:
Applicant:
It INC
31225 LA BAYA
WESTLAKE VILLAGE, CA
,arw
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/2/2016
Owner:
CHRISTOPHER SKANNON
it62 CITY OF IAQUINTA
COMMUNIS D VE
LOPM_ �I
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 489046
a
Date:Z 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.).
( ) 1, 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 Add
49065 QUIMERA CT
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P O BOX 1636
CATHEDRAL CITY. CA 92235
(760)324-0550
Llc. No.: 489046
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
I have and will maintain a certifica-e of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the ork for which this permit is issued.
' 1 have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfo-mance of the work for which this permit
is issued. My workers' compensation insuran_e carrier 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 sc• 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: Z- Ile Applicant: �tiwc;L—
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 FCR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tie Building Official for a permit subject to
the conditions and *restrictions set forth on the application.
1. Each person upon whose behalf this appication 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.
1 agree to comply with all city and county orc?inances and state laws relating to building
construction, and hereby authorize represematives of this city to enter upon the
above-mentioned property for inspection pwposes.
Date: 2i Signature (Applicant or Agents
FINANCIAL INFORMATION.
DESCRIPTION ; �A000UNT ;K' QTY a AMOUNT; a r PAID z PAIDfDATE
_
y g
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
' PAID 81f ' `a °"" k '' ' METHOD ' '- � �' _ RECEIPT # ;'° ¢ CHECK # CLTD BY
x .
': • e rte' m�� ..F A�T.:G'�&. .V.+#
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCFtIPT10N
� � '-ACCOUNTS ?
QTY
AMOUNT;
: �,
DATE
, �aPAID
-PAID
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
ti . ;.:PAID BY
RECEIPT #
-CHECK �
` -F g�
LTD B
DESCRIPTION
g a
� m. ACCOUNT
�.
AMOUNT
k�
PAID�r��
fPAIDkDATE
�,�•1
sQTY
;
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
Yj+•TjF, � ¢ .{ �'�.L {� � •'S �
PAID BY ~e
.+• -� £ S kt � �.Y_..e n.4:.
='METHOD _
`4a
��.: � 1� .A
RECEIPT #
' �
CHECK #k4
CLTD Bll
r; n ..�
. Y
Total Paid for CHANGEOUT: $108.78 $0.00
w . s DESCRIPTION k=;° .� 4 *a
ACCOUNTsg.:
='QTY
- ` AMOUNT t�
r "PAID,'
PAID OATS'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY `'3„a
Y METHODSi' `
RECEIPT
7CHECK #' ,OLTD
BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: SHANNON RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/2/2016 MFA
Parcel No: 646300028 Site Address: 49065 QUIMERA CT CT LA QUINTA,CA 92251 Approved: 5/2/2016 MFA .
Subdivision: TR 215554 Block: Lot: 28 Issued:
Lot Sq Ft: 0 . Building Sq Ft: 0 Zoning: Finaled:
Valuation: $10,510.00 Occupancy Type: Construction Type: Expired:,
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 20 SEER/80AFUESPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION: PER 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
'Printed: -Monday, May 02, 2016 12:40:12 PM 1 of 2 SYSTEMS
�.,
``.'METHOD
CLTD
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
mCHECK #
; ; , PAID BY
i
e
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
$91.8.5
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TO01.63 $0.00
INSPECTIONS
- _ - — - -01 V_
PARENT PROJECTS
Printed: Monday, May 02,201612 . :40:12 PM 2 of 2
SYSTEMS
Bin.#
. 0ty Of LaQilrnta
Building 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
I.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 49065 Quimera Court
Owner's Name:. Chris Shannon
A. P. Number.
Address: 49065 Quirnera
Legal Description:
City, ST, Zip: La Quinta, CX 92253
Contractor. Esser Services Inc.
Telephone: 760-333-4526 c •; . "��a0i5a
Address: PO Box 1636
Project Description: Replace Ston A/C, roil, & 100,000 BTU.
City, ST, Zip: Cathedral City; CA 92235.
Furnace
Telephone: 760-324-0550
State Lic. #: 489046
City Lie. 9-
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: % `� �..
State Lia #:
�r
Name of Contact Person: Steven Schnierer.
Construction Type:. Occu6-ancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq. Ft.: #Stories: #Units.
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $10,510.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACICIIVG
PERMIT FEES ,
Plan Sete
Pian Check submitted
item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Delosit. .
Truss Calcs•
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans piclked up
Construction "
Flood plain plan
Pians resubmitttd
Mechanical
Grading plan
2'd Revicw, ready for correction0iissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up .
S.M 1
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for corrections/issue
Developer Impet Fee .
Planning Approval
Called Contact Person.
AJ.P.P.
Pub. Wks. Appr
Date of.permit issue
School Fees
Total Permit fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of.3) .
Project Name: CHRIS SHANNON Date Prepared: 2016-04-26
A. General Information
MR -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
CHRIS SHANNON
02
Date Prepared
2016-04-26
03
Project Location
49065 Quimeratt
04
Building Type
Single family
05
CA City
La Quinta
06'
Dwelling'Unit Name
CHRIS SHANNON
07
Zip Code
92253013 g
Is the SC
Dwelling Unit Conditioned
2004
i6d
Floor Area (ft2)
SC System
'CFA served
rystem a` —4
K
refrigerant t
-
*Installing=nevAt
.f
stalling -
Installing,
m nstalling
r -
Location or Area
Number of space conditioning
ducted
09
Climate Zone
15
30
(SC) systems in this dwelling
1
Name
Served .
System (ft2)
system?
unit.
I components?
B. Space Conditioning (SC) System Information ff� > CT n
xt
01
02
0'3.•".
0405:
6
07
U8
09
10
r
Is the SC
Installing a
f4
i6d
SC System
SC System
'CFA served
rystem a` —4
K
refrigerant t
-
*Installing=nevAt
.f
stalling -
Installing,
m nstalling
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served .
System (ft2)
system?
component?
I components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2004
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Di.ib)
This section does not apply to this project.
Registration Number: 216-A0156422A-000000000-0000 Registration Date/Time: 2016-04-26 18:35:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 18:35:05
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
20
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MC1H-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. i
CF2R-MCH-20-H & CF311-MCH-20-11 — 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.
C1`211 -MCH -25-1-1 & CF311-MCH-25-11 Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
MRMR-MCH-23 & CF313-MCH-23 Airflow 300 CFM/ton required when MCH -25 is required.
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 MCW23 or Refrigerant Charge MEC
Existing duct systems constructed, insulated or sealed withasbestos,are exempt;from MCH=20 Duct.Leakage Testing requirements.
• r ; ; .. °Is 1 "�5....... f � d 1 9 � �. .. I !:.... f f � � f � :.` ;�: .�� f F �� t� ��. _....�:
kt+: a$
E. Entirely New or Complete Replacement DU&System, with or. without Equipment Changeout-(Sections 1S0.2(b)1Dua;.and,150.2(b)lE, F)
,. • 44k
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: 216-A0156422A-000000000-0000. Registration. Date/Time: 2016-04-26 18:35:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 18:35:05
Schema Version: 0.555SDD
j
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF4R-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: �
Jan
Jacoby, Ian
Jacob
Company:
Signature Date:
i PERMIT E RATERS
2016-04-26 18:35:17
Address:.
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362 r '.
818-735-7876
Responsible Person'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 Certificat of Compliance is true and correct.
2. 1 am eligible under Division 3 of theBusiness#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, mateeials, components, and manufactured devices for the building design of system design identified on this Certificate of Compliance conform to the
:-lx
requirements of Title 24, Part 1 and Part 6.of the California Code of Regulations. g$
4. The building design features or system design feat6res identified on this Certificate of Compliance are. consistent with the information=provided on otti`er;applicable'cdmpliance documents, worksheets,
.calculations, plans and specifications submitted.to the enforcement agency for approval -with this building permit application:.
5. I will ensure that a registered copy of this Certificate ofCompliance shall be made;av_ailable wtththe bulldingipe�mit(s)�issued fors'theNbulldl�ng, andgmade available to ttie„enforcement agency for all applicable
inspections. I understand that a registered copy of this -Certificate of Compliance is�requ, red to begincluded with the�documegtatlon heybuilder pirovi�des to the building owner at occupancy.
Responsible Designer Name: L. .
Responsible Des1g r Signature: V W�/
Jacoby, Ian
c9an �ac6
Company:
Date Signed:
ESSER SERVICES INC
2016-04-26 .18:35:17
Address:
License:
P O BOX 1636
489046
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235
760-324-0550
Digitally signed by Ca10ERTS. 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: 216-A0156422A-000000000-0000 Registration Date/Time: 2016-04-26 18:35:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards— 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 18:35:05
Schema Version: 0.555SDD