BMCH2016-020778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O16-0207
Property Address:
79899 CASSIA ST
APN:
600330005
Application Description:
ELLIOTT / CHANGE OUT
Property Zoning:
Application Valuation:
$8,704.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
T,d4t 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PER
CITY OF LA �UINTA
CO��UI`HTY DEVELOFMEf�
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: C20 License No.: 489046
il� a
Dafe:� �% Contractor.-C�
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
Lender's
VOICE (760) 777-7125
FAX -(760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/2016
Owner:
JULIANNE ELLIOTT
79899 CASSIA ST
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 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 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 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 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*4_7 ILO 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 hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
-_ � a
Date: ( (�. Signature (Applicant or Agent): �!
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
PAID. PAID DATE
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY '
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid.for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #-
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
Description: ELLIOTT / CHANGE OUT
Type: MECHANICAL Subtype:. Status: UNDER REVIEW Applied: 6/16/2016 SKH
Parcel No: 600330005 Site Address: 79899 CASSIA ST LA QUINTA,CA 92253 Approved:
Subdivision: TR 28601-1 Block: Lot: 17 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $8,704.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16.SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONNTIONS
CONTACTS
--NAME'TYPE
""'"' "" "NAME"
" 'dbbRE5S1
CITY STATE
' ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE CA
91362
VILLAGE
CONTRACTOR
ESSER SERVICES INC DBA ESSER AIR
P O BOX 1636
CATHEDRAL CA
92235
CONDITI
CITY
OWNER
JULIANNE ELLIOTT
79899 CASSIA ST
LA QUINTA CA
92253
FINANCIAL INFORMATION
Printed: Thursday, June 16, 2016 10:14:02 AM 1 of 2 s4szerns
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
Al lAL.HIVItNI'S
Printed: Thursday, June 16, 2016 10:14:02 AM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT.'
CITY
AMOUNT
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:• 00
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
Al lAL.HIVItNI'S
Printed: Thursday, June 16, 2016 10:14:02 AM 2 of 2
SYSTEMS
Bur.
:. city..
ty. of L1 Quinta
Buffft 8t Safety Dhtdon
P.O. Box 1504,'78495 Case Tampico
!a Quk%4 CA 92253 --(760) 777-7012
Building Pem* Ap#icadon' and Traddi ng Sheet
Permit
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A. P. N„n►ber . Addtw- 7 1 IR .
loc'' city. ST. Zip:
Contractor. --I STdephone:
Address Po YOX!j Prosect DesocWm:
City. sT. ZP= h a t • ,' v ( —,49.
Tekphonc: Z [u, cal'I
State Lia 0: I.aty Lir^ C. FA
Arch, Bogs, Designv:
Addm=
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Telephone Construction Type: Ory:
Stato Lie, d: prosect typt (edrele one}: New Add'n Alter Repair Dano
I Name of Concoct Person Om A1) Sq. FL: # Stones: # Unitx
Tdephoaa g of Cooiset Prime
APPLICANT: DO NOT WRITE W"W Tiii.S UNE
R Sebmlttsl 'd -aced TRACIMO P>;RMn'FEES
inch Seb
Play C-bedc sabmit ed Ilea Amort
Skvdarsl Clea
Reviewak rally ter oorraeiow Pico M& Deposit.
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Called C MINet Paaoa Pisa Ctudr Sayaee
Mae 24 Cyka
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Flood Ptah PISS
PWn resubmitted Meckariini
Grading"
S! Review, ready for oerreetlonsfeaae EIBC meal
Snboowaetor List
:
Called Contact Person - PtnmbUsg -
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Pian ptftd up S.M-
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'^' Re.vkw, rady far corratimu/issae Developer Impact Fee
Piaoalab A"ranl
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Feb. Wtra Appy -
Date of patait bm
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Tota, Pft Fon
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -2R -ALT HVAC)
Project Name:
JULIANNE ELLIOTT I Date Prepared:
CF1R-ALT 02-E
(Page 1of3)
2016-06-15
A. General Information
CF1R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
JULIANNE ELLIOTT
02
Date Prepared
2016-06-15
03
Project Location
79899 cassia st.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JULIANNE ELLIOTT
07
Zip Code
92253
08
Dwelling Unit Conditioned
1760
.rt.dd. 1F,c;
*1i �
'''b.;X—
Floor Area (ft2)
System
SCS em
yst
SCS em f,
r
CFA served
`+ system a» -j
refrigerarwtt
Number of space conditioning
x
09
Climate Zone
r�
15
10
(SC) systems in this dwelling
1
ducted
a
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information''
.r -
01
02
03., '
04a
05LFt
$1 jec .�06{•^� �(
yy9 f}{ 07 y5
{[
qt{ 08
09
10
i
j
J' FIs the SCr"
✓. r ..
Installing a
Aa
.rt.dd. 1F,c;
*1i �
'''b.;X—
System
SCS em
yst
SCS em f,
r
CFA served
`+ system a» -j
refrigerarwtt
,Installing°new:SCristaling
x
r�
stalking
Installin g
Identification or
Location or Area
by this SC
ducted
a
containing
system
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
1760
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0222328A-000000000-0000
Registration Date/Time: 2016-06-15 15:07:17
HERS Provider: CalCERTS -
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 15:06:54
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -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 Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type _
Dud Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Faris
-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: 5 15%, or:5 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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air -Flow 2 300 CFM/ton required when MCH -25 is required.
-
�- wry
Exceptions: �
-Duct systems registered with HERS provider as previously sealed are exempt from MGH -20 Duct Leakage Testing requirements.. t' ""
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23,'or'Refngerarif'Chaxge MECH-2
t
-Existing duct systems constructed, insulated or sealed with asbestos are exempt!from MCH 20 DuctiLeakage Testinglegwrements.
1A is _If, 9' i 1A N-". 1.1 1 f 11. # i 1. 1s t 3 3 e. t i k
E. Entirely New or Complete Replacement Duct'System, with or without, Equipment Changeout (Sections-150.2(b)lDiia=and 150.2(b)1E, F)
" "++► 's�++W" h 3 'kr�, it Jk #*
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-A0222328A-000000000-0000 Registration Date/Time: 2016-06-15 15:07:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 15:06:54
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. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Esser, Michael
Company:
Signature Date:
ESSER SERVICES INC
2016-06-15 15:07:17
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 1636
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235
760-324-0550
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 Certificate of 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 Califomia Code of Re"g'ulations.
� r4a
4. The building design features or system design features identified ori this Certificate of Comce are consistent with the information provided on} othper appliicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a registered copy of this Certificate O.Compliance shall be.made available with the building permits) issued for the building, and made available to: the enforcement agency for all applicable
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.
'V
Responsible Designer Name: R 0+w- 1 A +.;4
Responsible Designer Signature:I1i1" of It, 'A%i/
Esser, Michael
Company:
Date Signed:
ESSER SERVICES INC
2016-06-15 15:07:17
Address:
License:
P 0 BOX 1636
489046
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235
760-324-0550
Digitally signed by CaICERTS. 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-A0222328A-000000000-0000 Registration Date/Time: 2016-06-15 15:07:17 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 15:06:54
Schema Version: 0.555SDD