BMCH2016-0296i:, - ,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,dy 4 4 Q'ilotro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0296
Property Address:
79215 DESERT STREAM DR
APN:
604344004
Application Description:'
ZAMORA RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$6,600.00 -
Applicant:
,
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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
C Date: S 4I La C tractor.
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 foi
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TOM ZAMORA
79215 DESERT STREAM DR
LA QUINTA, CA 92253
Lr't�
Date: 8/9/2016
0 9 2016 JAI
ICES INC DBA ESSER AIR CONDITI
36WOUINTA
(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 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 carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5030167
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.
D to e: C J fo 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.
e
Date: C7 Signature (Applicant or Agent): �1A�2
Date: 8/9/2016
Application Number: BMCH2016-0296
Owner:
Property Address: 79215 DESERT STREAM DR
TOM ZAMORA
APN: 604344004
79215 DESERT STREAM DR
Application Description: ZAMORA RESIDENCE/ HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,600.00
Applicant:
Contractor:
IE INC
ESSER SERVICES INC DBA ESSER AIR CONDITI
31225 LA BAYA
P 0 BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY, CA 92235
(760)324-0550
Llc. No.: 489046
• J—)et3il: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM'[2008 ENERGY] .CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2013 CALIFORNIA BUILDING CODES.
J
I TOTALS: $201.63
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS 561473 FEE 101-0000-20306
0
$1.00 •
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total. -Paid for PERMIT ISSUANCE:. .... $91.85.._.
I TOTALS: $201.63
Bin. #
Oty. of La Q uln to
Building 8t Safety Division
P.O. Box.1504,78-495 Caiie Tampico
14.Quinta, CA 92253 -:(760) 777-7012
_ Building Permit' Application and Tracking Sheet
Permit #
Project Address: 79215 Desert Stream Drive
Owner's Name:. Tom Zamora
A. P. Number.
Address: 79215 Desert Stream Drive
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Esser Services Inc.
Telephone: 6110xvw
Address: PO Box 1636
Project Description: Replace'4ton A/C & 40,000 BTU Furance
City, ST, Zip: Cathedral City, CA 92235.
Telephone: 760-324-0550
City Lie. 9:
State Lic. # : 489046
Arch., Engr., Designer
Addr=:
City., ST, Zip:
Telephone:
P
State Lic. #: ..,� �:�,.,%�7;��y��"�... ,N
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.: # Stories: —Munits:
.
Name of Codes Person: Steven SchniererSq.
Telephone # of Contact Person: 818-7354876
Estimated Value of Project: $6,600.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss'C21cs•
Called Contact Person
Plan Check Balance '.
Tide 24 Calcs.
Plans picked up.
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2`4 Review, ready for correctionsrwue
Electrical
Subcoutattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M,y
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 Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Tom Zamora I Date Prepared:
CFIR-ALT-02-E
(Page 1 of 3 )
2016-08-08
A. General Information
CFIR=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.
O3
Project Name
Tom Zamora
02
Date Prepared
2016-08-08
03
Project Location
79215 Desert Stream Dr
04
Building Type
Single family
05
CA City
La 4uinta
06
Dwelling Unit Name
HOUSE
07
Zip Code
92253
r�08
Dwelling Unit Conditioned
1651
Installing
Installing,
1�
Floor Area (ft2)
Location or Area
by this SC
ductedlnrt
t3tc6ntairiing'V,,
i
Number of space conditioning
entirely new
09
Climate Zone
t•_�
15 ,
'}C
10'•
f
(SC) systems in this dwelling
1 '
component?
components?
feet of ducts?
:.
unit.'
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04 eft,
(I n 05 fro..
1 i 06 1INN tea.
07
08
09
10
Is the SCO
tinstallirig a
Wim,
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing,
Installing
Identification or
Location or Area
by this SC
ductedlnrt
t3tc6ntairiing'V,,
:e- vW system griti
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLE HOUSE
1651
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 416-A0002512A-000000000-0000 Registration Date/Time: 2016-08-08 17:23:44 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-08 17:23:47
Schema Version: 0.555SDD
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)
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
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
0.80
AC
cooling
SEER
14.00
Setback
section is not
section is not
components
components
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: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF211-MCH-25-1-1 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing , components are installed or altered (applicable in CZ 2, 8-15).
CF211CF3R-MCH-23 & CF3R-MCH-23 Air Flow z 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 MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
if" 1I f
E. EntirelyNew or Complete Replacement Duct System, with or without E' ui ent Ch n e ut Sections 150.2 b lDiia and 1S0.2(b)1E, F)
� P p Y q P g ( ()
tsetinThisdo s nott ap lV to t i§ project.
F. Entirely New.or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
1
Registration Number: 416-A0002512A-000000000-0000 Registration Date/Time: 2016-08-08 17:23:44 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-08 17:23:47
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALr 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:
Shantel Faugno
Sh.a vXe,1, Faueyto-
Company:' _
Signature Date:
Esser Services, Inc.
2016-08-08
Address:
CEA/ HERS Certification Identification (if applicable):
PO 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:
l ,—,
1. The information provided on this Certificate of Compliance is true andcorrect. '� . „
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 manufactu ed 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 California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency forrappr oval with this building permit application.
l be de available with the building permit(s)ssued for.the building, and made available to the enforcement agency for all applicable
S. I will'ensure that a registered copy of this Certificate of Compliance shawma
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included wit Rthe 4o the builder provides to the building owner at occupancy.
Responsible Designer Name: t.
Unmatched rt'f Vicom,
Responsible Designer Signature:
,,a
'S
Shantel Faugno
a vtel i� ylQ
Company:
Date Signed:
Esser Services, Inc.
2016-08-08
Address:
License:
PO Box 1636
489046
City/State/Zip:
Phone:
Cathedral City CA 92235
760-324-0550
Digitally signed by CHEERS'"'. 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: 416-A0002512A-000000000-0000 Registration Date/Time: 2016-08-08 17:23:44
CA Building Energy Efficiency Standards - 2013 Residential Compliance ' Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CHEERS
Report Generated: 2016-08-08 17:23:47