BMCH2014-105578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
c&hw 4 4aQ91Arw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH 2014-1055
78355 CRESTVIEW TER
643193017
HVAC 4 TON SPLIT SYSTEM
$0.00
Applicant:
ESSER SERVICES INC DBA ESSER A /
P 0 BOX 1636
CATHEDRAL CITY, A 92235 11
wlG Is
2014 V I
�1 DEPM
r,OMMUNII`l DDE`1ELOPb'1ENS iMENS
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 ffect.
License Clas : C20 Lice se No.: 48904
��•Date: ��Contractor:
II OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr c or'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 allege
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/25/2014
Owner:
FRANCES WERMERSKIRCHEN
78355 CDRESTVIEW
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 .
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:
Ca A.t
Policy Number:
ertify that in the performance of the work for which this permit is issued, I
shoy any person in any manner so as to become subject to the workers'
compensation laws of California, andagree th , I should become subject to the
workers' compensation pr visions c Secti 3700 f the Labor Code, I shall forthwith
comply with t ose pis'
bate: qAplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER GEIS U LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL S 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 tate la eating building
construction, and here y aut orize representatives this city t nter upon ove-
mentinroperty fo i sp ction purposes.
Date: Si. ature (Applicant or Int):
FINANCIAL .1,
DESCRIPTION
ACCOUNT
CITY AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0 $71.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION =
ACCOUNT
CITY:
AMOUNT
PAID
PAID_DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $107.25 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
'$90.57
$0.00
PAID BY'
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
• 1 0•
Permit Number: BMCH2O14-1055
Applied: 8/25/2014
Issued:
Status: SUBMITTED
Parent Permit:
Parent Project:
Approved:
Finaled:
Description: HVAC 4 TON SPLIT SYSTEM
Site Address: 78355 CRESTVIEW TER
City, State Zip Code: LA QUINTA, CA 92253
Applicant: ESSER SERVICES INC DBA ESSER A
Owner: FRANCES WERMERSKIRCHEN
Contractor: ESSER SERVICES INC DBA ESSER A
Details:
REPLACE 4 TON SPLITSYSTEM UNIT 78% 13 SEER 2013 MECHANICAL CODE2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES DESCRIPTION.
Printed: Monday, 25 August, 2014 1 of 1
CRMI
Bin #
City of La Quinta
Building 81: Safety Division
P.O. Box 1504, 78-495 Calle Tampico . .
La Quints,CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: �S
A. P. Number:
Address: 354S C Y -e -
Legal Description:
City, ST, Zip: LCA
Contractor: c _ ./
S ?
-
Tcicphon
r.
Address:
Description:
City, ST, Zip: C
ru- CA 97M
Telephone:J�/v,,J
State Lic. # :
City Lie. #•:'
Arch., Engr., Designer.
Address:
City., ST, Zip:
'
Telephone:
z •
Construction Type: Occupancy:
P roJecttyP (circle e• New Addn Alter Repairair
Demo
Stato Lic. #
Name of Contact Person:
Sq. Ft.:
PE tories:
Units:
Telephone # of Contact Person:
^#
--)Estimated Value of Project:l-J V
# Submittal
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rcq'd Recd TRACHINIG PERMIT FEES
Plan Sets
PIan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for corrcctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
ki
J
CERTIFICATE OF COMPLIANCE MR -ALT -02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: Fran Wermerskirchen Date Prepared: 2014-08-20
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 CF1R-ALT-02 document for each dwelling unit.:
01
Project Name:
Fran Wermerskirchen
02
Date Prepared:
2014-08-20
03
Project Location:
78355 Crestview Terrace
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
House
07
Zip Code:
92253
08
Dwelling Unit Conditioned
1200
untt �.
installing
for sealing,
system's
Floor Area (ft2):
)Is the iltered
t:
Altering or
Number of space conditioning
-more than 40
09
Climate Zone:
15
10
(SC) systems being altered in
1
_
or mstalied�"
em a
UcQYnR
system?
"installing a
refrigerant
component?
cooling heating
coil, or
h5dd +Ass
etc)
linear feet of
new or
jFAjQftnt
ducts?
this dwelling unit.:
and ducts new
or replaced?
(entirely new
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: 314-A1001264A-000000000-0000 Registration Date/Time: 2014-08-20 22:12:13 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03.31 Report Generated: 2014-08-20 22:11:43
B. Space Conditioning (SC) System Information
O1
02
03
04
05
06
07
08
09
10
�_
installing new
components?
,(packaged unit, or
Is the entire
duct system
accessible
Are all of the
untt �.
installing
for sealing,
system's
)Is the iltered
t:
Altering or
.condensing
, or
-more than 40
and is more
components
SC System
Identification or
Name
SC"System
Location or Area
Served
gM
CFA served
by this SC
System (ft2)
_
or mstalied�"
em a
UcQYnR
system?
"installing a
refrigerant
component?
cooling heating
coil, or
h5dd +Ass
etc)
linear feet of
new or
jFAjQftnt
ducts?
than 75% of
the duct
system new
or replaced?
and ducts new
or replaced?
(entirely new
system)
I Alteration Type
System 1
Uving Space
1200
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: 314-A1001264A-000000000-0000 Registration Date/Time: 2014-08-20 22:12:13 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03.31 Report Generated: 2014-08-20 22:11:43
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
0S
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 split
All new
Central split
All new
Less than or
System 1
HP
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
MR -MGH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
MR -MGH -20-11 & MR -MCH -20.H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 it of duct length is replaced.
-Leakage rate compliance: 51596, or 5 1036 leakage to outside, or seal all accessible leaks.
CF2R-MCH-Z5-H & CF3R-MCH-2S-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
.
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow;-- 300 CFM/ton required when MCH -ZS 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.
E. Entirely NewLoi Complete Replacement Duct System, with or without"Equipmerit Changeout(Sectlons 150.2(b)iDlia and 150.2(b)1E, F)
U.S. Energy Raters Association
Registration Number:314-A1001264A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/T-ime: 2014-08-20 22:12:13
Report Version: 2014-03-31
HERS Provider: USERA
Report Generated: 2014-08-20 22:11:43
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 15O.2(b)iC)
This section does not apply to this project.
^_
U.S. Energy Raters Association
Registration Number: 314-A1001264A-0W000000-0000 Registration Date/T`ime: 2014-08-20 22:12:13 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-20 22:11:43
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Michael Esser
Signature Date:
Company:
Esser Services Inc.
2014-08-20
Address: -
CEA/ HERS Certification Identification (if applicable):
P O BOX 1636
489046
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235
760-324-0550
Responsible Person's Declaration statement
I certify the following under penaltyof perjury, under the laws of the State of California:
1. The information provided on this Certificpte 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 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 for approval with this building permit application.
S. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with -the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. l understand that_a, regi Ftered,copyof t.4tfiertificate.ofCompliarxeis re9wredto beindlided with the documentation the builder provides to the building owner at occvpanq.
F
Responsible Designer me:
r it .�
*
— 4 M
Responsible Designer Signature: Wad ,...I G...�
p� .`'�5�j tVtU C�1
Michael Esser
r 'L Vk Michael Esser(Avg 20.201a
ny:��� —.__ -
Compat
Date�Slgned:
Esser Services lnc.
2014 08 -20
. -
Address: a
P 0 BOX 1636 U.S. Energy Ral&A&Association
License:
City/State/Zip:Phone:
CATHEDRAL CITY CA 92235
760-324-0550
TOA
This digital signature is provided in order to secure
the content of this registered document. and in no
wey implies Registration Provider responsibility for
U.S. Energy Raters Association the accuracy of the information. -
Registration Number: 314-A1001264A-000000000-0000 Registration Date/Time: 2014-08-20 22:12:13 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-20 22:11:43