BMCH2016-025878-495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
T4t�t 4 � I Quilas
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0258
Property Address: 80415 TORREON WAY
APN: 777330058
Application Description: CHALMERS / CHANGE OUT (1)16SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $8,800.00
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
a
Date: Contractor: taa�Z
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 di¬ 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-71E3
Date: 7/14/2016
Owner:
RICHARD CHALMERS
NORTH VANCOUVER BC
CANADA V7R, T3 92253FS��
Contractor:
ESSER SERVICES INC DBA ESSER
P 0 BOX 1636
o z
ry
CATHEDRAL CITY, CA 92235
rn z�
o
(760)324-0550
LIC. 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 perry it
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 forthwiti
comply with those provisions.
0
Date: 1`9 Ilo Applicant:-�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFLL,
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 subjectto
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, End
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, ;Ind
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.
Date: i (� Ib Signature (Applicant or Agent):
FINANCIAL
4 DESCRIPTION- `K f r A000UNT= r QTY; "•'AMOUNT `` = ,PAID F , ,;' PAID DACE
TION �.
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
!PAID BY 1METH( DR £ RECEIPT # {,, f CHECK #, CLTD Bil
r
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT•QTYf
; ,i4MOUNTRF
Y PAID
PAID DALE:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000=42402
0
$72.52
$0.00
"' PAIDBYar,
METHOD';^RECEIPT#
'a
CHECK#CLTDBIe:
M1
DESCRIPTION `„
xACCOUNT
QTYAMOUNT
=PAID
PAID+DATE
^'
ray ,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0.
$36.26
$0.00
PAID BY
METHOD��
" % RECEIPT # ,�
CHECK #v
CLTD BY. A
> {�
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION";
ACCOUNTS;<: f
`QTY
AMOUNT, :
PAID
PAI);DA -E-
,.. ,'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
a ` PAID BY '
;METHOD q a `4
(RECEIPT #
ry CHECK #,
CLTD Bti
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: 00
r
Description: CHALMERS / CHANGE OUT (1)16SEER/80AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/14/2016 SKH
Approved: 7/14/2016 SKH
Parcel No: 777330058 Site Address: 80415 TORREON WAY LA QUINTA,CA 92253
Subdivision: TR 31349 Block: Lot: 142
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: .
Valuation: $8,800.00 Occupancy Type: Construction Type: •
Expired:
No. Buildings: 0 ' No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
,., .. -
„ CQNDITIONS
FINANCIAL INFORMATION
Printed: Thursday, July 14, 2016 8:36:03 AM 1 of 2 '
. sysrrnns
DESCRIPTION
ri'A,CCOUNT -..+
QTY
AMOUNT
PAID
PAID DATE
"RECEIPT #
#.:
PAID BY
qw
s
,CHECK
k
.METHOD
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 -•6
INSPECTIONS
PARENT PROJECTS.--..
W
Printed: Thursday, July 14, 2016 8:36:03 AM 2 of 2
CR?W'1y5'rrm5
Bin #
Qty. of La Quinta
Building 8i: Safety Division
P.O. Box 1504, •78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 80415 Torreon Way
Owner's Name:. Richard Chalmers
A. P. Number.
Address: 80415 Torreon Way
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Esser Services Inc.
Telephone: 604-985-5298 OWNS, ;s .,..
Address: _PO Box 1636
Projer4Description: Replace 4ton A/C, Coil, & 60,000 BTU .
City, ST, Zip: Cathedral City, CA 92235.
Furnace
Telephone: '760-324-0550
a H.= '�" r� "
State Lie. # :' 489046
City'Lie. #;
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone:
V .Y `X
A ::
..,<�jryti3�,.�, .
Construction Type: . Occupancy
State Lic. #:
Project type (circle one): New . Add'n Alter Repair Demo
Sq: Ft.: # Stories: # Units:
Name of Contact Person: Steven Schnierer
Telephone* of Contact Person: 8.18-735-7876
Estimated Value of Project $8,800.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted'
"
Item Amount
Structural Cales..
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M L
H.O-A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
M.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: RICHARD CHALMERS Date Prepared: 2016-07713
A. General Information
CF113-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
RICHARD CHALMERS
02
Date Prepared
2016-07-13
03
Project Location
80415 TORREON WAY
04
Building Type
Single family
'05
CA City
La Quinta
06
Dwelling Unit Name
RICHARD CHALMERS
07
Zip Code
92253
'08
Dwelling Unit Conditioned
2811
-4stallinginew�SC
stalling
%.
g
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
..
containing
Number of space conditioning
more than 40 .
09
Climate Zone
15 "
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
5C system?
B. Space Conditioning (SC) System'Iriformation: -
r.1Y .''
01.
02
03
0elk
091 L
�6
#. 07"
U8
09
10
. ^ .. •. �
4-
- is the SC
..
Installing a
SC System
SC System z-
'CFA served
systema 4
refrigerant
-4stallinginew�SC
stalling
,Installing
g
Identification or
Location or Area
by this SC
ducted
..
containing
system
more than 40 .
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
5C system?
Alteration Type
System 1
Location 1
2811
Yes
Yes
Yes
No .
No
No
Altered space
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: 216-A0260219A-000000000-0000 Registration Date/Time: 2016-07-13 20:53:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-13 20:52:52
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 newThis
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
Reouired Documentation:.
CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans,
-Duct insulation requirement for new plenums: RS.
MR -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 <_ 10% leakage to.outsije :or seal all accessible leaks.
MR -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 F:lowZ'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 requirementsrz.
Heating -only systems and Air Handler/Furnace changes do not require venficaton of Air Flow MCW23 or RefrigeranYCharge MECH 25'=
-Existing duct systems constructed, insulated or sealed with, asbestoss�are exempt from MCH 20 Du%1eakage Testing,require nems
gig. s
:b'.; .,,,.,r #st'. .. `., `err, +':✓ "^ms."io+�*3 t rh« 'Mu• :•:f •sElsi:."' 3vt:r k^^ "+rti+C4^`.e
E. Entirely New or Complete Replacement Di :Nlystem, with or without Equipment Changeoutb(Sections. fS'0.2(,b)1Diia and 150.2(b)1E, F)
"NAThis 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-A0260219A-000000000-0000
CA Building Energy. Efficiency Standards - 2013 Residential Compliance
ReRist�ation Date/Time:, 3Q16 47 13X4;53;4$
Report Version: 2013 Rev 1.007
HERS Proyidgr; calcERT5
Report Generated: 2016-07-13 20:52:52
CERTIFICATE OF COMPLIANCE CF1R-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
2016-07-13 20:53:08
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 Complian, ce..is true and correct.
2. 1 am eligible under Division 3 of the Bu'siness'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 pe%rformance specifications, materials components, and manufactured devices for the building design orsystem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and ParYE;of the California Code of Regulations. `""
Compli
4. The building design features or system design features identified on this Certificet of are cons stent wi4h the inf ation,provided on�otheG° plicabfe pliance documents, worksheets;
yn zr . Aa; .tea r 4 s a' ,•..,� .-w . 'iF _
calculations, plans and specifications submitted to�the enforcement,agency for. approval"with this building permit application.
x 1f3 �.¢ a
.I+4
5. 1 will ensure that a registered copy of tliis'Certificate of Compliance shall bexmatlg,ayailable wi NVO buildng permit(s):,issued for'the. building, and made available;to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Cerf icate of Compliance i_req j,�r.ed to b_e._included with the documeent ion; heybu�ilder pq vides to the building owner at occupancy.
Responsible Designer Name: '' +'
'Responsible Designer Signature. oll,
Esser, Michael
Company:
Date Signed:
ESSER SERVICES INC
2016-07-13 20:53:08
Address:
License:
P O.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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0260219A-000000000-0000 Registration Date/Time: 2016-07-13 20:53:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-13 20:52:52