BMCH2017-038278-49S,CALLE TAMRICO -
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0382
Property Address: 48538 VIA AMISTAD
APN: 646122045
Application Description: MEIDINGER RESIDEN E C CHANGE OU
Property Zoning: A
Application Valuation: $9,540.00 AUG 2 9 ?O"
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DENNIS MEIDINGER
41818 MND AVE SE
.ENUMCLAW, WA922S3
Date: 8/29/2017
EAppPNICant: D�SIGNANDDF/�F,AQU1NTA ESSER SERVICES INC ESSER AIR CONDITI
W STLAKE VILLAGE, CA 91362 4P31225 LA BAYA ^n�NrD�PA�Ti1/IFNT CATHEDRAL CITY, CA 92235
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
'Date: 617q I.I� S('nntrartnr•� 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 Profession's 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).:
(_) 1, 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.).
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
Ihereby 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:
(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 J Policy Number: WSDS030167
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 proJisions.
Date`: —R] Zq &Applicant:�w�.v�—�—�� v
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 actor 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.
Dam te., t�7 Signature (ApplicantorAgent):��—
Date: 8/29/2017
' .L>pPlicativn.;lUurnber.., BMCH2017-0382
Owner: '
Property Address: 48538 VIA AMISTAD
DENNIS MEIDINGER
• APN: 646122045
41818 222ND AVE SE
Application Description: MEIDINGER RESIDENCE / HVAC CHANGE OUT
ENUMCLAW; WA 92253
Property,Zoning:
Application Valuation: $9,540.00
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
Detail: HVAC CHANGE OUT - 14 5EER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION :2016
CALIFORNIA BUILDING CODES.
.
1
0
ALINFORMAT,ION
BSAS 581473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101=0000-42600
0.1
$38.00
Total Paid for CHANGEOUT: $114.00'
DESCRIPTION ?
:ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE .
101-0000-42404
0
$96.27
Total Paid for PERMIT.ISSUANCE: $96:27
DESCRIPTION
ACCOUNT
QTY
-AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
,r
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Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Shz et
Permit#
Project Address:
Owners Name:
'��rri
A.P. Number
Address: y 8s 3g V-
Legal Description:
City, ST, Zip: CA aZiLz�,
Contractor:
��5�' Se�v:ccs -LY.G•
Telephone:
7
Address: l>O `� 1
Project'Descripdon:
City, ST, Zip:����ac�ro.1 Cz� CA �;ZZ3�
c QCX7��is h
Telephone: • —oto®- 32ii Oli'S L
State Lic. #: City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:.
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt:
#Stories
#Units:
T]elephone of Contact: Z'VR 735- 7e -1b .
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Cales
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person'
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: DENNIS MEIDINGER Date Prepared: 2017-08-29
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
DENNIS MEIDINGER
02
Date Prepared
2017-08-29 J
03
Project Location
48538 VIA AMISTAD "
04
Building Type
Single family
05
CA City
La Quinta ,rf'`
�06
Dwelling Unit Name
HOME
Is the SC
�Unry
Installing a
to w€ +,
w�? t :I s rlt;
07
Zip Code
I�yj
92253
08
Dwelling Unit Conditioned
1991
CFA served
systema
refrigerant
Installing new SC
Floor Area40 (ft2)
Installing
Installing
t"(
x" !
f
) 1
Number of Space
ducted
09 .
Climate Zone
15 �=
10'
Conditioning (SC) Systems in
1
Name
Served
System (ft)
system?
this Dwelling Unit:
components?
'
B. Space Conditioning (SC) System Information ) i _ dn
01
02
03
04 `
) 0'S
06* i '
07
08
09
10
Is the SC
�Unry
Installing a
to w€ +,
w�? t :I s rlt;
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or.
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
1991
Yes
Yes
Yes
No
No
No -J
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020112784A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-29 10:56:05
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-29 10:56:06
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)1E and F)
01
02
03
04
05
06
07
08
09
10
it
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
0.8
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems a1 {
Duct insulation requirement for the new portions of supply -air and return -air ducts orplenums -R6 (CZ 1 10,;12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are, stalled in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions: �r
.
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 MCH -25. .
-Existing duct systems constructed, 'insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
iw ' i +ate
E. Entirely New or Complete Replacement Duct System, with or without Equipment;. Changeoat (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This s ton does not apply tot is pro ect.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020112784A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-29 10:56:05
Report Version: 2016.1.006
3LIM1116 Verdun: rev 10/1G
HERS Provider: CHEERS
Report Generated: 2017-08-29 10:56:06
y
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:
Forrest Gregge
TOtf�'Q
Company:
Signature Date:
I Permit E Raters
2017-08-29
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
RCN13161
City/State/Zip: ,`,
Phone:
Westlake Village CA 91362 y'`')�
818735-7876
Responsible Person's Declaration statement
certify the following under penalty of perjury, under the laws of the State of California: sx <,
'The
1. information provided on this Certificate of Compliance is true and corrects
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.
5.- 1 will ensure that a registered copy of this Certificate of Compliance shall bbe�madeAvailab`e with -thee uilding permlt(s) &ued 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.
Responsible.Designer Name: r
l ���
SRespoYnsi,ble;Designer Signature:
.Pt
Shantel Faugno
'TOrre%tCre9��(autixorinaed.)
Company:
Date Signed:
Esser Services, Inc.
2017-08-29
Address:
License:
PO Box 1636
489046
City/State/Zip:
Phone:
Cathedral City CA 92235
760-324-0550
Digitally signed by CHEERSTM. 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: 417-A020112784A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 10:56:05 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-29 10:56:06
- Sthenia Version) rov 30/16