BMCH2016-035078-495 CALLE TAMPICO Ct 0 DcCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING,PERMIT
Application Number: BMCH2016-0350
Property Address: 43612 W PARKWAY ESPLANAD
APN: 609590023
Application Description: LOPEZ / CHANGE OUT (1) SPLIT SYSTEM" C
Property Zoning: �F� SEP 2 0 .2
Application Valuation: $6,663.00 o�b
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
CITY OFUWUINTA —
COMMUNITY DEVELOPMENT DEPARR1ENT
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: Contracto"r:�
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 doesnot
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 improvemen6s— 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 wconstruction 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: 9/20/2016
Owner:
MARCOS LOPEZ
43612 PARKWAY ESPLANADE W
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 a4will 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.
S��I have and will maintain workers' compensation insurance, as required by
Section 3700o fthe 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 Policy 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',gree 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..:
Applicant:�—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, .
ANQSHALL 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'restrictioris 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.
r ^",�+ �_
Dat �-i� ZtJ "jb Signature (Applicant or Agent)!n�� �
s+✓ ' ,V
Application Number: BMCH2016-0350
Property Address: 43612 W PARKWAY ESPLANADE
APN: 609590023
Application Description: LOPEZ / CHANGE OUT (1) SPLIT SYSTEM
Property Zoning:
Application Valuation: $6,663.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 9/20/2016
Owner:
MARCOS LOPEZ
43612 PARKWAY ESPLANADE W
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
-----'----------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - (1)14SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
a
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M V1
DESCRIPTION
r'° ACCOUNT
QTY '
AMOUNT
BSAS SB1473 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
$72.52
DESCRIPTION
,ACCOUNT:; '`
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000=42600.-;
0
$36.26
Total Paid for CHANGEOUT:
$108.78
DESCRIPTION :'
ACCOUNT
QTY"
AMOUNT
PERMIT ISSUANCE
' 101-0000-42404
0
$91.85
%;
Total Paid foc PERMIT ISSUANCE:
$91.85.
c
r
r r
Bin. #
: . ..:
-lty of =La. Quthta
Building 81' Safety,Pkkion
P.O. Boz= SO4,78-495 Calle Tampico
[a.Quinta, CA 9'2253 -(760) 777-7012
Building Permit Appl!caionand.Tracking Sheet
Permit #
Project Address: 43612 Parkway Esplanade West
Owner's.Name:; Marcos Lopez.
A. P. Number.
Address: 43612 Parkway Esplanade West
Legal Description:
City; ST, Zip: La Quinta, CA .92253
Contractor: Esser Services Inc.
Tele hone:.760-360-01.90 .,
Address: P.O. Box 1636
:ProjectDesc tion: Replace 4 ton A/C, Coil, & 100,000 BTU
City, ST, Zip: Cathedral City, CA .92235.
Furnace
Telephone: 760-324-0550
^�
<'i.' �'"¢`a✓ii%yam;:
State Lie. # :.489046
City<Lic #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: `� .
p,V Y.
State Lie. #:
Name of Contact Person: 'Steven Schnierer
-'Goiutruction Type:Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq: Ft.: # Stories: # Units:
Telephone # of Contact Person: 8.18-73577876
Estimated Value of Project $6,663.00
APPLICANT: DO -NOT W1317E-BELOW,THIS LINE
tF
Submittal
Req'd
Reed
TRACKING
PERMIT FEES .
Plan Sets
Plan Check submitted
Item . Amount
Structural Calm
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
2'4 Review, ready for,correct'ionsCissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S M.I
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval:
Called Contact Person -
A.LP.P.
Pub. Wks. Appr
Date ofpermit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly. CF-iR-ALT HVAC)
Project Name:
MARCOS LOPEZ I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-09-19
A. General Information
MR -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
MARCOS LOPEZ
02
Date Prepared
2016-09-19
03:1.
AProject•Location
43612 PARKWAY:ESPLANADE WEST
04.
Building -Type
Single family
05
CA City :, .
LA QUINTA
•06;
Dwelling Unit Name
WHOLE HOUSE
07.
Zip Code
92253
`
08
Dwelling Unit Conditioned'"
Floor Area
3067
Installing
Installing
R
R
a (ft2)
Location or Area
by this SC _
ducted )"�
3 '�
9.
��
„e # sys emY K ,'
'Number of�space conditioning
entirely new
09
Climate Zone
15
=10(SC)
systems in.this dwelling
1
component?
components?
feet of ducts?.
duct system?
unit.
Alteration Type
B;,Space Conditioning;(g System Information.
01
02
03
04 -
05 ®r, W-
06
07
08
09
10
Is the SGSInstallmg
as
SC System
SC -System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing'
Identification or
Location or Area
by this SC _
ducted )"�
cont4im g A)
„e # sys emY K ,'
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
WHOLE HOUSE
3067
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(6)1biib)
This section does not apply to this project.
Registration Number: 416-A0004637A-000000000-0000
Registration Date/Time: 2016-09-19 13:03:09
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09-19 13:03:12
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)
O1
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
80.00
AC
cooling .
SEER
14.00
Setback
section is not
section is not
components
components
applicable
applicable
Reouired DocumeniaLon
.
CF20MCH Ol E Space Conditioning Systems Ducts and Fans'.
-Duct insulation requirement for new plenums: R6.
E .
CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testing required when heating or cooling cofimponenreinstalled-J ducted systems, or when more than 40 ft of duct length is replaced.
rate compliance: 5 15%, or 516% leakage to outside, or all accessible leaks..
-Leakage_ seal
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge'Verification required when refrigerant containing corn , nents are installed or altered (applicable in CZ 2; 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow a 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 LeakageJesting requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, orRefngerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos.are exempt from MCH -20 Duct Leakage Testing requirements.
i fig= _.� I i•
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)Wiia and 150..2(b)1E, F)
Th s sectio des not appl�y".to Hi'" project.
F. Entirely New or. Complete Replacement Space Conditioning System (Section 150.2(b)1C) '
This sectioh.does not apply to this project.
Registration Number: 416-A0004637A-000000000-0000
Registration Date/Time: 2016-09-19 13:03:09
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09719 13:03:12
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:
Shantel Faugno
$YLAM P.L FaUgVLO-,
Company:
Signature Date:
Esser Services, Inc.
2016-09-19
Address:
CEA/ HERS Certification Identification (if applicable):
PQ Box 1636
City/State/Zip. • "
<Phone
Cathedral City CA 92235. e
760324;0550
Responsible Pers'on's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of.California: "" " n `
1. The information provided on this Certificate of Compliance -is true and correct. "
Iity
2. 1 am eligible underbivision_3 of the Business and rofessions Code to accept responsib for tthe build ng design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy'feature`s, and'performance specifications, materials, components; and manufac d devices"for the building design or system desigri identified on this Certificate of Compliance conform to the
requiremenis.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 fforgapptro�val,with this building permit application.
5. I will ensure that a.registered copy of this Certificate of Compliance `shal6 bemade�available with the building:permit(s) i"ssued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliarfitb is-required�to: be included with*the documentation the builder provides to the building owner at occupancy.
A: U 1 3 X
Responsible Designer Name:
Sliantel Faugno �`���'� �ri'r
Responsible:Design6rSignature:
$lM{
uutiteL
Company:
Date Signed'
Esser Services, Inc.
2016-09-19
Address:
License: "
P.O 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-A0004637A-000000000=0000 Registration Date/Time: 2016-09-19 13:03:09 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-09 19 13:03:12