BMCH2014-110578-495 CALLE TAMPICO D �NtiIIICt/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O14-1105
Owner:
Property Address:
47848 DANCING BUTTERFLY
MARY CULSHAW
APN:
600410059
Application Description:
REPLACE 3.5 TON SPLIT SYSTEMFF
r
92253
Property Zoning:Application
Valuation:
$8,700.00
CT 201Q
VOICE.(760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/13/2014
Applicant: I o�ffyoFLAQU►NTA Contractor:
STEVEN SCHNIERER �µMUTJITfDEVELOPMENTDEPARTMENT ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636
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: Contrac' tor:
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 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: _ 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 forthwith
comply with those provisions.
pate: Applicann'to Z 2,
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.
J1 -4
s s
Date: %� 13 1'i Signature (Applicant or Ag� .):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT
PAID'
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
'CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: REPLACE 3.5 TON SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 10/7/2014 MFA
Parcel No: 600410059 Site Address: 47848 DANCING BUTTERFLY LA QUINTA,CA 92253 Approved:
Subdivision: TR 31311 Block: Lot: 129 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $8,700.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -16. SEER/90 FAU SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
STATE
ZIP
PHONE
FAX
EMAIL
CONTACTS
CITY
APPLICANT
STEVEN SCHNIERER
CONTRACTOR
ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636
CATHEDRAL
CITY
CA
92235
OWNER
MARY CULSHAW
92253
Printed: Monday, October 13, 2014 1:47:08 PM 1 of 2 0
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
PARENT PROJECTS
BOND INFORMATION
Printed: Monday, October 13, 20141:47:08 PM 2 of 2 C
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-ALT-02-E
(Page 1 of 4 )
Project Name: MARY ANN CULSHAW I Date Prepared: 2014-10-02 I
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 CF11R-ALT 02 document for each dwelling unit.
01
Project Name
MARY ANN CULSHAW
02
Date Prepared
2014-10-02
03
Project Location
47848 DANCING BUTTERFLY
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARY ANN CULSHAW
07
Zip Code
92253
08
Dwelling Unit Conditioned
1348
Floor Area (ft2)
SC System
SC System
CFA serv1.ed
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
30
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
,� - -0 ,;• .
B. Space Conditioning (SC) System riformation `
01
02
'`., 03;/-�
.:r" 1:04K"'.:
' {05::
<', 06' ,.
_. 07 _:
n 08f
P 09
30
.
t
Is.the SC
Installing a`
SC System
SC System
CFA serv1.ed
system a
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1348
'
'� 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: 214-A0109488A-000000000-0000
Registration Date/Time: 2014-10-02 10:50:17
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-02 10:50:54
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
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.
CF2R-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 Flow z 300 CFM/ton-required when MCH 25 is required.
Exceptions: } +r�
Duct systems registered with HERS provider as prevlously sealed aare•exempt from MCH -20 Duct Leakage f esting requirements 'sq MF
-Heating-only systems and Air Handler/Furnacerchanges do not require verification of Air Flow lvl&-23; or Refrigerant Charge MECH 25.
Existing duct systems constructed, insulated or, sealed with sbestos are exempt from MCH -20 Duct Leakage Testing requirements. 7'
E. Entirely New or Complete Repla� cement,Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A0109488A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time
Report Version: 2014-03-31
Schema Version: 0.551SDD
2014-10-02 10:50:17
HERS Provider: CaICERTS
Report Generated: 2014-10-02 10:50:54
CERTIFICATE OF COMPLIANCE CF1R-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 150.2(b)iC)
This section does not apply to this project.
3 -
oe
.4
4 Y.
Registration Number: 214-A0109488A-000000000-0000
Registration Date/Time
2014-10-02 10:50:17
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-02 10:50:54
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFiR-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:
Esser, Michael
Company:
Signature Date:
ESSER SERVICES INC
2014-10-02 10:50:17
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 Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Co to accept . respoosibility_,or�the building,design o*r,system d_ essig id identified on this Certificate of Compliance (responsible designer).
-dee
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 land Part 6 of the California -Code of Regulations.F.j
. ,.
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,
Ce
N PP g P. PP L JS yy
calculations, plans and specifications sulimitted.to he enforcement age, n for approval with this buildin ermit a kai1 n.— " ,- '�
S. I will ensure that a registered copy ofttils Certificate of Comphance.shall be made available with the building pe�mit(s) issued for,the building and_mad'e,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: ---"".
Responsible Designer Signature: r
Esser, Michael �.
�GG'uaddPiti
Company: `.l
Date Signed:
ESSER SERVICES INC `,
2014-10-02 10:50:17
Address:
License:
P 0 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 noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 214-A0109488A-000000000-0000 Registration Date/Time: 2014-10-02 10:50:17 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-02 10:50:54
Schema Version: 0.551SDD