BMCH2015-026078-495 eAL�E TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&t!t 4 eldi� Q"Kro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0260
46495 WASHINGTON ST
643182019
SOPTICH / CHANGE OUT (1)18SEER/8AFUE SPLIT SYSTEM
$8,000.00
Applicant:
ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
LICENSED CONTRACTOR'S DECLARATION
1 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: � IS Contractor:
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
VERONICA SOPTICH
46495 WASHINGTON ST
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA
P 0 BOX 1636
CATHEDRAL CITY, CA 922
(760)324-0550
Llc. No.: 489046
Date: 7/10/2015
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.
St—.' 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.
Date:'—Applicant
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.
Date: _7 1 O t5 Signature (Applicant or Agent):,
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ESSER
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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.
St—.' 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.
Date:'—Applicant
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.
Date: _7 1 O t5 Signature (Applicant or Agent):,
r
FINANCIAL •1•
DESCRIPTION k � ;. x. ACCOUNTOUNT q PAID—;—, PAID DATE
y
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
t �'• ri. ;PAID. BY . w v :;METHOD r =;w1RECEIPT # c "` CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
* .DESCRIPTION.'
,; 'ACOUNT_' M
`itQTY
z `AMOUNT, ' `
' "PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID$Y, ,'' ,"-
# '' i : `METHOD
RECEIPT #i , K
CHECK'#,.'
CLTD BY "
,DESCRIPTIONS
ACGOUNT�„ Y+ .�
•QTY`
AMOUNT,
- 'PAID
'
PAID DATE.
HVAC CHANGEOUT - SPLIT=SYSTEM PC
101=0000-42600
0.
$36.26
$0.00
,
t y PAIf)$Y
METHOD
,':RECEIPT#�
x=• CHECK#
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION ;
*. `: ACCOUNT i-' >
QTY
:. _r AMOUNTS :��
' ` °PAID _
PAID -DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
APAID.'BY , ` >;'
r
, ' . .METHOD , x ,.
%ti F RECEIPT #
. _ ,
CHECK #' ",',.
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• • ••
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Description: SOPTICH / CHANGE OUT (1)18SEER/8AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/10/2015 SKH
Approved:
Parcel No: 643182019 Site Address: 46495 WASHINGTON ST LA QUINTA,CA 92253
Subdivision: TR 2117 Block: Lot: 76
Issued:
, F
Lot Sq Ft, 0 Building Sq Ft: 0 - Zoning: _
Finaled: -
Valuation: $8,000.00. Occupancy Type: Construction Type: '. -
Expired:
No. Buildings: 0 No. Stories: 0' No. Unites: 0
Details: HVAC CHANGE OUT-18SEER/8AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
'INSPECTION. 2013 CALIFORNIA BUILDING CODES.,
Printed: Friday, July 10, 2015 11:46:06 AM
11
1 of 2 C SYSTEMS
FINANCIAL INFORMATION
CONTACTS
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APPLICANT
ESSER SERVICES INC DBA ESSER A
P O BOX 1636
CATHEDRAL
CITY
CA
92235
CONTRACTOR
ESSER SERVICES INC DBA ESSER A
-
P O BOX 1636
CATHEDRAL
CITY
CA
92235
OWNER
VERONICA SOPTICH
46495 WASHINGTON ST
LA QUINTA
CA
92253
Printed: Friday, July 10, 2015 11:46:06 AM
11
1 of 2 C SYSTEMS
FINANCIAL INFORMATION
Printed: Friday, July 10, 2015 11:46:06 AM
11
1 of 2 C SYSTEMS
• :.�-� ,�• ...amu:.. :--
,O>_M� P.:L-. TDI SEQID TYPEINSPECTOR SCHEDULED ._ �RESULT?, _...P1REMARKS
EMARKS _ AF ..� NO-T-ES':,t,�-
DATE DATE .:� _
MECHANICAL FINAL" BLD
PARENT PROJECTS
";ACCOUNT
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RETURNED
". is
REMARKS,
'
k
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CLTD;,
DESCRIPTION:*
f' rx
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QTY .
AMOUNT
PAID •
PAID DATE.
,RECEIPT #'
CHECK #.
. METHOD`.
"�• PAID
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•
• INFORMATION
ATTACHMENTS
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING 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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total.Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
• :.�-� ,�• ...amu:.. :--
,O>_M� P.:L-. TDI SEQID TYPEINSPECTOR SCHEDULED ._ �RESULT?, _...P1REMARKS
EMARKS _ AF ..� NO-T-ES':,t,�-
DATE DATE .:� _
MECHANICAL FINAL" BLD
PARENT PROJECTS
Printed: Friday, July 10, 2015 11:46:06 AM
2of2
COSYSTEMS
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RETURNED
REVIEWS
REMARKS,
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REVIEWTYPE; : a REVIEWER ,
,
SENT DATE ' DUE DATE
_STATUS -0
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•
• INFORMATION
ATTACHMENTS
Printed: Friday, July 10, 2015 11:46:06 AM
2of2
COSYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
VERONICA SOPTICH I Date Prepared:
CF111-ALT 02.E .
(Page 1 of 3 )
2015-07-09
A. General Information
CF11R-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
VERONICA SOPTICH
02
Date Prepared
2015-07-09
03
Project Location
46495 WASHINGTON STREET
04
Building Type
Single family
05
CA.City
La Quinta
06
Dwelling Unit Name
'VERONICA SOPTICH
SC Systeme
SC System
CFA servedsystem
Dwelling Unit Conditioned
F7 *. 1r'a
refngeant }ynstalling-new
07
Zip Code
92253
08
Floor Area (ft2)
1299
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.
SC system?
B. Space Conditioning (SC) System Information:
'#.
01
02
03
04
05
0.6
07
08
09
10
-
ails the SC`s
--
In iallmg a
�x
Baa
AT
SC Systeme
SC System
CFA servedsystem
' ?. 3
a`
F7 *. 1r'a
refngeant }ynstalling-new
*I *Installing"" w., 5ristal)
: ' s g,
g
.P,a1,R+- �pkn�
Intalli
+^
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
Altered space
System 1
location 1
1299
Yes
Yes
Yes
No
No
No
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: 215-A0187729A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
I
Registration Date/Time: 2015-07-09 10:26:56
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS.
Report Generated: 2015-07-09 10:23:09
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)lE and F)
01
02
03
04
05
06
07
08
09
10
it
12
Heating
ti
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
All new
All new
This field or
This field or
System 1
Cenral gas
heating
AFUE
0.8
Central split
cooling
SEER
18
Setback
section is not
section is not
furnace
components
AC
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 5 10% 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 >_300 CFM/ton required when MCH -25 isorequired.
Exceptions: �. f
with HERS as sealed are exempt froMWCH-20 Duct Leakag&Testing requirements.1
-Duct systems registered provider previously
-Heating-only rystems and Air Handler/Furnace changes do not require verificat on of Air Flo N1CH4�yy23, or Refrigerant Lha�ge MECH 2
r�,, r
Existing duct systems constructed, insulated or sealed with asbestos.are exempt4rom MCH=20 Duct Leakage Testing requirements., i
�'
E. Entirely New or Complete Replacement Duct System, with or wrthou .,qufpment Changeout (Sections 150 2(b),1Dna;'andr15,0.2(b)lE, F)
"This 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: 215-A0187729A-000000000-0000
Registration Date/Time: 2015-07-09 10:26:56
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-09 10:23:09
Schema Version: 0.555SDD
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: �%
Jacoby, Ian
U'a)z facor
Company:
Signature Date:
Stratz Permit Service
2015-07-09 10:22:52
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876.
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 36f 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 Part6;of the California Code of Regulations. )
4. The building design features or system design features entified o his Certifica eOf Compiance arefconistentwtxthe formation;provided on;othef plicalile"compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency forjapprovallwrth this build ng permit application. ,
5. '1 will ensure that a registered copy of this:Ce`rtificavt of C m�pliance shall be.made available with the bulydtrig'tpe[mit(s")£issuetl for/the buildg, and,-ade available to thetenforcement 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.
fi. H _� ,r� "-e, .�.'... k� ry?-"si r/---�, P,; st - war,
Responsible Designer Name: *i
Respone Designer Signature: V tIt'sibl
��
Esser, Michael
Company:
Date Signed:
ESSER SERVICES INC
2015-07-09 10:26:56
Address:
License:
P 0 BOX 1636
489046
City/State/Zip: _
Phone:
CATHEDRAL CITY CA 92235
(760) 324-0550
Digitally signed by Ca10ERTS. 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: 215-A0187729A-000000000-0000 Registration Date/Time: 2015-07-09 10:26:56 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliahce Report Version: 2014-03-31 Report Generated: 2015-07-09 10:23:09
Schema Version: 0.555SDD
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Big #
1.
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City of La Quinta
Building &r 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: Q(pyc)s
Owner's Name: vetOr�iGo So
A. P. Number: ;
Address:
Legal Description:
City, ST, Zip: LG Q a C A et -z
Contractor:
S er �Kv�nes
Telephone: % (o — 514_ �(ogt�
Address: , 6 Bc�oc
Project Description:
City, ST, Zip: Cc.�\,.cacc_k. C; CA 9 ZZ3S
bac e } Coi L� C DO
Telephone: one: —7(00-3Z 4 D "
ssu
State Lic. # : 4 a `10q -G
City Lic. #c
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
e one:
P
Construction n TY Pe: aneY
Occupancy:
:
State te Lic. #:
Project type (circle one • New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: g OOH, 00
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 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
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.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees