BMCH2015-027378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0273
Property Address:
47935 VIA OPERA
APN:
643140041
Application Description:
ARNOLDUS / (2) 13SEER/78AFUE SPLIT SYSTEMS
Property Zoning:
Application Valuation:
$13,875.00
Applicant:
IE INC.
32115 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
Date: � Ib � 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.).
(� 1, 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 Addre!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/16/2015
Owner:
JACOBUSARNOLDUS
47935 VIA OPERA '
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA ESSER.A
P 0 BOX 1636
ry
CATHEDRAL CITY, CA 92235
` j
c
(760)324-05!50
�' `
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.
Tai . 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.
Daie:' (� I 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:' Ib Signature (Applicant or Agent):
FINANCIAL INFORMATION
AMOUNPAID PAID.D'ATE
` DESCRIPTION ACCOUNT tea QTY f : "T`.; x r
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
*PAID BY E r sT` 'r '`f fi ""� METHOD `� �� `RECEIPT # +a ..� . 'CHECK #r ' CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
:DESCRIPTIONS F
'„`ACCOUNT, ?•' #
.QTYc
;AMOUNT "i,'
PAID, ;
PAID DATE.
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
RECEIFT.,#
CHECK #
?CLTD BY..
ACCOUNT”.'! �i
'QTY
MAMOUNT r
: ;-PAID
PAID:DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0l
$72.52
$0.00
"PAID PAID BY s a
r:zi ..
v c'
.�METHOD4r »`e".rGRECEIPT#
x.
h CHECK# t
CL
Total Paid forCHANGEOUT: $217.56 $0.00
" ;,DESCRIPTION')-! r r v
°:y i� ACCOUNT =s
QTY
�' ;AMOUNT
PAilp; . -'#
PAID.DATE
PERMIT ISSUANCE
101-0000-42404
.0 •
$91.85'
$0.00
METFIOD �* µ .+.
n g RECEIPT•#¢ , ;,
CHECK # ,
CLTD^.BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: ARNOLDUS / (2)13SEER/78AFUE SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW -
Applied: 7/16/2015 SKH
Approved:
Parcel No: 643140041 Site Address: 47935 VIA OPERA LA QUINTA,CA 92253
Subdivision: TR 26152 Block: Lot: 97
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,875.00 Occupancy Type: Construction Type:
Expired: n
No. Buildings: 0 , No. Stories: 0 No. Unites: 0 _
Details: HVAC CHANGE OUT : (2)13SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO B7INSTA7LLED OR TOFINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADD •
CHRONOLOGY
• •
CONTACTS
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APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
.(760)771-5317
'
CONTRACTOR
ESSER SERVICES INC DBA ESSER A
P O BOX 1636
CATHEDRAL
CITY
CA
92235'-
(760)771-5317
r
OWNER
JACOBUS ARNOLDUS
47935 VIA OPERA
LA QUINTA
CA .
92253
(760)771-5317
FINANCIAL INFORMATION
Printed: Thursday, July 16, 2015 8:52:34 AM 1 of 2
0TWsYSTEMS.
Z '71'
777 -7-77777
7
T- r
"AMOUNV
EQID�,, "INSPEI
t-,'INSPECTORL' - SCHEDULED, ,COMPLETED -
REM
�S
DATE
'CLTD-Z
.,,DESCRIPTION;'f'
'ACCOUNT
�<ITY
PAID
PAID DATE
=RECEIPT
CHECK #
MET1406"
PAID BY4
BY
ee
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
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52'
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $310.41 $0.00
PARENT PROJECTS
INSPECTIONS
EQID�,, "INSPEI
t-,'INSPECTORL' - SCHEDULED, ,COMPLETED -
REM
�S
DATE
k',
MECHANICAL FINAL"
BLD
PARENT PROJECTS
Printed: Thursday, July 16, 2015 8:52:34 Am 2 of 2 ICRWSYSTEMS
BOND
INFORMATION
ATTACHMENTS
col
Printed: Thursday, July 16, 2015 8:52:34 Am 2 of 2 ICRWSYSTEMS
Bin .#
CIS}/ Of lc? QI1I;t1tci
Building a Sareiy 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:•47935 Via Opera
Owner's Name:.Jay Arnoldus
A. P. Number.
Address: 47935 Via Opera
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Esser Services Inc.[Telephone:760-771-5317
Address: PO Box 1636
Project Description:
City, ST, Zip: Cathedral City, CA 92235
Telephone: 760-324-0550 '`'' "
Replace 3ton A/C, Coil, &90,000 BTU Furnace
Replace 4ton A/C, Coil, & 110,000 BTU Fu nace
State Lie. # : 489046
City Lic. #.•
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone: l" ` a :�
State Lic. #: ,IR;„;;
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.: #Stories: #Univ:
Telephone # of Contact Person: 818-735-7876 Estimated value of project: $13,875.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMI'P 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 Calci.
Pians picked up
Construction '
Flood plain plan
Plans resubmitted.'.
Mecharilcal
Grading plan
2'a Review, ready for correctionsfiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
f
CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: JAY ARNOLDUS Date Prepared: 2015-07-15
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
JAY ARNOLDUS
02
Date Prepared
2015-07-15
03
Project Location
47935 VIA OPERA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JAY ARNOLDUS
SC System
SC System J,'
CFA served'
Dwelling Unit Conditioned
refrigerant t
t w
07
Zip Code
92253
08
Floor Area (ft2)
2507
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
2
system?
component?
' .
feet of ducts?
unit.
SC system?.
B. Space Conditioning (SC) System Information -lzo-
01
02
101
i l 0411
�05
f "6
07"'
1 Q8 l (
. _09
10
-'4''a.
JAIs the SC
Installing a
,
SC System
SC System J,'
CFA served'
systema F.
refrigerant t
t w
Installingrnew SC
c,
Ifistallmg
�w
'Installing
ik
Installing
Identification or.
Location or Area
by this SC
ducted
,
containing
system
more than 40
,a
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?.
Alteration Type
3 TON SYSTEM
Location 1
1000
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
4 TON SYSTEM
Location 2
1507
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0194965A-000000000-0000 Registration Date/Time: 2015-07-15 21:12:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 21:12:58
Schema Version: 0.555SDD
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)lE 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
Less than or
3 TON SYSTEM
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
4 TON SYSTEM
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.'
Ir
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating o coioling components_ are -installed -in ducted systems or when more than 40 ft of duct
-Leakage rate compliance: 515%, ors; 10% leakage to outside, or seal accessibre leaks.
length is replaced.
-all .
62R -MCH -25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant-containing:components-are installed or altered'(applicable in W21 8 15)L-7 U, .
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required'when MCH -25 is reg6ired. gg
Exceptions: U
CO.
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements,
�! F'i Yf "� F
Heating -only systems and Air Handler/Furnacechenges do not require verification�of Air Flow -MCH -23; or Refrigerant Charge MECH-25 sE.
-Existing duct systems constructed, insulated or sealed with asbestos arexempt from MCH -20 Duct Leakage Testing re"uirements
.E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(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-A0194965A-000000000-0000 Registration Date/Time: 2015-07-15 21:12:45 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 21:12:58
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
can Cjaco�
Company:
Signature Date:
Stratz Permit Service
2015-07-15 21:12:33
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301 ' f
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 onthisCertificate of Compliance' is true and correct.
2. 1 am eligible under Division 3 ofthe Business and Professions Code to accept.responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
i manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
3. That the energy features and performance specifications,�matenals; components, and
res matde
ati ors,
requirementsher of Title Parti and Part 6bf the of Re ulations.
Ydmpli
4. The building design features or system design features identified on,tthiis Certif cateoof �. ante are consistenCwithAhe information provided on ottieF6r phcable co pliance documents, worksheets,
t i m tom,
calculations, plans and specifications submitted to the enforcement agency forapproval with this building permit application.., i
YAK 91
h �i,€ .R io :AS ;�,- X8..
5.. twill ensure that a registered copy of this Certificat sof Compliance shall be;ma,de available wdh the; buildingspermit(s),issued fonthe bwldmg, and made available to thQgnforcement agency for all applicable
inspections. I understand that a registered copy of this•C�ertificate of Compl anceK requiced.to be the documeentation,,thebbuilder pr�ovviid•es tgpthe building owner at occupancy.
.,included�w-it�h -
Responsible Designer Name: S '
Responsible Designer Signature:`
�GG'uaC44PJli
Esser, Michael
'Company:
Date Signed:
ESSER SERVICES INC
2015-07-15 21:12:45.
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-A0194965A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-15 21:12:45
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-07-15 21:12:58