BMCH2015-0229ti
VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 77777011 -
LA QUINTA; CALIFORNIA 92253 INSPECTIONS (760) 777-7153
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT 4
Date: 6/29/2015
Application Number: BMCH2O15-0229 Owner:
Property Address: 47100 VIA ORVIETO JOHN GROFF
APN: 643160043 47100 VIA ORVIETO
Application Description: GROFF RESIDENCE HVAC CHANGE _OUT LA QUINTA, CA 92253
Property Zoning: n Lr --v
Application Valuation: $6,799.00 9
LJ
Applicant:U 1 Ji.) ` 0 2015 Contractor:
ESSER SERVICES INC DBA ESSER A ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636 CITY OF LA QUINTA P 0 BOX 1636
CATHEDRAL CITY, CA 92235 CUMMUNITy DEVELOPMENT DEPARTMENT CATHEDRAL CITY, CA 92235
(760)324x0550
LIC. No.: 489046
--------------------=------------------------------------------------------------------------
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: 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 fora
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 hot 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.).
(� 1 am exempt under.Sec. B.&P.C. for this reason f
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
Lender's Address:
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 mariner 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: 1171_� ,
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.
Datei T Signature (Applicant or Agent): c%M�✓"L a�—�
FI NANCIAL INFORMATION
DESCRIP,TION N �, 4 n. :°ACCOUNTS `� PAID fr�
: QTY rt PAID DATE
�¢'AMOUNTr yt �.G
F
BSAS SB1473 FEE 101-0000-20306 , 0 $1.00
$0.00
£ `` '.': , ,�: �'
PAID BY METHOD RECEIPT # :
;,''� CHECK # CLTD BY
yrs ,. s , y ,
_
{ m
Total Paid for BUILDING'STANDARDS ADMINISTRATION BSA $1:00 $0.00
yi;a
gz«SCRIPTION ,?�
DE
�'-o` ACCOUNTp
Q
AMOUNT
PAID°
PAID DATE'
r
! x
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID.BY `a `'
METHOD "�=RECEIPT
CLTD BY
s..> .. -
5 � ESCRI?TIONS ` y
' -`ACCOUNT
AMOUNTS §
`PAID
PAID'DATE
u >
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
0.00
$0.00-
"AnPAID BY rtrA' t«w
METHOD.
#�
CHECK #
CLTD BY
,.RECEIPT
.a
Total Paid forCHANGEOUT: $108.78 $0.00
da Wi . .., iP
IY"F {
t
.
xACCOUNT�_ •QTY
S
r? `AMOUNT"'-�
''� PAID'-'
PAID DATE
rx .�;DESCRIPTIONxxex
-
x _s.
x
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
xx F METHOD
{ra t z"RECEIPT #.�
€ CHECK #
CLTD BY F
,... &-x+"➢ .. a^".f 2 _. S n... _ �., v •
t
.�� .�°4r. t _ .::..,n: +, .�4` R ..>,t
F.: _ ,; !
.a¢4•,.. .. <' +; `.
'�
Total Paid for PERMIT ISSUANCE:' $91.85 $0.00
TOTALS:00
Bir!.#
City Of is Qutnta
Building 8T Safety Division
P.O. Box 1504,"78-49S Calle Tampico
1.a.Quinta, CA 92253 -:(760) 777-7012
022 Building Permit Application and Tracking Sheet
Permit #
F3MC�k' 2x15
Project Address: 47100 Via Orvieto
Owner's Name:. John Groff
A. P. Number.
Address: 4.7100 Via Orvieto
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Esser Services Inc.
Telephone: 760-774-9259M
Address: PO Box 1636
Project Description: Replace 2ton A/C, Coil, & 24,000
City, ST, Zip: Cathedral City, CA 92235
Telephone-' 760-324-0550 f� r '. y
BTU Furnace
State Lie. 4: 489046
City Lie.. #;
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: a
State Lic. #:,wycu� tr
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contaa Person: Steven Schnierer
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person: 8.18-735=7876 x 1
Estimated Value of Project: $6,799.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd 'Ree'd TRACKING PERMIT FEES
Plaa Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
'!toss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plana picked up
Construction
Flood plain plan
Pians resubmitted '
Mechartical
Grading plan
tad Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for correctfonsAssuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Description: GROFF RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 6/29/2015 EVA
Approved: 6/29/2015 EVA
Parcel No: 643160043 Site Address: 47100 VIA ORVIETO LA QUINTA,CA 92253
Subdivision: TR 26152 Block:
Lot: 169
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $6,799.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT -18 SEER /.8 OAFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
„ 1 11 '
, , ��... �[w�r , [n� w o nnnri n� �;; ,� , ,�, � ;,
Printed: Monday, June 29, 2015 9:04:58 AM 1 of 2
sysTrrms
......... .. .. ... . ....... . ..... ........ . .... ............ ...................... ............ . . . ..........
........ .. .
. . ........ .. . ....... , .......... . ... ... ........ .. .... . . ....... . .
BOND INFORMATION
'..",, . ............ . . .. ....... .... .. ...... . ......... ...
. . . ....... ................... ..... ..... ....... .. . .. ................... ... . ...... .... . ...... ............. ... ............
Printed: Mond . ay, June 29, 2015 9:04:58 AM .2 of 2 CgewsYSTIMS
nDESCRIPTIO
QTY
NT
ID
ID.:DAT
pAMO
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00.
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVACCHANGEOUT-
-
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
xi- ..... . . ..... . . .. ....... .... . .. ..... ... .... . .......... ..
......... .. .. ... . ....... . ..... ........ . .... ............ ...................... ............ . . . ..........
........ .. .
. . ........ .. . ....... , .......... . ... ... ........ .. .... . . ....... . .
BOND INFORMATION
'..",, . ............ . . .. ....... .... .. ...... . ......... ...
. . . ....... ................... ..... ..... ....... .. . .. ................... ... . ...... .... . ...... ............. ... ............
Printed: Mond . ay, June 29, 2015 9:04:58 AM .2 of 2 CgewsYSTIMS
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: JOHN GROFF Date Prepared: 2015-06-26
A. General Information
CRR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFiR-ALT-02 document for each dwelling unit.
01
Project Name
JOHN GROFF
02
Date Prepared
2015-06-26
03
Project Location
47100 VIA ORVIETO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JOHN GROFF
07
Zip Code
92253
08
Dwelling Unit Conditioned
2133
Floor Area (ft2)
SC System
SC System.
CFA servedsystem
a-
refr�gerantInstallig�new5�c
Number of space conditioning
Installing
09
Climate Zone
15 - `'
ik` ;
10
(SC) systems in this dwelling
1
ducted
containing•
system
more than 40
unit. .
entirely new
Name
Served
System (ft2)
system?
component?
t
B. Space Conditioning (SC) System Information ' '�
::. _ _ . N
Ol
02
04fj
05
06'
U7•
08
09
10
X03
a_
asa
M. -Is the SC
3:s�
Installing a
SC System
SC System.
CFA servedsystem
a-
refr�gerantInstallig�new5�c
Installing
Insialhng
nstalling
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
2133
Yes
Yes
Yes
No
No
No
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: 215-A0173525A-000000000-0000 Registration Date/Time: 2015-06-26 09:35:44 HERS Provider: CaICERTS'
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-26 09:34:24
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CUR -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
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
All new
All new
This field or
This field or
Systema
Central 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 Faris
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing`regUired 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, orseal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge V6�ification:required.when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow1t:300 CFM/ton required when MCH -2511 required.
Exceptions: ? ;; R�
Duct systems registered with HERS provider as previously sealed are exempt from'MCH 20 Duct LeakagerTestmg regwrements.
ion of Air FI MCH -23 or Refrigerant Cha &WECH-25
-Heating-only systems and Air Handler/Furnace changes do not fe`quire verificatn
she akage
r
Existing duct systems constructed, insulated or sealed with`,asbbeest exempt from MGH` !20 uc�t!L Testing requveme ts.
VA,.fin± va lull p:. Fal .ys;
T
E. Entirely New or Complete Replacement Duct System, with'or without Equipment Changeout S ctionS'15O.2(b). Diia and T$0.2(b)1E, 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-A0173525A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential. Compliance
Registration Date/Time: 2015-06-26 09:35:44
Report Version: 2014-03-31 '
Schema Version: 0.555SDD
HERS Provider: CalCf RTS
Report Generated: 2015-06-26 09:34:24
CERTIFICATE OF COMPLIANCE CFiR-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:
Jan
Jacoby, Ian
Cfaco�,Y
Company:
Signature Date:
Stratz Permit Service
201.5-06-26 09:34:09 .
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 lawsof.the State of California:
1. The information provided on this Certificate 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).
3. That the energy features and performance specifications mate ria lscomponents, and manufactured devices forsystem design the building design or systedesign identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of Regulations. 4 � `
4. The building design features or system design features identified on Lhis Certific�a�te,of Compliance are consistent with,the mformation,provided on.other ioplicable compliance documents, worksheets,
calculations,•plans and specifications submitted to the enforcement agency for apprrroval with.this building permit application. >
K7l' Yi'`�` A� iefl k'�'�
! .. '+ 'ka. is ✓f 14 ^S � 'e •'
J' . .
5. I will ensure that a registered copy of this Certificate of Compliance sFiall+be`made available withahe I w iDg{pegmit(s)�issued for>the!u�Id�ng, and;made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of tt i C,eertificate of Com p lance is requiireed to be included with the�documentaattion=,thePuilder pr.ovhdes tat e building owner at occupancy.
Responsible Designer Name: lw.sas
Responsible Des er Signature µ
.Esser, Michael
Company:
Date Signed:
ESSER SERVICES INC -
2015-06-26 09:35:44
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-A0173525A-000000000-0000 Registration Date/Time: 2015-06-26 09:35:44 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-26 09:34:24
Schema Version: 0.555SDD