BMCH2017-019078-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0190
Property Address:
78370 VIA DIJON
APN;
604600024
Application Description:
JOHNSON / (1)14 SEER/80AFUE SPLIT SYSTEM
Property Zoning:
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
Application Valuation:
$6,500.00
Applicant:
IE INC
31225 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: _C; I .ZZ i7 Contractor:�—
OWNER-BUILDER DECLARATION
1 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
aIle ed exem tion An violation of Sectio 70315 b I; t f 't
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MARKJOHNSON
, 92253
Contractor:
ESSER SERVICES INC I
P 0 BOX 1636
CATHEDRAL CITY, CA
(760)324-0550
Llc. No.: 489046
Date: 5/22/2017
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
oft ork 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: INSURANCE COMPANY OFTHE 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 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.
� 6
Date: 47-741-7 Applicant: �4ttifZ�
g p y n . y any app an or a perms
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( ) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) 1, as owner ofthe property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application, the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
for 180 days will subject permit to cancellation.
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:
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: _1 Signature (Applicant or Agent):
Application Number:
BMCH2017-0190
Property'Address:
'"78370 VIA DIJON
APN:
604600024
Application Description:
JOHNSON / (1)14 SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$6,500.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 5/22/2017
Owner:
MARLJOHNSON
, 92253
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550.
Llc. No.: 489046
-------------------------------------------------- =----------- =-----------------------------
Detail: HVAC CHANGE OUT - (1)14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INS-ALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION 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
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid fir CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000742404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENH4NCEMENT FEE: $5.00
Bin. #
Qty. Of La QLu(1
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
V__10 Building Permit Application and Tracking Sheet
Permit #
N,5k, i 20
Project Address: 78370 Via Dijon
Owner'sName:.Mark Johnson
A. P. Number.
Address: 78370 Via Dijon
Legal Description:
City, ST, Zip: La Quinta, CA- 92253
Contractor: Esser Services Inc.
Telephone: 760-777-2698
Address: PO Box 1636
Project Description: Replace 2 ton heat pump and air
City, ST, Zip: Cathedral City; CA 92235.
handler
Telephone: 760-324-0550 ~!C'all
State Lic. # : 489046 City Lic #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: =rte' ~
„,.� Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 818-73577876 Estimated Value of Project: 56,500.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACK NG
PERMTP FEES
Plan Sets
Plan Check submitted
tem Amount
Structural Cales.
Reviewed, ready for corrections
Man Check Deposit. .
'mass Calcs.
Called Contact Person
'Ian Check Balance
Title 24 Caks.
Pians picked up
construction
Flood plain plan
Pians resubmitted.'.
44echariical
Grading plan
2'' Review, ready for corrections/isaue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IM MUSE:-
''d Review; ready for corrections/issue
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
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Mark Johnson I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-05-19
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF111-ALT-02 document for each dwelling unit.
01
Project Name
Mark Johnson
02
Date Prepared
2017-05-19
03
Project Location
78370 Via Dijon
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOUSE
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Dwelling Unit Conditioned
Name
07
Zip Code
92253
08
Floor Area (ft )
3045
duct system?
SC system?
�?<`
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Altered space
SYSTEM 1
WHOLE HOUSE
'
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04_
,... �� 05 --= -
i � 06� �
07
08
09
10
SC System
SC System
CFA served
Is the SC.
'w FIft
system a
,Installing a
D� ! �� `� N,
refrigerant
Installing new SCJInstalling
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ftz)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLE HOUSE
3045
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: 417-A020094494A-000-000-0000000-0000
Registration Date/Time: 2017-05-19 16:36:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-19 16:36:38
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)1E and F)
01
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
All new
All new
This field or
This field or
SYSTEM 1
Central split
heating
AFUE
0.8
Central split
cooling
SEER
14
Setback
section is not
section is not
HP
components
HP
components
applicable
applicable ,
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
= Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
., lj r,+,, ,: �„-�l ''�• it ;$`—i ,. '. si (-Z;,��•'r
` This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning Sysitem (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 417-A020094494A-000-000-0000000-0000
Registration Date/Time: 2017-05-19 16:36:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-19 16:36:38
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
Sha+lteL Fati 9+10
Company:
Signature Date:
Esser Services, Inc.
2017-05-19
Address:
CEA/ HERS Certification Identification (if applicable):
PO 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 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 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 forrapproval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance s_hall-be made'.available with the building permit(s) issued for the building, and made 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 atoccupancy.
Responsible Designer Name:
I�fCr-i�t?°iC'xia;t-.
Responsible Designer Signature:
/bf
Shantel Faugno
SeL C"
utit
Company:
Date Signed:
Esser Services, Inc.
2017-05-19
Address• _
License:
PO 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: 417-A020094494A-000-000-0000000-0000
Registration Date/Time: 2017-05-19 16:36:37
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-19 16:36:38