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BMCH2017-0132yaw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. DESIGN & DEVELOPMENT DEPARTMENT -BUILDING PERMIT Application Number: BMCH2O17-0132 Property Address: 48,119 VIA HERMOSA APN: 646100012 Application Description: GRAVERSEN RESIDENCE / 17 SEER HVAC CHANGE OUT Property Zoning: Application Valuation: $12,900.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 17 PR CITY OF LA QUINTA COPAMMITY DEVELOPMENT DEPAF.WENT 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 . CDate:' 141 l-7 Contractor. r 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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/14/2017 Owner: GARY GRAVERSEN 48119 VIA HERMOSA ST LA QUINTA, CA 92253 Contractor: ESSER SERVICES INC DBA ESSER AIR CONDITI P O BOX 1636 CATHEDRAL CITY, CA 92235 (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: INSURANCE COMPANY OF THE WEST Policy Number:WSD5030167 I certify that in the performance of tie 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: 14411-7 —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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Lender's Name: — —Z. �/ Date: �'�• 1�"t�1 � Signature (Applicant or Agent): Lender's Address: s Date: 4/14/2017 Application Number: BMCH2O17-0132 Owner: Property Address: 48119 VIA HERMOSA GARY GRAVERSEN APN: 646100012 48119 VIA HERMOSA ST Application Description: GRAVERSEN RESIDENCE / 17 SEER HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $12,900.00 Applicant: Contractor: IE INC ESSER SERVICES INC DBA ESSER AIR CONDITI 31225 LA BAYA P O BOX 1636 WESTLAKE VILLAGE, CA 91362 CATHEDRAL CITY, CA 92235 (7¢0)324-0550 ----------------------------------------------------------------------------------------- Uc. No.: 489046 - Detail: HVAC CHANGE OUT - 17 SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016- ' CALIFORNIA BUILDING CODES. - t l . J . i 'f I FINANCIALeRe DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0, $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00,- 1.00 -DESCRIPTION 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 t Total Paid for CHANGEOUT: $114.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 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 ENHANCEMENT FEE: $5.00 k Bin. # Qty of La Q U%n to Miding 8r Safety Division P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: 48119 Via Hermosa Street Owner's Name: Gary Graverson A. P. Number. Address: 48119 Via Hermosa Street Legal Description: City, ST, Zip: La Quints, CA: 92253 Contractor. Esser Services Inc. Telephone: . -�3r; w,r WIN Address: PO Box 1636 Project Description: Replacd 5 ton A/C, coil, & 85,000 City, ST, Zip: Cathedral City; CA 92235. BTU furnace Telephone: 760-324-0550 C'''' . State Lic. # : 489046 City Lie.. M. Arch, Engr., Designer • Address: City., ST; Zip: Telephone:. State Lic. #: , ;. ,� � . . ,� Name of Contact Person: Steven Schnierer Construction Type: . Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:. 818-735-7876 Estimated Value of Project $12,900.90. APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Recd TRACK NG PERM FEES Plan Sets Plan geek submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit_ . Truss Cales. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted Mechariital Grading plan ZaQ Review, ready for correctionsrissue Electrical Subcontactor List galled Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval • Plans resubmitted Grading BH HOUSE:- '^` Review; ready for correetionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) J (Page 1 of 3), Project Name: GaryGraversen Date Prepared: 2017-04-12 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name Gary Graversen 02 Date Prepared _ 2017-04-12 03 Project Location 48119 Via Hermosa St. 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name HOUSE 07 Zip Code 92253 08 I Dwelling Unit Conditioned 1852 Installing new SC` Installing Installing Installing Floor Area (ft)Number Identification or Location or Area by this SC ducted containing of Space more than 40 09 Climate Zone 15 10. Conditioning (SC) Systems in 1 system?. component? - ' this Dwelling Unit: ` SC system? B. Space Conditioning (SC) System Information j - -�t —1 s 01 02 03 04 N40 05 + 06 07 08 09 10 ' CFA Is the SC s £ Installing.a, `> R� s x'1;1 #ant Oeit SC System SC System served systema 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 (ft) system?. component? components? feet of ducts? duct system? SC system? Alteration Type SYSTEM 1 WHOLE HOUSE 1852 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: 417-A020089612A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-04-12 22:18:38 Report Version: 2016.1.005 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-04-12 22:18:39 ' 74-- CF1R-ALT-02-E .•t i CERTIFICATE OF COMPLIANCE t,r .' ' . {+• _ � .J' Alterations to'Space Conditioning Systems (foirnerly`CF-1R-ALT HVAC)' w° -' - - ' �" '.�`. (Page 2 of 3). D. Altered Space Conditioning System (Sections 150.2(b)lE and F) ' _ • ' Y `''' Ol' ., 02 03 04 05 06 . 07 08 7 09 ' "10 w '11- 12 yri•. i .: � 4 � , - _ ,- r r ' Heating *.. � " X -i f T � h � 14 . -` - -- � � J.x z X � , f � , r ^ _ e Cooling System Heating 'Altered '' , ' Heating Minimum -Altered : Cooling f Minimum Required New or M.x` 'sr T t �� 4 Identification System Heating., Efficiency Efficiency Cooling ' Cooling Efficiency ' Efficiency Thermostat Replaceds' New Duct . or Name Type Components -Type Value- System Type Components Type, , Value •Type Duct Length R -Value < Central gas All new •' ` Report Generated: 2017-04-12 22:18:39 Central split ; All new f Schema Version: rev 10/16. This field or This field or SYSTEM 1 - - - -furnace heating. ^components" _ -� AFUE '�Vt +0.81 AC 'cooling •-• . "SEER: y ,, � 17; •-' Setback section is not section is not ' components•' applicable i.` applicable` Required Documentation: CF2R-MCH-01-E -Space Conditioning Systems0. gq - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZ 1 10,x2 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. +" t '- �" - .• i' `:, k - , . r -" = CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).'— -15)°_CF2R CF2Rand 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. 1 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. •- '' ' , } • •� F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C). :. - y This section does not apply to this project. t �; Y ?� ,, •„' ,{'�'• ri' * uy:•. .� r � -S� j, r�, !� o..'C�i 7 � �K a „� _ q•. 't '_ i - ..� r • i �T µ''QF 5 � 'i- '+ P � .. yri•. i .: � 4 � , - _ ,- r r ' j �' t S »t •f .,� ,r_ `j..." 1. *.. � " X -i f T � h � 14 . -` ,t � � J.x z X � , f � , r ^ _ e j- t � A .A *h. _ i •"k - .T Gv. r f [�y M.x` 'sr T t �� 4 .1 , " ,,= - -•• �•� - V••. •• r '�-• i4: . r",�, - _ _ , i. - �: 4` �� ..x .. is • - 'k { _ • Y��r r .Registration Number: 417-A020089612A-000-000,0000000-0000 '� ' Registration Date/Time: 2017 04-12` 22:18:38' �++ HERS Provider: CHEERS ' . L CA Building Energy Efficiency Standards - 2016 Residential Compliance v 4 ` - ,' Report Version: 2016.1:005 •' ` Report Generated: 2017-04-12 22:18:39 r f Schema Version: rev 10/16. 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 Sha4v e, Fa.ug+uc ` Company: Signature Date: Esser Services, Inc. 2017-04-12 Address: CEA/ HERS Certification Identification (if applicable): PO Box 1636 City/State/Zip: Phone: Cathedral City CA 92235 l� 760-324-0550 Responsible Person's Declaration statement, I certify the following under penalty of perjury, under the laws of the State of California: r� 1. The information provided on this Certificate of Compliance is true and correct. jPC 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 manuiactured 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 for-approval,with this building permit application. S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered co of this Certificate of Compliance is re uired to be line ul ded with'the documentation the builder providestothe building owner at occupancy. P g PY P 4 P g P cY• Responsible Designer Name: mtched fVi`Sk�h Responsible,p esigner Signature: raP��at ShantelFaugno Company: Date Signed: Esser Services, Inc. 2017-04-12 Address: License: PO Box 1636 489046 City/State/Zip: Phone: Cathedral City CA 92235 760-324-0550 3 Registration Number: 417-A020089612A-000-000-0000000-0000 Digitally signed by CHEERSTm. 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 Date/Time: 2017-04-12 22:18:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005. Report Generated: 2017-04-12 22:18:39 Schema Version: rev 10/16