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BMCH2014-108278-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O14-1082 Owner: Property Address: 48730 VIA LINDA DAVID BOGER APN: 658200021 Application Description: REPLACE 2 TON SPLIT SYSTEM 92253 Property Zoning: Application Valuation: $8,900.00 Applicant: ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY, CA 92235 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: 4 11.1 Contractor:, CtJ�G� 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 Contractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ESSER SERVICES INC DBA P 0 BOX 1636 CATHEDRAL CITY, CA 922: (760)324-0550 Llc. No.: 489046 Date: 9/16/2014 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of t. -ie following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 cf the Labor Code, for the performance of the work for which this permit is issued. ,<_M— I have and will maintain workers' cora pensation insurance, as required by Section 3700 of the Labor Code, for the perform:3nce of the work for which this permit is issued. My workers' compensation insurance -arrier and polity number are: Carrier: _ Policy Number: _ I certify that in the performance of ti -e work for which this permit is issued, I shall not employ any person in any manner so a! 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 37100 of the Labor Code, I shall forthwith comply with those provisions. Date: C1 11 (.1),+ Applicant: X��71 C57z, 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 N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to the conditions and restrictions set forth on this :,pplication. 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 C ty 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 isouance of such permit, or cessation of work for 180 days will subject permit to cancell8tion. I certify that I have read this application and store that the above information is correct. I agree to comply with all city and county ordin:,nces and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. It Date: 1(a l y Signature (Applicant a Agent): TA;Z;;Z -V�= -- c z M a -j D WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of t. -ie following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 cf the Labor Code, for the performance of the work for which this permit is issued. ,<_M— I have and will maintain workers' cora pensation insurance, as required by Section 3700 of the Labor Code, for the perform:3nce of the work for which this permit is issued. My workers' compensation insurance -arrier and polity number are: Carrier: _ Policy Number: _ I certify that in the performance of ti -e work for which this permit is issued, I shall not employ any person in any manner so a! 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 37100 of the Labor Code, I shall forthwith comply with those provisions. Date: C1 11 (.1),+ Applicant: X��71 C57z, 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 N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to the conditions and restrictions set forth on this :,pplication. 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 C ty 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 isouance of such permit, or cessation of work for 180 days will subject permit to cancell8tion. I certify that I have read this application and store that the above information is correct. I agree to comply with all city and county ordin:,nces and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. It Date: 1(a l y Signature (Applicant a Agent): TA;Z;;Z -V�= -- DESCRIPTION FINANCIAL . ACCOUNT • QTY AMOUNT = PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY • METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID "PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # = CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 t. Permit Details PERMIT NUMBER �q� �. City of La Quinta BMCH20 4=10$2 a 47 r _a Description: REPLACE 2 TON SPLIT SYSTEM Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/16/2014 MFA Approved: Parcel No: 658200021 Site Address: 48730 VIA LINDA LA QUINTA,CA 92253 Subdivision: TR 25237 Block: Lot: 11 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $8,900.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: HVAC CHANGE OUT - 1 DUCT RUN 18 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES CONDITIONS STATE ZIP PHONE FAX EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY APPLICANT ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL CITY CA 92235 CONTRACTOR ESSER SERVICES INC DBA ESSER A P 0 BOX 1636 CATHEDRAL ('ITY CA 92235 OWNER DAVID BOGER 92253 Printed: Tuesday, September 16, 2014 1:14:51 PM 1 of 2 NAIN CRWUSYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 1 0 $91.85 $0.00 Total Paid forPERM1T ISSUANCE: $91.85 $0.00 TOTALS:• 0• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" PARENT PROJECTS Printed: Tuesday, September 16, 2014 1:14:51 PM 2 of 2 r SYSTEMS Bin # Qty of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking SheEt Permit # Project Address: 4J g 730 't f c�, L` r Owner's Name: A. P. Number: Address: 4{%-73u i,j'� A L�, 4,a - Legal Description: City, ST, Zip: �v ria CA Q ZZ 53 Contractor: Essex- ................ . ............ ::.....:................ - Tele h ne: 7 fo � o O I lfl5 p y Co Address: 7Q i(o3tp Project Description: City, ST, Zip: A C Ib0 WD 1C U Telephone. -?C - '3Z 4- 0—cw State Lic. # : L{ % 9 oq(,o City Lie. #: Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Construction Type: Oc cupany: State Lic. #: :,;F,:;.,..;..;:;, r «:v; .;;; ...................................................... . Project type (circle one): New Add'n Altar Repair Demo Name of Contact Person: ���� Essex Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -7(e 0- 3 Zi4- OSSO Estimated Value of Project: S 900. 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERLIIT FEES. Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2"° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '"' Review, ready for correctionsfissue Developer Impact F_e Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA ALTERATIONS - HVAC 0 CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT 04 E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permitil: / "ta73G v1C:. Liv-)o1G C.� or LC- ©:.jir e- ci I 1;. ty Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Concitioned Thermostat Required R -value Flooi Area (sq ft) ❑ Packaged System ❑ Evaporator Coil 20/.A ❑ R-6 (CZ 2, 8-13) Ducting Served by system 1K Setback W Split System WCondensing Unit —FUE COP ❑ R-8' (CZ 11, 14, 15) Ducting �%C) sgft (If not already ❑ Mini Split ❑ Compressor 1$ SEER HSPF ❑ R-6 (all CZ's) Plenums present, must PKFurnace ❑ Lineset ❑ R-5 or R7.5) Lineset" be installed) ❑ TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options belowk At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allovwd) and a copy left on site. 1K 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF111-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-.-S-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct n unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 241 -HERS', MECH-25-HERS' CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3F) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge 113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow > 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet I Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Char -.e verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-2'/<", 3.5 to 4T -2%a', 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the infor-nation on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. That the energy features and performance specifications, materials, components, and manufactured devices for t-te building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Par: 6 of the CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent -vith the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitter to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Signed: License: �c r tiz �—'-- — �l t� I �-} L) G Oct (. Company: Address: City/State/Zip: Ph ane: ao i3 x tfo3 k1, °IZZ3- �tc0-- 32-9-1- OSSO For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300