BMCH2017-04464 4v� � VOICE (760) 777-7125
78-495 CALLE TAMPICO �
LA QUINTA, CALIFORNIA 92253 FAX'(760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/5/2017
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O17-0446 CURTIS.THO PON
Property Address: 80550 VIA TERRACINA U
APN: 777260035 92253
Application Description: THOMPSON / HVAC CHANGEOUT (2) 18 SEER /.8 AFUE SPLIT SYSTEM O C T 05 2017 D,
Property Zoning:
Application Valuation: $28,000.00
CITY OF LA OUINTA E/
DESIGN AND DEVELOPMENT DEPARTMENT
Applicant: Contractor:
IE INC ESSER SERVICES INC DBA ESSER AIR CONDITI
3f225 LA BAYA P 0 BOX 1636
WESTLAKE VILLAGE, CA 91362 CATHEDRAL CITY, CA 92235
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
lcommencing 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 --7 Contractor:.�.rL
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-1 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 Na
Lender's
(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 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.
Date: la S 17 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: S 11 Signature (Applicant or Agent): Su.� it
Date: 10/5/2017
Application.Number:
BMCH2017-0446 Owner:
Property'Address:
80550 VIA TERRACINA CURTIS THOMPSON
APN:
777260035
Application Description:
THOMPSON / HVAC CHANGEOUT (2) 18 SEER /.8 AFUE SPLIT SYSTEM 92253
Property Zoning:
(760)324-0550
Application Valuation:
$28,000.00
Applicant:
Contractor:
IE INC
ESSER SERVICES INC DBA ESSER AIR CONDITI
31225 LA BAYA
P 0 BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY, CA 92235
(760)324-0550
--------------------------------------------------------------------------------------------
Llc. No.: 48904
Detail: (2) HVAC CHANGE OUT - 18 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101=0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVACCHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$156.04
Total Paid for CHANGEOUT: $234.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
Crty Of Lel Quinti
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
1.4.QLdnta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
Project Address: 80550 Via Terracina
Owner's.Name:.Curtis Thompson
A_ P. Number.
Address: 80550 Via Terracina
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Esser Services Inc.
Telephone: �sx
Address: PO Box 1636
Project Description: Replace (2) 4 ton / 80,000 BTU
City, ST, Zip: Cathedral City, CA 92235
complete HVAC systems
Telephone' 760-324-0550;.M`r
M.
1511 M
State Lic. 4: 489046
Lia C.
Arch., Eagr., Designer.
Address:
City, ST, Zip:
Telephone: Y. '
State Lir- #:
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project 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 $28,000.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACENG
PERMT FEFS
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Pian Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cake.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
Z- Review,'ready for correctionsfkssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
AV HOUSE:-
'^' Review', ready for correctionsRttuc
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 CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: CURTIS THOMPSON Date Prepared: 2017-10-04
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
CURTIS THOMPSON
02
Date Prepared
2017-10-04
03
Project Location
80550 VIA TERRACINA
04
Building Type
Single family
05
CA City
La Quinta ,.
06
Dwelling Unit Name .
HOME
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 + 4
08,
Floor Area (ftZ)
2812
duct system?
SC system?
t C ,
Number of Space
09
Climate Zone
15 — '
10
Conditioning (SC) Systems in
1
Altered.space
SYSTEM 1
WHOLE HOME
`
this Dwelling Unit:
, .
B. Space Conditioning (SC) System Information
►----- l f ._.... _f' 7- 73� C_
01
02
03
04 ��
U U 05 1'--".
' "" 06"N
07
08
09
10
SC System
SC System
CFA served
Is the SC
—t—nn
systema
Installing a
OlLf �rj i x r :
refrigerant
`4 fi"%1 1ntf�c "t!
Installing new ;C
Installing
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 HOME
1406
Yes
Yes
Yes
No
No
No
conditioning system
Altered space
SYSTEM 2
WHOLE. HOMF.
1406
Yoc
Yac
Yoc
No
No
NO
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020120308A-000-000-0000000-0000 Registration Date/Time: 2017-10-04 14:02:50 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-04 14:02:51
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF411-ALT-1-11VAC) (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
All new
All new
This field or
This field or
SYSTEM 1
Central gas
heating
AFUE
0.8
Central split
cooling
SEER
18
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
All new
r All new
This field or
This field or
SYSTEM 2
Central gas
heating
AFUE
0.8
Central split.
�:AC__
I cooling
SEER
18
Setback
section is not
section is not
furnace
components
.�
>'f
"components
applicable
applicable
Required Documentation: , ' -- E !'
CF2R-MCH-01-E - Space Conditioning Systems ;• "",'' ' i'
- 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)
CF213 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: fi r"=' r---�
from MCH Testing ents.
Duct systems registered with HERS provlder.as previously sealed are exempt -20 Duct Leakage require
Heating -only systems and Air Handler Furnace changes do not require verificat0fof Air flow-MCW= 376r RefNgerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
5,,111FT$tJV.;11E''F..1 ijiLt:C97r1Ly
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(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: 417-A020120308A-000-000-0000000-0000
Registration Date/Time: 2017-10-04 14:02:50
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-04 14:02:51
Schema Version: rev 10/16
O
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:
Stephanie Shryock
Stepha.nce,shryock
Company:
Signature Date:
I Permit E Raters
2017-10-04
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: r !^
Phone:
Westlake Village CA 91362_
818-735-7876
Responsible Person's Declaration statement
r-._ 1
I certify the following under penalty of perjury, under the laws of the State of California: Y'
L `Y
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 id2ntified 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 Miall be rnade,alvallable with the building -permlt(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 at occupancy.
Responsible Designer Name:
Unrriarched Samb -,
Responsible Designer Signature:
?St*hatii�sh'rybck(autlwsv�ed.)
Shantel Faugno
.
Company :
Date Signed:
Esser Services, Inc.
2017-10-04
Address:
License:
PO Box 1636
489046
City/State/Zip:
Phone:
Cathedral City CA 92235
760-324-0550
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 Number: 417-A020120308A-000-000-0000000-0000 Registration Date/Time: 2017-10-04 14:02:50 HERS.Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-04 14:02:51
Schema Version: rev 10/16