BMCH2014-107978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
COMM RTMENT , INSPECTIONS (760) 777-7153
I I BUNG POMIT Itlj
I� II Date: 9/16/2014
Application Number:
BMCH2O14-1079
SEP .16 2014 U
Owner:
Property Address:
48128 VISTA CIELO
SANDRA TECKENBROCK
APN`.
646100066
CITY OF LA QUINTA
COMMUNITYDEVELOPMENT
48128 VISTA CIELO
Application Description:
SPLIT SYSTEM CHANGE OUT
DEPARTMENT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$7,950.00
r
Applicant:
Contractor:
ESSER SERVICES INC DBA
ESSER A
ESSER SERVICES INC DBA ESSER A
P 0 BOX 1636
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
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
r
Date: 9 (0114 Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that l 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 orshe 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 forthe 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):: .
(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
l
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. Q.
Lender's Name:
Lender's Address:
(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:— 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 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: C Ib )44 Applicant: S ✓>
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.
r
Date: C► )%) Signature (Applicant or Agent): �—
In
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4 )
Project Name: SANDRA TECKENBROCK I Date Prepared: 2014-09-08
A. General Information
CF111-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:
SANDRA TECKENBROCK
02
Date Prepared:
2014-09-08
03
Project. Location:
48128 Vista Cielo
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
SANDRA TECKENBROCK
07
Zip Code:
92253
08
Dwelling Unit Conditioned
1991
Installing'•newa
sls.,the<enti're
Floor Area (ft2):
Number of space conditioning
09
Climate Zone:
15
10
(SC) systems being altered in
1
(packaged unit, or
this dwelling unit.:
Are all of the
B. Space Conditioning (SC) SysterThformation
01
02
037
j04fs'
OS r
* 06'
07 .
arm 08 .
09
10
Installing'•newa
sls.,the<enti're
components? e,
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the -altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
System 1
Location 1
1991
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)
0
This section does not apply to this project.
Registration Number: 214-A0089886A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-09-08 09:57:46
Report Version: 2014-03-31
HERS Provider: 610ERTS
Report Generated: 2014-09-08 09:58:13
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. '
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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: 5 15%, or 5.10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components
are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & MR-1VICH-23 Air Flow > 300 CEM/ton required when MCH 25 a required y« r
Exceptions:
Duct systems registered with HERS provider as previously sealed arre,e xempt from,M" CH -20 Duct Leakage Testi
ements h
-Heating-only systems and Air Handler/Furnace changes do not require ven ication of Air Flow M H 23, or Refrigerant
_rregwi
Charge MECH 1
`2�541
Existing duct systems constructed, insulated or sealed with,asbestos are exempt from MCH -20 Duct leakage Testing requirements g ,
MFtr�!m�'^Mv N..;.,w„�^?rj ..7..ag5: ' , ;;ss.:.,+,..^&` .$ "'t..s�"A�'"�:..w ;'r. ,^'.,.;;.rat„aF. r?�. £=
. - s ..�... '. ..
E. Entirely New or Complete Replacement.Duct System- with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A0089886A-000000000-0000 J Registration Date/Time: 2014-09-08 09:57:46 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-08 09;58:13
' F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C) y '
This section does not apply to this project. }
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Registration Number: 214-A0089886A-000000000-0000 Registration Date/Time: • 2014-09-08 09:57:46. HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31' J . Report Generated: 2014-09-08 09:58:13 '
t '
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. r
Documentation Author Name: i
Jacoby, Ian
Documentation Author Signature: �/ /�' ,
cJarx
Cfacobt�
Company: ^ -
Signature Date:
Stratz Permit Service �" : `- ;
2014-09-0809:57:18` '
Address:1'
CEA/ HERS Certification Identification (if applicable): L i
5858 Dovetail Drive
City/State/Zip:
T �, +s
Phone. r '
Agoura Hills CA 91301`' • .,
$18 735 7876
Responsible Person's Declaration'statement' X '° ` .- } :f`• 1=' - - 4, ,
certify the following under penalty of perjury, under the laws of the State of California:
1.1 The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Busine stand fessions Cocl accept.responsibility for the buildinYg.design or sysk m dessiignientified on this Certificate of Compliance (responsible designer). -
oto
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
ka ai
_ requirements of Title 24, Part land Part hof the Cahmftn4.
fora,Code if Regulations. A # +
4. The building design features or system design features identified on ihis Certificate of Compliance are consisteht with�tfie information provided on other applicable compliance documents, worksheets,"
p -p Mpp r ' B peFmit a hcation «MP '•
' calculations, tans ands ecifications submitted to the enforcement-agencyfora royal with tha buildm
-. p � ,
5. I will ensure that a registered copy of thsCertifieafe of,Complianc�e shall 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 thisCertificate of Cornpliance s,required to be included with the doc mentation the builder provides to the building owner at occupancy.
Responsible Designer Name.
Responsible Designer Signature. _���
s
Esser, Michael _ f _
yRei,
-
Company �. '
Signed: # f
Date } •
ESSER SERVICES INC '
2014-09-08 09:57:46
Address".
License:
P 0 BOX 1636 _'
489046
City/State/Zip:
Phone; -
CATHEDRAL CITY CA 92235 "-
(760) 324-0550 . - `•
Digitally signed by CaICERTS. 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.
L. -Registration Number: 214-A0089886A-000000000-0000 ~ , H — ' Registration Date/Time: 2014-09-08 09:57:46 , ` HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance .Report Version: 2014-03-31 Report Generated: 2014-09-08 09:58:13
* Y
lain #
j Permit #
Project Address:6 t
City of La . Q Grin to
-Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints,. CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Tor Owner's Name:��y ��f44Vlr y
A. P. Number: -7 -1 ,.5-O - pp 19
Address: 70
Legal Description:
City, ST, Zip: / A4 CHa Ynt C 22`76
Contractor:
Telephone. >;•,,,>:::`:»< :::>::> :: ss> > ::::'
Address: L+5"4 V% Etc% C
Project'Description:
City, ST, Zip: L -xi Q(>/��T�7
C�.9 ZZ$3
! C�
Telephone: 7e 70 2'- / o
rte': �•��•:::<.;k:,:;:�..;.-:;.<;::.>.;::�-•
State Lic. # : '%,57- -3
City Lic. #; O
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:.Project
Construction Type: Occupancy:
State Lic. #:
type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: S
C_Al t /C /�T
S Ft.:
9
# Stories:
#Units:
Telephone # of Contact Person: 76o
OZ - t o4A
Estimated Value of Project: S00
I
APPLICANT: DO NOT WRITE BELOW THIS LINE
} #
Submittal
Req'd
Recd
TRACIQNG
PERMIT FEES.
Plan Sets
PIan Check submitted
8 i
I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
i
1
Grant Decd
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
iIN
ROUSE:-
3" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
r
Pub. Wks. Appr
Date of permit issue.
School Fees
1
?
Total Permit Fees
FINANCIAL INFORMATION
-,
DESCRI?TION ;:ti p. e° tf ` $ACCOUNT* F QTY `� w AMOUNT r ` PAID.:.'` `PAID DATE
BSAS SB1473 FEE
101-00.00-20306 � 0
$1.00 $0.00
"jpPAID BY",,RECEIPT#s,
n ";=CHECK# CLTD BY,,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
'>yFACCOUNTg' ;�
QTY
AMOUNT r'
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$71.50
$0.00
�f' a PAID BYµw;r
'METHOD` *�*
=RECEIPT # `
F HE K#- t
CLTD BY
ray x '� DESCRIPTION 4
ACCOUNT] s ;,CITY
:= AMOUNT
iPAID �µ
`,PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$0.00
' PAID BY r
METHOD
r ' RECEIPT #
x , CHECK.#
" CLTD BY.,
Total Paid forCHAN>GEOUT: • $107.25 $0.00
DESCRIPTION a
y ` tACCOUNf
QTY;
t
k AMOUNT
x PAID'"
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
BY
^' ty * }';METHOD r�
w RECEIPT>#F `
-%�' CHECK #
'- CLTD''BY..
Total Paid forPERMIT ISSUANCE: $90.57 $0.00
TOTALS:$0.00
If
Description: SPLIT SYSTEM CHANGE OUT
Type: MECHANICAL Subtype: Status: SUBMITTED
Applied: 9/11/2014 MFA
Approved:
Parcel No: 646100066 Site Address: 48128 VISTA CIELO LA QUINTA,CA 92253
Subdivision: TR 20052-1 Block: Lot: 66
Issued: �.
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: r'
Valuation: $7,950.00 Occupancy Type: Construction:Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER/80AFUE SPLIT SYSTEM [2008' ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES '
! ! •L, SITES,
CHRONOLOGY
-4
<CONDITIONS
-CONTACTS ` t
?NAME`TYPE NAME. ADDRESSY :CITY STATE: ZIP PHONE fAX
r
m
A,� ....-� -� - > ♦ � C�-2$. :: �% .
APPLICANT ESSER. SERVICES INC DBA ESSER A P 0 BOX 1636, A, CATHEDRAL _CA 92235 (760)902-8700
CITY
FINANCIAL
INFORMATION
Printed: Tuesday, September 16, 2014 1:07:39 PM 1 of 2`
SYSTEMS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
�
. ~
. .
. .
'.
Printed: Tuesday, -September 16, 2014 1:07:39 PM ' Z of '
~ ~ . _~__ -__- --'-_
'
^
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-
101-0060-42402
0.
$71.50
$0.00
HVACCHANGEOUT-
101-0000-42600
0
$35.75
$0.00
,SPLIT -SYSTEM PC
Total Paid' for CHANG EOUT: $107.25 $0.00
PERMIT ISSUANCE
10i-0000-42464.-
0
$90.57
$0.00
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
�
. ~
. .
. .
'.
Printed: Tuesday, -September 16, 2014 1:07:39 PM ' Z of '
~ ~ . _~__ -__- --'-_
'
^
Bin #
City of La Quanta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta,. CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Projt ctAddress: t j $ l'zg v; s*a C�C—ko
Owner's Name:
A. P. Number:
Address: 44212$ \ SA -c- CieAo
Legal Description:
City, ST, Zip: LGt Qvi 53
trac '
Con tor:
Telephone: Tele o -
� 7
slit'
Address: leo
Project.Description:
City, ST, Zip: C.c> ' CA cZ Z235�
1C�Ce S�oY. - A t� Co: 100 Ooo
Telephone: �- O
T10 c
e-lo,-3Z
Fv r Aa
State Lic. # : , W$q pe{
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
'`""` =` `'<`'• :"%:>':``=`::` ::::::::
' `''`''' ' - - -
Construction Type: Occupancy:
Project type circle one): New Add'n . Alter Repair Demo
Name of Contact Person:Sk�GY S� n^
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: gI
Estimated Value of Project: 7 Qso. (,Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A- Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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