BMCH2015-037778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O15-0377
51705 AVENIDA VILLA
773143022
BROWNYARD RESIDENCE
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
`&Wr ^E 4 Q"
LOPMENT DEPARTMENT
IF, BUI _ ING P
e
OC.T 01 2015
CITY OF LA QUINTA
LICENSED CCiNTRACTOR'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: I Contractor:�uw�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, 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 Address:
49
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
01 Owner:
JAMES BROWNYARD
51705 AVENIDA VILLA
LA.QUINTA, CA 92253
Date: 10/1/2015
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550
LIC. 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 polity 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:) t 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:- Signature (Applicant or Agent)
i;,
FINANCIAL O• •
DESCRIPTION
s b r -ACCOUNT' -. 4 ' ;QTY >. `AMOUNT`, PAID
PAID DATE;
PERMIT ISSUANCE
101-0000-42404 0 $91.85 $0.00
PAID BY
s .METHOD ' „ RECEIPT # ' CHECK #
_. ..
CLTD BY
Total Paid for PERMIT ISSUANCE:, .$91.85 $0.00
TOTALS: $91.85 00
Description: BROWNYARD RESIDENCE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 10/1/2015 AZA
Approved:
Parcel No: 773143022 Site Address: 51705 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 112 Lot: 10
Issued:
NO 12
STATE.'.
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
IE INC.
Details: HVAC CHANGE OUT - REPLACE (1) 4 TON, 18 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONALSITES
CHRONOLOGY
CONDITIONS
NAME:TYPE
NAME
ADDRESSI
CONTACTS
CITY:
STATE.'.
ZIP
PHONE
FAX
EMAIL.
APPLICANT'
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)562-1735
CONTRACTOR
ESSER SERVICES INC DBA ESSER AIR
CONDITI
P 0 BOX 1636
CATHEDRAL
CITY
CA
92235
(760)562-1735
OWNER
JAMES BROWNYARD
51705 AVENIDA VILLA
LA QUINTA
CA
92253
(760)562-1735
FINANCIAL
INFORMATION
DESCRIPTION ACCOUNT QTY . AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
PERMIT ISSUANCE 101-0000-42404 0 $91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85. $0.00
Printed: Thursday, October 01, 2015 2:10:34 PM 1 of 2 C§?
S YSTf MS
*y
TOTALS: $91.85 $0.00
Printed: Thursday, October 01, 2015 2:10:34 PM 2 of 2 CL?
SYSTEti1S
Bfrr.#
Qty Of Ld QU10hta
Building 8z Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Qulnta, CA 92253 - (760) 777-7012
Building Permit -Application and Tracking Sheet
Permit #
I /
(5
ProjectAddress: 5.1705 Avenida Villa
Owner's Name:. James Brownyard
A P. Number.
Address: 51705 Avenida Villa
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Esser Services Inc.
Telephone: 760-562-1735
Address: PO Box 1636
Project Description:
City, ST, Zip: Cathedral City, CA 92235
Replace 4ton A/C & 80,000. BTU Furnace
Telephone: 760-324-0550
State Lic. # -. 489046
Lie, M.
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lic. #: �wjy
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 X 1
1 Estimated Value of Project: $10,875,00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Reed
TRACMG
PERMT FEES
Plan Sets
Pian Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Mrass Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mecharileal
Grading plan
2ti Review, ready for correctiouslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
MOA. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.%P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
WE
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
S1-7Os A,reti; U�11�
Enforcement Agency:
Date Prepared:
Permit#:
ac
Io i Is
Equipment Type
Equipment Efficiency
New bucting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
Evaporator Coil
$ AFUE
0 R-6 (CZ2, 8-13) Ducting
Served by system
Setback
System
Condensing Unit
_COP
❑ R-8' (L-111, 14,15) Ducting
sgft .
If not already
Split System
❑ Compressor
1 SEER
HSPF
q R-6 (all CZ's) Plenums
resent must
❑ Mini Split
❑ Lineset
EER
❑ R-5 or R7.5) Lineset°
e instolled)
Furnace
❑ TXV .
i
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. 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 allowed) and a copy left on site.
141. 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-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, 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 2 300 CFM/tong Refrigerant Chajrge.
Exempted from duct leakage testing if: I
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditione�i.space, or
❑ 3. Existing dud 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: i
All new equipment and All New Duds'
CF1R-ALT-02-E i
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-�5-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS; MECH-(23 or 24)-HERS2, MECH-25-HERS2 i
i
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HE S
Installer Requirement: Dud leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge j
❑ 3. All New Duds with Replacement
Required Compliance Documents to be left on site for Final: !
All New Duds' and one or more of the following
CFIR-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 or24)-HERS, MECH-2S-HERS
Installer Requirement: Duct leakage < 6%, Air Flow a 350 CFM/ton (or alternative), Refrigerant Charge )
Exempted from dud leakage testing if: ❑ 1. Existing dud systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts'
CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing dud systems constructed, insulated or sealed with. asbestos.
'All new ducting R-8 required when more than 40ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
"Heating'only3ystems and Air Handler/Furnace changes do not require Air Flow MECH=(23 or 24), or Refrigerant Charge verification fi11ECH-25
' All New Ducts is when at least 75 percent of the dud system is new duct material, and up to 25 percent may consist of reused parts; the
rom
dwelling unit's existing dusystem (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
d
° R-5 (1" thick insulation) for linesets 1" and less. 8-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction li' a Diameter
with insulation as the following 1.5-2T-2%', 2.5 -3T -2f:", 3.5 to 4T-2'/.", 57-4X"
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) i
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. lam eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on thisocument.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform tot
e
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 the building de
ign or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6, of the CCR.
5. 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 enforc
ment
agency for approval with this building permit application.
Responsible pesigner Name:
S�S
Responsible Designer Signature: Date Sign d: License: I.
' IS y ql l
Company:
Address: City/State/Zip: phone: 32 : OSS
SSCP �2'C'V1GGS G.
7O �OX )�3fc "Ch g223 % ()
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-tiuu-/ /t-ssuu