BMCH2018-007278-495 CALLE TAMPICO TwitD Qubtrcv VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253. FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/20/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0072 tOJ�-"� NANCY HIRLEMAN
Property Address: 60121 ALOE CIR CIR 60121 ALOE CIR
APN: 764410039 LA QUINTA, CA 92253.
Application Description: HIRLEMAN RESIDENCE / HVCH GE OUT c�
Property Zoning: MAR 2 U 2018
Application Valuation: $12,500.00
Applicant: CITY OF LA QUINTA
IE INC DESIGN AND DEVELOPMENT DEPARTMENTESSER
Contractor:
SSER SERVICES INC DBA ESSER AIR CONDITI
31225 LA BAYA P O 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 (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
c�� a
�._Date:_3 r "Contractor_: cw.�
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.).
(_J 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
(760)324-0550
Llc. No.: 489046
WORKER'S COMPENSAT60N 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 3700of 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 Polity 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 tha-, if I should become subject to the
workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith
comply with those provisions.
icant:
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 ($100,00Cd. 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 Gty 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 iT uance of such permit, or cessation of
work for 180 days will subject permit to cancellaRion.
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 purpobes._______,
t
Signature (Applicantc-Agent): _ �j�—��
Date: 3/20/2018
Application Number: BMCH2018-0072
Owner:
Property Address: 60121 ALOE CIR CIR
NANCY HIRLEMAN
APN: 764410039
60121 ALOE CIR
Application Description: HIRLEMAN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $12,500.00
Applicant:
Contractor:
IE INC
ESSER SERVICES I:'VC DBA ESSER AIR CONDITI
'31225 LA BAYA
P O BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY_ CA 92235
(760)324-0550
Llc. No.: 489046
Detail: HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016.
CALIFORNIA BUILDING CODES.
FINANCIAL •• • •
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
Total Paid for BUILDING STANDARDS ADMINISTRATIOW BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000742402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600.
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSU4NCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENIT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENIT FEE: $5.00
.- ....... _ GEIM f,r r>rsr•.xe _.._........
PERMIT #
PLAN LOCATION:
Project Address' 60121 Aloe Circle
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 4 ton complete HVAC system
Patio/Porch SF
Email:.
Applicant Name: Steven Schnierer
State Lie: 489046 City Bus Lie:
Address: 31225 La Baya Drive Suite 213
State Lie: City Bus Lie:
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email:
swschnierer@roadrunner.com
Valuation of Project S 12,500.00
Contractor Name: Esser Services Inc.
New SFD Construction:
Address: PO Box 1636
Conditioned Space SF
City, St, Zip Cathedral City, CA 92235
Garage SF
Telephone: 760-324-0550
Patio/Porch SF
Email:.
Fire Sprinklers SF
State Lie: 489046 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: OccuTancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email: .
State Lie: City Bus Lie:
Property Owner's Name: Nancy Hirleman
New Commercial / Tenant Improvements:
Address: 60121 Aloe Circle
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: OccuTancy:
Telephone: 760-289-7552
Email:
78495 CAALE TAMPICO
LA QUINTA, CA 92253
760-777-7000
CERTIFICATE OF COMPLIANCE
Alterations to Space'Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
NANCY HIRLEMAN I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2018-03-20
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
NANCY HIRLEMAN
02
Date Prepared
2018-03-20
03
Project Location
60121 ALOE CIRCLE
04
Building Type
Single family
05
CA City
LA QUINTA r
: 06
Dwelling Unit Name
NANCY HIRLEMAN
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Dwelling Unit Conditioned
Location or Area
07
Zip Code
92253
X08
Z
Floor Area (ft )
1965
entirely new
Name
Served
System (ft2)
system?
component?
components?
a
duct system?
Number of Space
Alteration Type
09
Climate Zone
15 '.
10'
Conditioning (SC) Systems in
1
No
No
No
`
this Dwelling Unit:
B. Space Conditioning (SC) System Information I '
01
02
03
04 §-*
05
06 { '
07
08
09
10
Is the SC
Installing a
SC System
SC System
CFA served
system a
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLEHOUSE
1965
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: 418-A020016934A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-03-20 08:26:48
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-03-20 08:26:49
CERTIFICATE OF COMPLIANCE CF1R-ALT=02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1
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
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
Setback
section is not
section is not
.
components
components
applicable
applicable
Required Documentation:' ,
r
CF2R-MCH-01-E -Space Conditioning Systems ti
-Duct insulation for the ducts R6 1 10 12 R8 11 14-16)
requirement new portions of supply -air and return -air or plenums -(CZ andt13) and (CZ and
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are install2d I 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. 6 3 y
CF2R and CF3R-MCH-25 H Refrigerant Charge verification required when refrigerant containing co. mporient s.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:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
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.
twEq"apmnt Changeo (Sections 150.2b)iDiia and 1S0.2(b)1E, F
)E. EntirelyNew or Complete Replacement Duct System, wih or without i
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 418-A020016934A-000-000-0000000-0000 Registration Date/Time: 2018-03-20 08:26:48 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-20 08:26:49
Schema Version: rev 10/16
I
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:.
Documentation Author Signature:
Shantel Faugno
Shat L;<aMgno-
Company:
Signature Date:
Esser Services, Inc.
2018-03-20
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 1636
City/State/Zip: ,yf
Phone:
Cathedral City CA 92235
760,324-0550
Responsible Person's Declaration statement.
I certify the following under penalty of perjury, under the laws of the State of California:
` F
1. The information provided on this Certificate of Compliance is true and correct. ^•°� .Y -.� •
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibiliyfor the buil ing 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 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 application.
permit
5. 1 will ensure that a registered copy of this Certificate of Compliance shall made,availalil1e with th building=permits)&ued for the building, and made available to the enforcement agency for all applicable
Fbe
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:
Responsible Designer Signature:
Shantel Faugno
Sha.n&&Fa•ug+w-
Company :
Date Signed:
Esser Services, Inc.
2018-03-20
Address:
License:
PO Box 1636
489046
city/500/3iR;
Phone;
Cathedral City CA 92235
760-324-0550
Digitally signed by CHEERS'". 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: 418-A020016934A-000-000-0000000-0000 Registration Date/Time: 2018-03-20 08:26:48 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-20 08:26:49
Schema Version: rev 10/16