BMCH2017-0416I\
78-495 CALLE TAMPICO r
LA QUINTA, CALIFORNIA 92253
Tit(t44w4,u«rw
DESIGN & DEVELOPMENT DEPARTMENT
Application Number:
BMCH2O17-0416
Property Address:
57845 BLACK DIAMOND
APN:
762370009
Application Description:
.HOFFMAN RESIDENCE /HVAC CHANGE
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
BUILDING PERMIT
�
SEP 18 2017 lu
�
OU CITY OF LA QLIINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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: Contractor:
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:
VOICE (7 60) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/18/2017
Owner:
BOB HOFFMANNL
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P 0 BOX 1636
CATHEDRAL CITY. CA 92235
(760)324-0550
Llc. No.: 489046
WORKER'S COMPENSA—ION DECLARATION
I hereby affirm under penalty of perjury one clf 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 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 perfoonance 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 ofthe 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 =•700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: q % 11 Applicant: S_7�
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 appPcation 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 o9ssuance"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 ord-nances and state laws relating to building
construction, and hereby auth'orize'representztives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: (liSignature (Applicant or Agent): ���
Date: 9/18/2017
Application Number: BMCH2017-0416
Owner:
Property Address: 57845 BLACK DIAMOND
BOB HOFFMANN
APN: 762370009
Property Zoning:
Application Valuation: $10,000.00
Applicant:
Contractor:
IE INC
ESSER SERVICES INC DBA ESSER AIR CONDITI
31225 LA BAYA
P O BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY, CA 92235
(760)324-0550
-----------------------------------------------------
Lie. 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.
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVACCHANGEOUT- SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0-
$38.00
Total Paid for CHANGEOUT: .$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
,ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
` $5.00
Bin. #
City of La Quin.ta
Building ez Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 -:(760) 777V012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 57845 Black Diamond
Owner's Name:. Bob Hoffman
A- P. Number.
Address: 57845 black Diamond
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor.•
Esser Services Inc.
-- frg;
Telephone: ;.;,..,�' :•;
Address: PO Box 1636
Project Description: Replace 5 ton A/C, coil, & 80,000 BTU
City, ST, Zip: Cathedral City, CA 92235
furnace
Telephone: 760-324-0550
State Lic. # : 489046
City Lie- M.
Arch., Engr., Designer.
Address: .
City., ST, Zip:
Telephone:
State Lic- #: wA
.. wgjc� ':
Name of Contact Person: Steven Schnierer
Construction Type:. 0•xupancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq. Ft.:
# Stories: #Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of Project: $10.000.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural CRIcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cates.
Called Contact Person
Plan ChecL Balance
Title 24 Cates.
Plans picked rap
Construction
Flood plain plan
Plans resubmitted
Mechatilca
Grading plan
-
2ad Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading '
IN HOUSE:-
'"' Review, ready for correctionslissue
DeveloperImpaet 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
r
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: BOB HOFFMAN Date Prepared: 2017-09-15
r
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
BOB HOFFMAN
02
Date Prepared
2017-09-15
03
Project Location
57845 BLACK DIAMOND
04
Building Type
Single family
05
CA City
La Quinta .-,'
06
Dwelling Unit Name
HOME
SC System
SC System
CFA served
system a
refrigerant
07
Zip Code
92253
08
'�-
Dwelling Unit Conditioned
4869
Location or Area
by this SC .
ducted
_i
Floor Area (ft2)
more than 40
entirely new
entirely new
(
+'r
Number of Space
System (ft)
09
Climate Zone
15 ' -''
X10'
Conditioning (SC) Systems in
1
Alteration Type
SYSTEM 1 -
WHOLE HOME
/,"
this Dwelling Unit:
Yes .
B. Space Conditioning (SC) System Information;
01
02
03
04 '
0 8 05 16M
07
08
09
10
Is the SC
Qrtn
Installing_a,
,ai;z:i 4-11 �.: vy
;r?'astl� :lert�r�lrity.
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1 -
WHOLE HOME
4869
Yes
Yes .
Yes
s
No
No
No
Altered space
conditioning system
i
C. Extension of Existing Duct System, Greater Than 40 Feet (S ection1S0.2(b)1Diib)
i
yThis section does not apply to this project.
(
Registration Number: 417-A020116635A-000-000-0000000-0000 Registration Date/Time: 2017-09-15 16:16:32 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-15 16:16:33
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
d
D. Altered Space Conditioning System (Sections 150.2(6)1E and F)
01
02
03
041
05
06
07
08
09
10
11
12
f
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
d
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
0.8
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-Ol-E - Space Conditioning Systems,
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenurrs:1116(Cil-10,.12 and'13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed inducted systems, or when more than 40 ft of dud length is replaced
-Leakage rate compliance: <= 15% or <= SO% 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:
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.
I6 RLJ1 K7 ?rte7 i Ifs t 4'"
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeoat (Sections 150.2(b)1Diia and 150.2(b)lE, F)
• �,.I�r*i��,':l���i °;�r+ sivt+�► l
f This section does not apply to th*±csriis,project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
r
This section does not apply to this project.
r
'Registration Number: 417-A020116635A-000-000-0000000-0000
k
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-09-15 16:16:32
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-09-15 16:16:33
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3) 1
Documentation Author's Declaration Statement
)
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
x
Documentation Author Name:
Documentation Author Signature:
Stephanie Shryock
Stapha.ru;e,Shryoc]o
Company:
Signature Date:
I Permit E Raters
2017-09-15
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive y
City/State/Zip: +{ j ,
Phone:
Westlake Village CA 91362(
'81&735-7876
Responsible Person'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. J
2. I 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 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 permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be ma'd availab[i "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 this Certificate of Compliance is requiredio be included with `the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Shantel Faugno`''`I'#4'Shai.e�`Shryock�(a��thori�ed.)
Responsible,Designer Signature:
Company: I
Date Signed:
Esser Services, Inc. `
2017-09-15
Address:
License:
PO Box 1636
489046
City/State/Zip: ,
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.
i
Registration Number: 417-A020116635A-000-000-0000000-0000 Registration Date/Time: 2017-09-15 16:16:32
CA Building Energy Efficiency Standards - 2016 Residential llCompliance Report Version: 2016.1.006
Schema Version: rev 10/16
i
HERS Provider: CHEERS
Report Generated: 2017-09-15 16:16:33