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BMCH2017-011478-495 CAL LE TAMPICO c% D t/ aNMU�iI/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O17-0114 Property Address: 78135 INDIGO APN: 604021064 Application Description: HARRIS / HVAC CHANGEOUT 14SEER SPLIT SYSTEM Property Zoning: Application Valuation: $9,715.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/3/2017 Owner: MARK HARRIS m 78135 INDIGO LA QUI NTA CA 92253 a rD Contractor: )j o ESSER SERVICES INC DRE ER AI&COND P O BOX 1636 z D N CATHEDRAL CITY, CA3j o rn a v 1760 324 0550 Llc. No.: 489046 m -------------------------------------------------------------------------------------------- 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 Date: 4 4 11 Contractor: S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). (1 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: 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. ✓CI 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 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: 4 " t1 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Lender's Name: Date: 11 Signature (Applicant or Agent)! Lender's Address: Date: 4/3/2017 Application Number: BMCH2O17-0114 Owner: Property Address: 78135 INDIGO MARK HARRIS APN: 604021064 78135 INDIGO Application Description: HARRIS / HVAC CHANGEOUT 14SEER SPLIT SYSTEM LA QUINTA, CA 92253 Property Zoning: -Application Valuation: $9,715.00 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.: 489046 -------------------------------------------------------------------------------------------- Detail: HVAC CHANGEOUT - 14 SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin. # cityOf Ld Q[1111 ta Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico L-Ottinta, CA 92253 - (760) 777-7012 10114* Building Permit Application and Tracking Sheet Permit # VM(H9,01--T ._ Project Address: 78135 Indigo Drive Owner's Name:.Mark Harris A. P. Number. Address: 76135 Indigo Drive Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor: Esser Services Inc. Vis- 'gam' Telephone: z?fi Address: PO Box 1636 Project Description: Replace 3 ton heat pump and air City, ST, Zip: Cathedral City; CA 92235. handler Telephone: 760-324-0550 ' -•: " State Lic. # : 489046City Lic, M. Arch., Engr., Designer Address: City., ST. Zip: Telephone: Y '. •. State Lia #:��` : Name ofContact Per=: Steven Schnierer Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: #Stories: #Units: Telephone # of Contact Person: 8.18-735-7876 Estimated Value of Project. $9,715.00 APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACIMG PERMIT FEES Plan Sets Plan Cheek submitted item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss C21cs• Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted' Mecharilcal Grading plan 2`4 Review, ready for correctionsfissue Electrical ' Subcontactor List Called Contact person Plumbing Grant Deed Plans picked up S M L H.O.A. Approval Plans resubmitted Grading IN HOUSE--- ''d Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees • Total Permit Fees STATE OF CALIFORNIA ALTERATIONS - HVAC ". r' CEC-CFIR-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permitil: 78135 Indigo Drive City Of La Quinta April 2, 2017 Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Conditioned Floor Area (ft) Thermostat ❑ Packaged ❑ Evaporator Coil AFUE COP ❑ R-6 (CZ 1-10, 12&13) Ducts Served by system XSetback System XConclensing Unit ❑ R-8' (CZ 11, 14-16) Ducts 912 ft2 (If not already ❑ Split System ❑ Compressor 14 SEER HSPF ❑ z R-2.8 Lineset° present must ❑ Mini Split ❑ Lineset be installed) ❑ Furnace ❑ TXV EER 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. X1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:.. All Equipment, . CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2 Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (5 15%, or 510% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned 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: All new equipment and All New Duets3 CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 Mini Splits require CF111-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H Installer Requirement: Dud leakage < S%, Fan Efficacy (0.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H Compressor, TXV, Lineset, Furnace2 CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H Installer Requirement: Dud leakage < 5%, Air Flow >_ 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 Duds' CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H Installer Required to: Duct leakage (< 15% or, <_10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25 3 All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-2.8 (1" thick insulation) for linesets 1" and less. Contractor (Documentation Author's /Responsible Designer'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. 2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the 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 design 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 enforcement agency for approval with this building permit application. Responsible Designer Name: ponsible Design igna ure: Date Signed: Li[ense: Steven Schnierer Aril 2 2017 1 489046 Company: Address: City/State/Zip: Phone: Esser Services Inc. PO Box 1636 Cathedral City, CA 92235 760-324-0550 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300