BMCH2016-041378-495 CALLE TAMPICO D VOICE (760) 777-7125
LA gUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: BMCH2O16-0413
Property Address:
81340 KINGSTON HEATH
APN:
767490019
Application Description:
MARCHI RESIDENCE / HVAC
Property Zoning:
4+
Application Valuation:
$16,795.00
Applicant:
LA QUINTA, CA 92253O
IE INC
I¢ 0
31225 LA BAYA
c
N
WESTLAKE VILLAGE, CA 91362
Date: I I l5 ( /Applicant:,Z�a
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` 1 �5 lmCoC ntractor:
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.
��l 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:
OWNER -BUILDER DECLARATION
D 5/2016
Owner:
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
TIMOTHY MARCHI
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`_)
4+
81340 KINGSTON HEATH LN
compensation laws of California, and agree that, if I should become subject to the
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LA QUINTA, CA 92253O
co
I¢ 0
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
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W
Date: I I l5 ( /Applicant:,Z�a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
M
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
S a
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
Contractor:
ESSER SERVICES INC DBA ESSE
a
)
O w
it
CONWrI
_�
P O BOX 1636
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V p
CATHEDRAL CITY, CA 92235
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
Z
issued as a result of this application, the owner, and the applicant, each agrees to, and
Q
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
(760)324-0550
employees for any act or omission related to the work being performed under or
W
Llc. No.: 489046
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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.
��l 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:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5030167
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
_ — c_
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: I I l5 ( /Applicant:,Z�a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
- a
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(1 I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application, the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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:
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: L5 ( Signature (Applicant or Agent): ����
Date: 11/15/2016
Application Number: BMCH2O16-0413
Owner:
Property Address: 81340 KINGSTON HEATH
TIMOTHY MARCHI
APN: 767490019
81340 KINGSTON HEATH LN
Application Description: MARCHI RESIDENCE/ HVAC
LA QUINTA, CA 92253
- Property Zoning:
Application Valuation: $16,795.00
Applicant:
Contractor:
IE INC
ESSER SERVICES, NC DBA ESSER AIR CONDITI
31225 LA BAYA
P 0 BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY, CA 92235
(760)324-0550
LIC. No.: 489046
--------------------------------------------------------------------
-------------------------
Detail: (2) HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
11
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
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHANGEOUT: $228.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
Bin.#
Qty. of La Qi.u►nta
Building 8z Safety Mhion
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 81340 Kingston Heath Lane
Owner's Name: Tim Marchi "
A. P. Number.
Address: 81340 Kingston Heath Lane
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Esser Services Inc.
Telephone: 3"r•
Address: PO Box 1636
Project Description: Replace 3.5 ton / 60,000 BTU complete.
City, ST, Zip: Cathedral City, CA 92235.
HVAC system
Telephone: 760-324-0550
¢�� iv
"'
°.
City Lie.
Replace 5 ton / 60,000 BTU Complete HVAC system
State Lic. # : 489046
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephoner ' '
State Lia #: rjy`
Construction Type: _ Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq.Ft.:#Stories:
#Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of project: $16,795.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cities.Reviewed,
ready for corrections
Plan Check Deposit. .
Truss Calfs.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up
Construction
Flood plain plan
Pians resubmitted..
Mechanical
Grading plan
r4 Review, ready for correctionsrmue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
M HOUSE:-
3" Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Appr "
Date of permit Issue
LPub.
s
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
TIM MARCHI I Date Prepared:
2016-11-14
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
TIM MARCHI
02
Date Prepared
2016-11-14
03
Project Location
81340 KINGSTON HEATH LANE
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
HOUSE
07
Zip Code
92253
x+08
Dwelling Unit Conditioned
3230
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
Climate
Rei.10F
�P, VAsystem)c rit)
Number of space conditioning
in dwelling
2
09
Zone
15 T
1L
Served
(SC) systems this
(SC)
system?
component?
components?
f ,z
duct system?
unit.
Alteration Type
A_ r
B. Space Conditioning (SC) System Information
01
02
03
04 y
n n 05 n-
iii i 06�N gn,
07
08
09
10
Is the SCS
Ilnstallirig.a
.w 1 I
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted nn
Otcontalhing v'
�P, VAsystem)c rit)
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM #1
WHOLE HOUSE
1615
Yes
Yes
Yes
No
No
No
conditioning system
Altered space
SYSTEM #2
WHOLE HOUSE
1615
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib)
This section does not apply to this project.
Registration Number: 416-A0008380A-000000000-0000
Registration Date/Time: 2016-11-14 15:10:47
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-14 15:10:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
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
All new
All new
This field or
This field or
SYSTEM #1
Central gas
heating
AFUE
80.00
Central split
cooling
SEER
16.00
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
No heating
This field or
This field or
moi`•
All new
This field or
This field or
SYSTEM #2
Central gas
furnace
component
section is not
section is not
Central spit
)*.;
. AC
i
cooling
R� j
"'components
SEER
16.00
Setback
section is not
section is not
altered
applicable
applicable
9'
applicable
applicable
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'ipstalled in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 5 30% 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 & CF313-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:.
from equiremeets.
-Duct systems registered with HERS provider as previously sealed are exempt MCH-20;XDuct Leakage Testing
-Heating-only systems and Air Handler/Furnace changes do not require verificatio of Air Flow +MCH 23�6r Refrigerant Cha ge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 416-A0008380A-000000000-0000 Registration Date/Time: 2016-11-14 15:10:47 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-14 15:10:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Shantel Faugno
$h unteb Fa gn&
Company:
Signature Date:
Esser Services, Inc.
2016-11-14
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 1636
City/State/Zip:
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: i JIUR ` ` t
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 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 sh�all: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 this Certificate of Compliance is required to be included with"the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
� rtr t>~h� d t�ii 4'S.,#`h
Responsible Designer Signature:
Shantel Faugno
oiviteLF''ai4n&
Company:
Date Signed:
Esser Services, Inc.
2016-11-14
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.
Registration Number: 416-A0008380A-000000000-0000 Registration Date/Time: 2016-11-14 15:10:47 , HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-14 15:10:50
Schema Version: 0.555SDD