BMCH2017-03621a9
78-495 CALLE TAMPICO .
r LA QUINTA, CALIFORNIA 92253
Tw,r 4 4QuIftrw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0362
Property Address: 54600 AVENIDA RAMIREZ
APN: 774281006
Application Description: OAKES / HVAC CHANGEOUT 20SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $14,916.00
Applicant: D
IE INC
31225 LA BAYA 9 Q 7
WESTLAKE VILLAGE, CA 91362
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions 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-�
.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 (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/2017
Owner:
DEBBIE OAKES
54600 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P O BOX 1636
CATHEDRAL CITY. CA 92235
(760)324-0550
Llc. No.: 489046
WORKER'S COMPENSA70N 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
o -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 insuranae carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5030167
I certify that in the performance of :he 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.tht, if I should become subject to the
workers' compensation provisions of Section 3 V00 of the Labor Code, I shall forthwith
comply with those provisions.
s
Date: I 17 Applicant:. r»
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINIAL 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 appliotion 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 voidif work is
not commenced within 180 days from date of izuance of such permit, orcessation of
work for 180 days will subject permit to cancell:,tion.
I certify that I have read this application and stare 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 purpcses.
cam'�
Date: zs I i Signature (Applicant cr Agent): S+�
Dater 8/18/2017
Application Number: BMCH2O17-0362
i
Owner: j
Property Address: 54600 AVENIDA RAMIREZ
DEBBIE OAKES
APN: 774281006
54600 AVENIDA 3AMIREZ
Application Description: .OAKES / HVAC CHANGEOUT 20SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $14,916.00
Applicant:
Contractor.
IE INC
ESSER SERVICES I:NC DBA ESSER AIR'CONDITI
31225 LA BAYA
P O BOX 1636
WESTLAKE VILLAGE, CA 91362
CATHEDRAL CITY. CA 92235
(760)324-0550
•
Lic. No.: 489046 '
Detail: HVAC CHANGE OUT - 20 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES. '.
J
FINANCIAL•• •
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
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for.CHANCEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSIANCE: $96.27
DESCRIPTION
ACCOUNT
qTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00
Bin .#
Qty, of tit Quinta
Building 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
la.Quinta, CA 92253 - (760) 7777012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 54600 Avenida Ramirez
Owner's Name: -Debbie Oakes
A. P. Number.
Address: 54600 Avenida Ramirez
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. Esser Services Inc.
Telephone: 760-406-2506 �s�7�`">;_
Address: PO Box 1636
Project Description: Replace 4 ton A/C in side yard, coil, &
City, ST, Zip: Cathedral City, CA 92235
80,000 BTU furnace in garage- .
Telephone: 760-324-0550
City Lie. 9.
State Lic. # : 489046
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: `� ,
P .Y
Construction Type:. Ocarpancy: .
Project type (circle one): New . Add'n. Alter Repair Demo
State Lia #:
Name of Contact Person: Steven Schnierer
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: 818-7354876
Estimated Value of project: $14,915.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERbM FEES
Plan Sets
Plan Check submitted
item Amount
Structural Cults.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
. Called Contact Person
Plan Check Salance
Tide 24 Cake.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Giading plan
TL! Review, ready for correctionsrtssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted ..
Grading
IN HOUSE:-
7r4 RcAew, ready for correctionslissue
Developer Eupact Fee
Planning Approval
Called Contact Person
AJ..P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: DEBBIE OAKES Date Prepared: 2017-08-18
A. General Information
CF1R-ALT-02.is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be.documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
DEBBIE OAKES
02
Date Prepared
2017-08-18
03
Project Location
54600 AVENIDA RAMIREZ
04
Building Type
Single family
05
CA City
La Quinta06
Dwelling Unit Name
HOME
SC System
SC System
CFA served
systema
refrigerant
07
Zip Code
92253
08
Dwelling Unit Conditioned
1589
Location or Area .
by this SC
.,}
containing
Floor Area (ft2)
more than 40
entirely new
entirely new
""
Name
Number of Space
System (ft)
09
Climate Zone
15
10�
Conditioning (SC) Systems in
1
I Alteration Type
SYSTEM 1
WHOLE HOME
1589
this Dwelling Unit:
Yes
B. Space Conditioning ($C) System Information
ate.
01
02
03
04 '``
0S
6e ;
07
08
09
10
Is the SC
Enrt
Installing a,
f3 -p-6 z;;�Rl t
� h it teorih
SC System
SC System
CFA served
systema
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?
I Alteration Type
SYSTEM 1
WHOLE HOME
1589
Yes
Yes
Yes
No
No
No
Altered space
Fconditioning
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: 417-A020110658A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-18 08:29:24
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-18 08:29:24
CERTIFICATE OF COMPLIANCE CF111-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)
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
Central gas
All new
Central split
All new
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
20'
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: fa
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6.(CZ 1-10, 12 end13) 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 duct length is replaced
-Leakage rate compliance: <=15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing component re 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.
Io I"11 iI _ If Yk K-1
"try ehaE. EntirelyNew or Complete Replacement Duct System, with orwithouE4ui Equipment Cn a ut (Sections 150.2(b)1Diia and 150.2(b)1E F) -
I
This section d esnot ply to this p ject.
F. Entirely New or Complete. Replacement Space. Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 417-A020110658A-000-000-0000000-0000
Registration Date/Time: 2017-08-18 08:29:24
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-18 08:29:24
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 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:
Stephanie Shryock
StPPha,,ze Shryock.
Company:
Signature Date:
I Permit.E Raters
2017-08-18
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: l{.
Phone:
Westlake Village CA 91362 _ �i
818,-735-7876
Responsible Person's. Declaration statement;!
I certify the following under penalty of perjury, under thelaws of the State of California:` ' r`
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 responsibil 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 manUfa ctured'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-approvalmith this building permit application.
ki �t . _
5. I will ensure that a registered copy of this Certificate of Com pliance i, k'r ` it )q, A,
shall be made available with the building permit(s)issssued 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 requiredto be included with°the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Shantel Faugno liift'N3tCf1 ,► tr:; e
Responsible 3Designer .Signature:
;;hare 5y;�yock,Cautyw, r,�ed,)
Company:
Date Signed:
Esser Services, Inc.
2017-08-18
Address:
License:
PO Box 1636
489046
City/State/Zip:
Phone:
L.atnearal uty LA 92135
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: 417-A020110658A-000-000-0000000-0000 Registration Date/Time: 2017-08-38 08:29:24 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-18 08:29:24
Schema Version: rev 10/16