BMCH2019-011378-495 CALLE TAMPICO * 0 Ur 641-1 K MW VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT INSPECTIONS (760) 777-7153
Permit Type/Subtype:
MECHANICAL/
Date: 4/9/2019
Application Number:
BMCH2O19-0113
Owner:
Property Address:
79145 BIG HORN TR
KEITH WOODCOX
APN:
776030011
79145 BIG HORN TRAIL
Application Description:
WOODCOX / HVAC CHANGE OUT- 17SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
AND CIVIL FINES UP TO
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
apply to an
owner of property who builds or improves thereon, and who does the work
himself or herself through his or her
Application Valuation:
$10,300.00
Applicant:
IE INC. ZL\ Contractor:
32115 LA BAYA ESSER SERVICES INC DBA ESSER AIR CONDITI
WESTLAKE VILLAGE, CA 91362 D P 0 BOX 1636
APR 0 9 2019 CATHEDRAL CITY, CA 92235
CITY OF LAQUINTA (760)324-0550
DESIGN & DEVELOPMENT DEPARTMENT LIC. No.: 489046
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am Ileensed under provisions of Chapter
9 (commencing with Section 70001 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: Contractor;. L -Ja..4. �� =
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.
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 is d
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
sueMy workers compensation insurance carrier and policy number are:
Carrier: I N F C MPANY OF THE WEST Policy Number: WSD503016703
License Law for the fallowing reason (Sec. 70315, 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,
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 to become
also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
as subject to the workers'
Campensatipn laws of California, and agree that, if I should become subject to the
Contrattor's State License Law (Chapter9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
or she is exempt therefrom and ther
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date: t� (��,� C R
permit subjects the applicant to a civil penalty Of not more than five hundred dollars
(5500).:
Applicant: u� •��—�
as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO
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
apply to an
owner of property who builds or improves thereon, and who does the work
himself or herself through his or her
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT LEGEMENT
IMPORTANT: Application is hereby made lto the Building Offcial for
purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
a permit subject to
the conditions and restrictions set forth on this application.
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
1. Each person upon whose behalf this application is made, each person at whose
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the
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
projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
, applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
am exempt under Sec.
(_) I B.&P.C. for this reason
employees for any act or omission related to the work being performed under or
f II
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 Na
Lender's
0 owing issuance of this permit.
2. Any permit issued as a result of this appllcatlon 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.
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
:onstruction, and hereby authorize representatives of this city to enter upon the
Ibove-mentioned property for inspection purposes.
)ate:_�/
q Signature (Applicant or Agent):
��
Application Number:
BMCH2019-0113
Property Address:
79145 BIG HORN TR
APN:
Application Description:
77603001.1
VJO0DC0X / HVAC CHANGE OUT-17SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$10,300.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 419/2019
Owner:
KEITH WOODCOX
79145 BIG HORN TRAIL
LA QUINTA, CA 92253
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
P 0 BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550
Llc. No.: 489046
Detail: 5 - TON HVAC CHANGE OUT - 17 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
2016 CALIFORNIA BUILDING CODES.
I . - FINONf IAI INFf1RMATInN
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
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
— cFmtdrnr,-SEWr —
Project Address: 79145 Big Horn Trail
APN #:
Applicant Name:
Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschniererQroadrunner.com
Contractor Name: Esser Services Inc.
Address: PO Box 1636
City, St, Zip Cathedral City, CA 92235
Telephone: 760-324-0550
Email:
State Lie: 489046 City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name: Keith Woodcox
Address: 79145 Big Horn Trail
City, ST, Zip La Quinta, CA 92253
Telephone:
Email:
PERMIT #��C 9 rO( I11
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Replace 5 ton 180,000 BTU complete HVAC system
Valuation of Project $
10,300.00
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: I Stories:
SF
SF
SF
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building _ _. _ SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
CERTIFICATE OF COMPLIANCE
(SC) System
Information
CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
(Page 1 of 3)
Project Name:
01
Keith WoodcoxDate Prepared: 2019-04-08
A. General Information
04
05
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.
09
10
01 Project Name Keith Woodcox
02
Date Prepared 2019-04-08
03 Project Location 79145 Big Horn Trail
04
Building Type Single family
05 CA City La Quinta
06
Dwelling Unit Name Keith Woodcox
07 Zip Code 92253
08
Dwelling Unit Conditioned
3448
CFA served
systema
Floor Area (ftZ)
Installing new SC
Installing
Number of Space
09 Climate Zone 15
10
Conditioning (SC) Systems in 1
Location or Area
by this SC
this Dwelling Unit:
B. Space Conditioning
(SC) System
Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SCS stem
Y
SCS stem
Y
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 (ftZ)
system7
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
3448
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
Registration Number: 419-A020033409A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-08 12:50:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-08 12:50:12
Schema Version: rev 20180426
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 419-A020033409A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-08 12:50:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-08 12:50:12
Schema Version: rev 20180426
CF1R-ALT-02-E
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -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
All new All new
This field or This field or
Central gas Central split
System 1 heating AFUE 0.8 cooling SEER 17 Setback
section is not section is not
furnace AC
components components
applicable applicable
Required Documentation:
CF21R-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 and 13) and R8 (CZ 11 and 14-16)
CF2R and MRWCH-20-H • Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: - 15 percent or <= 10 percent leakageto 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 CF311-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 Dud 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 dud 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)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 419-A020033409A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-08 12:50:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-08 12:50:12
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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:
Cassidy Snow
Ca*s 4Smow
Company:
Signature Date:
I Permit E Raters
2019-04-08
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Phone:
Westlake Village CA 91362
818-735-7876
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.
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 shall 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:
Responsible Designer Signature:
Shantel Faugno
Sha Lftb <a+4nv
Company :
Date Signed:
Esser Services, Inc.
2019-04-08
Address:
License:
PO Box 1636
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: 419-A020033409A-000-000-0000000-0000
Registration Date/Time: 2019-04-08 12:50:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-08 12:50:12
Schema Version: rev 20180426