BMCH2019-014178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
c&tit 4 4 49'Km
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0141
78242 CALLE LAS RAMBLAS
770014017
SANDE / HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
NEAL St PHYLLIS SANDE
78242 CALLE LAS RAMBLES
LA QU I NTA, CA 92253
Date: 4/24/2019
$9,595.00 0
Contractor:
ESSER SERVICES INC DBA ESSER AIR CONDITI
APR 2 4 2019 P 0 BOX 1636
CATHEDRAL CITY, CA 92235
CITY OF LAouINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)324-0550
Llc. No.: 489046
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed 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 CI ss: C20 License No-: 489010
Date: �i} Contractor: �^'Z" �—
t —
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 Na
Lender's Add
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�e rk 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 insurance carrier and policy number are:
Carrier: INSURANCE COMPANY Of THEW Policy Number: WSD503016703
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 wit triosprovisions.
CTDate: IApplicant: `• .why __�
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.
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 -m ntloned property far inspection purposes.
- .rte-�
Date: Signature (Applicant or Agent)1•
Application Number:
BMCH2019-0141
Property Address:
78242 CALLE LAS RAMBLAS
APN:
770014017
Application Description:
SANDE / HVAC CHANGE OUT - 16SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$9,595.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 4/24/2019
Owner:
NEAL & PHYLLIS SANDE
78242 CALLE LAS RAMBLES
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 - 16 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
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
$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
— G E M nf,h, In"
Project Address: 78242 Calle Las Ramblas
APN #:
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com
Contractor Name: Esser Services Inc.
Address: p0 Box 1636
City, St, Zip Cathedral City, CA 92235
Telephone: 760-324-0550
Email:
State Lic: 489046 City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Neal Sande
Address: 78242 Calle Las Ramblas
City, ST, Zip La Quinta, CA 92253
Telephone:
Email:
PERMIT # F� MW ZV "1 (9 1 l I
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Replace 5 ton / 80,000 BTU complete HVAC system
Valuation of Project $ 9,595.00
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: � 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
# Submittal Req'd Recd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
�Busines,ense
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) CF1R-ALT 02-E
Project Name:
(Page 1 of 3)
NEAL SANDE Date Prepared:
A. General Information 2019-04-24
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When
M
CFI
multiple dwelling units must be documented, use one
R -ALT -02 document for each dwelling unit.
01 Project Name
NEAL SANDE
03 Project Location 02 Date Prepared
78242 CALLE LAS RAMBLAS 2019-04-24
04 Building Type
05 CA City Single family
La Quinta
06 Dwelling Unit Name
07 Zip Code NEAL SANDE
92253
08 Dwelling Unit Conditioned
Floor Area (ft2) 2093
09 Climate Zone
15 Number of Space
10 Conditioning (SC) Systems in
this Dwelling Unit: 1
B. Space Conditioning (SC) System
Information
01 02
03
04 05
SC System SC System
CFA served
06
Is the SC 07
Installing a
08
09
Identification or Location or Area
by this SC
system a refrigerant Installing new ScName ducted g Installing
Served
System (ft2)
system? Component? components?
p com
Installing
entirely new
Installing
entirely new
System 1 Location 1
2093
onents. feet of ducts.
'
duct system?
SC system?
Yes Yes Yes No
No
No
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: 419-A020039548A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2019-04-24 07:14:11
Report Version: 2018.0.001
Scheme Version: rev 20180426
10
Alteration Type
Altered space
conditioning system
HERS Provider: CHEERS
Report Generated: 2019-04-24 07:14:11
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
02 03 04
01
System
Identification
or Name
System 1
Heating
Altered
Heating
System
Heating
Efficiency
Type
Components
Type
AC
All new
Central gas
heating
AFUE
furnace
components
dlacedP12
05
Heating
Minimum
Efficiency
Value
80
06 1 07
Altered
Cooling
Cooling
System Type
Components
08
All new
Central split
cooling
AC
components
CF1R-ALT-02-E
(Page 2 of 3)
R aired D c m ntati n stems h is replaced
CF2R-MCH-01-E - Space ConditioningSy air and return -air ducts or plenums: R6 (CZ 1 10, 12 and 13) and R8 (CZ ? 1 and 14-16
- Duct insulation requirement for the new portions of supply -components are installed in ducted systems, or when more than 40 ft of duct length P
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling come components are installed or altered (applicable an CZ 2, 8 15).
-Leakage rate compliance: <= 15 percent or <=10 percent leakage to outside, or seal all accessible leaks.
CF2.R and CF3R-MCH-25-H Refrigerant Charge verification required when MCrequired when H-25 is required,
ining comp
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM p re uirements.
Exceptions: g provider as previously sealed are exempt from MCH 20 Duct Leakage Testing q
Duct systems re istered with HERS
s and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MC
25.
Heating -only system -
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
E. Entirely New or Complete Replacement Y
This section does not apply to this project.
(Section 150.2(b)1C)
F. Entirely New or Complete Replacement Space Conditioning System project.
This section does not apply to this
Registration Number: 419-A020039548A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2019-04-24 07:14:11
Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-04-24 07:14:11
11
08
4*g
dlacedP12
New orCooling
Rep
Efficiency
tat
Duct LengthTypeThis
field oris
section is notn
is
SEER
16k
applicable
R aired D c m ntati n stems h is replaced
CF2R-MCH-01-E - Space ConditioningSy air and return -air ducts or plenums: R6 (CZ 1 10, 12 and 13) and R8 (CZ ? 1 and 14-16
- Duct insulation requirement for the new portions of supply -components are installed in ducted systems, or when more than 40 ft of duct length P
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling come components are installed or altered (applicable an CZ 2, 8 15).
-Leakage rate compliance: <= 15 percent or <=10 percent leakage to outside, or seal all accessible leaks.
CF2.R and CF3R-MCH-25-H Refrigerant Charge verification required when MCrequired when H-25 is required,
ining comp
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM p re uirements.
Exceptions: g provider as previously sealed are exempt from MCH 20 Duct Leakage Testing q
Duct systems re istered with HERS
s and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MC
25.
Heating -only system -
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
E. Entirely New or Complete Replacement Y
This section does not apply to this project.
(Section 150.2(b)1C)
F. Entirely New or Complete Replacement Space Conditioning System project.
This section does not apply to this
Registration Number: 419-A020039548A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2019-04-24 07:14:11
Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-04-24 07:14:11
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:
Jo Anne Orona
J&An*wv 0rvna.
Company:
Signature Date:
I Permit E Raters
2019-04-24
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.nxrbTau ffn&
Company:
Date Signed:
Esser Services, Inc.
2019-04-24
Address:
License:
PO Box 1636
City/State/Zip:
Phone:
Cathedral City CA 92235
760-324-0550
Digitally signed by CHEERSTM. 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-A020039548A-000-000-0000000-0000
Registration Date/Time: 2019-04-24 07:14:11
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-24 07:14:11
Schema Version: rev 20180426