BMCH2019-042678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
MECHANICAL/
B MCH 2O19-0426
54820INVERNESS
ce,iht 4 ZP 094a
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
775091017
HENKE / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM
$7,893.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
P
zA�, U
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
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
f r_� ,--- '"` -
Date: I f 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/21/2019
Owner:
RICHARD B. HENKE
54820INVERNESS WAY
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
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
issued. My workers' compensation insurance carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503016704
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: 1 ' =_ j ` % 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.
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: �' I Signature (Applicant or Agent):
Date: 10/21/2019
Application Number:
BMCH2019-0426
Property Address:
54820 INVERNESS
APN:
775091017
Application Description:
HENKE / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$7,893.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
RICHARD B. HENKE
54820 INVERNESS WAY
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: 4 - TON HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL•• •
DESCRIPTION ACCOUNT QTY 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
$40.25
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.50
Total Paid for MECHANICAL CHANGEOUT 2019: $120.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.97
Total Paid for PERMIT ISSUANCE: $101.97
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
ta 0"Crev
— (tF NI of ,be [A. -SERF —
PERMIT # L� 201 9
PLAN LOCATION:
Project Address: 54820 Inverness Way
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 4 ton complete HVAC system
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@outlook.com
Valuation of Project $ 7,893.00
Contractor Name: Esser Services Inc.
New SFD Construction:
Address: PO Box 1636
Conditioned Space SF
City, St, Zip Cathedral City, CA 92235
Garage SF
Telephone: 760-324-0550
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 489046 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Hl V4V-S
-�Ieua►2i7 f4L'>z 1t1=
Property Owner's Name: Richard Hanke
New Commercial / Tenant Improvements:
Address: 54820 Inverness Way
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Req'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Cales
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtcc Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
Esser Services Inc.
PO Box 1636
Cathedral City, CA 92235
License # 489046
Date
Name
Address
Proposal Includes the Follow
HERS Test (3'a Party)
✓
t!I City Permit _
Wf Code Compliant Install
Crane
move Old Equipment
- Jobsite Clean-up
❑ CO2 detector
❑ S al ceiling cans*
insulate return Plenum*
❑ FAU Filter Base*
Outdoor
FAU
Phone
Flush Existing Line set_
d Line Drier(s)
innect Box(s)**
VCondenser Pads)*
❑ New Line Set (proper size
❑ Line Set Cover*
12Thermostat*** (see stop
❑ New Low Voltage Wire**
Condenser
p
Model #
PCKG Unit
Model #
FAU
Model If
- I
AFUE
%—
a— Indoor
Brand
kw
Position
I LAO,
Energy
Efficiency
& I
Equipment
Protection
Scope of work What's Included?
Thermostat Upgrade
Air Quality
Electrical Protection
Extended Labor Warrai
What's exdudW Brand of t
Cyrkor) vA�A�pAMf a � 6y5k-n
Aobroxlmate Start Date
Home Improvement
E��er Contract
� mk.rnnNreo
y i.a wunrea
Email
Phone
I"Electrical Plgtail(s)-115v**
❑ Furnace Flu Vent
❑ as Flex & Service Valve**
P(Rackup Drain Pan
ONew Supply Plenum***
O ew Return Plenum***
Standard Air Filter
❑ Bar Type Supply Re
❑ Bar Tye Return Gi
Mlsc. Details (clyde)
1
State
V1 Ceiling Saver- Water Switch
❑ FAU Sheet Metal Platform
fD at/Cool System Test
Q Jobsite inspection
❑ Supply Duct Run(
❑ Return Duct Run(
❑ New Condensation Pump
cooling sus.
l 21vS
Cam premor Warranty
DJ Year
Heating Stjs.
Q1 i
Parts Warren
{ Q Year
Uhra-Quiet
1 Y
Coll Warranty
�� Year
Communicating
Y N
LaborWarrenty
)Year.
Variable Speed Indoor
Y N
GaslElectric
I Y
Variable Speed Outdoor
Y GN
Heat Pump
3) N
Weather Proof Ta
Y
WIFI 1 1 $`
Electronic 5�
Length ❑ 5 Yr. ❑ 10 Yr. ❑ 12 Yr. I S =
Total Options $
nem? General dewrlptlors of what's belldone?
Ve.t 5)5- fly, a,n,� 6 of-Tfd(,� Xq iq
Date
d '11 - -, 9 V Contract Price
0 n Total Options
Manufacturer Instant Rebates/ Esser Instant Rebates
Dawn Payment (10 percent or $1,000, whichever Is If
1) �2) 30 Total Aniount(Due Upon Completion (Includes Tax, N10 Term
-a-ri
11111n Details
Method ❑CC ❑ Csh ❑ Chk ❑ Othr
YGrene ❑5 Yr. ❑ 10 Yr. ❑ 15 Yr.
HERO/PACE 05 Yr. ❑ 10 Yr. ❑ 15 Yr.
Financing % APR for Month
Check # Last 4 CC I —
Customer Signature Customer Print Date
roval Esser Rea. Date
(Inillal) 'The law requires that the contractor give you a notice explaining your right to cancel. Initial
the chec ox If the contractor has given you a 'Notice of the Three -Day Right to Cancel."'
The Fine Print
'items may not be applicable due to the configuration of the application. If mudificatlon Is not possible, the<hecked or unchecked boxes to not apply.
"Items are being connected to existing materials. Esser AC shall not be held responsible for Items that may be defected outside of the scope of work
***Utility rebates are not Included in this transaction and Esser holds no liability for Issues between the customer and utility companies
Unless otherwise specified, this proposal does not include modlflcatlons to ducting, line sets, roof, high and low voltage, or condensation drains
Extended warranties are backed by A & Associates. No transfer fees or deductibles. Choice of licensed HVAC contractor is customer choice.
Customer will carry necessary insurance on the home prior to work (fire, etc.)
Warranty work and regular labor is performed during regular business hours M-F 7:30-5PM unless otherwise specified In above agreement. Warranty
work can be performed after hours If customer decides to pay the difference between regular and after hours' time.
Esser reserves the right to cancel this contract prior to the start of the project at any time for any reason,
■ Esser Is not responsible for any loss or damage to equipment or other materials once it is placed on Jobsite. Roof screening is not included
Changes and/or necessary modifications that are discovered during the time of installation will required written consent from both parties.
• A service charge of 4.5% per month will be added to all invoices not paid within 10 days of completion date
• . A NOTICE CONCERNING WORKERS' COMPENSATION INSURANCE IS ATTACHED TO THIS CONTRACT P.1
A NOTE ABOUT EXTRA WORK AND CHANGE ORDERS
Extra work and Change Orders become part of the contract once the order is prepared in writing and signed by the parties prior to
commencement of any work covered by the new change order. The order must describe the scope of the extra work or change, the
cost to be added or subtracted from the contract, and the effect the order will have on the schedule of progress payments
Exclusions:
Please Note: Next to customer satisfaction, Esser prides itself in being upfront with its customers and placing everything on the table
prior to signing a proposal or starting work. Estimating in the construction field, by nature is very limited to what we are able to see at
the time of the estimate. We are not able to bid something we are not able to see. The below exclusions are a description of things that
we MIGHT possibly run across once the equipment is removed. It Is very rare that Esser AC finds serious issues once the equipment is
removed, as we do our best to catch every potential obstacle before the install is performed. Each of the below are subject to individual
review on a case by case basis. Esser ultimately reserves the right to cancel the contract at any time for any reason. Esser is under no
obligation to absorb the cost of extra work needed OUTSIDE the written scope of work above.
Owner to provide the followinglDisclaimers
1. HERS Duct rater (If needed) See P.2
2. Performed by iPermit eRaters or similar company.
1. They will be calling you within 4 weeks of your installation
2. $250.00 Per system (resldenifal only, paid for by customer unless otherwise specified in proposal)
3. $300.00 Per system (commercial only, paid for by business unless otherwise specified in proposal)
3. All upgrades to the system or Jobsile that are not listed in the proposal.
1. Esser will be using existing HIGH and LOW voltage wiring, unless otherwise specified in proposal.
1. Like other items, the low voltage wiring may be condemned during installation if its overall integrity is found to
be poor and not in useable condition. Continuity testing can generally notify installers of potential issues.
Sometimes low voltage shorts may not present themselves during the time of installation. If low voltage wiring
is not listed in the scope of work, it may be subjected to extra costs down later on. Existing wiring is NOT a
warranty item,
2. However, not all issues are able to be detected. In fact, the low voltage wire may be okay at the time of
installation and defect later, Existing items are not covered under warranty. High voltage to be referred out to
a licensed electrician at the owner's expense.
2. Condensation piping and/or draining systems-
1. Esser will use existing condensate, unless otherwise specified in proposal.
1. If it is discovered the condensate is not in reusable condition during installation, installation of new
condensate pipe will be subject to extra cost,
2. Often there is no way to predict a condensation plug or blockage, even during a new installation. We
will always make sure that the system Is draining properly at the time of installation, but can in
absolutely no possible way can guarantee that it will stay unplugged. There are too many outside
factors, separate from the installation that could cause drain issues.
3. In the case of condensation drain blockage or leak due to outside factors, Esser will not be held
responsible for repairs needed to drywall, paint, etc,
3, Esser will be using existing ducting, unless otherwise specified in proposal.
1. Ducting recommendations will be made and are a separate item from the equipment install.
1. ALL ducting upgrades will be subject to extra cost.
2. NOTE: Ducting may not always be accessible. If a run is not accessible, it will not be replaced.
3 If HERS cannot Pass inspection, extra repairs and rep!scemer.ts arc subjcc' to extra .rusts.
4. Esser will be using existing line set, unless otherwise specified in proposal.
1 Any upgrades to existing line set will be subject to extra cost.
2. Note; Due to the nature of our work, copper line sets may be condemned during the installation process once
the system is opened up and the copper tubes are further inspected.
4. Esser is not responsible for pre-existing platform/roofing damage or conditions
1. During installation, if Esser Installers deems the platform unstable or in poor condition, the upgrades and repairs will
be subject to extra cost.
2. Please understand that Esser can only do a visual inspection. Once the unit is removed from the platform, Esser can
do a further inspection of the platforms integrity. Platforms are not included, unless other specified.
5. Installation work:
1. Esser not responsible for paint matching or painting anything that needs touch up paint.
2, Installation are to be performed between normal working hours unless otherwise approved. 8AM-5PM M-F
6. Warranty Work:
1. Warranty work is only done 7:30AM-5PM M-F.
2. Warranty work is not completed on recognized holidays.
3. Items not related to installation of scope of work are not included in Esser warranty.
7. Payment:
1. Payment is due upon completion of work within 10 days.
2. Lien releases are not provided until payment is received and processed.
B. Repairslmodiflcations including roofs, landscaping, wires buried under insulation or the ground, windows etc.
1. Extra foaming, Tar, the roof, interior paint, exterior paint, or anything not listed in the proposal.
1. If walking on tile roof, homeowner or HOA must provide reasonable access over the tile roof. If there is no
reasonable access to the unit on the roof, and tiles are broken, Esser AC will not be held responsible.
2, Roof Screening: Esser will use existing screening on roof or front yard. However, if no screening exists, then
customer will be responsible for hiring and providing code compliant screening around the condenser or package unit
on the roof or ground.
9. Home Intelligence: Customer is responsible for notifying Esser of a pre-existing home intelligence/monitoring system prior to
Esser installation via written notice. Nexia Z-wave is proprietary and only compatible with the Nexia platform at this time. Esser
will not be held liable for any changes or modifications needed in order to have a compatible home intelligence system.
However, if notifed prior to Installation, Esser may be able to offer compatible solutions.
1. Nexla Membership: Is FREE for basic thermostat use ONLY. For misc items (cameras, locks, garage door openers,
switches etc.) a monthly $10.00 fee is charged by NEXIA. This is subject to change at any time and separate from
Esser entirely,
10. Attic EntrylHatch: Esser will take the proper steps to protect the attic hatch. However, damage to paint is inevitable. Esser
cannot and will not be held responsible for the re -painting or repairs needed around the attic hatch. Owner to be responsible
for the repairs to paint and drywall after installation. Holding payment from Esser once installation is complete could lead to
service charges for late payment after 10 days or a lien against the property.
EXTENDED WARRANTIES: Extended warranties are a great way to remain free of repair bills and commonly purchased by our
customers. NOTE: twice a year maintenance MUST be done in order to keep warranty valid. Like an oil change for your car, AC
systems must be properly maintained for even the basic manufacturer warranty to be valid. The same goes for extended warranties.
Ask our office about our great and affordable ways to keep your system maintained.
Customer Initial Date.- 9
133
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)
Project Name:
RICHARD HANKE I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2019-10-17
A. General Information
CF111-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.
O1
Project Name
RICHARD HANKE
02
Date Prepared
2019-10-17
03
Project Location
54820 INVERNESS WAY
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RICHARD HANKE
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft )
1918
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SC System
SC System
CIA served
system a
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)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
1918
Yes
Yes
Yes
No
No
No
conditioning 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: 419-A020114618A-000-000-0000000-0000
Registration Date/Time: 2019-10-17 15:29:21
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-17 15:29:20
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CF111-ALT-024
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
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 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-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 leakage to outside, or seal all accessible leaks.
CUR 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 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.
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: 419-A020114618A-000-000-0000000-0000
Registration Date/Time: 2019-10-17 15:29:21
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-17 15:29:20
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
CF1R-ALT-02-E
(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
d.An*w,,1 0rdna1
Company:
Signature Date:
I Permit E Raters
2019-10-17
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
Show&ell
Company :
Date Signed:
Esser Services, Inc.
2019-10-17
Address:
License:
PO Box 1636
489046
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-A020114618A-000-000-0000000-0000
Registration Date/Time: 2019-10-17 15:29:21
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-10-17 15:29:20
Schema Version: rev 20180426