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09-0039 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 09-00000039 80501 OAK TREE 775 -082 -006 - MECHANICAL LOW DENSITY RESIDENTIAL 12000_ A .4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Cla s: 20 License Noo : 791437 ate: %� % ontractor: oei�/J� 1 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).: (_) 1, 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.). 1 _) I am exempt under Sec. , BAP.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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/14/09 Owner: GILBERT HASLAM 80501 OAK "TREE LA QUINTA, CA 92253 Contractor: MENDEZ AIR COND & HEATING 72096 DUNHAM WAY, SUITE C THOUSAND PALMS, CA 92276 (760)345-6001 Lic. No.: 791437 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. 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 FARMERS INS Policy Number A0924217507 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. ate: I / plicam: 4tiX-eW '/-I L' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANEMPLOYERTO 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 Director of Building and Safety 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 info n is c r . -I agree to comply with all city and county ordinances and state laws relating to building con ruction, y authorize representatives of this to enter upon the above-mentioned property for i ;ion gnature (Applicant or Agent Application Number . . 09-00000039 Permit I. . . MECHANICAL Additional desc . Permit Fee . . . . 42.50 Plan Check Fee 10.63 Issue Date . . . . Valuation . . . 0 Expiration Date 7/13/09 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -7 -------------------------------------------------------------------------- Special Notes and Comments REPLACE HVAC SPLIT SYSTEM & DUCT WITH NEW R8.0 FLEX DUCT ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 42.50 .00 .00 42.50 Plan Check Total 10.63 .00 .00 10.63 Other Fee Total 1.00 .00 .00 1"00 Grand Total 54.13 .00 ..00 54.13 LQPERMIT Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # q ©� Project Address: ----p A �-�- a-ce Owner's Name: 1 ��. 5 nn A. P. Number: Address: g o --O) .A IL�2t= E Legal Description: City, ST, Zip: LA (S� v I K ���• Contractor: M ENC) A c— N GAJ Telephone: 1 O GI Bio - 3S Z Address. V ✓1 r 1 C t Project Description: (a- CP City, ST, Zip`Tkt)j S4,v0 A (_All '9'% -7 TL- -o A L Telephone (., b y SZ)` -j/ State Lic. #: -'11 y 4!City Lic. #: Arch., Engr., Designer: L L l/ t✓ (UUL7—( 4-1 A) G— w $ 71 L L Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person:C n r( � Z Construction Type: Occupancy: Project type (circle one): New Add' Alter Repair Demo Sq. Ft.: # Stories: I T# Units: I Telephone # of Contact Person: &O 7's — z(� "S' Estimated Value of Project: j 2 OOU APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: ''" Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I CERTIFICATE OF COMPLIANCE: RESIDENTIAL c�51C� W Project Title _ ' 8 5 0 -D a'an Project Address Documentation Author Telephone Compliance Method (Package or Computer) Climate Zone ge I of 3). CF -1R ite Building Permit # Plan Check / Date Field Check / Date GENERAL INFORMATION `i ft Total Conditioned Floor Area ft2 Average Ceiling Height:. Conditioned Slab Floor Area Building Type: Single Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: A10/L%1--"North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories Number of Dwelling Units: 1 Floor Construction Type: /Raised Floor (circle one or both) RADIANT BARRIER (required in climate zones 2,4,8-15) Required for this submittal_ yes _no BUILDING ENVELOPE INSULATION Component Frame Type Cavity Sheathing Total R- Assembly Location/Comments Type wd = wood Insulation Insulation Value' U -Factors (attic, garage, typical, etc.) stl = steel R -Value R -Value Wall Wall Roof Roof Floor Floor Slab Edge I For prescriptive compliance Total R -Value and Assembly U -tactor are not requlrea for a woos-rramea wau mai rlleels cavay re-v_diuc insulation requirements for the Prescriptive Package. FENESTRATION Shading Devices Fenestration Orien- Area Fenestration Fenestration Exterior Overhangs/ #/T e/Pos. tation (fe) U -Factor SHGC Shading Att. Fins Front Front Left Left Rear Rear Right Right Sk li ht Skyli ht Compliance Forms August 2001 A-2 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 3 Project Title Date 1 HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat pump, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value Type Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, eva . cooling) SEER attic, etc. (16AAAl�M'rrn5 16•O a 1-C SEALED DUCTS and TXVs (or Alternative Measures) U Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required) U TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) U Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater or field verification required) OR Duct Thermostat R -Value Type 610 CF -1R Heat Pump Configuration (split or package) Heat Pump Configuration U Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone) Climate Zone Window SHGC Window U -Factor SEER Heating WATER HEATING SYSTEMS Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or Btu/hr) (gallons) Efficiency Loss (%) R -Value ` 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual). Package C: thermal mass (thermal mass type, covering, thickness, and description). Compliance Forms August 2001 A-3 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF -IR Project Title Date COMPLIANCE STATEMENT This certificate of compliance lists the building features and.performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Documentation Author Name: Name: Title/Finn: Title/Finn: Address: Address: Telephone: Telephone: Lic. #: i (signature) (date) (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Compliance Forms August 2001 A-4 Jan 23 09 08:39a ROMAN DIAZ , CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC 80501 OAK TREE - La Project Address RICK CA 92253 760-398-2116 ING (Page!1 of 8 MENDEZ A, Contractor NA 041 09-39 C / 791437 ne License A 1 CF -4R E.onrracror r-oncacr i i Ie,epnone Permrt Number Roman Diaz ; i 760-398-2006 116698 HEkS Rater iTerephone Sample Group Number 7anuary 15, 2009 CC14-1798457280 j Certifying Signature Date Certr cote Number Firm: All About Air i HERS Provider:CaICERTS, Inc. Street Address: PO Box 5936 City/State/Zip:La Quiinta I CA / 922481 Copies to: Homeowner, HERS Provider and Building Department I This CF -411 has been registered with a CaICERTS@ registry in accordance with Tie Title 24 & Title 20 of the CCR. CaICERTS® is an approved HERS provider by; the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑Approved as part• of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I;certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF=611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R' (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts), New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at dud connections. I INIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT! NEW CONSTRUCTION Duct Pressurization Test Results (CFM 25 Pa) ' t � Measured Values I I v I E-..}.-.FXes ed +eakms a Raw 9144 .. _ + N/A p I I 1' 2 Fan flow: Calculated (Nominal (- Cooling Heating) or Measured Enter Total Fan Flow in CFM: 1600 ' 3Pass . 1b r inn m i 6 inn , 4 iRe 2 ��.' NJA N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out —I 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 515 i i 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 95 I for Duct System Alteration and/or Equipment Change -Out. f i 6 6 Enter Reduction in Leakage for Altered Duct System 420 � [Line 4 - Line 5] - (Only if Applicable) t i 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 1 j 8 Entire New Dud System -Pass if Leakage Percentage < 6% [1 100 x ( Line 5 J Line 2 )]: 5.94% ❑ pass �❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC 'the ; Equipment Change -Out, use one of following four Test or Verification ,Standards for compliance: I I : f 9 Pass if Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 )]: 1 I 5.94% ® Pass I❑ Fail j 10 Pass if Leakage to Outside Percentage <= 10% 1 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail j 1 11 ��and Pass if Leakage Reduction Percentage >=,60% [ 100 x ( Llne'6 / Line 4)] Verification by Smoke Test and Visual Inspection 811 55% I L�� Pass ❑ Fail ! I Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ? E]Pass 10 Fail I' 1 IL12 Pass if One of Lines #9 through #12 pass Q Pass ;❑ Fail