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07-1104 (MECH)
4 P.O. BOX 1504 VOICE (760) 777-7012 787495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT, Date: 4/11/07 Application Number: 07-00001104 Owner: Property Address: 80561 OAK TREE GODFREY HARRY J / KATHLEEN M APN: 775-082-015- - - 9807 ARNON CHAPEL RD Application description: MECHANICAL GREAT FALLS VA Property Zoning: LOW DENSITY RESIDENTIAL SEBRING, FL 22066 d Application valuation: 9575 Contractor: /��� Applicant: Architect or Engineer: MAPLE LEAF PLBG HEAT AI COAD 1 7 �OO P.O. BOX 3653 `iry J PALM DESERT,' CA 922 OF (760)346-6758 Lic. No.: 481393 -----------------------------------------------------------------=------------------------------- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided e lass Licens: 20-C36 License No.: 481393 .� " for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: tt/ ntractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ENDURANCE REINS Policy Number WEN1000915-01 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if 1 should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor 90"hal fort i comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by a �1 P 9 p any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Date: I� icant: (_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who -builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( 1 I am exempt under Sec. - , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: 1 FA LQPERMIT 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 t court y to enter upon he above-mentioned prope spec Date: ignature (Applicant or Agent): Application Number 07-00001104 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00• Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date . 10/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.0.0 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE-OUT; 15 SEER .CONDENSOR, HI-EFFICIENCY HORIZONTAL COIL,. VARIABLE SPEED FURNACE Fee summary Charged Paid Credited ------------------------------ Due -----------.---------------- Permit Fee Total 33.0.0 .00 .00 33.00 Plan Check Total 8.25 .00 :00 8.25 Grand' Total 41.25 .00 .00 41•.25. LQPERMIT APR -11-07 WED 09;37 AM DS/LOD/CPD FAX NO. 9166576261 ..maw-------- - -...--�--+,..---,----�•-.-r....,.--�.+...w+�...w P. 01 CT,RITIlei CA'd E OF COMPLIANCE: RESIDENTIAL (Page l of 5 CF -1R /07.1'I ujcrl `E i 1" Uote Building Permit 9 f tl;jwc.l Adtlv ;;.; O 5(o I -4-_ I- A q VL5_3 Man Chock/ Date - t)oc11�1u11tati+;1� Autilur Telephone- - _ rield Check / Date (:onllrti.+�u c� P,�clh+�d (1'rrsr�il~�tivo) Climate Zone _ Enforcement Agency Use Only Altcnlalivc C,°un pom:)a Pack Moilkoil; (chuck on4)xC. D D (Altornative) 0. ['ackngu C amt Pa4q%01) eboices require II VIS racer field verification and/or diagnostic testing (sec CF -1 R page 3) For Nkigo 1) Altelmtive sce A.IiNodix B Table 151-C Foobiotes 8-14 in the Residential Compliance Manual (RCM) (0114'dN1i.,&SAL 1NVd)RKArlION '1,0141 CoAdiliolied Moor Area (CFA)1(eCXR— !lz Averal),o CL il.nt{ Ilci�,llf; _ ft Cha 1, ly+ph: dl.lc Ilnd� 131ti1dixz;'iyOr":(Cht-ekone ornlorc) ___SingleFamily___-Muilitiunily...... Addition Alteration (li'rulciir+et funCS1A11i0.+fi►ll-out WS.41t, Fcr,mratinn Maximum Allowed Arca Worksheet and see Section 8.3.2 fol Additio,'s IAW 8.3.3 far AIwrations in the RCM,) * Nb%imum Allowed" otal 1'encalxtition Asea T—_—__ f0 (frum WS•4R) a Maximum Allowed Weft Fa,;ing Fcoc""Imlion Arca„ `�- h� (from WS-4it) N1tnd14-r.of Stories: __Numbox of l)Wclling Units: o l4k;n1 Col -t noi0it'1'Y : SLib/[Lniscd floor (circle one or both) >9 1't'++Ctt C1►ient,tt ion: Nw1h / Soath / 141141st / West : All Orientations (input front orientation in degrees feom'Ihle Norilt and 61,010 w.,01 0 P.&V lfAFv'r BARRIER (chock box if rotjin,.•ill climate one% 2 d, 8-15� .... OPA 133E SURFACES_ INCLUDING OPAQUE DOORS t'un11►uncht ASscnibly U- TY1+4 C�V,111, hrl;ulc tactor (for wood, Joint kopf Radiant RI1(1f, floc?r, fyl.1c Cavity Continuous mewl Bane and. Appendix J3arrior Shib Iidgc, (wood or hy-111alion Innl+lsition mass [V [nstallodZ „f���:,).. Metal) li•V,�Itsu I:-V.111ec assrmblics)I keference Yes or No l) i%ems J<<int A�hc;ndix. [V i�� Sec+icon IV'?, IV.a, �ii:<I 1VA, which is the basis fortla� u=r;�i�r � 11rC,ti�,:i ihiiv0 V;+IUt; Ip Sht'iw l'L1LtiV411�'1tC4 tf1 lt,-valuct�. 14111c hisrWrttx to verify ir,ti1.111:1tion of voof radiant balriCr. Location CAm1nC11+S (attic:, gunabe, I , U -factors can not cxc --�- December- 2005 APR -11-07 WED 09 38 AM DS/LOD/CPD FAX N0; 9166576261 P,*02 CERURCATIT, Off►' COl PLIA►lVCE: RRSIUL<+,�7IAL1. (Page 2 of 5) - CF -1R .__.,. _........... �..., .....__.._ . � rs,11Cr•t Titin•... _.. Date V .NC'q k'k; rE't'ION P1110ml '11.9—11-FAf';'f8)k AND SF GIC VFNl. ►'iRATION MAXIMUit•I Ai LOWt 1) ARFIA WCIRKSNERT WSAR— must be included for Ncw f;t�ts i:�t16'llt}h, A611' iom, iind Alterations. hi n,-lwiitIn, n U/C'ytt;. N)s.(VI 0311, Orion - 1 •C'i�, l"".%t r, taitllit, laPivcl, Ar,;s 1?, W 1) skyli;r,;;tc raw, Isow iac:luded iu WC9t410111, Iltmu'l.traticul ur,;q-if the . yliglltti are tilted to the west or tilted in any direction when the I'll 011 is thali 1:12. See §1511(1)3C And in Sec;lion 3.2.3 of tilt Rt.-;Wential Manual, 2) Etlwr value;, in this cokswir,.rvo[it cittsvr NVRC Cell L ied Label or from Standards Default Table 116-A. '1) I:t'diccttro; 6thcr frurn INHIC or Trhlt,' I 16-A', 4) F;riter vitivels in 14,; colstuut tioin NFRC ur fm;;1 Sl;tnd,111 , l);�f hilt Table 11611 or adjusted S11GC from WS -3R. 5) bldiull,, sonso'. cittwr front 141,RC., Table. 116B or WS -3R 6) S'lmd+Esf; Dovices ave dsfiAcd in Ttable 3-3 iii Ileo Rt.sidential Manual and sec WS -3R to ealoulete'Exterior Shading dovices. 7) S:v R:•ction 3.2A in the R(--;icl,•ntitil mmiti�tt. .ij4�iiillltj i��rilztl'scnt -- • lylir,ir,:ut��T - I)i�;fribtsi;an..._ — _..,, .........�. t`yt`r, t::cj capsial Efficitau;y '1'y1�. utd I,!{cation Duct or Piping Thcrnlos[at (tisrUau,v, III- ili,su,�t„lK� t�sriCR(i! E'11f. or I11!'1l (iLIC tS, JUic. �lc.l It -Value T e •, ,,;lir{11it1! l'.rltliti111Cti! h?fillllrtu(Il�• ...... • •�+._ -�� �yttl` t„td !'sp;{city. f,•:fflGii nt:y 1)istrihutfshl (A/�`, I��:,I t'u►lti� t v:l?. SUCK or' ic,^ttacl 4-,etratawn—vsrcLctLA�pi t^iiuL•►f � � �� �1' _ ` t•)_, ...I'fi'�).... nuc-r'?,anio,cit. R -Value Con figuration (split or A-w-kaatl C nfiguration (split or packal c h',:�!(lr,�tl�l f_�a,bj�lh;rlccrbri�tc Doceinher2005 Exterior Ar,;s 11. facto? U=faciarS1FGC source; Si1GC4 sources Shnding/OverhangO, box if WS -31t is included 1) skyli;r,;;tc raw, Isow iac:luded iu WC9t410111, Iltmu'l.traticul ur,;q-if the . yliglltti are tilted to the west or tilted in any direction when the I'll 011 is thali 1:12. See §1511(1)3C And in Sec;lion 3.2.3 of tilt Rt.-;Wential Manual, 2) Etlwr value;, in this cokswir,.rvo[it cittsvr NVRC Cell L ied Label or from Standards Default Table 116-A. '1) I:t'diccttro; 6thcr frurn INHIC or Trhlt,' I 16-A', 4) F;riter vitivels in 14,; colstuut tioin NFRC ur fm;;1 Sl;tnd,111 , l);�f hilt Table 11611 or adjusted S11GC from WS -3R. 5) bldiull,, sonso'. cittwr front 141,RC., Table. 116B or WS -3R 6) S'lmd+Esf; Dovices ave dsfiAcd in Ttable 3-3 iii Ileo Rt.sidential Manual and sec WS -3R to ealoulete'Exterior Shading dovices. 7) S:v R:•ction 3.2A in the R(--;icl,•ntitil mmiti�tt. .ij4�iiillltj i��rilztl'scnt -- • lylir,ir,:ut��T - I)i�;fribtsi;an..._ — _..,, .........�. t`yt`r, t::cj capsial Efficitau;y '1'y1�. utd I,!{cation Duct or Piping Thcrnlos[at (tisrUau,v, III- ili,su,�t„lK� t�sriCR(i! E'11f. or I11!'1l (iLIC tS, JUic. �lc.l It -Value T e •, ,,;lir{11it1! l'.rltliti111Cti! h?fillllrtu(Il�• ...... • •�+._ -�� �yttl` t„td !'sp;{city. f,•:fflGii nt:y 1)istrihutfshl (A/�`, I��:,I t'u►lti� t v:l?. SUCK or' ic,^ttacl 4-,etratawn—vsrcLctLA�pi t^iiuL•►f � � �� �1' _ ` t•)_, ...I'fi'�).... nuc-r'?,anio,cit. R -Value Con figuration (split or A-w-kaatl C nfiguration (split or packal c h',:�!(lr,�tl�l f_�a,bj�lh;rlccrbri�tc Doceinher2005 APR -11-07 WED 09:38 AM DS/LOD/CPD FAX N0, 9166576261 P. 03 CER' IPICAT E: OF COMPLIANCE: CE: ]IFSID.E+ NTiAL (Page 3 of 5) CF -1R J'lY,�r t 'hiNe Date X Vb�itrhlP��r�rat�ve i��CtlSYer@S_ , ..._ ..... __., ,.........r....__.. .—�� A s✓i�_ !,14'('Ak 1"r',rrrrt nu►tit h; prc,ridwl tai tho buildiug del bat•Ln nt for cae lr home for which the following are ruluired. .. , .....,._....,. ,.,.. _... .... ....._.,........... I .cri(etl 1h,ct� (till CIit(fal0 Y.0na:,� (Inst aHer I0"Iitw and cert itical ion and 1.1LuS rater field verification rc uired.) .�/ 1'XVs, rcu,lily iica:L•�.� if,lc (t:lir:lklu �niva 2 and 4-1 S.nnly) ....�+--- (lrt,tjlicr tc itakg and rcrtificAtiart And I fERS Hater field verification weguircclJ U Pefr'ii c:rar,l Chweu (climate veno, 2 and 8-45 only) (lnstallar lesting and certification and IIERS Rater —_.�� vc�,ilk•:iLic7N rr:dtli(u`(!.} ._TM_^ —_ t_1 Altt t rtxtivc�to 4:�alr.l Duct, and I:cfi i:;craut C;h�rgc �IXVs (Set Paekgc D Alccmtttive Package Features for (.,li,rtate%_nnc in the W App4►t;iix Table 151-C, roc�lnotcs 7-14. - - - --�Iq0 titins i,istall t�l....., r. OK' lli10.1 Autll CK istittT; ;,(hKV ccw.litinot exccctling 40ft, in Ivngth. ver ritf,I iilr,oy Anel alloralio", duck syslum,,i that are not documented to have been previously scaled as confirmed (a Lhrough field verilloniioa and diagntostic u-nginb in aceorclanev with procedures in the Residential ACMManual. Vact sySt.ta.;. v. ilh more Than 40 lineal f et iu. uncund:tioned spaves shall mewt tl,e requirements of Section 150(m) rtn<i ,!<tat in -ml -Won ,Iuif 4tb'A'fi'i3k I&�;�4;'1'>41�1tb S1�S'H'1H;11-lea Cficuk box if systceit nievLi crilet'Ll�ofu "c�'la�itlurcl"s}:.t� m. Standard system is Ono gas-firod water )seater per dwelling �'1, tt tif. If t_ha rvt►fer_b. Ater is ;, ,;!c. lila t ,c, nm!I011s is the maxirnuni ftci!y and recirculation system is rtt>t allowed. 17 Ch(k box writ"a usirri, Pr>rapprovO Aiternwive Wawr ilowing la.blc, ruble 574 in Chapter 5 in the Residential Haatial. No Nwiter heittinL4 ti!4ul14ticros arc,') L�uiiCd, i,nt1 i1lC SySlCfil Co11111I1CS 1tttO1rti11iCfllly. C'I►c'e!e lwx ifsys(cnt oleo;- not m-.vL eiifuTitt of `'Siandr.rd" sy�tetn, Slid roes not comply wilh the Pregproved C.7 hltarnrttive 1'Valcr Ilc�tiitg tabl,:, li< ►lriS r.tse,111C Perfann.uice Mclhncl must be used and must be included in the il3.tt a Ntne control i5 rL�%urcd for 9,s ytitern pump for a system solving multiple units ;��till d;s s ?�;witt�a seaxt led 4rt't�:llietk U1011it_(stti RM'I'able 5-4, A rnatiw waterilcafnSysicros forrecirculation re uirenra,fe WNILr I leat'r Tlistriirulio — -- Rated T .~.. .-. Tincr�y '['ttt►k )r,l,uti Tank fr o actor F,xtem.31 n Nua,bci dower Capacity Thermal Standby, 'Insulation _ in Sv,tcirt t3t,v7.r) _ _( dons Eflicien Loss (%) R -Value ys6Er,a !�t q_4'tlulJ �yetkillf!1C UWbillity, rlrails (Sco rtcsi nitial Manual SwOon 5.3.3) Wwt.r I leaic r _I Dist, il;utiort I Nrunbcr ill Sy Ill .....,--......._.. - _-- Rale i:nr:r T distil Tank Factor or (kW tic I (rapacity Thermal - Tttnky External Standby, Insulation Loss M R -Value l) T'��r sr rs�11 jigs st„rapu walt-r hv,:Irr!r (rid. <l intwis, of IM;% thtu, pr Lqual to 75,00011tu/hr), cicctric resistance, and heat pump water butlers, list l;L,_riy } �cthr. ('ar l;rr�re; T ns St��r;<Ot; wMerlicaders (nilt:d iillcul of rowlter than 75,000 BW/hr), list Rated input, Recovery Eff,oioney, Thennial 4'1'611C,cr,,y,ilt,T Statt<thy lits.,;. For gits water heaters, list Rate(l Input and Thermal .Eflfcciencier, ky t �iiQi !L2 !100 (hitcl)(m lines 3/4 inches) All hat wjilcr pipes slum the heating source to the kitchen fixtures tl,:dt;us 34 in0ms or p,r�.rla ill di,t„ 14A*r 6311 1r,: 111wm101yin,5ulated 1s spccifiod by Section 150 (j) 2 A or 150 0) 2 B. Pf'�?.,'itJc;r�;1.r1(:c,,:r;:liar,�r.��Jt�ra^rv..........,w _._... --• - ,..-.. �....,.....,,_�...` T._._ Dac•embrr 2065 ys6Er,a !�t q_4'tlulJ �yetkillf!1C UWbillity, rlrails (Sco rtcsi nitial Manual SwOon 5.3.3) Wwt.r I leaic r _I Dist, il;utiort I Nrunbcr ill Sy Ill .....,--......._.. - _-- Rale i:nr:r T distil Tank Factor or (kW tic I (rapacity Thermal - Tttnky External Standby, Insulation Loss M R -Value l) T'��r sr rs�11 jigs st„rapu walt-r hv,:Irr!r (rid. <l intwis, of IM;% thtu, pr Lqual to 75,00011tu/hr), cicctric resistance, and heat pump water butlers, list l;L,_riy } �cthr. ('ar l;rr�re; T ns St��r;<Ot; wMerlicaders (nilt:d iillcul of rowlter than 75,000 BW/hr), list Rated input, Recovery Eff,oioney, Thennial 4'1'611C,cr,,y,ilt,T Statt<thy lits.,;. For gits water heaters, list Rate(l Input and Thermal .Eflfcciencier, ky t �iiQi !L2 !100 (hitcl)(m lines 3/4 inches) All hat wjilcr pipes slum the heating source to the kitchen fixtures tl,:dt;us 34 in0ms or p,r�.rla ill di,t„ 14A*r 6311 1r,: 111wm101yin,5ulated 1s spccifiod by Section 150 (j) 2 A or 150 0) 2 B. Pf'�?.,'itJc;r�;1.r1(:c,,:r;:liar,�r.��Jt�ra^rv..........,w _._... --• - ,..-.. �....,.....,,_�...` T._._ Dac•embrr 2065 APR -11-07 WED 09:39 AM DS/LOD/CPD FAX NO'.9166576261 P. 04 (Page 4 of S) CF -IR Date (iT4"C,'CCAT, or HERS RATER VERIFICATION :durf:a AeO puts oft Iiis project. Tho IisI below only reprewnts special features relevant to the prescriptive method. tClic'rl; ,11��',lic,,l�lc boxer) --^_•_ • i}railclir,g Offirial- ---�- ••-• li5,ft5 Ralur— Vonrfcation of I' ER ; gator Diagnostic - at,xp:ry V „u r -poi -141 rozillifos Verificlalim -- ToNtinq Measure _f:� _ _ ,,;._._ ; Y , _ _ _—.._.,,.� _. ._�....�__. •- top°,{, of duct$ In uawlspacelbasement CI Y_ Buried ducts C.) Y Diagnostic supply duct location, surface area, and R-value --••-.� •.- •- _�T•-_---- � i ; �,-•:.._ � - Y -- Duct leakage �..,...........,,..____..,........_..,..__��_.,... ---�- ...� 1` Ducfs in atticwith radiant barriers ,. i..• Y_.,_,_ _ ------ l ns, 1:41i12 Q. of duct outside conditioned space L7 Y Namstandard duct location. Y Supoy rugiwors wlthfn Iwo ft of floor . , . C ,E • ' '! ' , Air m4arding wrap -- ... _ , .., ,_......... . .. .. ......,W ..r. -• Cool root _.._ �' �; 4� Exleriorshadus YHigh thermal ma*s ....� ._ .__, .. ...... _� ^_ Y _ _ yw' Irito_r-: ono ve_nlilation �El - -' _ -- Motat rramed walls .��-..,• W.,� ^ C) Y Y Quality Insulalion installation ,.,..,._...,.._...--I'iedi:tnlbatrir:r ...,_..,,.,.._....�._,..._.... Y Reduced Inf ltralian (blower door), May also require mechanical ventilation. solar gain targoting (for sunspaces) Sunspace with interzone surfaces Y 'Vofit taaloa grealurtitan 10%� -� -` Y�-- Adequate air 4ow Air conriitionnr silo - —_ - Y -- 14 handler Can power Y High EER I lydronie h", ting systems Y MocGanfwalyrorlilation Y Refrigerant charge r hnrrnUFtatir: expansion valve (fX� C 1 ` 7onal control ,.,«�,.,I.�-��--••--Y--•..;• Cornhinudhydronic ... �; High EF for existing water healers _..... _ ..: „ , „ Nan-NAVCA water heater Non -standard wnlcr hoatdrb (whtunit) Walor heater distribution' credits vlr.,:I ('n,nohann- Porins December mber 2005 ..�-�- •- - -- --;- - Y 1iVKC I �uifnv►mttt ' .—^ L Y. Y Quality Insulalion installation ,.,..,._...,.._...--I'iedi:tnlbatrir:r ...,_..,,.,.._....�._,..._.... Y Reduced Inf ltralian (blower door), May also require mechanical ventilation. solar gain targoting (for sunspaces) Sunspace with interzone surfaces Y 'Vofit taaloa grealurtitan 10%� -� -` Y�-- Adequate air 4ow Air conriitionnr silo - —_ - Y -- 14 handler Can power Y High EER I lydronie h", ting systems Y MocGanfwalyrorlilation Y Refrigerant charge r hnrrnUFtatir: expansion valve (fX� C 1 ` 7onal control ,.,«�,.,I.�-��--••--Y--•..;• Cornhinudhydronic ... �; High EF for existing water healers _..... _ ..: „ , „ Nan-NAVCA water heater Non -standard wnlcr hoatdrb (whtunit) Walor heater distribution' credits vlr.,:I ('n,nohann- Porins December mber 2005 APR -11-07 WED 09:39 AM DS/LOD/CPD FAX NO. 9166576261 OF COMPLIANCE; CE; RESIDENTIAL Project -Ti l 11e, - Date 5 of 5) P. 05 CF -1R 'l'ltit "Alific ato of corn pliance. lists 11:L building fe a' Lures and specifications needed to comply with Title 24, '110ts 1 M'd f 0011t: Cal ifora ilk Codw at'RqulaIions, and. the adininistfative regulations to implement them. This c o l iliento ],,,is bail sigil;;d by ilia individual wit) overall design. responsibility. The undersigned recognizes that com-plianco usins; darn design, duct waling, verification nfretrigertnt charbe.and TXVs, insulation installation (111ality, and buililing envelope soaliug require installer lestint; and certification and field verification by an : oovcd 11 R., miter. Mdr,dOr 0r*0iwr (,,Lr 1;usincf:s nud Profcs,;nns Code) i)ocuntAentation Author Na�:tdt ' Name: !'Midi ;i1n'. Addre:tis: , . ,..�......,... __..._._......_... l..it:rl. vj P: (� 1 � 3"— L.iectlsc fh (if applicable) (signature) 'k:adgorda5trrt;jit A�tecEy . (;utrtltl��ti5; ic�;,ia%�it%;ir,�;tl,f.. • _�'_,_--- . k_.._-...... _..S�t��icj�,�• Res.id erfird t onipfirp2ec- &1.111.9 nccemhcr 2005 Bin # City of La Quinta Building lit Safety Division P:O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet Permit # Project Address:' ao.–bAol 0 6,k — J e Owner's Name:. Hca -r r'e A. P. Number: Address: Legal Description: City, ST, Zip: (a Contractor: \� (_ per, 1�p 1 Telephone:: 1 /U 2 Address: .V (� v 3(P S 3 ' Project Description: City, ST, Zip: ,' , \ v1 g e� C/.r 2 Pa J Telephone: .t{Cp –[07 5_� State Lie. # : City Lid. #: Arch., Engr., Designer: V , C 1. kP s S Address: . City., ST, Zip: Telephone: Construction Type: Occupancy: State Lid. #: Project type (circle one): New Add'n . Alter Repair Demo, Name of Contact Person:. Sq. Ft.:# Stories: # units: Telephone # of Contact Person: Estimated value of Project: 67 -1 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal . Req'd Reed TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan. Check Deposit Truss Cllcs. Called Contact Person Plan Check Balance Energy Calcs. 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. ILO A. Approval Plans resubmitted Grading IN HOUSE:- '`' Review, ready for correctionAssueDeveloper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date o.f permit issue School Fees Total Permit Fees Apr 16 2007 9:22 HP LASERJET FAX#' CERTIFICATE OF FIELD VERIFICATION 1_ DIAGNOSTIC TESMG €Pada I aj!D CF -4R 80.5t64*11cfe, 1'a 4Q-153 ProjectAddnm m�lfl1t Leaf760 Builder Contact,Telephone hex Grahavr,"� .raa�-ggq-135�v HERS Telephone Q d Certifying Si Firm Rex Campg m StrWA&Wess: x$039 Scoli rd. 5,4,'4e D-11-130 to:. Bnllder, JIERS P"wwer ad Builder Name Plan Number Sample Group Number Sample House Number TIERS Pr*vider. C. Q 1 C.e V T5 City/Stat&71p: M(A V r i e49 C4 17,115 63 HERS RATER COM1PLUNCE STATEMENT The house was: i �i Tested ve O Appw'ved as part of sample Usti_ & 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 ss checked /on this form. The ITERS rater must check and verify that the new distribution system is Hilly ducted and correct tape is used before, a CF4R may be released on every taste building. The HERS rater must not release the CF -4R until a property completed and signed -CF -6R has been received for the sample and tested buildings. ■ I The installer has provided a copy of CF-61(installation Cartificated New Distribution system is fully ducted (➢le., does rat use building cavities as, pkn ms or platform rdurns in lieu of ducts). . New Symms whore clout ba&4 mbba adhesive •duct tape is installed, mastic and draw bands are used in combination with cloth backed, rumbq adhedve dustw tape to ftd lead at dW connections. MIAiIMUM R1�2Ul�FT$1, B bowfor jietrl and o ne Duct Diagnostic Leakahe Testing Results ZAKAGE Ri�N CVW1AANCK CFMOrr flf�d9aa*&IOnsykstaw wta m-&bk InRACU. App RC6.3. NEW CONSTRUCTION: Duct Pressurization Test Results (CFM ® 2$ Pa) Measured Values I Enter Tested Leakage Flow in CFM: 2 Fan Flow. Calculated (Nominal: ✓ ❑ Cooliirg -/ ❑ Heating) or ❑ Measured EntirTotal Fan Flow in CFM: 100c) c/ 3 Pass if leakage Percentage 5 &% . [ MO. _(Line # ]) /;(Line # 2)1] ❑. Pales ❑ Fail ALTERATIONS: Duct System andlar.l3VAC ouipmentChange-Out 4 Enter Tested Leakage Flow in CFM from CF' -6R Pre.TOt of Existing Duct System PriOr to Duct System Alteration and/or Equipment Change-0ut. ' Q 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System . for Duct System Alteration and/or exit Ch e-0ut. H7 6 ,Enter Reduction in Leakage for Altered Duct System ( (Line # 4) Minus (Line # 5)] -- (Only ifApplicable) 7 Enter Tested Leakage Flow in CFM to Outsiiie (Only if Applicable) �/ f 8 Entire New Duct System -Pass if Leakage Percentage 5 6°.fi # 5 l00 x (Line, / Line # 13 Pass � Fait . TEST OR VERMCATiON STANDAPDS: For Altered Duct System and/or HVAC Equipment Change -out Use one of the following four Test or Vertticatidn Standards for compliance: y Pass if Leakage Percentage S 159'0 [100 x [i_(Liae # 5) / (Line # 2)]] 9,�%, P(Pall ❑ Fail 10 Pass if Leakage to Outside Percentage s 10% [100 x [----_(Line # 7) / (Line # 2)]] O Pass 13 Fail 11 Pass if Leakage Raduetioti.Perrentage a 6VIo [1.00 x f (Line #-0) 1 _ (Line # 4)]] and Verification b Smoke Test and Visual Inspection ❑ Pass ❑ Fail .13 12 Pass if Seaiin of all Accessible Leaks and Verification.by Smoke Test and Visual [ns 'oJo.", 0;115,'` ❑ Pass Fail Pass if One of Lines # 9'through # 12 pa Pass 13 Fair Residential Compliance Forms March 2005 Apr 16 2007 9:24 HP LASERJET FAX CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF4R go5col Oa�'-}lam Za Qu�,�Ta CR 9)a53 Project Address `_ Builder Name rrluol76o-ala- -703q Buildercontact I Telephone Plan Number "ReX Gral gm [nDa2-999- 135(Q ii[?RS lie elephane Sample Group Number certifyks Sipfitiffe Ode Sample House Number Firm: "�eX Y?Z _ HERSProvider 60 t Ce r 115 Street Address: aS 03q S c,04 Yd . 5,4,'j e b # 130 city/stetetzip: _mu V w I e4,i_ Copies to: Builder, HERS Provider and Building Department HERS RATER COMPLUNCE STATEMENT The hoose was: ✓. 1P Tested ❑ Approved as pert of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verIficatiort l certify that the house identified on this form complies with the &*nostac tested eomphaom requhmi9ts as checked on this form. ✓ The installer has provided a copy of CF-6it (Installation Certlficate). ✓ THERMOSTATIC EXPANSION VALINE (TX's Promdw a f rfretd ve>dicattar of d wmwtarlc ¢spawwn valm are available In RA CX Appendix Rf. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification fbr Required Refrigerant Charge for _Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btulhr Date of Verification Access is provided for inspection. The procedure shalt consist of (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) ✓ Yes 0 No visual verification that the TXV is imstalled on the system and ❑ installation of the ific equipment shall be verified Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification fbr Required Refrigerant Charge for _Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btulhr Date of Verification Date of Refi-igerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Stmrtdard Charge MONW-stent (outdoor• air dry Ijulb 55 7 and above) Note: The system Mould be installed and charged in accordance with the manurer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall use the Altemative Charge Measure Procedure Procedures or Determi rii N rant Charge taft the -%wWmd Method are ayadfable in RACAX &&nd r RDZ _ ✓ O Yes D No A copy of CF -Qt (Installation Certificate) has been provided with. refriige ant charge measurement documented. Residential Compliance Forms March 2005 p.12 Apr 16 2007 9:24 HP LASERJET FRk p.13 INSTALLA'I`XON Site Address Permit Number INSTALLER COMPLIANCE; STATFZ*WNT FOR DUCT LEAKAGE Copies to: Builder, HERS RaterBuildin9.Owner at OcarMM and Building Department INSTALLER COMPLIANCE STATEMENT The budding was: ✓ 1A Tesftd at Final O Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: © Remove at least one supply and one return register, and verify that the spaces between the register boort mad the interior finishing wall aro properly sealed. 0 If the house rough -in duct leakage test was eondrated without an air handler installed, inspect the connection points between the air handler and the supply and r*mn plenums to verify that the connection points are properly scaled. O Inspect all joints to ensure that no cloth backed rubber adhesive duct tape Is used ✓ D DUCT LEAKAGE REDUCTION w...,..A.� 6,. sera ..o.:s.,srL,.� .....► drno.�r' trsti� nfair �asbf/ut8eiz scste:xr Ane acvAilAb/t tit 1?A� �Iniaerrrtirc RC4:3 NEW CONMUCTION: Duct Premurization Test Results (CFM @ 25 Pa) ` Measured Measu ed Vannes V n 1 Enter Tested Leakage, Flow in CFM:- FM:Fan 2 FanFlow: Calculated (Nominal:./ O Cooling ✓ 0 Heating) Or'/ 0 Measured If Fan Ftow is Calculated os 400 cfimt on x numbet of tans or es 21.7 cf nkkHtu/hr) x Heating Capacity in Thousands of BtWhr enter total calculated or measured Eon Row In CFM here: j [} (7 ✓ ✓ 3 Pass if Leakage PW=Atlge4 6% for F'mai.or 5 4% at Rwgh-in: 10oa # 1 1 ' 2)19 13 Pass 13 Fait ALTERATIONS: Duet System and/or RVACi eat C Out d Enter Tested Leakage Flaw to CFM frons lire -Test ofExisting Duct &jSt= Prior to Dart System Alteration a dibrEquipment Chan&4Dut pP,o SSystemfor Entre Tested Leakage Flow m CFM from Final Test oMew Duct System or Altered Duct Duct stem Alteration andfor t 1 I 6 Enter Reduction in LevkW for AkaW Dad System # 4 11 umne # S(only if doable ' ' ` 7 Enter Tested Leakage Flow in CFM to Outside (Only tf Applicable) ✓ Entire New Dart System - Pass if Leakage Percentage S 6% for Final or . -5 49'9 at Rough -in ❑ Pass 0 Fail TEST OR VERIFICATION STANDARDS: Vor Altered Deet System and/or HVAC Equipmeat Cbage-Out Use one of the fellowina fear Test or Via }dards for tom ✓ �/ 9 Pass if Leakage Percerdage 515% [100 z [ (Line # 5) / (Line # 2)]] 9, �"lp 1j(t Pass 0 Fail 1.0 Paso if Dmkage to Outside PereeutW 510°•6 [100x L --.(Line # 7) / (Line # 2)11 13 Pass 0 Fall Pass if Leakage Reduction Percentage z 64%,ET x L_ (E.me # 6) / (Line # -4)]j 11 and Vaificadom by Smoke Test and. Visna( D Foss ❑Fail 12 Pass ifSealing ofati Accessible Leaks andiVeri6c adon by Smotae Test and i►isaal Inspect= 0 Pass ❑ Fail Paas if One of L1ffW # 9 throe # n Ma , ..,41 gP= 0 Fail ✓ ❑ I, the undersigned, veaify that the above diagnostic test results were performed in mrifannance with the requirements for compliance credit 1, the undersigned, also certify that ther newly installed orretrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150. (m) of the 20!15 Building EnaEfficicncy Standards. Date p Installing Subcontractor (Co. Name) OR �-, `'1 1 Geperal Contraeacrr (Co Name) Residential Compliance Forms March 2005 Apr 16 2007 9:25 HP LASERJET FAQ`., i p.14 INSTALLATION CERTMCATIE - - (Page 5 of 1 z) CF -6R Site Address Permit Number . ✓ q THERMOSTATIC EXPANSION VALVE (racy) Procedwn forflM vad&adan oftherazanmlc awamion v*hw am available m RACM, .9PPmdfx N Access is provided for hmpectioa.The proms shall °F consist ofvisuai verifted n it ad dte TXY is installed on OF ✓ tj Yes Q No the sysbM and Mtallit;wn of the sped to equipment OF shall be verified. OF Yes is 9LIM I Pass I Fail ✓ 0 REFRIGERANT CHARGE MBASUR MENT Verifiostion for Required Refrigemaat Charge imil Adequate A ft low for Split System Space Cooling System without Ttwrm entip jzwr c.t vnl,.ne Outdoor Unit Serial # Location Outdoor Unit Make Outdoor unit Model Cooling Capacity Bw/In Date of Verification Date of Rei'rigeram Gauge Calibration (quant be d raouthly) Date of 7berm000uple Calibration (must be checked mwthly) Standard Charge Measurement Procedure (ouW" air drvAm1b 55°F and above) Proaedrasa for Deferminfng Refrlgg-am CYwrge using the Standard MeAnd are available M RACMv Appondis RDs. N system should be installed and dmrged in awoordasoe wi9t the manufsei,uer's specifications beffom starting tbis 1�Aexamrir'i`mm��hrr.,c SuPPIY (evaporator leaving) air dry-bulb temp� (Tgupply, db °F Return (evaporator afting) air dry-bulb wroperadum CTteuwk db) OF Return (evaFwator entaW air wet-balb Umperature Vlwturu, wb) OF Evaponatorsat uation lwqwntury OWap=tpr. sat) OF Suction line tempamttue Crmwtion, db) OF Condenser (e arAng) air dry-bulb- Pea lure (Tcondeaur, db) IF uNftg CMMC Method CalaulsEicm %r Rethaermt Actual Superimat = Tsuction, db - Tevaporatoe, sat OF Target Superheat (from Table RU -2) °F Actual Superheat - Target Supeduw (Sysum passes if baweee -5 and +.5°F) OF Temperature Split Method Calculations for Adequate Airflow Actual Te aperatwe Split =T rehnz6 db T y, db `F Target Temperaitum Split (firm Table RD3) T Actual Tmnperaaae Split Tujpt Te3nperaWM:& i'it (SYMM Passes ifbehmen - 3°F and +3°P or a if beim 3°F stay -] Residential Compliaw Forms Match 2905