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07-0343 (MECH)P.O. BOX 1504.. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning:. Application valuation: Applicant: 07-00000343_ 4490 RIVIERA 775 -031 -051 - MECHANICAL LOW DENSITY RESIDENTIAL 7400 Architect or T,ityl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT' Owner: TALLAKSON ROGER R 54490 RIVIERA LA QUINTA, CA 92253 Contractor: PALM DESERT AIR CONDITIONING 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/01/07 ------------------------------------------------ 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 License Class: C20 License No.: 374937 '�'t _ for by Section 3700 of the Labor Code, for the performance of the work for which this.permit is -.!'.:,,Date:, Coiiira� • �-r "6-`r-'"" " 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 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 STATE FUND Policy Number 1795546-2007 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 I 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 Cod., I shall,f i'tth.,c/omply with those provisions. 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).: ))thhh w-y,,-� (,�C�' -Dat tlt D *lip ica" (_) 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 WARNING: FAILURE TO SECURE WORK S' 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, 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. /4 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, (_) 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 r� 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 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 county to enter upon the above-mentioned prop y for i e ei roses. D�J ` ` Signature: (Applicant or Agent): Application Number . . . . 07-00000343 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 51.00 Plan Check Fee 12.75 Issue Date Valuation 0 Expiration Date 7/31/07 Qty Unit Charge Per Extension._ BASE FEE 15:00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 4.5000 EA MECH VENT INST/ DUCT ALT 9.00 1.00, 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---=---------------------------------------------------------------- - Special Notes and Comments REPLACE ONE 5 -TON SYSTEM/ONE 2 -TON SYSTEM & ONE CONDENSER. - Fee summary Charged Paid Credited Due ---- ---------- Permit Fee Total 51.00 ---------- ---------- .00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 Grand Total 63.75 .00 00 63.75 RS ' LQPERMIT i - Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 L Building Permit Application ang Tracking Sheet Permit # M Project Address tJ L4kOLI Owner's Name: a A. P. Number: Addres Legal Description: City, ST Telephone: Contractor: h j5 Address: Project Description: l 00, City, ST, Zip: C �?i�� tS- �� ' 2- Tele hone: 7(p 7»:,�:;�€�:�.:+:.;�;::;s:::.>:;r:;s�.>::•;s;::... G State Lic. # :3731,9 City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: >::rv,;;>`s :::<:::..:.:. State Lic. #: v<.i::. Name of Contact Person: � Construction Type: Occupancy: Pro'ect a circle one New Add'n ter Repair Demo Sq. Ft.: # Stories: # Units: 3 Telephone # of Contact Person: 76Q— l,�- 77 Estimated Value of Project: . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIONG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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 H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 :u L; r R Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Proje I : Date: v� © CaICERTS 2005 Enforcement Agency Use Only t ess: Cll/m to One: Building Permit # tation Ath r7 PD - Telephone: Plan check Date ame- Field Check Date IMPORTANT: This CF -1 R-ALTJfnn is only for use when an HVAC -only alteration is made to an existing home Use one form for each s stem ein altered. This is system # of systems altered in this house. Check all lines that apply. Check only lines that aooly. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 -JR An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 Ah QEER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on.existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AhQ EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AMU EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 JR INone of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV RCA is required. Go to Section 3. 20 ❑ This s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 If line 15 is checked, HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27-A, lif less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Proje le: Date: CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVALonly alteration is made to an existing home Use one form for each system being altered. This is system # of -,? systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equi m nt must match type/location and meet or exceed efficiencies/R-values. 2$ Configuration: ptil system ❑ Package Unit 29 ❑ Air Handler ❑Gas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 Outdoor Condensing Unit >WC ❑Heatpumpfficien SEER/HSPF: US. oa JEER A re d : 32 ❑ Cooling or heating coil ❑A/C ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and 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 project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or thorized Agent Documentation Author Name: Name: Add ss: Comp a City/State/Zip: Addr Phone: City/ /Zi Ph Signature: Signature: Enforcement Agency (Building Department) Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a ,sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com 1i271VJ 1\10 — \iGlU11%1 W 1 "5- 1 Vl - CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R --) lilsT2 PSD?Owvt 54490 Riviera - La Quinta, CA 92253f i_mor Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 07-00000343 Contractor Conta Telephone Permit Number Pauly men 760-777-1724 52705 HERS Rater/ Telephone Sample Group Number V January 29, 2007 CC14-1798393287 CertKy g Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Conies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS® registry in accordance with the 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 -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (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 duct connections. MTNTMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal',_Cooling � 'Heating) or T 1 Measured 1388 Enter Total Fan Row In CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Row in CFM from CF -611: Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Row in CFM: Final Test of New Duct System or Altered Duct System for 267 Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line SJ - (Only if Applicable) 7 Enter Tested Leakage Row in CFM to Outside (Only if Applicable) -+ 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )J: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )J: 19.24% ❑ Pass R Fail . 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )J: ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )J ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Q Pass El Fail Pass if One of Lines #9 through #12 pass E6 Pass ❑ Fail https://calcerts.com/certificate_print.cfin?lots=0,52705&UseCF4R=1&cer( type_id=1&Req... 2/2/2007 l.all.r✓lt 1 a- l -el ulll atu rage z or Z. i TESTING (Pane 3-4 of 8) CF -4R . t. .,)>K.-.V►g 54490 Riviera - La Quinta, CA 92253 W� i- — Palm Desert A/C - Heating / 374937 Project Addiis Contractor Name / License No. 07-00000343 Contractor Contact Telephone Permit Number Paul Van VI en 760-777-1724 52705 HERS Rate - �— Telephone Sample Group Number January 29, 2007 CC14-1798393287 Certifying S14rhatthe Date Certificate Number Firm: Air ExDerts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/ZIp:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Buildinq Department This CF -411 has been registered with the CaICERTSp registry in accordance with the 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 © 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 dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 (Installation Certificate). EXPANSION VALVE Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and Installation of the specific equipment shall be verified. HVAC System TXVj © Pass ❑ Fail https://calcerts.com/certificate_print.cfin?lots--0,52705&UseCF4R=1&cert type id=1&Req... 2/2/2007