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06-1693 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:1 06-00001693 Property Address: t 55502 RIVIERA r APN: 7757242 -030 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL xs Application valuation: 8770 Ti,ht 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ROSS SHADE 55-1502 RIVIERA LA QUINTA, CA 92253 Contractor: Applicant: Architect or.Engineer: PALM DESERT AIR .CONDITI 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 ----------------- 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 Class: C20 LicenseNo.: 374937 Date:_s;-"(-, Contractor: + r 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 (_ 11, 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: 5/02/06 e O MAY 0 2 2006 CITY OF LA TA WORKER'S COMPENSATION DECLARATION . 1 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 STATE FUND Policy Number 1795546-2006 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'fo 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`I shall forthwith comply with those provisions. Date Applicant: y • E�;�` WARNING: FAILURE TO SECURE WORKER OMPENSATION 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 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. certify that I have readthis 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 property ffor inspection purposes. Date:�Signature (Applicant or Agent): Application Number . . 06-00001693 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check .Fee 3.75 - Issue Date Valuation .. . . 0 Expiration Date 10/29/06 Qty Unit Charge Per _ Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 8A MEC:H APP1, KEY/HLT/'ADD 9.00 Special Notes and Comments RELACE EXISTING A/C WITH 4 TON 15 SEER 80%AFUE SYSTEM. Fee summary Charged Paid Credited Due. Permit Fee Total 33.00 .00 .00 33._00 Plan Check Total 3.75 .00 .00 3.75 Grand Total. 36:75 .00 .00 36.75 Bin #' z 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 # Project Address:; 55• )� V ' Owner's Name: A. P. Number: Address: 55 • 5Ca !Psxv Legal Description:1 �('�,, Contractor: CI ( C City, ST, Zip: L, Q%nl�go� Telephon( Address: Project Description: Qe 1 a(2f_. U Ie lnc) City, ST,Zip. Telephon 4 . State Lie. # :3-7.4 q —7 City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: o Telephone: p State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'ri Alter Repair Demo Sq, Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: g -7'7 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Flan 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. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project ZIZQJ Date�:/ 1 1� T/vi 7/40A © CaICERTS 2005 Enforcemert A enc Use Only Project Address: Climate Zone: Building Permit #06- 4.� Docume tation Aut lepho e: 71��3�t6 Plan Check Date com-pn Na n Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # % of systems altered in this house. Check all linea that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 fi< A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next I"ne. 3 5i( An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determinec. 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. CSntinue 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. Cont`nue 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 checlied. 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 Sectior 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R 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 AND EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Sectiorv2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Atte EER 12 condenser will be installed with TXV(faCA) 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 AbQ EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None 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 system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 lThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go =o Section 3. 3 - HERS Rater verification SeX0JIf 22If line 15 is checked, HERS verification Is required for Duct Sealing. 23 line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCAY 24 ❑ If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ Ilf 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 beinginstalled or replaced, duct R -value must meet or exceed Package D r .jirements. 27 If 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 Pagel of 2 This form can only be used on projects being verified by CaICERTS certified raters. vv"vw.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Till Date: / CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system #__J of __L_ systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equi m t must match type/location and meet or exceed efficiencies/R-values. 2$ Configuration: Split system ❑ Package Unit 29 ❑ AV Handler 43as furnace, AFUE:ttz ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 J( ' Outdoor Condensing Unit W<C ❑Heatpump k1ficiency SEER/HSPF: EER if re d : 32 ❑ Cooling orheatiNcoil ❑A/C ❑Heat ump OH dronic 33 ❑ Ducts Location: I Length (ft):IR-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 Authorized Agent Documentation Author Name: Name: < I Address: Compa am City/State/Zip: Address: Phone: ity/ t e - Phone- zzSignature: Signatu–.1 ��Io-zr .10 Enforcement Agency (Building Department) Notes/C m ents Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1R -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, ins,aller. 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. \/..... i.... fro , - - - -- - " Frage 2 of 2 This form can only be used on.projects being verified by CaICERTS certified raters. www.calcerts.com r ,N I Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title* Date: �/� G 2005 CaICERTS Enforcement Agency Use Only Project Address: Climate Building Permit x Installing Contractor: Telephone: $9,d6 77 Pian check Date Com C�/�GNj#rt� Field Check Data IMPORTANT: This CF -6R form is only for use when an HVAC -o ly altera ion is made to an existing home Use one form for each system being altered. This is system #- of systems alterad in this house. Copies to: Homeowner, HERS Rater, and uildin apartment List the specifications for the newly installed equipment. These must match the installed eq jipment exactly. Installed equipment must match type/location and meet or exceed efficiencies/R-values `rom CF -1 R. Equi ment Type oo7 Manufacturer Model Number Efficiency Load" Capacity— a acit —Furnace Furnace AFUE DO Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER Package heatpump HSPF SEER EER" A/C Condenser SEER S, Heatpump Condenser HSPF SEER Indoor DX coil EER' Hydronic coil Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documertation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a spefc EER. ' Loads are sensible for cooling. "' Capacities are seniible at design conditions for cooling and adjusted altitude, downflow, etc. output for heating. XV: ❑ If TXV is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stens. I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. ' I, the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards. P h �-7 v Y-2 / Signed Ins er : Date: Notes: Version 03-10-06 , Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calc.erts.com Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Date: a 71 © 2005 CaICERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made tc an existing home Use one form for each system being altered. This is system #_L__ of / systems ahered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct testing is required per CF -1 R -ALT form Step 1 - Pre-test: Leakage of the system before any alterations. This test isoptional and is only used for the 60012 reduction option 1 Pre-test leakage 1 13 R ICFM25 2 1 Line 1 x 0.4 Jarget for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values fore ui ment after alteratior-s. 3 Cooling: Condenser tonnage: --- (L tons x 400 CFM/ton =I gmCEM 4 Heating: Furnace output: Bluh x.0217 CFM/Btuh = C6M 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = JCFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: I JCFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06 = CFM25 = 6% leakage target (rmw duct systems) Bb Total System fan flow (line 7 from above) x 0.15 = 0 ICFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 ICFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ ISeal all new connections with approved materials. 11 ❑ 1 No newly constructed portions of the system can have unducted building cavities to convey system ai . 12 ❑ lif adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = I 111 ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 14a ❑ If line 13 is less than line 8a house passes the 6% leakage requirement, Go to Step 9. 14b ❑ If line 13 is less than line 8b house passes the 15% leakage requirement. Go to Step 9. 15 ❑ If line 13 is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealin 3 is required. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house is pressurized to 25 pascals at tie same time. 18 leakage = I ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 Is less than line 9 house passes the 10% leakage to outside requirement. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual inspection of Accessible Duct Sealing is required. See Ste 8. 22 ❑ I Install required label per ACM Appendix RC, Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Ins ection and repair of excessively dams ed ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer or their representative, not the third party rater. No Sampling - House does not pass by lines 14 15 or 19; OR homeowner chooses not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a thin party rater. OR, all above tests may be performed solely by the third party rater. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.c3lcerts.com