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05-4683 (MECH)y, � •If • 1. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r 05-00004683 Property Address:5620-5--RIVIERA—J APN: 762-021-022- - - Application description: MECHANICAL PrO06f•fy LOhlhg: LOW DENSITY RESIDENTIAL Application valuation: 15411 Applicant: Architect or Engineer PIP ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 License No.: 374937 e: Q ractor: 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 155001.: 1 _ 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 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. 7644, 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 contractors) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: r LQPERMIT VOICE (760) 777-7012' FAX (760) 777 -7011 - INSPECTIONS (760) 777-7153 Date: 10/17/05 Owner: GOTTLIEB JANICE 1610 N. ORANGE AVE LOS ANGELES, CA 90046 Contractor: PALM DESERT AIR CONDITIONING 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FLTND Policy Number 1795546 1 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. i Date:'! h icant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 upor ,the above-mentioned property for inspection purposes. (Applicant or Agent): R Application Number . . . 05-00004683 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 51.00 Plan Check Fee 12.75 Issue Date . . . . -Valuation 0 Expiration Date 4/15/06 Qty 'Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE --<=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 Special Notes. and Comments. CHANGE OUT 2 HVAC SYSTEMS & SEAL.ALL ACCESSIBLE DUCT WORK. ARI # 390284, 39.0314 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 LQPERMIT f 4 - CERTIFICATE OF COMPLIANCE:'RESIDENTIAL (Page 1 of 4) CF -1R Project Title • L �C6 DateBuilding 0-1 `off' Permit,#, Q _ `�`� i� ° *x��1 �'.� '• c i.,�� � �w:Y� .. x Y�E^� +� tv e �ri Project Addresss� a � W V' � L R luT 2253 1 'Plan Clieck / Date " �`'•t, y r,s w." Documentation. Author• Telephone ' Field Check ,' rJtr� ' f' Compliance Method (Prescriptive)/ Climate Zone xEnforceiiient`A enc Use'Onl '' l: • ' ✓ ❑ Alternative Component Package Method: (check one) • C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3) • For Package D'41ternative see Appendix B Table 751-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) - ft2 , Average Ceiling Height: ft . . Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ft' Maximum Allowed Total Fenestration Products, Per Table 151-B or, 151-C ----(20% X CFA) fe ~: ✓❑'Building Type: (check one or more Single Family Multifamily * Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) - Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North an ircle one). „ • ;' ✓ ❑RADIANT BARRIER (required in climate zones 2, 4, 8-151 ` OPAQUE SURFACES -INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors Frame Type (Wood or Metal Assembly U - factor (for wood, Cavity Continuous metal frame and Insulation Insulation ' mass R -Value R -Value ' assemblies)Reference -Joint Appendix IV Roof Radiant Barrier Installed Yes or No Location Comments (attic, garage, 'ical, etc. . � r - C All 1) See Joint Appendix I in Section 1V.2, 1V.3 and 1VA, which si c rs can not exceed prescriptive value to show equivalence to R -values. ' , ' ' r APPROVED Residential Compliance Forms ' April 2005 - /a /* r .� ' . ' - ss +'� _ � + .fit'• - t t CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) 'CF -1R Project Title C.61TUF8�Date. •Q a FENESTRATION PRODUCTS, 'U -FACTOR AND SHGC ' + ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET•WS-4R—must be included for New Construction, Additions and Alterations. ' 4, , + 4 Y Fenestration ' #/Type/Pos. (Front, Left, Orien- • Rear, Right, tation,, Skylight) N, S, E, W'ft Exterior Shading/Overhangs6''' Area • U -factor• SHGC ✓ box if WS -3R is . U -facto? Source SHGC' Sources included -Distribution Type and Location ducts, attic, etc. 13 y ' • K ❑ • • .. -S/2 13 13 11 Ql& ❑ ` ❑ ❑ 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilt:d in any direction when the pitch is less than 1:12. See §1.51(f)3C and in Section 3.2.3 of the Residential Manual - k 2) Enter values in this column are either NFRC Rated value or from Standards default Table I I6A. w f } 3) Indicate source either from NFRC or Table I I6A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. ' 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7)` See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS - b + Heating Equipment Type and Capacity fumace, heat pump, boiler, etc. Minimum Efficiency (A UE or HSPF -Distribution Type and Location ducts, attic, etc. Duct, or Piping Thermostat Configuration R -Value Type (split or package) y - IC -S/2 /1 t, 11 Ql& ni Cooling Equipment- Type and Capacity (A/C, heat pump, evap. coolin •) ., Minimum Efficiency Duct Location (SEER or EER attic, etc. , Duct Thermostat R -Value Type Configuration s l t or package) y - IC -S/2 S t, 11 Ql& ni ,f - • s Residential Compliance Forms.,, , April 2005 SEALED DUCTS and TXVs (or Alternative Measures) A Signe CF -4R Form must be provided to the building department for each home for which a followieg. are required. ✓ * �Pk£ r �s u e o 6u 'rias lir Sealed Ducts all climate zones Installer testin and certification and HERS -OR Alternative to Sealed Ducts and Refrigerant Charge iTXVs (See Package D Alternative Package Features for OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures :n the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS rater field verification:re uired. �I TXVs, readily accessible (climate zones 2 and 8-15 only) Energy Factor' or Thermal Efficiency Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) -OR Alternative to Sealed Ducts and Refrigerant Charge iTXVs (See Package D Alternative Package Features for OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures :n the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Svstems serving single dwelling units 0 Water Heater Type/Fuel Type Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Energy Factor' or Thermal Efficiency not allowed. 10 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Svstems serving single dwelling units 0 Water Heater Type/Fuel Type Distribution Type Rated Input' Number (kW or in System Btu/hr(gallons) Tank Capacity Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation R -Value Tank External Insulation 'R -Value Svstem servinu multinle dwellinu units Water Heater Type Distribution Type Number in System Rated Input' (kw or Btu/hr(gallons) Tank Capacity Energy Factor or Thermal Efficiency Standby Loss % Tank External Insulation '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, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitche® fixtures that are 1/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance Forms April 2005 CERTIFICATE, OF COMPLIANCE: RESIDENTIAL . (Page 4 of 4) CF -1R Project Title 1 J Date f Q SPECIAL FEATURES NOT REOUMING HERS VERIFICATION (add extra sheet:: if necessary) \ Indicate which special features are part of this project. The list below only represents special features re;evant to the Nprescri tive method. ✓ Feature Required Forms if applicable) Descri tion • ❑ Metal Framed Walls CF -1R ' ❑ Radiant Barriers CF -1R ' ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System ' Performance, Calculation Required; Attach Run to Forms., ❑ Gas Cooling Performance Calculation Required. + ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per ' See Table 5-13 or use , ❑ • Performance Calculation and Dwelling Unit attach Run to Forms. ' ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. Non-NAECA Large Water CF -1R Heater See Table 5-13 or use , - ❑ Indirect Water Heater Performance Calculation and attach Run to Forms ' See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and ' attach Run to Forms ' ' See Table 5-13 or use ❑ 'Solar Water Heating System • Performance Calculation and ' ' attach Run 'to Forms ❑ 1 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER, VERIFICATION ' add extra sheetsif necessa Indicate to the HERS Rater which credits are art of this project and need verification. ✓ Feature Required Forms if applicable) Description 11F DuctSealing - CF -6R part 4 of 12 ❑ Refrigerant Charge- CF -6R part 5 of 12 Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms April 2005 R+ 4 s CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 3) CF -1R Glo'f Otib i< Jr4y+� c�(c to �') . os Project Title Date COMPLIANCE STATEMENT �• • This certificate of compliance lists the building features and performance specifications needed to comply .with Title 24, Parts I 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 orrOwner (per Business and Professions Code) Documentation Author , Name: �i • `"L1� . •. Name: TitTe�•irm: T461-6 •{ It eAViI;I+iM61 S i4 ^�'� Title/Firm: + Address: Az-oO l -bE'AWP-4 A -U i ( Address: • Telephone: - Telephone: L.ic. #: ' -I')` 937 (CA C •20� (signature) (date) (signature) (date) + M + t Fnfnrcement Avenev S a Name: I itle: Agency: Telephone: (signature / stamp) (date) ' + Compliance Forms August 2001 A-4 AIR HANDLER MFG MODEL SERIAL REQ.CFM REQ.S.P. CONDENSING UNIT MFG LNdO'A p MODEL1A41q-qV1'% 3 f TONS 3Yi.-Oti SERIAL GLI U40$ INDOOR COIL MFG MODEL TONS SERIAL 11. i Fan CFM at Total SP Supply CFM Supply Loss Return CFM Return Loss Total Duct Loss Static Pressure Supply Static Pressure Return Total Static Pressure Fan Speed Ret. Grille Temp. Sup. Grille Temp �m Temp Change rA 11.08 X CFM X AT I I I GRILLES AND DIFFUSERS :OMMENTS. ,f CXCE-FAS i� LGOwC� l 2001 NCI DATE CUSTOMER 6oTTl.itS SAMA ADDRESS 640.247:9. 1?4 V; "a " Q •ti i.4 v*4 SYSTEM L%\1IkVA, 0106 w1 b"tro-t ftK JOB NUMBER 5 ♦0 AIR HANDLER MFG L OW MODEL6A1631Kf0q Fan CFM at Total SP Supply CFM SERIAL 5$j01P0"*1D Supply Loss REQ.CFM l600 Return CFM REQ.S.P. Return Loss CONDENSING UNIT Total Duct Loss MFG LENlJO� .. _ MODEL j+Sj4-Lj4L0-3Q Static Pressure Supply TONS 3` L JVA)S Static .Pressure Return SERIAL S I $gVp(nj 2 Total Static Pressure INDOOR COIL Fan Speed MFG LC-r.1a016 M7_1 MODEL b/-a;L5 Avg. Ret. Grille Temp. TONS 470!45 Avg. Sup. Grille Temp. SERIAL'Lt $ 6 System Temp Change COMMENTS. COPYRIGHT 2001 NCI :PORT GN ACTUAL VARIANCE C 11.08XCFM XAT I I I GRILLES AND DIFFUSERS 0 57 77 ADDRESS 5-9- S vav%ea4 L-A aujoiN SYSTEM K1tL Ajt 0W1v1#k LWaY, ME1SM ,Q��iR�t73� JOB NUMBER P,415r-- .