06-1053 (SATT)•AT` !�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001053
Property Address: 45245 SEELEY DR UNIT 17
APN: 604-040-999-2 -31116 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: TOURIST COMMERCIAL
Application valuation: 71752
Applicant:
E
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ATTACHED
Architect or Engineer:
f _;2AL O�
Owner:
ELOPMENT LA QUINTA, LLC
COUNTRY CLUB DRIVE #100
ESERT, CA 92211
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 Busi ess and Professionals Code, and my License is in full force and effect.
Licens CI s: BJ No.: 728102
'JAate: 0 ontractar:
WNER-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 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.
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. , 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: Im
LQPERMIT
:)r:
HOMES OF
COOK ST.
PALM DESERT, CA
(760)601-3100
Lic. No.: 728102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
CALIFORNIA INC
92211
Date: 3/16/06
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 OLD REPUBLIC IN Policy Number MWC11148500
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
an agree that, if I sho Id become subject to the workers' compensation provisions of Section
3 099VV1of the Labo shall forthwi comply with those provisions.
Dater �fd>.pplicant:
WARNING: FAILURE TO SECURE WO KER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as, a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating uilding construction, and hereby authorize representatives
of this unty enter upon the above-mentioned p y for inspectio purposes.
;r IDat Signature (Applicant or Agent): .
LQPERMIT
Application Number.
06-00001053
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
513.50 Plan Check Fee
83.`45
Issue Date . . . .
Valuation.
71752
Expiration Date
9/11/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
22.00 4.5000
----------------------------------------------------------------------------
THOU BLDG 50,001-100,000
99.00
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
4.41
Issue Date . . . .
Valuation
0
Expiration Date
9/11/06
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
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000'EA
-----------------------------------------------------------------------------
MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
51.69 Plan Check Fee
3.23
Issue Date
Valuation . . . .
0
Expiration Date
9/11/06
Qty Unit Charge
Per
Extension -
BASE FEE
15.00
1223.00 .0300
----------------------------------------------------------------------------
ELEC NEW RES - MULTI FAMILY
36.69
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
136.50 Plan Check Fee
8.53
Issue Date . . . .
Valuation,
0
Expiration Date
9/11/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00'
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
LQPERMIT
ti
Application Number . . . . . 06-00001053
Permit . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
1.00 15.0000 EA PLB GAS METER
----------------------------------------------------------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 9/11/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------------------- - - - - -- - -
Special Notes and Comments
- - - - - - - - - - - - - -
SFA (1,223 sqft) w/Porch (227 sqft).
TOT Eligible., 75% REDUCTION TO PLAN
CHECK FEES DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES BLDG. 17-E
----------------------------------------------------- ----------------------
--------------------------------------------------------------------------
Othe
Other Fees . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
56.00
DIF CIVIC CENTER - RES
157.00
DIF FIRE PROTECTION -RES
45.00
DIF LIBRARIES - RES
266.00
DIF PARK MAINT FAC - RES
16.00
DIF PARKS/REC - RES
669.00
STRONG MOTION (SMI) - RES
7.17
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited.
-----------------
Due
----------------------------------------
Permit Fee Total 787.19 .00 .00
787.19
Plan Check Total 99.62 .00 .00
99.62
Other Fee Total 2969.17 .00 .00
2969.17
Grand Total 3855.98 .00 .00
3855.98
LQPEBMFr
4 � •
Walidesign
Incorporated
DRYWALL * INSULATION * PAINT * PLASTER * CONTRACTOR
245 Seeley Drive 17E La Quinta
Street Address City
Riverside
Lennar Homes Desert Villas
17
County
Builder Project
Lot
Description of Insulation :
Thickness
R -Value
Exterior Walls
Insulation Type: Batts
3 1/2
13
Flat Ceilings
Insulation Type: Batts
12
38
Cathedral Ceilings
• Insulation Type: Batts
-
0
Garage Ceilings
Insulation Type: Batts
0
Interior Walls
Insulation Type: Batts
0
Interm Ceilings
Insulation Type: Batts
0
Garage Walls
Insulation Type: Batts
0
Party Walls
Insulation Type: Batts
3 1/2
11
Blown Ceilings
Insulation Type: Cellulose
0
Blown Ceilings
Insulation Type: Insulsafe
0
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Energy Efficient Standards for residential buildings (Title 24, Part 6, California Code of Regulations)
as indicated on the Certificate of Compliance, where applicable.
�, �
449739''"'
Walldesign, Inc.
License Number gnature
Date
Insulation
Subcontractor
C ERTI FIC ATL O F FI LLD VER I FICATION '&.'DIAGNOSTIC TESTINQQ f 0_a e'. Vof 8) C F4 7'
P roject Address
D.eser_t Villas Tract_3111.6.Lot 1.7-E/_1_La_Quinta
Measured ..
Values.
Builder_ Name
Lennar_Homes
Bmilder Contact Ins allingContracto
Mr
Telephoner
Plan Number:
fW3 Rater
Home_Enalas .s
'Telephone
17.60=7.68732
Sam IeGroi► Number [1_J
3 Pass if Leakage Perceritage 6% (.100x (�_{tineif.l) 1000, `{LinetY2)�
ComplianceMethod Premri ive
X_I;Paia� Rail.';
ClimsteZone V1 5-1
Certifying Signature
(Electronically signed)
01./30/07JD_ate
Sample House Number;
P it m
Enalasys-Corp
'HEM Provider
CBFCA7
-Street Address:
250 Camillo Ave
Ci1yj3tate7Zip:
Calexico CA 92231
t:op1es To: 15 u 1 LAY Di, WERS PKOV ID UZ AN D 8UM7VU4G DLPARam ENT
HERS RATER CO MPU A NC E STATEM Ef1TI'
The house was: +K ❑ Tested +( XJ Appraved sa'paTt'oFeainple testing, but Y� is not leslod' ,
As 1heHERS rater providing dbgnoslictes�tingsnd field verification "•L certify that thehouae identified on this form complies vrilh
the di' nodi" tested co I rancz ror{ui rements as chealmd Von this dorm. The HERS rater must check a nd'veri f .that the new
dislr ibution system is ful fy ducted and oorrect tape is used before. a CR4R may bereleas�ed on every healed building TbeHEM
rater mull not releas+etheCP-4R until a properly compleledandsigned CP4R hsabeen rmeived for t ree&le and tested
bui Idings.
❑ The installer ha&provided a oopy ofCRbR (I net Ibtion Certificate)
❑ New D istribution system is fully ducted (i.e ,does. not use is"wildi ng cavities sa plen urr- or pletform'returns-in lieu of duct .
❑ New systems where clolh1wk-ed, Tubber, adhesive duel-lape'.is installed; mastic si dl i,& w`bsnds aie 6M in
combination with cloth bw6d; rubber.adhesiv�e'ducl'lape to �qaf leaks 4418 &L'c"`o'1n n;cLionis'.
V r jWTMMUlW RLQUTREMENTS FOR. DUCT. Li?,ATcACLRLDUCTTON COMP'LTANcFCRLDT'T
P„oaed,,es fo,Feld u+e•,j cab'ox aAdd,491Wsl a leffinofai disl.i& r o,¢syale�iesrx;e aua,Y�9le'ire JRACh� Ap e,ed,'xRCrJ.3.
0 w DiagnasticC,eakage7eslinig ResulLa,
NEW CONSTRUCTTO !
Dace P ressur i2ation Test Results (CFM @ 25 Pa)
Measured ..
Values.
Enter Tested LealggeRlove in CVM:
2 inn Rbw: Calculated(Nominal: ✓ ❑ Cooling.I.❑ Heating)or.Vr O.Measured`.
Enter Total Pan Flour in CRM:
1.600;
3 Pass if Leakage Perceritage 6% (.100x (�_{tineif.l) 1000, `{LinetY2)�
C1 3�
X_I;Paia� Rail.';
ALTERATTONS:.Duct Sgsterni and/or HVAC Equipment Chauge-0ut
4
Enter Tested Leaka&6Vbw in CPM from CR6R Test ofSxeTlirigDurx3 m Priorici
D ucl System A heraliop a nd/or Equipment Cha nge.put.
5
R nier Tested Leakage P low. i n CRM: Final Teat of Neve Duct Symem'or•Altered Duct System'.
for Dud Syvtem Atte.mlion and/or u' meniChan a 0ut..
6
Enter Reduction in Leakage for Altered Duct °System [_(Line* 4) ,,Min us {Line -N 5)]
(Only if Applicable) '
7
Enter Tested Leakage f bvr in CRMtoOutgide{Onlji.ifApplicabfe),
$
,Entire New Dud S^m-Paas ifL:ealmgePer6anla e56%*
144x ine 5 / Line*2
❑:Pass,=❑Rail=
TEST OR VERTFICATTON STANDARDS: For Altered Duct System and/or H_ VAC Rquipmemt Cbauge-Out;::'
Use one of the follawl four Teat or Verlflcattau Standardsforco liauoti `
9
Pass ifLealegePercentages 1546-(100x [—(Li ne ifS)/'
'❑.Pass;❑ Rail
14
Pass ifL,eaksgeto0utsidePercentage5 10%[.100x ( {Line 1Y 7)/ {LirielY2)�
❑'Pass'❑ Fail
' I I
Pass if LeakageReduction Perrentsgea 60% [144x ( (Liri 1W6 / rne*4
� � ) , "ry{L- -.-� )]];
and Verification b 3mokeTeelandVisual In 'tion
' ❑ Pasa<:❑ hail
12
Pass if Seal in of all AcceasibleLealce and Verification by SmoloeTest and Visual I naDection.
❑:Pas& :❑ Fail
Pass if One of Lines"# 9 ,tbrougb. # 12 pass
❑ •Paas 13'"Pail
Re9dextiat Compua,ece Fo n¢s'
Ap,il 2WS.
Is
INSTALLATION CERTIFICATE
Site Address
45245_SeeIey Drive-kV1 e -La -Q u in ta_CA
3 of 12) CF -6R
Permit Number
U
An installation certificate is required to be.posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat urn
CF,C Cert
Certified Mfr.
Name and Model
Number
# of
Identical
System(>CF-1R
Efficiency
�
(AFUE, etc.)
value
Duct
Location
attic etc.
Duct or
Piping
R -value
Heating
Load
Btu/hr
Heating
Capacity
pa y
Btu/hr
Split_HP + Coil
IAdp ) n
8 0
A�c7
C6!
L -76,R-8-0-070
R-8-0-070
Cooling Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
(SEER or EER)
2CF-1Rvalue
Due(Duct
Location
attic etc.
Duct
R -value
Cooling
Load
Btu/hr
Cooling
Capacity
Btu/hr
'Sp lit.HP+--C--o 1-11
15 1
11-370
A�
L -76,R-8-0-070
1. > symbol reads greater than or equal to what is indicated on the CF -IR value:
Include both SEER and.EER if compliance credit for high.EER air conditioner is claimed.
[7,1 I, the undersigned, verify that equipment listed above is: 1) is the.actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. ame) OR wrier
Team_Ntg_&-A-Jr1 t{:
Signature: ur
Date: 01./.22// `
Copies to: BUILDING DEPARTMENT, HERS RATER (W APPLICABLE) BUII.DING OWNER AT OCCUPANCY
Residential Compliance Forms April 2005
INSTALLATION CERTIFICATE (Page.4 of 12) CF. -6R
Site Address I.PermiiNumber
4.5=245-e_La_Quin- to CA
INSTALLER COMPLIANCE 'STATEMENT FOR'DUCT LEAKAGE . ►
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ R ested at Final ✓ 0 Tested at Rough -in '
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
❑ Remove at least one supply and one return register, and verify that the spacesbetween the register boot and the interior, -
finishing wall are properly sealed.
❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points r'
between the air handler and the supply "and.return plenums to verify that the connection points are properly sealed.
iZjlnspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
X'New Distribution system is fully ducted (i.e.,, does not use building -cavities as plenums or platforms returns in lieu of,
ducts).
✓_X'MUCT LEAKAGE REDUCTION
Praceduresfar field mpriFiezubm anddiaonac&ir&-Milo-fairdicar7h71d:M cvc/nn.oi,pv`a,Li:ln/.In:..'nerxs e..,.....a:.. DI -A 2-1
NEW CONSTRUCTION:
✓
Team_Ht _&_Air `
Duct Pressurization Test Results (CFM @ 25 Pa): '. �
MeasuredValues
r
INSTALLATION CERTIFICATE (Page.4 of 12) CF. -6R
Site Address I.PermiiNumber
4.5=245-e_La_Quin- to CA
INSTALLER COMPLIANCE 'STATEMENT FOR'DUCT LEAKAGE . ►
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ R ested at Final ✓ 0 Tested at Rough -in '
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
❑ Remove at least one supply and one return register, and verify that the spacesbetween the register boot and the interior, -
finishing wall are properly sealed.
❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points r'
between the air handler and the supply "and.return plenums to verify that the connection points are properly sealed.
iZjlnspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
X'New Distribution system is fully ducted (i.e.,, does not use building -cavities as plenums or platforms returns in lieu of,
ducts).
✓_X'MUCT LEAKAGE REDUCTION
Praceduresfar field mpriFiezubm anddiaonac&ir&-Milo-fairdicar7h71d:M cvc/nn.oi,pv`a,Li:ln/.In:..'nerxs e..,.....a:.. DI -A 2-1
NEW CONSTRUCTION:
✓
Team_Ht _&_Air `
Duct Pressurization Test Results (CFM @ 25 Pa): '. �
MeasuredValues
1
Enter Tested Leakage Flow in CFM:
[21]
Fan Flow: Calculated (Nominal: *117 Cooling •/ ❑Heating) or ✓ ❑Measured;
-
2
If Fan Flow is Calculated as 400 efm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating
1 0
Camcity in Thousands of Btu/hr output, enter total calculated or measured fan flow in CFM her
:
✓ ✓
3
Pass if LeakagePercentages 6% for Final or 5 4% at Rough -in: _.
C7 3�
-
--Pais c3 Fail
100 x x211 Line # 1 / 1600 Line # 2
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior. to Duct -
4
System Alteration and/or Equipment Change -Out. '
Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct
5
-
System for Duct System Alteration and/or Equipment Chan a -Out.
Enter Reduction in Leakage for Altered Duct System
6
rLine # 4 Minus(Line # 5 —(Only if A licable
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ �/
Entire New Duct System - Pass if Leakage Percentage 5 6%'for Final
8
100 x ine # 5 / Line # 2 - •
❑ Pass 0 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 S 15% [ 100 x [ (Line # 5) / (Line ,# 2)]]
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage 5 10% [ 100 z r (Line # 7) / (Line'# 2)]]
❑ ;Pass ❑ Fail
Pass if Leakage Reduction Percentage >: 60% [ 100 k f . (Line # 6)•/"• (Line # 4)]]
11
and Verification b Smoke Test and Visual Ins tion
D. Pass 13 Fail
12 .
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Vis al I ection
❑ Pass ❑ .Fail
Pass if One of Lines # 9 th ' `n h # 12 pass
❑ Pass ❑ Fail
Ll, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for
compliance credit I, the undersigned, also certify that the.newly installed or retrofit Air -Distribution System Ducts, Plenums and
Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building. Energy. Efficiency standards.
Installing Subcontractor (Co. Name) OR General
.Contractor (Co. ame) OR wner
Team_Ht _&_Air `
Signature: r ;r
Date:' 01./ 0
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY'
Residential Compliance Forms
` September 2005
INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R
Site Address . Permit Number
_4.52-45 SeeleyiDrive`#_17e=LaiQuintaiCA 0
✓ LXj THERMOSTATIC EXPANSION VALVE (TXV)
Procedures for f eld verif cation of thermostatic expansion valves are available in. RACM, Appendix Pd.
✓ ✓
✓ [3 REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Tharmnetwitir Frnanainn UalVa°
Outdoor Unit Serial #
OF
Location
Access is provided for inspection. The procedure shall
Outdoor Unit Make
OF
Outdoor Unit Model
OF
Cooling Capacity
consist of visual verification that the TXV is installed on
Date of Verification
°F
✓
lX-iYes
O No
the system and installation of the specific equipment
[Xj
11
shall be verified.
Yes is a pass
I Pass
I Fail
✓ [3 REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Tharmnetwitir Frnanainn UalVa°
Outdoor Unit Serial #
OF
Location
OF
Outdoor Unit Make
OF
Outdoor Unit Model
OF
Cooling Capacity
I.BtLAr
Date of Verification
°F
Date of Refrigerant Gauge Calibration
(musrbe checked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
Standard Charee Measurement Procedure (outdoor air dry-bulb 55°F and above):
Procedures for Determining Refrigerant Charge using the Standard Method are available in RAW Appendix RD2.
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
Measured Temperatures
Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db)
OF
Return (evaporator entering) air dry-bulb temperature (Treturn, db)
OF
Return (evaporator entering) air wet -bulb temperature.(TTeturn, wb)
OF
Evaporator saturation temperature (Tevaporator, sat)
OF
Suction line temperature (Tsuction, db)
°F
Condenser (entering) air dry-bulb temperature (Tcondenser, db)
°F
u erheat CharjZe Method Calculations for Refrigerant Charge
Actual Superheat = Tsuction, db — Tevaporator, sat °F
Target Superheat (from Table RD -2) OF
Actual Superheat—Target Superheat (System passes if between -5 and +5OF) °F
Temperature Split Method Calculations for Adequate Airflow
Rnlif Mofhnd rn1miInfinn ie nnf noroov— ii dil--i. dirfirne —,4i•1 i..
Actual Temperature Split = T return, db Tsupply, db
OF
Target Temperature Split (from Table RD3)
OF
Actual Temperature Split Target Temperature Split (System passes if between -
3°F and +3°F or, upon remeasurement,if between -3°F and -100°
OF
Residential Compliance Forms
April 2005
[ NSTA LLAT[ON C ERT[ -FIC ATL
Site Address
_4.52.4.5 S Fe- I e—yl Drive_#-Wre L.a Quin. to CA
.`r>l2 CF -6R
Per rriit.NumIx
1
Slandard0arge Meaeurement'Summary:
System ahalIpassboth refrig
era ntchargeand'sdequateair',G6 r,calciilatbn;criteria.from:theeame
measurements: ifcorrectiveactions vr+eretaben,'both crit,eria.mual.be.remeaaured-and recalculated.
[XV(es ❑ No System passes
AIter nale Charge Men uremenUFrocedure.(outd,00raiud(pNilb'belove55°F),
Note: The sysle.m ahould be instal led and `charged. in 'accordance w nh othe ma n,i<6cturer;'s.speci ficationa and -i nsla I gr
,rerifcation stall be documented on € P -6R be mestartingthisprocedure,If outdoor aivdrj bulb ia55 °B or above*,, inalaller
anal I use the Sis ndard.Charge Measure P roeeduii:
P,aaedKrafa, Defe,ne;kAg Ref,;ger&d CRa,ge using Ike Allenuve' ]Wi tAas & 'e ava;fu9fe ix RA C31A, Ap��ad,'z'RD3
�iei h -in Char i ng Method for Ref ri Brant Char e
Actual liquid line length: Et
Man ufacturer's Standard liquid' line length: ft
Difference (Actual --Standard): ft
Man ufacturer'scorre lion (ounow per foot) .,A.diMen ce in length oan'm
(+ = add)
deasuredAirfbwMethod.for uateAirflovr.Verification auaiArble'ixRACM, A 'z'RD2.`6
CalculatedAirflovr: Cooling Capacity (BtuA r) X4.433 (0m -h r) = CRM
Measured Airfbvr is CPM (Measuredair, flovemuatbegreater:thanthecalculatMaiiflgvr).
Alter nate Cha rge Measurement 3 umrda ry:
System steal I pass both refr igera nt charge and adequate a ii Eloy. calculation.'cdt na from_ the, same measurements. if
cor recti ve actions were taloa n both criteria m ust be remeasured a nd recalculated; -
❑ Yea ❑ No Sv8lene Passes
Instal Iing3uboontracior (Co. Name) OR C,enerel'
Contractor (Co. Ns me) Ort' w ner
Team Heating & Air Conditioning InL
Signature a
Date:
01.[2210.7
CO pit to: atJILD ENG DSPARTMSNT,HQRSRATER([6'APPL1C." &)BU[LDWGOWN[CRI STOCCU,P/l'NCY"
Lei
Regde,e W Car*pGaxce To nes' Ap,;! 2l�S
INSTALLATION CEMR[CATE C -F -6R
3iteAddre�s Permit Number
4524.5_Seele-y_Dnve_#1J-e_La_Quin. ta_CA
MISCELLANEOUS CREDITS
: 13 DTACNOSTTC S[lPPLY-DUCTLOCATION, SURFACEARLA AND,R-VALUE
PmcambixsjGrfie[d iuYiCcalion and dia�aslic lrsl n fu►lfiis g� ' up ca�apliafre cr�d�]s aux aim�iabde in RAC�d, idJpper��'� RC' R�'d�'RH.
: ❑ LLSS THAN 12 LINEAL FELT OF SUP'PLY,'DLUCT OUTSIDE OF C7DNDTTfONBD SPACE,
COMPLTANCE CREDIT
❑Yes I ❑No LO= AbU12l,Deal reetarsupplydict autskin arcaaditiaaedspace.•
Ye2lo0is6ompliancecredit iaa-pass ✓• ❑ pasa; 7. ❑ Bail'
✓ 13SUPPLY DUCTS LOCATED TN CONDITIONED SPACECOMPLTANCL CREDTT'..
T
✓ ❑ Yes 1 ❑ NO I D acts aro hcatod w itbin tbs candi i(madual'ums a rb ui Wag
YestoNi corrrplienoecredit-isapase ✓.. ❑ pass ./ '❑Tail
ict System Design wrlfic atiou is required for a oorapliauee credlt for, the followlug:`
1. Supply acct surtace area reductlou
2, Buried supply ductsou tLe' ceiN_u%
3_ . Deeply buried supply ducts
,o' 13DUCTSYSTEM DESTCNVIMWTCATTON,
V
❑ Yea
❑ No
Adequate a ir flow mifiied
✓
[3 Yea
[3 No
Theduci system design plan mega Ore raqui r�rnents aped fred in-.RACM; Appendix RE, Section
RB.4.2
Vf
❑ Yea
❑ No •
Theduot system deaign plan. ex isla.on .Iuildi ng pis a
✓
13 Yes
13 No
Ductsi2ws ufii
dsyslem.layoutandlocationsofeupplyet return registew.match.iheductsyslem °
deai n plan
"Yee wal is avaav 1 ❑pass-
,Vr U SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCECREDIT
•e II) BURTEDDUCTS ON TAECETUWG'COMPLTANCE'CREDTT
❑ Yes ❑ No I Buried Ducts on the Cei I'i ng
❑.Yes ❑ No] VerifiedHigh Insulation WWI lation Quality
Yes to duoteymmdes• n zuppl_0 duct surface areareduction and AigCzm liancecradi{iea ❑pass❑'Bail-'
rl bRLP'C.Y BURTLb TITl[.TS'Mb M.TA1v-rP rwrorr
1v \-
❑ No
• - 3J
• - SJ
-
- J -
.0 .�
_ _ Area.
Yes to ductsyaiem design, eupplyductsurfaceama reduction and. Ur ii? oom Iianmoredit is.a pass 113Paes, I .❑ .Bail
•e II) BURTEDDUCTS ON TAECETUWG'COMPLTANCE'CREDTT
❑ Yes ❑ No I Buried Ducts on the Cei I'i ng
❑.Yes ❑ No] VerifiedHigh Insulation WWI lation Quality
Yes to duoteymmdes• n zuppl_0 duct surface areareduction and AigCzm liancecradi{iea ❑pass❑'Bail-'
rl bRLP'C.Y BURTLb TITl[.TS'Mb M.TA1v-rP rwrorr
Capiti LW: aEJ LLD ENG DEPARTMENT, H MRS RATER (IF A PP LICA11LM) W LLD LNGOWN MR AT OCCU PANC V-
Re9deAud Comp.6a ete To nes Apn�:2A0S
1❑ Yea
❑ No
Deeply Bur ied Ducts
13 Yea
❑ No
Ve;ifiedHigb Insulation Installation,Quality ,/ ,/
Yes to ductsyaiem design, eupplyductsurfaceama reduction and. Ur ii? oom Iianmoredit is.a pass 113Paes, I .❑ .Bail
Capiti LW: aEJ LLD ENG DEPARTMENT, H MRS RATER (IF A PP LICA11LM) W LLD LNGOWN MR AT OCCU PANC V-
Re9deAud Comp.6a ete To nes Apn�:2A0S
I STALLAT[ON CEMMCATL {P a• e`&'at.12}' CF_6RA
Site Address Permit Number
4.5245_Seeley Drive_#1.7-e_La_Quinta_CA 0
vID' FAN WATT DRAW ..
•' 1. Y.0
e&, -es -j& n0eas�,l lk ai, l iL, e, waft d,aw a,e a uad1 b 1,e RA C W..� �' RBI' 2
Metbod For F&13 Watt'DrawMeasurmeat
❑°RB3.2:1' Portable Wat.Metu.Meaaurement=
❑ ' RB3.2.2 Uti lity Reven ue Meter Measurement'
=Measure Pan,WattDraur
Measuredi�nFbvr: eatertotsl cfm from'eirfbvr v+Errificstion
.�B nie.r reaults'of Q9i'stts{bfm'
0122/0
❑ RB4.1.1 •Diagnmic Fa n Flour UA ng, Flour*Ca tore Hood'.
❑ RB4.1.2 DisgnMioPenFlourUsin "Plen'um`PreasureMatchin
13 .'Yee
c3 No
Measured. fan.urattkfmdraWieequaItooclourer;than.the•
6 u-ea-Wefrn'draur'docameiitedin:CF=IR'
y
2
MeasureA-Ai rf lou:.",
Yes'is a ass Pana;
:lis i l .
0 ADIQUATL'ATRFLdW•VLRTFFCATTON: '
PI=e&M-ffo, IM&Vli i, k like airJiorr d,e `ai ilable t RA Chi A �erad,'x'RB3. ..:
✓-Metbod For AlrGaw Me am rerneut`'
P,aeedwesi delerne,',e,' neax,nouia`ao,Q1, -tamd i' a,e a 11a@1e;,¢'JRAC.M.'-A
0122/0
❑ RB4.1.1 •Diagnmic Fa n Flour UA ng, Flour*Ca tore Hood'.
❑ RB4.1.2 DisgnMioPenFlourUsin "Plen'um`PreasureMatchin
❑ RE 13 ' 'Di �noslic.PbnFlourUsin Flour:GridA&wu-r6ment' '
❑ Yes _ ❑ No •Ductdeei" n exiaa: on' lana
Adequate airtlour'verified(seeaddgaata aiifbcue edit)..
4
2
MeasureA-Ai rf lou:.",
❑,Yea
13 No
Ref rigerantchargeorTKV
9
Rated Tons cf6 n
[3 Yes
❑No ;
Duct'leak ge reduction credit` ,iniad.
4
f/
✓``.
-'`.
+e ❑ Yes
❑ No Mesaured'airfbur isgreste.r:4hanthe:diileria i'nTabl R&2
Yes°ii .asp
Pesti.
:-Fail:
W aUa"
Waits/cfm; . ;
Tote,I cfm
cfm/ton
ve 0 mAXTMTIM,COOLTNG CAPACTT'Y
P,aeedwesi delerne,',e,' neax,nouia`ao,Q1, -tamd i' a,e a 11a@1e;,¢'JRAC.M.'-A
0122/0
b❑Yea
13 No.
Adequate airtlour'verified(seeaddgaata aiifbcue edit)..
4
2
V:
❑,Yea
13 No
Ref rigerantchargeorTKV
9
d
[3 Yes
❑No ;
Duct'leak ge reduction credit` ,iniad.
4
f/
❑ Yea
0 N
Cool ingcapscitieaof.inafelledsyateanasres`tomax unumcooling_„
cit indicateeion ,the Performance's`CP-IRR- -.andRg-9.-"
Zfthecooling.capacnieaof matalladaystemsare; >.than:maximum
''
5
d
❑ Yea
:13 No
cooling capacity m the Cl? I R.then the Blear icsl input for the :
r
t_
i nslsl led"s ras m'uat be; � .to electrical i n ut'i n the"CF IR'.. '
02
Yea'b`I -2 and -3• andYea.toeifher4 oi-5;isa` as; Pasa;' Fail:
1 HFGREER 'AYR OONDTTTONL.R%
P,�oeedk,es , ue, ,cal;eea.aava�Yrrble ,e RAC 'tl RJ ,
'
1 ✓ ❑ Yes ❑ No : ERR val ues of instal led syat►:ma ma ebb the CP.; TR
2 : ❑ Yes ❑ No For Rplit extem, indoor ooiI-is m6tchedtooiddoor,coi1' i
3 f I] Yes. 1]:Na': TirneDe�yRelay Ve;rifed(EfReguired),
'El:
Yest6A and -2• snd3 fR • ui'red i?"a'
%Pass ` .rFailr
Installing Subcontractor Name).OR .General
Contrsaor {Co. m) o (Co:` urger
- z
Team Heating & Air Conditioning inc.
Signature�
0122/0
Copia Lo: B -LD WG PARTMSIVT,.HMRSRATI EK([-'APPL[CABLIijBU[LDiNGOWN TR'ATOCCUPA14CY`t
Re9de,ela1 C,ev�ap6'auece•Fa„itis'' _ sAp,;l:2Di0S
T
Certificate of Occupancy
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109. of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
Use classification: SFA.
Occupancy Group: R-1
BUILDING ADDRESS: 45-245 SEELEY DRIVE (UNIT #17-E)
Type of Construction: VN
Owner of Building: CP DEVELOPMENT LA QUINTA, LLC
Building Official
Building Permit No.: 06-1053
Land Use Zone: CT
Address: 77-564 COUNTRY CLUB DR. #100
City, ST, ZIP: -PALM DESERT, CA 92211
By: STEVE TRAXEL
Date: MAY 24, 2007
POST IN A CONSPICUOUS PLACE