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MECH (10-0277) + BLCK (08907) + RPL (05789) + BLCK (05716) + SFD (04493)54420 Avenida Madero 10-0277 08907 05789 05716 04493 fir P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 10-00000277 54420 AVENIDA MADERO 774-232-007-17 -000000- MECHANICAL COVE RESIDENTIAL 5500 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions o hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, y License is in full force and effect. License a s: C20 Li o.: 862106 Date: C `actor: 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—) 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.). (_ 1 1, 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.1. Lender's Name: Lender's Address: LQPERMIT Owner: KEMP SUSAN 54420 AVENIDA MADERO LA QUINTA, CA 92253 [ES Contractor: AIR SOLUTIONS OF THE 41800 WASHINGTON ST B BERMUDA DUNES, CA 922 (760)275-4919 Lid. No.: 862106 VOICE (760) 777-7012 FAX (76.0) 777-7011 INSPECTIONS. (760) 777-7153 Date: 4/01/10 i Lr -11,31 U =QQUINTA 0 IY OF L FINWE DEPT 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 EXEMPT Policy Number EXEMPT 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, Q e \anQ ree that, if I should become subject to the workers' compensation provisions of Section ,310rof thg,Labor Code, I shall forthwith comply with those provisions. WARNING: FdLURE TO SECURE WORKERS' COMPENSATION 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. I certify that I have read this application and state that the above information is correct. I agree to comply with all city Vamy ordinances and state laws relating to buildin aatseis on, and hereby authorize representatives of thty to enter upon the above-mentioned pro or inspectio purposes. ,ateSi ature (Applicant orent): Application Number .. . . 10-00000277 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . Valuation . . . . 0 Expiration Date 9/28/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW HVAC SYSTEM - 14 SEER HEATPUMP CONDENSER WITH FAN COIL IN GARAGE USING EXISTING LINES & DUCT WORK. 2007 CODES. ---------------------------------------------------------------------------- Other.Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential H'VACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Eno -cement Agency: Date. Permit #: 54-420 Avinda Madero 4/1/2010 /0—,777 Conditioned Floor Equipment T List Minimum E1lycienc ' Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFUE ❑ COP Over ft of ducts added or IXSetback Cldndoor Coil CFSEER 14 EKHSPF 8 . 5 e replaced in unconditioned space Se3vgd by system 1 bb U (If not already QtCondensing Unit IXEER 11 . 8 ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed, if more than one system, use another CF -1 R ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below ate four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered co of the CF -1R and CF -0R shall also be on site for final inspection. M 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and for split stems MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct system with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS CF4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet duct in CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 of unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dud system constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this trate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate mpliance confo the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documen n o pli le compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement en for approval with the penmnit appli ti Name: Walter Ne l l i s Signature: Company:, Air Solutions of the Desert 4/1/2010 Address' 41.800 Washington St B105-229 LtOense' 862106 City/State/Zip: Bermuda Dunes CA 92203 Phone: 7 6 0 .2 7 5.4 919 2008 Residential Compliance Forms March 2010 04/01/2010 14:03 7607777011 Bfi S City of L6 Quinta bu tg & Safaty Dmdon permit R P.O. Box 1504, 78495 Cage Tampku U 4146rrra, CA 9,2253 • (760) 777-7012 Building PermIt Application and Tracking Projc;UAddre= 54'420 Avenida Madero Oaner'sName: Susan Sheet Kemp xP.Number. Add,=.- 54-420 Avenida Madero Ural o tlon: aty. ST, Ziv. La Quinta CA Centrtxtdr: Air Solutions of the Desertl Telephonat 760.564.8307 Address: 41-800 Washington St B105-22 PmjodDescriptlea: City, sT. Zip: Bermuda Dunes CA Install new HVAC system 14 SEER Telephonc:760.275.4919 StalcLiaa:862106 Heatpump condenser w./ fan coil City Lie, r; in garage. using existing lines Arch., Enu,, DWper: and - duct work. Adm: City, ST. Lip: Telephone: SWc Lia d: Name of Contact Pemm Walter Conttalretion Typer 0—penry: Ppjed type (circle oncj New Add'e Aft Reptir Dano Ne l l i s s4 Fe: 1600 4 Stories: 1 o Unita 1 Tcl hone M of Camtact Pcmn: 760.275.4915 F Ytlun of Pro's $5500-00 APPUCANT: DO NOT WARE BELOW TIVS UNE k Submittal Req'd Ret' IVACRWG PCRW FM Pim Sita Phis Cbeck tnbmiried /tear Aswnt StTattanl Wes Re+terred.rsady AT eaarieetiam Plan Cbttk Depottt Trm Cities. Called Contactlim es Pian tksekIIalante. Tide 24 Colet. Piaui r6tud aP Coastrataca, Rood phlo pita PLnt resubmitted Meebonkal Gradlag pbo I! Re"ew. ready for torrettlonsritdue 5itterital SubcoataetW tun Called Contart Person Plumbing Grant Dead Plana pitho up A.O.A.Approval Plum rtsabdutted Grading It: HOUSE:- "' Review, midy fbr :arrecttouviUe% Developer Impatl Fee Pinnning Agprnyri Ceded Contatt Venn A.I.P.P. Pub. WkL Appr Vate of permit Luuc ~-- SCIInOi Fie. .e Total Ptrinit Fees INSTALLATION CERTIFICATE CF-61R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero 10_277 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System Location or Area Served The sensor is factory installed, or field installed according to manufacturers 3 ❑Yes ❑No 1 51Yes ❑No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ffYes ❑No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Fail I✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Evanorator Coil System Name or Identification/Tag The sensor is factory installed, or field installed according to manufacturers 3 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 4 ❑Yes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 5 Oyes . ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail 13 ✓N/A ✓ ❑Passe ✓ ❑Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag The sensor is factory installed, or field installed according to manufacturers 6 ❑Yes ❑No . specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail ✓ W/A.i d. ❑ Pass ✓ ❑ Fail Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-R-MECH-2I-11ERS Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero 10-277 Enter the Duct System Name or Identification/ Tag: AC 1 Enter the Duct System Location or Area Served: Entire House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for.alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or ReplacemeW.Duct System. " Duct i.eakaaP Diaannctir Tac* — Wviefi...: T..r* Q -.+.- Select one compliance method from the following four choices. ❑ Option 1. Measured leakage less than 15% of Fan Airflow. ❑ Option 2. Measured leakage to outside less than 10% of Fan Airflow. ❑ Option 3. Reduce leakage by 60% or more, and conduct smoke test to seal all accessible leaks. ❑ Option 4. Fix all accessible leaks using smoke test, and HERS rater must verify. Note: (Option 1 must be attempted before utilizing Option 4) Determine nominal Fan Airflow using one of the following three calculation methods. 1XCooling system method: Size of condenser in Tons 4 x 400 = 1600 CFM ❑ Heating system method: 21.7 x Heating Output Capacity (kBtuh) = CFM ❑ Measured system airflow using RA3.3 airflow test procedures: CFM Option 1 used then: Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM 1 Actual leakage = CFM Pass if Actual leakage is less than Allowed leakage ❑ Pass Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑ Pass ❑ Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed usingSmoke Test JTass ❑ Fail Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero 10-277 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 12: All supply and return register boots must be sealed to the drywall if smoke test is utilized for compliance - applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible leaks) described above. 11 New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. COY Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Air Solutions of the Desert Responsible Person's Name: Responsible Person' Walter Nellis CSLB License: 862106 Date Si ed: 4/7010 Position om y (Title): Owner/Operator Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? DYes ONo Registration Number: Registration Date/Time: HERSProvider: 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-1][ERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: Enforcement Agency:Permit Number. 54-420 Avenida Madero 1 7 10-277 Standard Charge Measurement Procedure (for use if outdoor air dry. -bulb is above 55 OF) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55 °F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditionine Systems System Name or Identification/Tag AC 1 of* 1 (must be re -calibrated monthly) Date of Thermocouple Calibration System Location or Area Served entire hou e '¢ Outdoor Unit Serial # WoG8 04191 temperature (Tsu I , db) Outdoor Unit Make York Return (evaporator entering) air dry-bulb Outdoor Unit Model YHJD4 8 S41 lA Nominal Cooling Capacity Btu/hr 48000 Date of Verification 0 MAN Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration 3/10/2010 (must be re -calibrated monthly) Date of Thermocouple Calibration 3/10/2010 (must be re -calibrated monthly) Measured Temperatures ° System Name or Identification/Tag AC 1 of 1 Supply (evaporator leaving) air dry-bulb '¢ temperature (Tsu I , db) Return (evaporator entering) air dry-bulb r temperature (Tretum, db) to Return (evaporator entering) air wet -bulb temperature (Tretum, wb) Evaporator saturation temperature =_ (T evaporator, sat) Condensor saturation temperature (Tcondensor, sat) Y Suction line temperature (Tsuction) I Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb ' temperature (Tcondenser, db) Registration Number: 2008 Residential Compliance Forms IIIIIII {1111 IIIIIIIIIIIIIIIIIIII Ii011111ifiillllllllllllllllll llllllllllli l{l 310020020066455723 1111111 11111111111111111111 lilll 1111111111111111111111111111111 IN II (z)Y1,,JD48s41S1A 1111111111111111111111ININ11111oil 111111111111111111 (S)WOCS041912 i(eg[stration Uate/1 ime: tit✓'la Provider: August 2009. INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5 Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero 10-277 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag AC 1 of 1 Calculate: Actual Temperature Split= `(- Treturn, db - Tsupply, db i` r Target Superheat from Table RA3.2-2 r Target Temperature Split from Table c RA3.2-3 using Trek,, Hb and Tretorn, db Calculate difference: Actual Temperature Split — Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F Enter Pass or Fail r Note: Temperature Split Method Calculation is no necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured; the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name or Identification/Tag Calculated Minimum ' Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is gre -, an or equal to the calculated mum' airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag 4A Calculate: Actual Superheat i `(- Tsuction — Teva razor sat Target Superheat from Table RA3.2-2 using Trete, wb and Tcondenser, db c Calculate difference: Actual Superheat — Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fail Registration Nwnber: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero 10-277 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag AC lof 1 Calculate: Actual Subcooling = n Tcondenw, sat — Tli uid ' J Target Subcooling specified by / manufacturer Calculate difference: Actual Subcooling — Target Subcoolin = System passes if difference is between -3°F and +3°F Enter Pass or Fail l S Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag AC 1 of Calculate: Actual Superheat = Tsuction — Tevaporator, sat ' J Enter allowable superheat range from / manufacturer's specifications (or use range between 4°F and 25°F if manufacturer's specification is not available System passes if actual superheat is within the allowable superheat range Enter Pass or Fail Q v Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 LINSTALLATION CERTIFICATE CF-6R-MECH-25-HERS ] Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 off Site Address: Enforcement Agency: Permit Number.! 54-420 Avenida Madero 10-277 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag AC 1 of F1 System meets all refrigerant charge and I () jfTl airflow requirements. Enter Pass or Fail ` ( DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner"at occupancy. 'I will ensure that all Installation Certificates will -corne from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Air Solutions of the Desert Responsible Person's Name: Responsible Person' Walter Nellis CSLB License: Date Signed: Positio i rtle): 862106 4/7/2010 Owner Operator Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑Yes ❑No Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: August 2009 npr uZ iu uo: arra CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address Enforcement Agency: Permit Number: 54-420 Avenida Madero, La Qui nta CA 92253 City of La Quin ta 10-277 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and SIMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement -Sensors- (ST MS)- - - - -- - Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. s7MS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler p. c System Name or Identification/Tag AC 1 System Location or Area Served Entire House O Yes 5/16 inch (8 mm) access hole upstream of evaporative mil in the return plenum and 1 g Yes No labeled according to Figure in Section RA3.2.2.2.2. Director. 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum 2 Pi Yes p No and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ 0 Pass ✓ O Fail 1G _ Genes....... the Fvantw-atnr CtAil 'System Name or Identification/Tag System The sensor is factory installed, or field installed according to manufacturer's 3 O Yes D No specifications, or is installed - by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 4 O Yes O No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 5 O Yes ONO IThe sensor measures the saturation temperature of.the mil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ O Pass ✓ D Fail applicable. Otherwise enter Pass or Fail CTIJC _ Con-!- nn thea CnndenSer Cnil System Name or Identification/Tag System The sensor is factory installed, or field installed according to manufacturer's 6 O Yes ❑ No specifications, or is installed by methods/spedfications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 O Yes El No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater wlthout changing the airflow through the condenser coil 8 LJ Yes U No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F _T Yes to 3, 4, and 5 is a pass. Enter N/A if ST1NS are not ✓ O N/A V, Pass ✓ O Fail applicable. Otherwise enter Pass or Fail Reg: 110-A0004120A-000000000-AP-5A RegistrationDate/Time: 201!10410910.53:20 IIERSPRovider Ca10ERTS 2008 Residential Compliance Forms August 2009 Hpr utj iu ub:;jy'a CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-2 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address:Enforcement Agency: Permit Number: 54-420 Avenida Madero, La Quinta CA 92253 City of La Quinta 10-277 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manulactumrs specifications before darting this Procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. p.j System Name or Identification/Tag AC i of 1 (must be re -calibrated monthly) Date of Thermocouple Calibration 3/10/10 System Location or Area Served Outdoor Unit Serial # Entire House WOG8041912 Outdoor Unit Make York outdoor Unit Model YH3D8S41S1A Nominal Cooling Capacity Btu/hr 48000 (Date of Verification _ 4/7/10 a.auoro wnDate of of Refrigerant Gauge Calibration 3/10/10 (must be re -calibrated monthly) Date of Thermocouple Calibration 3/10/10 (must be re -calibrated monthly) 19GdSV. CY • G...pc• acv• c . System Name or Identification/Tag AC 1 of 1 Supply (evaporator leaving) air dry-bulb 57 temperature (Tsupply, db) Return (evaporator entering) air dry-bulb 76.2 temperature (Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature 58.5 (Tevaporator, sat) Condensor saturation temperature 97.6 (Tcbndensor, sat) Suction line temperature (Tsuction) 51 Liquid Line Temperature (Thquid) 87.2 Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 1 1 0-4 00 04 00A-000000000 jW5A Registration Date/time: 2010/04109 10:53:30 HERSPRovider: CalCER1S 2008 Residential Compliance Forms August 2009 Rpr 09 10 06:39a INSTALLATION CERTIFICATE CF-4R-MECH-2 Refrigerant Charge Verification --Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero, La Quinta CA 92253 City of La Quinta 10-277 Minimum Airflow Reouirement p.4 Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag AC i of 1 Calculate: Actual Temperature Split = 19-2 T -T Target Temperature Split from Table 17 M77:3 using return, wb 370 Treturn, db Calculate difference: Actual Temperature 1.3999999999999985 Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between PASS -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name or Identification/Tag Calculated Minimum Airflow Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification: This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Reg: 210-.40004110A-000000000- PISA Regiaration DatelTime: 101 010 4109 10:53:20 HERSPRovider: Ca/CERTS 2008 Residenlial Compliance Forms August 2009 Hpr wi iu ue:jua p.5 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number. 54-420 Avenida Madero, La Quinta CA 92253 1 City of La Quinta 10-277 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (DCV) systems. System Name or Identification/Tag AC 1 of 1 Calculate: Actual Subcooling = 9.8 Tcondenser, sat - Tliquid Target Subcooling specked by g manufacturer 12.5 Actual Subcooling - Target Subcooling = 1.8000000000000007 System passes if difference i5 een -4°F and +4°F PASS Enter Pass or Fail PASS Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (lXV) and electronic expansion valve (DCV) systems. System Name or Identification/Tag AC 1 of 1 Calculate: Actual Superheat = 12.5 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 12.5 between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Failil Reg: 2/0-A0004120A-000000000-A425A Registration Darelfime: 2010104/09 10:53:20 HERSPRovider. CalCERTS 2008 Residential Compliance Forms August 2009 npr- ua LU uv: -tua p. e INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address. Enforcement Agency: Permit Number: S4-420 Avenida Madero, La Quinta CA 92253 City of La Quinta 10-277 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag AC i of 1 CSIB License: 1862106 Waler Nellis frigerant-charge -and -airt'low---- ----•— - - - ❑ not-tested/verified dwelling in PASS dll HERS sample group HERS Rater Information CaICERTS Certificate it CCI -1798491687 Enter Pass or Fail Air Experts Air Conditioning Responsible Rater's Name: Responsible Ratees Signature: DECLARATION STATEMENT I certify under penalty of perjury, under tate laws of the State of Califomia, the information provided on this form is true and correct. I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) AIR SOLUTIONS OF THE DESERT Responsible Person's Name: CSIB License: 1862106 Waler Nellis HERS Provider Data Registry Information Sample Group # (if applicable): N/A 0 tested/verified dwelling la ❑ not-tested/verified dwelling in HERS sample group HERS Rater Information CaICERTS Certificate it CCI -1798491687 HERS Rater Company Name: Air Experts Air Conditioning Responsible Rater's Name: Responsible Ratees Signature: Paul Van Viymen Signature on Fde at Ca/CERTS, Inc. Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 4/7/2010 CC2004367 Reg: 210-A0004120A-000000000-M25A Registration Dare?ime: 2010.101.x0910:53:20 HERSPRotider: Co10ERTS 2008 Residential Compliance Forms August 2009 nf,i Ula a u acv. -TLJo .ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411t-NECH-21 )uct Leakage Test — Existing Dud System (Page 1 of 2; Site Address: Enforcement Agency: Permit Number: 54-420 Avenida Madero, La Quinta CA 92253 City of La Quints 10-277 anter the Duct System Name or Identification/'Tag: AC i anter the Duct System Location or Area Served: Entire House ✓ote: Submit one Installation Certificate ror each duct system that must demonstrate compliance in the (welling. compliance for alterations and additions in existing dwellings to spate conditioning systems and duct systems. Note. For existing dwellings, a completely new or replacement duct system can also include existing parts of t e original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Dud System. " Dud Leakage Diagnostic Test - e3dstina duct system Select one compliance method from the following four choices. O 1. Measured leakage less than 15% of fan flow D 2. Measured leakage to outside less than 10% of Fan Flow O 3. Reduce leakage by 60% and conduct smoke and fix all leaks o 4. Fix all accessible leaks using smoke and HERS rater verify Note: (Option 1, 2 OR 3 must be attempted before utilizing Option 4) Determine nominal Fan Flow using one of the following three calculation methods. ✓ 0 Cooling system method: Size of condenser in Tons 4 x 400 = 1600 CFM ✓ O Heating system method: 21.7 x _ Output Capacity in Thousands of Btu/hr = _ CFM ✓ O Measured system airflow using RA3.3 airflow test procedures: _ CFM Option 1 used then: 1 Allowed leakage = Fan Flow 1600 x 0.15 = 240 CFM Actual Leakage = 320 CFM Pass if Leakage Actual is less than Allowed Cj Pass O Fall Option 2 used then: 2 Allowed leakage = Fan Flow 1600 x 0.10 = 160 CFM Actual Leakage to outside = _ CFM Pass if Leakage Actual is less than Allowed O Pass p Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM ((Leakage reduction _ / Initial leakage _} x 100% _ % Reduction Pass if % Reduction > 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including dulls, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke 3 Pass 0 Fa1 Reg: 210-A0004120A-000000000-hQIA Registration Date/Time: 2010104/09 10:34:08 FIER5PRcn*kr. CaICERTS 2008 Residential Compliance Forms August 2009 nrr uo au acv. -Taa 1+. u CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Dud Leakage Test — Existing Dud System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 54-420 Avenida Madero, La Quinta CA 92253 City of La Quint, 10-277 R Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. Bi All supply and return register boots must be sealed to the drywall if smoke test is utilized for compliance - applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible leaks) described above. EI New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. 0 Mastic and draw bands must be used in combination with doth backed rubber adhesive duct tape to seal leaks at all new duct connections DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF-iR) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certlficate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) AIR SOLUTIONS OF THE DESERT Responsible Person's Name: CSL8 License: Waler Nellis 862106 HERS Provider Data Registry Information Sample Group * (if applicable): N/A 0 tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certiflcste S CCI -1798491687 HERS Rater Company Name: Air Experts Air Conditioning Responsible Rater's Name' Responsible Rater's Signature: Paul Van Vlymen Signature on Fife at CoICERTS, Inc. Responsible Rater's Certification Number w/ this HERS Provider Date Signed: 4/7/2010 CC2004367 Reg: 210A0004120A-000000000-N121A Registration Dofe/fime: 201010410910:34:08 IIERSPRovider. CoICERTS 2008 Residential Compliance Forms August 2009 T 6 0 lillf 4 4 QUM& Building I Address , Owner Mailing f Address --E City A Contractor t Address 1 City State Lic.I City & Classif. Lic. # Arcn., tngr., Designer Address Tel. CityI Zip I State Lic. # P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LICENSED CONTRACTOR'S DECLARATION I hereb affirm that I am licensed underRrovisions of Chapter 9 (commencing with Section 70 foo) of ivision 3 o the sy'Q!alss an d..Pr••fessions Code, and my license is in full ford nd effect. 'f / !l!/ f.. SIGNATURE-+ '/t . 1 - Lr- r' r DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.6,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 (8500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Dale Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that. I have read this application and state that the above information is correct. I agree to comply with all city appd county orgdinances and state laws relating to building construction, and hereby authofize repri! nfatives of this city to enter the above- mentioned property for i/nsJ eg1 . 11 of ses.. yy17 y Signature of applicant `y1 ,. rf / r> / Date -_ ' 7 Mailing Address City, State, Zip No. 08907 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description B! AC'`At X 180 L I tdF-At FT-. Sq. Ft. Size No. No. Dw. Stories Units New( Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 3.3sn 00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. n Mech. Electrical Plumbing S.M.I. 28 Grading Driveway Enc. Infrastructure TOTAL r} f REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC TANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR a 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING //. REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL T4hf 4 4 Q" Building Address 34-420 AVE. HADERO Owner PEM & I4ELEA HENM Address SAM City Zip Tel. LA QUrTrA 92253 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 68-805 PEM ROADS S3 E-9 City Zip Tel. t,ATHERUI CITY 1 92234 324-1232 State Lic. City & Classif. A 455507 1 Lic. # Ivrcn., tngr., Designer Address Tel. City IZip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to Me a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commimcing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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 fire hundred dollars ($500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that suchs)rmprovements are not intended or offered for sale. B, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or "approves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. a_ & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the peon is for one hundred dollars ($100) valuation or less.) 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. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip No. 45789 ILDING: TYPE CONST. OCC. GRP. - Number 774-232 —007 Legal Description Project Description £iVM41711 PM, Sq. Ft. Size No. No. Dw. Stories Units New M Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $7,000.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 64.35 Const. 99.U0 Mech. 24.ou Electrical 18.50 Plumbing 27. OU S.M.I. , Grading Driveway Enc. Infrastructure TOTAL REMARKS ,W7 .%? ti K7lf .i•'-'FXl f fiW i"•••• a''.i . , ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 5i<I8%$9 Permit M Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ, FT_ ® DUCT WORK ROCKSTORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P. I SQ. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN. SQ FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION KITCHEN SINK ABSORPTION SYSTEM B,T_U, TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR @ V4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE APL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING, DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL t Building 54-420 2I�BMO Address PETE W. REMM Address 54-420 gO • " P.O. BOX 1504 N o . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City LA QUMA I Zip 5Tel. .2253 619/345-0029 Contractor I 0M8JBiiII.DER Address Zip I Tela State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City I ZipI State I Lic. # LICENSED CONTRACTOR'S DECLARATION 1 affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of " 'sion 3 of the Business and Professions Code, and my license is in full force and effect SMNATIME DATE OWNEWBUILDER DECLARATION hereby affirm that 1 am exempt from the Contractors License Law for the following reasor[ (Sec. 7031.5,6usiness and Professions Code: Any city or county which requires a Perms to construe, alter, improve, demolish, or repair any structure, prior to its issuance also regnies the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Busirhess and Professions Code, or that. he 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, 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, Uuisness and Professions Code: The Contractor's License Law does not appy to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. 8, however, the building or irprovernent is sold within one year of completion, the owner-buider will have the burden of provig that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date f Owner i WORKERS' COMPENSATION DECLARATION Whe affirm that I have a certificate of consent to self -insure, or a certificate of pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE section need not be completed if the permit is for one hundred dollars ($100) valuation or fess.) 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 Qate ,Owner - �- NOTK:E TO APPLICANT: Ifalter molding this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith cbnpy High such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lenders Name Lenders Address This is abuilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST. OCC. GRP. A.P. Number 774•-232-007 05715 Legal Description Project Description BLOCK WALL: 230 FM Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 81.00 Mech. Electrical Plumbing S.M.I. X42 Grading Driveway Enc. Infrastructure t•� , � TOTAL /, y 1.70 - REMARKS iLc = i ,A,1W i -- ± r W_ 1-- a: , '67, . r' a w l ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 58/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SQ FT ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN, SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION I LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING: KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE 11�40UND. REINF.<;/2-P-7 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BONO BEAM ' WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Building Address 54-420 Madero Owner H. Whitlev & A 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailin Address 74--990 Volie flay, #D City Zip Tel. Perim Desert 92260 1 346-0864 Contractor Cal west Constxuotion S� y Izip IT State Lic. 358739 Cit) & Classif. Lic. Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions•of,Chapter 9 (commencing with Section 7000) of Division 3 of the Business. and Professions Code,'and my license is in full force and effect. SIGNATURE f / • / �a �0 DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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 (5500). O 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose or sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. $ec. 3800, Labor Code.) Policy No. Company r•� f �� O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 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 city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST. OCC. GRP.- A.P. Number 774^232-047 Legal Description Project Description S • • �% • 1 WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE Sq. Ft.�� Size 25 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $88022 PERMIT AMOUNT Plan Chk. Dep. $i 250.00 Plan Chk. Bal. . Const. 400.00 Mech. 315.00 Electrical 80.72 Plumbing 105.00 S.M.I. 6.20 Grading 20.00 Driveway Enc. 20.00 Infrastructure l, 959.23 TOTAL. REMARKS /}►Pt l l i,t ..':�? i (iri'•r�t.' f)'i-1._l"� � ., r ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: 1 WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES N0. PLUMBING FEES IST FL SO FT ( S '. UNITS COLL. AREA LAB GRADE la 6 � � K ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. a HEATING (ROUGH) STORAGE TANK MOBILEHOME SVC. BAR SINK POR SO FT. a ROUGH WIRING GARSO. FT. POWER OUTLET ROOF DRAINS GAS (ROUGH) DRAINAGE PIPING CAR P. SO FT. 0 1 OTHER APP.IEOUIP. WALL SO. FT. d GAS (FINAL) DRINKING FOUNTAIN SO. FT. fB _ /? ll URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation SERVICE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HO00 SIGN WASH ER(AUTOKDISH) APPLIANCE DRYER GRADING cu. yd. $ plus x$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1V c SEWAGE DISPOSAL SO.FT.GAR @ JV:c HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK iC w 0a GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE la 6 � � K ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS C E ER OR SP oll ROUGH WIRING DUCT WORK ROCK STORAGE ,(SOUND. REIN?/0 �.��i GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLEVIP _ /? ll GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING V✓ �� V `� J �I / U \ r) tl -•6,— lS REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - GAR. FIREWALL /vAr LATHING 1 MESH V INSULATI0NISOUND3 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS " GARDEN WALL FINAL E33i *IE�l1�C I ' I .OH ullding 4 XL' R/,81 Address �4=420 venida Made - .;3 3TAMtTrAtalDRt h ---,xa5o4 — PPLICAii N eft ,DVz 378;105'CA•LLE ESTADO WOUINTA, CALIFORNIA 9225a— -- ` i O`"m�er M. Whitley 6,41. Chaplin dba Mailing __t- _ _ _—Y— �4 Address 7A-990• Ve1ie" '_Wa ,_VD F .city _ ZIP J -,.]Tel. 4 I Palm Desert 92260 t 346=8864 Contractor _ 1 -c.--- Cal-West Construction Co.. Inc. } Address I , ' 74-990 Veliv Wa -' jRD -�--` City Zip -- t Tel.. - Palm Desert 92260 I 346-8864 E _ J --T4 .U' _ .Q RA: TY E�CONS BUILDING: T. _ ; OCC. GRP; A.P. Number-= — -2 2-0 ^ T' --774 3 07 Legal Description Lot 17, .Block .261, Uni.t'24� - Project Description Single Family -Dwelling - - - Jr - State Lic. City _ _ & Classif. 358739 I Lic. q Sqt Ft. iNo. No. Dw. ,• A= Arch., Engr., Size - 1-1625 -- Stories - - -Units ; • __.. ,Designer Edward Anderholt ! - New O - Add O Alter ❑ " Repair O - -Demolition ❑ Address Tel. 1481 Opuntia Rd- 320-9804 t City - Zip - State --- - - --- - - r --- - - - - - - Palm Springs92262 I Lic. #►; 396799 - - - - --- _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section i 7000) t.of Division 301 the Business and Professions Code, and my license is in full force and - - - + effec BIGNATl1HE DATE y i, OWNER•BUILDERDECLARATION I hereby affirm that I am exempt from the Conttgctors License Law for the following R Estimated V reason: (Sec. 7031.5,Buslness and Professions Code: Any dry or county whId requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also aviation 'requires the appAcant for such permk to No a signed statement that he Is licensed pursuant to _ .----PERMIT - the provisions of the Contractor's License Law, Chapter 9 (aonvnencbng with Section 7000) of BY: Dmsbn 3 of the Business and Professions Code, or that. he Is exempt therefrom, and Me basis -dor the alleged exemption. Any Section 7031.5 by 'any for Cihk. De violation of applicant a Permit au1 jects the applicant to a civil penalty of not more than Ore hundred donars.(s500). ❑ 1 as owner of the property or my employees with wages as their sole corn nsation will _plan -Plan Plan Chk. Bal. "-do the work, and the structure is not Intended or offered for sale. (Sec. 7044,eauisness and Const. Professions Code: The Contractor's Uce nse Law does not appy to an owner of property who BY: _ builds or Improves thereon and who does such work hkmeff or through his own errployses, - Mech. provided that such Improvements are not Intended or offered for sale. ff,. however, the building or improvement Is soil within one year of completion, the owner-buider will have the burden Electrical -of proving that he did not build or knprove for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con• Plumbing struct the project. (Sec. 7041, Business and Professions Code: The Contractor's License Law Issued by: does not apply to an owner o1 property who hudds or Improves thereon, and who contracts for S:M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Lew.) Grading - ❑ I am exempt,under Sec --a, R P.C. for this reason - -Validation-— R Driveway Enc. -infrastructure Date Owner -- - r— --- - - - - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self•insure, or a certificate of- `"` Workef*s Compensation Insurance, or a certified copy thereoT..(seo. 3800, Labor Code.) Policy Na Company • AA Indemni t� Tnr; _ Go. Copy Is filed with the city. ❑ Certified copy Is hereby furnished. _CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE _- (This section need not be completed H the permit Is for one hundred dollars (f 100) valuation or less.) 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 —Date Owner NOTICE TO APPLICANT: It, after . making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must lbrth*IM —canpty with such provisions or this pemNt shall be deemed revoked. —' ---" --- —CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued. (Sec. 3097, Ch=de.l i -.Lender's _Name t Lender's Address 1 ----This Is a building permit when properly filled out, signed and validated, and Is subject to expiration if work thereunder Is suspended for 180 days. i -1 certify that 1 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 thla city to enter the above- mentioned property for Inspection purposes Signature of applicant ------ -- -- -� Date .Melling Address —•— .-- ---- - -- - - — ' ---- - - city, State, zip " BUILDING DIVISION TOTAL - -AMOUNT . 'y �OOO - Y PP5 62 10 1305 5-04-88 f3 5 a REMARKS ZONE: BY: Minimum Setback Distances: Front Setback fromrCenter Line _ I Rear Setback from Rear Prop. -bine - Side Street Setback from Center Line Side Setback from Property Line - I - FINAL DATE INSPECTOR Issued by: —Date—Permit.. Validated by: -Validation-— R Desert Sands Unified School District CERTIFICATION OF PAYMENT NOTICE: THIS DOCUMENT CANNF OT Q p /�++ A � ®UPI..�vA�TFWLWL FACILITY FEES BE tLI (( Um TO: City of La Quinta DATE: (Ua! Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to ce.rtif t a developer of\which is ,p located at -'" — 1 within this District, has paid school facility fees i posed pu suant to the authority generated by Governmen Code Sec 'oft the amount of �5301in $ / 89 610 c covering a total of QQ square feet of ( residential or ( ) industrial/commercial development and that buill ing permits for this footage in this development may now a issued your jurisdiction. e, orSERT SANDS UNIFIED( NIFIED(SCHOOL TA 1 01) (a�5 X Mo-=— I, 30o HAco iN e )z - DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37 r Z O P: U W U) ti W. U) `L cc Q W COUNTY OF RIVE , DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION — — PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of%Wis required when the application is submitted. Check must be made payable to the County of Riverside. �yT Building Department Application Log # Na a (Owner, Agent. C 6 ntractor, c.) Mailing Address Cdy StafQ. Zip Code Telephone 'Job Propee y ddress,p "Cd -.oi orpai/i�pdy,.._ 'Legal Description of Property (Lot. PM. TR) len ,/o 'Assessor's Parcel F4o - ` Water Agency ® ell - - Q_-� /'' Use of Permu M /err IBnning Case # Lot Size SG SFD. MH Site Preparation Elc SFS Signature of Applicant Dale 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification Certification of Existing S.D. System required. ❑Yes l�J No�i WQCB'CLearance required. El Yes l�J'NN�' Soils feasibility report required. ❑ Yes Special feasibility boring report required. ❑ Yes Detailed contour plot plans required. ❑ Yes VN Staff Specialist approval required. ❑ Yes Lot Inspection Date Soils/boring report by ^ Project # Date Soils Map Page// e_ Soil TypApproved by i,,- Date Type of System: V No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing 03 New ❑ Additional ❑ Replacement ok, I► Gals. (2) each line sq. ft. Sidewall allowance Install Lines) Ft. Long, Leach bed Sq. (Bo trench area) ft. rock/ Sq. Ft. Ft. wt �°* in. inches Ft. of-botto nz per running ft. J'N/A rock below drain lines area Leach lines/bed-special design for slope: (3) Pit Diameter No. Pits Pit BI Seepage Pit total depth Applicable -- N/A Z Overburden factor ®� // �/ Max. allowable depth/y - 4 This application i*Q_j��,ve , nied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is ecessary for the fist///a..�ll��a,tion of the above designed system. -0 Septic tank and sewer lines must be 50;,from any wells.(/��f^ �aeP,o/ s~ urr.(�Gc�� • �.5" (2) Leach lines must be 100' min. from any wells including ex ans area t9 (j Pepa e pits must be 1501 min. from any wells including expansion area ivwL / Date .. ^++ +.� / 4 "eZ RECEIPT NO.� Issued by �� Date District: ❑ Riverside Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH -SAN -122 (Rev. 4/88) p I I LEIGHTON AND ASSOCIATES, INC. Geotechnical and Environmental Engineering Consultants October 7, 1988 Project No. 5881087-04 TO: Cal West Construction 74-990 Vellie Way Palm Desert, California 92260 SUBJECT: Report of Cromp,actrion Test Results, Building Pad,4Single-Family Residence,(5.4-420_Avenida_Madero La Qu'n �ta,_Californi'a77 At.your request, we have performed four compaction tests on the near surface soils '-at-.the subject site. The test results and approximate test locations are detailed on the attached sheets (Figures 1 and 2). The maximum density and optimum mois- ture were determined as per ASTM Test Method 01557-78. The field density tests were performed with a nuclear densometer in accordance with ASTM Test Method D2922-78. The scope of our work was to perform compaction tests only and not to provide soil or foundation engineering recommendations. Our services were performed after the building pad was completed. The scope of our work did not include observing the grading operation during placement of fills to check for uniformity of materials used, construction methods, etc. Therefore, we cannot make any statement about conditions below or beyond our test locations. Should you have any questions regarding this report, please contact us. Respectfully submitted, LEIGHTON AND ASSOCIATES, INC. 1 Paul oersti g Field p visor or Distribution: (3) Addressee [JM164(/' Brent J. Inghram, RCE 40264 Chief Engineer Enclosures: Figure 1, Compaction Test Summary Figure 2, Sketch (2) Work Authorization 74-240 HIGHWAY 111, PALM DESERT, CALIFORNIA 92260 & Agreement Forms (619)568-0993 FAX (619) 341-7490 100 A (4.7T WHITE — File Copy YELLOW —Client Copy PINK — Field Copy GOLD —Office Ccpv DAILY FIELD REPORT No: Job Name: C ^L wES,T CONsiRucTiaN Project No.: 108-1-04. Date: )g-1-99 Location: 54 - +20 0. E 1AnoERO Weather: Day: F RZ Contractor: Foreman: Field Technician: P Miles : Hours: Equipment Working: Inspection / Testing of Bu ILO iNG (5�1AD Test No. Test Location Elevation or Depth Soil Type Optimum Moisture Field Moisture Maximum Density Field Density Rel. Comp. j V. IE sle. 1~ScNA IF. Is. - vt 124.0 12.0• 97 C: 3 to • 8 1\5.4 93 q- I Summary of Operations: SO \L v vf-, (x S F p 0. K-4 V O IS L '; R L K'%, \ M \24.0 9 4 v4- Supervisor : Supervisor Engineer: Geologist: Todays Yardage: Yardage to Date: LEIGHTON and ASSOCIATES 17975 Sky Park Circle, Suite E, Irvine, California 92714 Tel: (714)556-14211 556-1422 100 A (4.7T WHITE — File Copy YELLOW —Client Copy PINK — Field Copy GOLD —Office Ccpv Z 0 al Q G G MA tificate of Compliance: Residential (Page 1 of 2) CF -1R I - Lues f- Prolecl Title Date V1`0,yA Itnq5 LCI �'u(f..)Crl. _ Project Addreas JOHN H. HACKER 327-4565 Building Permit/ Documentation Author Telepbone Checked By/ Date POINT SYSTEM 15 Compliance Method (PadLase, Point System or Computer) Climate Zone Enforcement Agency'Use Only GENERAL INFORMATION Total Conditioned Floor Area: / 6c;Z5 ft2 Building Type: _X Single Family Hotel/Motel Skylight ....... (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: CNo�rthEast / South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: 0 Raised Floor (circle one or both) Infiltration Control:tarda ight (circle one) Qalyf ESS/Q,yglFy BUILDING SHELL INSULATION `�~' JOHN HENRY Component Insulation Location/Comments c� a HACKER Type R -Value (attic, to garage, typical, etc.) Ili 14NA – Wall .............. R I FRAME WALLS eft* IV. M-4 wall. Roof ............. R-38 Roof ............. TYPICAL 9lFOF CAIIF�Q` Floor............. Floor ............. Slab Edge ..... 0 TYP I CAL- ALGLAZING GLAZING Shading Devices, Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind, etc.) (shadescreee, etc.) (yes/no) (metal/wood) Front.... (N) 4Y DOUBLE VERTICAL BLINDS NONE YES METAL Front....( ) WHITE _ �_ Left...... (�) DOUBLE VERTICAL BLINDS PIONE YES METAL Left...... ( ) WHITE Rear..... (l uj _� DOUBLE VERTICAL BLINDS NmE YES METAL Rear..... ( ) WHITE .Right.... (S) 11-7— DOUBLE VERTICAL BLINDS NONE YES META_ Right.... ( ) WHITE - HITE Skylight....... U — DOUBLE NONE NO Skylight....... THERMAL MASS Type/Covering Area- Thickness (slab/exposed, rile. etc.) (sf) (inches) LocatiorVDescription (kitchen, bath etc.) SLAB/EXPOSED j 9_`' 3 112" ' KITCHEN/BATH/ENTRY • Certificate of Compliance: Residential (Page 2 of 2) CF -111 Project Title nate HVAC SYSTEMS Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) STORAGE TANK GAL WATERKING OR -50 NONE SPECIAL IFEATURESIREMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Title/Firm: Address: Telephone: Lic. N: (signature) (date) Documentation Author Name: JOHN H. HACKER & ASSOCIATES Title/Pirm: Address: 4501 E. SUNNY DUNES. SUITE C PALM SPRINGS, CA 92264 Telephone: ) 327-4565 signatu (date) Porm Revised March 1999 Name: Title/Firm: Address: Telephone: (signature) (datc) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) Minimum Duct I' Type (furnace, air Efficiency Location Duct Output Manufacturer /Model tl conditioner, heat pump) (SP. SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) FURNACE 729 SE ATTIC R-2.1 DAY & NIGHT — 394 J AIR COND. 9,5 SEER ATTIC R-2.1 DAY 6 NIGHT — 568 EJ Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) STORAGE TANK GAL WATERKING OR -50 NONE SPECIAL IFEATURESIREMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Title/Firm: Address: Telephone: Lic. N: (signature) (date) Documentation Author Name: JOHN H. HACKER & ASSOCIATES Title/Pirm: Address: 4501 E. SUNNY DUNES. SUITE C PALM SPRINGS, CA 92264 Telephone: ) 327-4565 signatu (date) Porm Revised March 1999 Name: Title/Firm: Address: Telephone: (signature) (datc) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specirrAdons for the mandatory measures whether they aro shown elsewhere in the documents or on this checklist only. DESCRIPTION Bollding Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. 12-5352(b): Loose till insulation manufacturer's labeled R -Value. • 12-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 12.5352(k): Slab edge insulation - water absorption no no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. 12.5311: Insulation specified or Installed meets California Energy Commission (CEC) quality standards. Indicate type and form. 12-5352(Q: Vapor barriers mandatory in Climate Zones 14 and 16 only. 42.5317: InfiltratioNExfdtration Controls L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathe stripped; all joints and penetrations caulked and sealed. 12-5352(e): Special infiltration barrier installed to comply with 42-5351 meets CEC 99ality standards. 42-5352(d): Installation of Flaces 1. Masonry and factory -built fireplaces have: L Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures 42-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 42-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10,1976 UMC. 42-5316(b): Exhaust systems have damper controls. 12-5314(c): Gas-fu+ed space heating equipment has intermittent ignition devices. ¢2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC: 42-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); brat 5 feet of pipes closest to tank insulated (R-3 or greater). 42-5312(Exception I): Pipe insulation on steam and steam condensate return do recirculating piping. 42-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(j): Lighting - 251umens/watt or greater for general lighting in kitchens and bathrooms. 42.5314(c): Gas fared appliances equipped with intermittent ignition devices. 42-5314(x): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by tiro CEC. Indicate make and model number. Pam Redwd Drmnbw 1917 DESIGNER 1 , ENFORCEMENT N/A I I