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MECH (07-2654)76900 Calle Mazatlan 07-2654 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002654 Property Address: 76900 CALLE MAZATLAN APN: 658-161-048- - Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation:. 7600 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 License No..* 374937 r Dateaf% 2-O'( Contractor: i / O NER-BUILDER DECLARATION - 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 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of -property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). - - 1 _ I I am exempt under Sec. B.&P.C. for this reason Date: Owner: - CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: CLOTHIER SHERYL 769.00 CALLE MAZATLAN LA QUINTA, CA.92253 (760)564-4277 Contractor: PALM DESERT AIR CONE 42081 BEACON HILL PALM DESERT, CA'9221 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 7Z7-7011 INSPECTIONS (760) 777-7153 Date: 10/02/07 WORKER'S COMPENSATION DECLARATION ' I hereby affirmunder penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work'for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance. of, the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1795546-2007 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, and agree that, if I should become sub'ect'to the workers' compensation provisions of Section 3700 of the Labor Co e, I orthwith co I with those provisions. Date: 1p^fes /Applica WARNING: FAILURE TO SECURE WORKERS' COMPENSA VERAGE 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 cor to comply with all city and county ordinances and state laws relating to building constructs ere by authorize presentatives of this county to enter upon the above-mentioned property for i Date: f®1` /Signature (Applicant or Agent): Application Number 07-00002654 Permit MECHANICAL Additional desc . Permit Fee 24.00. Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date*. 3/30/08 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU .9.00 Special Notes and Comments REPLACE (1)'5 TON COMFORT SYSTEM WITH 14 SEER UNIT Fee summary. Charged. Paid Credited Due Permit Fee Total 24.00 .00 00 24.00 .Plan Check Total .00 .00 .00 .00 Grand Total.. 24.00 .00 .00 24.00 LQPERMIT - 1 Bin tff. Qty of LQ Quinta Building 8L Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 (p Building Permit Application and Tracking Sheet Project Address:° Owner's Name: A. P. Number: Address: Aa Legal Description: City, ST, Zip Contractor: i<i:::i:>:tii:::.i<,•:,<i.}»:p.:::.i:< >::i>,A';.:V. ::i• . •K.:s.:;>i:;i:p;:::vs.. TelePho eW/79, ;4. PALM 0 Address: 42081 BEACON HILL.:;:.,; Project Description: City, ST, Zip: (760) 346-0677 f TeleP hone• ' '?>n ;:r •t; : 0. {." {.r• iv :i•wSiwn4X±/rij r+( it%f< State Lie. # : !3 7 City Lie. #•: Arch., Engr., Designer: Address: City., ST, Zip: Telephone $%>:' :::>#:j'::>n< r: `. $4'sx:..: ;k.; .., n .F........s. • .. sCo Occupancy: Type: State Lie. #: t Lv::v ' i(J,•Jh i:'!i:'rin:'f : iY.:S ':i'Gw:l'C':M' , +.n;. vu'<:%;:x ifi'i:<}:ii%Y;S•;•irnc .. i.f i .:.:i:. <'«<'< :»>• :<r«M:;.<':>k:j ':<y' :ii.4%rryY.ri•'i!.•r/.•iiii:':.'ii: <:i ::i... :'•Li"..:.: pm'J type l Project a (circle one): New Add' Alter Repair Demo Name of Contact Person:zz Sq. Ft.: # Stories: #Units: f Telephone # of Contact Perso : %paJ,35 Estimated Value of Project: t6 0c.) — APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2p° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person " A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Proje i Date: OEnforcement © CaICERTS 2005 Agency Use Only Project Addre o u IeFatlon Ar: lim to Z Building Permit # Telephone: Plan Check Date O Name' Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use VKen an HVAC -only alt ation is made to an existing home Use one form for each system beinq altered. This is system # ! of systems altered in this house. Check all linea that apply. Check only linea that aooly. Scope of Alterations: 1 ❑ n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 C3 More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. -[I Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin(Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ Thiss stem has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AhM EER 12 condenser will be installed with TXV(RCA) D added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 ANU EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 5 ks1eq(ion None of lines 7-14 above are checked. Duct Sealing Is Required. Continue. 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ Thes stem being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 O This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 8 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ hiss stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 is system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Sec ion 3 - HERS Rater verification 2216 If line 15 is checked, HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 lb If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ili less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page version vo- i u-vo Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project T_ I O g © CaICERTS 2005 IM AN 1: This CF -1 R -ALT form is only for use when an HVAC-_ ly I eration is made to an existing home e one form for each system beingaltered. This is system # ( o systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typellocation and meet or exceed eHiciencies/R-values. 28 Configuration: $ -ftlit system ❑ Package Unit 29 ❑ Air Handler JEYGas furnace, AFUE ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 Heat Exchanger 31 Outdoor CondensingUnit f7fCC ❑Healpump fficie SEER/HSPF: .C! 'V EER d read): 32 Cooling or heating coil ClftC ❑Heat ump ❑H dronic 33 ❑ Duds Location: JLeng1h (ft):JR-value: All mandato measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation AwJhor Name: Name: Address: Company Name: City/State/Zip: Address: PALM 088214Y AIA COWNTIi1NINQ QGMOAlY 42081 BEACON HILL PALM DESERT, CA 92211-5107 Phone: City/State/Zip: (760) 348-08 Phone: Signature: Sign re: Enforcement Agency (Building Department) Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, -HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sam le group shall not be released until all testing and verification is completed and passed for the entire group. ." '"" ""-I_VV Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com ( 'alCERTS Page 1 of 10 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 76-900 Calle Mazatlan - La Quinta, CA 92253 Palm Desert A/C - Heating 1374937 Project Address Contactor Name / License No. 07-00002654 Contractor Contact Telephone Permit Number Paul Van VI men 760-777-1724 80766 HOW Rater Telephone Sample Group Number / ` October 16, 2007 CC14-1798421349 rtlfying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 CODies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaiCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the Califomia Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑tested 0 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape Is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination with cloth backed. rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal '- _. Cooling '-.-..'Heating) or-.-.-' Measured Not Tested Enter Total Fan Flow in CFM:. 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Dud System Prior to Not Tested Dud System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow In CFM: Final Test of New Dud System or Altered Dud System 5 Not Tested for Dud System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Dud System Not Tested [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only If Applicable) Not Tested 8 1 Entire New Dud System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fall 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )J: Not Tested ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ pass ❑ Fall and Verification by Smoke Test and Visual Inspection 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines #9 through *12 pass El Pass [[1Fail Ca10ERTS Page 2 of 10 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF-4R 76-900 Calle Mazatlan - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 07-00002654 Contractor Contact Telephone Permit Number Ravill Van VI men 760-777-1724 80766 ER RaterTelephone Sample Group Number i ` / October 16, 2007 CC14-1798421349 Eying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF-4R has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTSp is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑Tested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the dla nostic tested compliance requirements as checked on this form: 2 The Installer has provided a copy of the CF-6R (Installation Certificate). HERMOSTATIC EXPANSION VALVE TXV : Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV ❑ Pass ❑ Fall