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MECH (08-1168)i 4-4 P.O. BOX 1504 VOICE ( ) 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 , LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/10/08 Application Number" 3 ----08-00001168 - Owner. Property Address: 80268 MERION. PATRICK SULLIVAN APN:. 762-140-016- - - 80268,MERION Application description`. MECHANICAL LA QUINTA, CA 92253 D Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7000 Contractor: Applicant: Architect or Engineer: PALM DESERT AI CO CO'% i4c 42081 BEACON H L 9 PALM DESERT, CA 1TJ'�� 1O`O�t f V \ o,60r LiCN0:374937 `N��CF QU U ref - LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION - Thereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.. _ I have and will maintain a certificate of consent to 'self -insure for workers' compensation, as provided _ License Class: •C20 - - Li fse No.: 374937 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � �� y� issued. ContraZ[o , 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I,hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 238-0004656-07 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business.and Professions Code) or - 3700 of the Labor Code, I shall forthwith comply w t (hose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by y� any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).: ate: 4 �J Ap 'ant;—.���%. (_ 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 WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND • and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES., 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.). APPLICANT ACKNOWLEDGEMENT - (_ 1 I; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - - . - whose benefit work is performed under or pursuant to any permit issued as a result of this application, . I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner" - 2. . Any permit issued as a result of this application becomes null and void if work is not commenced - within 180 daysfromdate of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY - permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all :work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and here authorize representatives of this county to enter upon the ab -mentioned property for inspection purpos ,Lender's Name: ei Q" n Sig re (Applicant or Ag 4a Address: LQPERMIT - LQPERMIT Application Number . . 08-00001168 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 42.50 Plan Check Fee 10.63 , Issue Date Valuation 0 Expiration Date 1/06/0.9. Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KETU 16.50 Special Notes and Comments REPLACE EXISTING 4 TON COMFORT SYSTEM Fee'summary Charged Paid. Credited Due Permit Fee Total 42.50 .00 .00 42.50 Plan Check Total 10.63 .00 .00 10.63 Grand Total 53.13 00 .00 53.13 LQPERMIT [\ Certificate of Compliance Prescriptive Method - HVAC-onlv Alteration CF -1 R -Al T Pr _ Date: �y/6 ��� "" © CaICERTS 2005 Enforcement Agency Use n ro)ec Addr ss: Climate Building Permit # Do u entation Aut Telepho & 02 Plan Check Date 0 Name: �j�j el ' Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # / of systems altered in this house. Check all lines that apirily. Check only lones that aninly. Scope of Alterations: 1 ❑rnoutdoor andler is to be installed or replaced. Duct sealingto be determined. Continue to next line. 2 �ce Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. or heatin coil is to be installed or r laced. Duct Sealin and/or TXV RCA to be determined. Continue to next line. 5 ❑ n 40 feet of new or replacement duct are to be installed in yp�itioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ 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 ❑ hiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to 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 AND 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 App EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) JAND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 Jap, lNone of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Se tion 2 -TXV RCA(Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑he stem beingaltered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ his 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 ❑ Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RLAJ 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 ❑ 21 1 his s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV RCA Is required. Go to Section 3. 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. Section 3 - HERS Rater verification 2 23 2 ❑ If line 15 is checked, HERS verification Is required for Duct Sealin . If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ If tines 11, 12, 13.14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If 27 ❑ Ilf more than 40 feet of duct is bein installed or replaced, duct R -value must meet or exceed Package D requirements. less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com 1 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT to Date: Pvroj CaICERTS 2005 IMPORTANT: This CI--1R-ALT form is only for use when an HVAC -only alt ration is made to an existing home Use one form for each system being altered. This is s stem # I of systems altered in this house. Section 6 - Mintrnum Requirements for Equipment to' be Installed/Altered. Installed equipment must match type/location and meet or exceed efficiencies/R-values. - /28 Confguraliom. split system O Package Unit 29 ❑ c Handler as furnace, AFU OHeatpump FAU OHydronic FAU OOther 30 Heat Excha Exchanger 31 Outdoor Condensi Unit bmC OHeatpump ffxie SEER/HSPF: EER d read): 3 Coo' or heat coil !&qC OHeat OH ronic 33 ❑ Duds Location Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Address: Company Name: City/State/Zip: Address: PALM DESERT mf7, XNDITIONIN(3 COMPANY Phone: City/State/Zip;,gLM DESERT, CA 92211-5107- (760) 346-0677 Phone: Signature:' Signature: A Enforcement Agency (Building Department)Notes/ o ments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -IR -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 Gose permit. Copies to home owner, enforcement agency, HERS rater. CF 4R -ALT: by HERS rater. Required to Gose permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until 211 t—ti— —A Version 03-10-06 ----...__.._... a„� ,,,Cu Jur me emmre group. This form can only be used on projects being verified.by CaICERTS certified raters.Page 2 of 2 www.calcerts.com :J Bin f City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #r�yy I (00 Project Address: CAWOwner's Name: A. P. Number: Address: Legal Description: City, ST, Zi . Contractor: NY PALM D` Address: 42081 BEACON HILL Telephone: �t:a;<>:<;::;;:;<;;:.:.:...; •<..:.::..... ::>:4Y:,:,•.;,,;n<•:;s:>ss��>�v;�;>:::;: Project Description: City, ST, Zip: (760) 346-0677 Telephone: State Lic. # : City Lic. #•: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: >:.::::::>:<::;«;,:;;;.::::::;.^:;»»;.,:. p'%:<%:«::°::;:s:�::•;::::•<;«:;:;.:::h•>• in ns:i ..... `':.<<. r<»^.><:%:<::;; ;;r:» :.>::::. <• State Lic. #:::»:i<: . Construction Type: Occupancy: Project type (circle one): New Add' Alter Repair Demo Name of Contact Person:&I & 2 Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project• 7AV-- 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 Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsfissue 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 CaICERTS Yage L of I I CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING (Page i of 8) CF -4R 80-268 Merion - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00001168 Contractor Contact Telephone Permit Number P Van VI men 760-777-1724 H S)Rater Telephone /J —� 7�tily 29, 2008 Certifying Signature Date Firm: Air Experts Air Conditioning Street Address: PO Box 94 104121 Sample Group Number CC14-1798444704 Cerlificate Number HERS Provider:CaICERTS, Inc. City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner HERS Provider and Building Department This CF -411 has been registered with the CalCERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California 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 every1jAW building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The Installer has provided a copy of the CF -61% (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. �. wwu�• .,urc rocnrT• LIMINIMUM RE uiRtmitm i s ruts uua. t e_v+newe ..�..�... • �•�•- -- — --- NEW CONSTRUCTION Measured Dud Pressurization Test Results (CFM @ 25 Pa) Values 1 N/A 2 Fan Flow: Calculated (Nominal '_,'Cooling ' •_.- Heating) or ' _•. Measured Not Tested Enter Total Fan Flow in CFM: N/A N/A 3 ALTERATIONS: Duct System and/or HVAC Equipment Change -out Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Dud System Prior to Not Tested 4 Dud System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Ted of New Duct System or Altered Duct System Not Tested 5 for Dud System Alteration and/or Equipment Change -Out. Enter Reduction in Leakage for Altered Dud System Not Tested 6 [Une 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) Not Tested 8 Entire New Dud System - Pass if Leakage Percentage < 6% [ 100 x ( Une 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 ( Une 7 / Une 2 )]: Not Tested ❑ Pass ❑ Fall [12 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ Pass El Fail 11 and Verification by Smoke Test and Visual Inspection Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines 49 through *12 pass ❑ Pass ❑ Fail -a ' Page 3 of 11 Ca+�CERTS CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF-411 80-268'Merion - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00001168 Contractor Contact Telephone Permit Number , Pa an VI men 760-777-1724 104121 HE 5 ater Telephone Sample Group Number +. i Iuly-29, 2008 CC14-1798444704 Ce ryfng Signature Date Certificate Number Q r } , Inc. Provider:CeICERTS Firm: Air Experts Air Conditioning HERS - , Street Address: PO Box 94 City/State/Zip:La Quinta,/ CA / 92247.: Copies to: Homeowner, HERS Provider and Building Department ., t This CF-411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Title20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. £ ' HERS RATER COMPLIANCE STATEMENT The house was ❑Tested ® Approved as part of sample testing, but was not bested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form_ complies with the, dia nostic tested compliance requirements as checked on this forth. 0 The installer has provided_a copy of the CF-611 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 ❑ Fail }