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07-1837 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&-ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: 07-00001837 Owner: Property Address: 51585 AVENIDA CARRANZA BERTRAND FRANCES L. APN: 773-124-017-5 -000000- 51-585 AVENIDA CARRANZA Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 7000 - Contractor: �I Applicant: Architect or Engineer: PALOMA AIR CONDITI B G . JUN 2 J 2007 P.O. BOX 3501 PALM DESERT, CA 92261 CITE® (760)347-1212 IWC� � Lic. No.: 619091 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. Licensee C-laasss:: C�2.0 (i% License No.: 619091 Date:VT� Contr ctor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury. that 1 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 exempttherefrom 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).: (_) 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.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Date: 6/25/07 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 ENDURANCE WRKR Policy Number WEN000141801 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 subject to the workers' compensation provisions of Section 3700 of theJ,jj�or Code, I shall forthwith comply with those provisions. A 6 -I- Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. ' 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees.to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this.permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced .. within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon tee abAe-mentioned property for inspection purposes. Date: -1:� Signature (Applicant or Agent): v Application Number . . . . 07-00001837 Permit. . . MECHANICAL Additional desc . Permit Fee . . . . 42.00 Plan Check Fee 10.50 Issue Date . . . Valuation 0 Expiration Date 12/22/07 Qty Unit Charge. Per Extension BASE FEE 15.00 1.00 9.0000 EAMECH FURNACE <=100K 9.00 1.00 .9.0000 EA MECH APPL REP/ALT/ADD 9:00 "1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC SYSTEM CHANGE OUT- 16 SEER/2005 ENERGY. THIS PERMIT DOES NOT INCLUDE DUCTS, DUCTS TO REMAIN. June 25, 2007 10:10:42 AM AORTEGA Fee summary Charged Paid- Credited Due --------------------------------------------------------- Permit Fee Total 42..00 .00 .00 42.00 Plan Check Total 10.50 .00 .00 10.50 Grand Total. '52.50 .00 .00 .52.50 LQPERMIT F cgA B �t d +va CA J INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address T� �. ��� (,Q ��1c,._ PermitNumber INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑ DUCT LEAKAGE REDUCTION Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: "`.,. ';, r r;..4:.•. Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating aci in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: I/ V/Ca 3 Pass if Leakage Percentage<_ 6% for Final or <_ 4% at Rough -in: ❑Pass ❑Fail 100 x Line # 1 / Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out -4�1��*�;;;,�, Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5.. S stem for Duct S stem Alteration and/or E Equipment ment Chan Change -Out. A",-. ; Enter Reduction in Leakage for Altered Duct System"�t'} . 6 Line # 4 Minus Line # 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage <_ 6% for Final ❑Pass El Fail 8 100 x Line # 5 / Line # 2)11 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:5 15% [100 x [ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x [_(Line # 7) / (Line # 2)11 ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >: 60% [100 x [_(Line # 6) / (Line # 4)]] ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection :.a:i{ a `5: ,. ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass "`+ `: ° +; . ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 Y AWjc:�`S i3� I�r�► INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address L r a (, &.— Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (Tile information provided on this form is required) After completion of final inspection, a copy must be.provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Healing Equipment Equip Type k . heat p um CEC Certified Mfr. Name and Model Number N of Identical Symms Efficiency (AFUF, IAC.)' 2CF-1Rvalue Duct Location attl etc. Dud or Piping R -value Heating Load hOv Heating Capacity oft P2 u� �iW V op '(9 a v AV 60, °.� t Z�vvo 2 oma Cooling Equipment Equip Type heat um CEC Certified Mfr. Name and Model Number N of Identical Uncieney t (SEER or' EER) 2CF-iRvalue) Duct Location (Atdr, etc. Dud R -value Cooling Load tu/ty Cooling Capacity t Aj 64; 0 04 V, ha an472t 1. > symbol reads greater than or equal to what .Is lndlcated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. I, the undersigned, verify that equipment listed above is:. l) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF-1R)'submitted for compliance with the Energy Efficiency &andardr for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulatlons or Part 6), where applicable. Signature, Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Foims �Ovx vee Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner March 2005 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495-Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet, Permit # 6)• 4�?j7 Project Address:' . 5 j �' d1/1-0 (1 X IMR V' Owner's Name: A. P. Number: Address: SW • G / 5 Q— if to 1/0 Legal Description: City, ST, Zip: G (qVr I (�v. ��Z 0Contractor: () 0 m t' 1.'� Telephone: �. � �� � •z; ...; .,., 3 r "' " `•` - ' Address: Project Description: to City, ST, Zip: v1yut (Y ! v 2 lid GI a -i r Telephone: `� 1 L .-Q. c� State Lic. # City-Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: : • ;"'gin= Z77 )' Z ;. " f Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: NJ 0 n APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIMG . PERMIT FEES Plan Sets Plan Check submitted em Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading, plan 2n4 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees L Total Permit Fees INSTALLATION CERTIFICATE (Page 4. of 12) CF -6R I Site Address r)m Q (� V Va �1 I Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final. ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that.no cloth backed rubber adhesive duct tape is used, ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑ DUCT LEAKAGE REDUCTION Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3 NEW CONSTRUCTION: -- - Duct. Pressurization Test Results (CFM @ 25 Pa) Measured :Values 1 Enter Tested Leakage Flow in CFM:x. Fan Flow: Calculated (Nominal: ✓ CI Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21..7 cfm/(kBtu/hr) x Heating: C40. Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: `/ 3 Pass if Leakage Percentages 6% for Final or <_ 4% at Rough -in: .. ❑Pass ❑Fail 100 x Line # 1 / Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out, Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. `L /� 0 Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered'Duct r� f .f 5 System for Duct System Alteration and/or Equipment Chan a -Out: I 8 _ r+ Enter Reduction in`Leakage for Altered Duct System , 6 L. y� Line # 4 Minus � Line # 5 =(Only if Applicable) K, 7 Enter Tested Leakage Flow in'CFM to Outside (Only if Applicable) ✓ ✓ Entire New System -'Pass if Leakage Percentage <_ 6% for Final 13 Fail 8 [100x Line # S / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- I/ Out Use one of the folloMng four Test or Verificationtandards for compliance: 9 Pass if Leakage Percentage <_ IS% [100 x [ (Line # S) / ' 00Line # 2)1] nlQ ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x [_(Line # 7)./ (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [100 x [_(Line # 6) / (Line # 4)]] ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ;,. 3 _ ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ... `� ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory req irements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor_(Co...Name)_OR General Contractor (Co- Name) OR Owner -- - Signature: -1k _ Date: - -Z Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms --=-- — - --September 2005 � � �� C .lc S � � I � 1rtc �► INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R I V Q U4 e- al Y ►meq Y -76, - Site Address l— , CA, („oma Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be.provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type k . heat um CEC Certified Mfr. Name and Model Number M of Identical S rru Efficiency � (AFM etc.)Loation 2CF-1Rvalue) Dud (attk, etc. Duct or Piping R -value Heating Load (13h0r) Heating Capacity (BLAV tm V e o v v t fr- ' 2 coo .. t V l Cooling.Equipment Equip Type heat urn CBC Certified Mir. Name sod Model Number(?CF-IRvalue / of Identical Eff clency i (SEER or EER) Dud Location atd etc. Dud R -value Cooling Load WAV Cooling Capacity bAV tm V /ab t fr- .. t V l 1. > symbol reads greater that or equal to what Is Indleated on the CF -IR value: Include both SEER and EER If compliance credit for high EER air conditioner is claimed. I, the undersigned, verify that equipment listed above Is:. 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF-1R)'submittod for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance E„f?clency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Fobs Installing Subcontractor (Co. Name)` OR General Contractor (Co. Name) OR Owner March -2005— /