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BRES2016-0133it i r art_ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRES2016-0133 c&t✓ °f 4 091a COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 53065 AVENIDA ALVARADO APN: 774043016 d Application Description: MALAND RESIDENCE / MECHANICAL & P Property Zoning: Application Valuation: 1� Y c C 201y Applicant: O1114f, ryry OF�y' IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 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 Professions Code, pnd my License is in full force and effect. License Class: C20 License No.: 968141 te; S lok, l�ontractor �y �� 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).: (� 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.). (_J 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.). (_) 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 Lender's Address: . .VOICE (760)777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/10/2016 Owner: JAMES MALAND 53065 AVENIDA ALVARADO LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA D C S AIR C 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-5562 Llc. No.: 968141 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. -S� 1 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:_ Polity Number: _ 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 the Labor Code, I shall forthwith comply with those provisions. Darr' S Iq )f„ l�ppficaant: 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 Building Official 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. 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 upon the above-mentioned property for inspection purposes. 1pate:sboiko Signa ure (Applicant or Agent): `ACCO N �� *� AMOUNTS 6,. a�.�� `;;-DE�SPTION ,^ ` �««_ 4 ¢PAID PAID DATE AIR HANDLER 101=000042402 0 $36.26 $0.00 "��" 9'� iu 2s <} t�'� � �".�,1i� � vyC'' �.P� �n PAID BY ws METHOD-RECEIPTr#CHEGK�#x ,.. c. M"�� 4��tix_u. Will •�t.A L`S'W nw:->� row CeLTD BY - DESCRIPTIO • ACCOUNT QTY AMOUNT< x�.PID P�DDATE AIR HANDLER PC 101-0000-42600 0.. _ $12.09_ $0.00 �PIDzBY kaMETHO�D�".K RECEIPT#t CHEC #�CLTD B DESCRIPTIONS • �� ACCOUNT QTY AMOUNT.• PA10, PAID DATT�E FURNACE 101-0000-42402 0 ` $36:26 $0.00 "Ki'�{>.S ha zr .� � �.�'t��, r}��r�x-,{ 2'`• +, u PAID' BY w' a;k METHOD ', +' } ��-i..."�✓'4 s,.YG;u3E:a'``.' ,�'�K��1:x: .. roRECEIPT, •101-0000-42600 !70TY � PAID � PFURNACEPC $24.17 $0:00 . Pi41D BSA , t > $INIETHOD .`; r.,•., �...t`r::.'i.s`vs,. RECEIPT" W> 6CHECK # .CLTDD BYE Total Paid for MECHANICAL: $108.78 $0.00 -, z DESCRIPTION. i�°;.r- r&c�. r :y `'X�"'.'is53<i' ACCOUNT S, ..: i:; >3,zD'�r. '4 ",i,^... F�; <J& k QTY AMOl1NT> a'`"x # r, aha $YAG v .>. PAID. iiA' . ¢PAID `DATE 4 #ATE , .. PERMIT: ISSUANCE ,.. .101-0000'42404 0..:. ;$91.85 $0.00 s'•ec,� t...* r ya �Wn �,ifs„"3 �METHO+v,..xS�RECEIPT�#zsCHECK# ,. . T,'fCk, r .v F.>, T� Total Paid for PERMIT ISSUANCE: $91.85 $0.00 {DESCRIPTIONgCCO NTj Y PAID 3 �PAIDDAT 70, WATER.HEATER/VENT 101-0000-42401 _ 0` $12.09 $0.00 Fx P,AIf).BY��c .h ..u,. �.' "9p,: Rr.3+.*:'?"�Ra yk•`�'s` w.'` aMETHODn .• ' r'ti2S:'...:.?i'w.....�,''.'X `L"t.+r,"6{3moi, ' s RECEIPT# n ,CHECKS#. .. • .., LTDyB�Y DESCRIPTION Q .. �� ,• ACCOUNT ' . QTY ° _ 0 AMOUNT .j_ .$7.25 a� PAID• $0.00 PAIDOATE WATER HEATER/VENT PC 101-0000-42600 PAID BY ,. �......Xx?RECEIPT �`METHOD`�< # y x ;CHECK #-° �., z� yCLTDtBY Total Paid for PLUMBING FEES: ., $19.34 $0.00 ss�4,, W SCRIPTION ,ACCOUNT QTgY `` AMOUNT D.= <PAID DATE SMI - RESIDENTIAL 101=0000 20308 0 $0:50 $0.00 51, 3 P.AIDrBY u°,� .C' .C�..?� �METHODF r.i:.v,,. '..-s„r rr.yzY6£ra. .r:;�,.�.>&... RECEIPT:# a..,'�K2Kti..fc.4,.xr_3��r�*;� CHECK # C�LT.D ,ek.?n:.ciltr . ° Total Paid for'STRONG MOTION INSTRUMENTATION SMI: $0.50• . $0.00 - Description: MALAND RESIDENCE / MECHANICAL & PLUMBING Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 5/10/2016 MFA Approved: 5/10/2016 MFA Parcel No: 774043016 Site Address: 53065 AVENIDA ALVARADO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 176 Lot: 4 Issued: UNIT 18 PAID Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 $0.00 Details: HVAC CHANGE OUT - 21 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY) AND TANKLESS WATER HEATER. CARBON MONOXIDE ALARM (S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION CHRONOLOGY CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CONDITIONS. BY AIR HANDLER 101-0000-42402 0 $36.26 $0.00 CONTACTS NAME TYPE NAME ADDRESS1 CIN STATE ZIP PHONE FAX -EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 (760)771-2065 VILLAGE CONTRACTOR HARRISON ENTERPRISES INC DBA D C 31170 RESERVE DRIVE THOUSAND CA 92276 (760)771-2065 S AIR C PALMS OWNER JAMES MALAND 53065 AVENIDA LA QUINTA CA 92253 (760)771-2065 ALVARADO FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY AIR HANDLER 101-0000-42402 0 $36.26 $0.00 Printed: Tuesday, May 10, 2016 12:56:45 PM 1 of 2 7 SYSTElviS DESCRIPTION- ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD. BY AIR HANDLER PC 101-0000-42600 0 $12.09 $0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 Y FURNACE PC 101-0000-42600 0 $24.17 $0.00 Total Paid for MECHANICAL: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 Total Paid for PLUMBING FEES: $19.34 $0.00 SMI -RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 TOTALS:• $0.00 INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Tuesday, May 10, 2016 12:56:45 PM 2 of 2 C SYSTEMS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 1 of 6) Project Name: Date Prepared: -aioli(. A. General Information 01 02 03 01 Project Name: 06_ 07 1 08 09 02 Date Prepared: 03 Project Location: (o '– 04 Building Front Oi:ien6ei6p°(8eg or cardinal): 05 CA City: L ,' 06 Number of Altered?Dwelling Units: A 1 07 Zip Code: of Z2 5 3 08 Fuel Type: s I 4kAp, ' c, 09 Climate Zone: t5 10 Total,Conditi ed Floor, Area,(ft 2PT:4 11 Building Type 12 S)abArea(ft2) 13 Project Scope: _ � �Exceptions to Minim—ym!Aged Solar 14 ' s Zi flectance and Minimu m Thermal or SRI }150.2(b)1Hi 'd,+�'-017 " NO I ' B. Building -insulation Details (Section 150.2(b)i) j 01 02 03 04 05 06_ 07 1 08 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) VOW Proposed !t ,, 0– Required _ Comments . { *A — Continuous Cavity Insulation, r U-fact"r, -,,AR, -value ,,r111:alue Appendix 1A4 Reference � U -Factor Tabl Cell Proposed Minimum Required Inifial Solar Aged Solar Thermal SRI 3 Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance (Max) (Min) Thermal SRI Emittance (Optional) ,v _V _.0;L. 1% e. 115L. % I . C. Roof Replacement (Section 150.2(b)1H) Iry 01 02 03 04 05 06%N07 08� 09 10 11 I 12 13 14 Tag/ ID Method of Compliance Roof Pitch �,, _g.Exc ption OcRoC Product ID Numbef7 Product, � Type R -value.# Deck Insulation Proposed Minimum Required Inifial Solar Aged Solar Thermal SRI 3 Reflectance Reflectance Emittance (Optional) Aged Solar Aged Solar Reflectance Reflectance (Max) (Min) Thermal SRI Emittance (Optional) _V NOTES Roof area covered by buiIIdi g tegrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof Liquid field applied coa ngs-must comply with installation criteria from section 110.8(1)4. requirements. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS f:Al IF(1RNIG FNFRC:V f:(IMMICSIf�N CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations ( (Page 2 of 6) Project Name: Date Prepared: D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 03 04 05 06 , �" , ` 07 Maximum Allowed Maximum Allowed West- Existing Existing West - _I Fenestration Area For All Facing Fenestration Fenestration Facing Area for All Fenestration Maximum Maximum Allowed Allowed Maximu�ln: Maximum' Allowed Allowedt " Alteration Orientations Z) Area Only Orientations Area U -factor U -factor SHG C SHGC ,> Type (ft (ftZ) (ftZ) (ft) (Windows) (Skylights) _ _(W ows) (Skylights) Comments Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 ' STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 09/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-01-E Prescriptive Residential Alterations t (Page 3 of 6) Project Name: I JDate Prepared: E. Fenestration/Glazing Proposed Areas and Efficiencies —Add (Section 150.2(b)lA) .1 01 02 03 04 05 06 07 08 09 10 0 ;1'�1� � 12 13 14 Tag/ID Fenestration Type Frame Type Dynamic Glazing Orientation N, S, W, E Number of Panes Proposed Fenestration Area (ft) Proposed West Facing Fenestration Area (ft) Proposed U facto Source I Proposed w ia..t, SHGC Source Exterior Shading Device Combined SHGC from CF1R-ENV-03 15 Existing + Proposed Fenestration Areay 16 Maximum Allowed Fenestration Area 17 Compliance Statement 18 Existing + Proposed West -Facing Fenestration Area 19 Maximum Allowed West Fenestration Area ' J 20 Compliance Statement IPA*' 21 Proposed Fenestration U -factor (Windows) — v .22 Required Fenestration U factor (Windows) 0 23 Compliance Statement, 24 Proposed Fenestration SHGC (Windows) ' 25 Required Fenestration SHGC (Windows) 26 Compliance Statement lot, 27 Proposed Fenestration U-factor,(Skylights) 28 Required Fenestration U-fapctory(Skylights) `r 29 Compliance Statement*41 ,- 30 Proposed Fel est at, .ion SHGC (Skylight ) 31 Required Fen stration SHGC (Skylights)~ 32 Compliance Statement I%qtt&V AV Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance I' September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E (Revised 09/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 4 of 6) Project Name: Date Prepared: F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)1B) A 01 02 03 04 OS 06 07 08 9 10 ill 0 V 12 13 14 Tag/ ID Fenestration Type Frame Type Dynamic Glazing Orientation N, S, W, E Area Removed (ftZ) Area Added (ftZ) Net Added Area (ft) Proposed U -factor Source' ` ProposedShading SHGC fsoulrceto Exterior Device Combined SHGC from CFIR-ENV-03 _VV 15 16 17 18 Net Added West -facing Fenestration Area Is Net Added Fenestration Area 5 0 for west -facing fenestration? Net Added Fenestration Area (all orientations) Is Net Added Fenestration Area 5 0 for all orientations? 19 Proposed Fenestration U -factor (Windows) YL 20 Required Fenestration U -factor (Windows) 21 Compliance Statement 22 Proposed Fenestration SHGC (Windows) q 23 Required Fenestration SHGC (Windows) 1* 24. 25 Compliance Statement 4AIN Proposed Fenestration U -factor (Skylights) Aft 26 Required Fenestration U -factor (Skylights) * 27 Compliance Statement 28 Proposed Fenestration SHGC (Skyligtjts) :,t. y $ r 29 Required Fenestration U -fa tpK(%.Iights) 30 Compliance Statement ' Registration Number:' Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 09115 CALIFORNIA ENERGY COMMISSION 10 CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations I (Page 5 of 6) Project Name: Date Prepared: S la Ice G. Space Conditioning (SC) Systems - Heating/Cooling (Section 150.2(b)) 01 02 03 Dwelling Unit Name Dwelling Unit Total CFA (ft) Comments w1w. 1,0 i l V.X11W , H. Water Heating Systems (Section 150.2(b)1G) + 01 02 03 04 05 06 07 08 09 10 f 11 +Q 122 13 14 15 Water Water He System Alteration to the Spalce # of Water (ftZ) k, Na Iden Identification or Name d Comments Heating System Water Heating Water Water Heaters Heater Storage Rated Rated �Hea kating A, Back -Up Exterior Solar Central DHW System Dwelling Unit DHW System Identification System Heater in Volume Fuel Input Input Effcciency Efficiency Standby Insul. Savings Distribution Distribution or Name Type Type system (gal) Type Type Value, Type Valu Loss (%) R -Value Fraction Type Type au�cn 17�'IJ l..s�. sb Cc.S Bev 1q9 ;` UEF „e,f NJ A INIA, I N A NJ A 6. — — 1W I I. Space Conditioning Systems and Water Heating Systems iri MOW , mily D ell ng Unit 01 02 _ �, 1 , 03 .�.' ,"� 04 dk\&V40_ 05 06 Central Water Heatiog%' I0, m 1, ` Dwelling Unit 'ti Dwelling Unit: Dwelling Unit Total CFA Sys I, Water He System Alteration to the Spalce Dwelling Unit Name (ftZ) k, Na Iden Identification or Name Conditioning System(s)? Comments At Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: September 2015 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E tRevised 09/15 CALIFORNIA ENERGY COMMISSION . CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 6 of 6) Project Name: I JDate Prepared: 5 to lC- DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: ' Company: P Y� q Signat re Date:' C P-herGl A s c- _��. .S Io Ito n It".. Address: -70 CEA/ HERS Certification Identiificaiion,(if'dipplicable): Nko 3�N City/State/Zip: 1 hov-S0o" aA m Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT _ I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. lam eligible under Division 3.of the Business and Professions Code to accept responsibility for the buildin0es o isystem design identified on this Certificate of Compliance (responsible designer). � 3. That the energy features and performance specifications, materials, components, an ornanufacturedddde es'fbr the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and.Part6 of thej alifoJma Code of Regulations. e e' onsistent 4. The building design features or system design features identified on this,Certife of Cornplian a withtheinformation provided worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this bu IdinK01g,permit application. e.wiLh it(s) for building on other applicable compliance documents, 5. I will ensure that a registered copy of this Certificate of Corctplianc''eshal'be made avaJab the building'pe issued the for all applicable inspections. I understand that a registered`cop ,ofahis Certificate of'� mpliance is req i tome included with the documentation and made available to the enforcement agency the builder provides to the building owner at occupancy. K4AO 1k Responsible Designer Name: 3 � Respgn3iD'esignerSignature: Vii. a6; pap Company: Qate Signed: �e rP Address: s>R+, License: City/State/Zip: Phone: Forassistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance September 2015 STATE OF CALIFORNIA ALTERATIONS -, HVAC e-1 CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: /� \ /� ` S3�G� Ave_ lvexc Enforcement Agency: Date Prepared: J Permit#: 1, C�2 /� ao ic-,L, S 1C ICs Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged XEvaporator Coil�pL AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system .Setback System j�Split System ,Condensing Unit ❑Com Compressor 2-1 , 11 R-8 (CZ 11, 14, 15) Ducting -�f I oo sgft (If not already Y p SEER HSPF ❑ R-6 (all CZ's) Plenums present, must ❑ Mini Split ❑ Lineset EER ❑ R-5 or R7.5) Lineset° be installed) XFurnace ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFIR-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.S8W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: 111. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. I All newducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 2S percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) -4 -R -5 -(V -thick insulation) for-linesets-1" and -less. -R-7:5 (1.5'=thick insulation) for. linesets over_1-inch.-Most-mfg will.require Suction line_Diameter— with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T -2%a', 5T-4%" Contractor (Documentation Author's /Responsible Designer's Declaration Statement) I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: 'i e�e�-• Sc;� `� e Res sable Designer Signature: �G -- Date igned: S ►o Ito(,310$ License: b Company: Address: 31\7ot�esex-v �� City/State/Zip: 1hcxx_a� o,Ims ct221C, Phone: 7th -34 3-7y 88 c' �h• .For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: i-suu-i it-jjuu Bin # City of La uin to . Building &Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application acid Tracking Sheet Permit # Project Address: -Aye �'d0 Owner's Name: e�meS o.�ati.e� A. P. Number: Address: S 3Qc,-.1- A•. erg. dG A 1vo.r q�p Legal Description: City, ST, Zip:�ih�c. C p, c(2253 Contractor: Gerer � A;,- t Telephone: h one: � Address: •31\-7 7 eSe( V��e Project Description: City, ST; Zip: � AGS y i oar. IQ c-, q0 Oct:) Telephone: -1 l00 3 _'7 S v. U � c � c State Lie. # : (oiRQ:,31b City Lie. #: Arch., Engr., Designer: 0.V i er _ N lf�l Z� / OA - N G Address: �io��er N eget" City., ST, Zip: . Telephone: e ne: P 0 '. Con structi on Type: Occupancy: P P cY: State Lie. # Project type (circle rcle one): w Add'n Alter Repair t Dem o Name of Contact Person:S��n rltef er Sq. F[.:# Stories: #Units: Telephone # of Contact Person: gl g 13 - "T 8 -%Co Estimated Value of Project: (e . -7 3i. OCD- G7 APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING `PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. f Reviewed, read for corrections Plan Check Deposit Truss Cates.Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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 IiOUSE:- '"! 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