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06-1959 (MECH)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: 5/11/06 Application Number: 06-00001959 Owner, Property Address: 54625 AVENIDA RUBIO STEVENS ROBIN APN:. 774-271-018-6 7-000000 54625 AVENIDA RUBIO Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 2400 Contractor: D p Applicant: Architect or Engineer: PALM DESERT AIR CONDITIONIN 42081 BEACON HILL PALM DESERT, CA 92211 MAY 1 0 1006 (760)346-0677 I Lic. No.: 374937 C1 Q gQ41NTA LICENSED. CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby 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: ' C 2 0 License No.: 374937 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate.. Owl ntractor: 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 1795546-2006 - 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 with those provisions. , 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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 10 Date • __ � � pplicant: ' ( _ 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: FAILURE TO SECURE WORK S' 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 ($100,000). 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 1, 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, (_ 1 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 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation.. I hereby affirm under penalty of perjury that there is a construction lending agency.for the performance of the 1 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 hereby authorize representatives of this,county to enter upon the above-mentioned property for inspection purposes. Lendeir's Name: ate: ignature (Applicant or Agent):' Lender's Address: LQPERMIT Application Number . . . . 06-00001959 Permit MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date _ Valuation 0 Expiration Date 11/07./06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 00 9.0000 EA MDCII D/C :4-3HP/ 144Y. RTU 9 nn. Special Notes and Comments --------------- REPLACE AMERICAN STANDARD HEAT PUMP, COMFORT SYSTEM - 14 SEER Fee summary Charged Paid Credited Due Permit Fee Total 33.00 ..00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 Certificate of Compliance Prescrintivp_ MPthnrl _ I-1VAf`snl" r- 4 n AI T Project Date. © Ca:CERTS 2005 Project A dress: Climate Zone: Enforcement Agency Use nl Building Permit # Docum tation A thor: Telephone: Plan check Date � Z Z7 Co ny ame: G C/ Field Check Date IMPORTANT: This CF -1R -ALT form is only for use when an H -only alteration is made to an existing home Use one form for each system being altered. This is s stem # of systems altBred in this house. Check all lines that a21Y Check only lines that aool� Scope pf Alterations: 1 An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next iine. 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 ❑ 5 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. More than 40 feet of new or replacement duct are to be installed in unconditioned space.. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. 6 ❑ Continue to next line. If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 -Duct Sealing 0 nly if any of Lines 1 .2 14 or 5 are checked. Ski if Line 6 is che6--ed. 7 ❑ This system is in Climate Zone 1, 3, 4 5, 6, 7, or 8. No duct sealing is reouired. Go to Section 2: 8 ❑ Thiss stem has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Sectio -i 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 Sectioh 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 a »licable 12 ❑ . In Climate Zones 10, 13 and 15: An SEER 14 AhM EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on e>astin ducts, R-8 new ducts in lieu of duct sealin . Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AhQ EER 12 condenser will be in with TXV(FOCA) 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 AbQ 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 Secton 2. 15 None of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise of to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ 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 s stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ IThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV RCA Is required. Go to Section 3. 21 ❑ IThiS system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go b Section 3. Sectio 3 - HERS Rater verification 22 If line 15 is checked, HERS verification Is required for Duct Sealing. 23 ❑ Ilf line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA)_ 24 ❑ lif 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 4. Section 5- Duct R -Values 26 ❑ f more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 If 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 This form can only be used on projects being verified by CaICERTS certified raters. wurw.calcerts.corn 2 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Ti Date: © CaICERTS 2005 IMPORTANT: his 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 altsred in this house.' Section 6 - Minimum Requirements for Equipment to be Installed/Altered. / Installed equipment must match t loealion and meet or exceed efriciencies/R-values. 28 Configuration: ❑ Splitsystem ❑ Package Unit 2 91 Ac Handler ❑Gas furnace, AFUE: ❑Heatpump FAU ❑Hydropic F.0 ❑Other 30 ❑ Heat Exchanger 31 ❑ Outdoor Condensing Unit ❑A/C VTeatpump kfficiency SEER/HSPF: EER it re d : 32 ❑ Cooling or heathy coil ❑A/C ❑Heat ump ❑Hydronic 33 ❑ DudsVocation: ' ILength (it): R -value: All mandatory 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 -ias been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct scaling, 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: Compa ame. City/State/Zip: Address: Phone: Phone: Sign Signature: Enforcement Agency (Building Department) Notes omments: 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, enforcemert agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcemen- 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 sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects. being verified by CaICERTS certified raters. www.calcerts.com Wal Inetollntinn r`artifirnta Prace rintiva Mathnrl . HVAC_nniv Alteration CF -6R -ALT Project Till �. Date: ©:2005 CaICERTS Enfor-ement Agency Use On Project Address: v Climate Zone: Buiidirg Permit A J / - Installirng Contractor: Telephone: Pian Check Date omp me: Fiea check Date r IMPORTANT: This CF -6R form is only fors_Vwhen an HVAalterati n is made to an existing home . Use one form for each system being a►tere . his is system SC -on of— systems altered in this house. Copies to: Homeowner, HERS Rater,' and Buildin De artment List the specifications for the newly installed equipment. These must match the installed egnipment exactly. Installed equipment must match type/location and meet or exceed efficiencies/R-values from CF -1 R. a aci — Equipment T e Manufacturer Model Number Efficiency Load" Capacity— Fumace Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER Package heatpump HSPF SEER EER' A/C Condenser SEER Heatpump Condenser HS PF SEER Oa low yd•ooa Indoor DX coil EER* Hydronic coil Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. Loads are sensible for cooling. Capacities are sensible at design conditions for cooling and adjusted altitude, downflow, etc. output :or heating. XV: ❑ If TXV is requited by the CF -1 R forrn (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 6% rather•than 15% for altered system:. The altemative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new duct s st✓ms: I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the hom-:; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned, verify that diagnostic test results listed on this form were performed in conformance rith the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the N andatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards. Signed In alley : Date: Notes: t version u3-lu-ub Irage _i or This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project T'tle: Date: © 2005 CaICERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is mace to an existing home Use one form for each system being altered. This is system # / of / systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct -testing is required per CF -1 R -ALT form ' Step 1 - Pre-test: Leakage of the system before any alterations. This test isoptional and is only used for the 60% reduction option 1 Pre-test leakage: ICFM25 2 Line 1 x 0.4 Itarget for 6C % reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values for equipmenI after alte®tions. 3 Cooling:. Condenser tonnage: tons x 400 CFM/ton =U CFM 4 Heating: Furnace output: Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = ICFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑flow grid 7 Totals stem fan flow value to be used: JCFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06 = CFM25 = 6% leakage target (new duct systems) Bb Total System fan flow (line 7 from above) x 0.15 = CFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 = CFM25 = 10%leakage tc outside to et Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ 1 Seal all new connections with approved materials. 11 ❑ 1 No newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ If addingor replacing more than 40 feet of duct, 'insulate new ducts per package D for that clima"e zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leaka e = CFM25 . refer to 2005 ACM appendix RC, Sections RC 4.3.1 14a ❑ If line 13 Is less than line 8a house passes the 6% leakage requirement Go to Step 9. 14b ❑ If line 13 Is less than line 8b house passes the 15% leakage requirement Go to Stop 9. 15 ❑ If line 13 Is less than line 2 house passes the 60% reduction requirement continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is required. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular dud blaster test but the house is pressurized to 25 pascaN at the same time. 18 leakage = I ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 Is less than line 9 house passes the 10% leakage to outside requirement. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Duct Sea is required. See Step 8. 22 ❑ -ling 1 Install required label per ACM Appendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ 1 Perform Visual inspection and repair of excessively damaged ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ ISeal register boots to surrounding material perACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27. ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all aocessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS samplings 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed.6y the installer or their re resentative not the third party -ater. No Sampling - House does not pass by lines 14 15 or 19; OR homeowner chooses not to be part of a sarriple group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified b, a third party rater. OR all above tests may be performed solely bX the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified b- a third party rater. OR, all above tests may be performed solely by the third party rater. v ci blur i uo- s u-vo . Page 2 of 2 This form can only be used on projects being verified by CalCERTS certified raters. www.calce'rts.com . Bin # City of La Quinn 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 # y� Project Address:,:5---I6,2r.4' lel, -`,-,� Owner's Name: l �e A. P. Number: Address: ✓ ? jg52 Legal Description: Contractor: qz- Address: City, ST, Zip: Telephone: Project Description: L c(. City, ST, Zip: L��E"or . Telephon . 760) 3 S/6 �t� 7 % City Lic. #: State Lie. # : S Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: c /l - Construction Type: O.,cupancy: Project type (circle one): New Add'k Alter Repair Demo Sq. Ft.: --F# # Stories: Units: Telephone # of Contact Person: . -Estimated Value of Projec . IJkV0 .00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Checksubmitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Chec4_ Deposit . Truss Calcs. Called Contact Person Plan Che& Balance Energy Calcs. 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 HOUSE:- '`d 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 Total Per -nit Fees