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06-1957 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 'Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 0.6 Os"0" QJ? ,5- .51225 AVENIDA'RAMIREZ 7737061-7022-11 -000000- MECHANICAL COVE RESIDENTIAL 2800 `ceiu4t 414 Quitaim - Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MANN RICHARD.CHARLES 51225 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: PALM DESERT AIR CONDITIONINC 42081 BEACON HILL PALM DESERT,.CA 92211 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777=7011 INSPECTIONS (760) 777-7153 Date: 5/11/06 LQPERMIT - LICENSED.CONTRACTOR'S-DECLARATION - _ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am license&under provisions of Chapter 9 (commencing with I hereby affirm under penalty,of perjury one of the following, declarations: - Section 7000) of Division S of the Business and Professionals Code, -and my License is in full force and effect. - I have -and will maintain a certificate ofconsent to.self-insure'for workers' compensation,:as provided . "License Class: C20 - - - License No.: 37493.7 _ for,by Section 3700 of the Labor Code, for the performance of the work for:which this permit is Date*_4A::k1-12y_ Contractori Qmm issued." 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 OWER-BUILDER.DECL'ARATION - Nexempt insurance carrier and policy number are: - ' I hereby`a_ffirm under -penalty of. perjury that Lam. 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'pedormance of the work for which this permit -is issued, I shall not employ any _ construct, alter, improve, demolish; or repair any structure,' priorto 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 puisuantto 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. Anyviolationof Section 7031.5.by - any applicant for a permit, subjects the applicant to a civil penalty of not more.than five hundred dollars ($500).: te.S L� pplicant: 1 1 1, as.owner of the property, or my employees with wages as their sole compensation, will do the work; and the structure isnot 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 CIVIC FINES UP TO ONE.HUNDREO THOUSAND and -who does tha work.hirnself or herself through his of her own employees, provided,that•the DOLLARS Is 100,000). IN ADDITION TO,THE COST OF. COMPENSATION, -DAMAGES AS PROVIDED FOR IN ' improvenie.nts.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; theowner-builder will. have the burden of proving that he or sne•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 conditionsand restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) 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 1 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 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 hereby authorize representatives of th' ounty to enter upon t above-mentioned property for inspection purposes. Lender's Name: - `` �� Dater'''` O nature (Applicant or Agent)' Lender's Address: LQPERMIT d Application Number . . . . . 06-00001957 Permit. . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 11/07/06 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 CONDENSOR - 14 SEER Fee summary. ----------------- Charged ---------- Paid Credited Due Permit Fee Total ---------- 24.00 --------------------- .00 .00 24.00 - Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 LQPERMff . . Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project' le: Date: / © 2005 CaICERTS Enforcernent'Agency Use Only Project Address: Climate Zone: Building Permit # Telephone: Plan Check Date Installing Contracioi: Company Name: Field Check Date IMPORTANT: This'CF, R form is only for use when an HVAC- my alteration is madeyto an existing home Use one form for each -.system being altered. This is system'#= of .4 _ 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 equipment exactly. Installed equipment -must match type/location. and meet or exceed efficiencies/R-values;from CF -1 R. Equipment T e Manufacturer Model Number Efficient Load" Capacity*** 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.,.;c�, ytiy SEER Heatpump Condenser HSPF SEER 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 fumace 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 ordento achieve a specific EER. Loads are sensible for cooling. '•' Capacities are sensible at design conditions for cooling and adjusted altitude, downflow,.etc. out ut for heating. XV: O If TXV is required by the CF -1R form (line 23 on CF -IR -ALT form),•it'has•tieen 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) O For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealihq by increasing the efficiency of the equipment is not'an option for entirely new°ductsystems. I, the undersigned, verify that the.equipment listed above is: 1) the actual equipment installed in the -home; 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 with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards.' Signed (Installer): Date: Notes: 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 Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: Date: © 2005 CaICERTS IMPORTANT: This CF -6R 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. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct testing is required per CF -1 R-ALT.forn Step 1 - Pre-test: Leakage of the systembefore any alterations. This test iso tional and is only used for the 60% reduction option 1 Pre-test leakage L 14 IJ ICFM25 2 Line 1 x 0.4 Itarget for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values forequipment after.alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton = CFM 4 Heating: umace output: Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: I JCFM may use highest of lines 3, 4, or 5. Step 3 - Determine Tar ets: Ba Total System fan flow (line 7 from above) x 0.06 = ICFM25 = 6% leakage target (new duct systems) 8b Total System fan flow (line 7 from above) x 0.15 = q, 44 ICFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0. 10, ICFM25 = 10% leakage to outside target Step 4 -Alterations: Must be consistent with the'CF-1 R form. 10 ❑ Seal all new connections with approved, materials: 11 ❑ No newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ Ilf adding or replacing more than 40 feet of duct, -insulate new ducts per . acka e!D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15%total and 60% reduction) 13 leaks e = 1414 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 re uirement, Go to Step 9. 14b ❑ If line 13 is less than line 8b house passes the 15% leakage requirement Go to Step 9. 15 ❑ If line 131s less than line 2 house passes the 60% reduction req ulrement 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 duct blaster test but the house is pressurized to 25 pascals 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% leaks a 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.- 9:21 21❑ 1 Smoke Test and Visual Inspection of Accessible Duct Sealing is required. See Ste 8. 22 ❑ linstall 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 ❑ IPerformsmoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ lPerform Visual Inspection and repair of excessively damaged ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ 1 seal register boots to surrounding material per ACM Append ix 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 b HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakaibetooutsid6to'beverified•by HERS rater. Sampling is allowed. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable 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 sampling. 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer ortheir representative, not the third party rater. No Sampling - House does not pass by lines 14 15 or 19. OR homeowner chooses not to be part of a sample 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 by a third party rater. OR all above tests may be performed solely by 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 by a third party rater. OR, all above tests may be performed solely by the third party rater. 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 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Date: Pro] Title: ��L l �� —A © CaICERTS 2005 Enforcement A enc se n Project'Address: Climate Zone: Building Permit # Do cum nt on Auth F: elep one:' �, Plan Check Date Com Name: Field Check Date IMPORTANT: This CFAR-ALT form i only for use when an HVAC -only alteration is made to an existing home Use one form for each System be altered. This is.s stem # of t s stems altered in this house. Check all lines that auoly. Check only lines that aooly. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2❑ Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 n 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 ❑ 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. 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 Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is'checked. 7 ❑ This system 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 CF4R 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 ARD EER 12 condenser will be installed.with TXV(RCA) AND added duct insulation 114 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 AN EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed Wlieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 Aha 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. 15 None of lines 7-14 above are checked. Duct Sealing 14,Re4ulred. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise ot:to'Section 3 16 ❑ The system beinq 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 system 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 isnot checked. No TXV(RCA) Is required. Go to Section 3. 202 ITWs system is in Climate Zone 16 and line 14 is checked and not line 16. TXV RCA is re ulred. 'Go to Section 3. 21 This system is in Climate Zone 2 or B-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go to Section 3. Sectign 3 - HERS Rater verification 22 A If line 15 is checked, HERS verification Is required for Duct.Sealln . 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS veriflcaUon Is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS veriflcaUon Is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ lif 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 If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next Page Version 03-10-06 Page i 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,Title: 'y Date: © CaICERTS 2005 IMPORTANT: This CF -1 R -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 system #_L of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed eHiciencies/R-values.' 28 Configuration: plit system ❑ Package Unit 29 ❑ Air Handier ❑Gas furnace, AFUE: ❑Healpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heal Exchanger 31 EY"' Outdoor Condensl .Unit A/C ❑HeatpumP kfficlency SEER/HSPF• 7Oi 1EER it re d : 32 ❑ Cooling or heating coil ❑A/C 13Heatpump ❑H dronic 33 ❑ Ducts ILocation, ILength (ft): R -value: All mandatory measures apply Warty 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 Author Name: Name: !� Address: Company Name: City/State/Zip: Address: / Phone: City/S /Zip• 1 Phon "D D T Signature: Signature: Enforcement Agency (Building Department) . Notes/C ments: 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 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 Bin i# 4 City of La.Qui.nta Building u Safi -Ay DiviAon P.O. Box 1504,78-405 Calle Tampico La Quinta,. CA . 92253 - (760).777-7012 BUilding PermitApplication and Tracking Sheet Permit .# Project Address�aQ Ow . ner's Nam A. P. Number: Address: Legal Description: City, ST, Zip, old Contractor: Telephon'Z.2L,,-/.7-7 13 Address: Project Description: Z&k2lN City, ST, Telephone (2&p)_3 State Lie. #: 3 '1Y-f2Z City Li!c. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: �-rconstructibn Type: Occupancy: r Project type (circle one): New AddIn��A&Der Repair Demo State Lie. #: Name of Contact Person: Sq, Ft.: 1# Stories: # Units: Telephone # of Contact Person: Estimated Value of Project. 1t>QLA0().00 APPLICANT: DO NOT WRITE BELOWTHIS LINE, # Submittal Req'd Rec!d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CaIcs. Reviewed, ready.for corrections Plan Check Deposit Truss Cales. Called Contact Person. Plan . Check Balance Energy Cales. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading, plan' 2°" Review,ready for correctionsrissue Electrical Subcontactor List Called Contact -Person Plumbing Grant Deed Plans picked up S.M.T. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- .3,d 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