09-0148 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/ . 4 4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ApplicantC�Yt''- - Architect or Eng�ijne�e-r
Owner:
PEEREN BILL
54941 AVE
LA QUINTA
(
-
Contractor:
AIR EXPER
PO BOX 94
LA QUINTA
(760)777-
LiC. No.:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/18/09
— — — — — — — — — — — — — — — — — — i — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
Par
NTRACTOR'S DECLARATION
1 hereby affirm under penalty of ry thatd under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of a Businessonals Code, and my License is in full force and effect.
License Cl s: 'C20 License No:: 725283
_-
0—Date: - ®l ontractor: _
[ 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 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).:
1 _ 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
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 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.).
(_ 1 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.I.
Lender's Name: _
Lender's Address:
LQPERN11T
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 EXEMPT olicy Number EXEMPT
_ I certify that, in the performance o he work for which this permit is issued, I shall not employ any
person in any mann as to o ubject to the workers' compensation laws of California,
and agree that, if should beco subje to the workers' compensation provisions of Section
700 of the Labor ode, I shall it comply with those provisions.
r
t
Date: (y - -Applicant:
WAR NG: 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 applica'm, 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 ul and void if work is not commenced
within 180 days from date of issuance of such pe ssation of work for 180 days will subject
permit to cancellation.
I certify that -1 have read this application and state th the above info tion ' correct. I agree to comply with all
city and co"
y o finances and state laws relating to building constru , and hereby authorize representatives
of this cou to nSer upon the above-mentioned prop rty for i c n pur oses -
Date: v.Signature-(Applicant or Agen
Application Number .
. . . . 09-00000148
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee
15.00 Plan Check Fee
9.75
Issue Date
Valuation . . .
. 368
Expiration Date
8/17/09
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
69.00 Plan Check Fee
17.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/17/09.
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
----------------------------------------------------------------------------
Special Notes and Comments
CODE CASE 08-3141 INSTALLING
(3)
MINI-SPLIT HEAT PUMP
& AC UNITS. WROUGHT
IRON FENCING TO CITY
STANDARDS &
APPROVED PLANS 40" HT
X 48" LENGTH PER
AJ
----------------------------------------------------
Other Fees . . . . .
-----------------------
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.98
Fee summary Charged
---------------------------
Paid Credited
--------------------- =
Due
--------
Permit Fee Total
84.00 .00 .00
84.00
Plan Check Total
27.00 .00 .00
27.00
Other Fee Total
1.98 .00 .00
1.98
Grand Total
112.98 .00 .00
112.98
LQPERMIT
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5607
SUBMITTAL DATA: MULTI 24KBTU DUAL ZONE COMBOS
POSSIBLE COMBINATIONS
ASU12RMLQ ARUI2RML ARU12RML
ASU12RMLG I ASU12RMLG I ARU12RML
otal ARI Rated Cooli BTU/h
24k
Noise Level db A - Heating
51
23.6k
20
Total Wn-WxCooq BTU/h
10llar
-Runnirlg CurrentCooll RatedlMax s
ilk -27.5k
10.5/13.5
JRunniAq Current Heatin ReledNhu
1 Rated cim ASU12K BTWh Ee.
11.3114.0
12k
136
N/A
Min -Max Cla ASU12K BTU/h Ea.
5.1k -13.6k
WA
ARI Rated CIO ARU12K BTU/h Ea.
NIA
12k
Min -Mex C113 ARU12K BTU/h Ea.
NIA
5.1k -13.6k
coofinR Outdoor Design Tem Lure F• DBMS
85°175•
Talar ARI Rated Healing BTU/h
28k
TabI Min -Max Heallng BTI 1h
11k -33k
RI Rated Htp ASU12K BTUIh Ea.
14k
WA
Min -Max HIn ASU12K BTU/h Co.
5.1k -15.4k
WA
RI Rated Ma ARU12K BTU/h Ea.
N/A
14k
Min -Max Mtn ARU12K BTWh Ea.
NIA
5.1k -15.4k
Heating Outdoor Design temperature F' OBANS
47'143'
HSPF
9
SEER
16.5
EER Coulinameati
10.d/119
9.9/10.8
Low Ambient Ternp. F' Coofn
32'
Low Ambient TenV. P Healing
14*
Voltage re uen (" Phase
208,230/60/1
Indoor Ulnit-
Nolse Level ASU12k BTUJ db A -K/MEO/LOW/QUIET 42136/83129 1 WA
Nolse Levet U12k BTU db (A)-HI/MED/LOW WA I 38134f31
We hl ASU12k B Ibs. 21 NIA
We hI ARU12k BT tbs. NIA 1 55 .
Outdoor Unlr!
Noise Level db A - Cooling
50
Noise Level db A - Heating
51
Recommended Fuse Size (AMPS)
20
Min. ArnpscAy (Ampa)17
10llar
-Runnirlg CurrentCooll RatedlMax s
10.1112.0
10.5/13.5
JRunniAq Current Heatin ReledNhu
10.3112.0
11.3114.0
We' h11bs.
136
Relrivorant Plein!
Max Ht, Difference A.
33
Max Total or Combined LerMth f7.
98
Max L n lh Each 4.
82
Min Ian lh Each M.
10llar
Disaa Vapor Line .D. in.
114
Suctlon O.D. In.
3/8
'It one of your llrcuga IS aa' Ione then the other circu3 can only be 16- long 90 Inst tna combined q>,gln ooss Trot exceed the mafimwn of 98' allowable.
"For h,nher Information please refer to the—.ar1o4oclM.com.
--- — ------
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MIDIA dol
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* Feb.
0 -
SUBMITTAL
DATA: 24RLXQ P
ASU24RLXQ & AOU24RLXQ .11 =: �:SU
Job Name: location:
Purchaser
Engineer:
Submitted To: For : Reference Approval Construction
Submitted By:
OUTLINE AND DIMENSIONS
Capacities:
coolmB
24,100 BTU/h
Mir:/Max Cooling
9,900.27,300 BTU/h
Outdoor Design Temperature F DB/WB
95/73
Hooting
27,600 BTU/h
Min/Max Heating
7,500-36,100 BTU/h
Outdoor Design Temperature F• DB/WB
47/43
HSPF
10
SEER
17
EER Coofing/Heating
11.1/11.6
Low Ambient Tamp. F Cooling/Heating
0/0
Voltage/Freguency/Phase
208-130160/1
Indoor Unit:
• Long linset length's
Noise Level Cooling db (A) - H/ M/ U Q
49/44/39/34
Noise Level Heating db (A) - H/ M/ U Q
49/44/39W
Weimt
31 lbs.
Outdoor Unit:
Noise Level db (A) - Cooling/Hesting
54/55
Recommended Fuse Sim
30A
Min. Ampecity
22A
Running Current Cooling (Rated/Max)
9.6/15
Running Current Heating (Rated/Max)
10.5/15.5
.......................................................
...... .. .
.............
:
l ., t 1 :: :�• 1
..
Weight 137 lbs.
Refri omnt Piping: ..................
Max Ht. Difference 98 fl
Max Total or Combined Length 164 fL Standard Features:
Discharge Vapor Line (O.D.) 318 in,
Suction (O.D.) ' 5/8 in. • Six year comprcasor warranty • Sleep timer; 24 hour timer
Notes:
Note: figures are based on 210 Volts • Two you pada warranty
• Built in Low Ambient
• Refrigerant R410A
• Auto RestuVReset
• Auto Louver: 4 Way
• Cold Prevention
• Auto/Quiet/Dry Mode
• Power Diffuser
• Plasma Filter
• Long linset length's
- Digital Wireless Remote Control
' Optional Wired Remote
'� �, Feb. 12. 2009 11; 25AM No 5607 P. 12
Submittal Data: System 12RQ;.... ;
ASU12RQ & AOU12RQ s, a
Job Name: Location:
Purchaser:
Engineer:
Submitted To: For: ❑ Reference ❑ Approval ❑ Construction
Submitted By:
Unit Designation: Schedule No. Model No.:
Capacities: OUTLINE AND DIMENSIONS
Cooling 12,300 BTU/b
Outdoor Design Temperature Fo DB/WB 95/75
Heating 12,800 BTU/h '+t-r�tt N•itti!
Outdoor Design Temperature Fo DB/WB 47/43 i
SEER 13.7 001
Indoor Unit: m
i
Power Supply 115V = AIM.
Noise Level db (A) H/ M/ L/ Q 45/40/35/28
Weight
21 lbs.
Outdoor Unit:
Power Supply
115V
Max Fuse Size
20A
rt:3
y...A.
Min. Ampacity
15A
Running Current Cooling
9.9A
t
Running Currant Hearing
9.2A
Weight
19 lbs.
r
j
Refrigerant Piping:
n i
Max Ht. Difference
26 R.
t
t
Max Total or Combined Length
49(l.
Discharge Vapor Lime (O.D.)
1/4 in.
Suction (O.D.)
3/8 in.
Standard Features:
• Six year compressor warranty
• Two year parts warranty
• Digital wireless remote control
• Automatic fan speed control
Notes:
• 4 Way Auto Louver function
• Built in Low Ambient to 329 F
• Auto Restart/ Reset
• Programmable Timer
• Optional Wired Remote Control
• Plasma Filter
• Refrigerant R -410A
E. anonane a..
s�iva'T:tt:n{v+w'1 '
f
• Optional Wired Remote Control
• Plasma Filter
• Refrigerant R -410A
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 1 CF -IRA
Project Title
Exceptions
Date
uildingPermit #
Duct systems that are documented to have been previously sealed as confirmed through field
verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
2
0
Existing ducts stems that are extended which are constructed, insulated or sealed with asbestos.
Project Address
CF -6R pages 5 and 6 of 12
Duct systems with less than 40 linear feet of ducts in unconditioned space.
❑
Refrigerant Charge
CF -611 pages 5 and 6 of 12
CF -4R pages 3 and 4 -of 8
❑
IanCheck%�bate:• ;` ' :`
L4-- QUt^l , A e44--
9z2
Documentation Author
Telephone
Piild-Check/ Date
Compliance Method (Prescriptive — HVAC and/or Duct
Climate Zone
Eoforcement AgencyUse:Otily
EXCEPTIONS
If any of the following three exceptions are ✓, the duct system is exempt from sealed ducts.
#
✓
Exceptions
1
0
Duct systems that are documented to have been previously sealed as confirmed through field
verification and diagnostic testing in accordance with procedures in the Residential ACM Manual.
2
0
Existing ducts stems that are extended which are constructed, insulated or sealed with asbestos.
3
CF -6R pages 5 and 6 of 12
Duct systems with less than 40 linear feet of ducts in unconditioned space.
ii AC SYSTEMS
Heating Equipment Type
and Capacity (furnace, heat
pump, boiler, etc.)
Minimum Distribution Type
Efficiency and Location (ducts,
(AFUE or HSPF) attic, etc.)
Configuration
Duct or Piping Thermostat Type (split or
R -Value package)
a t�
0
SQL/ i r
0
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
(3
uvrr P
CF -6R pages 5 and 6 of 12
L/ T—
Coolin Equipment Type Minimum
g q P ment yP Efficiency Duct Location Configuration
and Capacity (A/C, heat y Duct R -Value Thermostat Type
pump, evap. cooling) (SEER or (attic, etc.) YP (split or
EER) package)
AM -P L e
AP" 1./
uMP 3 `1
SEALED DUCTS, REFRIGERANT CHARGE (TXV) AND EER
The prescriptive requirement for either a refrigerant charge or a TXV does apply to packaged units.
Before the permit can be finalized, a signed CF4R must be provided to the building department for any of
the following ✓ comoliance requirements:
✓
Compliance Requirements
❑
Sealed Ducts (climate zones 2 and 9-16) (Installer testing and certification and HERS rater field verification required.)
0
TXV (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.)
0
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
(3
EER as indicated in Table 8-3 of Residential Compliance Manual (climate zones 2 and 9-16 only) (Installer testing
and certification and HERS Rater field verification required.)
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
A ✓ indicates which compliance requirements are part of this project and need HERS rater verification.
✓
Compliance Requirements
Installer Forms (if applicable)
HERS Rater Forms (if applicable)
D
Duct Sealing
CF -611 page 4 of 12
CF -4R page I of 8
p
Thermostatic Expansion Valve (TXV)
CF -6R pages 5 and 6 of 12
CF -411 pages 3 of 8
❑
Refrigerant Charge
CF -611 pages 5 and 6 of 12
CF -4R pages 3 and 4 -of 8
❑
EER
CF -6R page 8 of 12
CF -4R pages 5 of 8
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
bR, t`\
Project Address:
Owner's Name: 2111 - =i�m
A. P. Number:
Address: 94 AL,*- U A -s
Legal Description:
City, ST, Zip: 0,A N'7A CAZZS
Contractor:Aiie X P t
Telephone: �
Address: oX
Project Description:
City, ST, Zip: w CA 9Z'ZS'3
Telephone: -7-7-7/-77-4
State Lic: # :
City Lic. #: GJ
r--Tn ji S -
Arch., Engr., Designer:
Address:
1% -TALL 1 I j1
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one) Ne Add'n Alter Repair Demo
Name of Contact Person:
I �� 1
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: Z
db
Estimated Value of Project: Q ��
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMI FEES
Plan Check submitted
Item Amouut
rReq'd
l Calcs.
Reviewed, ready for corrections
Plan Check Deposit
tes.
Called Contact Person
Plan Check Balance
alcs.
Plans bicked up
Construction
in plan
Plans resubmitted
Mechanical
Grading plan
2°" 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 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