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09-0427 (MECH)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO Tht440"FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/07/09 Application Number: 09:00000427, Owner: Property Address: 77350�CAMINO QUINTANA ELLINGSEN PAULA APN: 658-250-065- - - 77-350 CAMINO QUINTANA Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( [ Application valuation: 5073 D I` Contractor: MAI 7 Applicant: Architect or Engineer: DESERT AIR CONDITIONING, INC. 1 iF� J 590 WILLIAMS ROAD �LP, PALM SPRINGS, CA 92264 Clio®r: (760)323-3383 Lic. No.: 276586 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. License Class:' C20 -C43 License No.: 276586 -Date: Contractor: 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).: 1 _ I 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 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.). Lender's Name: _ Lender's Address: t LQPERMIT 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 INS CO OF WEST Policy Number WSD216397401 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 3..7000 of the Labor Code, 11 forthwith comp) wit hoe provisions. Date: J— 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 thiscoer upon the above-mentioned Property for'n tion purposes.���i�`.V�t —Date: Signaturepplicant or Agent)-7 � Application Number . . . . . 09-00000427 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 11/03/09 .Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K .9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 -----------------------------------------------------=---------------------- Special Notes and Comments REPLACE 1.5 TON HEAT PUMP UNIT / 13 SEER LIKE FOR LIKE. ---------------------------------------------------------------------------- Other Fees . ... . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Installation Certificate Presr-rinfiva Mnfhnrl - 1-111AP_nnl%f A14nr7+inn r'_P-AP-AI T Proje t Title: 1 I J ` ' Date: �/� A © 2005 CaICERTS Enforcement Agency Use Only Project Addre s: r17.35o CcQ.411:I%a Q J"Akn Climate Zone: Is Building Permit # Installing Contractor: Todd Shaw I Telephone: 323-3383 Pian check Date Company Name: Field check Date Desert Air Conditioning, Inc. 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 #_,jL'of systems altered in this house. _/ Copies to: Homeowner, HERS Rater, and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match typellocation and meet or exceed efftciencieslR-values from CF -1 R -Equipment T e _ Ma�� �f��+ ��e� Unriai ^l, nber Efficiency Load`* Capacity*** Furnace 1AFUE Heat Exchanger - N/A i Heat Pump fan coil �, p /A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER I Package heatpump HSPF SEER EER* A/C Condenser SEER HeatpumpCondenser or -e-( SHSPF EER 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 for heating. ❑ If TXV is required by the CF -1 R form (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 systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient an required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate quirements for manufactured devices (Appliance Efficiency Standards), where applicable. the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for mpliance and that the new) installed or retrofitted me ical system components conform with the Mandatory requirements in Section 15 of th 2005 Building Efficiency Standards. r1pecified ne Iler : Date: Not - Version 03-10-06 Nage 1 of z 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 ( Pro Tit) : _ 9 F /,; Version Date: © CaICERTS 2005 IMPORTANT: Th F-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 #_L_ of / systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipm�e^� match typenocation and meet or exceed efrxdencleslR-values. 28 onfiguration: QSplit system ❑ Package Una 29 Handier Mas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ 31 ❑ i 32 ❑ 33 ❑ Heat Exchanger Outdoor Condensing Unit 0A/C-eatpump Efficiency SEER/HSPF: EER d re d : Cooling or heating coil OA/C OHeatpump OHydronic Ducts Location: I Length (it): R -value: All mandatory measures appty to any altered component. See MF -1 R - ALT form. Compliance Statement: i This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the i 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 i charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author lNO: i J li/) Name: Jacqueline Zabik ' Address: f r% -35c) Y) ;At) �J,n�nc, Company Name: Desert Air Conditioning, Inc. i City/State/Zip: 1-4_ 0 J 1'n e� S Address: 590 Williams Rd. Phoney: p / 6 i -1 �7A -9 City/State/Zip: Palm Springs,CA 92262 i ' Phone: 760-323 Signature: i Signature: Enforcement Agency (Building Department) No Comments: 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. CF4R-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- rou . Version 03-10-06 This form can onty be used on projects being verified by CaICERTS certified raters. t Page 2 of 2 www.calcerts.com i ECertificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: 46 /1:,,, �1 4✓ Date: 5/ t) g © CaICERTS 2005 Enforcement A en Use Only Project Addre . 77.3.6-0 ti) -,not Climate Zone: 15 Building Permit # Documentation Author:' Jacqueline Zabik Telephone: Plan Check Date 760-323-3383 Co any Name:Fietd Desert Air Conditioning, Inc. Check Date IMPORTANT: This 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 # I of I systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ n Air Handleris to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 Furnace Heat exchanger is to be installed or replaced. Dud 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 'cooling or heatingcoil is to be installed or replaced. Dud Sealingand/or TXV RCA to be determined. Continue to next line. 5 ❑ i More than 40 feet of new or replacement dud are to be installed iii unconditioned space. Dud seating to be determined. ❑ Check here if the gnft dud system is also to be new or replaced. Continue to next line. 6 ❑ If none of tines 1-5 are checked, neither Dud 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 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No dud sealing Is required. Go to Section 2. 1 8 ❑ This system has less than 40 feet of duds in unconditioned space. No dud sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No dud sealing is required. Attach previous CF -4R form. Go to Section 2. X10 ❑ lThis duct system is sealed or insulated with asbestos. No dud 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. j11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of dud sealing and TXV, if applicable). "12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND added dud insulation R-4 wrap on existing ducts, R-8 new duds) in lieu of dud sealing. Go to Section 2. ,13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of dud sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) D an 0.82 AFUE furnace will be installed with increased dud insulation in lieu of duct sealing. Go to Section 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 got to Section 3) 16 ❑ Fhe system being altered is a package unit No TXV(RCA) is required. Go to Section 3- 7 ❑ 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 ❑ Thiss tem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ Dis s stem Is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 is system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification , 22ne 15 is checked, HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If 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 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of dud is being installed or replaced, dud R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, dud R -value must meet or exceed R-4.2 Section 6 --see next page 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 Bin # Qty of La QUrnta Building Bt Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� Project Address: 7 50 d.*,n; Name:11-1443e n A. P. Number: Address: A41 Legal Description: City, ST, Zip: a• C �- q as 3 Contractor: Desert Air Conditioning Inc. Telephone: �• Address: 590 Williams Rd Project Description: City, ST, Zip: Palm c f� 4 Cl , Telephone:323-3383}r'> (7 6 0 s":f 't f's, ..,<v:: a�> <€: !«; €' n � �' • �. � k-� Fo. r' State Lic. #: 276586' City Lie. #; 3 6 3 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: M. •.`:'`:»:>`«<<'s;«>:}};k•.:::.::;:}?<:>.,>; :; Construction Type: Occupancy State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Todd Shaw Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:( 7 6 0 ) 3 2 3 — 3 3 8 3 1 Estimated Value of Project: `{ —� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cafes. Pians picked up Construction Flood plain 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 Rug 03 09 06:26p' Air Solutions CACERTS CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4111 77-350 Camino Quintana - La Quinta, CA 92253 Desert Air Conditioning / 276586 Project Address Contractor Name/ License No. Desert Air Conditioning 760-323-3383 Contractor Contact Telephone Walter Nellis 760-275-4919 HERS Rater Telephone N/A May 11, 2009 Certifying Signature Date Firm: Air Solutions of the Desert Street Address: 41-800 Washington St B-105.229 Cooies to: Homeowner. HERS Provider and Buildinq Department 09-427 Permit Number 130791 Sample Group Number CC14-1798471025 Certificate Number HERS Provider:CaICERTS, Inc. City/State/Zip:Bermuda Dunes / CA / 92203 This CF -4R has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑Tested 0 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination with cloth backed. rubber adhesive duct Woe to seal leaks at duct connections. 1!6MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured values 1 to Tested LeakageFlow 1 4 -FM: N/A Fan Flow: Calculated (Nominal 0 Cooling Q Heating) or Q Measured 2 Enter Total Fan Flow in CFM: Not Tested 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct Not Tested System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Not Tested Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System Not Tested [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail . 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 < 15% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )J: Not Tested ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass If Sealing of all Accessible Leaks and Verirication by Smoke Test and visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail P•4 Page 3 of 14 httDs://www.calcerts.com/certificate_print.cfm?lots=O, 131760.1 '30443,13 0444,130789,130788,130442,130... 8/3/2009 Aug .03 09 06:27p Air Solutions CaICERTS CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4111 77-350 Camino Quintana - La Quinta, CA 92253 Desert Air Conditioning/ 276586 Project Address Contractor Name / License No. Desert Air Conditioning 760-323-3383 09-427 Contractor Contact Telephone Permit Number Walter Nellis 760-275-4919 130791 HERS Rater Telephone Sample Group Number May 11, 2009 CC14-1798471025 Certifying Signature Date Certificate Number Firm: Air Solutions of the Desert HERS Provider: CaICE RTS, Inc. Street Address: 41-800 Washington St 8-105.229 City/State/Zip: Bermuda Dunes / CA / 92203 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Enerqy Commission. HERS RATER COMPLIANCE STATEMENT The house was DTested 2 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. A The installer has provided a copy of the CF -6R (Installation Certificate). VALVE Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. I HVAC System TXV I U pass LJ Fail p.5 Page 4 of 14 httDs://wwvv.calcerts.com/certificate_print.cfm?lots=0,131760,130443,130444,13 0789,130788,130442,130... 8/3/2009