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06-3925 (MECH)e �Y P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003925 Property Address: --78770 CABRILLO WY APN: 646 -410 -027 -- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2700 Ti"y/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CAROLINE BOLTHOUSE 79770 CABRILLO WY LA QUINTA, CA 92253 ( Contractor: Applicant: Architect or Engineer: Owner W 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 Professionals Code, and my License is in full force and effect. License Class: License No.: 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 _ 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 _p improve for the purpose of sale.). I x I 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. . for this reason Date r— Owner J w 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/08/06 i NOV 0 91006 �; CITY_ OF ` ._ _ I.la (iU1NTe 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 - - --------------- - - - - -- Policy Number X I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any mann o as to become subject to the workers' compensation laws of California, and agree that, if sho Id become subject to the wo ers mpensa ' n provisions of Section 3700 of the Lab Cod I shall thwfih om ly with se pr i n . Date: 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 Quima, 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 issuan@och permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state bove information is correct. I a ree to comply with all city and county ordinances and state laws relatingg constr tion, and herebyauof this county to enter upon the above-mentioned s ct n purposerDate: Signature (Applicant or Agent �-___- Application Number . . . 06-00003925 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 37.50 Plan Check Fee 9.38 Issue Date . . . . Valuation . . . . 2700 Expiration Date 5/07/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE ONE A/C WITH 13 SEER 4 TON SPLIT SYSTEM/DUCT TEST BOTH NEW & EXISTING UNITS. Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 37.50 .00 .00 37.50 Plan Check Total 9.38 .00 .00 9.38 Grand Total 46.88 .00 .00 46.88 �w r U LQPERMIT i -F y BaS,'NcSI Bin # 4 City of La Quints p Building a Safety Division 1 Z P.O. Box 1504, 78-495 Calle Tampico La Quinta, .CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet 077 Permit # fA Project Address: Wo Owner's Name: rCQ B0 I 1 v (_ A. P. Number: --;T �"fll-70 Legal Description: �Contr�� actor: City, ST, Zip: Telephone: -r Address: Project Description: City, ST, Zip: Ct C b hC(i -Hv vw�c C d VI c &U Se I - Telephone: ' fit% e /l (NY d i C aC I L��` �/ �1 J State Lie. # Arch., Erign, Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:#Stories: #Units: Telephone # of Contact Person: ,Estimated Value of Project: 46 0 • C;O APPLICANT: DO NOT WRITE BELOW THIS LINE' # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans 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:- Jrd 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 r :L Total Permit Fees zwz K CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Title '�v Cit 10 r� I l 7 l��--- , I_a c� �c,t �t tA— Documentation -Author Compliance Method (Prescriptive) Telephone Climate Zone Date Buildiva Permit Plan Check i Date Field Check /Date . Enforoement .%genev Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require ITERS rater field verification and/or diagnostic testing (see CF -1 R page 3) For Package. D Alternative see Appendix B' Table 15I -C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fl? Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA)_� ft Maximum Allowed Total Fenestration. Products Per Table 151-B or 151-C ---- (20% X CFA) g ✓ 0 Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8. 3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ 13 RADIANT BARRIER (required in climate zones 2, 4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors Frame Type (Wood or Metal) Assembly U - factor (for Cavity Continuous wood, metal Insulation insulation frame and mass R -Value R -Value assemblies)' Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No ical, etc. 1) See Joint Appendix IV in Section N.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS4R —must be included for New Construction, Additions and Alterations. Fenestration Distribution Type and Location. a ' etc. Duct or Piping Thermostat Configuration R -Value T (split or package) #/Type/Pos. Exterior (Front, Left, Orien- Shading/Overhangs6,' Rear, Right, tation, Area U -factor SHGC ✓ box if WS -3R is Sk lit N S E W' ft U-factor1 Source SHGC4 Sources included 13 13 13 13 ❑ ❑ 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151 (f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 11.6B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior,Shading devices. 7) See Section 3.2.4 in the Residential Manual`. HVAC SYSTEMS Heating Equipment Minimum Type and Capacity Efficiency furnace, heat boiler, etc. AFUE or HSPF(duct, Distribution Type and Location. a ' etc. Duct or Piping Thermostat Configuration R -Value T (split or package) 3 SEES A iZ .s Cooling Equipment Type and Capacity A/C, heat cooling) Minimum Efficiency Duct Location Duct Thermostat Configuration SEER or EER attic etc. R -Value T..pe (s lit or package) Li Tw R 3 SEES A iZ .s Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are reouired. OR ❑ Alternative to Sealed Ducts and Refrigerant Charge !TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 4.0 linear feet in unconditioned spaces shall meet therequirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution Type ❑ Sealed Ducts all climate zones er testing and certification and HERS rater field verification ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing aril certification and HERS Rater field verification re ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge !TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 4.0 linear feet in unconditioned spaces shall meet therequirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Svstems servine single dwelling units Water Heater Type/Fuel T Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard sysitm is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Tank Standby'Insulation Loss % R -Value not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are requireA and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Svstems servine single dwelling units Water Heater Type/Fuel T Distribution Type Number in System Rated Input' (M or Btu/hr) Tank Capacity aeons) Energy Factor' orExternal Thermal Efiicienc Tank Standby'Insulation Loss % R -Value Tank External Insulation R -Value Svstem serving multinle dwelling units Water Heater Type Distribution Type Number in System Rated Input'' or BWM Tank Capacity icons Eby Factor' or Thermal Efficient Standby` Loss % Tank External Insulation R -Value For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen fines >_ 3'/4 inches) All hot water pipes from the heating source to the kitchen futures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150- (j) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the Drescrintive method. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -IR Refri erant Charge ❑ Radiant Barriers Thermostatic Expansion Valve. CF -6R part 6 of 12 ❑ Exterior Shades -CF-IR WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required-, Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ Gas Performance Calculation Re ❑ Buried Ducts N/A; Indicate on building lans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in. Residential Manual.. Multiple Water Heaters Per atenit See Table 5-13 or use ❑ Dwelling Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Runto Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Forms(if applicable) Description ❑ Duct Sealing CF -6R 4 of 12 ❑ Refri erant Charge CF -6R 5 of 12 ❑ Thermostatic Expansion Valve. CF -6R part 6 of 12 Residential Compliance Forms March 2005 06/1'212035 10:25 76034E:0121 CV Eh4ERGY CU4SULTANT PAGE 02/03 CERTIFICATE ak F:LF L.9 VERIFICATION die D AGNOSTIC TFS'TI:rG (pa - Le I of! CF - Project Address Sf,*b. lit _ n > Qoa�MTA� IBuilder Naive I AI/1L I y Builder Contut _" _ �.rt+�a 4�C HERS Hater "aA Telephone SLY i'eltplaor a Plan Number i JIMA Sam�lc Grou Numb ray► L___ait IFS r 1"ifl'1�..'l'•l:'�: - i art i •_ � JRr 5 I Enter Tested Leakage Flow in CFM: Final Test of New Duct System or ,11tered Duct System for Duct System Alteration and/or Equipment Chafe -put. ��► Enter Reduction in Leakage for Altered Duct System [,—(1 lila" t) .tiiinus _� �l.ilne # 5)j (Orly if Applicable) 7 Enter Tested .Leakage Flow in CFi l to OiAside (Only if Applic;abie) ! Compliance Method (Prescri rive) Certitying Signiatu _. � i!`0G°te- I Climate Zone (&S Sample House Number �— 4A Firm- - —' GA40tttlCY.�Cnt W►l_ �r { SSL &r-,g4NMF Street Address', RS ovider ZALarm—__ Litw state tt : sol Use one of the followi sp, four Test or Verification Standards for co_mglinnce: _ _ Pas, if Leska a -: _n # 5N 100 R l —(tine er S> 1 �. _ ❑ Pass ffi Fail9 _Percentage __i 1 10 Pass if Leakage to Clut$ide Percentage �- 10% [100 x f ( L,inz 4; 7),'-_ (Line # 2)]] ��,/t—�� — e i.• 6.).! --�. (Line # 4)1J AtIA 11 Pass if Leakage Ruluc:iop. Percentage r 60%o (100 x L )Lin and Verification by Smoke Test and Nnsual Inspection, 12 1 Pass if Sealing of all Accessible Leaksimid Verification bX Smoke: Test and Visual Inspection I '!i :� it '.� : ?Rss if One of Lines # y throw # 1l2 pass ` 1`011111$ r : � ❑ Pass © Fail C7 FASS ❑Fail ass ❑Fail 5`s O rail S m._.� Copies to: BUILDER, HERS FROVIDEIR. AND BUILDING DEPARTMENT HERS RATER CQ'1 LIANCE STATEMENT The house was: ✓ Aested ✓ 0 Approved as part of samisle testing, but was not tested As the HERS rater providing diagnostic testing and field verification, ) certify that the house identified on this form complies with the diagnostic tested compliance requitements as checked ✓ on this form. The HERS rater -must check and verify that the new distribution system is Aal.h, ducted and correct tape is used before a. CF -4F. may be released on every lasted bui.ldiri . The HERS rater must trot release Jie.CF••4tt until a properly completed and signed CF -61f ti.�: beer; received for to sample antested buildings, ❑ .-The installer Ims, provided a copy of Cf' -6R (Installation Certificate). Gl New Distribution system is fbi.ly ducted. (i.e., docs not use building cavities as plenums or piat;lprm ret ujrRis in lieu Of ducts), 17 New systems where cloth backed, rubber adhesive duct tape is instal led. mastic and draw bands are used in combination with clout backed, tubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ 1vl NIMIM REQUIREMENTS FOR DUCT LEA.KAOC RLOViCTION COMPLIANCE CREDIT P, oeedasres for f eld regficarion and diagnostic testing of air distribution cy,sremv arc, available in ,FACM, Appendix .RC4, 3. Puce Diapiostic Leakage Testi;,g Results NEW CONMVCTION: li, r• .-. d 1. i.011 ft^;i s ' .i . 1, ; �"hi4'hl., i c �_�- a; n _✓ ✓ ❑ Paso ❑Fail �tis�, .�:�: ,•� . Duct Pressurization Test. Resuits (CFM@ 25 ?a,) _ Mvsuured alues _ 1 Enter Testae L eaka T — " a Flow iii CFM:R _I Fan Flow: Calcu)ated (Nominal: ✓ ❑ Cooling +r 0 b-leatiatg) or V'13 Measured Entex- Total Fan Flow in CFi41: _ _ MOW _ ? Pass if Leakage Percentage 5 4%n _t 100 x [______._(l.,irae # t) A3 T ICt"4T1ta 1\S._Duct System sk or 1DAC E ui men Chan a-t?F+t _ Enter Tested Leakage Flow in CFM from CF -61k: Pre -Test of ftisting 4 Duct A r 'iota System lte a. y� and/or Equipment Change -Out. Duct System Prior to I r 1"ifl'1�..'l'•l:'�: - i art i •_ � JRr 5 I Enter Tested Leakage Flow in CFM: Final Test of New Duct System or ,11tered Duct System for Duct System Alteration and/or Equipment Chafe -put. ��► Enter Reduction in Leakage for Altered Duct System [,—(1 lila" t) .tiiinus _� �l.ilne # 5)j (Orly if Applicable) 7 Enter Tested .Leakage Flow in CFi l to OiAside (Only if Applic;abie) I �` Ek',•n'' �' ' '?�'��a�:� P.B.. �,. i^t�-- -� y�tit tKi�`.:` r; 'N6! iPE. ^ja `=;-a ✓ ✓ j Entire New Duct System - Pass if Leakage. Percentage 6% $. [100 x �_ Line # 5L—_.__Line # 2,?�[ _ - ❑Pass Ct Fail TEST OR V ERI ICATION ST 0BARDS: For Altered Duet System aetdfor HVAC Equipment Change -Cut sol Use one of the followi sp, four Test or Verification Standards for co_mglinnce: _ _ Pas, if Leska a -: _n # 5N 100 R l —(tine er S> 1 �. _ ❑ Pass ffi Fail9 _Percentage __i 1 10 Pass if Leakage to Clut$ide Percentage �- 10% [100 x f ( L,inz 4; 7),'-_ (Line # 2)]] ��,/t—�� — e i.• 6.).! --�. (Line # 4)1J AtIA 11 Pass if Leakage Ruluc:iop. Percentage r 60%o (100 x L )Lin and Verification by Smoke Test and Nnsual Inspection, 12 1 Pass if Sealing of all Accessible Leaksimid Verification bX Smoke: Test and Visual Inspection I '!i :� it '.� : ?Rss if One of Lines # y throw # 1l2 pass ` 1`011111$ r : � ❑ Pass © Fail C7 FASS ❑Fail ass ❑Fail 5`s O rail S m._.� BasedP*4(4; °n GO er°meA2 tests. COol�n9 O Ondlt;0ner lit ��ystom • COMPareModel �Ilr ��ie En H�34 erAv Effi�;enBG�At v This Model's El 13'00 ic;en cY SEER v CY of this Ors re E�n10.90 Most ef1ce EER Efficient ncy fort the asonal Ene t air rgY Eff;cei�c Zo� 50 Eentral COnditioVan Y fat/o, is. the air conditioners meas on;s energy with a higher SEE ure of energy may condenser 'tin /s based on R are more ever laN slightly el w t� tined w;th the government standard gy efficient iterent coils, most common �o j test Federal aaab I I a�' requires The this the seller he rating ffic;encY ndc°t sheet or direCt or Installer formation perat�ng cost of rygiving fu of this appl;an R Pei psl fhle he thl$ late/ equipmeher Informal;on to make loe eorm°mei t. A ab Pe�ch8se �l°I Ask for this about the efes fhe Fede�� li rme C0mmissl0 11 APPllence PIN332p45��0? 06/12/2006 10:25 7603450181 FAX COVER SHEET CV ENERGY CONSULTANT Coachella Valley Energy Consultants Certified HERS inspections 76820 Castle Court, Palm Desert, Ca 92211 Phone: 760 272 1355 EW db-nicolson@hot.maii.com Company: Fax: PAGE 01/03 Date: eW (-Z—, 2006 FROM: David Nicolson Pages with this cover sheet:0— This transmission is intended only for the person named aboti'e: please forti►°ard this to them as soon as possible. Ref: Message: Should you have any questions regarding the new Title 24 energy codes, please feel free to call me at any time. Best regards, David Nicolson If you did not receive all sheets in. this tmnsn-fission, please call 760 272 1355 CHECK LIST • JOUANTITY ITEM . PART DESCRIPTION IRIIIIIIIIIIIIIII D❑ ❑ THERMOSTAT (.� f( \, \. ice' _ 1 1526 egonia A �T G Olea A❑ O.K ❑ REPLACE RELOCATE AIR FILTERS (IndA Font a, 92336 92201❑ (9 9) 350. 737 AIR CONDITIONING SERVI 42-0100 rA❑ . CLEANED ❑ REPLACED IFa (909) 349 923 342-7091 ❑ ELECTRICAL COMP'TS. I ' Contract License # 743185 DAT 'ORDFRED ❑ RELAYS ❑ coNTAcToRs ❑ OVERLOAD ❑ PRESS SWITCH ❑.FAN AND MOTOR INAME r A ❑'.VOLTS AMPS ❑ELECTRICAL CONNECTIONS I .& $ ET 1 i PHONE 71GKT 8 CLE ❑ CONLCLEAN I WK. PHONE ❑ FAN PULLEYS (ADJUST BELT) I (STA E Nzip G" v-" 11CHECK LUB BEARINGS d MOTOR ❑ COMPRESSOR 1 ( MAKE MODEL SERIAL NUMBER ❑ WARRANTY ❑ SUCTION PSI ❑ COAITRACT ❑.HEAD PSI I 0 SERVICE CWMACT ❑ VOLTS AMPS tL- : 'NDRMAL - ❑ ELECTRICAL CONNECTIONS TIGHT &LEN I ❑ RES ❑ COMM.JOE ❑ �EL ❑ 00.V 8 CONDITION LOCATION I ❑ CONDENSER COIL I r ❑ CLEAN C04 d CHECK FIN COND. 1 G��' �'`... `--i, ji.-�� 1 ❑ ENT •F LvG •F ❑ REFRIGERANT h'� -"-7 • Vr- ❑ LEAK ❑ CHARGE '^^ `�" i..� �'� •�- \ 13 EVAPORATOR COIL _1\,J ❑ CLEAN COR & CHECK FIN t I . ❑ ENT DB __ -F LVG DB _•F -"� ` •-. I �` r-]ENTWB—•F LVO WB_ -F I ❑ CONDENSATION AREAS 1 L % ❑ INSPECT & CLEAN DRAIN PAN j �.Tb ❑ INSPECT & CLEAN DRAIN � + ❑ HEATING ASSY. 1 ❑ BURNER & HEAT EXCHANGER TOTAL PARTS 1 ❑ FUEL SUPPLY a PRESSURE i ❑ PILOT ASSEMBLY ❑ FLAME ADJUSTMENT � AMOUNTI 1 (/�/'� G V u V e- S574 1 N CODE l ❑ PRIMARY RELAY a FLUE PARTS WARRANTY 0 F N&LIMIT FAN a MSWITCH OPER. 13S AN parts n acor rrdM an erarroaud a pr wrafaKenr Ifkatlew I � ❑ BLOWER ASSEMBLY ❑ RV VALVE sI LABOR GUARANTY S 1 I I ❑ STRIP HEAT TN umr durp as ra,ardW herr, platin to the gaipwat F O 1 ❑ DEFROST CYCLE aerajead n netts, Is parwtaad for a prled of SD drys. Ws do sK of eaeroa, WaraatT atiw prat tiaa tims are huuR. R rapur bon in low aaaar► dm to other defaetin parte, that will V chor•ad sopratah• 1 •i M e r I .. ti. TRAVEL TIME LTOTAL LABOR TIME w OTHER CHARGES 1 y CHARGES HRS. a /HR. I ARRIVED ENVIRONMENT CHECK LIST TECHNICIA �, I CLRT. l TIME lyp6 SIGNATURE CH RRGES E CHANGED I TY DEPARTED CODE R REFRIG. OTY. O OUT (OR . • • • • SUB- I TRAVEL TIME E A F R RECOVERED?1:1 El QTY. VES NO U REPLACED)? YES NO TOTAL I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO I DIS- ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL ENVIRO P MANTLED? RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL CHARGES M rSs FINAL 6 COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT E REFRIGERANT DISPOSAL MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE TRIP I I I MILEAGE ENDING I B RECYCLED? OTY. N CHARGE I YES NO T F SAME AND THE SELLER WILL BE MELD HARMLESS FOR ANY DAMAGES START -RECOMMENDED F7G 17 RERnIRS RESULTING FROM THE REMOVAL THEREOF. C RECLAIMED? OTY. I I TDTAI MI E R D Y ES No RETURNED TO THIS SYSTEM? a s OTY. TAX • l ` .� X /MR.- A N E T AUTHORIZED SIGNATURE .ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. OWNER'S INITWLS ACCEPTED DECLINED X /MI.- NON USEABLE 17 F-1 OTY. YES NO 0 IP ARGE $ DISPOSAL I DATE �U FONTANA INDIO 15261 Begonia 81 Ave. Fontana, CA 92336 Indioio,, CA f4 92201 (9091,.350-3737 Aja ('1�11iD ffM CM (760) 342-0100 Fax (909) 349-1923 lW��141�iU1 ►7iJi��A�J�1�7 Fax (760) 342-7091 Contract License # 743185 No. ����OS Page No. _ of From rBnb�t t ted Tor �� I l V_� I 0 ISL S Pi -- Attn ctry: l�-Qwhfi�-Stat, 2- 53 phom Pefison submitting: Job name: -- Job location: L-4—V'C' ,N \ Job phone: We submit the, following specifications and estimtes for: . --- ..,� ° :•� tiff � � �v+ Q. +� N , Per this proposal, labor and material will provided in accordance with above specif for the sum Orf.- dollars ($ J.w Q , Payment to be cnade-as foll ^• C• All roaterlal is guaranteed to be as specilted and will be completed per standard practices. Any atleration or deviation from above spedffcations I Authorized signatu j involving additional gets will be exacuted only upon writlon ordare, and wit; represent an extra charge in addition lot* estimate given. All agreements I We reserve the right to are cc"Inggrrl upon sinless, acr ildentsordelays beyond our control. Owner withdraw Shis proposal if not is responsible far all necessary insurance. Work vvill be corrpleted by . time Specified. days, workers fully covered by workmen's oompensation insurance. aamptad within Acceptance of Proposal: The above prices, specifications and conditions ere satisfactory Signature and are accepted. SignaWre of this proposal authorizes work to be completed as specified. Payment will be made as stated above. $� f�(� Date of Acceptande: / Signature 11 N A> I -r1 I.Ffli,zt,c-moi enlel(-) 118MV dnL:rn 9n ! L Bien TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State_ License Board in your community or at 1020,N. -Street, Sacramento, Califotnia 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (76 7-7012 F : (7 0) 777-7011 �� r ' I OWNER'S SIGNATURE/DATE PROPERTY ADDRESS `� PEAK NUMBER(S)