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06-0993 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000993 Property Address: 49850 COACHELLA DR APN: 646-250-009-9 -4275 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 300 Applicant: I hereby affirm under penalty of Section 7000) of Division 3 of t License Class: C20 -C38 c&ty/ . 4 44" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MIKE BURKHART 49-850 COACHELLA DR LA QUINTA, CA 92253 DA I ontractor: r EST IN THE WEST MAR 10 2006 355 N. EL CIELO, 140-125 ALM SPRINGS, CA 92262 WYOFLAQUINTA 760)322-0202 FINANCE ffilp"T._ i C .. No .: 826714 S DECLARATION isions of Chapter 9 (commencing with and my License is in full force.and effect. OWNER -BUILDER DECLARATION I hereby affirm under plof 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, 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 Contractds' 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: '1 p Lender's Address: LQPERN11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/10/06 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 er ar . Carrier EXEMPT Policy Num r EXEMPT I certify that, in the perfo nca f the work f which this permit is issued, I shall not employ any person in any man o as to • eco act to the workers' compensation laws of California, and agree at, if co a su " ct t th woe's ' compensation pro v' 'ons of Section 3700o e La ode, I sh for with co those provisions. Dat pplic WARNING: 'FAILUR E KERS' COMPENSATION COVERAGE IS UNL FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO UNDRED 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 the a in ormation ' orrect. I agree to comply with all city and county ordinances and state laws rela ' g to i i d eby authorize representatives of this county to enter upon the above -m " ne r rty f ins p ction p rpo D`ate3:1 � (Signature (Appl' an or A Application Number . . . . . 06-00000993 Permit ... . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee .00 Issue Date . . . . '•Valuation 0 Expiration Date 9/06/06 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 A/C CONDENSOR CHANGE OUT Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 24.00 .00 .00 24.00 Plan Check Total .00 .00 .00 .00 Grand Total 24.00 .00 .00 24.00 LQPERDIIT Bin # City of. La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # v� 3 Project Address: P,,e Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: jj' Telephone: Address: Z S S' A). 12 Project Description: City, ST, Zip: / j,-2-Z (� Telephone: (o C 3 '-2f2'0O`Z ` ; State Lic. # :Ci Lic. #: I 2 � � ty Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter epair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 1-3,00-G" ©0-G" APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical t Grading,plan 2"d 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:- 3rd 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 do CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address 49-850 COACHELLA DR., LA QUINTA, CA. 92253 Builder Name BURKART, MICHAEL Builder Contact' PI Number HERS Rater Telephone JAdJ LafoNTAIaNE 760-360-4631 Sample Group Number Valne$ 0qrnpDance M cri 've Climate Zone 15 g 12/321/2005 Date Sample House Number HERGY MANAGEMENT SERVICES HERS Provider Address: X41 85 ADAMS STREET IC, rtCHEERS BERMUDA � DUNES, CA. 92203 Uppies to: BUILUM4, UXICS rKOVIDER AND BUILDING DEPAR'IYHENT HERS RATER CO.A LIANCE STATEMENT The house was: ✓ ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater provrdu� diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requu�sts as checked -'an this form. The HERS rater must check and verify that the new distributioa system is fully ducted and correct tape is used before a CF -4R may be released on eveay tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for ttce sample and tested buil The installer has provided a copy of CF -6R Qnstallation Certificate). ❑ New Distribution system is filly dueled (Le., 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 draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ MINI mm REQU1dtE) uws FOR DUCT LEAKAGE REDuenoN COMPIdANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available w RACBX Appendr r RC4.3. Dud Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurisation Test Results (CFM 0 25 Pa) Measured Valne$ l Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal Cooling ❑ Heating) or ✓ ❑ Measured O ✓ Total Fan Flow in CFM Ye 3 Pass if Leakage Percentage 5 6%o [ 100 x ( (Line # 1) /Line # 2)11 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Chauge-Out `:�'�<, Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test ofExisting Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out Enter Tested Leakage Flow in CFM: Final Test ofNew.Duct System or Altered Duct System 5 for Duct System Alteration and/or Equipment Chan ut. Enter Reduction in Leakage for Altered Duct System L_(Line # 4) Minus(Line # 5)1- "..,:. 6 (Only if Applicable) �:•'' =� ' 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Dunt System - Pass if Leakage Perceage S 6% Entire New nt ❑ Pass ❑ Fail 8 I00 x ire # TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ Vol Use one of the foffowing four Test or Verification Stan for compliance: Pass if Leakage Percentage 515% [100 x (Line # 5) / (Line # 2)11 ass ❑ Fail 9 , 10 Pass if leakage to Outside Percentage 510% [100 x L_(Line # 7) / (Line # 2)11 ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage.'t 60% [100x E _(Line # 6) / (Line #4)]] ❑ Pass ❑ Fail 11 and Verification Smoke Test and Visual Inspection 12 Pass if ;ealing of all Accessible Leaks and Verification by Snake Test and. Visual Ins on r ❑ Pass ❑ Fail Pass if One: of Lines # 9 through _l7 Pass ❑ Fail Residential Compliance Forms April 2005 J, INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number 49-850 COACHELLA DR., LA DUINTA, CA. 92253 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMP ANCE STATEMENT The building was: V'PTested at Final ✓ ❑ Tested at Rough -in 1 TALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly seated. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ UCT LEAKAGE REDUCTION Procedures for field verification and diaenosiic testing of air distribution systems are available in RA CM. Avnendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values - 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating 'L Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage<_ 6% for Final or <— 4% at Rough -in: ❑Pass 13 Fail 100 x Line # 1 / Line # 2 ALTERATIONS• Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out.. J Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Chan e -Out. of Enter Peduction in Leakage for Alt Duct System ,,\\ 6 Line # 4 Minus Line # 5 — (Only if Applicable) V 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage <— 6% for Final or:5 4% at Rough -in ❑ Pass ❑ Fail $ 100 x Line # 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered. Duct System and/or HVAC Equipment Change- ✓ ✓ Out Use one of the followingfour Test or Verification S ndards for compliance: 9 Pass if Leakage Percentage:5 15% [100 x [ (Line # 5) //'Z -D �. (Line # 2)11 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < Ink' [100x F _(Line # 7) / (Line #2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x L_(Line # 6) ! (Line # 4)]] ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 ass '` ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcon . or (Co. Name) OR General . Coyqctor (Co OR Owner BEST I N THE WEST HVA C 2121/2 BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR cess ion Author (Prescriptive) Date —ZD —zg Building Permit # Tele One Plan Check / Date r' O 5'Z 7— Field Check / Date Climate Zone /. � Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION. Total Conditioned Floor Area (CFA) ft' Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration . (If adding fenestration fill out WS -411, 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). ✓ ❑ 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 typical, etc. 1) See Joint Appendix IV in Section IV.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 (Pane 2 of 4) CF -1R ect -3 -10 -D (o Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. (Front, Left, Orien- Rear, Right, tation, Area U -factor Skylight) N, S, E, W' (ft') U -factor' Source' SHGC° Exterior Shading/Overhangs6, 7 SHGC ✓ box if WS -3R is Sources included Distribution Type and Location Duct or Piping Thermostat Configuration ducts, attic, etc. R -Value Type (split or package) 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 -311. 5) Indicate source either from NFRC or Table 116B. 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 Type and Capacity fumace, heat pump, boiler, etc. Minimum Efficiency AFUE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration ducts, attic, etc. R -Value Type (split or package) Cooling Equipment Minimum Type and Capacity Efficiency Duct Location Duct Thermostat Configuration A/C, heat pump, eva . cooling) SEER or EER attic, etc. R -Value Type (split or package) l Residential Compliance Forms March 2005 TIFICATE OF COMPLIANCE: RESIDENTIAL (Pace 3 of 4) CF -1R 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 required. OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. Lail 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 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution Type ❑ Sealed Ducts all climate zones Installer testin and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. Lail 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 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwe ling units Water Heater Type/Fuel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system 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 Standby' Loss % 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 required, 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 Systems serving single dwe ling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' (kw or Btu/hr(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation R -Value System serving multiple dwelling units Water Heater Type Distribution Type Number in System Rated Input' (kw or Btu/hr) Tank Capacity (allons , Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation R -Value 1. 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 lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: Project Title SIDENTIAL (Page 4 of 4) CF -1R 3--/o-o<-, _ 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 prescriptive method. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R CF -6R part 6 of 12 ❑ Radiant Barriers CF -IR ❑ Exterior Shades 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. 0 Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. Central Water Heating System Performance Calculation and ServingMulti le Dwellin s attach Run to Forms. r❑ ❑ Non-NAECA Large Water CF -IR 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 Run to 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 part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005