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08-1920 (MECH)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 0;8 . CT 0 920.,. Property Address: "" 5`8'SO�PINEHUR'ST APN: 775-241-015- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuatiori: 18450 BUILDING & SAFETY DEPARTMENT BUILDING'' PERMIT Owner: DAN AGNEW 55850 PINEHURST LA QUINTA, CA 92253 Contractor: Applicant: ¢: Architect or Engineer: PALM,,DESERT AIR COND CO INC Y; 42081 BEACON HILL PALM DESERT, CA 92211 +(760)346-0677` Lic. No. C374937 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION .1 hereby affirm under penalty of perjury theta am licensed under provisions of Chapter 9 (commencing with hereby affirm underpenalty of perjury oneof,the following declarations: Section 7000) of Division 3.of the Business'and Professionals Code, and my License is in.full force and effect._ I have and will maintain a certificate of consent to, self-irisure for workers' compensation, as provided License Class C20 se No.: 374937 for by Section 3700 of the Labor Code for.the performance of the work for which this permit is Q' issued. -W Date: �? •r- / /OA tractor: L7 • _ I have and will mam;ain workers' compensation insurance, as required by Section.3700 of the Labor r - ' Code, for the performance of the work for which this permit is issued. My'workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are:. • " Thereby affirm under penalty of perjury. that I am exempt from the ConiractoCs' State License Law�forthe "Carrier STATE FUND Policy umber ` .238-0004656-07'' following reason (Sec. 7031 .5, Business and Professions Code: Any city or, county that requiree a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall'not employ any construct; alter, improve, demolish„or repair any structure, prior to its issuance,;also requires the applicant•foi the person in any manner so as tobecomesubject to -the workers' compensation laws of California, permit to file -a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9. (commencing with Section 7000) of Division 3 of the Business and Professions Codelor - 3700 of.the Labor Code,4".shall forthwith comply with those provisions. 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 Is 500).: te:A ant: - 1 _) I, as owner of the property, or my employees with wages as their sole compensation, will do'the work, and c - the structure isnot intended or offered for sale (Sec. 7044,.Business and Professions Code: The WARNING: FAILURE" TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of. property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does.the work himself or herself through his or.her own employees, provided that the .DOLLAR$,I$100,000): Application Number . . . . . 08-00001920 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 42.50 Plan Check Fee 10.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/02/09 ' Qty Unit Charge Per Extension BASE FEE 15.•00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000.EA MECH B/C >3-15HP/>100K-500KB.TU 16.50 ----------------------------------------------------------------------------- Special Notes and Comments REPLACE 2 EXISTING 3 TON SYSTEMS WITH 2 3 TON LENNOX SYSTEMS Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 42.50 -------------------- .00 .00 42.50 Plan Check Total 10.63 .00 .00 10.63 Grand Total 53.13 .00 .00 53.13 LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: DAN AGNEW Date: 12/08/08 © CaICERTS 2005 Wq at ig a€t tEnforcement P enc";Use;Onl ' :,. Project Address: 55-850 PINEHURST/LAQUINTA Climate Zone: 15 uid�ng�Pmt4#= ;` Documentation Author: Kimberly Garcia Telephone: 760-250-0876 JUDYi K6lollqjmpga ##`k its55 j ,.x , i,= 0, ; Company Name: Palm Desert Air Conditioning & Heating Company Fie�d'Cneck Date ..I,° ..... s a = a P � ,,,' i it i r f ffi g 4` „ IMPORTANT: This CF -IR -ALT form is only for use when an HVAC -only alteration is made to anyexisting home Use one form for each system being.altered. This is.s stem # 1 of 2 systems altered in this house. Check all lines that appy. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to'be installed or replaced. Duct sealing to be determined. Continue to next line. 2 El A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 El An outdoor condensing unit is to be installed or replaced. Duct Sealing.and/or,TXV(RCA) to be determined. Continue to next line. 4 El A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in uncnnditinnjd space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin' Onl� if any of Lines.l 2 3 4 or 5.are checked. Skip if Line 6'is checked. 7 ❑ is s stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is`required. Go to Section 2- 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do -not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct -sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12condenser.will be installed with TXV(RCA) D added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AMU EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2: 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 ANN EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will. be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 ❑O 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 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This s stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. 'TXV RCA . is re uired. Go to Section 3. 21 ❑D 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 22 ❑D Ilf line 15 is checked, HERS verification is required for Duct Sealing. 23 0 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ lif line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ lif lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced; duct R -value must meet or exceed Package D requirements. 27 ❑ lif less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title:Date: DAN AGNEW 12/08/08 © CaICERTS 2005 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 # t of 2 systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efficiencies/R-values. 28 Configuration: ® Split system ❑ Package Unit 29 ❑ Air Handler ®Gas furnace, AFUE: My ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 © Heat Exchanger 31 © Outdoor Condensing Unit ®A/C ❑Heatpump Efficien SEER/HSPF: / N/A EER if re d : 32 IZI Cooling or heating coil ®A/C ❑Heatpump ❑Hydronic 33 ❑ Duds Location: Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Garcia Address: Company Name: Palm Desert Air Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 . Signature: Signature: Enforcement Agency (Building Department) Notes/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. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # City of La Quinta Building W Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. `�ID Project Address: 55-850 PINEHURST Owner's Name: DAN AGNEW A. P. Number: Address: 55-850 PINEHURST Legal Description: Contractor: Palm Desert Air Conditioning & Heating Company City, ST, Zip: LA QUINTA, CA 92253 Telephone: Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA 92211 LACE TWO EXISTING 3 TON Telephone: (760) 346-0677 ii�.,MLC>(l;'.4`n::ji•>.�.hl• :N; City Lie. #: 100886 SYSTEMS WITH TWO.3 TON State Lie. # : 374937 L E N N.OX SYSTEMS. Arch., Engr., Designer: Address: City., ST, Zip: Telephone::::::#<':>4:::,<:;<,<•:::::>:;<#::<.:::::>::> .k; .;><;:<:;.;,::r,.•3' .#:;:: ys=' State Lie. #: 4:,..;;:z»z:„»> Name of Contact Person: Kimberly Garcia Construction Type: Occupancy: Project type (circle one): New Add' Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: $18450.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°” Review, ready for correctionsfissue 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 rage:) of v+ CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 55-850 Pinehurst - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. Contractor Contact Telephone P Van VI men 760-777-1724 H RS ater Telephone 1 January 22, 2009 Certifying Signature Date Firm: Air Experts Air Conditioning Street Address: PO Box 94 08-00001920 Permit Number 117080 Sample Group Number CC14-1798457660 Certificate Number HERS Provider:CaICERTS, Inc. City/State/Zip:La Quinta / CA / 92247 Copies o: 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 EnergyC_o_mmission____ _ HERS RATER COMPLIANCE STATEMENT The house was ❑Tested © 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 -411 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 -611 (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 tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal ''..., Cooling '._- Heating) or'-.-.: Measured Not Tested Enter Total Fan Flow In CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Not Tested Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System 5 Not Tested for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System Not Tested (Une 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 ❑ Fall 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 )]: 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 Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail [] COPY CaICERTS Page 6 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 55-850 Pinehurst - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. Contractor Contact Telephone a Van VI men 760-777-1724 ER Li Rater Telephone cs ary 22, 2009 Certifying Signature Date 08-00001920 Permit Number 117080 Sample Group Number CC14-1798457660 Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CalCERTS, Inc. StFeet Address! PO Box 94 City/State/Zip: La-Quinta /-CA / 92247 Copies to: Homeowner, HERS Provider and Building. Department This CF -411 hac--been-mgistered_with-the-CaiCERTS®--egistry-in-accordance--with-the Title24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. The house was ElTested M 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 di a nostic tested compliance requirements as checked on this form. The Installer has provided a copy of the CF -611 (Installation Certificate). ✓]THERMOSTATIC EXPANSION VALVE TXV : 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. HVAC System TXV ❑ Pass ❑ Fail rage / oI 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 55-850 Pinehurst #2 - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00001920 Contractor Contact Telephone Permit Number PAW Van VI men 760-777-1724 117080 tERater ` Telephone Sample Group Number I ' V uary 22, 2009 CC14-1798457661 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Sheet-dr}cfrp� _- City/State/Zip:La Quinta / CA / 92247 g-Department-- Thic l F -4R hac been registered wirh-the-Ca10ERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@-i"n-approved-klE-RS-previder-by-t-he- Cal ifofnia-Ener-gy-Gammission----------- HERS..RATER-C0MPL2ANCE-ST-ATEME-KT--- 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 -611 (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 tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal '•..:: Cooling •_.' Heating) or,_.: Measured Not Tested Enter Total Fan Flow in CFM: 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 Not Tested Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System Not Tested for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System Not Tested [Line 4 - Line 51 - (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 )]: Not Tested ❑ Pass ❑ Fall it Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ Pass ❑ Fall and Verification by Smoke Test and Visual Inspection 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fall ra10ERTS Page 8 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4111 55-850 Pinehurst *2 - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 08-00001920 Contractor Contact Telephone Permit Number P&4IVan V) men 760-777-1724 117080 JER Rater Telephone Sample Group Number _ A)c� �- nary 22, 2009 �I CC14-1798457661 rtirying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 — ------ --.---------- -- --City/State/Zip:La Quinta / CA / 92247 -Copies to:-Homeownee, HERS Provider and Building Department This rF-4R ha, hPPn MgL%teFed w4t- . - �. #�-the-C-aICfRTS�registry-irra�cardarrce 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 nested 9 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 dinqnostic tested compliance requirements as checked on this form. The Installer has provided a copy of the CF -611 (Installation Certificate). TIC EXPANSION VAL 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. HVAC System TXV1 -D Pas ❑ Fail