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09-0835 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253' Application Number: 0`9_0':0:00.483°5 Property Address: 55850 PINEHURST APN: 775 -241 -015 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7454 Applicant: �Architect or Engineer: d��- -- ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 /Di censeNo.: 374937 D<.ate: 7L_5 Cont�ior:���'����� 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 Businessand Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7631.5 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, arid -who does the work himself or, herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. .7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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: LQPERMIT Owner: DAN AGNEW 55-850 PINHURST LA QUINTA, CA 92253 ( Contractor: PALM DESERT AIR COND 42081 .BEACON. HILL PALM DESERT, CA 9221 .(760)346-0 6,77 tic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/09 - ----------------------------- - ----- --- --- 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 STATE FUND Policy Number 238-0004656-08 I certify that, in the performance of the work for which this permit is issued, I shall not employ any personinany 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 3700 of the Labor Code, I shall forthwith -c ly with those provisions. Daf'e�2SIr 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 1$100,0001. 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 .18o 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 this county to enter upon the above-mentioned property for inspection pr Zose , D3i Signature-IApplicant5or,Agent) �/%, J Application Number . . . . . 09-00000835 Permit . . . MECHANICAL Additional desc . Permit Fee. 24.00 Plan Check Fee 6.00 Issue..Date . . . . Valuation . . . . 0 - Expiration Date 1/27/10 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 REPLACE (1) EXISTING 5 TON.SYSTEM WITH - (1) '5' -TON, 14 .`0'0''SEER SYSTEM. - ------.-------------------------------------- Other Fees BLDG STDS ADMIN.(SB1473) 1.;00 Fee summary ChargedPaid:.- Credited Due.. •.. ---------- ---------- ---------- Permit •Fee Total 24.00 .00 .00 24.00 Plan Check .Total 6.00. .00 .00 6.00 Other Fee: Total:. 1.00 .00 .00 1.00 Grand Total 31.00 00 .00 31.00 . LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: DAN AGN.EW Date: 07/31/09 © CaICERTS 2005 ,r:, >t�.,rEnforcementA enc"1,UserOnl�k� ::t Project Address: 55-850 PINEHURST/LA QUINTA Climate. Zone: 15; ffwdmg'Permer i:�t°�"" mr,NON x ; Documentation Author: Kimberly Garcia Telephone: 760-250-0876 -JUDY Plan Ct rk Date F ,gvq "�' . "' t%FR, 4 wnip I"'' i ° , R < n. W. .H k .I,a�. ,,, :, .�,t.,..: . Company Name: Palm Desert Air Conditionin & Heatin Com an 9 : 9 . P Y eltl checkfNifgF ` y I` ` It=I t'� sly°�'t` 'I t ...... t:.. IMPORTANT: This CF -1R -ALT -form is-onlyuse"when-an:HVAC-only.alteratiorris made to an existing home Use one form for each § stem bein aItered:. Thi8 is s stem # . of t. s stems altered in this house. Check all lines that aRpiy: Check only Ilnes°`th 4PI2ly. Scope of Alterations: ' 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑p Furnace Heat exchanger is to be installed or replaced.` Duct sealing'to be detennined:..,Continue to next line. 3 ❑p An'outdoor condensing unit into be installed or replaced.` Duct,sealing`and%or TXV(RCA) to be determined. Continue to next line. 4 ❑O cooling or heating coil is to be installed or re laced "'DuctSealin ` 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 unconditioned space. Duct sealing to be determined. ❑ Check dere if the entire duct: system is'also to be new or. repl_aced::: Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealin nor TXV RCA are reqwired., Go to Section 51 Section 1 -Duct Sealin(Only if an •of Lines 1,'2, 3 4 or 5 are checked. Ski ' if.Line 6�.is checked. 7 ❑ This system is in Climate Zone 1, 3, 4,15,'6;. 7, or 8. No duct sealing is required. Goao 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 Section2% 10 ❑ This ducts stem is sealed or insulated with'.asbestos., No duct sealing" is required: Go to Section 2. Note: If the entire duct system is to be new or replaced, Lines 11714 do.not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.k AFUE fumace will be installed in lieu :of ductaealin ' and TXV if a livable . 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenserwill•be.installed with TXV(RCA) AND added duct insulation R-4 wrap on ebsting'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 AM 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 -AM -EER ;12 condenser will tie installed with TXV(RCA) D an 0.82 AFUE furnace will be installed with increased duct. insulation in lieu of duct sealing: Go to Section 2. 15 121 INone of lines 7-14 above are checked. Duct Sealing is Required. Continue_. Section 2 - TXV(RCA) Onl 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 system is in Climate Zone 1 3 4 5 6 or 7. No TXV RCA is r uired:., Go to�Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 isnot checked. No TXV RCAi is r uired. Go.to Section 3: 20 ❑ IThis system is in Climate Zone 16 and line 14 is checked:and "not, line :16...TXV RCA `is required. ," Go.to Section 3. 21 D IThis system is in Climate Zone 2 or 8-15 and line 11, 16,or.17.is nofchecked.,, TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification, 22 D If line 15 is checked, HERS verification is required for Duct Sealing:. 23 (ZI 11fline 12, 13, 14, 20 or21 are checked and notline 16 or 17,,HERS verification is required for TXV(RCA). 24 ❑ . If line 12, 13 or 14 are checked;, HERS verification is: required for12;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- DuctR-Values . 26 ❑ 11fmorethan 40 feet of duct is,beind installed or re I placed, duct R -value must rr eet,ordexceed Package D requirements. 27 ❑ 11fless.than 40 feet of duct is being,installed or replaced, duct.R-value musfniee{or:exceed 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 Prescriotive+Method. - HVAC' -only Altoeatien CF -1 R -AI T Project Title:: DAN;AGNEW Date: 0.7/31,/09 CaICERTS 2005 IMPORTANT:. This.CF-1 R=ALT form is: only for; use when an HVAC=only aIteration,is made to an existing home Use one form for each'system'.being"altered. ':This -is. system # '-.t' .of = • t systems altered in this house. Section 6 -Minimum, Requirements for Equipment to.be'lnstalled/Altered. 3 Installed equipment must match type/location and meet or exceed ;efficiencies/R-values. 28 Configuration: 0 Split system O .Package Unit 29 ❑ Air'Handler ' Mas fumace,'AFIIE: :80 / ❑Heatp'ump FAU ❑Hydronic FAU ❑Other 30 D Heat Exchanger 31 0 Outdoor Condensin .Unit OA/C ' ❑Heatpump JEffciency -SEER/HSPF:. 14.00 / N/A EER, if re d): 32 0 Cooling or heating coil: ®A/C 01-leatpump ❑Hydropic 33-0 Ducts Location: ` Length (H): ..JR -value: All mandatory measur6s':apply to any altered coni onent.'..See MF -1 R - ALT form. Compliance Statement: r 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 requlre'installer testing and certification'and verification by.an.approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: . . Kimbehy: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) 34670677 Signature: Signature`" Enforcement Agency (Building Department) Notes/ .. " ents" Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: £ CF -1 R -ALT: by anyone. Required at time of permit application.. Copies to homeowner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close,pe64iit. 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 CF -4R forms for a sam legroup shall not be released.until all testing and verification is com leted and passed for the entire group. This form can only be used on projects being verified by CaICERTS certified raters. rage z or z www.calcerts.com Bin # City of , Quino Building &r Safety Division P.O. Box 1504; 78-495 Calle Tam La Qtiinta; CA 92253.-.(760) 777-7012 Building Permit Ap plication -and Trackin p g Sheet Permit # r� 7 Project Address: 55-850 PINEHURST Ovrner'sName: DAN AGNEW A. P. Number: Address: 55-850 PINEHURST Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning & Heating Company Address: 42081 Beacon Hill I Tele • `{',•':<'''""''""" '`' `"' """"" :•F4f>i:!�}i ii:vi?'ii:}:::4Fi:%}`^iC:�� YR:: Project -Description: City, ST, Zip: Palm Desert, CA 92211 ri6iY•:4�jkQ:y,}:�'{:}j?:«Ci��:4:C ti }Y.C; Telephone: (760) 346-0677 .:........... PLACE 1 EXISTING 5 TON SYSTEM: WITH 1 5 TON 14.00 State Lica # : 374937406 cityLic.#.:oo8as SEER:SYSTEM. Arch., Engr., Designer: Address: City., ST, Zip: p :....:. • ::. } ;< :..;:: ,:,.};,;;:;::;:::::;•: Telephone: ::;4:z<::<;;:??;:<: s::;;: ;;:•::>:•>:•:;:;:.:::::}:ion #�:.«.}:�•::•;;,}::•::>:::«<::::>sN,,;,..:::{P State Lic. #::.;:r.,�:;;::::;.:;,.};:<:::•:�};:}:•:;:.,.,,...:. Name of Contact Person: Kimberly Garcia Construct Ty' eOccupancy: Project e J h'P (circle one): New Add' Alte Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: (760):346-0677 Estimated Value of Project: 7, APPLICANT: DO NOT WRITE BELOVU'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 Calcs. Called Contact Person Plan Check Balance. Title 24 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:- "d 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 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) COPY CF -411 55-850 Pinehurst - La Quinta, CA 92253 Palm Desert Air Conditioning & Heating / 374937 Project Address Contractor Name / License No. Palm Desert Air Conditioning & Heating 09-00000835 Contractor Contact Telephone Permit Number Pul an Vlymen 760-777-1724 132970 H RS ater Telephone Sample Group Number August 6, 2009 CC14-1798473553 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 CoDies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ 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 -411 may be released on every tested. building. The HERS rater must not release the CF -411 until a property 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 (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 drawbands are used In combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. MrNTMRM oFnurDFMFNrc FnR nUCT 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 Duct Not Tested 4 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 [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 ❑ 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 ❑ Fall 10 Pass IF Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑ Pass ❑ Fail 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 ❑ Fall https://www.calcerts.com/certificate_print.cftn?lots=O, 8/13/2009 WL CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 55-850 Pinehurst - La Quinta, CA 92253 Palm Desert Air Conditioning & Heating / 374937 Project Address Contractor Name / License No. Palm Desert Air Conditioning & Heating 09-00000835 Contractor Contact Telephone Permit Number PaW Van VI men 760-777-1724 132970 H RS ater Telephone Sample Group Number i V August 6, 2009 CC14-1798473553 Certifying 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: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSp is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was DTested ® 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 dnostic tested compliance requirements as checked on this form. 0lagThe Installer has provided a copy of the CF -611 (Installation Certificate). 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 https://www.calcerts.com/certificate_print.cfin?lots=0,132968,132971,132969,132965,132... 8/13/2009