10-0261 (MECH)P.O. BOX 1504
78-495 CALLE TAM-PICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
C��
10-00000261
46615 CAMEO PALMS DR
643-181-006-43 -2117
MECHANICAL
LOW DENSITY RESIDENTIAL
3500
T414t 4 e(P Q"
Architect or Engineer:
0jpir
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 ret ode, and my License is in full force and effect.
License Class: C20 -C38 is nseNo.: 577952
ate: 1 ont ct
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1—) I, 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 1, 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:
ERNIE VOSSLER 'D
46615 CAMEO PALMS DRIVE
LA QUINTA, CA 92253
Contractor:
PAUL'S AIR COND & HTG
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/29/10
r k � y
'A
P.O. BOX 1818
CATHEDRAL CITY, CA 92235-1818
(760)323-4776
LiC. No.: 577952
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 DELOS INS CO Policy Number OIDKRM12003287
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to ers' compensation laws of California,
and agree that, if I should beco workr' compensation provisions of Section
�4 3700 of the Labo i co ly K those provisions.
Rlte:7 -�_/APP i n .
WARNING: 1AI1&rE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend,' indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is cor a 't? ?lT%,rply with all
city and county ordinances and state laws relating to ' dint i n eby authorize resentatives
of this ouniy to ent/e�r upon the above-mentio property for ' n pu oses.
of i�(/Signa re (Applicant or en
Application Number . . . . . 10-00000261
Permit . . . MECHANICAL
Additional desc .
Permit Fee, 40.50
Plan Check Fee
10.13
Issue Date . . . .
Valuation . . . .
0
Expiration Date 9/25/10
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW 13 SEER A/C SYSTEM &
NEW
FURNACE. 2007 CODES
----------------------------------------------------------------------------
Other Fees . . .. . . . ... BLDG STDS ADMIN (SB1473)
1.00
Fee summary. Charged
-------------------------------------
Paid" Credited
--------------------
Due
.Permit Fee Total 40.50
.00 .00
40.50
Plan Check Total 10.13
.00 .00
10.13
Other Fee Total 1.00
.00 .00
1.00
Grand Total 51.63
.00 .00
51.63
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:
. �
Enforcement Agency:
Date: >0
3.2y�
Permit #:
dl�i9
Conditioned Floor
Equipment T t
List Minimum Efficienc 2
Duct insulation requirement
Area
Thermostat
❑ Packaged Unit
;*Furnace
❑ AFUE_fiffr44W
❑ COP
Over 40 ft of ducts added or
❑ Setback
door Coil
❑SEER
i] HSPF
replaced in unconditioned space
p p
Served b system
Y Y
not already
ondensing Unit
❑ EER
_
❑ Resistance
❑ R 6 (CZ 10-13)
sf
present. must be
❑ Other
❑ R 8 (CZ 14-15)
Calle
installed)
1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC jor each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF jor typical residential systems.
HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what worst is being done and
picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final
inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the
installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and
signed. Beginning October 1, 2010 a registered copy of the CF -1R and CF -6R shall also be on site for final inspection.
HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2l-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and fors lits stems MECH-25
• Condenser Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• indoor Coil and/or
CF-411forms: MECH- 21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Fxempted from duct leakage testing if:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System Required Forms:
• Cut in or Changeout with new CF -61K forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
For Split Systems: Duct leakage < 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage <6 percent
❑ 3. New Ducts with Replacement Required Forms:
• Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF -41K forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. Not all equipment changed.
For Split Systems: Duct leakage < 6 percent, RC, CCA 2:300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21
linear feet of duct in unconditioned space.
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,
Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documents a corn s, worksheets,
ca lcu I atio54 plan.%anq specificalions submitted to the enforcement agency for approval with the ication.
Name:f� f k
Signature:
Company: QUI //l� ✓ fi 1 Date: -7 Qr��
Address:S Q dl V Q i , )a - License: 5jr1/
(/(/f J
City/Statc/Zi K1 S r!Y 2 L Phone:
Fin
2008 Residential Compliance Forms March 2010
r
2008 Building Energy Efficiency Standards Residential HVAC Alterations
La Quinta, CA (Climate Zone 15)
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit
requirements constitutes a cause for disciplinary action from the Contractors, State License Board working in conjunction with the
local building department: ')chis action may consist of fines up to $5,000 per `violatiortor suspension/revocati6n o€.a contractor, s"
license.
WHEN IS A PERMIT REQUIRED?
A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction,
installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007
California Mechanical Code. Projects requiring permits include, but are not limited to:
• New HVAC installation • Relocation of an existing HVAC unit
• HVAC Changeout • Adding or replacing more than 40ft ducting
• Replacement of furnace, coil, FAU, or condenser
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24. Part 6) REOUIREMENTS INCLUDE:
1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters).
2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R4.2. When more than 40 ft of ducting will be installed
or replaced, the duct insulation value must be R-6 (CZ 10-13), or R-8 (CZ 14 and 15). `
4. A setback type thermostat (24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirements of Section 150(m):
• All joints and openings in the in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings.
• Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected
using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between
supports and 6 ft. max for vertical runs.
WHEN IS HERS VERIFICATION REQUIRED AND WHAT FORMS ARE REQUIRED?
HERS verification is required for all HVAC alterations in Climate Zone 10-15. A HERS rater is a special inspector for the building
department. The building inspector may also request to be on site to witness testing by the contractor and/or HERS rater. The installer
picks one of the four options on the CF -IR -ALT -HVAC Form that describe the work being conducted. Each option lists the forms
required to be at the job site for final inspection.
• CF -6R Forms shall be completed and submitted by the installing contractor for final inspection.•
• CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completed by hand), and submitted
by the HERS Rater for final inspection effective January 1, 2010.
DESCRIPTION OF HERS TESTS BELOW (Full descriptions found in Residential Appendix RA3 and Residential Manual)
Duct sealing — The installer is to insure leakage of the HVAC system is less than 6% for new air conditioning system (new equipment
and all new ducts) or 15%, 60% reduction, seal all accessible leaks, etc. for alterations to existing HVAC systems. When the
contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to seal existing ducting. New ducting
installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CF -1R "all new
ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed.
Cooling Coil Airflow (CCA) — There are two different minimum air flow requirements that must be met. These are 300 CFM and
350 CFM. The minimum 300 CFM per ton of cooling is required in order to conduct a refrigerant charge test. For new HVAC systems
(new equipment and new ducts) the HVAC system must move a minimum 350 CFM of air for each ton of cooling.
Refrigerant Charge (RC) — The installer is required to verify the charge is correct. If the outside temperature is below 55 degrees
then the weigh in method must be used by the installer. When the weigh in method is used the HERS rater must retest when the
temperature is 55 and above. A charge indicator display (CID) can be used in place of conducting an RC; manufacturers are currently
developing this device.
Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split.
Hole for the placement of a Static Pressure Probe (HSPP) or Permanently installed Static Pressure Probe (PSPP) — Either the
installer must drill and mark holes to measure static pressure or a permanently installed pressure probe must be installed and marked.
Saturation Temperature Measurement Sensors (STMS) — Permanently installed type K thermocouple are.instalied' on the indoor
and outdoor coil so that the HERS rater can verify charge without attaching gauges. Instructions are;found in Ch_ 4 of the Res. Manual.
Fan Watt Draw (FWD) �71nstaller verifies that the furnace fan watt draw is less than 0.58 Watts/CFM.
NOTE: The CF-6R=MECH-04 is required for all HVAC alterations.
* For Final.inspection ALL compliance forms (CF-1Rs, CF-6Rs, and CF4Rs) shall be registered 0ith"an approved HERS
Provider for building permit applications submitted on or after October 1, 2010.
Bin #
City Of La Quinta
Building Si' Safety Wslon
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
`U
Project Address: !�
Owner's Name:
A. P. Number: ��� QQ MiJ
Address: a&xv
Legal Description:
City, ST, Zip:
Contractor: (,� ,� (�
Telephone:;
Project Description:
Address: „ �(f v�Q
City, ST, Zip:o7h"00, S q� L4 7/
Q(I a
Telephone: Lrr^>
State Lic. #1/ : r
city Lic.
/
Arch„ Engr., Designer:
Address:
City., ST, Zip:
Telephone: '>`>::�• • �°': ;:
State Lic. #:''`^"
,;�.;hr��?����f: v' ; ; ? . �7:,;.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
i,
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT, DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:
''' Review, ready for eorrectionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees