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09-0963 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: _0_9,00000 963 Property Address: 44675 SAFFRON CT APN: 604=252-030-50 -24208 - Application description: MECHANICAL Property Zoninq: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant - Architect orrEEnggiineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peri y hat I am license der provisions of Chapter 9 (commencing with ,Section 00) of Division 3 of the us ess and Profes ion s Code, and my License is in full force and effect. License Class:1 C 2 0 icense No.: 874583 DateA '1 t2`1 Contractor: -' 1 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 (5500).: (_ 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.). (_ 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 contractorls) 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: _ Lender's Address: LQPERI%IIT Owner: LOUKATOS HARRY 44675 SAFFRON CT. LA QUINTA,.CA 92253 ( Contractor: D ALL ABOUT AIR PO BOX 5936 LA QUINTA, CA 92248 (760)578-7913 1 LiC. No.: 874583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/09/09 :SE:PO91009 OF �A QUINTA 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s s to become subject to the workers' compensation laws of California, and agree that, if I sh ul become sub' o the workers' compensation provisions of Section M3700 of the Labor d , I shall fort ith c mply with those provisions. Da`w, V . 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 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 bove informatioT�� to comply with all city and c unty ordinances and state laws relating to ild' g construction, representatives of this co my eeo��e//.nter upon the above-mentioned pr a for inspection pu Date: V f Signatuie_IApplicent-or Ag tl: Application Number 09-00000963 • Permit . . . MECHANICAL Additional desc ` Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 3/08/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MEC:H B/C', <=3HP/10UK inu 9.00 ---------------------------------------------------------------------------- Special Notes and Comments' REPLACE (1) A/C & HEAT PUMP 13 SEER UNIT ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary_ Charged Paid Credited Due 7 Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 '.00 .00 1.00 Grand Total 42.25 .00 .00 42.25 Bin # City of La Quinta Building &r Safety Division , P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #. ` �-�7 Project'Address: e4 S tf(otj Owner's Name: CI� 0 v lam/ A. P. Number: Address: 1-f Legal Description: Contractor: vl� City, ST, Zip: _ -Telephone: • _ Address: P .C, p>c— S-ei Project Description: . City; ST, Zip: GI 2-2 Telephone: v � s 7 % co f3 ` ,State Lic. #: 4-3— '7 'City Lic. #; 9 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: >' State Ltc. Name of Contact Person: Con truc ' s hon TY e: O �.c u an P P cY: Project type (circle one): New Add'r- Alter- Repair Demo Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Uv 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 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:- ''" 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 Installation Certificate Prescriptive Method - HVAC-onlv Alteration CF -6R -ALT Project Titl - O V �' �J Date: / © 2005 CaICERTS s! r+ bw : F fon�ment A96'Use On ;O. ?±-",ZA Project Address:Cli ` ate Zone: Buckling Permit It ��,.r 1.-L"4 N. R nstalling Contractor: Telephone: Pian Check bate_ /. asci 4z g mpany Name: held Check Dates K _ ,. W < ' t±ei� KGs ew-4*�'M2t IMPORTANT: This CF -6R 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 # of systems ahered in this house. Copies to: Homeowner, HERS Rater, and Buildin De artment List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match /locatiori and meet or exceed efficiencies/R-values from CF -1 R. Equipment -Type Manufacturer Model Number Efficient Load" Capacity—* Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER _ Package heatpump HSPF SEER /I AEER' A/C Condenser SEER / Heatpump Condenser HSPF SEER r Indoor DX coil rn EER' Hydronic coil Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. Loads are sensible for cooling. " Ca aci ies are sensible at design conditions for cooling and adjusted altitude, downflow, etc. output for heating. - is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification b HERS rater. Sam lin is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systens. The alternative to -duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts .tems. I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the hone; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirementsanufactured devices (Appliance Efficiency Standards), where applicable. I, the unde gned verify that diagnostic test results listed on this form were performed in conformance with the requirements for mplian and at the newly installgd-o-Netrofitted mechanical system components conform with the IMandatory requirements specified' S tion 150(m) of th 2 5 Bu ding Energy Efficiency Standards. ^� Signed Installer : Date: Notes: version vo-1 v-vorage I or c This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.corr Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT itle: ProjectDate: L 1� ©� & q , G ©2005 CaICERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is mace to an existing home Use one form for each system being altered. This is system # of systems altered in this house. - Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct testing is required per CF -1 R -ALT form Step 1 - Pre-test: Leakage of the system before any alterations. This test isoptional and is only used for the 60% reduction option 1 Pre-test leakage: j CFM25 2 Line 1 x 0.4 =[target for 60% reduction Step 2 - Determine Total System Fan Flow: Use, any of these methods. Use values for equipment after alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton = /(,90(> CFM 4 Heating: Furnace output: Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: /(000 CFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06 = FM25 = 6% leakage target (new duct systems) Bb Total System fan flow (line 7 from above) x 0.15 = O FM25 = 15% leakage target IFM25 9 Total System fan flow line 7 from above x 0.10 = = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ 1 Seal all new connections with approved materials. 11 ❑ INo newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ lif adding or replacing more than 40 feet of dud, insulate new ducts per package D for that climaltr zone Step 5 - Final Leakage ( ular duct leakage test, for 15% total and 60% reduction) 13 leakage = CFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 4a ❑ If line 13 is less than line 8a house passes the 6% leakage requirement, Go to Step 9. 4b line 13 is less than line 8b house passes the 15% leakage reuirement Go to Step 9. 15 ❑ If line 13 is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ 1 If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is required. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house is pressurized to 25 pascazs at the same time. 18 leakage = CFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 is less than line 9 house passes the 10°x6 leakage to outside requirement 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual inspection of Accessible Duct Sealing is required. See Step 8. 22 ❑ JInstall required label per ACM Appendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-' 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ine 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater,(post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowec. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling_ 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer or their representative, not the third party eter. No Sampling - House does not pass by lines 14,15 or 19; OR homeowner chooses not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified b,* a third party rater. OR all above tests may be performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified bw a third party rater. OR, all above tests may be performed solely by the third party rater. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. vwvw.calcerts.com 1,