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06-1553 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �., Property Address: APN: Application description �•r Property Zoning: Application valuation: 06-00001553 50028 CALLE OAXACA 773-340-037-37 -14496 MECHANICAL LOW DENSITY RESIDENTIAL 5500 Tityl 44 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------- - - - -------------------------- RACTOR'S DECLARATION I hereby affirm under penalty ofS#�, oder p ovisions of Chapter 9 (commencing with Section 70 0) of ivision 3 of tls C ed my License is in full force and effect. LicenseCl C0Date: 'Contracto, OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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).: (_ ). 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, t 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, 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: LONDON HOLLAND B 50028 CALLE OAXACA LA QUINTA, CA 92253 Contractor: AIR EXPERTS AIR PO BOX 94 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/06 CONDI LA QUINTA, CA 92247 (760)272-1884 Lic. No.: 725283 -- - - - - - - - - - - - - - - - - - - C 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 ar Carrier EXEMPT Polic umber EXEMPT I certify that, in the perf e k for which this permit is issued, I shall not employ any person in any manne so as to beco e u ' ct to the work s' compensation laws of California, a d agree that, if I sho d become s o the workers' ompensation provisions of Section 00 of the Labor Code, hall f ith com'o/�v ith t provisions. —" Date: ��4 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 per ' 2. Any permit issued as a result of this application b mes null and void if work is not commenced within 180 days from date of issue of such it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and tate that thea a information is co act. I agree to comply with all city and c unt ordinances and state laws rel ting to buildi constru j'on, and re authorize representatives of this co my /o enter upon the above•menti ed pr y r insp on purp e . .— Date. r / Signature (Applicant r ent): LQPERMIT Application Number . . . 06-00001553 Permit . . . . . MECHANICAL Additional desc . Permit Fee . . .. 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/14/06 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9'.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE FURNACE & COIL & CONDENSER Fee summary Charged -------------------- Paid. Credited -------------------- Due ----------------- Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 Bin # City of La Quinta Building 8E 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: SW COCU-6' c A Owner's Name: /ZN S Q,AJ A. P. Number: Address: <7Y-)7-257 (ft L� Legal Description: Contractor: I City, ST, Zip: ZA & Nim CA ` ZZ 3 Telephone: Address: '54�X Project Description: City, ST, Zip: 44Qi l lr/U-/77 72Z f ja- C0 Telephone: `77 f Z l., State Lic. # : % 25 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: ��3U APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 Energy Calcs. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading, plan 2"d 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:- 3n° Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees XP 4 f CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pagel of 4) CF -1R IM-1ilI�S�on��onl - i-7 Q6 Project Title Date Project Addie Building Permit # Documentation Author Telephont Plan Check / Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only ✓ E3 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) fe Average Ceiling -Height:. ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) fe 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 -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: r 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 ical etc. 1) See Joint Appendix 1V in Section IV.2, IV.3 and 1VA, 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 m CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R Project Title Date }'* FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New Construction, s' Additions and Alterations. ; 13 rl 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 I I6A. 3) Indicate source either from NFRC or Table I I6A, „ 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 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. MVAC SYSTEMS Fenestration #ffype/Pos. Exterior (Front, Left, Orien- ShadinglOverhangs6• 7 Rear, Right, tation, Area U -factor SHGC ✓ box if WS -3R is S li t N, S, E, W' ft U -factor' Source SHGC4 Sources included .❑ 13.t 13 Heating Equipment Type and Capacity furnace, heat pump, boiler, etc. Minimum Distribution Efficiency Type and Location Duct or Piping Thermostat AFUE gr HSPF ducts attic, etc. R- alue Type Configuration (split or package) �- 0400--m. U O f4 1 S7�a 1313 13 rl 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 I I6A. 3) Indicate source either from NFRC or Table I I6A, „ 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 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. MVAC SYSTEMS Fenestration #ffype/Pos. Exterior (Front, Left, Orien- ShadinglOverhangs6• 7 Rear, Right, tation, Area U -factor SHGC ✓ box if WS -3R is S li t N, S, E, W' ft U -factor' Source SHGC4 Sources included .❑ 13.t 13 Heating Equipment Type and Capacity furnace, heat pump, boiler, etc. Minimum Distribution Efficiency Type and Location Duct or Piping Thermostat AFUE gr HSPF ducts attic, etc. R- alue Type Configuration (split or package) �- 0400--m. U O f4 1 S7�a Cooling Equipment Type and Capacity A/C eat purnp,eva . cooling) Minimum Efficiency Duct Location Duct Thermostat SEER or EER attic etc. R -Value .. Type , ' Configuration (split orpackage) G C i r Residential Compliance Forms i March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R Project Title 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 reauired. ✓ Distribution T e Number in System 41ed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Standby' Loss % (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 ❑ 1Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR 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 Svstems serving single dwelling units Water Heater Type/Fuel Type Distribution T e 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 Svstems serving single dwelling units Water Heater Type/Fuel Type Distribution T e Number in System Rated Input' (kW or Bwft) Tank Capacity (Sglops Energy Factor' or Thermal Efficiency Standby' Loss % Tank External Insulation R -Value Svstem serving multiple dwelline units Water Heater Type Distribution Type Number in System Rated i Input' W r Bwft Tank Capacity tons 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 6) 2 A or 150 6) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) 1.CF-1R Project Title 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 nreccrintive methnd_ ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R CF -6R part 6 of 12 ❑ Radiant Barriers CF -1R ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. Performance Calculation ❑ Combined Hydronic System Required; Attach Run to Forms. - Performance Calculation ❑ Gas Cooling Required. ❑ -Buried Ducts N/A; Indicate on building plans. See Section 5.6.2 Distribution ❑ Kitchen Pipe Insulation Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. - Central Water. Heating System Performance Calculation and ❑ Serving Multiple Dwellings attach Run to Forms. ❑ 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 Performance Calculation and ❑ , Wood Stove Boiler 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 verifinatinn_ ✓ 4eature . 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 CaICERTS - Certificate rage i u1 a CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 50028 Calle Oaxala Air Experts Air Conditioning & Heating / 725283 Project Address Contractor Name / Lkense No. 06-1553 Contracd Telephone Permit Number Waltertor lisn 760-275-4919 22062 HERS R Telephone Sample Group Number April 24, 2006 CC14-1798362644 Cemly nature Date Certificate Number Firm: Air Solutions of the Desert HERS Provider:Ca10ERTS Street Address: PM8 150 42-208 Washington Street City/State/Zip:Betmuda Dunes / CA / 92203 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Tide 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was V Tested U 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 -4R until a properly completed and signed CF -6R 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 (i.e., does not use building cavities as plenums or platform returm In lieu of ducts). New systems where doth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed. rubber adhesive dud tame to seal leaks at duct connections. MINIMUM REQUXREMIENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW CONSTRUCTION Duct Pressurization Test Results (CEN @ 2S Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal':- Cooling --; Heating) or ._:'Measured Enter Total Fan Flow In CFM: 1600 3 N/A N/A ALTERATIONS: Dud System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Duct System Alteration and/or Equipment Change -Out. 335 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 234 6 Enter Reduction In Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 101 7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable) 8 Entire New Duct System - Pass If Leakage Percentage <= 69'0 [ 100 x ( Line 5 / Line 2 )]: ❑ 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 )]: 14.625% ® Pass ❑ Fall 10 Pass If Leakage to Outside Percentage <= 20% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >s 60% [ 100 x ( Line 6 / Line 4 )] 63125% arta . Verification by Smoke Test and visual Inspection 0 pass El Fall 12 Fass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection I ; LnJI Pass El Fail Pass if One of Lines #9 through 812 pass L_: Pass ❑ Fall hq://www.calcerts.wm/cf4r_print certificate.cfin?lots=22062&RequestTimeout7l00000 4/24/2006 S -d LL2E109E'09L LLE609E09L eTO:L0 90 SZ JdH CaICERTS - Certificate CERTIFICATE OF FIELD VERIFICATION 81 DIAGNOSTIC TESTING (Page 3-4 of 8) Page 2 of 2 50028 Calle Oaxala Air Experts Air Conditioning & Heating / 725283 Project address Contractor Name / License No. 06-1553 cbntraactor • ntm Telephone Permit Number Walter Alellis 760-275-4919 22062 HERS le Telephone Sample Group Number April 24, 2006_ CC14-1798362644 cerci n nature Date cerdAcate Number Fir Air Solutions of the Desert HERS Provider:Ca10ERTS Street Address: PMB 150 42-208 Washington Street City/State/Zip: Bermuda Dunes / CA 192203 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the Ca10ERTSO registry in accordance with the Tide 24 & Title 20 of the CCR. CaICERTS® is an approved HERS provider by the Califomia Ene!By Commission. HERS RATER COMPLIANCE STATEMENT The house was 2Tested J Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and fleid verificatlon, 1 certify that the house Identified on this form complies with the dla nostic tested compliance requirements as checked on this form. A The Installer has provided a copy of the CF -6R (Installation Certificate). L_ ERMOSTATIC EXPANSION VALVE MV): Main System 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. Main System HVAC System TXV I M Pass U Fall http://Www.calcerts.comlcf4r_print certificate.cfm?lots--22062&RequestTimeout--100000 4/24/2006 9'd LLZ£'09£'09L LLE609E09L eT0=L0 90 S2 Jdd