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07-2596 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: <:� ,u7-00002596 Property Address: 54160 AVENIDA JUAREZ APN: 774-194-008-17 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 5385 Applicant: ct Td'y Q� 44 Architect or Engineer: 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 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20, C43 Lice nseNo.: 263871 ate:ZsDractor: OWNER-BUILDE DEC RATION I hereby affirm under penalty of perjury that I am exempt from tractor'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 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.). ( ) 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: 010 LQPERMIT Owner: ELDER DIANNE B 54160 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: BURGESONS HTG & A/C INC P.O. BOX 7310 RIALTO, CA 92376 (909)793-3685 Lic. No.: 263871 r VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/25/07 D Q SEP 0 52007 CJTY OF LA QUIfIr. Ph WCE DEPT. ------------------ 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 FIRST NATIONAL Policy Number 25WC00215130 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 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 comply with those provisions. ate: pplica WARNING: FAILURE TO SECURE CRIERS' COM NSAT N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of thi,&eounty to enter upon the above-mentioned propertinspection purposes. 'Dale� gnature (Applicant or Agent"D LQPERMIT Application Number -07-00002596 Permit . . . MECHANICAL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation 0 Expiration Date .•3/23/08 Qty Unit Charge Per Extension - BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE ->100K 11.00 Special Notes and Comments CHANGE'OUT EXISTING HEAT PUMP EQUIPMENT TO 3 TON, 13 SEER Fee summary Charged -------- Paid Credited -- ---------- ---------- Due ----------------- ---------- Permit Fee Total 26.00 .00 .00 26.00 _ Plan Check Total 6.50 .0.0 .00 .6.50 Grand Total 32.50 .00 .00 32.50 Bin # City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� Project Address: (.o Owner's Name: ) A 1 A 4, A. P. Number: Address: Legal Description: City, ST, Zip: 22s3 Contractor:' Cae Address: P )In { -e Telephone:IA % Project Description: City, ST, Zip: Telephone: wl, State Lic. # % City Lic. #: ` Arch., Engr., Designer: j eY� Q Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: i Estimated Value of Project: V 3� 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 2nd 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'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 COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R t� Project Title _ — f) 10. Y\ V1 t� Q l� Date 1 FENESTRATION -PRODUCTS — U -FACTOR AND SHGC ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WSAR —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. Exterior. (Front, Left, � Orien- Shading/Overhangs6• � Rear, Right, tation, Area [U -factor SHGC box if WS -3R is S li ht N, S'E, W' ft2 U-factorzource3 SHGC° Sources included 13 ti t'1Nlio6tc are now t •v c ❑ are no ^ incl deed 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 116A. 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. T) See Section 3.2.4 in the Residential Manual. ;+ HVAC SYSTEMS Heating Equipment Type and Capacity furnace, heat boiler, etc. "MID Minimum Efficiency AFt1E or HSP I Distribution Type and.Location ducts, attic etc. Duct or Piping R -Value Thermostat Type Configuration , lit or package) -------------- Cooling Equipment Minimum . Type and Capacity. A/C, heat eva , coolie Efficiency SEER or EER Duct. Location attic; etc: Duct . R -Value Thermostat T e. Configuration s lit of package) Residential Compliance Forms March 2005 CERTIFICATE OF COMPT .T A Wr'V - n V, Qy"' ,' ,.TT'T ♦ T Project Project Address (i AV G, -O l p q 9u a� Compliance Climate Zone f 4) CF -IR Enforcement Agency Use Only ✓ ❑ 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) ft2 Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) ftZ 'Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C (20% X CFA) g ✓ 13 Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration. fill out WS41t, Fenestration Maximum Allowed Area Worksheet and see Section 83.2 for Additions and 8.3.3 for Alterations.). Number of Stories: 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 OPAOUE DOORS Component Assembly U - Type (Wall, Roof, Floor, Frame Type Cavity factor (for Continuous wood, metal Joint. Appendix Roof Radiant Barrier Location/Comments Slab Edge,' (Wood Insulation Insulation frame and mass IVInstalled (attic, garage, Dors or Metal R-Valde R -Value assemblies Reference Yes or No tvnical_ etc_1 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion..U-factors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 Oct 01 07 08:59a So We Co Inc 909-389-4914 P.1 r_..a_n..�:.... I�.,..►:!'in�/•o Drncrrinfiva Mothnd _ HVAC-0nly Alteration CF -6R -ALT i lbtanauvrh ver&itROG - .........r-.-__ ...--•--- roject Title:16/01/07 alfa ------ - --- tO 2005 CaICERTS EntorcemerA Agency Use On Project Address:Climate Zone: Bulift Permits In Iling Contractor: U&6eboo_� i Telephone: gad) jq- Plan Check Date ompany Name: Field Check Date 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 altered in this house. Copies to: Homeowner, HERS Rater, and Building Department - List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match e/localion and meet or exceed efficiencies/R-values from CF -1 R. Equipment T e Manufacturer Model Number Efficient ------ Load"- _ _ - _ Ca aci Furnace AFUE Heat Exchanger NIA Heat Pump fan coil G ` , D vlv 1.17J 7 wA �Z� Hydronic fan coil NIA Other FAU Describe Package gas/AC AFUE SEER Package heatpump HSPF SEER EER' A/C Condenser SEER Heatpump Condenser�HSPF O x �u/ (� yfl� ! J IT�✓ V3 SEER Indoor DX coil EER' Hydronic coil Provide EER if needed for compliance (line 24 of CF -IR -ALT). Installer must provide adequate documentation to Verify EER. In some rases 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. Capacities are sensible at design conditions for coolie and adjusted altitude. downfiow, etc. output for heating. If TXV is required by the CF -1 R forth (line 23 on CF=1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV vertfication. ntire"w Duct System: (Line 5 of CFAR ALT) For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealinq by increasing the efficiency of the equipment is not an option for entirely new duct systems, I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home: 2) equal to or more effdent than required by the Certificate of Compliance (CF -IR -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 15D(m of the 2005 Building Energy Efficiency Standards. Si ned aIle : Date: N Version 03-10-06 Page 1 of 2 This forth can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Oct 01 07 08:59a So We Co Inc 909-389-4914 p.2 Inetmlh2tinn rartifir2tP_ Prescrintive Method - HVAC -only Alteration CF -611 -ALT Project Tire: En ��� `This Dte:©2005 Egga"Opf, CaICERTS IMPORTANT: CF -6R form is only for use when an H A my alteration is made 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 dud 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 ICFM25 2 Line 1 x 0.4 rget for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values for emqLUdpment after alterations. 3 Cooling: _Condenser tonnage: tons x 400 CFMlton = [i CFM 4 Heating: Furnace output Btuh x.0217 CFMIBtuh 1CFM 5 3 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: O flow hood ❑ plenum pressure ma_tc_h_in_g _ q flow grid 7 Total system fan flow value to be used: FM may use highest of lines 3. 4, or 5. Step 3 - Detemdne Targets: 8a Total System fan flow (line 7 from above) x 0.06 17 '%' ICFM25 = 6% leakage target (new duct systems) 8b Total System fan flow pine 7 from above) x 0.15 = FM25 =15% leakage target 9 Total stem fan flow ine 7 from above x 0.10 = FM25 = 109a leaks a to outside target Step 4 - Alterations: Must be consistent with the CFAR form. 10 ❑ Seal all new connections with approved materials. 11 ❑ No newly constructed portions of the system ran have unducled building cavities to convey system air. 12 ❑ If adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 5 - Final Leakage (regular 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 tine Be.house passes the 6*/. leakage requiremeryli,Go to Step 9. 4b ❑ H line 13 is less than line 8b house passes the 15% leakage requirement Go to Step 9. 15 ❑ If line 13 Is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If eitherof lines 14a, 14b or 15 are checked. HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is aired. Go to to 8 Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage ICFM25 iefer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 is less than line 9 house passes the 10% 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 Seallng is required. SeeStep8. 22 ❑ llnstall required label per ACM Appendix RC, Sections. RC.4.3.5- --------- .. _ Step 8 -Smoke Tes l and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM da RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged duct per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Iseal register boots to surrounding material per ACM Appendix RC. Sections RC 4.3.7, HERS Verification 26 ❑ H line 14 is checked. 15% leakage to be verged by HERS rater. Sampling is avowed. 27 ❑ H 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 allowed. 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 . ILJ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. VV 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 rater. No Samplinq - House does not pass by lines 14, 15 or 190 OR homeowner chooses not to be part of a sample group 31 O 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 by 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 by 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 Ca10ERTS certified raters. www.caloarts.com f CERTIFICATE OI+' COMPLIANCE: RESIDENTIAL (Page 1 of 4) C&IR Project Title Project Address t +.I j (6 A- DA o'ua� � •D mentatton Author ! Telephone - U 6�t esti Compliance' Iethod (Prescriptive) Climate Zone Building Permit # Plan Check / Date Field Check / Enforcement Agency Use Only ✓ ❑ 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) ft2 Average Ceiling Height: $ Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) 'ft2 Maximum Allowed Total Fenestration Products Per Table 151-11 or 151-C �-- (20% X. CFA) g ✓ ❑Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.). Number of Stories: 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).. i ✓ ❑ RADIANT BARRIER (required in -climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Assembly U - Type (Wall, Frame factor (for Joint Roof Radiant Roof, Floor, Type Cavity Continuous wood, metal Appendix Barrier Location/Comments Slab Edge, (Wood Insulation Insulation frame and mass IV Installed (attic, garage, Dors) or Metal) R -Value R -Value assemblies)'- Reference Yes or No typical, etc.) 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. -U-factors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 ' a CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2' 4) C&IR yl r ) e S_ ' Project Title -I �j 10. >1 y1 _ 1 r Q ►� Date FENESTRATION PRODUCTS - U -FACTOR AND SHGC V' ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. Exterior. (Front, Left, Orien- Shading/Overhangs6•7 Rear, Right, tation, Area U -factor SHGC' box if WS -3R is Skyli ht N, S 'E, W'(ft') U -facto? Source SHGC° Sources included 13 13 13 13 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any dir tion 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 NERC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 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. HVAC SYSTEMS Heating Equipment Minimum Distribution Type and Capacity Efficiency - Type and Location Duct or Piping Thermostat fi Configuration { ME , heat um , boiler, eta AFUE or HSP ducts, attic, etc. R -Value T lit or package) 1 5 T -e cLt t iV. Cooling Equipment Minimum. Type and Capacity. Efficiency Duct.Location Duct. Thermostat Configuration A/C heat Pump, eva . coolie SEER or EER attic; etc. R -Value T e (split or packaee) Residential Compliance Forms March 2005