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08-1681 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001681 Property Address: 78_r CALLE NORTE APN: 770-011-037- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4000 Applicant: T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: �lA ----------------------------------------------- LICE CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury the li ensed under provisions of Chapter 9 (commencing with .Section 7000) of Division 3 of the Busi s'rnals Code, and my License is in full force and effect. License lass: C2 C38 LicenseNo.: 826714 ate w!, tractor: 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 _ 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 ISec. 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, 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—) 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: 018 LQPERMIT Owner: LESTER CHARLES 78130 CALLE NORTE LA QUINTA, CA 92253 Contractor: BEST IN THE WEST 255 N. EL CIELO, 140-1 PALM SPRINGS, CA 92262 (760)322-0202 Lic. No.: 826714 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/08 :l.TY.. OF LA QUINrqIAurr 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. Y 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 0023975-2007 _ I certify that, in the perfor ce fthel work for which this permit is issued, I shall not employ any person in any manner as t beco I e subject to the workers' compensation laws of California, and agree that, if I s Id bject to the workers' compensation provisions of Section 3700 of the Labor s I hwith comply with those provisions. / C ;cant: WARNING: FAILURE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 o uch p it, or cessation of work for 180 days will subject permit to cancellation. . I certify that I have read this application and state t at t ab e ' for is correct. I agree to comply with all city and county ordinances and state laws relating i g n ruction, and hereby authorize representatives of this unt to ryter/ above-mentione rty i ction purposes. ate :f� Q ature (Applicant or Age LQPERMIT Application Number . . . ... 08-00001681 Permit MECHANICAL - Additional desc . Permit Fee . . . . 31.50 Plan Check Fee 7.88 Issue Date Valuation 0 Expiration Date 4/06/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 - ------------------ ------------------------------------------------- Special Notes and Comments' REPLACE CONDENSER (14 SEER) Fee summary Charged Paid Credited Due Permit Fee Total 31.50 .00 ..00 31.50 Plan Check Total 7.88 .00 .00 7.88 Grand Total 39.38 00 00 39.38. LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: /y l,� `t wygA C / / Date: Z 2 r0� © CaICERTS 2005 Enforcement Ag;7y Use Only Project Address: %%-� O 133 , 4 Climate Zone: C Building Permit # Documatio Author. Telephone: Plan Check Date Com any Name: Feld Check Date IMPORTANT. This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an e)dsting home Use one form for each system beinq altered. This is system # of systems altered in this house. Check all Tines that aonly. Check only lines that aooly. Scope of Alterations: 1 ❑Air Handier is to be instdW or Dud sealing to be determined. Continue to next fine. 2 ❑ Furnace Heat exchanger is to be installed or replaced. Dud searing to be determined Caitinue to nwd fine. 3 q0: outdoor condensing unit is to be installed'or replaced. Dud Seafmg and/or TXV(RCA) to be determined. Confine to neDd line. 4 ❑ or heatingcoif is to be installed a . Dud and/or TXV CA to be determined. Continue to next fine. 5 103than 40 feet of new or replacement duct are to be instilled in unconditionedspam Dud sealing to be determined. ❑ Check here if the d!= dud system is also to be new or replaced. Continue to next line. 6 ❑ none of fines 1-5 are checked, neither Dud Sealing no TXV(RCA) are required. Go to Section 5. Section 1 - Dud Sealing On if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No dud sealing is required. Go to Section ?-- 8 ❑ This system has less than 40 feet of dads in unconditioned spaceL No duct.sealing is requhia& Go to Section 2- 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No dud sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ Mft dud system is sealed or insulated with asbestos. No dud sealing is required. Go to Section 2. Note: If the entile dud system is to be new or replaced, Lines 11-14 do not apply. 11 D In Climate Zones 2,12 and 16: An 0.92 AFUE furnace will be installed in fiery of dud sealin and TXV if applicable). 12 O in Climate Zones 10, 13 and 15: An SEER 14 MM EER 12 axndenw will be installed with TXV(RCA) AND added dud Insulation R-4 wrap on existing duds. R-8 rrew duds in lieu of dud sealing. Go to Section 2- 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 &a EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of dud sealing. Go to Section 2- 14 ❑ in Climate Zoites Z 9, 11, 12, 14 or 16: An SEER 14 Abn EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of dud seal' . Go to Section 2. 15None of fines 7-14 above are checked. Dud Sealing Is Required. Continue Section 2 - TXV(RCA) O if Lines 3 or 4 are Checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV CA is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8'and a 14 SEER air conditioner or 0.82 AFUE humane is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zane 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 O IThis system is in Climate Zone'16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ is system is in Climate Zane 16 and One 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 DF4Uft system is in Climate Zone 2 or 8-15 and fine 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22, fine 15 a checked. HERS verifieadon Is required for Dud Searing. 23 f line 12, 13, 14, 20 or 21 are checked and net line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ fine 14 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ Flines 11, 12, 13.14 or 17 are checked, upgraded equipment eftJoncles are required. List in Seddon S. Section 5- Dud R -Values 26 ❑ 5f more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ f less than 40 deet of dud is being installed or replaced. dud R -value must meet or exceed R-4.2 Section 6 - see next pap Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. Page 1 of 2 www.calcerts.com v) Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: ti -L4"' -a - "Oz� Date: Z I P— CatCERTS 2005 IMPORTANT: This CF -1 R -ALT form Is only for use when an WAC -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. Section 6.- Minimum Requirements for Equipment to be Installed/Altered. bwAafed eqt#aterd must match typeJbcation and meet or exceed efticiencieWil-skies. 28 Coftwa o Packaw unci 29 ❑ r 043as inmate. AFUE: ❑F atpunp FAU 01iydronic FAU 000w 30 ❑ 31 utdoorCOMWmkM Unit tVq, ,, UNC Meatprmtp lEftlem SEERIHSPF: km (if recien: 32 ❑ orheaftcal OA/C UtMMp OHymordc 33 ❑ ti c- lLeram (it): -vats: Al mandatory measures apply to any altered component. See MF -1R -ALT form. Compliance Statement: This certificate of compliance fists the building features and specifications needed to comply with Tdle 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 require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent or Name: 7�-471; Address: mem ��- City/State0p: Address: IVO -12,r Phone: City/ Phone: Signature: a Enforcement Agency (BuildingDepartment)omme Name: Title: Department: Phone #: Fax # Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to dose permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to dose permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 rage c or 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # GV of La Quinta Building 8E Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. I �� Project Address:' ZZ130 ( 14- Vogl -e, Owner's Name: 'A. P. Number: ? () — 0 I — O '5 % Address: 7P13e Legal Description: City, ST, Zip: 4o, 0 7 ZZ f3 Contractor:;?F-S7- Iu 774 ty � � Telephone: 2/fI Address: • ' 5e dvg o i a_7�5� Project Description: City, ST, Zip: /rL rn R/2 S 04 / Z26Ti Telephone: 760 3Z.2 p Zd Z � City Lic. #: State Lic. # : 9 26 7 j T Arch., En. esigner: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: L *,eb Construction. Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 3 ZZ — O 1 o Z. Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed 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.p Ian* 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 (Page 4 of 12) CF -6R Site Address Permit Number 7?/ INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMM; LANCE STATEMENT The building was: ✓ `Nested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that -the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ,1(1,aDUCT LEAKAGE REDUCTION _s�_ .r....�:a...:..s ......m�,c no nvni/nh/o in R.4CM. IiDneR!%lL RC43 Proceduresor ieid ver canon ana am -ac it -a ., ,......�............. -- -- - - NEW CONSTRUCTION: Measured Duct Pressurization Test Results (CFM Q 25 Pa) Values 1 Enter Tested Leakage Flow in CFM;, verification that the TXV is installed on the system and installation of the 0 Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cGton x number of tons or as 21.7 cfin/(kBft /hr) x Heating 0 O ✓ Ca aci in Thousands of Btw%r enter total calculated or measured fan flow in CFM here: ]' Pass if Leakage Percentages 6% for Final or <_ 4% at Rough -in: ❑pass ❑Fail 3 100 x ine # 1 / Line # 2)11 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out - Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct //0 5 System for Duct System Alteration and/or Equipment Chan Enter Reduction in Leakage for Altered Duct System q 6 ine # 4 Minus me # 5 — Onl if A ticable 1 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage:r. 6% for Final or <_ 4% at Rough -in ❑ Pass ❑ Fail $100 x ine # 5 / Line # 2 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: Pass if Leakage Percentage 515% [too x [ (Line # 5) / (Line #'2)11 f Qc02ass ❑ Fail 9 Pass if Leakage to Outside Percentage :5 10% [100 x [__(Line # 7) ! (Line # 2)]] ❑ Pass E3Fail 10 Pass if Leakage Reduction Percentage z 60% [100 x L _(Line # 6) % (Line # 4)]] ❑ Pass ❑Fail 11 1.2 and Verification by Smoke Test and Visual Inspection Pass if Sealin of all Accessible Leaks and Verification Smoke Test and Visual -Ins ion < _ ❑ Pass ❑Fail Pass if One of Lines # 9 through # 12 ass _' ❑Pass 13 Fail ✓RMOSTATIC EXPANSION VALVE (TXV) Pro edures for field verification of thermostatic expansion valves are available in RACM, Appendix R/ ✓ ✓ I, the undersigned, verify that the above diagnostic test results were performed at conformance with the requirements for corn Bance credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontra j . ame) OR General Access is provided for inspection. The procedure shall consist of visual ; ✓(3 -No verification that the TXV is installed on the system and installation of the 0 specific equipment shall be verified. Yes is a pass Pass Fail I, the undersigned, verify that the above diagnostic test results were performed at conformance with the requirements for corn Bance credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontra j . ame) OR General Contractor ( m er Signature Date: q CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 1) CF4R Project Address I Lester, Charles I Builder / Installer 78-130 Calle Norte / La Quinta / CA / 92253 Best In The West - Group XVI Builder / Installer Contact Telephone Plan Number / Permit Number Richard Weaver 7603220202 HERS Rater Telephone Sample Group Number Jack LaFontaine - H1E1E1R1 ID #CCNJL348610 7603604631 1 Compliance Meth P ripti Climate Zone 15 Certifying Sign ur _ �._2 (j Date Sample House Number Firm HERS Provider Energy Ma a ement Services CIHIEIEIRISO Address City/State/Zip 41485 Adams St., Unit C Indio /CA /92203 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT This house was: %/ 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 CF4R 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. V The installer has provided a copy of CF -6R (Installation Certificate). ❑ New Ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. Residential Compliance Forms Generated by CIHIEIEIRIS® http://www.CHEERS.org December 2005