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08-0148 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000148 Property Address: 78098 CALLE APN: 770 -012 -018 - Application description: MECHANICAL Property Zoning: LOW DENSITY Application valuation: 7823 Applicant: Tiht 4 4'QuilkiM NORTE RESIDENTIAL' Architect or Engineer: 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 and Professionals Code, and my License is in full force and effect. License Class: C20 -C4'3 Li c se No.: 276586 e: jai& actor: 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 (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, 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 1 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: LQPERA11T Owner: LORDAHL ROBERT 78098 CALLE NORTE LA QUINTA, CA 92253 (760)000-0564 Contractor: DESERT AIR CONDITIONING, 590 WILLIAMS ROAD . PALM SPRINGS, CA 92264 (760)323-3383 Lic. No.: 276586 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS. (760) 777-7153 1/17/08 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. STI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Y Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier INS CO OF WEST Policy Number WSD216397400 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, hall forthwith comply �yith those provisions. �te"GIA A antTO RE 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 Ouinta, 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. 1 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 nstruction, and hereby authorize representatives of thls county to enter upon the above-mentioned property, f spection purposes. Date: _1j1jJ71j0 1%3ig re (Applicant or Agent): LQPERMiT Application Number . . . . . 08-00000148 Permit MECHANICAL P LQPERMiT Application Number . . . . . 08-00000148 Permit MECHANICAL Additional desc . Permit Fee . . . . 42.50 Plan Check Fee 10.63 Issue Date . . . . Valuation 0 Expiration Date 7/15/08 Qty Unit Charge Per "Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE AND REPLACE EXISTING FURNACE COIL AND CKONSENSING UNIT WITH NEW 5 TON, 15 SEER , 80% AFUE EQUIPMENT Fee summary Charged Paid Credited ---------------=- Due ---------------------------------------- Permit Fee Total 42:.50 .00 .00 42.50 Plan Check Total 10:63 .00 .00 10.63 Grand Total 53.13 .00 .00 53.13 Bin # µ- City of La Quinta Building a Safety Division Permit #; P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 BuildingPermit Application ppllcatlon and Tracking Sheet Project Address: _099 Owner's LO , Name: A. P: Number` Address: Legal D( :scription: E City, STS Zip: Con! f�-� Contractor.) 4- .5 / G f1 L' � k _ Telephone:. G ( — 8% 8' - ` Address:,) l ' l GmS Project Description: �i City, ST,l Zip: � `'(� S � S\ �.�_ /Q� 7 �l�%L V e . Telephone: 3�? g Z� « . _. ` C {/? aC e C A'.( � State Licl# :;_ City Lic. #: D P /1 W ► h Arch., Engr., Designer: U �. Address: City, ST,'Zip: (D Telephones , r _ Construction Type: Occupancy: State Lic. #: .[Name Project type (circle one): New Add'n Alter Repair Demo I P Name of Contact Person: S . Ft.: ' 9 # Stories: # Units. of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIQNG PERIIZIT FEES `• , Pla"ISets Plan Check submitted - Item Amount .StruituTal Calm Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Enema Calcs.' Plans picked up Construction - Flood plain plan Plans resubmitted _ Mechanical t; Grading plan------- 2-dReview, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked.up S.M.I. H.Ok . Approval Plans resubmitted Grading F IN HOUSE:- F '"' 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 Prescriptive Method - HVAC -only Alteration CF -1 R -ALT P ct Title: Date: © CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alt ati� is made to an existin i Use one form for each system being altered. This is s tem # of g home Section 6 -Minimum Requirements for Equipment to be Installed/Altered. systems altered in this house. i Instaged egtApst match typenocation and meet or exceed efficienaes/R-values. 28 Corhfiglaation: Sts pGt system 0 Package Unit / 29 ❑ 30 ❑ 31 ❑ 32 ❑ 33 ❑ FAU OHydronic FAU This certificate of compliance lists the building features and specifications needed to comply with Title 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 Own -i.., nlr►,"..:�„a n___. 0 �4CC' �fl P `-F(:)(�� C � re: crtylSta�� : � 1 ° I 3 Phone: /� Signature: C0 ---3,->3 3 Signature• Enforcement A enc Buildin De artment Name: Notes/Comments: L?�R Title: i ! Department: Phone #: ` ignature or Stamp: AGF -1R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -0R -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 sam le rou shall not be released until all testincLand verification is completed and assed for the entire rou . Version 03-10-06 This form can only be used on projects being verified by Ca10ERTS certified raters. Page 2 of 2 www.calcerts.com S 1 - i Certificate of Compliance Prescriptive Method - HVAC-only Alteration Proj Titl - CF-1 R-ALT %` � /� ��� ' Date: I ©CaICERTS 2005 Project Address: ` Enforcement A enc Use Ont z /Y- e Cllma ZO�e: Building Permit # Dontati Author: h /l�j!vn JF Telephoned Plan Check Date I Com (( Name: `�� Field Check Date .J� i C. IMPORTANT: This CF-1 R-ALT form is only for use when an HVAC-only alte tion is made to an existing home Use one form for each s stem bein altered. This is s stem # Check all lines that ao h+ of s stems altered in this house. Scope of Alterations: 1 ❑ n 'r Handler is to be installed or TV :ed. Duct sealing to be determined. Continue to next line. 2 mace Heat exchanger is to be installed orlaced. Duct sealing to be determined. Continue to next line. 3 door condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next Zine 4 coolln or ha"coif is to be installed or re laced. Duct Seating andfor TXV CA to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be Installed in ❑ Check here if the oft duct g0rreplaceedspace• Duct sealing to be determined. 1 system is also to be new or replaced. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealin nor TXV RCA are r wired. Go to Sectio 5. Continue to next line. d Section 1 -Duct Sealin Oni if an of Lines 1 2 3 4 or 5 are checked. Ski if Line 6 is checked. 7 ❑ is s stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealirt9 is r uired. Go to Sectio 2. 8 ❑ is s stem has less than 40 feet of ducts in unconditioned space. No duct sealing is wired. Go to Section 2. 9 ❑ his system was previously sealed and tested. and was No duct sealingis uired. Attach Previous CF-4R form. Go to Sectionby 3 E2.S rater. 10 ❑ is duct s em is sealed or insulated with asbestos. No duct sealin is required" Go to Section 2. Note: If the entire ducts stem is to be new or re laced, Lines 11-14 do nota I 12 ❑ In Climat. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct seal:- and TXV if a livable . e Zones 10, 13 and 15: An SEER 14 ANQ EER 12 condenser will be installed with TXV(RCA) ND added duct insulation 10-4 wrap On existing ducts, R-8 new ducts in lieu of duct sealing. Go to Sectio 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 At) EER 12 condenser will be Installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 ANN EER 12 condenser will be installed with TXV(RCA) 1`15an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 Noe of lines 7-14 above are checked Duct Sealing is Required. Continue. Section 2 - TXV RCA)( nly if Lines 3 or 4 are checked, otherwise of to Section 3 16 ❑ e s stem bein altered is a acka a unit. No TXV(RCA) is wired n_,_ Sectio 3 17 p is system is in Climate Zoe 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Sectio 3. 18 ❑ is s stem is in Climate Zoe 1 3 4.5 6 or 7. No TXV RCA is wired. Go to Sectio 3. 19 ❑ is s stem is in Climate Zoe 16 and line 14 is not checked. No TXV RCA is r wired. Go to Sectio 3. 20 ❑ hiss em is in Climate Zone 16 andI'll li11111111',ne 14 is checked and not line 16. 111111111111111119 is re wired. Go to Section 3. 21 ❑ is system is in Climate Zoe 2 or 8 15 and line 11, 16 or 17 is not checked• TXV(RCA) is required. Go to Section 3. Section RS Rater verification 22 a 15 is checked. HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA)" 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ pt lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R-Values 26 ❑ If more than 40 feet of duct is being installed or re laced, duct R-value must meet or exceed Package D uirements. 27 ❑ If less than 40 feet of duct is being installed or laud, duct R-value must meet or Sectio 6 - see next age Meed R-4.2 Version 03-10-06 This form can only be used'on projects being verified by CaICERTS certified raters. Page 1 of 2 i www.calcerts.com i I l ,I i I.- Installation Certificate Prescril F Titleec, - U0t Address: i !7'-C-)C;------------ ��11P v� Installing Contractor: e Method - HVAC -only Alteration CF -6R -ALT Nbae. i©2005 CaICERTS ate Zone: BuJI perm�rcement en Use Only fSphoone: Pian Check Date Feld Check Date IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made to an e)—d home Use one form for each system being altered. This is system # of Co sysies to: Homeowner, HERS Rater, and Building Departments altered in this house. List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match tvne/hcnfi— ,11 . -I. _- _ _ Pump fan coil NIA heatpump A/C Condenser `,. Gi maoor DX coil SttK i CC(�l EER' Hydronic coil Provide EER if needed for compliance (line !''ll of CF-1RALT). 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 'as are sensible at design conditions for cooling and adjusted altitude, downflow, etc.)out ut for heatin . XV: If TXV is required by the CII 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 CFAR ALT) ❑ For Entirety new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct i sealin b increasin the ig, ciency of the equipment is not an o tion for entire new ducts stems. I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2j equal to or more efficiet than required by the Certificate of Compliance (CF -1 R ALT Form); and 3) equipment that meets or exceeds theappropriate I for manufactured devices (Appliance Efficiency Standards), where applicable. the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for ompliance and that the newV to ailed or retrofi ed mechanical system components conform with the Mandatory requirements specified iry$ection l b(m) the 05 Building Ifnergy Efficiency Standards. ion 03-10-06 form can only be used on projects being verified by CaICERTS certified raters, www.calcerts.com I 77) JEFF• SHAW - p .TODD SHAW BRUCE SHAW -'` BRYAN SHAW b, - GONDTTIONING, INC. - ; ` . 'k C� - T_ 590 WILLIAMS ROAD • PALM'SPRINGS, CA 92264 I . (760) 323-3383'- FAX (760) 323-8983 1O; C {� eGk License No. 276 86' l/(J ' ( Purchase. Order and Conditional'Sales Contract January,72008 `Robert Lordahl s . r 787:098 Calle Norte. y - ' 'La Quints, CA. 92253 (ACMM 88 •PORPOSED AIR CONDITIONING AND HEATING UNIT RET + . T . yWIOA/ Work to include: • City permit and title.24 paperwork Removal and disposal,'of existing furnace coil and .condensing -unit - • Install new fiimace coil and condensing unit. • SealTurnace . Connect new unit to existing ductwork • Connect to existing refrigerant lines 'A Connect to existing gas, electrical and condensate drain. • Install new digital thermostat 06.ww racy rL°• _w Start'unit and check operation P *Includes one year planned service (two calls) startin spring 2008 I .- - g sP g _ 1----Lennox:M# XC 14060 5 -Ton 15_ SEER condensing unit . - 1 ---Lennox M# G60UHV 80% AFUE 2 -stage variable speed furnace -1--=5-Tori Evaporator coil CG .Installed.price.$7823.00 5- Year labor, 5 Year parts, 10 Year. compressor and 20 Year h Warranties _ _ ;��, .l bow•