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08-1159 (MECH)s , P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/09/08 Application Number: 08-00001159 Owner: Property Address: 78845 SONESTA WY FAHNESTOCK GLADYS E APN: 604-152-,008-57 -23269•- 78845 SONESTA WAY Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8500 Contractor: Applicant: Architect or Engineer: PALM DESERT'AIR CO INCS� 0 ` 42081 BEACON HILL ✓:.�� PALM DESERT, CA 11 I"I 1 (760)346-0677 Lic. No.: 374937 N . - giy�,�OFAT Tq . LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ice License Class: C20 LNo.: 374937 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: O ontractor: l� -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 • OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 238-0004656-07 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers'- compensation laws of California, permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith com with those provisions. 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).: ate: i O A ant: (_ 1 1, 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 WARNING: F�RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _ improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of.the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , BAP.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.I. city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this my to enter upon the abo e=mentioned property for inspection purposes ' Lender's Name:p- ate:( Sig re (Applicant or Agent): Lender's Address: - LQPERMIT n , " Application -Number . . 08-00001159 Permit` .. . . MECHANICAL Additional desc . Permit Fee 31.50 Plan Check Fee -7.88 Issue Date Valuation . . .. 0: Expiration Date 1/05/09 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 (1) EXISTING SYSTEM, 5 TON, 15.5 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 G.G Prescriptive Metho -only Alteration CF -1 R -ALT Project i e: Dallew ne: © CaICERTS 2005 Enforcement Wgency Use Only Building Permit # 2ro'eMctrddr,ss.Climate — zlul"Z'z�:T oc me ation Aut Telephone: `) % - 1.5-17` 0 Plan Check Date Cr e: Field Check Date IM/PORTANT: This CF -1 R -ALT 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 # f of / systems altered in this house. Check all lines that aRRy. Check only lines that annrv. Scope of Alterations: 1 ❑ An Air l andler is to be installed or replaced. Duct sealing to be determined. Continue to next line. Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3e& An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the Calire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or B. No duct sealing is required. Go to Section 2. 8 ❑ Thiss stem has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ his ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 Adn EER 12 condenser will be installed with TXV(RCA) D added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Abn 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 Ada EER 12 condenser will be installed with TXV(RCA) Man 0.82 AFUE fu mace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ Thes stem being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑his s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 B is system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go to Section 3. Section 3 - HERS Rater verification 22W If line 15 is checked, HERS verification Is required for Duct Sealing. 23 �6 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 D lif lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26 ❑ Ili more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page version u3-iu-vb Page 1 of This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com IN 4 Certificate of Compliance Prescriptive Method, HVAC -only Alteration CF -IR -ALT Proje le: Date: �h F ©CaICERTS 2005 IMPORTANT: This CF -1 R -ALT 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 # I of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed eq' ent must match type/bcation and meet or exceed efficiettcieslR-values. 28, Configuration: pld system O Package U a 29 ❑ Air Handler as furnace, AFU OHeatpump FAU OHydronic FAU OOther 3 Heat Exchanger 31' Outdoor CondensingUnd C OHeatpump fricie SEER/HSPF EER if 3 Coo' or heating coil OMC CHeatpump OH tunic 33 ❑ Ducts Location: ILength (ft): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: 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 Owner or Authorized Agent Documentation Author Name: Name: Address: Comp nyName:, City/State/Zip: Address: ALM DESERT AIR CONDITIONING COMPANY Phone: City/State/Zip: PALM DESERT, CA 92211-5107 (760) 346.0677 Phone: Signature: Sig e: Enforcement Agency (Building Department) Notes o men s: 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 Gose permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample groupshall not be released until all testingand verification is completed and passed for the entire group. This form can only be used on projects being verified by CaICERTS certified raters. rage z or Z www.calcerts.com Din # City of La Quinta Building &I Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #G� // Project Address: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Address: 42081 BEACON HILL City, ST, Zip: (760) 346.0677 telephone -769 i4i 'r:i"J:i'ti4i}:. f;::;f:j'i:•iY%iii:?ii Project Description: � Telephone:`>`>><'<#»"s€E•':< : ;;::.:,•i:i;; q::.;;iiii+••:Y?:$iii i::ii:i;:: iii y State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: :twn...,» vf:r,HiY••:,v'i �:kik,`4. Name of Contact Person: Construction Type: Occupancy: Project type circle one): New Add' Alter Repair Demo Sq. Ft.:# Stories: #Units: Telephone # of Contact Person: Estimated Value of Projec . Aw. Oto 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 Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°"leview, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed 5 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 Ca10ERTS Page 5 of 14 ,CEfdIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 78-845 Sonesta Way - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / license No. 08-00001159 Contractor Contact Telephone Permit Number Paul Van Vlvmen 760-777-1724 104129 F% R� Rater Telephone Sample Group Number _cl `I Q vin ugust 14, 2008 CC14-1798444708 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 CODies to: Homeowner. HERS Provider and Building Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑Tested 0 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 -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 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 returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REOUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tes d keiakage Flow in eFM., N/A 2 Fan Flow: Calculated (Nominal � Cooling'~, Heating) or() Measured Not Tested Enter Total Fan Flow in CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Not Tested Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System Not Tested for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System Not Tested [Une 4 - Line 5] - (Only if Applicable) 7 1 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New DuctSystem - Pass if Leakage Percentage < 6% [ 100,x ( Line S/ Line 2 )]: Not Tested ❑ Pass ❑ Fail 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 )]: Not Tested ElPass ❑Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑ pass []Fail_ 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )J Not Tested ❑ Pass ❑ Fall and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail . . - ,.. . I^A%1%n ,^AIn-C ,nA, -IA InA Q/,)c/,)nnQ Ca10ERTS Page 6 of 14 `. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 ' 78-845 Sonesta Way - La Quinta, CA 92253 Palm Desert A/C - Heating'/ 374937 Project Address Contractor Name / License No. 08-00001159 Contractor Contact Telephone Permit Number P I Van VI men 760-777-1724 104129 H R Rater Telephone Sample Group Number 4ugust 14, 2008 n r�.n CC14-1798444708 C rtlfying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was OTested R 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 di a nosdc tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 (Installation Certificate). LITHERMOSTATIC EXPANSION VALVE TXV : 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. HVAC System TXV ❑ Pass El Fail v � 4 ti