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06-3947 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QOINTA, CALIFORNIA 92253 . Application Number: 06-00003947 Property. Address: 54387 SHOAL CREEK APN: 775 -061 -050 - Application description: MECHANICAL Property Zoning: . LOW DENSITY RESIDENTIAL Application valuation: 5600 Applicant: 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 License No.: 374937 f Date: \ Contractor: NER-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-notmore-than five -hundred -dollars ($500)- (_ 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 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 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: LINDA MURRAY 54387 SHOAL CREEK LA QUINTA, CA 92253 Contractor: PALM DESERT AIR CONDITION] 42081_BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/09/06 ------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: - 1 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 STATE FUND Policy Number 1795546-2006 _ 1 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. —Date: tl�""'O(_.Applicant:_- WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 this county to enter upon the above-mentioned property for inspection purpo Date: ` Signature (Applicant or Agent): Application Number . . . . . 06-00003947 Permit . . . ,MECHANICAL Additional desc . Permit Fee 37.50 Plan Check Fee 9.38 Issue Date . . Valuation 0 Expiration Date 5/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP./ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING A/C WITH 14 SEER 80 AFUE. DUCT TESTING REQUIRED. Fee summary Charged Paid Credited Due Permit.Fee Total 37.50 .00 .00 37.50 Plan Check Total 9.38 00 .00 9.38 Grand-Total 46.88 .00 .00 46.88 LQPERMIT Bin { City Of La Quint'a Building 8r Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 1 BuildingPermit Application and Tracking Sheet Permit #P.O. �% Project Addres Owner's Name Address: A. P. Number: Legal Description: City, ST, Zip: Tele$F<` <<< :;•f };;;,•. ;.�r.;i phone: ..r:<<4:r Contractor: Address: City, ST, Zip: Project Description: Telephone:4 7 db State Lic. 7City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: w:' :��h::y.':RC.j'v Y},.vr}'•:y:if{�M1:rvi�tiiv�' M. •}{.. �:>4c,�>:>,�;o<::i;s r:�:>;<:::;i%;•iMi:,:v>�::t:<'::::...:>:<....'s..X;. %xA:sr>,;>:r; ; :};:.;::<:�<;;:s:>>:;>?,>: x;•. Construction Type: Occupancy: cy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: ! Telephone # of Contact Person: 77 Estimated Value of Project: ' loo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Qb Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Title 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad 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 correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees crr Certificate of Comaliance Prescriptive Method - HVAC -only Alteration (' F-1 R -A1 T Pro' ct Title: app,771 Date: /1 7la © CaICERTS 2005 -.+ Enforcement A enc Use'Onl s -Rn! Proje Address: Climate Zone: 1 9!l ing Permit x IT 15 Docu e - ion Auth Telephone:.Plan 6o-�3y6-o67 cnecli Date n � � � � g A. CO n Name' Field Check DatetQ, « a _. a � €tea s,.z,� ,�� �•• , n� , r#,� IMPORTANT: This CF -1R -ALT fQLph 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 s stem # of systems altered in this house. Check all lines that apply. Check only lines that apply. , Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 8' An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 e A cooling or heating coil is to be installed or replaced. Duct Sealin and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ 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 gptim duct system is also to be new or replaced. Continue to next line. [if 6 ❑ none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing nly 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 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ his 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 ❑ This 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 sealin and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 =EER 12 condenser will be installed with TXV(RCA) AND 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 AM 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 AM EER 12 condenser will be installed with TXV(RCA) ' ND an 0.82 AFUE furnace 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 ❑ The system 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. - 18-0 Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19' ❑ Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ hiss stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21A rhis 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. Sectio - HERS Rater verification " 22 If line 15 is checked, HERS verification Is required for Duct Sealing. 2316 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 - Equipment Efficiencies 25" ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26 ❑ Fore than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 If 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 1 Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com r Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project 'le: . M&LI,�� Date: 7 � ©CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is ghly for use when an HVAC -only a eration is made to an existing home Use one form for each system being aftered. This is system # I of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typeAocation and meet or exceed etticiencies/R-values. 28 Configuration: plit system ❑ Package Unit 29 O Air Handler as furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30Heat Exchan er 31fo Outdoor Condensin Unit C ❑Heatpump Efficien SEER/HSPF . EER if re d : 32Cooling or heating coil C ❑Heatpump ❑Hydronic 33 Duds Location: Length (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 Au rized Agent Documentation Author Name: Name: Address: Comp N me: City/State/Zip: Address: V.vf,l Phone: City/St i . Phone: Signature: Signature: Enforcement Agency Buildin Department) Notes o ments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 IR -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 close 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 CF4R forms for a sam le group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com CaICERTS - Certificate CERTIFICATE OF FIELD VERIFICATION & DIS 54387 Shoal Creek' La Uinta CA 92253 Project Address Contractor 1.of8 Palm Desert A/C - Heating / 374937 Contractor Name / License No. 06-3947 Telephone Permit Number 760-777-1724 50844 Telephone sample Group Number December 18, 2006 CC14-1798391428 Date Certificate Number �erj„r,,,yf„y.. T•- HERS Provider:Ca10ERT5 ins. Firm: Air Experts Air Conditioning city/state/Zip:l a Ouinta / CA / 92247 Street Address: PO Box 94 Co les o:in accordance with the Title Z4 &Title ZO of the CCR: This CF -4R has been registered with the r;aICERTS® registry CalCERTS® is an a roved HERS rovider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was []Tested © Approved as part of sample testing, but was not tested. on this form comP As the HERS rater providing eiagnostic testing as and field verification, this form. The HERS rateremust check and house dverify that the new ldistribution dlagnm is tested cted andrequirements system is fully 4R until ad correct properly completed d and signedCCF46R has beenrecased on every eivedce ved for thesampleaested 'nd tested bulding. The ildings.RS must no release the CF -4R un p P The installer has provided a copy of the CF -6R (Installation Certificate). in New Distribution system i funky ducted (iubber adhesive duct tapeot use 'is installed mastlding cavities as ic and drawbums or andsrare used in combination t on�with cloth New systems whereto seal leaks at duct connections. �__,._, ..,66nr adhesive dud tape encnrr- EW CONSTRUCTION Measured Values Duct Pressurization Test Results (CFM @ 25 Pa) N/A 1 Fan Row: Calculated (Nominal'''' Cooling '••_ •' Heating) or'._• Measured Not Tested 2 Enter Total Fan Flow in CFM: - " N/A 3 y- - - . em and/or HVAC Equipment Change -Out ALTERATIONS: Duct SystNot Tested Enter Tested Leakage Flow in CFM from CF -6R: pre -Test of Existing Dud System Prior to Dud System Alte 4 ration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System for Not Tested 5 Duct System Alteration and/or Equipment Change -Out. Not Tested 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 51 - (Only if Applicable) Not Tested 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8. Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ered Duct System and/or TEST OR VERIFICATION e-Out use one oft a folloS: For wing AC ing fou Test or Verification Equipment C 9 standards for compliance: Wit Tested 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] 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 if Orie of Lines #9 through #12 pass Not Tested N/A Pass Lj Fail Pass Pass ❑ Fail Not Tested I [] Pass [] Fail Pass LJ Fail Pass []aiaiiF httP s://calcerts.comlcf4r—Print_tertificate.cfm?lots=0,50848,50846,50843,50845,50847,508... 1/8/2007 CaICERTS - Certificate i CF 4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 18 - Palm Desert A/C - Heating / 374937 54387 Shoal Creek - La Uinta CA 92 3� Contractor Name / License No. Project Address"" -- 06-3947 Telephone Permit Number Contractor Conta Paul an VI en i 760-777-1724 50844 S Rater Telephone Sample Group Number HER j December 18, 2006 CC14-1798391428 Certifying Sig ure Date Certificate Number HERS Provider:Ca10ERTS Inc. Firm: Air Experts Air Conditioning City/State/Zip:La Quinta / CA / 92247 Street Address: PO Box 94 Co ies to: Homeowner HERS Provider and Building Department This CF -4R has been registered with the CaICERe California Enerciv acc Commission. rdance with the Title 24 &Title 20 of the CCR: CalCERTS® is an a roved HERS rovider th HERS RATER COMPLIANCE STATEMENT The house was aested 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 F dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate). HERMOSTATIC EXPANSION VALVE TXV Access is provided for inspection`. The procedur e shall consist shall be verified rification that the TXV is installed on the system and installation of the specific 4 p HVAC System TXV I Pass ❑ Fail ' l F f ' i 1 • ` i • 1 https:Hcalcerts.com/cf4r_pn nt certificate.cfm?lots=0,50848,50846,50843,50845,50847,508.:. 1/8/2007 _