10-0505 (MECH)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
DDate: 6/10/10
Application Number: 10-00000505 Owner:
PP A
Property Address: 79765 TANGELO SHORT n
APN: 772-230-025- - 79765 TANGELO
Application description: MECHANICAL LA QUINTA, CA 922 3 J(�'
Property Zoning: LOW DENSITY RESIDENTIAL 0 n /
Application valuation: 18000
Contractor: t"r•.'s'y,
Applicant: Architect or Engineer: DIAL ONE'S ONE HOUR A/C & HT <,
2712 E. LA CADENA DRIVE
RIVERSIDE, CA 92507
�A, (951)276-9744
\ Lic. No.: 878533
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I 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 a 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
License Class: C20 License No.: 8. 8533 for by Section 3700 of the Labor Code, for the performance of the work for which this permitis
issued.
ate: do – ID % ntractor: 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. INS CO OF 'WEST Policy Number WSD500334900
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 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, 'if I should Fbe subject totyhe 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 labooCode, 1or wit ortply with those ovisions.
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 1$5001.:' e: –/� �/O AD61�ant:
- –(=1-
1, as ownerof-the -property,-ormyemployeeswithwagesastheir-sole compensation,will -do-the-work,and- -----
- the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The - WARNING FAILURE 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—) 1, 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 contractor(s) 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,
(_ 1 I am exempt under Sec. ,B.&P.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.). city and county ordinances and state laws relating to building copy uction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for 'fis ecti pur s. -
Lender's Name:
D KIWI �0_%v Sign a (Applicant or Agent):
Lender's Address: -
LQPERMIT
Application Number . . . . . 10-00000505
Permit . . . MECHANICAL
Additional desc .
Permit Fee 66.00 Plan Check Fee
16.50
Issue Date Valuation
0,
Expiration Date 12/07/10_
Qty Unit"Charge' Per
Extension,
BASE FEE.
15.00
2.00 9.0000 EA' MECH FURNACE .<=100K
18.00
2.00. 16.5000 EA MECH B/C >3-15HP/>100k-500KBTU
33.00
Special Notes and Comments"
REPLACE 1)70000BTU FURNACE,. 1)90000 BTU
FURNACE, 1)4 TON'13.SEER A/C & COIL &
1)5 -TON '13 SEER A/C & COIL AT EXISTING
LOCATION. 200.7 CODES.
-----------------_-------------------------------------------
Other Fees BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 66.00 .00 .00
66.00
Plan Check Total 16.50 .00 .00 _
16:50
Other Fee Total 1.00 :00 .00
1.00
Grand Total 83.50 .00 .00
83.50
LQPERMIT
.
SifeAddrrs
Jctrf
Dale•
Permit 0.-
V1 i
T t List Minimiun
Can 'ora Floor
Efficknc3e
O Packaged UQit ;
� COP
Duct insulation rMhvmt
Over 40 R ducts
AreaTherrrmstat
=nM it 0 AFUE O
Indoor Cai1X i- Gd�EERn a HSPF_
of added or
replaced to uaud space
Q R 6
em
ta'�eilmct
Ij(notwlrra�+
l3Conde d.g UmtX Q EER ! Q lteaislance
Q
M-13)
(CZ10-/3j -
O R 8 (C714-15)
i
PMwnt Maw he
Other i !
I • EV+dP+mw 13' C19me tint egrrWwnl being installed If more than one rysfem, rrse anwher CRI R-ALT•HYACJor each system.
Z Mininarn; Equ4w N E,B1cleneletr: 13 SEB$ 78%AR)$ Z7hVFfor )Pkat resldfrnf1a1 systems:
ETERS VERIFICATION SU31MARY Listed below ate four HVAC alteration Options. The installer decides what wort is being done and
picks one of the appropriate Option& Each Option -lists We HERS metnstt is that mast be conducted A copy of fisc fomts shall be lei on site for Enol
Inspection and a copy given to the homeowner. At final, the ins wdor verifies that the work listed on this forth was in fact the wuj completed by the
installer. The inspector also verifies that'each
appropridc CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and.
'
tn ed. in October 12610, a registered eo of lhe.CF--IR and CF -6R shall aho be onsite for fmal im tion.
1. HVAC Changeout RegairedForms;
•All HVAC Equipment replaced
CF -6R forms 04, MECH.MECH-2I-HERS and (forsplit systems) MECH- 25 -HERS
CR4R fornix: MECH- 21 and for split stems WCH 7S
• Condenser Coil and /or.
• ladoor Coll and /or
CF -6R fotaiw. MLI -21-HERS and (fa split systems) MEC& 25 -HERS
• FurnaceCF4R
froom; MECH- 21 and (for split systems) MECII-25
t
For Split Systems: Duct leakage < 15 percent; IRC, CCA_> 300 CFM11 nt(Minimwn Air Flow Requirement), TMAH
For Packaged Units Dud leakage < 15 percent
Exempted fmm dud leakage testing if -
f-01.
0 1.Duct system was documented to hm been previously scaled and confumed dwr iig6 HERS verification, or,
O 2. Duct systcn s with less than 40 linear red in unconditioned space,•or
O 3. Existinp duct systems ars { insulated or sealed with asbestos
O 2. New HVAC stem
Required Forms:
• Cut in or Changeout with new CIMR forms MECH MECH-2040 and (for split
ducts: (all ducting
new and all systems) MECH-22-HERS, and MECH-25-HT:RS
new equipment) CF4R fomes MECH 20-, and (for split systems)MECH-22, and MECH 25
For.SpHt Systems: Dud leakage < 6 p t; RC, CCA > 354 CFMhntt, FWD, TMAH, VMS, and either HSPP or PSPP.
For Packaged Units Duct leakage < 6 percm
❑ 3. New Ducts With Replacement
!Required Forma:
• includes replacing or Installing all new ducting ICF -6R fortes: MECH-04, MECH-20-HERS,and (for split systems) MECW25-FIF.RS
and/or outdoor condensing unit and/or indoor forme: MECH-20 and (for split systems) MECH-25
�CF-4R
croil and/or furnace. Not all equipment changed
For Split Systeme: Duct leakage < 6 pert;a k RC., CCA -e 300 CFM/ton, TMAH
For Packaged Units: Dud leakage < 6 percent
❑ 4. New DuctIng mer 40 feet f
Required Forms:
• Inti» des adding or replaei ng rnow then 40
linear feel of duct in unconditioned '0 t
CF -6R forts; MECH-04, MECH-HERS CF -4R fomes MECH-21 -
For split system or packaged units: Duct leakage < 15 percent
Q • EXCEPTION: Existing duet ems constructed,insulated or sealed with asbestos,
Contractor (Documentation Author's! /Responsible D
Rtwvpo esigner's Declaration Statement)
i
• t Certify that this Cenifirate of Compl num documentation is accun to and complete
• 1 am eligible under Division 3 ofthe California Busirree cad 1Rofessioa• Coote to
. aceip responsibility ruc the desip identirwd on this certificate fComplins
I Certify that the energy features told pwfunnium tpeci cote Df C
u as for the design identified on this Cestirma of Camplianee "the
Pmts t and 6 of the fom wofmm to requ of Title 24,
Calii• Cab of Regulations
i
• The design fetrt m identified on this Ce tifrmte of Cm*iaaee are consistent with the infommtion doctunraaed on orbs tgrplieahte compliance fort; woriaheetr,'
cafe i fans oral 1 stdmdtted m rho
. rnliiresaueru fur with the inti.
Name: I Sigttatntrr
Company: - 1
Date:
Address ,
j Y14I
License: _
City/5fate/Zip I
Phone l�
2008 Residential Conipltame Forms
a
March' 2010,
}
0
Sim lifted Prescriptive Certificate of Com fiance: 2008 Residential HI!AC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Adttress —
En orcein t%Agenry:
Date:
Permit 0.-
O —.5-D
Equipment T i
List Minimum Efficienc 2
Duct insulation requirement
onditioned Floor
Area
Thermostat
O Packaged Unit
11l-F'urnace
❑ AFUE ❑ COP
Over 40 ft of ducts added or
-
etback
l#,Mooi Coil
ER1 O HSPF
replaced m unconditioned space
Served by system
(If not already
[tl�hdensing Unit
O EER ' O' Resistance
-131116 (t Z /0 /3)
320 sf
present, must be
0 Other
❑ R 8 (CZ 14-15)
installed)
L Equipment Type: Choose theequipment being installed; ijmore than one system, use anotherCF-IR-ALT-HVACjor each system.
2. Minimum Equipment-Eolcfencles: 13•SEER.78•1 AFUE, 7.7HSPFjortypical residential systems.
HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The'installer decides what work is being -done and
picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy, of the forms shall be left ori site. for.final,
inspection and a copy given to the homeowner. 'At final, the inspec[or`verifies that the work listed on this form was in fact the work, completed by the
installer. The inspector also verifies thi f each appropriate CF -6R
and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and
.Med.,Deginning October 1 2010 a c tered copy of the CF-111•and CF -6R shall also be ori-sW for tiin'al W'pectlon-
AK. HVAC Changeout '
Required'Forms:
• All HVAC Equipment replaced
CF -6R forms:-MECH-04, MECH-2I-HERS and (for split system's)'MECH- 25 -HERS
CF-411forms: MECH-.2d and fors lit systems) MECH-25
• Condenser Coil and /or
' s i .
• Indoor Coil and/or
CF -611 forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF4R forms: MECH• 21 and (for split systems) MECH-25
For Split Systems.„Duct_leakage < 15 percent; RC, CCA>_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent ,.
Exempted from duct leakage testing if:
O I . Udct system*was documented to have been previously sealed and confirmed through HERS verification, or
❑ .2. Duct systems with less than 40 linear feet in unconditioned space, or.
❑ 3. Existing duct systems are constructed,. insulated or sealed with asbestos
O 2. New HVAC $.stetp_ Required' Forms: 14 `
• Cut in or Changeout with. new CF -6R forms:' MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and'irll
” CF4R forms: MECB20-, and (for split systems)MECH-22, and MECH 25
new equipme'n't),
-.
For Split Systems: Duct leakage < 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSPP or'PSPP.
For Packaged Units: Duct leakage <6 percent
01. New Ducts with Replacement
Required Forms:
• Includes; replacing or installing all new ducting
CF -6R forms- MECH-04,,MECH-20-HERS,and (for split systems) MECH-25-HERS ;
and/or outdoor condensing unit and/or indoor
CF41K forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. "Not all equipment changed.
For Split Systems: Duct leakage < 6 percent, RC; CCA >_ 300 CFM/ton, TMAH
.
For. Packaged, Units =Duct`leak a <6. 6rceni
0 4. New Ductin over`4U feet
R ' aired"Forms:
• Includes adding t replacing more than 40
linear feet of duct in unconditioned space. -
CF-6114orms: MECH-04, MECH-2:I-HERS CF -4R forms: MECH-21
For split system'or packaged u=nits-" Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsibte Designer's Declaration Stateineut)
• I certify 'that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tide 24,
Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forins, worksheets,
calculations, plans ands specifications submitted to the enforcement agency for approval with the peMit application..
Name: 0
Signature:
Comp Date:
Address: / License: X785_33
City/Statc/zip: c� �' Phone: t'10 _ Q s
2008 Residential Compliance Forms March 2010
r
2008 Building Energy Efficiency Standards. Residential HVAC Alterations
La Q:uinta, CA (Climate'Zt ne 15)
BU91NESS AND PROFESSIONS CODE SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit
requirements constitutes a cause for" disciplinary action from the Contractors State License Board working in conjunction with the
local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's
license.
WHEN IS A PERMIT REQUIRED?
A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstructibn,
installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007
California Mechanical Code. Projects requiring permits include, but are not limited to:
• New HVAC installation . Relocation. of an existing HVAC unit
• HVAC Changeout • Adding or replacing more than 40ft ducting
• Replacement of furnace, coil, FAU, or condenser
1. Heating 'equipmenf must have a minimum 78% AFUE (Exception: Wall & floor furnaces.;.room heaters).
2. Central air conditioners &. heat pumps, less than 65,000 Btu/hr must have a minimum 13 SEER.
3.. Newly installed or replaced ducts rtrusf have a minimum insulation value of R-4.2. When more than 40 ft of ducting -will be installed
of replaced, the duct insulation value must be R-6 (.CZ 10-13), or R-8 (CZ 14 and,15).
4: A setback type thermostat (24 hr clock with four setpoints) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirements of Section 150(m):
• All joints and openings in the in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings.
• Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected
using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between
supports and 6 ft. max for vertical runs.
WHEN IS. HERS, VERIFICATION REO.UIRED •AND WHAT FORMS ARE REQUIRED.
HERS verification is required for all HVAC alterations in Climate Zone 10-15. A HERS rater is a special inspector for the building
department- The building inspector may also request to be on site to witness testing by the contractor and/or HERS rater. The installer
picks one of the four options on the CF -IR -ALT -HVAC Form that describe the work being conducted. Each option lists the forms
required to be at the job site for final inspection.
• CF -6R Forms shall be completed and submitted by the installing contractor for final inspection.•
• CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completedby hand), and submitted
by the HERS Rater. for final inspection effective -January 1, 2010.
DESCRIPTION OF HERS TESTS BELOW (Full descriptions found in Residential Appendix %0 and Residential Manual)
Duct sealing — The installer is to insure leakage of the HVAC system is less than 6% for new air conditioning system (new equipment
and all new ducts) or 15%, 60% reduction, seal all accessible leaks, etc. for alterations to existing HVAC systems. When the
contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to.seaII existing ducting. New ducting
installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CFAR "all new
ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed.
Cooling Coil Airflow (CCA) — There are two different minimum air flow requirements that must be. met. These are 300 CFM and
330 CFM. The minimum 300 CFM per ton of cooling is required in order to conduct a refrigerant charge test. For new HVAC systems
(new equipment and new ducts) the HVAC system must move a minimum 350 CFM of air for each ton of cooling.
Refrigerant Charge (RC) — The installer is required to verify the charge is correct. If the outside temperature is below 55 degrees
then the weigh in method must be used by the installer. When the weigh in method is used the HERS rater must retest when the
temperature is 55 and above. A charge indicator display (CID) can be used in place of conducting an RC; manufacturers are currently
developing this device.
Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split.
Hole for the placement of a Static Pressure Probe (HSPP) or Permanently installed Static Pressure Probe (PSPP) — Either the
installer must drill and mark holes to measure static pressure or a permanently installed pressure probe must be installed and marked.
Saturation Temperature Measurement Sensors (STMS) — Permanently installed type K thermocouple are installed on the indoor
and outdoor coil so that the HERS rater can verify charge without attaching gauges. Instructions are found in Ch. 4 of the Res. Manual.
Fan Watt Draw (FWD) = Installer verifies that the furnace fan watt draw is less than 0.58 Watts/CFM.
NOTE: The CF-611-MECH-04 is required for all HVAC alterations.
* For Final inspection ALL compliance forms (CF -111s, CF-6Rs, and CF411s) shall be registered with an approved HERS
Provider for building permit applications submitted on or after October 1, 2010.
Bin #
Qty
Qty of La Qu►nta
u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # f,�i�
Project Address: —71F7&T
Owner's Name:
A. P. Number:
Address: < -
Legal Description:
City, ST, Zip:
Contractor: Lrr sgogy-Telephone:
—/&,o3 Ill.
Project Description:
Address: ��
City, ST, Zip: �•
„9� [./ e:
Telephone: 7
I .5-eee
State Lic. # : 3 City Lic. #; D3n
Arch., Engr., Designer.
—6-
Address:
1%%
City., ST, Zip:fu
i E'�:C ✓� Q O�Zs
`"'"�' �''
Telephone: ; y. 4 �> :{•:
State Lic.
Name of Contact Person:
Construction Type: Occupancy
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: j,2('p
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:67ev
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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctlonsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees