07-2395 (MECH)-tyl 4
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: 8/24/07
Application. Number: '07*-000023.95 Owner:
Property Address: 78365 TERRA COTTA CT -ELSE SETH
APN: :604-022-033- - - 78365 TERRA COTTA COURT
Application description: MECHANICAL. LA QUINTA, CA 92253'
Property Zoning: LOW DENSITY' RESIDENTIAL
Application valuation:
Contractor: O
Applicant: Architect or Engineer: -IAS MECHANICAL INC AUG..
P.O. BOX 2359' ZQO,
PALM DESERT,.CA 92261. C/n.
(888) 522-4897 F/IygNCL4(,�V�NT
pipe Lic . No.: 897743, FOFpr A
>'
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 Bus' ss 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
License, lass: C20 i n e No.: 897743 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: ` I- -0 Ctractor: + 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. Myworkers' 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 ENDURANCE REINS Policy Number WEN001920001
• 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 hat, if Is 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 ode, shall forthwi0 1 with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �j -
any applicant for a' permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: '•2'7To :cant: -
(_ 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 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
andwhodoes 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, 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.). t whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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 ' 1 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 b ' g construction, and hereby authorize representatives
r of this co y to enter upon the above-mentioned pr e- or inspectio
Lender's Name:, '
e: Signature (Applicant or Agentl: .
_ Lender's Address: _ j -
LQPERMIT . -
Application Number 07-000023.95
Permit . . . . . . MECHANICAL
Additional desc -
Permit Fee 33.00 Plan Check Fee
.8.25
' Issue Date Valuation . . .
0
Expiration Date 2/20/08
Qty Unit Charge Per
Extension
BASE•FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
1.00 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
------------------------------------------------------ ---------------------
Special Notes'and Comments
' REPLACE EXISTING HEAT PUMP, AIR-HANDLER-
IR-HANDLERAND
ANDCONDENSER WITH 16 SEER 2 STAGE
CONDENSER AND AIR HANDLER
Fee summary Charged Paid Credited
-
Due
_
Permit Fee Total 33..00 .0 _0 00
33:00
Plan Check Total 8.25 .00 .00
8.25
Grand Total 411.25 .:00 .00-
41-.25
LQPERMIT
- .
h
Bin #
City of La QuinLQ 71
Building U Safety Division '
P.O. Box 1504, '*495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
-Building Permit -Application-"and Tracking Sheet
Permit•#
a
Project Address:' ''l 36 5 '%y, , C� '
Owner's Name:
A. P. Number: 0 22 7;2
Address: `Z $ -.-3 .%—per^per
Legal Description:
Contractor:�4N z--
"'� /`'l �� /Cct,L N. r_ ,
City, ST, Zip:owfli,-m"CA,007
22
Telephone; 360
p 829
Address: ///���� t n
P(J:yuO' L_3 ✓
Project Description:(Cl �j /��
f.e_m e /-- G.'
City, ST, Zip: P yyt {i e�'T— �¢ Z.Z�p f :
�fp
` ��' . t • P_ ,12, A^;' .
Telephone: g� g - S Z 2'���
.E a x
GL3lV ` t? r�K • 2' SaE
State Lic. # : 3
City Lic. #: %D `3 2 $�
aN lei- ,�, E
Arch., Engn, Designer: a
Address:
City, ST, Zip:
Telephone:
i"
Construction Type: ; Occupancy:
State Lic. #: `
Project type (circle one): New Add'n • Alter Repair Demo
Name of Contact Person:DAV 1/� 1 .
Sq. Ft,:,
# Stories:
# Units:, ,. .
Telephone #.of Contact Person: - 3 TYcf
Estimated Value. of Project: IG0 00
'APPLICANT: DO NOT WRITE BELOW. THIS LINE u
#
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 Cheek Balance
Energy Cates,
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.O.A. Approval -
Plans resubmitted
Grading
IN HOUSE:-
-3rdReview, ready for corrections/issue
7
Developer Impact Fee
u
Planning Pp,. A roval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
1
Total Permit Fees
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR
Project Title _ e
Address
Documentation Author Telephone -
Compliance Method (Prescriptive) 4 S
P ) Climate Zone
Date,/ 2. 20®
Building Permit #
Plan Check / Date
Field Check / Date
Enforcement Agency Use Only
✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative)
Package C and Package.D choices require HERS rater field verification'and/or diagnostic testing (see CF - 1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ft Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C -- (5%X CFA) -ft2
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C _-_ (200/0 X CFA) ft
✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition' Alteration
(If adding fenestration_ fill out WS4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.).
Number of Stories: Z- Number of Dwelling Units:_
Floor Construction Type: 5.413 Slab/Raised Floor (circle one or both)
Front Orientation: o South / East / West / All Orientations (input front orientation in degrees from True
North and circle one).
✓ RADIANT BARRIER (required in -climate zones 2 4 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood
or Metal)
Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation frame and mass
R -Value - R -Value assemblies i
Joint
Appendix
N
Reference
Root Radiant
Barrier Location/Comments
Installed (attic; garage,
Yes or No typical. etc.
1) See Joint Annendix N in cecr;nn Tv I nr 4 --A ,w,
- - - --'- - • • -f ••••_ __ - I— 1c la ivi uic u-tactvi criterion.. u -tactors cannot
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title
Page 2 of 4) CF=IR
A u ce 2-9 ZDV?
Date
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left, Orien-
Rear,
Exterior.
Shading/Overhangs6.7
Right, talion, Area U -factor
Skyli ht) NSE, W'(ft) U7factor2 Source3
SHGC ✓ box if WS -3R is
SHGC'
Sources included
glCvliphtB are nnw inrh,APA;- Q7e C
13
a •-••-'r•••••+�_+ � _ a u V awyllgulS alG LILIeQ LO me west or tilted In any direction
when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table I I6A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC or Table 116B.
6) Shading Devices areAdfined in Table 3-3 in' -the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment . Minimum Distribution
Type and Capacity Efficiency Type and Location Duct or Piping Thermostat Configuration -
furnace, heat Lim ,boiler, etc. AF[lE or HSP (ducts, attic, etc.) . R -Value Tvrie
Cooling Equipment Minimum .
Type and Capacity. Efficiency Duct:Location Duct Thermostat Configuration
,
A/C, heat pump, eva : coolie) SEBR or EER attic; etc: R -Value Type (split i ati e
'ac"I 0011C12
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
ect Title
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF4R Form must be provided. to the building department for each home for which the following. are
rens i n -A
L13 I Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM. Appendix B Table 151-C Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Packa a D.
WATFD Ari ATT%Tfn evOrrml7.Ro
Distribution
T_ype
Number
in System
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required.)
eu
Refrigerant Charge (climate zones 2 and &15 only) (Installer testing .and.certification and HERS Rater' field
verification required.)
Standby'
y
Loss %
nu
L13 I Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM. Appendix B Table 151-C Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Packa a D.
WATFD Ari ATT%Tfn evOrrml7.Ro
Water Heater
Type/Fuel TvDe
Distribution
T_ype
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
0
dwelling unit. If the water heater is'a storage type, 50 gallons is the maximum capacity and recirculation system is '
Standby'
y
Loss %
not allowed.
Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential
Manual. No water heating calculations ardrequired,and the system -complies automatically.
Check box. if system does not meet criteria of "Standard" system, and does not comply with the Pr'eapproved
0
Alternative Water Heating table. In this case,.the Performance Method must be used and must be included in the
submittal.
0
Check box to verify that a time control is required for a recirculating system.pump for a, system serving multiple
units
Water Heater
Type/Fuel TvDe
Distribution
T_ype
Number
in System
Rated
Input' '
p
(kw or
Btu/hr)
Tank
Capacity
(gallons
Ener
Factor or
Thermal
Efficient
Standby'
y
Loss %
Tank
External
Insulation
R -Value
Water Heater
Type
Distribution
T e
Number
in S stem
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor or
Thermal
Efficient
Standby'
Loss %
Tank
External
Insulation
R -Value
- - --o- - - - - .•�•w •r"� �< —a uuan vi cyuat to i:),uuu rsnvnr), electnc resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/hi), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
r tul
ever
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are
_- inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF4R
ect Address��-
c-"
L
22
J
Builder Name
u•lder ontacphone
Enter Tested Leakage Flow in CFM:
�F0
Plan Number
H
Fan Flow: Calculated (Nominal: ✓ ` Cooling ✓ ❑ Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM:
Telephone
Sample Group Number
3 1
Co li ce th sc tiv
❑ Pass ❑ Fail
Climate Zone
Ce rtt i to
'"
(
i J, L
2- Date
Sample House Number
Fit .
Ca tk-�' A,
'7
HERS Provider c I
get A�
/I D
Ci /tate/
'
Copiesto BUILDER, ItS PROVIDER AND BUILDING DEP MENT
HERS RATER COMPLIANCE ST EMENT
The house was: ✓ IX Tested ✓ ❑ 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 -4R may be released on every t ed building. The HERS
rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested
buildings.
The installer has provided a copy of CF -6R (Installation Certificate).
f] 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, tubber 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.
✓ O MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures for field verification and diagnostic testing of air distribution systems are available in RACM. Appendix RC4.3
Duct Diagnostic Leakage Testing Results.
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
�F0
2
Fan Flow: Calculated (Nominal: ✓ ` Cooling ✓ ❑ Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM:
jy
✓ ✓
3 1
Pass if Leakage Percentage:5 6% [ 100 x [_(Line # 1) / (Line # 2)]]
❑ Pass ❑ Fail
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
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
for Duct System Alteration and/or Equipment Change -Out.
6
Enter Reduction in Leakage for Altered Duct System _(Line # 4) Minus (Line # 5)]
(Only if Applicable)
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
❑Pass 13 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:5 15% [100 x [(Line # 5) / (Line # 2)]]
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage:5 10% [100 x L_(Line # 7) / (Line # 2)]]
❑ Pass ❑ Fail
I 1
Pass if Leakage Reduction Percentage >_ 60% [100 x [_(Line # 6) / (Line # 4)]]
and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
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
Residential Compliance Forms
April 2005