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08-1594 (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 Date: 9/18/08 Application Number: 08-00001594, Owner: Property Address: 78736 VIA CARMEL HOWARTH RESIDENCE APN: 646-430-007- - - 523 W. 6TH STREET #728 Application description: MECHANICAL LOS ANGELES, CA # Property Zoning: LOW DENSITY RESIDENTIAL LOS ANGELES, CA 900140 Application valuation: 43-957 - Contractor: � O Applicant: Architect or Engineer: DESERT AIR CONDITIONING, I, C.590 WILLIAMS SPRINGS, RCAD92264 Cl— PALM (760) 323-3383 �" F Qdl1 LiC. No.: 276586 Y r�Q�r�DFpTTa 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 ]BUSKinand Professionals Code, and my License is in full force and effect. License Class: C20-1743 is se o.: 276586 Date:Contractor: A JF 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).: ( _) 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.). 1 _) 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.). I— 1 I 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 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. 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 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 '�/Jp/�/(w 3377000 of the Labor -Cod , hall forthwith comply I hose provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' 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 c uction, and hereby author'ze r resentatives of this co ty t enter upon the above-mentioned property fo n ction purposes. Date: /19A 0 Signature (Applicant or Agent): . Application Number . . . . . 08-00001594 Permit MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/17/09 Qty Unit Charge 'Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ---------- 24.00 -------------------- .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 LQPERMIT Bin # City of La Quinta • Building at Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Permit #P.O. 6q+ f Building Permit Application and Tracking Sheet ' g Project Address: 7 �`� r(0e I A. P. Number: Legal Description: Contractor l:., . Owner's Name: ' © �C� -r Address: City, ST, Zipt 6)PS lL�►/ Telephdne: Address: I Q �' I �/�}S City, ST, Zip: ��%� CC Telephone Project Description: I State Lic. # : - City Lic. #: Arch., Engr., Designer: Address: ' I City, ST, Zip: Telephone Construction Type: Occupancy: State Lic. #: Name of Contact Person: Project. type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone of Contact Person: Estimated Value of Project: S3 00 i APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING . PERMIT FEES PIa11 Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Calcs. Plans picked.up Construction I, Flood plain plan • Plans resubmitted Mechanical I Grading plan 2"d Review, ready for correctionsrissue Electrical Subcontactor List Grant Deed Called Contact Person Plans picked up` Plumbing S.M.I. I H.O.A..Approvaf Plans resubmitted Grading I IN HOUSE:- 7rd Review, ready for corrections/issue Developer Impact Fee Planging Approval Called Contact Person A,I,P,P, I Pub. Wks. Appr School Fees Date of permit issue Total Permit Fees Frida} uiy 25, 2008 613 PM Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT P.01 Proj Tits: ,, / //� G��� 40 V v`t Date: Cx, — (J 0 2005 C810ERTS Ger roinsal Aaqmcv Wo O Project Address: r / / — 1� � • 6 rhe/ Climat Zone: 15 to W4V POW 4 installing contractor: Todd Shaw Telephone: 323.3383 Plan check Data Company Name: Desert Air Conditioning Freta C mck Data IMPORTANT: This CF -6R 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 0_L of I systems altered In this house. Copies to; Homeowner, HERS Rater, and Buildin arlment List the sped cations for the newly Installed equipment hese must match M Installed equipment exactly. Installed equipment must match eAocation and meet or exceed effidancles/R-values from CF -11R. E ui ment Type Manufacturer Model NumWr Efficiency Load" Capacity- urnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hyaron c Tan coil NrA Other FAU Describe Package gas/AC AFUE SEER Package hestpump HSPF SEER EER' AIC Condenser / l_. (. / _ T SEER eatpump condenser HSPF SEEN— E RIndoor IndoorDX coil �G EER' Hydronic coil Provide EER if needed for compliance (line 24 of CFA R -ALT). 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 wiling. '-' Capacities are sensible at design conditions for cooling and adjusted altitude, downflow, etc.output for healing. TXV: M If TXV is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sawpling is allowed for XV verification. Entirely New Pvqt System: (Lino 6 of -1R ALT) 0 For Entirely new duct systems, the required leakage is 6% rather than 159/9 for altered systems. The alternative to duct seallna by Increadn 9the effIcleng of the equigment Is not an option for entire) new duct s Mems. he undersigned, venly met me equipment i e above s } the actual equipment n n me ome: ) equal or more efficient an required by the Certmcate of Compliance (CF -1R -ALT Form): and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards). where applicable. I, the undersigned, verify that diagno . test results listed on this form were performed in conformance with the requirements for compliance and that the newly inste ed or retrofitted mechanical system components conform with the Mandatory requirements specified in S ' n 150( ) of a 5 Building En Efficiency Standards. J7"- q -- I ?' 0 Signed In I : Date: Notes! Version 03.1x06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcortc.com • — . — - .. _ .... % a p.02 Certificate of Compliance Prescriptive Method - Wvac:-nMi„ Alf=, 6:.,., 1"%W ,e Ar T '10� Title! — —..., .. ..r �. W" v1 -I IAI^L. 1 ®CdICERTS 2005 IMPORTANT: This CF 1 R -ALT form Is only for use when en HVAC�oltly alta tion Is made to an existing home Use one form for each stem beim altered. This is em # / of tems altered in this house. Section o - Minimum RegUrem for Equipment to be Instslled/Aitered. Instalsd egatpme rct matchtypellocetion end meet 1.cead ellklsmiaelR-values. 28 Conn u allon; a syrism 0 P60(a a Vill 29 ❑ Aa Mandier _ amea um FAu C2M rage rAu Cotter 30 ❑ Ment Exette er 31 13onsim UFA Heat um d 32 ❑ Coorm orheath cal A1C OHeat Ian 13H rordc 33 ❑ Dudf oeetlon Len It p1>; Al mandetor measures a to an eitered component See MF -1R -ALT fonn. ompanteamen This certificate of compliance tlats the building features and specifications needed to comply with Title 24, Parts 1 and 8 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 A ent Document0on Author m , Na // G� ( (77P' ©(/ (t it Name: Todd Shaw Address: %�— Company Name: Desert Air Conditioning p;AO OLA C" (' rose: 590 Williams Road Phone: - 3"), - Q 2 VState/ap. Palm Springs CA 92262 Phone: 760.323.3383 Signature: Signature: Enforcement Agency Bul dln aitnent Notes/Comments: Name: Title: Department: Phone #: Fax 1f: Signature or Stamp: equ reforms: CF-11R.ALT: by Anyone. Required at time of permit application. Copies to home owner, enforcement agency. HERS rater. CF•6R-ALT: by Installing contractor. Requlrad to close permit. Coples 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 sem le rou shall not be released until all testingrifi and vecation is completed and Passed for the entire ou . version o5-10-90 Page 2012 This form can only be used on projects being verified by CaICERTS certified raters. www.c dcw%.corn Certificate of Compliance Prescriptive Method - HVAC-oniv Alteration CF -1 R -ALT PW_T7�6 DC (dl�t�fi Va� %db �/ Dscamrn CaICERT3 2005 en Use Proj Address; 6 ��� Climate Zone: 15 Building Perms: Documentation Author: Todd Shaw Telephone: 323.3383 Plan Check Date Company Name: Desert Air Conditioning Feld Check Date IMPORTANT; Thls CF -1 R -ALT form Is only for use when an HVAC -only ation Is made to an existing home Use one form for each system bein altered. This is s stem alta # of systems altered in this house. c`hQck ell Ilnafa that aeDlDiv_ Swpe of Alterations: 1 ❑ r Handler Is to be Installed or replaced. Duct sealln to be determined. Continue to next line. 2 WKjYmnece Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 door condensma tacit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined, Continue to next line. 4 cooling or hosting goilis to be installed or replaced. Duct Sealing and/or TXV(RCA)tobe determined. Conlinuetonext line. 5 ❑ ae than 40 fed of new a replacement duct are to be invtelled in unconditioned space, Duct seeing to be determined, ❑ Check here If the z2h duct em Is also to be new or replaced. Continue to next Ilne. 6 ❑ Ilf none of lines 1-5 are checked. neither Duct Searing nor TXV(RCA) are reouired. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1. 2, 3. 4 or 5 are checked. Ski if Line 6 is checked. 7 ❑ Thiss stem is in CAmateZone 1. 3. 4.5. 6.7. or 8. No duct sealing is required. Go to Section 2, 8 ❑ This system has less than 40 fed of ducts in unconditioned spew. No duct sealing is required. Go to Section 2, 9 ❑ This system was previously sealed end tested, and was certified by a HERS rater. No duct sealing is reQuired. Attach PrWous CF -4R form, Goto Section 2- 10 ❑ rhIs duct system Is sealed or Insulated with asbestos. No duct sealing Is required. Go to Section 2. Note: If the entire dLICt system is to be new or replaced, Lines 11.14 do not apply. 11 ❑ 'In Climate Zones 2 and 18: An 0.82 AFUE lUrnacewlll be Installed In lieu of duet sealing and TXV If applicable). 12 ❑ In Climate Zones 10, 13 and I5: An BEER '14 A= ECR 12 condenser wig be Installed with TXV(RCA) D added duct insulation (R-4 wrap on e"ing ducts, R-8 new ducts) in lieu of dud sealing. Goto Section 2. 13 ❑ In Climate Zones 0, 10. 11. 13.14. or 15; An SEER 14 6= EER 12 condenser will be installed with TXV(RCA) D 2 0.92 AFUE fumaee will be Imaged In tieu of duct Baling. Go to Section 2. 14 ❑ In Climate Zones 2, 0, 11, 12, 14 or 15; An SEER 14,9pta EER 12 condenser will be Installed with TXV(RCA) Akt�an 0.82 AFUE furnace will be Installed with Increased duct Insulation In Ileu of duct sealln . Go to Section 2. 15 one of lines 7.14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked. otilerwise act to Section 3 16 ❑ The system beinq altered is a Pack -age unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This "an Is In Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace Is being Installed. NoTXV RCA Is required. Goto Section 3. 18 ❑ his em Is In Climate Zone 1.3 4 5 8 or 7.oTXV RCA Is r ulred. Goto Seetlon 3. 10 ❑ This system Is In ClimateZone 16 and line 141s net checked. NoTXV(RCA)Isregulred. Go to Section 3. 20 ❑ Thiss1stern is in Cgmat Zone 16 and lie 14 is checked and not line 16. TXV(SMismuirodiv GotoSectlon3. 21 his system Is In Climate Zone 2 or 8-15 and line 11, 18 or 171s not checked. TXV(RCA) Is required. Go to Section 3. Sedorl,3' HERS Rater verification 22 [� i e 15 Is cnecKeo. HERS vermcat)on is re ired for Duct Sean 23 If Ilne 12 13, 14, 20 or 21 are checked and not line 18 or 17, HERS verification Is required for TXV(RCA). 24 ❑ If line 12.13 or 14 are checked. HERS verlficatlon Is required for 12 EER. Seotion 4 - Equipment Efficiencies 25 ❑ IN lines 11,12, 13. 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26 ❑ lif more then 40 fact of duet ie boinci inetallod or r leood, duot R-Wlvo meet most or exce6d Pooko o D roqLdrGmanto. 27 ❑ Ilf less than 40 fed of duct is being installed or replaced. duct R -value must meet or exceed R-4.2 Section G - see next a e Version 03-10.06 Pagel of 2 This form can only be used on projects being verified by CaICERTS certified raters, www.calcerW.com