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06-1592 (MECH)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: 5/09/06 Application Number: 06-00001592 Owner: Property Address: 78055 COBALT CT MILLER JOHN APN: 604-023-032- - - 78055 COBALT COURT D Application description: MECHANICAL LA QUINTA, CA 92253 d Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4000 ��� Contractor: O 2006 Applicant: Architect or Engineer: HYDES APPLIANCE PLBG & A/C NC C17Y 77825 WILDCAT STREET OFifiA PALM DESERT, CA 92211 (760)36072202 Lic. No.: 598768 ------------------ 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 Busine Professionals Code, and my License is in full force and effect. License Class: C20 C36 kA Lic se o.: 5 8768 w Aate:���ontractor: OWNER-BUILDE DEC RATION I hereby affirm under penalty of perjury that I am exempt from the actor'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 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 _ 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.). ( 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: 1 `1 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 CLARENDON INS Policy Number 04KR0026985 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 sh ecome subject to t workers' compensation provisions of Section 3700 of the L or de shall forthwith com ly with t se provisions. �i�� w Date: 06k licant: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT N C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI ES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. 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 I& 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 an -state laws relating to bui i co _[ruction, and hereby author' a representatives of this county to enter up he above-mentioned pr, rty for ' spection purRoses. ate: ig.,ature (Applicant or Agent): Application Number. . . . . . .06-00001592 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . Valuation . . . . 0 Expiration Date 11/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE 3 TON A/C SYSTEM 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 Bi" # City of La Quinta Building 81 Safety Division P.O. Box 1504, 78-495 Calle Tampito La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address; 78 _ Owner's Name: "�'( (, (2 A. P. Number: Address: Legal Description: City, ST, Ziptpt ? ,� Contractor: 14\/D6 i t� tl/OIn) Telephone: a Address: �(L/ �'�j� Project Description: City, ST, Zip: F C�Q �Al/2.�� . �k77 Telephone: ��'3 �po, GSL Z ! jcG l � %1rd L- psi State Lic. # : City Lic. #: Arch., Engr., Designer: Address: p City, ST, Zip: Telephone: Constru.tion Type: Occupancy: State Lic. #: Project type (circle one): New Add -'n Alter Repair Demo Name of Contact Person: �, YE� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: /. 600 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 Energy Calcs. 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.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 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Project Title M r Ll_L�- 2 rr K -ress d 5 VICO Z A -t- Author Compliance Method (Prescriptive) Telephone Climate Zone Date 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 -IR page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft2 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 ---- (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Front Orientation: North / 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 OPAOUE 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)' Joint Appendix. IV Reference Roof Radiant Barrier Location/Comments Installed' (attic, garage, Yes or No typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA"which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pag////e 2 of 4) CF -IR -rD Project Title n Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓Q FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. (Front, Left, Origin- Rear, Right, tation, Area U -factor Skylight) N, S, E, W'(ft') U-factor2 Source SHGC4 Exterior Shading/Overhangs6,' SHGC ✓ box if WS -3R is Sources included 13 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the 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 116A, 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 I I6B. 6) Shading Devices are defined 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 fumace, heat pump, boiler, etc. AFUE or HSPF ducts, attic, etc. R -Value Type split or acka e CW_ IRJMI Cooling Equipment Minimum Type and Capacity Efficiency Duct Location Duct Thermostat Configuration A/C, heat pum , eva . cooling) SEER or EER attic, etc. R -Value Type (split or package) CT Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR r �Y1 i L. C E V— U eet Title ' Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution Type 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.) Standby Loss % Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) . OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Proiect 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS .Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per . ❑ dwelling unit. If the water heater is a storage -type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units .Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' tkw or Btu/hr(gallons) Tank Capacity Energy Factor' or Thermal Efficient Standby Loss % Tank External Insulation R -Value System serving multiple dwelling units Water Heater . Type Distribution Type Number in System Rated Input' (kw or Btu/lu) Tank . Capacity (galions) Energy Factor' or Thermal Efficient Standby Loss % Tank External Insulation R -Value 1. For small gas storage water heaters.(rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr),.lisi Rated Input, Recovery Efficiency, Thermal Efficiency. and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 Q) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the vrescriative method. ✓ Feature Required Forms if applicable) Description . ❑ Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -1R CF -6R art 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A;.Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation. Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler. Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION .(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Vol Feature . Required Forms if applicable) Description ❑ Duct Sealin CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion -Valve CF -6R art 6 of 12 Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Permit Number MAd �-Co' 1 AZ i a- 9 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑ DUCT LEAKAGE REDUCTION Procedures forfteld verll(icadon and dlagnosdc tesdng of air distribution systems are available In RACM, Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(ptuhv) x Heating ` 2, i in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: V/ V/Ca 3 Pass if Leakage Percentages 6% for Final or S 4% at Rough -in: ❑ Pass ❑ Fail 100 x (Line # 1 / (Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct I 5 S stem for Duct S stem Alteration and/or ui ment Change -Out. —42 j Enter Reduction in Leakage for Altered Duct System 6 ine # 4 Minus Line # 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage S 6%° for Final ❑Pass 11 Fail 8 100 x (Line # 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- V/ ✓. Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage 5 15% [ 100 x [ _(Line # 5) /t (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage S 10% [ 100 x _(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage z 60% [ 100 x [(Line # 6) / (Line # 4)]] I 1 11 Pass ❑Fail and Verification b .Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins 'on ❑ Pass ❑ Fail Pass If One of Lines # 9 through # 12 pass RIJBIM ❑ Pass ❑ Fail ✓ ❑l, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copia to: BUILDING DEPARTMENT, ITERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005