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07-0008 (MECH)rA P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 'f- Application - Application Number: i Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00000008 55385 LAUREL 775 -181 -087 - MECHANICAL LOW DENSITY 2500 T-iht 4 4 Q" VALLEY RESIDENTIAL Architect or Engineer: NA 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: 1�C-2�0 License No.: 374937 ,e: V ` tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: 1 _ 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 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 contractorls) licensed pursuant to the Contractors' State License Law.l. (_ 1 I am exempt under Sec. , 8.&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: STEVE BANGERT 55385 LAUREL VALLEY LA QUINTA, CA 92253 Contractor: I PALM DESERT AIR CONE 42081 BEACON HILL PALM DESERT, CA 9221 (760)346-0677 LiC. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/03/07 D D ry N I '140 NG ! r-ITY QF t� a�iNTA 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 STATE FUND Policy Number 1795546-2007 _ 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �-� Di plicant: WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 tth/is ¢O(�nty to enter up the above-mentioned property for inspection purposes. atD e: " ignature (Applicant or Agent): Application Number . . 07-00000008 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0. Expiration Date 7/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 -----------•----------------------------------------------------------------- Special Notes and Comments REPLACE FAU & COIL 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 FA LQPERI7IT Bin # Qty of La Quinta Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # gj Project Address: Owner's Name: A. P. Number: Address:] Legal Descriptio City, ST, Zi 01111 - • Tele hone: • ':.�:;�<:s>:<::<»:::r:st::::.;�;:x<<:.>.xv` :�%:;:.:;„:;;;..�::::;.;,::•;..��r>:•. Address: • Project Description: City, ST, Zi Telephone:7�Q--35/to �07 n.�:.>•>"::.;:.:":x:• {f �.:>.r;.�r>> State Lic. # City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone:;;•v:y•;:..;::::.:::::.;;<{:<s>'A: :. Construction Type: Occupanc State Lic. #: Project type (circle one): New Add'n Alter epair Demo Name of Contact Person://jL Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760 77 Estimated Value of Project:'a. 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 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:- "d Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I n...sC........ .f PracrrintivP Method - HVAC -only Alteration CF -1 R -ALT Version 03-10-06 Qv� This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com ©CaICERTS 2005 Enforcement en se Onlss: limate Zone:Building Permit # 2m—aationA r: Telephone ?Plan 7 - A2/�m Check Date Field Check Date IMPORTANT: This CF -1 R -ALT o is only for use when an HVAC -only alteration is made to an existing home Use one form for each system bein altered. This is system # of systems altered in this house. Check all linea that apply, Check only linea that apply. Scope of Alterations: n Air Handler is to be installed or re laced. Duct sealin to be determined. Continue to next line. Fumace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 4,W n oor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. coolin or heatin coil is to be installed or r laced. Duct Sealin and/or TXV RCA to be determined. Continue to next line. 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 entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin(Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6 7, or 8. 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 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R form. Go to Section 2. 10 ❑ This duct system 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 sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AM 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 AMU EER 12 condenser will be installed with TXV(RCA) AND 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 MIR 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. Se tion 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system beinq 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 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This s stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 This 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. Section 3 - HERS Rater verification 22 ❑ If line 15 is checked, HERS verification Is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). NY+ 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 S. Section 5- Duct R -Values 26 O lif more 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 Dnne 4 of 7 Version 03-10-06 Qv� This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Ti aaa&�Z- Date: 1/ y/)� ©CaICERTS 2005 IMPORTANT: This CF -1 R -A rm is only for use when an HVAC -only alteration is made to an existing home Use one form for each s s being altered. This is system # of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipme must match type/location and meet or exceed efriciencies/R-values. 28 Configuratlon plit system ❑ Package Unit 2947 Air Handler Mas furnace, AFUE: OHeatpump FAU OHydronic FAU OOther 30 ❑ Heat E=hancier 31 ❑ Outdoor Condensing Unit OA/C OHealpump fficienc SEER/HSPF: 1EER if re d : 32 ❑ Cooling or heating coil OA/C ❑Heatpum ❑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 o uthorized Agent Documentation POhor Name: Name: Address: C m y e: City/State/Zip: Address - Phone: City/ e Phone: Signature: Signature: Enforcement A enc(Building Department) Notes/ omments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -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 CF -4R forms for a sample 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 - Cettlilcate j CF -4R CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING Pa e i of 8 55385 Laurel Vall _-La Project Address . conrracwtVi:r 760-777-1724 Paul Van Telephone HERS RaFebruary 13, 2007 Date Cert/fying Firm: Air Experts Air Conditioning Street Address: PO Box 94 _ uvwt Provider and Building Departm4 This CF -4R has been registered with Palm Desert A/C - Heating / 374937 Contractor Name / Ueense No. 07-8 Permit Number 55777 Sample Group Number CC14-1798396362 Certificate Number HERS Provider:Ca10ERT5 inc. City/State/Zip:La Quinta"/ CA / 92247 registry with the & Title 20 of the CCR. HERS RATER COMPLIANCE STATEMENT The house was []Tested 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 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 -411 may be released on every tested 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 the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu n ducts). d in combin New systems where doth backed, rubber adhesivetape is installed, mastic and drawbands are use ation with cloth .— Ak�km duct tape to seal leaks at dud con IEW CONSTRUCTION Measured Dud Pressurization Test Results (CFM @ 25 Pa) Values N/A 1ke-joile Flow in Q "` �" ' Measured Not Tested 43- n Row: Calculated (Nominal t!-- Cooling Heating) or'._ nter Total Fan Flow in CFM: N/A N/A LLTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -611: : Pm -Test of Existing Dud d Not Tested System Prior to Du System Alteration and/or Equipment Change -Out. Enter Tested Leakage Row in CFM: Final Test of New Duct System or Altered Dud System or Not Tested 5 Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Dud System Not Tested [Line 4 - Line 51 - (Only H Applicable) Not Tested 7 Enter Tested Leakage Row In CFM to Outside (Only if Applicable) 8Entire New Dud System - Pass if Leakage Percentage < 6% [ loo x ( Line 5 /Line 2 )]: Not ed Test❑Pass ❑Fail TEST OR VERIFICATION STANDARDS: ered Duct eor AC EquipmentChagOut use one ohe following fouTst or Verifistem cation Standards for compliance:Not Tested Q Pass El Fail 9 pass if Leakage Percentage <= 15% [ 10o x ( Line 5 / Line 2 )J: Not Tested ❑ Pass ❑Fail 10 Pass if Leakage to Outside Percentage <= 10% [11 100 x ( Line 7 / Line 2 )]: ❑Fail 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 /Line 4 )J Not Tested ❑ Pass 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 InX12 Pass if One of Lines #9 through Pass U Fail 3/5/2007 http s://calcerts.com/certificate_print.cfm?lots=0,55779,55780,5 5781,5 5772,5 5775,55777&... Ca10ERTS certlrlcaie iurel Valley - La QInta 92253 Contractor, S Palm Desert A/C -Heating / 374937 c.ern.lq.ny +yam Firm:Air Experts Air Conditioning City/State/Zip:La Quints / CA / 92247 Street Address: PO Box 94 has been registered with is an approved HERS pr' registry in accordance with the Title & Title 20 of the HERS RATER COMPLIANCE STATEMen The house was }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 dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CII (Installation Certificate). THERMOSTATICual EXPANSION VALVE Access is provided for inspecti of The spro ed re pmshall ent shall f vis verifted riftcation that the Txv is instalie on the system and installati• HVAC System TXV 0 Pass ❑ Fail https://calc,erts.com/cerfificate 1n?lots=0,55779,55780,55781,55772,55775,55777&... 3/5/2007 Contractor Name / License No. 07-8 Telephone .Permit Number 760-777-1724 55777 Telephone Sample Group Number :bruary 13, 2007 CC14-1798396362 Date CertlRcste Number HERS Provider•Ca10ERTS inc. c.ern.lq.ny +yam Firm:Air Experts Air Conditioning City/State/Zip:La Quints / CA / 92247 Street Address: PO Box 94 has been registered with is an approved HERS pr' registry in accordance with the Title & Title 20 of the HERS RATER COMPLIANCE STATEMen The house was }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 dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CII (Installation Certificate). THERMOSTATICual EXPANSION VALVE Access is provided for inspecti of The spro ed re pmshall ent shall f vis verifted riftcation that the Txv is instalie on the system and installati• HVAC System TXV 0 Pass ❑ Fail https://calc,erts.com/cerfificate 1n?lots=0,55779,55780,55781,55772,55775,55777&... 3/5/2007