08-0938 (MECH),, -
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: % ^08-00000938/-_"�,
Property Address: 7871"5—LA PALMA DR
APN: 604-172-009-130 -23269
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500
Tit!t44Q"
Applicant: Architect or Engineer: .
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Lice ns ass: C20 Li c nse No.: 897743
,1'6Date: � `T C rector:
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).:
(_ 1 1, 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 contract's for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I—) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/29/08
Owner:
SALOME LOFTY-MCCARTHY
78715 LA PALMA DRIVE
LA QUINTA, CA 92253
Contractor: D
IAS MECHANICAL INC "� Q
P.O. BOX -2359 ' t
PALM DESERT, CA 9
(88 8) 522 -4 897 SAY 29 20
Lic. No.: 897743 �ll
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 ENDURANCE REINS Policy Number WEN001920001
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 become subject to the workers' compensation provisions of Section
37 0 of the La r Code, shall forthwit y th those provisions.
Dat plicant:
WARNING: F URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
1 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 'ng construction, and hereby authorize representatives
of this co �f/y�t�otenter upon the above-mentioned pr,?---yy//}^�orriinsppectiop.pur
D e: �C V Signatu Applicant or Agentl:�-—L/O/ /
c
LQPERMIT
Application Number . . . . . 08-00000938
J
'
Permit ., . . . MECHANICAL
Additional desc . .
•
Permit Fee . . . . 35.00
Plan Check Fee
6.00
Issue Date . . . .
Valuation•
0
Expiration Date 11/25/08
Qty Unit Charge Per
Extension
BASE
FEE
15.00 .
-1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 11.0000 EA MECH
FURNACE >100K -
11.00
.00 9.0000 EA MECH
B/C <=3HP/100K BTU
.00
--------------------------------------------------
Special Notes and Comments
--------------------------
REPLACE EVAPORATIVE COIL WITH 13
SEER
R-22 COIL. LEAL AND TEST DUCTS,
UTILIZING MASTIC AND DRAWBANDS.
Fee summary Charged
----------- - - - - ------ - - - - ---
Paid Credited
--- - - - - ------ - - - ----
Due
--- - - - - --
Permit Fee Total 35.00
.00 .00
35.00
Plan Check Total 6.00
.00 .00
6.00
Grand,Total 41.00
.00 .00
41.00
LQPERMIT
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
/1
Project Address: _797/S- L Cj<1 A
Owner's Name: S� L6 r t _ �C�� \
A. P. Number:
Address: 7!? -7/ s' Ltq 063 Q
Legal Description:
Contractor: 1`e-V-4cq L J -e t A e,
City, ST, Zip: LCA ,774_ Z2 5' 3
Telephone:
q L
Address:P Pe,--)W1
City, ST, Zip: Pe,--) 1 NaS-P-f^ T- CA '7 Z Z6 %
Project Description: r L� 0 rad I V e
1cc!),(4.Scc-
7
Telephone: 7
U
State Lic. # :g `% 7 ?z{ City Lic. #:
Arch., Engr., Designer:
o I L EAG. AU t-) TSS?— 7-)U C7-5
U G ( Z I AV G 1-4 A-gTiC- d1. iv D lj/Qi4(,� BA�U
Address:
City, ST, Zip:
Telephone: S` l
State Lic. #:
Name of Contact Person: 1J V I
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:?9" 3(?q2?-
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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"d 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
Project itic� Date
14 c
( Project Address -Project
Compliance
Climate 2
l 5;
—OyD�
.age I of 5) CF -IR
Building Permit q
Plan Check / Date
Field Check / Dat@
Alternative Component Package Method: (check one) C p f
• D (Alternative)
Package C and Package D choices require HERS ratan field verification and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-0 Footnotes 8-14 in'the Residential Compliance Manual (RCM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) fe
Average Ceiling Height: ft
Cheek Applicable Boxes
Building Type: (check one or more) Single Family Multifamily
dition
(If adding fenestration filtion
l -out WS -4R, Fenestration Maximum Allowed Area Worksheet and see SectiAlton 9.3 .2
for Additions and 8.3.3 for Alterations in the RCM.) I
• Maximum Allowed Total Fenestration Areai
• Maximum Allowed West Facing Fenestration Area (from W
• Number of Stories: Number of Dwelling Units: (from
WS -4R)
t
(. • Floor Construction Type: Slab/Raised Floor,(circle a or both)
• Front Orientation: North / South / East / West: All Orientations (input front orientation in degrees
from True North and circle one).
O RADIANT I BARRIER (check box if reatkPd!&clime P zones 2.4.8-151
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Frame
Roof, Floor,
Type Cavity
Slab Edge,
(Wood or Insulation
Assembly U -
factor (for wood, Joint
Continuous metal frame and Appendix
Insulation mass I V
R -Value 1 .. _
Roof Radiant Location
Barrier Comments
Installed= (attic, garage,
1) See Joint Appendix [V in Section 1V.2, IV.3, and IV.4, which is the basis for the U -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms
December 2005
CERTIFICATE OF COMPLIANCE; RESIDENTIAL (page 2 ofCF-1 R
Pro ect rifle
Date
FENESTRATION PRODUCTS U FACTOR AND even
0 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R— must be included for New
Construction, Additions, and Alterations.
Fenestration
#lType/Pos. (Front, Orien- Exterior
Left, Rear, Right, tatio Shading/Overhangs6.7
N -3 E WI Area 70 -!
tor SHGC
U-factorz urces curs++ ,. box if WS -3R is
1) Skylights are now included in West -facing fenestration area if the skylightsare 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 cohmm from either NFRC Certified Label or from Standards Default Table 116-A.
3) Indicate source either from NFRC or Table 116-A,
i
4) Enter values in this column from NFRC or from Standards Default Table I I 6 ori adjusted SHGC from WS -3R.
5) Indicate source either from NFRC, Table 1168 or WS -3R
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -31R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual. I
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity Efficiency
Cooling Equipment Minimum
Type and Capacity Efficiency
(A/C, heat pump, evap. (SEER or
Residential Compliance Form*
Type and Location I Duct or Piping
C_
Thermostat
Distribution
Type and Location Duct or Piping I Thermostat
duE attic eft.) R -Value
TjDu
Configuration
I
Configuration
December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL,
Pro ect Title (Pa e 3 of CF -1R
Date
EALED
.. na is
st CF -4R Form must be provided to the building department for each home for which the followin are re
Sealed Ducts all climate zones)Installer testin and certification and HERS rater field verification
I t I readily accessible (climate zones 2 and 8-! 3 only) aired.'
Installer isatin and certification and HERS Rater field verification
p Refrxgeraiit Charge (climate zones 2 and 8-15 on (Installer testing and certification aid u>: o e n .. r
verification required.)
O 1 Euremauve to Sealed Ducts
1
iJ
Features
I DI
For additions and alterations, duct •—.�tems that.11�11uare not riitirit�ot exceedin 408 in len
through field verification and diagnostic testing in accordance c e° ocBVe°
O previously sealed as confirmed
Duct systems with more than 40 linear feet in unconditioned procedures in the Residential ACM Manual.
and duct insulation irements of Packs a D. spaces shall meet the requirements of Section 150(m) .
'ATER HEATING SYSTEMS
13 ".necx oox 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 stora a 50 allons is the maximum c
Check box when using Preapproved Alternative Water Hearinand irouladon stem is not allowed
Manual. No water heatin calculations aro r 8 table, Table 5-4 in Chapter 5 in the Residential
Check box if and the s stem co lies automatical
1] Alternative WaterHeatingtable n et this case, a of`the erfo,standardrmance Method must be used
�' m, and does not comply with the Preapproved
submittal, and must be included in the
O Check box to veri that a time control is iced for a recuculatin stem um for a stem servin multiple items servin sin a dwellln unite See RM Table 5-4, Alternative Water Hatin S stems for recirculation uimultips
unite
Rated Ener�r Tank
Water Heater Distribution Number Input Tank Factor or External
T Fuel T e T (kw or Capacity Thermal Standby' Insulation
in S stem Btu/hr allons Ef)7cienco
Loss /o R -Value
i
em servin multi le dwellin unite See Residential Manual Section 5.3.3
i
Water Heater Rated I Ener Tank
Distribution Number Input Tank Factor�or External
T T
(k
ins stem W or Capacity Thermal Standby' Insulation
atu/hr ( lone EfFicien Loss % R -Value
I
I) For small gas storage water heaters (rated inputs of less than of
Energy Factor. For large gas storage water heaters (rated input of gr t r than Htu/hr)' electric resistance, and heat pump water haters, list
Efficiency and Standby Loss. For instantaneous gas water haters, list Rated Input and ThermBtu/hr)alistEfficiencies. d nput, Recovery Efficiency, Thermal
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating so ie to the kitchen f
that are �/a inches or greater in diameter shall be thermally insulated as specified ixhues
by Section 150 0) 2 A or 150 0) 2 g,
Residential Compliance Forma
December 2005
CERTIFI'm ICATE OF COMPLIANCE: RESIDENTIAL
Project Title P
M a e 5 of CV -11M
e e6.r � k Date
i
Special Remarks '
E
This certificate of compliance lists the building features ands
Parts 1 and 6 of the California Code of Re pecifications needed to comply with Title 24,
certificate has been signedindividual and the administrative regulations to implement them.
compliance using duct design, duct Baling ficah' with alodreign msponsibili This
quality, and building envelope sealing require installer testing and certification The undersigned recognizes that
Want charge and TXvs, insulation installation
approved rater. ation and field verification by an
Comments
Title j
Agency: r
Telephone: I
(si nature/slam
date i
Residential Compliance Forms
December 2005
CN. (mo 4 t f n a ('n f�"; 0 �#
CERTIFICATE OF FIELD VERIFICATION & DIAG OSTIC TESTING (Page 1 of 8) CF4R
ject ;ddress /� Builder Name
I C... oa
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
u lldeerr rnlac
Thone
D
Plan Number
H t
Telghone
Sample Group Number
8
Co li ce th
sc ' tiv
13 Pass ❑Fail
Climate Zone
Certt i TIM."
i 1 - I
L. Date
Sample House Number
Fi
HERS Provider
S t A dyes
Ci
Copies to: BUILDER, MKS PKOVIDEK AND BUILDING DEP I'MKNT
HE RATER COMPLIANC ST EMENT
The house was: ✓ Tested ✓ Approved as part of sample testing, but was not tested
As the HERS rater p viding diagnos c testing and field verification, l certify that the house identified on this form complies with
the diagnostic tested co liance requirements as checked ✓ on this form The HERS rater must check and verify that the new
distribution system is ful ducted and correct tape is used before a CFAR may be released on every tested buil ng. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested
buildings.
P� The installer has provided a copy of CF -611 (Installation Certificate).
CFj 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, rubber 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 RA CM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa) Me4ured
Values
1 Enter Tested Leakage Flow in CFM: Zlfn
2 Fan Flow: Calculated (Nominal: VVooling ✓ ❑ Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM: 100)✓ ✓
3 Pass if Leakage Percentage <_ 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. 3 Q S
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System Y�
5 for Duct System Alteration and/or Equipment Change -Out.
Enter Reduction in Leakage for Altered Duct System (Line # 4) Minus (Line # 5)]
6 (Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ �/
Entire New Duct System - Pass if Leakage Percentage <_ 6%
8
100 x Line # 5 / Line # 2)11
13 Pass ❑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 <_ 15% 1100 x f 0 (Line # 5) / J V00 (Line # 2)]] ` s l Pass ❑ Fail
10 Pass if Leakage to Outside Percentage:5 10% [ 100 x r_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage z 60% [100 x [_(Line # 6) / (Line # 4)]]
i 1 ❑Pass ❑Fail
and Verification by Smoke Test and Visual Inspection
12 Pass if Scaling 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
INSTALLATION CERTIFICATE (Page 3 of 12) CF -
Site Address Permit Number
78-715 La Palma Rd., La Quinta, CA 92253 1 OR—(?I S?
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiencyi
(AFUE, etc.)
>_CF -IR value)
Duct
Location
attic etc.
Duct or
Piping
R -value
Heating
Load
Btu/hr
Heating
Capacity
Btu/hr
Gas Electric
D R -V,
1
SEER
C_
4.2
s
4.2
4.2
4.2
Cooling Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
S stems>_CF-IRvalue)
Efficiency
(SEER or EER)
Duct
Location
attic, etc.
Duct
R -value
Cooling
Load
Btu/hr
Cooling
Capacity
Btu/hr
Split System
Yom
1
SEER
jq
4.2
D
8 K
4.2
4.2
4.2
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
✓ ElI I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractoro. ame) OR Owner
Signature: Date: May 26, 2008
Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms
April 2005