Loading...
10-1125 (MECH)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -10-60001125 Property Address: 51325 AVENIDA DIAZ APN: 773-043-022-8 -000000- Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 5600 T4ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Appl?b icant: YArchitect or Engineer: 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: C20 -C36 L�icen�se,No.: 818759 Date: �/� 3 %" Contractor: OWNER -BUILDER DECLARATION 1 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 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 fSec. 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 Owner: TORNAMBE DEBORAH 51325 AVENIDA DIAZ LA QUINTA, CA 92253 ( Contractor: PREC H & A INC P.O. BOX 11090 PALM DESERT, CA 92255 (760)776-1550 Lic. No.: 818759 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/10 ----------------------------------------------- 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 wqrkers' 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 FARMERS INS Policy Number N 2008 71 19 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, Ishall forthwith comply with those p-rovisions. sDate: 4) Applicant: z6/ 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 ($ 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 this county to enter upon the above-mentioned property for i spection p4 oses. i Date: Signature (Applicant or Agent): Application Number . . . . . 10-00001125 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/10.OK BTU 9.00 --------------------- .------------------------------------ Special Notes and Comments -------------------- A/C REPLACEMENT PACKAGE UNIT 5 TON 14 SEER 2007 CODES. -------------------------------------------------------------- Other_Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) -------------- 1.00 Fee summary Charged =---------------- Paid Credited Due -------------------- Permit Fee Total 33.00 -------------------- .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 00 .00 1.00 Grand'Total 42.25 .00 .00 42.'25 LQPERA11T CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 51-325 Avenida Diaz La Quinta, La Quinta CA 92253 Enforcement Agency: Permit Number: (System 1) City of La Quinta 10-1125 Enter the Dud System Name or Identification/Tag: System 1 Enter the Dud System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to I space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled 'Duct Leakage Test - Completely New or Replacement Duct System." Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. G✓ 1. Measured leakage less than 1S% of fan flow n 2. Measured leakage to outside less than 10% of Fan Flow Fj 3. Reduce leakage by 60% and conduct smoke and fix all leaks C] 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Optionsa, 2, or 3 must be attempted.,before,utilizing Option 4.),,_ _ Determine nominal Fan Flow using one ofithe following three calculation methods. ✓ Pi Cooling system method: Size of condenser in Tons ) 5 x 400 =,� 2000 CFM 1 — \ /CFM.y 1 1 _l ,,r ✓ ❑Heating system mjethoC : 21.7 x Output Capacity ty in Thousands of, Bt hr = _ ✓❑ Measured, sys eem airflow using;RA3.3 airflow es procedure : CFM Option 1 used then: 1 Allowed leakage = Fan Flow 2000 x 0.15 = 300 CFM Actual Leakage = 198 CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: 2 Allowed leakage = Fan Flow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reductionCFM ((Leakage reduction _ / Initial leakage x 100% _ 16 Reduction Pass if % Reduction > 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke n Pass 0 Fail I] 10 Reg: 210-A002313BA-M2100001A-M21A Registration Date/Time: 2010/11/15 19:57:55 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms y March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: 51-325 Avenida Diaz La Quinta, La Quinta CA 92253 Enforcement Agency: Permit Number: (System 1) City of La Quinta 10-1125 R Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard.62.2„and)close when.,OA�ventilation,is not:required, may be configured'to tlierclosed position d �ing ducrt'leakage testing? r l W, All supply and return�registe rbootts must be sealed to`the drywall'�if'smoke +test is utilized for compliance — applies to duct leakagefcompliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible, leaks) described above. �r - . ' . .?,�f ` R� New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. 2 Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificates) of Compliance (CF -111) approved by the local enforcement agency. • The Information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) PREC H & A INC Responsible Person's Name: CSLB License: Gerald Dobbins 1818759 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ' © tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798519359 HERS Rater Company Name: Eddie Hernandez Jr Responsible Rater's Name: Responsible Rater's Signature: Eddie Hernandez, Jr. Eddie Hernandez, Jr. Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/5/2010 CC2004518 Reg: 210-A0023138A-M2100001A-M21A Registration Date/Time: 2010/11/15 19:57:55 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT - Climate Zones 10 to 15 Site Address:E orcement Agency: Date- %-3-69 Permit #: Conditioned Floor E ui ment T t List Minimum Efficient 2 Duct insulation requirement Area Thermostat ackaged Unit ❑ Furnace ❑ AFUE ❑ COP Over 40 ft of ducts added orSetback • Indoor Coil OSEER❑ HSPF _ r laced in unconditioned ace ❑ R 6 (CZ 10-13) e � '�,^ Y stem Y Sed b s (1f riot already be ❑Condensing Unit ❑ EER ❑ Resistance � sf present, must ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -/R -ALT -HVAC for each system, 2. Minimum Equipment Efficiencies:, 13 SEER, 78.9 AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1 2010 a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF-01tforms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if O 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. -New HVAC System Required Forms:' • Cut in or Changeout with new CF -6R fortes: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement" " ' Regltl> Porins: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leakage <6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21 linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. r 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the Mrmit application. Name:U ��� Signature: Company: Cr y � f o IJ, ✓ Date: 11-2-V 3- L ) / V • Address: 16, n j License: /-7J- City/Statc/Zip: AW/In O 1-_ � Phone: `T f(/ 2008 Residential Compliance Forms March 2010 CaICERTS - CF -1R Registration L,:e,ti.�r �r _ Home About Us Training Rater Directory Foran Membership Denefits Events Indu," Partners News https://www.calcerts.conVpublic_cflR.cfm?project id=81379 Gerald Dobbins logged in [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 51-325 Avenida Diaz La Quinta La Quinta, CA 92253 CEC Registration: 210-AO023138A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company:IPREC H & A INC Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. CaICERTS Rater ID: Q OR My Rater Quick Select: I ---Select From List Every CaICERTS rater has a license number. If you need to find the rater by name [Click HERE] to search our directory. y SEND CF -1 R TO HERS RATER [CLICK HERE] to do another Copyright ® 2010 CaICERTS, Inc. All rights reserved. Revised: Jamiary 11, 2010 [Terns and Conditions] [Privacy Statement] CaICERTS, Im., 31 Natoma St Suite 120, FolsoM CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax 916-985-3402, E -Mail: info@calcerts.com uBBB 1 of 1 12/3/2010 4:47 PM Bin # City of LQ Quin ta Building a Safety Division t C1 P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S --� v�� �G Owner's Name: A. P. Number: Address: S/-,3�S �h ' q (( L Legal Description: City, ST, Zip: 1 Contractor: V� �L �+ :....... :.... ,.....:a ...: Telephone: / ��?:<�}t„�::x3:r<t{�'o�c``y'.•.:°. Project Description: Address: illsd 7-d j City, $T, Zip:s(/✓� z,z Telephone./ J Q / `i State Lic. # : 7 1 City Lie. Arch., Engr., Designer: ” l 5t- V' Address: r City, ST, Zip: Telephone: State Lic. #: ''? %°' ' , .... ;;; •s;� �....'.� •::.}:;'i' .:t. ,;, ,, ,' >:•$ f;'��i>, �? , • Construction TypeOccupancy:. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: SXj APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan . Pians 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:- `4 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