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07-2930 (MECH)1 P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002930 Property Address: 54960 AVENIDA DIAZ APN: 774-291-025-14 -000000- Application description: MECHANICAL. Property Zoning: COVE RESIDENTIAL Application valuation: 7600 Tiluf " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect 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. Licensee��Class: C20 License No.: 374937 ontractor v / WNER-BUILDER DECLARATION 1 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 (5500).: (_) 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.). (_) 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: n, V I ' Lender's Address: LQPERA11T Owner: LESLIE MANDEVILLE 54960 AVENIDA DIAZ LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX .(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/13/07 Contractor: PALM DESERT AIRC8 COt�jNC 42081 BEACON HZLL �Lt1 f PALM DESERT, CA 92- (� / (760)346-0677. CI Lic. No.: 374937 ��aF,�4QUint— WORKER'S COMPENSATION.DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 kissued. 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, 1 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 , 377100 of ;the ate:�Laor Code, I shall forthwith comply with those provisions. cant aA' WAR� SECURE WORKS ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001. 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 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 conn ordinances and st to laws relating to building construction, and hereby authorize representatives of this c [y to enter upon t above-mentioned property� for inspection purposes. e: � ignature (Applicant or Agent): 0/61-1 Application Number . . . . . 07-00002930 Permit . . . . MECHANICAL . Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date Valuation . . . . 0 Expiration Date 5/11/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH•B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments REPLACE (1) 5 TON HEAT PUMP SYSTEM Fee summary Charged -------------------- Paid Credited ---------- Due ----------------- Permit Fee Total 40.50 ---------- .00 :00 40.50 Plan Check Total 10.13 .00 .00' 10.13 Grand Total 50.63 .00 .00 50.63 i LQPERN11T Bin #City Of La Quints Bed/ding ar Safety Division Box 1504, 78-495 Calle Tampico La Writa, CA 92253 - (760) 777.7012 Building Permit Application anj Tracking Sheet Permit iP.O. %O Project Address Owner's Nam . A. P. Number. AddreSK-�- Legal Description. City. ST, Zip Contractor: .11 Address` 420819FACON p COMPANY It l 1.5107 Project Description: 1 ption:ee�� City, ST, Zip: (760) 94Wn �---� Telephone: w State Lic. 0: L3 7 City Lie_ tk Arch., Engr., Designer. N Address: City, ST. Zip: Telephone: State Lia #: Name of Contact Person: / Construction Typo: Occupancy: Project type (circle one): New Add' Repair Demo Sq. Ft :# Stories: #Units: Telephone # of Contact Person:% - .27Estimatcd Value of Proj . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRAC]MG PERMPr FRIM Plan Sets Plan Check submitted item Amount Structural Calcs. Reviewed, ready for corrections Plan Cb*mk Deposit Truss Calve. Called Contact Petaon Plan Check Balance. Title ZI Cale& Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading pian 2'! Review, ready for correttioasliisane Electrical Subwntaetor List Called Contact Person Plumbing Grant Deed plane picked up S.M.L. ILOAL Approval Plans resubmitted Grading E4 HOUSF-- ''` Review, ready for eorrecdossrsssue Developer Impact Fee Plaaniug Approval Called Contact Person A.T.P.P. Pub, Wks. Appy Date of permit issue School Fees Total Permit Fees T •d Xd3 13CH3Sd1 dH WdbO:L LOOZ El AoN Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT P 'ect le: I 44Date: " /� // ® CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form Is only for use when an HVAC -only alteration is made to an existing home Use one form for each satem-being altered. Thisissystern# of systems altered In this house. Section 6 - Knimum Requirements for Equipment to be tnstalled/Attered. b utslsa equomeM must match hp0ocstbn and most or exceed erAcksnies/R-vokies 28 ConTlpurallort I l3pte system O Package Uni 294P Handler OGes tlxrtaoe. AFUE: • C3Heelpump FAU OHydnonio FAU ❑Other 30 ❑ Excharcer 31 �M hNoorcondensi i OACt % EERMSPF: ER gr 32 or hee can OAJC M 33 O txasbn: (tt): R -value•• All mandatory measures apply to any altered component. See MF -1R - ALT form. Compliance Statement This certificate of compliance tuts the building features and spedfications needed to comply with Title 24, Parts 1 end 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 ITERS rater. Home Owner or Authorized Acient Documentation A t or Name: Name: Address: Company Name: City/Statemp: Address:HNY i'�,LM i�SEfiT a!i CON�117bN1NQ COM.P 49081 BEACON HILL Phone: Gty/State/ZFp: P (760)346AW Phone: Signature: Sign Enforcement A en(Building Department) Notes/Comments: Name: tie: Department: Phone Fax Signature or Stamp. Required forms: CFAR-ALT: by anyone. Required at time of permit application. Conies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by Installing contractor. Required to close pem*. Copies to home owner, enforcement agency, HERS rater_ CF -4R -ALT. by HERS raler. Required to close permit. Copies to. home owner. enforcement agency, Installer. The CF -411 forms for a sample aroup shalt not be released unto all testft and verification is corn feted and passed for the entire ilroup. Version tis -1O -W This form can only be used on projects being verified by CaICERTS certtfied raters. Page 2 of 2 www.caloorts.com E -d Xd3 13C213SU1 dH WdbO:L L002 C1 AON Certificate of Compliance Prescriative Method - HVAC -only Alteration CF -1 R -ALT P I T, .: - ate: �t /� / ® CaiCERTS 2005 Enforcemen c n Pro a limate one: lei uildbv Pemvt M Do ion Au r. on len [31esJc Daae Came' - Field check Date =/—y /-!::� 66) -- IMPORTANT: This CF -1 R -ALT form is only for us en an HVAC -only alteration is made to an Basting home Use one form for each s stem being altered. This is system if of I systems altered in this house. Check all lines that apply- Chack only lines that annly- Scope of Alterations: 10 Air Handier is to be Installed or re0aced. Duct sealing to be lned. Cortigue to nerd ofie. 2 ❑Furnace Cleat exchanger is to be installed or replaced. Dud seal to be determined Continue to next line. 3 tJR n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line 4 cooling or heatin colt Is to be installed or ed. Duct Sealing and/or TXV RCA to be determined. Continue 10 rend fine. E03 than 40 feet of new or replacement duct are t o be installed In yaCOndlti� space, Duct sealing to be determined L3 Check here if the � duct em is also to be nim or replaced. Continue ton (ina 6 ❑ If none cf Ones 1-l6 are checked, neither Duct Sealing nor TXV RCA are required. Go to Section S. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 8 is checked. 7 ❑is tem is in Cimete Zone 1 3, 4, 6, 6 7 or 8. No duct i3 ped. Go to Section 2. 9 13 is tem has less than 40 feet d ducts in uncondticned No duct seali is red. Go to Section 2. 9 ❑ Is system was previously sealed and tested, and was certified by a HERS rater.. , .. , . . dud sealing a required. Attach revtous CF4R form. Go to Section Z 10 E3 his duct system is sealed or insulated with asbestos. No duct &"Ing Is required. Go to Section 2. Note: If the entire dud System is to be new or replaced, Lines 11-14 do not apply. 11 ❑ mate Zones 2.12 and 16: An 0.92 AFUE Nrnace will be Installed in Ilei of dud sees( end TXV if applicable). 12 ❑ mate Zones 10, 13 and 15: An SEER 14 ANaEER 12 condenser w10 be installed w th TXV(RCA) added duct insulation R-4 on .-)deli ducts, R-8 new duds in lieu d dud seat! . Go to Section 2. LnClnude 13 ❑ Zones 9, 1% 11, 13, 14, of 15: An SEER 14 a= EER 12 condenser will be installed with TXV4RCA) a 0.92 AFUE furnace will be installed in lieu of dud seeling. Go to Section 2. 14 ❑ 11n Climate Zones 2. 9, 11, 12, 14 or 16: An SEER 14 MM EEA 12 condenser will be installed with TXV(RCA) an 0.82 AFUE furnace will be installed with increased dud Insulation in lieu of duct sealing. Go to Section 2. 1 SAYINne of lines 7-14 above are checked. Duct Sealing is Required. Continua Section 2 - TXV RCA(Only if Litres 3 or 4 are chucked otherwise aot to Section 3 16 ❑ ThesvatembeirmafttedisapackapourdL NoTXVIRCAlisrewred. Go to Section 3. 17 Q This system le in CBmate Zone 6 and a 14 SEER air conditimer or 0.82 AFtIE furnace is being Instaged. NoTXV RCA is requited. Go to Section 9. 18 ❑ This system is to Climate Zone 1 3-4. 8 6 or 7. No TXV RCA Is Mutred. Go to Section 3. 19 ❑ This system is in Climate Zons 16 and Ina 14 Is not checked. No TXV RCA I9 required. Go to Section 3. 20 ❑ tnft system is in Cl(mate Zone 16 and ina 14 Is checked and not line 18. TXVIRCAJolarequirecl. Go to Sectlon 3. 21 JW IThIs system Is In Climate Zone 2 or S.15 and line 11, 16 or 17 Is not checked. TXV(RCA) is required. Go to Section 3. Sect) n 3 - HERS Rater verification 22 tf line 16 is checked HERS verification is required for Duct Sealing. 23 f line 12,13, 14.20 or 21 are checked and viol line 16 or 17, HERS varifi[cadon is required for TXV RC . 24 pf line 12,13 or 14 are checked. HERS veriflratton Is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ Of lines 11, 12, 13,14 or 17 are checked, upgraded equipment efficiencies are required. Ust In Sectlon 6. Section 5- Duct R -Values 26 ❑ mare then 40 fed d duct is beleg installed or replaced, duct R -value must meet of exceed Package D requitements. 27 O Of less then 40 feet of dud is being Installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see nerd page Version 03-10-05 This form can only be used on projects being verified by CaICERTS certified raters. Page 1 of 2 www.calcerts.com Z -d Xd3 1317213Sd1 dH WdtO:L L002 61 AoN Ca1CF.RTS Page 1 of 2 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 54-960 Aveinda Diaz - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 07-2930 Contractor Contact Telephone Permit Number Paul Van Vlymen 760-777-1724 HER -q Rater _ Telephone �r i '—"— November 29, 2007 Certifying Signature Date 82392 Sample Group Number CC14-1798422974 Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Cooies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the Ca10ERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ Is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R Tested DApproved 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 tgted 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 -611 (Installation Certificate). 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 drawbands are used in combination with cloth backed. rubber adhesive dud taoe to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 2S Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal '•.+' Cooling'.....' Heating) or ... Measured 2000 Enter Total Fan Flow in CFM: 3 N/A N/A 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. Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Dud System 5 for Duct System Alteration and/or Equipment Change -Out. 325 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )J: --�� D Pass LJ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC 'Equipment Change-101ut, use one of the foPowing four Test or Verification 15tandards for compliance, ( 9 it Pees :' Leaizage er'centage _ y$.; [ 10C . q ., ..... '._ _ i i 7 :J-L7°'e P355 :V; e3fl i ( Pegg if Lcakagc to OuCside Percentage < _ ,. 'i%v , i00 x(Line, ' / i ire 2 ) 1: Pass Fjri I 1 P -'s i' iakagP "c''uCT Pe, r e-1,1 a y+:e ?= 6_, ( fQ i x ( Line 6 i Une I )? 7 . Iand i ". r:`�:' S.mok_= Tess ��ls_:al Irmo,_', n ` Pd55 ._._! Fail i i2 pass ;f SCtc;nu ,` aft Acce able ..e'.,.- a .c ,.^"a,- n r.y S--m_,;e Te.r and L ` 17-specuon Fail Pass if One of Linea :g through #12 passi � '� gags .� fa:l ) Ca1CFRTS Page 2 of 2 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 54-960 Aveinda Diaz - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 07-2930 Contractor Contact Telephone Permit Number Paul Van Vlvmen 760-777-1724 82392 115 Rater Telephone Sample Group Number ' J! --- November 29, 2007 <�' �,�;'�.,� \,� � CC14-1798422974 Certifying Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Conies to: Homeowner, HERS Provider and Buildinq Department This CF -411 has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Q Tested DApproved 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 installer has provided a copy of the CF -611 (Installation Certificate). ANSIOR VALVE i AccC» i3 orovided iG; ;i;Si:.2Cu v,,. 1 ne prcc-ec L'.n _I'• ;S :-once=. i' __ ,'is al ve ili;-1-10Vi! _ii,= i it's. TXV i i IliasL6i4cd Vii tide S.YSiciit uiiv �� S:::ii .fir =..�thn � r_!rEr _'^•�i,r'i� -,��( >i+cii be vl:i ft':ed. f ii'v r+i; �y5Cc fli i nv 1 L�' i°bj� � i�Sii