09-0285 (MECH)t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: i '09-000002851,
Property Address: 80480 WEISKOPF
APN: 762 -100 -017 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8260
Applicant:
Tjht 4 4 Q"
Architect or Engineer:
P11 A
-----------------
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.
License Class: C20 -C43 Li ns No.: 276586
Date: 3�—Dontractor:
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.).
(_) 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 _ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/09
Owner: D
THOMAS PICKFORD n D
80480 WEISKOPF (�
LA QUINTA, CA 9225
MAR 2'
Contractor: 1. 1
DESERT AIR CONDITIONIN
590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Lic. No.:.276586
-------------------7---------------------------
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
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 INS CO OF WEST Policy Number WSD216397401
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 shall forthwith c mp wi hose provisions. '
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 his co my Jo enter upon the above-mentioned propertYD inspection purpos
Date: ature (Applicant or Agent):
Application Number . . . . . 09-00000285
Permit
MECHANICAL,
Additional desc .
Permit Fee . . . .
33.00
Plan Check Fee
10.13
Issue Date . . . .
Valuation . .
0
Expiration Date
9/23/09
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/100K BTU
9.00
.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE FURNACE COIL
& CONDENSING UNIT
(15 SEER).
-----------------=----------------------------------------------------------
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
10.13
.00 .00
10.13
Other Fee Total
1.00
.00 .00
1.00
Grand Total
44.13
.00 .00
44.13
I
LQPERM[T
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
la Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # •
Project Address: — &Q VJj
Owner's Name: G � c
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: Desert Air Conditioning Inc.
Telephone:
:lir •»:; :::%;:;;:::;:<ai:: ^:><: r
Address: 590 Williams Rd
Project Description: (e
City, ST, Zip: Pal
A
0) 1 Q!
Telephone: (7 6 0 323-3383
v•%•: ; �:�<'s:?:i:y iii::;;,;;%:�:;•11
~>
Ad/1
1 Z
State Lie. #: 2 7 6 5.8 6.
City Lie. #: 153
3
Arch., Engr., Designer:
Address:
'City, ST, Zip:
Telephone:
'^::::>:''z:::•;'.:<.;:;;>>.?:« ^:<:::>:»: ~'>
::"-��Sit:ii• is n�,ii'4.
%:i~•i'v ri�:�;i:jti ii::;:i ��: is �:: iiia:. ..
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Todd Shaw
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:( 7 6 0) 323-3383-'
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan ChecIL submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Pian Check Balance.
Title 24 Calcs.
'
Plans picked up
Construction
Flood plain plan
Plans resu-amitted
Mechanical
Grading plan
2nd Review. ready for corrections/issue
Electrical
Subcontactor List
Called Co„tact Person
Plumbing
Grant Deed
Pians pickd up
S.M.I.
H.O.A. Approval
Plans resuomitted
Grading
IN HOUSE:
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Coatact Person
A•I•P•P•
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
1 b
P.01 "
Installation Certificate Prescriptive Methof9 - HVAC -only Alteration OF -SR -ALT
Project Title: r (�
G1Cr(0(`�i 3 1/ 02005CaiCERTS
'reject Address: ts�rero�u �H p ane u610
Climata Zone; BWlmng p�mtrt=
nstahing Contractor:
Todd Shaw
:ompanyName.,
.DeserL Air Conditioning
IMPORTANT: This-CF--6-16
hisCF-6is only for use when an
Use one form for eacli systevn be4)g Paltered. This Ia eysl
fan Coll
in cot
323.3383 11
Fasid Check Oele
VAGorfly entera 6y'on is made to an exit
n systems altered In
'. and Building Department
lase must match e nstal ed equlpm+
or exceed lien cles/R-vals from
Iver Emcmenc Loa
o 5'
WA
WA
NIA
AF UE
SEER
HSPF
SEER
EER'
VT SEER
In some ct►ses the sP. fle furnace iney need to be —%-Li).
erlfled In o cler to n I�acaveda 4wecine EERentation to ve6fg EER.
In some caws a time delay relay tend/or TXV may need to ve vedfied Ili order to achieve a specttic EER.
Loads are sensible for coating.
Ca acities are sensible at deal n conditions for coolin and ad u¢ted Wlftude. dmmriv1/. 6tC. dtt for heatin .
M If TXV is required bythe GF -1 R form (line 23 on CIPAR ALT form, It has been installed and access has been provided for
visual varrficati b RS rater. 5 lin 's allowed for TXV verification.
prely Ptew Wuct System: (Line a of CF -1R t.
❑ For Entirely new duct systems, the required leakage is 6% rather than 10,5 for altered systems. The sitamativa to duct
sealinq
faun , increasin the eM61en of.the til inent is not an o tlan for entire) new duct ems,
gne ve at the equ pment listed above IrL 1) ule OCILIM eqUIPMent Inmaliedn the ome: ) equa o or more c r>a
i required by the Ceraticate ofColnhilance (CI~1R.ALT Fonny and 3) equipmermt that meats or exceeds the appropriate
Wrements for manufactured davlces Aance E Iclency Standards). where applicable.
e undersigned, verify that diagno CIS results li ed on this form were performed in conformance with the requirements for
fpliance and neer I If or vfitied ctman)cal System Comments conform sdth the MandatoryraquiremEtmtS
ciffed in tion ^(m f h 2 5 'ding Ener Efficiency Standards.
fed fin er): v r�
rS: Ddta:
Version o3-10.65
Thi: form can only be used on prcieete bring verified by CaICERTS eartified ratcrc, www.caleertc.com
Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT
ro act I s:
---•�..L' IMPORT�� use when m CaICER T S 2005
Aior Th s CF S ALT form s only for an HVA
C�nty altarpUon Is made to an exisana nn,p
Use one form for each systan being shared. ThIL iz on
-�-
- immmwn Kegtnrements for-[!qulpment to a instefiec Altered. T
In6tansd smi;iGiei
sikn aro! msec er exceed elncteiseR-
28 coM iseRParkowvahrcs.
29 p ACensnace,aPut30 ❑ No4 Exch cNeGHe
32 ❑ Coolin or
N ❑ ova: CHU um CH m„b
cerUficetc of compliance flats the building feehtres and speelficaffona needed to complywlth Title 24, Porta 1 tvid 6 01 the
dura Code la Rll Pr0J o r and the administrative regulations to implement them, This ceroficate has bean signed by the
dual with overall project eller to sibT , tgn ecognizes that compliance using duct sealing, variti tion of refrigerant
iY Th enders undersigned r
is, and TXV require instaaler testing and ceruffm0an and Vermcabon by an approved HERS rater.
! ovmer or Autho►ized Aaant _
G
or
Todd Shaw
Dose=,- Air Condi-lioning
890 Williams Road
Palm Springs CA 92262
760.3U . 3383
R-AL*
by enyonz Requlrad et Uma of pamvt Application. Copia to home owner, anforc�ment agency. HERS rstzr.
R -ALT, by installing contrnctor. RequUad.to close permit. Coplas to home owner, enforeamant agency. HERS retar.
R -ALT: by HERS rater. Regulred to dose penit Copies to home o ner, enforcement egancy, tnsteiler. The CF -4R forms for A
Je aroun shall not be released until atl tasting and variftcetlan is emm�iete.r a.; ,
Tilts Will can only be used on projects being verified by CaICERTS certified raters.
WVN?.CaIcarts.com
p,02
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Certificate of Compliance PrescrinNua MathnA _ r�C_1G_aI r
Proje ' le:
�� C U `
Data:
_ 0CaICERT9 2005
kultorcement et s� n
Pro'ect Address
M�D f
(mate Zone:
15
Building Permit
Documentation Author:
Todd Shaw
Telephone:
323.3383
Plan check Date
Company Name:
Deseru Air CondiCioning
Field Check Date
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 system being altered. This is system ;# of S -stems Altered in this (louse.
Cheek all (hese that angle Qhaek only Mai-, that anniv
Scope Of Alterntionti:
1 ❑
LnIs to be installed or replaced. Duet seal) to be determined. Continue to nextIlne.
2
armee Heat exehan r is to be installed or replaced. Duct sealing to be determined. Conunue to next line,
3
utdoor eondensino unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue toned fine.
4
eootin o hoeting cot is to be installed or replaced. D t Sealin ands T RCA to be diet inetl Continual: neAiine.
5 ❑
ere than 40 feel of nae or replacement duct are to be installed in unundlon-d space, Duct sealing lobe determined.
❑ Check here If the fintlig duet system Is also to be new or replateed. Continue to next line.
6 ❑
if none of lines 1-5 are checked. ndther Duct Sealing nor TXV(RCA) are reauired. Go to Section 5.
Section 1 - Duct Sealing (Only If any of Lines 1, 2. 3.-4 or 5 are checked. Skip if Line 0 is checked.
7 ❑
This system is in Climate Zone 1.3.4.5.6.7. or 8. No duct Waling is required. Go to Section 2.
6 ❑
This Stem has less than 40 fed of ducts in uneondifialed spew. No duct sealing Is required. Go to Section 2,
9 ❑
This system was previously sealed and tested, and was cartified by a HERS rater.
No duct sealing is r uued. Attach previous CF -4R form. Go to Section 2.
10 ❑
This duct system Is seated or Insulated with asbestos. No duct mlin is r Ued. Go to Sectlon 2.
Note: If the entire ducts stem is to be naw or replaced, Lines 11-14 do notapply-
I .11
11 ❑ In Climate Zones 2.12 and 16: An 0.92 AFUE furnace will bo-Inmalled Jr, riftu of duct sgarIng fand TXV if applicable).
12 ❑ In Climate Zones 10.13and 15: An BEER 14 AM EER 12 condenser will be Installed,yhh TXV(RCA)
AND added duct insulation (R-4 coraon eAsting ducts. R-8 nem ducts) in lieu of duct searing. Go to Section 2-
13 ❑ In Climate Zones 0, 10. 11. 13, 14. or 15: An SEER 14 ;M EER 12 condense will be installed with TXV(RCA)
JD a 0.92 AFUE furnace will be Installed In lieu of duet crating. Go to Section 2.
14 ❑ In Climate Zones 2.0, 11. 12.14 a 16: An SEER 14 AM EER 12 condenser MO be installed vrlth TXV(RCA)
LW�an 0.82 AFUE furnace,vlll be Installed with Increased duct Insulation In Ileu of duct sealing. Go to Section 2.
15 12loo, None of lines 7.14 above are checked. Duct Seating is Required. Continue.
Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3
16 ❑ The system beina altered is a pacliatle unit. No TXV(RCA) is required. Go to Section 3,
17 O ThIs sys•en Is in Climate Zone gond a 14 SEER alr eenditla or er 0.82 AFUE furnace Is balsa Inelelled.
NoTXV(RCA)IsreqWred. Go to Section 3.
18 ❑ Thfsrvgein [sin Climate Zane 1.3.4 5. 0 or 7. NOTXV(RCA)Iaraqulred. Go to Sectlon 3.
19 ❑ Thltsoein Is In Cffmate Zone 18 and line 14 Is net checked. NoMMMIsrequired. Go to Sectlon 3.
20 ❑ is system is in Climate Zone 16 ang finp, 14's checked and not line 16, M(MMisroquired. Goto ectien 3.
21 hls system Is In Climate Zone 2 or M8 and line 1-1. 16 or 171s not checked. •TXV(RCA) Is required, Go to Sectlon 3.
Section 3 ERS Rater verification
22 It 151s enecked. HERS verification Is re (rep for Duct Sealing.
23 If tine 12.13. '14, 20 or 21 are checked and not line 18 or 17, HERS verification Is required for TXV(RCA).
24 ❑ If line 12,13 or •14 are checked, HERS Verification is recruited for 12 EER.
Seotion 4 • Ee w ment Efficiencies
2$ 13 11filnesT1,12 13,14 or 17 are checked, upgraded equipment efflclencles are required. List In Section S.
Section 5- Duct R -Values
26 O
ff more the 40 f -t of duct iv bein in9tvllad or r: Iva:d, duct R value mu3, meet or:xvv:d Poal v v p ro uiranan v.
27 ❑
If less than 40 fe-d of duct is being installed or replaced. duct R -value must meet or exceed R4,2
Section 6 -see nerd a e
V of sfan w- f tt-uo Paga 1 of 2
This form can only be used on projects being verified by CaICERTS certified raters, www.calcerts.com
Jun 19 09 12:29p Air Solutions
CaICITS
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTZNG (Page i of 8) CF -4R
80-48 Weisko f - La uinta CA 92253 Desert Air Conditioning / 276586
Project ddress Contractor Name / License No.
Dese Air Conditioning 760-323-3383 09-285
Contra c r Contact Telephone Permit Number
Waite Nelli 760-27S-4919 128611
HERS R ter Telephone Sample Group Number
May 21, 2009 CC14-1798468611
Certiryii g Signure Date Certificate Number
Firm: � Solutions of the Desert HERS Provider:CalCERTS, Inc.
Street ddress: 41-800 Washington St B-105.229 City/State/Zip: Bermuda Dunes / CA / 92203
Copies to: Homeowner HERS Provider and Building Department
This C -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 &,Title 20 of the CCR.
CaICER TS@ is an approved HERS provider by the California Energy Commission.
HERS TER COMPLIANCE STATEMENT
The ho ise was ❑Tested d Approved as part of sample testing, but was not tested.
As the ERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the
diagnos is tested compliance, requirements as checked on this form. The HERS rater must check and verify that the new distribution
system s fully ducted and correct tape Is used before a CF -411 may be released on every tested building. The HERS rater must not
release he CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings.
FA 7 installer has provided a copy of the CF -611 (Installation Certificate).
NE n Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts).
NE N systems where cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used in combination with cloth
b ked, rubber adhesive duct tape to seal leaks at duct connections.
MI IMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT:
NEW CONSTRUCTION
uct Pressurization Test Results (CFM @ 25 Pa)
Measured
values
1
N/A
an Flow: Calculated (Nominal a Cooling Q Heating) or Q Measured
2
Inter Total Fan Flow In CFM:
Not Tested
3
N/A
N/A
ALT TIONS: Duct System and/or HVAC Equipment Change -Out
4
nter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct
Not Tested
ystem Alteration and/or Equipment Change -Out.
5
nter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for
Not Tested
uct System Alteration and/or Equipment Change -Out.
6
Reduction in Leakage for Altered Duct System
rune
r
Not Tested
Line 4 - Line 5] - (Only if Applicable)
7
nter Tested Leakage Flow in CFM to Outside (Only if Applicable)
Not Tested
8
Entire New Duct System - Pass if Leakage Percentage < 60/6 [ 100 x ( Line 5 / Line 2 }J:
Not Tested
❑ Pass ❑ Fall
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC
Equiment Change -Out, use one of the following four Test or.Verification
Stanyards for compliance:
9
ass if Leakage Percentage < 15% [ 100 x ( Line 5 / Line 2 )]:
Not Tested
❑ Pass ❑ Fail
10
ass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]:
Not Tested
❑ Pass ❑ Fail
11
ass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )]
N
Not Tested
11 Pass El Fail
nd verification by Smoke Test and Visual Inspection
12
ass if Sealing 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
p.4
Page 1 of 12
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6/18/2009
Jun 19 09 12:29p Air Solutions
CaICITS
=ICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTI
80-48 Weisko f - La quinta, CA 92253 Desert Air Conditioning / 276586
Project iddress Contractor Name / License No.
Desee Air Conditioning 760-323-3383 09-285
Contrac or Contact Telephone Permit Number
Waltei Nellis 760-275-4919 128611
HERS R ter Telephone Sample Group Number
May 21, 2009 CC14-1798468611
Certifyii g Signat Date Certificate Number
Firm: Air Solutions of the Desert HERS Provider:CalCERTS, Inc.
Street ddress: 41-800 Washington St B-105.229 City/State/Zip: Bermuda Dunes / CA / 92203
Copies o: Homeowner HERS Provider and Building Department
This C -411 has been registered with the CaICERTSp registry in accordance with the Title 24 & Title 20 of the CCR.
CaICEP TS@ is an approved HERS provider by the California Energy Commission.
HERS kATER COMPLIANCE STATEMENT
The ho ise was OTested 0 Approved as part of sample testing, but was not tested.
As the ERS rater providing' diagnostic testing and field verification, I certify that the house identified on this form complies with the
dia nos is tested compliance requirements as checked on this form.
2
installer has provided a copy of the CF -6R (Installation Certificate).
l%Aruc6&Anc-ri%-rYf- FYDANCTnN \/AI yr /TYvi•
Acceis
on th
provided for inspection. The procedure shall consist of visual verification that the TXV is installed
system and installation of the specific equipment shall be verified.
HVAC System TXV ❑ Pass ❑ Fail
p.5
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https:l/w,wvv.cal certs.com/certi ficate_print.cfm?lots=0,128029,128613,128026,128» 8,128027,128611 &... 6/18/2009