09-0322 (MECH)t
4 4Q"
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000322---� Owner:
Property Address: 53275 AVENIDA HERRERA BATTON TIM
APN: 774-083-013-2 -000000- 53275 AVENIDA
Application description: MECHANICAL LA QUINTA, C
Property Zoning: COVE RESIDENTIAL (
Application valuation: 7000
Contractor:
Applicant: Architect or Engineer: COOL FLO INC
79469 COUNTRY CLU
BERMUDA DUNES, CA
(760)345-6606
Lic. No.: 438781
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of rjury the I am licensed under provisions of Chapter 9 (commencing with
Section 7900k of Division 3 of he us ess nd Professionals Code, and my License is in full force and effect.
Licens ' ass C20 License No.: 438781
_ A
Date: .r --Contra
O R -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, 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, 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.).
(_) 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/09/09
53 ;11n<ZU
92
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, asirrequired 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 NORGUARD INS Policy Number COWCO20693
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any ma r so to become subject to the workers' compensation laws of California,
and agree that, ' I ec me subject to the workers' compensation provisions of Section
/:FAILURE
33700 of the b Code, II forthwith comply with se*provisions.
Dite: `` Applican
WARNIN TO SECURE WORKERS' COM SATION 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 Ouinta, 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 i@prop
ermit, or cessation of work for 180 days will subject
P
mi -to cancellation.
I certify that I a read this application and ve information is correct. I agree to comply with all
city and co y rdinances and state laws reconstruction, and hereby authorize representatives
of this co [ enter upon the above -menti inspection purpo
Date:ignature (Applicant or
L
Application Number . . . . 09-00000322
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.00
Plan Check Fee
8:25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . . 10/06/09
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
----------------------------------------------------------------------------
Special Notes and Comments
INSTALLATION (1)YORK ULTRA HI
EFFFICIENCY 2 STAGE 4.0 TON A/C
HEAT
PUMP PACKAGE 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 8.25
.00 .00
8.25
Other Fee Total 1.00
.00 .00
1.00
Grand Total 42.25
.00 .00
42.25
LQPERMIT
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R
Project Title
Date 0yI %%$uildmg
Permtf# `�-
Project Addressrh
53a7-5 >° i e,e✓t? e ll_
Roof Radiant
Barrier
Installed
Yes or No
=Plan Check /Date
Documentation Author
Telephone
�
EF�eid'Gheck /Date «
'Enforcement A enc :'Use Onl
Compliance Method (Prescriptive)
Climate Zone?"'�
✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ft,
Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ftZ
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) ftZ
✓ ❑ Building Type: (check one or more)1% -- Single Family Multifamily Addition Alteration
(If adding fenestration fill out WS -4 , Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
t
Number of Stories:_ Number of Dwelling Units:
Floor Construction Type: Slab ailed Floor (circle one or both)
Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North
and circle one).
✓ ❑ RADIANT BARRIER (required in climate zones 2, 4, 8 -IQ
OPAOUE SURFACES INCLUDING OPAOUE DOORS
Component
Type ( Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type Cavity
(Wood or Insulation
Metal) R -Value
Continuous
Insulation
R -Value
Assembly U -
factor (for wood,
metal frame and
mass
assemblies)'
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location
Comments
(attic, garage,
icaI etc.
1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R. -values.
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R
Proiect Title ) M l Date
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New
Construction, Additions and Alterations.
Fenestration
#/Type/Pos. Orien-
(Front, Left, tation,
Rear, Right, N, S, E,
Skylight) W1(ft)
Exterior
Shading/Overhangsb
Area U -factor SHGC ✓ box if WS -3R is
U-factorz Source SHGC° Sources included
v
13
13
13
13
13
1) Skylights are now included in West -facing fenestration area if the skylights are 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 column are either NFRC Rated value or from Standards default Table l 16A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading
devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum Distribution
Type and Capacity Efficiency Type and Location
furnace heat pump,boiler, etc. AFUE or HSPF (ducts attic etc.)
Duct or Piping Thermostat Configuration
RrValue Type (split or acka e
v
p
Cooling Equipment
Type and Capacity Minimum
(A/C, heat pump, evap. Efficiency Duct Location Duct Thermostat Configuration
cooling) SEER or EER attic, etc. R -Value Type (split or package)
ri)14 t>i I TAL,
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -IR
Project Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -4R Form must be provided to the building department for each home for which the following. are
required.
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Tank
Capacity
(gaeons
Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
F7___]
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Check box 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 storage type, 50 gallons is the maximum capacity and recirculation system is
Tank
Capacity
(gaeons
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gaeons
Energy
Factor' or
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
System serving multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and
heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2
B.
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -IR
Project Title Date
SPECIAL FEATURES NOT REOUHUNG HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below represents special features relevant to the Prescriptive
and Performance Method.
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
❑
Radiant Barriers
CF -1R
❑
Exterior Shades
WS -4R
N/A; Performance Calculation
❑
Cool Roof
Required. Attach CRRC Label to
Forms..
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
N/A; Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION
add extra sheets it necessary) Indicate to the HERS Rater which credits are part of this project and need verification.
✓ I Feature Required Forms if applicable) Description
Duct Sealing CF -6R part 4 of 12
❑ Refri erant Charge CF -6R part 5 of 12
El Thermostatic Expansion Valve CF -6R part 6 of 12
Residential Compliance Forms September 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAU (Page 5 of 5) CF -IR
Project Title Date
COMPLIANCE STATEMENT
a
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 signedby the individual with overall design responsibility. The
undersigned recognizes that compliance using duct design; duct, sealing, verification of refrigerant charge ,
and TXVs, insulation installation quality, and building envelope sealing require installer testing and
certification and field verification by an approved HERS rater. _
Desi ner or Owner (per Business and Professions Code) Documentation Author
Name:
Name:
Title/Finn:
Title/Firm'. "
Address:
AV..
Address:
Telephone:
3 5.-
Telephone:
License #:
1
(signature)
(date)
(signature) 3 ^ (date)
1
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 1) CF -4R
Project Address [ Batten, Linda 1
53-275 Ave. Herrera / La Quinta / CA / 92253
Builder / Installer
Cool Flo Air Conditioning, Inc.
Builder / Installer Contact
Mike Mengan
Telephone
7603456606
Plan Number/ Permit Number
HERS Rater
James Carmody - CIHIEIEIP4S®ID #CCNJC353361
Telephone
7602185723
Sample Group Number
2
Compliance Method (Prescriptive)
2
Climate Zone 15
Certifying Signature
'v 7 -Date
Sample House Number
Firm
JC & Associates
HERS Provider
CIHJEJEIRjS@
Address
78660 Bradford Circle
City/state/Zip
Ea Quiuta /CA /92253
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
This house was:,/ 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 CF4R may be released on every tested building. 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.
/ The installer has provided a copy of CF -6R (Installation Certificate).
❑ New Ducts are filly ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
❑ New ducts with 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.
v/ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures forfield verification and diagnostic testing of air distribution systems are available in RRCM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
System # 1
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured Valuese:..
'- "^
I
Enter Tested Leakage Flow in CFM
" t ,;,; 161�' .�
2
Fan Flow: Calculated (Nominal: ❑ Cooling D Heating v/ Measured
Enter Total Fan Flow in CFM: )
1600
"'��' "
3
Pass if Leakage Percentage < 6% [ 100 x [ Line #1 /Line #2 ] ]
D Pass D Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
4
1 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
a 4.
5
1 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct
System Alteration and/or Equipment Change -Out.
153
F
6
1 Enter Reduction in Leakage for Altgrgd Duct System [ Line #4 Minus Ling #5] (Only if Applicable),
7
JEnterTested Leakage Flow in CFM to Outside (Only if Applicable).
S
1 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 ] ]
17 Pass Cl 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% [ 100 x [ Lme #5 / Line #11 ]
9.6
y/ Pass D Fail
10
Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] j
D Pass ® Fail
11
Pass if Leakage Reduction Percentage > 60%n [ 100 x [ Line #6 / Line #411 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 Inspection
�"_
❑ Pass ❑ Fail
Pass if One of Lines #9 through #12 Pass
/Pass ❑Fail
Residential Compliance Forms Generated by CIH(EIE(R(S@ http://www.CHEERS.Grg December 2005
04/07/2009 TUE 10:36 FAX La Quinta Bldg & Safety
0001/001
Bin #
City of La Quints
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:a a
Owner's Name: m r7-�j
A. P. Number:
Address: 53cQ75 Ve nid &-' e a -
Legal Description:
City, ST, Zip: A OQ 5 3
Contractor: Ro1
d, [.iT&
Telephone: -
N11
Address: 7 —4 � q 16
ProjectDescription:. j
City, ST, Zip: �' 31TI
6f
Telephone % 3 S Qrz
'yb'< iawfxo4i¢5;'t mJl
M .Tt»frwai£,�'$::!<4 %!til ....
1
State Lic. #: S 2
City Lic. #•: _5
�a >7
Arch., Engr., Designer:.
Address:
City., ST, Zip:
Telephone:
State Lic. #: n; tH' ` y s ? - s
Construction Type: Occupan
Project type (circle one): Add'n Alter Repair Demo
Name of Contact Person. m n
Sq. Pt.:
#Stories: # Units:
Telephone # of Contact Person: _
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 Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
-
: Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor Llst
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Reyiew,.ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees