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08-0462 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,' CALIFORNIA 92253: Application Number: Property Address: APN: Application description Property Zoning: Application valuation: . Applicant: X08=0000.0.462 c78895' VIA CARMEL 646-430-026- - - MECHANICAL. LOW DENSITY RESIDENTIAL 2500 Architect or Engineer: Qum& BUILDING &`SAFETY .DEPARTMENT+ BUILDING PERMIT Owner: SECK HEINZ R *NOT ON FILE UNKNOWN, CA 99999 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/08 Contractor: PALM DESERT AIR.COND 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and ProfessionalsCode, and my License is in full force and effect. I have and will maintain a certificate of consent to.self-insure for workers' compensation, as provided • License Class: C20 License No.: 374937 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - 1_�; �Antractor.. issued. , X 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 OWNER -BUILDER DECLARATION �th.t insurance carrier andpolicy number are:I hereby affirm under penalty of perjuam exempt from the Contractor's State License Law for the Carrier STATE FUND ' Policy Number 238-0004656-07 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the. performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in anymannerso as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to'the provisions of the Contractor's State . and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by �1 ,` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: te: ?' `t"' pplicant: �, Y" (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' .and who does,the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO -THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' • 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property,' am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner. of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who c6ntracts for the projects with a- contractor(s) licensed _ -- - - 1. -Each person upon whose behalf- this application is made, each person at. whose request and for ' pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, • • 1 ) I am exempt under Sec. , B.&P.C. forthis reason 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. ' Date: Owner: 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 • CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that (have read this. application and state that the above information is correct. I agree to comply with all, work for which this permit is issued (Sec. 3097, Civ. C.). - - city and county ordinances and state laws relating to building construction, and hereby authorize representatives ' of this unty to enter upon e'above-mentioned proper for inspection purposes. ' - Lender's Name: `��,{p, ate. ��" nature. (Applicant or Agent): Lender's Address: • . ca LQPERi11IT . '•Application Number .. . . . .° 08-00000462 Permit MECHANICAL Additional desc . Permit*Fee; : . 33.00 Plan Check Fee 10.63 Issue,:Date : .': Valuation 0 Expiration Date'. 9/10/08 Qty Unit Charge Per Extension BASE ,FEE 15.00 -1. GO- 9.0000 -EA MECH FURNACE <=100K 9..00 .00 11.0000 EA MECH FURNACE >100K .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 1 5 TON SYSTEM, FURNACE AND COIL. - Fee summary Charged Paid Credited: Due Permit Fee Total 33.00 00 .00 33.00 Plan Check Total 10..63 '.00 .00 10.63 Grand Total 43.63 .00 .00 43.63 LQPERMIT - . Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Proj ct T' le" � n Date/41'�� �©CaICERTS 2005 Enforcement A en se'Qnl ; Koji A�i r ss: Clim a one: / Bwldmg Permit # DO u entation Or' Telephon Plan Check Date r Name, � _,. _ i ,Q i Field Check Date , t IMPORTANT: IMPORTANT: This CF -1 R -ALT form is only for use when VAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2A Furnace Heat exchanger is to be installed or replaced. • Duct sealing to be determined. Continue to next line. ❑ n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4/fi11 A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or B. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AUD EER 12 condenser will be installed with TXV(RCA) D added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AUU EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Sedtion 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 e system beingaltered is a package unit. No TXV(RCA) is required. Go to Section 3. 1 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss stem is in Climate Zone 1 3 4 5..6, or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not. checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 is system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 220 Iline 15 is checked, HERS verification is required for Duct Sealing. 2 � If line 12, 13f , 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-1 o -o6 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. wy/w.calcerts.com c`( Certificate of Compliance Prescriptive Method - HVAC -only Alteration . CF -1R -ALT Project T' le: Date: G � • 415F llfIMPORTANT. ©CaICERTS 2005 This CF -1 R -ALT form is only for use when an HV only It tion is made to an existing home f systems altered in this house. Use one form for each system beingaltered. This is Sys # of= Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efficiencies/R-values. 28 Configuralion:Amplit system ❑ Package Unit 29 ❑ Ar Handler eQtas furnace. AFUE ❑Heatpump FAU ❑Hydronic FAU ❑Other 3 Heat Exchanger 30jB� ❑ Outdoor Condensing Unit ❑A/C ❑Heatpump fricien SEER/HSPF: EER if re d : 32 Cooling or heating coil C ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: lLength (f): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: 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 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 HERS rater. Home Owner or Authorized Agent Documentation Adthor Name: Name: Address: Company Name: City/State/Zip: Address: PALM DESERT AIR CONDMONINQ COMPANY 42081 BEACON HILL PAI 04 DESERT CA 92234 -6407 Phone: City/State/Zip: (760) 346-0677 Phone: Signature:. 2g�ure: . Enforcement Agency (Building Department) Notes m nts: Name: Title: Department: Phone #: Fax #: Signature or Stamp: s Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. v ct aiun UJ- i u -Vo This form can only be used on projects being verified by CaICERTS certified raters. Page Z of Z www.calcerts.com N Bin # Qty 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: Owner's Name A. P. Number: Address: Legal Description: City, ST, Zip Contractor:PALM DESERT AIR CCNDITIONINt I COMP Telephone: — Address: PALM DESERT, CA 92211.5107 846 06P Project Description: (IN) City, ST, Zip: Telephone: ele P State Lic. # : City Lic. #•: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: , Project type (circle one): New Add n( ter Repair Demo Ft.: #Stories: it .1 Name of Contact Person:Sq. Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 211 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 Permil Fees Ca10ERTS Page 7 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 78-895 Via Carmel - La Quinta, CA 92253 Palm Desert A/C - Heating 1 374937 Project Address Contractor Name / License No. 08-00000462 Contractor Contact Telephone Permit Number Pu Van VI men 760-777-1724 H RS ater Telephone �I \',\ — -"/ pril 28, 2008 Certifying signature Date 95203 Sample Group Number CC14-1798435786 Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CalCERTS, Inc. Street Address: PO Box 94 City/State/Zip: La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Deaartment This CF -4R has been registered with the CalCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTS0 is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was aested R Approved 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 tested 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 retums in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are uses In combination with cloth backed, rubber adhesive duct tape to seal leaks at dart rnnnPrtinne MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM Cal 25 Pa) Mea;ured Va: ues 1 WA 2 Fan Flow: Calculated (Nominal '••_:' Cooling `•._ : Heating) or'••_..' Measured Enter Total Fan Flow in CFM: Not Tested 3 WA 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 Dud System Alteration and/or Equipment Change -Out. Not Tested 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Dud System Alteration and/or Equipment Change -Out. Not Tested 6 Enter Reduction in Leakage for Altered Dud System (Line 4 - Line 5] - (Only If Applicable) Not Tested 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New Dud System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: Not Tasted ❑ Pass ❑ Fall 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 ( Line 5 / Line 2 )]: Not Tested El Pass ❑Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Not Tested ❑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 ❑ Fall Ca10ERTS Page 8 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 81 CF -4R 78-895 Via Carmel - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937, Project Address Contractor Name / license No. y 08-00000462 Contractor Contact Telephone Permit Number PaUl Van VI men 760-777-1724 95203 H R ater Telephone Sample Group Number April 28, 2008 CC14-1798435786 Ce ifying 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 Copies to: Homeowner, HERS Provider and Building Department This CF, 411 has been registered with the CaICERTS0 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 Tested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identlfled on this form complies with the di a nostic tested compliance requirements as checked on this form. The Installer has provided a copy of the CF -611 (Installation Certificate). LJTHERMOSTATIC EXPANSION VALVE TXV : Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV ❑ Pass ❑ Fall r• , a , } r• , Y Y }