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11-1216 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001216 �v - Property Address:790.85 VIA CORTA APN: 649-460-015- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 400 BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT Owner: STEVEN JAFFE 7.9085 VIA CORTA LA QUIN VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: " 11/08/11 Applicant: Architect or Engineer: QUALITY MECHAN ,CAL PROF✓ 1536 FAYETTEl S EL CAJON, • 92�'v?�T-4 (619)449-2 35 tA1 C ~INT'A Lic. No.: 794199 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury t m licensed under provisions of Chapter 9 (commencing with I hereby affirm under penaltyof perjury one of the following declarations: Section 7000) of Division 3 of the B rte 'onals Code, .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 CI ss: C20 se No.: 794199 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is / issued. ate: l 1C tractor: - 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 permitis issued. My workers' compensation NER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I m empt from the Contractor's State License Law for the Carrier MARKEL INS CO Policy Number MWC0000778-01 following reason (Sec- 7031 .5, Business avid Professions Code: Any city or county that requires a permit to - _ I certify that, iri 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 any manners 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 s 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 bor tial o h i h 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 - _ any applicant for a permit subjects the applicant to a civil penalty of not. more than five hundred dollars ($500).: ate: pplicant: (_ ) 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 WARNING: AIL RE TO SECURE WORKERS' PENSATION 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 PEN LT S 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 TOT OST 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 -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 Cade: 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 contracts 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. BAP.C. for this 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 - 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: •� A LQPERMIT 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 bove information is correct. I agree to comply with all city and county ordinances and state laws relating to u' pnw.ction, and hereby authorize representatives of this co my to enter upon the above-mentioned p erty s tion purposes- D.01, Uv � - ' nature (Applicant or Agent): ' • Application Number . . ... 11-00001216 Permit MECHANICAL'" ; Additional desc .. . Permit Fee. . . 21.50 Plan Check Fee 5.38 Issue Date Valuation 0 Expiration Date ..5/06/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.5000 EA MECH.OTHER MECH EQUIPMENT 6.50 v Special Notes and Comments. INSTALL NEW INDOOR COIL. 2010 CODES. -------------------- - -------- Other Fees . ----- -- . . . . . . BLDG STDS ADMIN (SB1473) 1.00 " Fee summary Charged Paid Credited : : Due Permit Fee Total 21.50. .00 .00 21.50 Plan Check Total 5'.38 .00 .00 5.38 Other Fee Total 1.00 .00 .00 1.00 Grand Total 27.88 .00 .00 27.88 Sino l>ified;Prescriptive'CerYtfi:cAte'of Cortipli • - .Cliinate'Zories'l0.to:]5 Site Address:' 20WResideationS. ' CF -1 Lnj rcetnent Agency: Date: Equipment T' z Conditioned Floor List Miriirtium Efiicienc Duct insulation re uirement Area Thermostat O Packaged Unit O Furnace O AFUE_ .❑ COP Over 40 ft of ducts added or O Setback Indoor Coil OSEER OHSPF — feplaced to unconditioned space Servec by system (Jf.noi already Condensing Unit O EER ❑ Resistance O R 6 (CZ /0-13) sf present, must be O Other OR 8 (CZ 14-15). installed) 1. Equipment T}pe: Choose rhe equipment being installed. ijmore than one system, use another CF -I R-ALT-HVACjor each system. 2. MJnitnunr Equipment 460dencies: 13 SEER. 78% AFUE. 7.7HSPF or f typical residential systems. HERS VERIFICATION Sl,'MMAR .Listed below are four HVAC alteration Options. The installer deci-les what work is being done and ropriate O picks one of the appptions. Each Option lists the HERS measures that must be conducted A copy of rte 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 CF-4Rs allowed) are filled out and signed. Be inoin October 1,'2010 a r tired co of the CF -1R 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 -411 forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HEMS • Furnace CF -4R forms; MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requiiement), TMAH For Packaged Units: Duct leakage < 15 percent I.cempted from duct leakage testing if: O 1 Duct s'stem was documented to have been previously sealed and confirmed through HERS verif•cation, or O 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos O 2. New HVAC S stem Required Forms: • Cut s: al Chang outducting 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 nci all new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFMhon, FWD, TMAH, STMS, and -ither HSPP or PSPP. For Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement Requtred' Forms: • Includes replacing or installing all new ducting CF -61K fortes: MECH-04, MECH-20-HERS,and (for splk systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20'and (for split systerns) 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: • Include., adding or replacing more than 40 linear feet of duct in unconditioned space. CF -611 forms: MECH-04, MECH-2I-HERS CF4R fortes: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts sterns -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. 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. • 'i he de -sign features identified on this Certificate of Compliance are consistent with the information documented on others applicable compliance forms, worksheets calculations, plans and specifications submitted to the enforcement agent: fora royal with 1 Name: — on. Company: D'% C C l I,� . Date: d r t 1 Address: 5 License: � ) City/State2ip: _ V l �^ ��a� \ ,J Phone: - Y(5 - )?3S 2008 Residential Compliance Forms March 2010 Bin # '. City of b Quinta .' Building & Safety. Division .. P.O. Box 1504, .78-495 Calle Tampico' La Quinta, CA 92253 = (760) 777-70 f2 Building Permit Application and Tracking Sheet Permit # 1D .All Project Address: Owner's Name: j J A. P. Number: ' / Address: V ..4 Cz (L Legal Description: City; ST, Zip: �— A @v„�1�{� G� - aas3 . Contractor: Q J C� \ Telephone: Address:. I s 3rtQ S� Project Description: City, ST, Zip: l•--- G r 1 Co, Telephone: I State Lic. # : I City Lic. #. Arch., Engr.; Designer: Address: City, ST, Zip. Telephone:` : av , •. State Lic. #:.w *<<4 ,;`3:..<' Name of Contact Person: Construction Type:Gcc an Project circle,one): New Addh Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: no Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact PersonPlan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted MechanicLI 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 . PIBns 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 F1 I - 4. I- Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 SiteAddress:79085 Via Corta, La Quinta, CA 92253 Enforcement Agency: Date: 12/23/2011 Permit#: Conditioned Floor Equipment T e] List Minimum Efficiency 2 Duct insulation requirement Area Thermostat ® Packaged Unit Furnace ® AFUE ® COP Over 40 ft of ducts added or 0j Setback ® B Indoor Coil BEER13 HSPF ® re laced in unconditioned space p �R 6 (CZ 10-13) Served b system Y f 3300 sf already must be Condensing Unit ® EER Resistance present, present. ® Other R 8 (CZ 14-15) installed) I. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC fcr each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four 1-IVAC 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 iry fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -1111 and CF -6111 shall also be on site for final ins :ection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MSCI -1- 25-1-IERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MUCH- 25 -HERS CF -4R forms: 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: ® 1. Duct system was documented to have been previously sealed and confirmed through HERS verificatiork or ®2. Duct systems with less than 40 linear feet in unconditioned space, or 3. Existing ducts stems are constructed, insulated or sealed with asbestos ®2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECI-1-20-FIERS,and (for split systems) MSCI -1 -22 -HERS, and MECH-25-FIERS ne�v equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MSCI -I 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either NSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ® 3. New Ducts with/or without Replacement Required Forms: • 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 coil CF -4R forms: MECFI-20 and (for split systems) MECFI-25 and/or furnace. No or some 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 linear feet of duct in unconditioned space. CF -6R forms: MECI-1-04, MECFI-2I-HERS CF -4R forns: MECH-21 For split s stem 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 cn this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance confo-m 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 documenon other applica.3le compliance forms, worksheets, calculations plans and specifications submitted to the enforcement agency for roval with the lic tion. Name: f uStin Parsons Signature: Company: Quality Mechanical Professionals, Inc ate: 12/20/2011 Address: 1536 Fayette St., License: 794199 City/state/Zip:El Cajon, CA 92020 Phone:619-449-2735 2008 Residential Compliance Forms March 2010 Certificate of Field Verification prescriptive Method - and Diagnostic Testing HVAC- nly Alteration CF -4R -ALT Project Title: Date: 1 Z ©2035 CaICERTS, Enforcement Agency Use Only Project Address: Climate Zone: Building Permit # -7q OSS \/14, Cotzxz� �^ Q•A;1 f. lT"r� Installing Contractor: Telephone: Plan Check Date - CaICERTS Rater Name: Telephone: Field check Date Rat(er'r's Company Name: CaICERTS Rader ID #: IMPORTANT: This CF -4R -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 #—/I_ of –_L systems altered in this hoose. Do not release CF-4Rs for a sample group until all verification and testing in the group is completed and passed. Copies to: Homeowner, Installer, and Building Department Hers Rater Compliance Statement: As the HERS rater providing diagnostic testing and field verification, I certify that the house iden_ified on this form complies with the diagnostic testing compliance requirements as checked ✓ on this form. I alsc certify that I have followed all proto Is and procedures as required by the CaICERTS Rater Agreement. Signed: ---- — _—_ Sampling ❑ st ❑ Re -test (attach previous CF -4R -ALT) ❑ This house is NOT part of a sample group. ❑ This house passes all necessary tests. Rater to sign HERS rater compliance statement above). ❑ This house did NOT pass the necessary tests. Retest required. See notes below and next page. ❑ This house is part of a sample group Other houses in the group include (max 6): Home owner's last name/Street address/City 1) - 2) 3) 4) 5) 6) ❑ This house passes all necessary tests. (Rater to sign HERS rater compliance statement above). All homes in sample group will be issued CF -4R certificates from CaICERTS registry. ❑ This house did NOT pass the necessary tests. Retest required. See notes below and next page. ❑ This is the first house to fail in this group. (Select one of the above homes -or second test). ❑ This is the second house to fail in this group. All homes in group must be tested.: Notes: Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. www.:;alcerts.com Page 1 of 2 Certificate of Field Verification Prescriptive Method - and Diagnostic Testing HVAC -only Alteration CF -4R -ALT Project Title: 1 ,_J AvvsIMPORTANT: Date - ��Z. ©2005 CaI�ERTS This CF -4R -ALT form is only for use when an HVAC -only alteration is made to arnexisting home Use one form for each system being altered. This is system # ') of 1 systems altered in this house. Copies to: Homeowner, Installer, and Building Department Rater to verify only results of test that passed on CF -6R -ALT form. See lines 26 to 29 of CF -6:Z -ALT form. Results must be uploaded to CaICERTS Registry for issuance of final certificate per Titb 20. Step 1 - Pre-test: Leakage of the system before any alterations.(Only if line 27 is checked on the CF -6R -ALT form. 1 Pre-test leakage JCFM25 From Line 1 of CF -6R -ALT form. 2 1 Line 1 x 0.4 = Iarget for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods.(Only if lines 26, 27 or 28 are checked on CF -6R -ALT form 3 Cooling: Condenser tonnage: tons x 400 CFM/ton JCFM 4 Heating: Furnace output: _ Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: I JCFM may use highest of lineE 3, 4, or 5. Step 3 - Determine Targets: (Only if lines 26 or 28 are checked on CF6R-ALT form) 8a Total System fan flow (line 7 from above) x 0.06 E-= FM25 = 6% leakage target 8b Total S stem fan flow line 7 from above x 0.15 [FM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 = FM25 - 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ Verlfv that all new connections are sealed with approved materials. 11 ❑ No newly constructed portions of the system can have unducted building cavities to convey system air. 12 Duct insulation to be checked by local code enforcement agency. Step 5 - Total Leakage'(Only if lines 26 or 27 are checked on CF -6R -ALT form) 13 leakage = I'Zq6 ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 14a ❑ 14b If line 13 is less than line 8a, house passes the 6% leakage requirement. Go to Step 9 If line 13 is less than line 8b, house passes the 15% leakage requirement. Go to Stop 9 15 ❑ If line 13 is less than line 2 house passes the 60% reduction requirement after line 17 Is checked. 16 ❑ This house does not yet pass the necessary tests. Retest required. Attach new CF4R-ALT. See notes, below. 17 ❑ III line 15 Is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing Is regLlred. Go to Step 8 Step 6 - Leakage to Outside:(Only if line 28 is checked on CF -6R -ALT form) 18 leakage = [ ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 Is less than line 9, house passes the 10% leakage to outside requirement. 20 ❑ This house does not yet pass the necessary tests. Retest required. Attach new CF4R-ALT. See notes, below. Step 7 - (If line 29 is checked on the CF -6R -ALT form. 21 ❑ 22 ❑ 23 ❑ Smoke Test and Visual Inspection of Accessible Duct Sealing are required. Install required label per ACM Appendix RC, Sections RC.4.3.5. House can NOT be part of a sample. ❑ This house does not yet pass the necessary tests. Retest required. Attach new CF4R-ALT. See notes, below. Step 8 - Smoke Test and Visual Verification (Only if lines 27 or 29 are checked on CF -6R -ALT form 24 ❑ 25 ❑ 26 ❑ Perform smoke test per ACM Appendix RC, Sections RC 4.3.6. Perform Visual Inspection and verify repair of excessively damaged ducts per ACM Appendix RC, Sections RC 4.3.7. Verify that register boots are sealed to surrounding material per ACM Appendix RC, Sections RC 4.3.7. Step 9 -TXV RCA 27a P. Ilf 27b ❑ TXV is required by the CF -1R form (line 23 on CF -1R -ALT form), it has been installed a -id access has been provided for visual verification by HERS rater. If "Refrigerant Charge and AirlfoW' (see ACM appendix RD) was done in lieu of TXV, atta,-h completed pages 3 of 8 and 4 of 8 from the CEC's CF -4R form. Step 10 - Upgraded Equipment Efficiencies 28— ❑ Ilf upgrade equipment efficiencies are required (line 24 of CF -IR -ALT) Hers rater to verify necessary make and model number of equipment. Installing contractor to provide rater adequate do:umentation to verify efficiencies. Notes: refer to line numbers above version 03- lu-un Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com