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08-1643 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: ,008-00001.6-43 Property Address: 48070 VIA VALLARTA APN: 649-381-022- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2200 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. LicenseClass: C20 Li a No.: 374937 Date: J d ` Conl ac OWNER -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).: P ( ) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 11 the structure is not intended or offered for sale ISec. 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_) 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: 9/30/08 Owner: ANRES MEDINA 48070 VIA VALLARTA LA QUINTA, CA 92253 ( Contractor:. PALM DESERT AIR C 42081 BEACON HILL PALM DESERT, CA 9 (760)346-0677 Lic. No.: 374937 P t3 C, 2008 15, `/N�F�A ------------------ 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, 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 238-0004656-07 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.1 should become subject to the workers' compensation provisions of Section _ 3700 of the Labor Code, I shall forthwith com with those provisions. ^Datea AoI olicantf-.v i 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 this county to enter ti n'the-above-mentioned property for inspection purpo, Date:�9 Signature-(Applicant-or-Al}gentl�l ��� Application Number . . 08-00001643 Permit . . . MECHANICAL Additional desc . Permit Fee24.00 Plan Check Fee 6.00 Issue Date Valuation . . . 0 Expiration Date 3/29/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------- Special Notes and Comments - ----------- ------- ------------ REPLACE (1) EXISTING COIL WITH (1) APEN COIL Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total 24.00 --4----------------- 00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00 .00' .00 30.00 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: ANDRES MEDINA Date: 08/08/08 © CaICERTS 2005 -;, EnfdreemenYA en �Use:Onl "tN 7 ;- Project Address: 48-070 VIA VALLARTA Climate Zone: 15 Buildmg.Peimrt # ` ' Documentation Author: Kimberly Garcia Telephone: 760-564-4139 Pian Check Date s r Company Name: Palm Desert Air Conditioning & Heating Company Field check Date a 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 # 1 of 1 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. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 ❑ An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or`TXV(RCA) to be determined. Continue to next line. 4 ❑D cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXy RCA to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditippad 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 S. Section 1 - Duct Sealing Onl if any of Lines 1 2 3 4 or 5 are checkecL '.gkip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is uired:;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 CF -4R 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:notapply. 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 AMU EER 12 condenser will be installed with TXV(RCA) D added duct insulation R-4 wrap on e)dsting 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 Aba 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 Ada EER 12 condenser will be installed with TXV(RCA) [AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu;of.duct sealing. Go to Section 2. 15 ❑D JNone of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got ta;$d tion 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ 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 ❑ is system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Goito.Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is r6quired. Go to Section 3. 20 ❑ iThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 ❑O fWis 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 22 0 If line 15 is checked, HERS verification is required for Duct Sealing. 23 0if line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification ii ''required for TXV(RCA). 24 ❑ lif line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 O If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are,,requlred. List in Section 6. Section 5- Duct R -Values 26 ❑ than 40 feet of duct is bein installed or re laced, duct R -value must meet or exceed Packa e D r uirements. 27 ❑ FIfmore ss 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 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title: ANDRES MEDINA Date: 08/08/08 ©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 system being altered. This is system # r;. i;of + systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efriciencies/R-values. 26 Configuration: ® Split system ❑ Package Unit 29 ❑ Air Handler ❑Gas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanner 31 ❑ Outdoor Condensina Unit ❑AJC ❑Heatpump kfficienc. SEER/HSPF: JEER lif re d : 32 0 Cooling or heating coil ®AIC ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: ! Length (ft): R -value: All mandatory measures apply to any altered corn orient. See MF -1 R - ALT form. Compliance Statement: I " 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 implemerif 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 Aut & Name: Name: Kimberly Garcia Address: Company Name: Palm Desert Air;Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 Signature: Signature: Enforcement Agency (Building Department) Notes/Com a s:,;. Name: Title: Department: Phone #: Fax #: Signature or Stamp: 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'6wner, 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 sam le groupshall not be released until all testingand verification is completed and passed for the entire group. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Inctallntinn r:Prtifirnte PrescKntive Method - HVAC -only Alteration CF -6R -ALT Project Title Date: © 2005 CaICERTS Medina, Andres 08/08/2008 Enforcement>'"eri Use On"r� a €xis Project Address: 48-070 Via Vallarta Climate Zone: 1.5 eu�idu,g Permit # t�yt, x;t Installing Contractor: Palm Desert Air Conditioning 8 Heating Company Telephone: 760-5644139 Planchedc Date a,,.,`' ' }} ` Y ' �f sk N ,. r Company Name: Palm Desert Air Conditioning & Heating Company ,Ciiedc Daie r ` t s x S.d R 5 4i IMPORTANT: This CF -6R 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 # 1 of 1 systems altered in this house. Copies to: Homeowner, HERS Rater, and Buildin Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match typellocation and meet or exceed, efficiencies/R-values from CF -1 R. Equipment T e Manufacturer Model Number a aci — Efficiency Load" Capacity— Furnace Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER Package heatpump HSPF SEER EER' A/C Condenser SEER Heatpump Condenser HSPF SEER Indoor DX coil Aspen cb60d44-210t-000 EER' N a null D Hydronic Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in' order to achieve a specific EER. Loads are sensible for cooling. Capacities are sensible at design conditions for cooling and adjusted altitude,-.downflow, etc. output for heating. XV: ❑ If TXV is required by the CFA R form (line 23 on CF -1R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sam2ling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 6% rather than 1'5% for altered systems. The alternative to duct seating by increasing the efficiency of the equipment is not an option for entirely new ducts stems. I, the undersigned, verify that the equipment listed above is: 1) the actual equipmentlinstalled in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate equirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned, verify that diagnostic test results listed on this form were perfonned in conformance with the requirements for compliance and that.the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards. � � 0 i ned Installer : e: Notes: Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: Medina, Andres Date: 0$/0$/200$ ©2005 CaICERTS IMPORTANT: This CF -6R form is c•nly for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # 1 of 1 systems altered in this house. Copies to: Homeowner, HERS Rater, anjjBVilding Department Duct Leakage test Results If duct testing is required per CF -1R -AL• T:form Step 1 - Pre-test: Leakage of the s stem before any alterations. This test iso tional'and is only used for the 60% reduction option 1 Pre-test leakage ICFM25 2 Line 1 x 0.4 = [target for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values fore ui ment after alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton = 1 C4 W CFM 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: 0 flow hood 0 plenum pressure matching 0 flow grid 7 Totals stem fan flow value to be used: CFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06FM25 FM25 = 6% leakage target (new duct systems) 8b Total System fan flow (line 7 from above) x 0.15 = CFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 = CFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R forth. 10 ❑ 1 Seal all new connections with approved materials. 11 ❑ INo newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ 1 If adding or replacing more than 40 feet of duct, insulate new ducts per" ackage D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction): 13 leakage = CFM25 refer to 2005 ACM appendix -,RC, Sections RC 4.3.1 4a ❑ If line 13 is less than line 8a house passes the 6% leakage require"rit requirementGo to Step 9. 14b ❑ If line 13 is less than line 8b house passes the 15% leakage re uire' ment. Go to Step 9. 15 ❑ If line 13 Is less than line 2 house passes the 60% reduction re ul� I errient, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is required. Go to Ste 8 Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house iso ressudzed to 25 pascals at the same time. 18 leakage = I ICFM25 refer to 2005 ACM a ndix',hC, Sections RC 4.3.3 19 ❑ If fine 18 Is less than line 9 house passes the 10% leakage to outside,re uirement. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used:; Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Duct Sealing is require' d. See Step 8. 22 ❑ 1 Install required label per ACM Appendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM AppendixiRC, Sections RC 4.3.5-7 23 ❑ IPerform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ 1 Perform Visual Inspection and repair of excessively damaged ducts per,ACM Appendix RC Sections RC 4.3.7. 25 ❑ lSeal register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. S impling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater'Sampling is allowed.' 29 ❑ If none of lines 14,15 or 19 are checked Smoke Test and fix all accessible leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer or their representative, not the third party rater. No Samplinq - House does not pass by lines 14 15 or 19; OR homeowner chooses.not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer.' 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be performed solely by the third Dartv rater..:.. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bfn # + City of La Quinta Building 8t 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: 48-070 VIA VALLARTA Owner's Name: ANRES MEDINA A. P. Number: Address: 48-070 VIA VALLARTA Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning 9 & Heatin ,Com an760- P Y Telephone: Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA 92211 REPLACE 1 EXISTING Telephone: (60) 346-0677.7 ':#>:>>::.:;.;:.:.;;•;:•;:.::.:::;>;;:;.:< COILWITH 1 ASPEN .COIL State Lic. # : 374937 City Lic. #. 1®886 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P :•:;;;:.;:.;:.;;::;::;:.:_ :<:;.>:.:««::;:: i''?'.>> :::: Construction Type: Occupancy: State Lic. # Project tYPa circle one): New Add'n lte DemoRe air Name of Contact Person: Kimberly Garcia Sq. Ft.: # Stories: # Units: / Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project o. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Che --k submitted Item Amount Structural Calks. Reviewed, ready for corrections Plan Check Deposit Truss Calks. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2r' 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 re::ubmitted 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 3ermit issue School Fees Total Permit Fees