06-1359 (MECH)P.O. BOX 1504 VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760)'777-7011,;
LA QUINTA, CALIFORNIA 92253 ' r BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/04/06,
Application Number: 06-000Q1359 Owner,
Property Address: _. 78770 WAKEFIELD CIR PRINCE ROBERT R
APN: 604-433-012-69 -2"3995 - _� --- 78770 WAKEFIELD CIRCLE
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
rF
Application vllugwhb1000 c42006•Contractor:
Applicant: Architect or Engineer: & J INCORPORATED
LAGUINTA P.O. BOX 966
CE0EPb � ALM DESERT, CA 92260 r
,(k (760)346-4477
Lica No.: 596456
--- ---
- - - - - -—
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 Professionals 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 Class:. C20• License No.: 596456 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '
'7— "� issued.
Date: � ntractor. toarA 1. (SIMr/ - - - Y-1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, forithe performance of the work for which this permit is issued. My workers' compensation
• OWNER -BUILDER DECLARATION insurance 'carrier and policy number are: '
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ATE FUND Policy Number 1769525-2006 "
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 any manner so 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 La 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 /I O ",ry
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: Date: i O pplicant:�i ✓il� T(•q/r r
(_) 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: 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
(_) 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 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, -
i _ I •I am exempt under Sec. , B.&P.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
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 I have read this application and state that the above information is correct. I agree to comply with all • '
' work forwhich this permit is issued (Sec. 3097, Civ. C.1. city and county ordinances and sta a laws relating to building construction, and hereby authorize representatives
.. of t ' county to enter upon th ove-mentioned property for inspection purposes.
Lender's Name:' - ��natu,e. I/,.%'�� Date: (Applicant or Agent):
Lender's Address: - - _
LQPERMIT _ .
Application Number 0.6-00001359
Permit MECHANICAL
Additional desc..
• Permit Fee 21.50
Plan Check Fee
5.38
Issue. Date . .
Valuation
0
Expiration Date..,.. 10/01/06
,Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 6.5000 EA MECH
EVAP COOLER
6.50
-----------------------------------------------------------
- Special Notes and Comments
INSTALL NEW EVAPORATOR COIL
Fee summary Charged
Paid Credited
Due
' - Permit Fee Total 21-.50
:00 .: .00
21.50
Plan Check Total 5.38
.00 '.00
5.38
Grand Total 26•.88
.00 .00
26.88
r
•LQPERMIT -
..
Bin #
'City of La Quinta
Building & Safety Division
P.O. Box 1504,78-495 bile Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:'
Owner's Name: Q�
A. P. Number:
Address: d - C
Legal Description:
City, ST, Zip;LL (0 2 Z
Contractor:Telephone:
3
Address: qli
Project Description:
City, ST, Zip: 0
Telephone: 3 Z_33
City Lic. #: .
C
State Lie. # :
Arch., Engr., Designer:. ,
z
Address:
City, ST, Zip:
Telephone:.
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq,
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: D
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES ;
Plan Sets
Plan Check.submitted
Item
Amount
Structural Calcs. '
Reviewed, ready for corrections
Plan Check Daposit
Truss Cales:
Called: Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2°4 Review, ready for correctionsrssue
Electrical
Subcoritactor 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 corrcetions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit F ees
4'.
INSTALLATION CERTIFICATE (PE-ge 4 of 12) CF -6R
Site Address Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ ❑Tested at Final ✓ ❑ Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGECITY OF LA QUINTA
: BUILDINGS F p
❑ Remove at least one supply and one return register, and verify that the spaces b een th9 f e brT-
finishing wall are properly sealed.
❑ If the house rough -in duct leakage test was conducted without an air handler ins alled, iI-i ps"QtW i V
between the air handler and the supply and return plenums to verify that the co ection points ar-- properly sealed.
❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tae is us DATE T
❑ New Distribution system is fully ducted (i.e., does not e building cavities as p nums or p e�
us
ducts).
✓ ❑ DUCT LEAKAGE REDUCTION
Procedures for lfeld verilcation and diaenostic testing of air dictrihution tp.»v ary ovnitnhto i» AerM dnno..d:. D/'A 2
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
2_%
Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfn/(kBtullrr) x Heating
2 1000
Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here:
✓ ✓
3
Pass if Leakage Percentage<- 6% for Final or:5 4% at Rough -in:
100 x Line # 1 / Line # 2)11
❑ Pass ❑ Fail
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
4
Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior'to Duct
System Alteration and/or Equipment Change -Out.
Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct
5
System for Duct System Alteration and/or Equipment Chan a -Out. O
Enter Reduction in Leakage for Altered Duct System
_
6
Line # 4 Minus Line # 5 -(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
Entire New Duct System - Pass if Leakage Percentage <- 6% for Final r
8
100 x Line # 5 / Line # 2
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -
Out Use one of the followingfour Test or Verification Standards for compliance:
9
Pass if Leakage Percentage S 15% [100 x [ 2_�(Line # 5 % ZDOy Line # 2
) ( )]]
!IV, 3
ass ❑ Fail
10
Pass if Leakage to Outside Percentage <- 10% [ 100 x.[ (Line # 7) / (Line # 2)]]
❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage >! 60% [ 100 x [ (Line # 6) / (Line # 4)]]
11
and Verification b Smoke Test and Visual Inspection
❑Pass ❑Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
`t = :` ,`"
❑ Pass ❑ Fail
Pass if One of Lines # 9 throu h # 12 ass5`5
�1
11 Pass ❑Fail
✓ ❑I, the undersigned, verify that the above diagnostic test results were perfonned in conformancewith the requirements for
compliance credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and
Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards.
Installing Subcontractor (Co. Name) OR General
Contractor ( Name) OR Owner
Signature- ate:
Copies to: BUILDARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms September 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL:(
Of 4) CF -IR'
Yro)ect Title
Project Address
(i����' building Permit N
Documentation Author a hone .(1 Plan check I Date
' •. �� 7��I ;. �� '9 � � Fielc Check /Date
Compliance Method (Prescnp ive) Climate Zone .
Enforcement Agency Use Only
❑ Altemative Component Package -Method: (check one). C,:,
D D (Altemative)
Package C and Package D choices require 14ERS rater field 'verification agd/or diagnostic testing (see CF -111 page 3)
For Package D Alternative see Appendix B Table' 151-C Footnotes 7-14. '
GENERAL INFORMATION.
Total:Conditioned Floor Area (CFA) fl2 Average Ceiling Height: ft
Maximum Allowed West.Faoing Fenestration Products Per Table 151-B or 151-C ,---,(5%:X CFA) ft2
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C _ (20% X CFA) --T—
ft..
C1 ,Building Type: (check.one or more) ... ngle Family Multifamily Additioiu Alteration
(If adding fenestrat►on fill'out WS -4R, F estration Maximum Allowed Area Worksheet and see Section 8.3.2
for Addttions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Constriction Type::Slab/Raised Floor (circle one or both)
Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True
North and circle one):
:RADIANTBARRIER (reg uired in climate zones 2 4 8-15)
OPAOUE.SURFACE S INCLUDING OPAQUE DOORS
Component
Type.(Wall,
Roof, Floor;
Slab. Edge,
Doors
Frame
Type Cavity Continuous
(Wood Insulation Insulation
or Metal) - R -Value R -Value
Assembly U-
factor (for -Joint
wood,.metal
frame and mass
assembliesL
Appendix
IV
ReferenceYes
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
or Bio . t ical, etc.
11 See Joini Annen�lir IV in qAl i;nn'Iv Iv a ry .
... L:_L
- - - .., •••••�_ •••. . ww av�:un v-aat tui GIUGIIu;I. UcIaclors can not
exceed prescriptive value to show equivalence to R -values:
is
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.
(Front, Left; Orien-
Rear, Right, tation, Area U -factor
Sk li ht) N; S, E W1 ft U-factor2 Source SHGC'
Exterior
Shading/Overhangs"
SHGC ✓ box if WS -311 is
Sources included
Distribution
Type and Location
etc.
Duct or Piping Thermostat.-
R -Value Type
Configuration
• s lit or ac
❑.:
13
13
❑
i zxyugms are now tnctuaea to west -racing renestrauon area tt the sKyhgnts are tilted to the west oa tilted in any direction
when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the are
Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 1.16A.
3) Indicate source either from NFRC or:Table I I6A,
•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] 16B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -311 to calculate E=terior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC.SYSTEMS
Heating Equipment
Type and Capacity
fumace heatpump,boiler, etc.
Minimum
Efficiency •
AFUE or HSPF(ducts,attic,
Distribution
Type and Location
etc.
Duct or Piping Thermostat.-
R -Value Type
Configuration
• s lit or ac
Cooling Equipment
Type and Capacity
heat numm evao. cool
Residential Compliance Forms
,
ka e � '
CERTIFICATE OF COMPLIANCE: RESIDENTIAL` (Page,".3 of 4)T iR
Protect Title Date (f
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -411 Form must be provided to the building department for each home for which if_e following. are
re uired.
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Packa;e 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
_gaces shall.meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER UPATiIV(_ CVQ9ryi%4e
✓
�::::....
Distbutiop
❑
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)
❑
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 re uired.
Distribution
T' a
nu
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Packa;e 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
_gaces shall.meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER UPATiIV(_ CVQ9ryi%4e
✓
�::::....
Distbutiop
❑
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired .eater heater per .
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and. recirculation system is
not allowed.
❑
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 cih the Residential
Manual. No water heatirij calculations are regufired, 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 dwelfn
units
Water Heater
T e/Fuel Type
Distribution
T' a
Number.
in System
Rated
Input' .
(kW or
&u/hr
.Tank
Capacity
eons
Energy
Factor or .
Thermal
Efficienc ; .
Standby.':
=Loss %
• Tank.
External
. Insulation
: �R-Value
1. For small aas storaee
SvStpm RArvina mulfinln rlmell:....
Heater
e
�::::....
Distbutiop
-'Rated
Input
:Btumr
Tank:'
C'(Wor aai..TermaT
Dons;_
Ener
Enel
actor N.Y.'or
Bfficienc
Standby.
Loss %)
Tank
Externa
lWater
Insulation
R -Value
1. For small aas storaee
-• —,�»• •� �, c�ccnc resistance, and heat
pump water heaters, list Energy; Eactor:'•For'large gas, storage water heaters.(rated input of greater than 75,000
Btu/hr), list Rated Input,;Recoveiry Effioency;Thertnal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 3/4 inches)"AlI ho water pipes from the heating source to the kitchen fixtures that are'/a
inches or greater in diameter shall be thermally insulated as specified by Section 150.6) 2 A or 150 a 12 B.
Residential Compliance Forms
March 2005
CERTIFICATE: OF COIVIPLIANCE:.RESIDENTIAL (Page 4 0.4j CF -1R;
Project Title. Date
SPECIAL. FEATURES NOT REQUIRING HERS VERIFICATION (add.egra sheets ifnecessary)
Indicate which special features are part of this project. The list below only represents special features�relevant.to.the'
rescri tive method.
✓ '
Feature
Re aired Forms if alivable
Descri tion
❑
Metal Framed Walls
CF -1R
CF -6R part 6. of 12 '
❑
'Radiant Barriers
CF -IR.
❑
Exterior Shades
WS -4R
N/A; Attach CRRC. Label to
❑
Cool Roof
Forms. '
Hydronic Heating
Performance Calculation
S' stem
Required; Attach Run to Forms.
rrODedicated
Combined Hydronic System
aPerformance'Calculation
Re ired; Attach Run.to Forms.
Performance Calculation
Gas Cooling
Required.
❑
Buried Ducts
N/A; Indicate on buildingplans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
E❑
See Table 5-13 or use
❑
Multiple -Water Heaters Per
Performance Calculation and
Dwelling Unit
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 REQUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS. Rater which credits are part of this project and need . .
verification.
✓ F tare
Re aired Forms it'a. 'livable Description.': .
Duct Sealing
❑ Refrigerant Charge
CF -6R- art 5 of 12.: :. • .,
❑ Thermostatic Expansiod ExpansionYalve
CF -6R part 6. of 12 '