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07-2191 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002191 Property Address: 81060 KINGSTON HEATH APN: - 767 -490 -033 - Application description: • MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: --e=' .5J.00 %..4" Applicant: Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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. License Class: C20 License No.: 374937 Date_��ontractor: r T— OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: 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 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.).. (_) 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.). (_) I am exempt under Sec. , BAP.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 Owner: FRANKLIN BRUCE 81060 _KINGSTON HEATH LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/26/07 Contractor: PALM DESERT AIR DITIO&G 42081 BEACON HI PALM DESERT, CA 11 (760)346-0677 JUL 25 2007 Lic. No. -.37493 CITY OF LA ----------------------------------------------- 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 wuikers' 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 1795546-2007 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,, I shall ffoortrt1hwititthl comply with those provisions. rDate: I Applicant, _ `R �.�Xl�� WARNING: FAILURE TO SECURE wORKER;T COMPENSATION COVERAGE iS VIVLAvvFuL, A.140 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. l.. 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 upon the above-mentioned property for inspection purposes. Date Signature (Applicant or Agent): •Application Number . . . . . 07-00002191 Permit . . . . . MECHANICAL Additional desc . Permit.Fee '33.00 Plan Check Fee 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 1/22/08 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 REPLACE LONE 2 TON 15.50 SEER HEAT PUMP HEATING & AIR COOLING SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 ..00 41.25 LQPERMIT Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project ' _ D : © 2005 CaICERTS EnforcernentAgencyl.lseOnly s: Pro Addres/' — g� Clime 9uiklingPerm it# Installing Contractor: Telepphh e: Plan Check Date o me: �j Field Check Date IMPORTANT: This CF -6R form is only for use an HVAC -on y alter tion is made to an existing home Use one form for each system being altered. This is system # of f systems altered in this house. Copies to: Homeowner, HERS Rater, and Buildin De artment List the specifications for the newly installed equipment. These must match the Installed equipment exactly. Installed equipment must match tvpellocation and meet or exceed efficiencies/R-values from CF -1 R. Equipment T e Manufacturer Model Number Efficient Load" Ca aci 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 LOX HSPF SEER /•. Indoor DX coil EER* Hydronic coil Provide EER if needed for complianat (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: 0 If TXV is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) D For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. 1, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient han 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 performed in conformance with the requirements for ompliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements pecified in Section 150(m) of the 2005 Building Energy Efficiency Standards. Signed (Installer): Date: Notes: versi— n 2_.tn-nr Page 1 of 2 This fomt 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 Toe: Date: ©2005 CaICERTS 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 #./ of systems altered in this house. Copies to: Homeowner, HERS Rater, and Buildi De artment Duct Leakage test Results If duct testing is required er CF -1 R -ALT form Step 1 - Pre-test: Leakage of the system before any alterations. This test isoptional and is only used for the 60% reduction option 1 Pre-test leakage: ICFM25 2 1 Line 1 x 0.4 Itarget for 6o% 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 = JCFM 4 Heating: Furnace output: Btuh x.0217 CFMBtuh ICFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) ICFM Measurement method: ❑ flow hood O plenum pressure matching O flow grid 7 Totals stem fan flow value to be used: JCFM may use highest of lines 3, 4, or 5. Step 3 -Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06 = CFM25 = 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 form. 10 ❑ Seal all new connections Mth approved materials. 11 ❑ 1 No 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 package D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = I JCFM125 refer to 2005 ACM appendix RC, Sections RC 4.3.1 4a ❑ If line 13 Is less than fine 8a house passes the 6% leakage requirement Go to Step 9. 4b ❑ If line 13 Is less than line 8b house passes the 15% leakage requirement Go to Step 9. 15 ❑ If line 13 Is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a 14b or 15 are checked, HERS verification Is required. Sampling can be used. 17 ❑ lif line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Dud Sealing is required. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular dud blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage = I CFM25 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 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not passany of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Dud Sealing is required. See Step 8. 22 ❑ linstall required label er ACM Appendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 O IPerform Visual inspection and repair of excessively damaged duds per ACM Appendix RC Sections RC 4.3.7. 25 ❑ ISeal 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. Sampling 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 accessable 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 Sampling -House does not pass bylines 14,15 or 190 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 party rater. Version 03-10-05 Page 2 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 -1 R -ALT 0Pro' Title: Data * / v 14�7 © CaICERTS 2005 n ment Agency Use n Pro'eV Address: Elimate Zone: C Building Permit # cuineptation Au r: Telephone: Plan Check Date MCnLame* Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use whe n HVAC -only alt9ration is made to an existing home Use one form for each s stern being altered. This is system # of s stems altered in this house. Check all lines that apply. Checkonly Iines that apply. �- Scope Alterations: 1 An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next I' e. ❑A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. ❑ 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 l,nt[m 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 s, 3, 4, 5, 6, 7 or 8. No duct sealing is r 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 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 AhQ EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 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 AM EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will he 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 wiili be installed with increased duct Insulation in lieu of duct sealing. Go to Section 2. 1 None of lines 7-14 above are chacked. Duct Sealing Is Required. Continue. S ction 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 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 ❑ This system 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 s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 This 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. Se io 3 - HERS Rater verification 22 If line 15 is checked, HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 ❑ Ilf 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 ❑ lif less than 40 feet of duct Is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page "'-"" Pagel of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com I 1 T �4 Certificate of Compliance Prescriptive Method - HVAC-onlv Alteration CF -1R -ALT Proje Title: Da ©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 # / 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 effciencles/R-values. 26 ConfiguralionJlftplit system CI Package Unit 2,e IAir Handler Mas furnace, AFUE: eatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 Outdoor Condens' Unit OA/Ce&lgatpump kfficlency SEER/HSPF: 1EER if mad): 32 ❑ cooling or heating coil ❑A/C ❑Hea um OH rank 33 ❑ Ducts Location:I Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1R -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 test,ng and certification and verification by an approved HERS rater. Home Owner or Authorized A ent Documentation Author Name: Name: Address: Company Name: City/State/Zip: Address: 14LM tygg FFf1` Alp CONbItICNINq COMPANY 420 BEACON HILL Phone: City/State/Zlp: 92211.5107 (780) 348.0677 Phone: Signature: - I Signature: Enforcement Agency (Building De attment Notes/Com ent : Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -IR -ALT: by anyone. Required alt 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 testino and verification is completed and passed for the entire groUD. nA_In na This form can only be used on projects being verified by CaICERTS certified raters. rage z of z www.r-alcerts.com CIty. of LdQ uln tQ Building & Safety Division P.O. Boz 1504, 78-495 Calle Tampico La Quinta; CA 92253 - (760) 777-7012 .Building Permit Application and Tracking Sheet Permit # _ � I Project Address j Owner's Name: A. P. Number: f Address: O �� Legal Description: Contractor:_ PALM DESERT AIR CONDITIONING CQ Address:-71 . 246 City, ST, Zip: Telephon : .'y..;:•,�..n:�.:,�.>>:>;;.;;:.,•s,><:<,..r Project Description: .r.. (76W City, ST, Zip: Telephone:h i`:2:r:vii4 ;i<y`�(,{. {:.jr�..: /N�J - State Lie. #: 3 City Lie. #•: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:••cs::r:.. . ;,<x;•: ,:t,•.:': "•: State Lie. #: 'z y! rs`:"' { Name of Contact Person: _ , .. . . Construction Type: Occupancy: Project a circle one New Add'n Alter Repair Demo type i J ) ' Sq. Ft.: # Stories: #Units: % Telephone # of Contact Person: 9 I 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 Cales. Called Contact Person Pian Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted I Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor ListCalled Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- 3a Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 1 School Fees Total Permit Fees