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13-1487 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 _ Application Number: 13-00001487 Property Address: 81065 KINGSTON HEATH APN: 767-490-001- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17387 Applicant: Uvj T4 4 #.a" (,:� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT PArhitect or Engineer: 11A Owner: CLEM CALVILLO 81065 KINGSTON HEATH LA QUINTA, CA 92253 ( Contractor: _PALM DESERT AIR COND CO INC 42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/22/13 duV X013 CITY OF kA QUINTA F� 4CE DEPT. ------------------------------------------------------------------------------------------------- UCEN ONT TOR'S DLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury tha i nse __pro r provisionsECof Chapter 9 (commencing with I I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busi s a d rof I als 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.: 374937 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is W - UI ER DECLARATION I hereby affirm under penalty of per' y that I a empt fr the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Pro ode: 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 Structu not, ..._ndcd or offc.cd fc. --,!, IScc. 7044, and Drcfess.... s C^dc. 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.). 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 ISec. 3097, Civ. C.). / Lender's Name: Lender's Address: LQPERMIT VIIssued. Iave .andwill_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 MID CENTURY Policy Number 905-12 _ I certify that, in the performance of the wo or ch thi ermit is issued, I shall not employ any person in any manner so as om j to the orkers' compensation laws of California, and agree that, if I sho ecome s c o thew ers' compens ovisions of Section . 2�t00 0he Labor de, I shall fo i comply ith those Isions. Date: L _ icant: %NARI.IINIG. FAILURE TO SEr- RE --K- -d r,D��OCI.IC fTl 1 _\/COAGC IS U�ILr� FUL AND SHALL - SUBJECT AN EMPLOYER TO CRIMIN L P ALTIES AND FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITIO T HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD , 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 inf rmatio orrec I agree to comply with all city and county ordinances and state laws relating to bulldin c ' ,and her y authorize representatives ofthis cou a upon the above-mentioned prop for in on purpo Da te:ignature (Applicant or Agent): Application Number . . . . . 13-00001487 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 83.42 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/21/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - (2) 13SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 83.42 .00 .00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 143.00 - .00 .00 143.00 Grand Total 226.42 .00 .00 226.42 LQPERMIT P:O. Box,1504.78-495.Calle Tampico,! La Quinta, California 92211 Z&Qawa Tel„ (760) 777-7012'' Fax:w(760) 777-7.112 `Website: wwv,/.La-Quinta.Org •i Email: Building@La-Quinta.Org Bin #: Permit #` i$- Building Permit Application & T - OF" Tracking Sheet Project Address: 81-065 KINGSTON HEATH I Owner's Name: CALVILLO, CLEM A.P. Number: Address: 81-065 KINGSTON HEATH Legal Description: City, State, 'ZIP: LA QUINTA, CA 92253 Contractor. Palm Desert Air Conditioning & Heating Company Telephone: ( Address: 42-081 Beacon Hill ' Project Description: City, -State,, Zip: Palm Desert, CA 92211 k REPLACE (2) AIR CONDITIONING SPLIT SYSTEMS. Telephone No.: (760) 346-0677 'State: Lic: #: 374937 City Lic. #: 100886 Arch:/Engr./Designer: .Address: City, State, Zip: i Telephone No.: Construction Type: Occupancy: State:.Lic. #: Project Type: ❑ New • ® Add'n.• ❑Alter • ❑ Repair.• ❑ Demo Name of Contact Person: KARL BROWN Sq. Ft.: # Stories: J# Units: .Contact Telephone No:: (760) 346-0677 Estimated Value of Project: $17,387.00 ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal. Req'd Recd Tracking Permit Fee's 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 Caks. Plans Picked Up Construction f=lood Plain Plan Plans Resubmitted ! Mechanical Grading Plan 2''id Review, Ready for Corrections Electrical Subcontractor List Called Contact Persona Plumbing Grant Deed Plans Picked Up S.M.I. H.O.A. Approval Plans Resubmitted I Grading IN HOUSE V Review, Ready for Corrections Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Works Appr'I Date of Permit Issue RSch6olFeas I 2] Total Permit Fee's. Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: I Enforcement Agency: Date: Permit: 81-065 KINGSTON HEATH (SYSTEM 1) L.a Quinta, CA 92253 City of La Quinta Sep 16, 2013 Duct insulation Conditioned Floor EquipmentTypei List MinimumEfficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ie AFUE 78% ®SEER 13.0 ❑ COP_ [3HSPF [3 R 6 (CZi10-13) R 8 Served by system sf R Setback If not already present must be ® Condensing Unit ❑ EER ❑ Resistance ❑ (CZ 1400 installed) [3 Other I14-15) 1. Equipment Type: Choose the equipment being installed, if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 76'01* AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC 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 in fact the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.6e6inning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Formas: • All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for splitsystems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF, -4R forms: ME:CH-21 and (for split systems) MECH-25 I. For Split Systems: Duct leakage,< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing If: s❑ Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The,system`will not be Ducted (ie. Ductless Mini -Split System)r(Also Exempt from,R(frigerant Charge) .R, ❑ 2. Nem(HVAC S 'sten Required Forms - .Cut in`or Changeout with "� * 1-11' t ' / _ CF 6R forms: MECH-04, MECH-20-HERS, and'(fo� split systems) MEC -H722 -HERS, and new ducts: (all new r MECH=25` HERS V� ' ducting'and all new d CF 4R forms:`ME:CH-20 and' for lit ') ( systems MECH 22, and'MECH-25 equipment k r .. P , L !Y For Split Systems: Duct leakage < 6'percent; RC,`.CCA >_ 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or'PSPP. _q _ For Packaged Units: Duct leak <6,percent=' ❑ 3. New Ducts with/or without r` < Required Forms: Replaceriient_ i. . Includes replacing or installing all;new ducting and/or outdoor condensing>unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 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 CF -611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I 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 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms; worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Karl Brown Signature: Karl Brown Company: PALM DESERT AIR CONDITIONINc3 CO INC Date: Sep 16, 2013 Address: 42-081 BEACON HILL License: 374937 City/State/Zip: PALM DESERT / CA/ 92211 Phone: (760) 346-0677 i Reg: 213-A0071071A-000000000-0000 Registration Date/Time: 2008 -Residential Compliance Forms 2013/09/16 18:47:43 C HERS Provider: CalCERTS, Inc. ��-July'2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: ( Enforcement Agency: Date: Permit #: 81-065 KINGSTON HEATH (SYSTEM 2) l.a Quinta, CA 92253 City of La Quinta Sep 16, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP_ [3HSPF 13 R 6 (CZI10 13) Served by system ® Setback If not already presen4 must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf installed) [3 Other � 1. Equipment Type: Choose the equipment being installed; if more than one system; use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 780k AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC 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 in fact the work completed by the installer. The inspector also verifies that each appropriate CF-611 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-1R and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MCH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-4R forms: ME-CH-21 and (for split systems) MECH-25 i For Split Systems:r Duct leakage,< 15 percent; <_ ; RC, CCA 300 CFM/ton (Minimum Air Flow Requirement), TMAH t Exempted from duct leakage testing if: ❑ 1'. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed,. insulated or sealed with asbestos ❑'4. Thus,,.. ,_,will not be Du ted (ie�Ductless Mini-Split System);(Also Exempt from Refrigerant Charge) ❑ 2. New HVAC Syste`n Required Forms: . Cut in or,'Changeout with"'411 - - CF 6R forms.'MFCH-04, MECH-207HERS, and�(for split systems) MECH-22-HERS and new ducts: (all new,,., MECH;25 HERS ducting and all new CF 4R forms: MECH-20, and (foe split MECH 22, and MECH-25 systems), equipment).. For Split'Systems: Duct leakage <.6'percent; RC ,CCA >_-350 CFM/ton; FWD, TMAH, STMS, and'either, HSPP'or<PSPP. •_ ,xx For Packaged Units: Duct leakage`< 6•P errent ❑ 3.,New Ducts with/or without :'., Required Forms: Replacement ...: j . Includes replacing or installing all,new j ducting and/or outdoor,c6hdensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace: No or some - Y CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 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 CF-611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify that this Certificate of Compliance documentation Is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. . I 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 1 and 6 of the California Code of Reguladom. . The design features identified on this Certificate of Compliance are consistent %vith the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Karl Brown 1 ISignature: Keri Brown Company: PALM DESERT AIR CONDITIONING CO INC j Date: Sep 16, 2013 Address: 42-081 BEACON HILL j License: 374937 City/State/Zip: PALM DESERT / CA/ 92211 j Phone: (760) 346-0677 �Reg:_213-A0071073A-00000000_0-0000 Registration Date/ 2008 Residential Compliance Forms 2013/09/16 18:50:45{ HERS Provider: CalCERTS, Inc.( July 2010 CERTIFICATE OF FIELD VERIFII 81 -Kingston Heath - La Quints, Project Address Palm Desert Air Conditioning Contactor Contact Paul; Van Vlymen HERS Rate Signature & DIAGNOSTIC TESTING 760-777-1 June 22, 2009 (� COPY Palm Desert Air Conditioning & Heating / 374937 Contractor Name % License No. 09-00000488 Permit Number 129290 Sample Group Number CC14-1798469886 Certificate Number Firm: Air Experts Air Conditioning I HERS Provider:CaICERTS, Inc. Street Address: PO Box 94 1 City/State/Zip:La Quinta / CA / 92247 1 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the: CalCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTSO is an approved HERS provitier 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 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 -611 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 returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) I Measured Values 1 I• N/A 2 Fan Flow: Calculated (Nominal '%--•' Cooling '-- .-' Heating) or..' Measured Enter Total Fan Flow In CFM: i Not Tested 3 N/A 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 Duct System Alteration and/or Equipment Change -Out. I Not Tested 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. Not Tested 6 Enter Reduction In Leakage for Altered Duct 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 Duct System - Pass If Leakage Percentage < 64 [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass []Fail 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: I 9 Pass If Leakage Percentage < 15% [ 100 x ( Line 5 / Line 3 )]: Not Tested ❑ Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Llne 7 / Line 2 )J: Not Tested ❑ pass ❑ Fail 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection 1 ,, Not Tested ❑Pass 1:1 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 ❑ Fail i CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R S 81 -Kingston Heath - La Quinta, CA 92253 I Palm Desert Air Conditioning & Heating / 374937 Project Address I Contractor Name / License No. Palm Desert Air Conditioning_ & Heating 09-00000488 Coritrdetor Contact Telephone Permit Number Paul Van Vlymen 760-777-1724 129290 HERS Rater( Telephone Sample Group Number lune 22, 2009 rr • i CC14-1798469886 COtifyi-ng Signature Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CalCERTS, Inc. Street Address: PO Box 94 ( City/State/Zip:La Quinta / CA / 92247 CoDies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO regisfry in accordance with the Tittle 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑Tested R Approved as part of sample tel ting, 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 dia nostic tested compliance requirements as checked on this form. a The Installer has provided a copy of the CF -611 (Installation Certificate). Lv�THERMOSTATIC 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 ❑ Fail