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Home My WebLink AboutHVRC18-0804City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring Drive HVRC18-0804 12/11/2018 Palm Desert, CA 92260 Permit Type: HVAC CHANGE OUT Appl. Date: 1211112018 RESIDENTIAL Permit TIER 1-LESS 15 SEER APpr. Date: 12/11/2018 Subtype: Exp. Date: 6/9/2019 Job Valuation: $11,271.00 Project Address: 73440 AGAVE LN Project Description: COMPLETE HVAC SYSTEM APNITracVLot No: Owner: Contractor: Applicant: 655052009 DAVID LOUIS ZOELLER HARRISON ENTERPRISES INC HARRISON ENTERPRISES INC TR 5553 816 W BLAINE ST 31170 RESERVE DRIVE 31170 RESERVE DRIVE 68 SEATTLE, WA 98119 THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)343-7488 (760)343-7488 Licensed Contractor Declaration Fee_Summary I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100D00-3411600 $0.42 (commencing with Section 7D0o) or Division 3 of the Business and Professions Code, and my license is in full force and effect. GREEN BLDG FEE SB1473 GL-6100000-2281000 $1.00 Initial RESIDENTIAL HVAC CHANGE OUT GL-1100000-3221100 $159.00 Total Fees Paid: $160.42 9wner-Buil,0,ALDp,plaration I hereby alffirm under the penalty of perjury that there is a construction lending agencyfor the 1 hereby affirm under penalty of periury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chackmark(s) I have placed next performance of the work for which this permit is issued (Sec 3097, Civil Code) to the applicable item(s) Section 7031.5 Business and Professions Code: Any city or Lenders Name and address county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to issuance, also requires the applicant for the permit to fie a signed Asbestos Declaration statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law{Chapter 9(commencing with Section 7000) of Division 3 of the Business Written asbestos notification pursuant to Part 61 of Titla 40 of the Code of Federal Regulations is required and Professions Code) or that he or she is exempt and the basis for the alleged when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the demolition authorized by this permit is from construction that does or does not contain applicant to a civil penalty of not more than five hundred dollars ($5D0).) asbestos, or that no demolition is authorized by this permit. 1, as owner of the property, or my employees with wages as their sole compensation, NOTICE: You may protest any of the fees forthls permit in accordance with CA Gov Cade Sec. 66020 will do the work, and the structure Is not intended or offered for sale (Sec. 7044, (a). The protest must satisfy the requirements of Gov. Code Sec.66020(s) and must be filed within 9D Business and Professions Code: The Contractors' Slate License Law does not apply to days of the date of this notice. In addition, you must tender payment of the protested fees at the Gme of an owner of property who builds or Improves the property, provided that the the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they improvements are not Intended or offered for sale. If, however, the building or are due if they are not already due, improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a licensed contractor pursuant to the Contractors' State License Law.) I am exempt from Lcensure under the Contractors' State License Law for the following reason: Date/Signature of property owner or agent Workers' Compensation Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1S UNLAWFULAND SHALL SL70JECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROMDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. - I hereby affirm under the penalty of peeriury ONE of the following declarations: I have and will maintain a certificate of consent to seiNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit issued. Initial Policy No. I have and will maintain workers' rwmpensalion insurance, as required by Section 3700 of the Labor Code, for the performance of the work forwhich this permit is issued. My workers' compensation insurance carder and policy number are; Carder& Policy Number _ Initial Expiration Dale 1 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 forthwith comply ilh hose provisions. �— ll i� _ Initial Date.l Applicant Project Address: City of Palm Desert Department of Building and Safety Building Permit Application 73440 Agave Lane (For Office ` Use O y} JOB ID: Y 'y T CO-d�U+ PLANS FILED: Suite # Total Value of work: $11,271.00 Note. Plan Review Fees may be adjusted after Plan Review Project Description (be specific): Replace 5 ton / 100,000 BTU complete HVAC system Contractor Business Name General Air Conditioning Property Owner Name David Zoeller Address 31170 Reserve Drive Address 73440 Agave Lane City Zip Thousand Palms, CA 92276 City Zip Palm Desert, CA 92260 Phone 760-343-7488 Phone 760-341-5337 Fax Fax E-mail E-mail Contractor License No. 685310 ❑Architect Name ❑Designer Name Engineer Name Address Address City Zip City Zip Phone Phone Fax Fax E-mail E-mail License No. License No. Applicant Name Signature Date Steven Schnierer � December 10, 2018 Contact Telephone Number E-Mail 818-735-7876 swschnierer@roadrunner.com PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 a (760) 776-6420 a (760) 776-6392 fax • www.cityofpalmdesert.org CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 1 of 3) Project Name: DAVID ZOELLER Date Prepared: 2018-12-11 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CFIR-ALT 02 document for each dwelling unit. 03 Project Name DAVID ZOELLER 02 Date Prepared 2018-12-11 03 Project Location 73440 AGAVE LANE 04 8uildingType Single family 05 CA City Palm Desert 06 Dwelling Unit Name DAVID ZOELLER 07 Zip Code 92260 08 Dwelling Unit Conditioned 3645 Floor Area (ft2] Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: S. Space Conditioning (SC) System Information 01 02 03 04 05 - 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this Sc ducted containing system morethan 40 entirely new entirely new Name Served System (W) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 3645 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section154.2(b)1Diib) This section does not apply to this project. Registration Number: 418-A020097686A-DOD-OOD-OOCOODO.0000 Registration Date/Time: 2018-12-11 11:14:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018.12-11 11:14:50 Schema Version: rev 20180425 CERTIFICATE OF COMPLIANCE CF1R-ALT-0Z-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC) (Page 2 of 3) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 OS 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value Central gas All new Central split All new This field or This field or System 1 furnace heating AFLIE 018 AC cooling SEER 14 Setback section is not section is not Components components applicable applicable Required Documentation: CM-MCH-01-E - Space Conditioning Systems - Duct insulation requirementfor the new portions of supply -air and return -air ducts or plenums: R6 [CZ 1-10, 12 and 131 and RS (CZ 11 and 14-16f CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are Installed ioducted systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <= 15 percent or <= 10 percent leakage to outside, or seal all accessible leaks. CF211. and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CBR-MCH-23 Airflow Rate>= 300 CFM per ton required when MCH-25 is required. Exceptions: - Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements. - Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH-23, or Refrigerant Charge MCH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)10iia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number:418-AO20097686A-000-OOD-OOOOOOD-0000 Registration Date/Time:2018-12-11 11:14:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-12-11 11:14:50 Schema Version: rev 20190426 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Drew Queen Grew queer,. Company: Signature Date: I Permit E Raters 2018-12-11 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive City/State/Zip: Phone: Westlake Village CA 92362 818-735-7876 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. t am eligible under Division 3 of the Business and Professions Code to accept responsibility forthe building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. i will ensure that a registered copy of this Certificate of Compliance shall he made available with the building permit(sl issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Patrick Somers P atHck.somery Company: Date SEgnsd: General Air Conditioning 2018-12-11 Address: License: 31270 Reserve Drive City/state/Zip: Phone: Thousand Palms CA 92276 760-343-7488 Digitally signed by CHEERS". This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration hiumber:418-A020097686A-000-000-0000000-0000 Registration Date/1-Ime: 2018-12-11 11:14:49 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0,001 Report Generated: 2018-12-11 11:14:50 Schema Version: rev 20180426