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HomeMy WebLinkAboutHVRC18-0109City of Palm Desert PERMIT NUMBER: ISSUED DATE: Building and Safety Department . 73510 Fred Waring Drive HVRC18-0109 31141201812:00:00AM Palm Desert, CA 92260 Appl. Date: 3/14/2018 Permit Type: HVAG CHANGE OUT RESIDENTIAL Appr. Date: 3/14/2018 Permit TIER 1-LESS 15 SEER Subtype: Exp. Date: 9/10/2018 Job Valuation: $4,000.00 Project Address: 313 APALOOSA WAY Project Description: APN/Tract/Lot No: Owner: Contractor: Applicant- 632312007 JAMES TREZISE HARRISON AIR CONDITIONING HARRISON AIR CONDITIONING INT IN COMMON IN 313 APALOOSA WAY 7989 PALOMAR AVE 7989 PALOMAR AVE LOTS 80 81 82 TR 16633 PALM DESERT, CA 92211 YUCCA VALLEY, CA 92284 YUCCA VALLEY, CA 92284 652 (760)228-0962 (760)228-0962 Licensed Contractor Declaration Pee Summary I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DINSIDn 3 of the Business and Professions Code, and my:Icense Is in full force and effect. ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-341160D $D,21 GREEN BLDG FEE S81473 GL.6100000-2281000 $i.DO Initial RESIDENTIAL HVAC CHANGE OUT GL-11000003221100 $159.00 Total Fees Paid: $160.21 Owner -Builder Declaration I hereby affirm under penalty of nedury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5 Business and Professions Code: Any city or 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law(Chapler 9(commencing with Section 7000) of Division 3 of the Business print Name: and Professions Code) or that he or she is exempt 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, SgnatureofAppifcant or Agent: will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of properly who builds or improves the property, 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 Date: 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 Licensure under the Contractors' State License Law for the followIng reason: Date/Signature of property owner or agent W_QLkers_Com oensation _Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TD ONE HUNDRED THOUSAND DOLLARS ($100,000), 1N ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under the penalty of oedury ONE of the followina declarations: I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section - Ini al 3700 of the Labor Code, for the performance of the work forwhich this permit issued. olicy No. 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: - Initial Cartier& Policy Number Expiration Date , l shall not certify that'in the performance of the work forwhich thi/Labore, -employ any person in any manner so as 1 atoms subtos' compensation laws of Caiifomle and agr that if I shouthe workers' compensation provisions of S Lion 3700 of thoHhw' comply with those provisions. - Initial Dale/` �� Appli nl City of Palm Desert Department of Building and Safety Building Permit Application Project Address: (For Office Use Only) L JOB ID: ['TVRJ2'[�— 010� PLAINS FILED: Suite # Total Value of work: $ L%t��%'%. C�C7_ Note: Plan Review Fees maybe adjusted after Plan Review Project Description (be specific): (' CP.y � ©(� f j�— pa" -A' 4-A Contr or Business Name �'rYs vK �c Property Owner Name am -e-s - dress Address 3f3 �x City a /fit Zi �7F Zz City Zip �� P3.sr Phone eid z Z�' Phone p `` �/z 8 `7 Fax Fax E-ma[ r r t�rrz o E-mail Contractor License o. ❑Architect Name ❑Designer Name Engineer Name Address Address city Zip city Zip Phone Phone Fax Fax E-ma[[ E-mail License No. License No. Applicant Name Signatur Date Contact Telephone Number -Mail PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org llR-- o1oq CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC) (Page 1 of 3) Project Name: Trezise Date Prepared: 2028-03-14 A. General Information MR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR-ALT-02 document for each dwelling unit. 03 Project Name Trezise 02 Date Prepared 2018-03-14 03 Project Location 313Appaloosa Way 04 Building Type Single family 05 CA City Palm Desert 06 Dwelling Unit Name Trezise 07 Zip Code 92211 08 Dwelling Unit Conditioned 1$00 Floor Area (ft2) Number of Space 09 Climate Zone IS 10 Conditioning (SC) Systems in 1 this Dwelling Unit: B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installinga 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 more than 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 1800 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 218-Ao20073576A-000-000-0000000-DODO Registration Date/time: 2018-03.14 08:10:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03.14 08:09:33 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-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 08 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 large All new This field or This field or System 1 furnace heating AFUE 81 packaged AC cooling SEER 14 Setback section is not section is not components components applicable applicable Required Documentation: , CFZR-MCH-01-E -Space Conditioning Systems - Duct Insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating orcooiing components are installed in ducted systems, or when mare than 40 ft of duct length is replaced -Leakage rate compliance: <= 25%or <=10%leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-1i Refrigerant Charge verification required when refrigerant containtng components are installed or altered (applicable in CZ 2, 845). CF2R and CF3R-MCH-23 Airfiow Rate >= 300 CFN, perton required when MCH-25 Is required. Fxcentlons: - 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, insuiated 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)1DIla 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)iC) This section does not apply to this project. Registration Number: 218-A020073576A-000-000-0000000-0000 Registration Date/Time: 20t8-03-14 08:10:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.2,006 Report Generated:2018-03-14 08:09:33 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-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: (� _ [�17a�n Harrison, James C/— EQ/mQ_1 qO Company: Signature Date: Harrison Air Conditioning 2018-03-14 08:10:03 Address: CEA/ HERS Certification Identification (If applicable): 7989 Palomar Ave City/slate/zip: Phone: Yucca Valley CA 92284 760-228-0962 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. 1 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 submkted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued forthe 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 bulider provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: (� �fJ HardSon,James [—J�,(L]/�%dpl_f, 9 L Company: Date Signed: Harrison Air Conditioning 2018-03-14 08:10:03 Address: License: 7989 Palomar Ave 776175 City/State/Zip: Phone: Yucca Valley CA 92284 760-228-0962 Easy to Verity at CaICERTS.Com DigilallysigiredbyCaXERTS. This digital signature isprovided in order to secure the contenl ofrhis registered document, andin noway implies Registration Providerresponsibifily forthe infcrmallop. ma accuracy ofthe — Registration CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-14 08:09:33 Schema Version: rev 10/16