HomeMy WebLinkAboutARIZONA ST 43320 HVRC18-0549City of Palm Desert'
PERMIT NUMBER:
ISSUE DATE:
Building and Safety Department
73510 Fred Waring Drive
HVRC18-0549
8/24/2018
Palm Desert, CA 92260
Permit Type: HVAC CHANGE OUT
Appl. Date: 812412018
RESIDENTIAL
Permit TIER 1-LESS 15 SEER
Appr. Date: 812412018
Subtype:
Exp. Date: 2/2012019
,lob Valuation: $8,000.00
Project Address: 43320 ARIZONA ST
Project Description:
APN/TracVLot No:
Owner:
Contractor:
Applicant:
637470021
ALAN M WEBER
A#1 SERVICES HEATING & AIR
A#1 SERVICES HEATING & AIR
TR 31836
43320 ARIZONA ST
CONDITIONING INC
CONDITIONING INC
21
78206 VARNER RD #D-189
78206 VARNER RD #D-189
PALM DESERT, CA 92211
PALM DESERT, CA 92211
PALM DESERT, CA 92211
Licensed Contractor Declaration
Fee Summary
ereby a underpenar of oeriury that I am licensed under provisions of Chapter 9
ARCHIVE FEE - 6.5X11 UP TO 11X17 GL-1100000-3411600 SO.28
ommencl with Section 7000) of Division 3 of the Business and Professions Code,
and my lice a is intuit force and effect.
GREEN BLDG FEE SB1473 GL-6100000-2281000 $1.D0
Initial
RESIDENTIAL HVAC CHANGE OUT GL-11000OD-3221100 $159,00
Total Fees Paid: $160.28
Owner -Builder Declaration
l hereby affirm under the penaftyof perjury that there is a construction lending agency for the
1 hereby affirm under penalty of pedury that I am exempt from the Contractors' State
License Law for the reason(s) Indicated below by the checkmark(s) I have placed next
performance of the work for which this permit is issued (Sec 3097, Civil Code)
10 the applicable items) 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 file a signed
Asbestos Declaration
slatement 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 Pan 61 of Title 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
exam pbon. Any violation of Section 7031.5 by any applicant for a permit subjects the
demolltion 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 ($500).)
asbestos, or that no demolition is authorized by this permit.
I, as owner of the property, or my employees with wages as their sole Compensation,
NOTICE; You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020
will do the work, and the structure is not intended or affered for sale (Sec. 7044,
(a). The protest must satisfy the requirements of Gov. Code Sec.65020(a) and must be riled within 90
Business and Professlons Code: The Contractors' State License Law does not apply to
days of the date of this notice. In addition, you must tender payment of the protested fees at the time of
an owner of property who builds or improves the property, provided that the
the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they
improvements are not intended or offered for sale. It, however, the building or
are due if they are not already due.
improvement is sold within one year of completion, the Owner -Builder will have the
burden of proving that it was not built or improved for the purpose of sale.)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec, 7044, Business and Professions Code: The Ccntmctoes
License Law does not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a licensed contractor pursuant to the
Contractors' State License Law.)
I am exempt from Licensure under the Contractors' State License Law for the
following reason:
Date/Signature of properly owner or agent
Workers' Compensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001, IN 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 oeriury ONE of the following declarations:
I have and will maintain a certificate of consent to self -Insure for workers'
compensation, issued by the Director of lndustrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work forwhlch this permit issued.
Initial
Policy No.
have and will malntain workers' compensation insurance, as required by Section
700 of the Labor Code, for the performance of the wont for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier& Policy Number`��— Q 1
Initial
Expiration DateCyl,
I certify that in the perto `na'� of tM1e Work for which this permit is issued, I shall not
employ any person in any manner so as to became subject to the workers'
compensation ws of California and agree that if I should become subject to the
wor, s' epNosailor provisions of Section 3704 of the Labor Code, I shall forthwith
com whs provisions.
1
_
Initial
Date Applicant
City of Palm Desert
❑epadment of Building and Safety
Building Permit Application
(For Office Use Only) q
JOB ID: 2li - Q541
PLANS FILED:
Project Address: t ✓ ✓ o'-U Y C�JY Suite #
Total Value of work: $ 0 - (DO' f Note. Plan Review Fees may be adjusted after Plan Review
LI Prniort r}ocn�intinn !hn one.-� ..�. � I tf� - C_ 1h Cm 1., — I liel
atst
Co aett4ft iness Name
a'A&
Property Ow. er Nasn
Address �
b - -ClAddress
City _ (�
y\,
zip
1
r
C;gyp
Phone �
�
�y �
d
�
Phone �� '
Fax ^/ 0
1
Fax
E-mail
E-mail
Contractor License No.
❑Archite Name
DDesigner Name
Engineer Nam
Address
Address
City
Zip
City Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
License No.
License No.
r
Applicant Name
Signature
Da e
Q
ntact TV ephone Number
E-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
A#1 SERVICES HEATING & AIR CONDITIONING - #163976
ERS TEST REQUIRED TYPE: HVAC RESIDENTIAL CREATED:
08/16/201S AT 11:18 AM
CITY: PALM DESERT F3
BY CARA GOLDBERG
M F 8-5
ALAN WEBER VALUE: $8.000.00
CF1R
43320 ARIZONA
DOCUMENTS:
CF1R
STREET
START DATE:
08/13/2018
CUSTOMER: PALM DESERT CA
NEEDED BY DATE: 08/16/2018
92211
(760) 567-2787
ALT. (760) 567 2787
PROPERTY SINGLE FAMILY
TYPE: HOME
H.O,A, NO
THIS PROPERTY CONTAINS NO
ASBESTOS:
TOTAL CONDITION AREA: 1818
SQFT
AC UNIT #1
TONS: 5
ACTION: C/O
LOCATION: RIGHT SIDE YARD
SEER RATING: 13
MAKE: LENNOX
MODEL: XC25-060-230-02
SERIAL: 5818F15252
NOTES: INTERNAL NOTES:BIN
FURNACES #1 COIL #1
ACTION: C/O TONS- 5
LOCATION
ATTIC ACTION CIO
EFFICIENCY RATING
80
BTUS
80,000
BTUS (OUTPUT)
80,000
MAKE:
LENNOX
MODEL:
SL280UHOSONV60C-01
SERIAL:
5917K11962
CHECK #
DOC #
AMOUNT
DATE
PERMIT
LICENSE
MISC
CARD
POSTED:
INSPECTION;
CHECK TOTAL:
CERPIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF1R-ALT-WAQ (Page 1 of 3)
Project Name: ALAN WEBER Date Prepared: 2018-08-20
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When muitiple dwelling units must be documented, use one
CFIR-ALT-02 document for each dwelling unit.
01
Project Name
ALAN WEBER
02
Date Prepared
2018-08-20
03
Project Location
43320 ARIZONA STREET
04
Building Type
Single family
OS
CA City
Palm Desert
O6
Dwelling Unit Name
ALAN WEBER
07
Zip Code
92211
;;
Dwelling Unit Conditioned
1818
Floor Area (fti)
-
Number of Space
09
Climate zone
1s
�.,t6
Conditioning (SC) Systems in
1
this Dwelling Unit:
S. Space Conditioning (SC) System Information
01
02
03
04 -
U5
Ofi'
07
08
09
10
Is the SC
Installing a
SC System
SC System
CIA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
location or Area
by this SC
ducted
containing
system
morethan 40
entirety new
entirely new
Name
Served
System (fe)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Altermian type
SYSTEM 1
LOCATION 1
1818
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Peet (Section1S0.2(1b)1Di1b)
This section does not apply to this project.
Registration Number:418-A020062596A-000-000.0000000-0000 Registration 0ate/Time.201MB-20 11:30,41 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 201E-08-20 11:30:40
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)lE and F)
01
02
03 i
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
€dentif€catlon
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 i
furnace
heating
AFUE
0.8
AC
cooling
SEER
14
Setback
section is not
Section i5 not
components
components
applicable
applicable
liensrired Documentation:
CF2R-MCH,01-E - Space Conditioning Systems
-Duct Lnsulatim requirement for the new portions ofsupply-airand return -air ducts or plenums: tt6(ft 1,lo; l "and;t3] and Re (C211 and 14-16)
CF2R and CF3R-MCH-2D-H -Duct Leakage Test required when heating or cooling components are ii 46ued k;lUd.systems, or when more than 40ft ofduct length is replaced
-Leakage rate compliance: � 15%or � 10% leakage to outside, or seal all accessible leaks.
CF29 and MR-MCH-25-H Refrigerant Charge verification required when refrigerant containing corrip"crrts are l lstalled or altered (applicable in CZ 2, 8-15).
CF2R2nd CF3R-MCH-23 AirfR;w Rate-- 3D0 CFM per tun required when MCH-25 is required.
- Ductsystems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage 7e3tirig 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' wfthout Equipment Changeioak (Sections 150.2(b)1D11a 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. 418-A02D062596A-100-000-pp00000-0000 Registration 0atefRme: 201MR-20 11:S0:41 HERS Provider: CHEERS
CA Suilding Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2016.1.006 Report Generated:201"8-20 11:30:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF411-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:
Ashley McDonald
AOt&y Md>*nvJ&
Company:
Signature Date.
I Permit E Raters
2018-08-20
Address:
CWHERS Certification identification (if applicable):
32225 La Saya Drive
Clty/statetbp:
phone:
Westlake Village CA 91362 s..-182&-735-71376
Responsible Person's Declaration statement
I certify the following under penalty of perjury, underthe laws of the State of c2liforn-la,
1. The information provided an this Certificate of Compliance is true and correct,
2. 1 am eligible under Division 3 of the Business and Professions Code to accept res nsi ing design or system design identified on this Certificate of Compliance (responsibledesignerl.
9, That the energy features and performance specifications, materials components, an ..:.:X. devices for the building design or system design identified on this Certificateof Compliance conform to the
requirements of Title 24, Part I and Part 6 of the California Code of Regulations.
4. The building design features or system design features Identified on this CertMcate olCompliance are consistent withthe Information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agencylorappnoval vdththis building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance s;ali be the building pe6h(sfissued forthe building, and made available to the enforcement agency for an applicable
inspect4arks. I understand that a registered copy of this Certtficate of ciifiipliaric4 19'reqijir4tu be irldifdedwi&the docUrnemation the bunderprovides; to the building owner at occupancy,
Responsible Designer N2Me.-
Responsible Designer Signature:
Cara Goldberg
Cafwoowbarw
Company:
Date Signed:
A#1 Services Heating & Air Conditioning
2018-09-20
Address:
License:
79026 Varner [toad #D-189
977333
city/state/Zip:
Phone'
Palm Dessert CA 92211
1(760) 342-3610
Digitally signed by CHEERS—. This digital signature is provided in order to secure the content of this registered
document, and In noway implies Registration Provider responsibility for the accuracy of the Information.
Registration Number; 418-AO20062S96A-000-OMDOOODOO-OWO Registration Date/Time; 201MB-20 11:30,41 HERS Provider: CHEERS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-08-20 11:30:40
Schema Version. rev 10/16
CITY OF PALM DESERT
PERMIT # MY f 05W
Building & Safety Department
73-510 Fred Waring, Palm Desert, CA (760) 776-6420
SMOKE & CARBON MONOXIDE ALARM RETROFIT
2016 California Residential Code sections R314.8 and R315.2
Where a permit is required for alterations, repairs or additions exceeding $1,000, including exterior work, i.e. roofing,
HVAC change -outs, electrical panel upgrades, windows, etc. existing dwelling or sleeping units that have attached
garages or fuel burning appliances including fireplaces shall have a carbon monoxide alarm.
Smoke and Carbon monoxide alarms shall be installed in the following manner:
• In each sleeping room (only require Smoke Alarms unless bedrooms contain a gas appliance then a carbon
monoxide alarm is required as well)
• Outside each separate sleeping area in the immediate vicinity of the bedrooms. (require Smoke and Carbon
Monoxide Alarms)
• In each story level of the dwelling, including basements and habitable attic rooms (require Smoke and Carbon
Monoxide Alarms)
• Smoke alarms and smoke detectors shall not be located where ambient conditions, including humidity and
temperature are outside the limits specified by the manufacturer's published instructions
• Installation near bathrooms. Smoke alarms shall be installed not less than a 3 ft. horizontal distance from the door
or opening of a bathroom that contains a bathtub or shower unless this would prevent placement of a smoke alarm
required by other sections of the code
• Smoke alarms and smoke detectors shall not be installed within 36 in. horizontal path from the supply registers of a
forced air heating or cooling system and shall be installed outside of the direct airflow from those registers
• Smoke alarms and smoke detectors shall not be installed within a 36 in. horizontal path from the tip of the blade of
a ceiling -suspended (paddle) fan
• Smoke Detectors shall be within 10 years of manufacture marked date and/or replaced if such date does not exist
• Conventional Ionization smoke alarms must be installed with a ten year battery
Interconnection:
Where more than one carbon monoxide alarm is required to be installed within the dwelling unit or within a sleeping unit
the alarm shall be interconnected in a manner that activation of one alarm shall activate all of the alarms. Exception:
Interconnection is not required in existing dwelling units where repairs do not result in the removal of wall and ceiling
finishes, or there is no access by means of attic, basement or crawl space.
The Building Inspector will verify the installation of the smoke and carbon monoxide alarms during the
inspection process or the owner can complete and sign under the penalty.of perjury the following:
understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms
installed that comply. l agree to comply with the CRC in regards to smoke alarms and carbon monoxide alarms.
1,Man 11V'cbey— and 1, MV&�ho own and/or live in the
(Property Owner's name) (Ten is name/same)
Dwelling I
SigWDrel6Mwner
ig
po h 1 bfw-�-C c\ 1�`tZ zA I
ran z lo
Date
*This is a voluntary smoke and carbon monoxide alarm verification procedure. If you prefer a building inspector to
perform the verification, you must arrange to have an adult present at the time of inspection.
*Note, this verification is only used when normal access to the interior of the dwelling is not achieved during the course
of project construction. It is normally used for projects such as re -roofing, re -siding, patio covers or swimming pools.
4/11/2017
Page 1 of 1