HomeMy WebLinkAboutHVRC18-0701City of Palm Desert
PERMIT NUMBER:
ISSUE DATE:
Building and Safety Department
73510 Fred Waring Drive
HVRC18-0701
10/2612018
Palm Desert, CA 92260
Permit Type: HVAC CHANGE OUT
Appl. Date: 10/26/2018
RESIDENTIAL
Permit TIER 1-LESS 15 SEER
Appr. Date: 10/26/2018
Subtype:
Exp. Date: 412412019
Job Valuation: $7,143.00
Project Address: 77715 ASHBERRY CT
Project Description: HEAT PUMP & AIR HANDLER 7-71
APN1Tract/Lot No:
Owner:
Contractor:
Applicant:
632600036
HELENE W SHAUNTY
HARRISON ENTERPRISES INC
HARRISON ENTERPRISES INC
TR 27770
77715 ASHBERRY CT
31170 RESERVE DRIVE
31170 RESERVE DRIVE
36
PALM DESERT, CA 92211
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)343-74B8
(760)343-7488
Licensed Contractor Declaration.
Fee Summary
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9
ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-11CODOO-3411600 $0.42
(commencing with Section 7000) of Division 3 of the Business and Professions Cade,
and my license is in full force and effect.
GREEN BLDG FEE $81473 GL-61 DODOO-2281000 $1.00
Initial
RESIDENTIAL HVAC CHANGE OUT GL-1100000-3221100 $159.00
Total Fees Paid: $$160.42
Owner -Builder Declaration
l herebyafTrrm under the penaltyof perjury that there is a construction fending agency for the
ElI
hereby affirm under Penally of perjury 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)
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
Asbestos Declaration
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' Stale
License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business
Written asbestos notifeetlon pursuant to Part fit 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 ebsts 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 ($500),)
asbestos, or that no demolition is authorized by this permit.
1, as owner of the property, or my employees with wages as their sole compensation,
NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020
will do the work, and the structure is not intended or offered for sale (Sec. 7044,
(a). The protest must satisfy the requirements of Gov. Code See.66020(a) and must be filed within 90
Business and Professions Cade; The Contractors' State License Law does not apply to
days of the date of this notice. In addition, you must lender payment of the protested fees at the time of
an owner of property who builds or improves the property, provided that the
the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they
improvements are not intended or offered for sale. If, however, the building or
are due if they are not already due.
improvement is sold within one year of Completion, the Owner -Builder will have the
burden of proving that it was not built or improved for the purpose of sale.)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Cade: The Contractors
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a licensed contractor pursuant to the
Contractors' State License Law.)
I am exempt from Licensure under the Contractors' State License Law for the
following reason:
Date/Signature of properly owner or agent
Workers' Compensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND
DOLLARS ($I DD,DDDI, IN ADDrrION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN
SECTION 3736 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES.
I hereby affirm under the Donalty of del ONE of the following declarations:
I have and will maintain a certificate of consent to selfAnsure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
370D of the Labor Code, for the performance of the work forwhich this permit issued.
Initial
Polley No.
I have and will maintain workers' compensation insurance, as required by Section
370D 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:
Cartier & Policy Number
Initial
Expiration Date
I certify that in the performance of the work forwhich 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
earn ply with those provisions. t
Date jQiaaLa Applican
_
Initial
A-,
City of Palm Desert
Department of Building and Safety
Building Permit Application
(For
�VOffice
VC1\y)(D v
JOB ID:
PLANS FILED:
Project Address: 77715 Ashberry Court Suite #.
Total Value of work: $ 7,143.00
Note: Plan Review Fees may be adjusted after Plan Review
Project Description (be specific): Replace 2 ton heat pump and air handler
Contractor Business Name
General Air Conditioning
Property Owner Name
Jim and Helene Shaunty
Address
31170 Reserve Drive
Address
77715 Ashberry Court
City Zip
Thousand Palms, CA 92276
City Zip
Palm Desert, CA 92211
Phone
760-343-7488
Phone
760-360-2936
Fax
Fax
E-mail
E-mail
Contractor License No.
686310
❑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
October 26, 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 • (760) 776-6420 + (760) 776-6392 fax • www.cityofpalmdesert.org
CERTIFICATE OF COMPLIANCE CF1R-ALT-0Z-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC) (Page 1 of 3)
Project Name: Jim and Helene Shaunty Date Prepared: 2018-10-25
A. General Information
CPIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Jim and Helene Shaunty
02
Date Prepared
2018-10-25
03
Project Location
77715 Ashberry Court
04
Building Type
Single family
05
CA City
Palm Desert
06
Dwelling Unit Name
Jim and Helene Shaunty
07
Zip Code
92211
OiS
Dwelling Unit Conditioned
2900
Floor Area (ft)
Number of Space
09
�Crrrmte7cmi.
115
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
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
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2900
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:418-A020084237A-000.000-OOODOOO-0000 Registration Date/Time: 2018-10-25 10:38:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generate& 2018-10-25 10:38:15
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CFIR-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
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
All new
Central split
All new
This field or
This field or
System 1
Electric
heating
AFUE
0.8
HP
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF211-MCH-01-E - Space Conditioning 5ystem5
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R61CZ 7-10, 12 and 131 and RE (CZ 11 and 14-16)
CF2R and CF311-MCH-20-1-1 - Duct Leakage Test required when heating or cooling components are installed -inducted systems, orwhen more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 25 percent or <a 10 percent leakage to outside, or seal all accessible leaks..
C17211 and MR-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-151.
CF211 and CF3R-MCH-23 Airflow Rate >= 200 CFM per ton required when MCH-25 is required.
Excentions�
-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) 1 Diia 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-AD20084237A-000-000-OOODOOO-000D Registration Date/Time: 2018-10-25 10:39:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:2018.0.001 Report Generated: 2018-10-25 10:38:15
Schema Version: rev 20180426
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
Drew Queo+v
Company:
Signature Date:
I Permit E Raters
2018-10-25
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/state/Zirx
Phone:
Westlake Village CA 91362
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. 1 am eligible under Division 3 of the 9usiness and Professions Code to accept responsibility forthe huilding design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energyfeatures 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 5 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 appiication.
S. 1 will ensure that a registered copy of this Certificate of Compliance shall be made availabte with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy cf 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 Sgnature:
Patrick Somers
Pazncw,Sonnerr
Company:
Date Signed:
General Air Conditioning
2018-10-25
Address:
License:
31170 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 Number: 418-A020084237A-000-ODO-ODOODOO.00OD Registration Date/Time: 2018-10.25 10:38:15 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2018-10-25 10:38:15
Schema Version: rev 20180426