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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