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Home My WebLink AboutHVRC18-0478r AN 6 City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department HVRC18-0478 73510 Fred Waring Drive 7/25/2018 Palm Desert, CA 92260 Permit Type: HVAC CHANGE OUT Appl. Date: 7/25/2018 _ RESIDENTIAL Permit TIER 1-LESS 15 SEER Appr, Date: 7/25/2018 Subtype: Exp. Date: 112112019 Job Valuation: $3,000.00 Project Address: 74180 ASTER DR Project Description: APN1Tract/Lot No: Owner: Contractor: Applicant: 624204006 JEREMY H SPEAR JOHN HARRISON JOHN HARRISON SHADOW VILLAGE 2 71599 TANGIER RD CONTRACTING INC CONTRACTING INC 80 RANCHO MIRAGE, CA 92270 1143 W LINCOLN ST STE 2 1143 W LINCOLN ST STE 2 BANNING, CA 92220 BANNING, CA 92220 (760)322-2653 (760)322-2653 Licensed Contractor Declaration Fee Summary I hereby affirm under penalty of pariury that $ am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-3411600 $0.42 (commencing with Section 7000) of Division 3 of the Business and Professions Code, my license is in full force and effect. GREEN BLDG FEE SB1473 GL-8100000-2281000 $1.00 RESIDENTIAL HVAC CHANGE OUT GL-11000003221100 $159.60 Total Fees Paid: $160,42 Owner,-Buildpr Declaration I herebyatFrm under the penalty of perjury that there is a construction lending agencyfor the 1 hereby affirm under penalty of penury 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, CW1 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 file a signed Asbestos Declaration statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law(Chapter %commencing with Section 7000) of Division 3 of the Business Written asbestos notification pursuant to Part 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 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 (S50D).) 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 offered for sale (Sec. 7044, (a), The protest must satisfy the requirements of Gov. Cade Sec.66020(a) and must be filed within 90 Business and Professions 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, 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 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: Dale/Signature of property 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 FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under the penalty of perluU ONE of the following declarations: I have and wilt maintain a certificate of consent to selfinsure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 700 of the Labor Code, for the performance of the work forwhich IN permit issued. Policy No. I have and will maintaln workers' compensation insurance, as required by Section _ 3700 of the Labor Code, for the performance of the work for which this permit is Initial issued. My workers' compensation insurance carrier and policy number are: I 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 CaiifomEa and agree that If I should become subject to the workers' compensation provisions of Section,3700 of the Labor Code, I shall forthwith comply with thosefp/ro yr 1 Dated _ Initial City of Palm Desert Department of Building and Safety Buildinq Permit Application (For Office yUsee Only) JOB ID: 0V —Q_0U —1 PLANS FILED: Project Address: 74180 ASTER DR PALM DESERT, California 92260-2657 Suite # Total Value of work: $ 3000 Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): Replacement of 3 Ton HVAC Split System Contractor Business Name John Harrison Contracting Property Owner Name JENNIFER RENQUIST Address 1143 W. Lincoln St Address 74180 ASTER DR PALM DESERT, California 92260-2657 city Zip Banning 92220 city Zip Palm Desert 92211 Phone 760.322.2685 x 104 Phone (760) 851-9397 Fax Fax E-mail jwren@jhGontraGting.com E-mail Contractor License No. State: 697530 ❑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 John Harrison Contracting 7.24 18 Contact Telephone Number E-Mail 626.602.4239 TheAcquiesceCompany a@gmail.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 CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC) {Page 2 of 31 D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 05 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 split No heating This field or This field or Central split All new This field or This field or System HP component section is not section is not AC cooling SEER 14 Setback section is not section is not altered applicable applicable components applicable applicable Required Documentation: _ CF2R•MCH-01-E-Space Conditioning Systems - -Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ1710, 12.and. 13) and R8 (CZ 11 and 14-161 CF2R and CF39-MCH-20-H - Duct Leakage Test required when heating or cooling components are (nstalled;In ducted systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <= 15% or c= 10% leakage to outside, or seal all accessibte leaks. ...... CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing compowntsare .installed or altered (applicable In CZ Z, 8-151• CF2R and CF3R-MCH-23 Airflow Rate 5=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)1Diia and 15D.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-AO20053141A-000-000-OOOD000-0000 Registration Date/Time: 2018-07-24 12:38:26 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-07-24 12:38:25 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF11R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 31 Project Name: JENNIFER RENQUIST Date Prepared: 2018-07-24 A. General Information CFIR-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 dwelling7unit. 01 Project Name JENNIFER RENQUIST 02 Date Prepared 2018-07-24 03 Project Location 74180ASTER DR PALM DESERT, California 04 Building Type Single family 92260-2657 05 CA City Palm Desert 06 Dwelling Unit Name JENNIFER RENQUIST 07 Zip Code 92260 08 Dwelling Unit Conditioned 1D40 Floor Area (ft2l Number of Space 09 Climate Zone 15 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 4o entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System F House 1040 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dilb) This section does not apply to this project. Registration Number: 418-A020053141A-000-000-0000000-0000 Registration Date/Time: 2018-07-24 12:38:26 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-07-24 12:36:25 Schema Version: rev 10/16 W3 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: Tony Jackson ronyJac4— Company: Signature Date: John Harrison Contracting, Inc. 2018-07-24 Address: CEA/ HERS Certification Identification (if applicable): 1143 West Lincoln Street City/state/Zip: Phone: Banning CA 92220 760-322-2653 Responsible Person's Declaration statement I certify the following under penalty of pedury, under the laws of the State of California: - - 1. The information provided on this Certificate of Camp IIan ce Is true and correct. - 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsiMity larthe building 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 I 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. S. I will ensure that a registered copy of this Certificate of Compliance shall be made vailable'w4h the building permlt(s)'Issued for the building, and made available to the enforcement agency for BIT appfcable Inspections. I understand that a registered copyof this Certificate of Compliance is required to be included with the documentation the builder provides to the buiiding owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Tony Jackson ronyJr+t+v Company : Date Signed: John Harrison Contracting, Inc. 2018-07-24 Address: License: 1143 West Lincoln Street 697530 City/State/Zip: Phone: Banning CA 92220 760-322-2653 Registration Number: 418-A020053141A-00D-000-0000000-0000 Registration Date/Time: Z018.07-24 12:38:26 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-07-24 12:38:25 Schema Version: rev 10/16