HomeMy WebLinkAboutHVRC19-0071City of Palm Desert
Building Safety Department
PERMIT NUMBER:.
ISSUE DATE:
and
J! 73510 Fred Waring Drive
HVRC19-0071
2/4/2019
Palm Desert, CA 92260
Permit Type: HVAC CHANGE OUT
RESIDENTIAL
Appl. Date: 214/2019
Permit TIER 1-LESS 15 SEER
Subtype:
Job Valuation: $3,000.00
APpr. Date: 2/4/2019
Exp. Date: 8/3/2019
Project Address: 40780 AVENIDA CALAFIA
Project Description: 2 SPLIT SYSTEMS
APN/Tract/Lot No:
Owner:
Contractor:
Applicant:
622330018
NANCY R DEBROWN
JOHN HARRISON
JOHN HARRISON
TR 24603
40780 AVENIDA CALAFIA
CONTRACTING INC
CONTRACTING INC
18
PALM DESERT, CA 92260
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
CI
hereby affirm ender penalty of penury that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-3411600 $0.42
In' ial
and my license is in full force and effect.
GREEN BLDG FEE SB1473 GL-6100000-2281000 $1.00
RESIDENTIAL HVAC CHANGE OUT GL-1100000-322110D $159.00
Total Fees Paid; $160.42
Owner -Builder Declaration
l herebyaffrrm under the penalty of perjury that there is a construction lending agency for the
1 hereby affirm under Denalty of Deriury that I am exempt from the Contraclors' Stale
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 Cade: 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 appilcanl for the perm it to file a signed
statement 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 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 viotatior 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 fie 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 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 Code: The Contractors' State License Law does not apply to
days of the dale of this notice. In addition, you must lender payment of the protested fees at the time of
an owner of properly 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 properly, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code: The Contractors
License Law does rot 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:
DatelSignalure of property owner or agent
Workers' Compensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAI- PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000), IN ADDrrION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNETS FEES.
I hereby affirm under the penalty of poriury ONE of the following declarations:
I have and will maintain a certificate of consent to self4nsure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit issued.
Ill Ial
Policy No.
I 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 carder and policy number are:
itial
Carder & Policy Number
Expiration Date
his permit is issued, I shall not
I certify that in the performance of489rehat'
employ any person in any manneubject to the workers'
compensation laws of California aould become subject to the
workers'compensation provisionsthe Labor Cade, 1 shall forthwith
compl Ith hos�elprov dons.
Date i f ` Applicant
_
Initial
City of Palm Desert
Department of Building and Safety
Buildinq Permit Application
(For Office Use Only)
Jos ID: V,\� V_act "wnl
PLANS FILED:
Project Address: 40780 AVENIDA CALAFIA PALM DESERT, California 92260-363 Suite #
Total Value of work: $ 3 , 000
Note: Plan Review Fees may be adjusted after Plan Review
Project Description (be specific):
Replacement of two (2) 3 Ton Split System
Contractor Business Name
John Harrison Contracting
Property Owner Name
Delia Fimbrez
Address
1143 W. Lincoln St
Address
40780 AVENIDA CALAFIA
City Zip
Banning 92220
city Zip
Palm Desert 92206
Phone
760.322.2685 x 104
Phone
(760) 501-1712
Fax
Fax
E-mail
jwren@jhcontracting.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
Contact Telephone Number
E-Mail
626.602.4239
TheAcquiesceCompany@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
h
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: Delia Fimbrez Date Prepared: 2019-02-04
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Delia Fimbrez
02
Date Prepared
2019-02-04
03
Project Location
40780 AVENIDA CALAFIA PALM DESERT,
Q4
Building Type
Single family
California 92260-363
05
CA City
Palm Desert
06
Dwelling Unit Name
Delia Fimbrez
07
Zip Code
92260
08
Dwelling Unit Conditioned
2463
Floor Area (ft)
Number of Space
09
Climate Zone
15
30
Conditioning (SC( Systems in
2
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?
5C system?
Alteration Type
System 1
Location 1
1231
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1232
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 154.2(b)Mib)
This section does not apply to this project.
Registration Number: 419-A020010612A-000-000-OODOODD-OD00 Registration Date/Time: 2019-02-04 06:18:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02.04 06:18:54
Schema Version: rev20190426
4
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 1S0.2(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
No Heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
furnace
Component
section is not
section is not
AC
cooling
SEER
14 '
Setback
section is not
section is not
Altered
applicable
applicable
components
I
I
I
I applicable
I applicable
Central gas
No Heating
This field or
This field or
Central split
All new
This field or
This field or
System 2
furnace
Component
section is not
section is not
AC
cooling
SEER
14
Setback
Section is not
section is not
Altered
applicable
applicable
components
applicable
applicable
Renuired Dvcumenta['ronr
M R-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 RR (C211 and 14-16)
CF2R and CFMWCH-21-11 -Duct Leakage Test required when heating or cooling components are Installed in ducted systems, orwhen more than 40 ft of duct length is replaced
-Leakage rate compliance: e= 15 percent or c= 20 percent leakage to outside, or seal all accessible leaks.
CF2R and CBR-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in C2 2, 8-15).
CF2R and CF311-MCH-23 AirRow Rate >=300 CFM per ton required when MCH-25 is required.
Exceptions: -
- Dud 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 duff 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 15D.2(b)1Diia and 150.2(b)IE, 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: 419-AO20010612A-000-ODO-ODOOD00-0000 Registration Date/Time: 2019-02-04 06:19:55 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02.04 06:18:54
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.
Do[umentation Author Name:
Documentation Author Signature:
Tony Jackson
7,ot9'Jacka
Company:
Signature Date:
John Harrison Contracting, Inc.
2019-02-04
Address:
CEA/ HERS CertifcatTon Identification (if applicable):
1143 West Lincoln Street
City/State/2ip:
Phone:
Banning CA 92220
760-322-2653
Responsible Person's Declaration statement
I certify the following under penalty of perjury, underthe 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 Cade to accept responsibility for the building design or system design identified an 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 compiiance documents, workshdets,
calculations, plans and specifications submitted 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 permitls)issued for the 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 builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Tony Jackso n
Twty ja.ckson.
Company :
Date Signed:
John Harrison Contracting, Inc.
2019-02-04
Address:
License:
1143 West Lincoln Street
City/State/Lip:
Phone:
Banning CA 92220
760-322-2653
Registration Number: 419-A020010612A-DOO-000-OOOD000-0000 Registration Date/Time: 2019-02-04 D6:18:55 , HERS Provider: CHEERS
CA Building Energy Efficiency Standards- 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2D19-02-04 06:18:54
Schema Version: rev 20ISD426
CITY OF PALM DESERT PERMIT
Bitfdfr€ safe
t5':Dapahtnerit
73-5f {} Fred Waging.- Palen Desert. CA (7a0) `r 76!'.5420
SMOKE a CARBON MdNOXIDE`AL,4k�AE kE, �' � 'a"
'iR(QFIT
2016 California Residential Code sections 14-3'14.t3 arid'R315.2
Where a permit is required for alterations. repairs or additions exceding S1.00DYincluding`exterinr work, i.e. roofing,
NVAC change -outs, electrical panel upgrades, windbws,,ete, existing dwalffria oriTE.6 rig units Eriat Have a :ached
garages or fde1 binning appliances includ-ina fireplaces shall Nava C Carbon 1TTOlio. ali?rrn.
Smoke and Carbon monoxide alarms shall be installed in the fo[iowing manner;
• in each sleeping roam (only require Smoke Alarms unless bedrooms contain a gas appliance than G carbor,
monoxide alarm is required as Svell)
Outside each separate sleeping area in the immediate vicinity of the bedrooms. (require Smoke and Carbon
Monoxide Alarms)
• in each story ieve: of t7e dwelling, including basemenls and habitable attic rooms (require Smoke and Carron
Monoxide Alarms)
■ Smoke alarms and smoke detectors shall nol be located where ambient conditions including humidity aT,d
temperature are outside the limits specified by the rrianufacturars published instructions
■ fnstal€ation near bathrooms Smoke alarms shall be installed not less than'a 3 fl harizemtal distance from the door
or opening of a bathroom that contains a bathtbb or shover unless this would prevent piaceme
required by other sections of the code nt of a smoke warm
• Smoke alarms and smoke detectors shall not be installed w€tF�in 36 in. horizontal path from tier supply registers of a
forced air heating or cooling system and shatf be installed outside of the direct airflow from those registers
• Smoke alarms and smoke detectors shall not be installed within a 38 in_ horizontal path from the tip of the blade of
a ceiling -suspended (paddle) fan
Smoke 0-2tectors 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 dwalkng 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 riot result in the removal of oral/ and ceilina
finishes. or there is no access by means of attic basement or cravil space
The Building Inspector will verify the installation of the smoke and carbon monoxide alarms during the
inspection process ar the owner can complete and sign under the penalty of perjury the following:
1 understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms
installed that comply. I agree to comply with the CRC in regards to smoke alarms and carbon monoxide alarms,
I, J3� and 1
(Property owner's name) (Tenants namalsame) who own and/or live in the
Dwelling located at;
r , .
ature"of aviner
Signature of Tenant
'This is a voluntary smoke and carbon monoxide alarm verification procedure If you
perform the verification you must arrange to have an adult present at the time of insc
Date
a building inspector to
'Mote. this verification is only used when normal access to the interior of the dwelling is not achieved during thti course
Of project construction It is normally used for projects such as re -rob Ong re -siding patio covers or swimming pools
4/11/2017
Page 1 of I