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Home My WebLink AboutHVRC19-0161City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department 73510 Fred Waring HVRC19-0161 Palm Desert, CA 9226D 60 Permit Type: HVAC CHANGE OUT Appl. Date: 3/26/2019 RESIDENTIAL Permit TIER 1-LESS 15 SEER Appr. Date: Subtype: Exp. Date: Job Valuation: $$14,651.00 Project Address: 40785 AVENIDA ROSARIO Project Description: COMPLETE HVAC SYSTEM APN/Tract/Lot No: Owner: Contractor: Applicant: 622340032 TONI KIRK TIMO'S AIR CONDITIONING & TIMO'S AIR CONDITIONING & TR 24773 40785 AVENIDA ROSARIO HEATING INC HEATING INC 15 PALM DESERT, CA 92260 72232 CORPORATE WAY 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)770-4357 (760)77014357 Licensed Contractor,DeFlerafian Fee Summary I hereby affirm under penalty of oeriury 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 — Initial and my license is in full force and effect. GREEN BLDG FEE S81473 GL-6100000-2281000 $1.00 RESIDENTIAL HVAC CHANGE OUT GL-1100000-32211DO $159.00 Total Fees Paid: $160.42 Owner -Builder Declaration 1 hereby affirm under penalty of p�efury that I am exempt from the Contractors' State f hereby affirm under the penahyof perjury that there is a construction fending agencyror the License Law for the reason(s) indicated balgw by the checkrnark(s) I have placed next performance of the work for which this permit is issued (Sec 3097, Civil Code) to 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 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 e)dsts 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 penally 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 sale compensation, NOTICF: 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 date of this notice. In addition, you must tender payment of the protested fees at the Ume of an owner of property who builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they improvement is sold within one year of completion, the Owner -Builder will have the are due if they are not already due. 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 Contractor's 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' Slate License Law.) I am exempt from t.icensure under the Contractors' State License Law for the following reason: DatelSignature of property owner or agent Workers' Compensation Declaration WARNING: FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($106,000}, IN ADDrnON To THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereb affirm under the.penaltV ofI3erIurvONE ofthefGllowing declarations: I have and will maintain a certificate of consent to self -insure 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. Initial 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 forwhich this permit is issued. My workers' compensation insurance camer and policy number are: Carrier & Policy Number _ Initial Expiration Date I certify that in the performance of the work for whlch 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 _ Initial cam ply w' h lho a provisions. 3 Z1- ") ^ Date Applicant City of Palm Desert Department of Building and Safety Building Permit Application (FOffice `j/�%�j�(� ,�C//;� Use Only) 0 (9 1 JOB ID: PLANS FILED: Project Address: 40785 Avenida Rosario Suite # Total Value of work: $ 14,651.00 Note: Plan Review Fees maybe adjusted after Plan Review Project Description (be specific): Replace 5 ton 1100,000 BTU complete HVAC system Contractor Business Name Timo's A/C & Heating Property Owner Name Kevin Kirk Address 72232 Corporate Way Address 40785 Avenida Rosario City Zip Thousand Palms, CA 92276 City Zip Palm Desert, CA 92260 Phone 760-770-4357 Phone 707-315-7636 Fax Fax E-mail E-mail Contractor License No. 920062 El 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 March 26, 2019 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 CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-H IVAC) (Page 1 of 3) Project Name: Kevin Kirk Date Prepared: 2019-03-25 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF113-A€T--02 document for each dwelling unit. 01 Project Name Kevin Kirk 02 Date Prepared 2019-03-25 03 Project Location 40785 Avenida Rosario 04 Building Type Single family 05 CA City Palm Desert 06 Dwelling Unit Name Kevin Kirk Dwelling Unit Conditioned 67 Zip Cade 92260 08 Floor Area {ft2) 2000 Number of Space 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: B. Space Conditioning (SC) System Information 01 02 09 04 05 06 07 OS 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 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 2000 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: 419-A020D28279A•OOD-000-0000000-0000 Registration Date/7-ime: 2019-03-25 13:23:40 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2013.0.001 Report Generated: 2019-03-25 13:23:41 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)IE 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 All new Central split All new This field or This field or System 1 furnace heating AFCIE 0.8 AC cooling SEER 15 Setback section is not section is not components components applicable applicable Reauired Documentation: MR-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply-airand retum-air ducts or plenums: R6 (CZ 1,10, 12 and 13) and RB (CZ 11 and 14-16) CFZR and MR-MCH-20-1-1 - Duct Leakage Test required when heating or cooling components are Installed In ducted systems, or when more than 40 R of duct length is replaced -Leakage rate compNance: <= 15 percent or<=10 percent leakage to outside, or seal all accessible l0v. CF2R and CF311-MCH-25-1-1 Refrigerant Charge verification required when refrigerant conta icing components are installed or altered (applicable in CZ 2, 8-15), CF2R and CF3R-MCH-23 Airflow Rate>= 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. - Heatingonly 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 regWrements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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 applyto this project. Registration Number: 419-AO20028279A-000-000-OOODOOO-0000 Registration Date/Tme: 2019-03-25 13:23:40 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version:2016.0.OD1 Report Generated: 2019-03-25 13:23:41 Schema Version: rev 20180426 t 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: Cassidy Snow ca*idy Snow Company: Signature pate: I Permit E Raters 2019-03-25 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive City/State/Zip: Phone: Westlake Village CA 91362 818-735-7876 Responsible Person's Declaration statement I certify thefollowing under penalty of perjury, underthe lawsofthe State of California: 1. The Informatloa provided on this Certificate of Compl lance is true and correct. 2. I am eligible under Division 3 ofthe Business and Professions Code to accept responsibllity forthe bulding design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devicesforthe 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 deslgn 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. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available With the building permit(s)issued forthe 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: Joey Timo Joe ruxm Company: Date Signed: Timo's Air Conditioning & Heating 2019-03-25 Address: License: 72232 Corporate Way City/state/Zip: Phone: Thousand Palms CA 92276 760-770-4357 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:419-A020028279A-000-000-DODOODO-ODDO Registration Date/Time: 2019-03-25 13:23:40 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-25 13:23:41 Schema Version: rev 20180426