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Home My WebLink AboutHVRC19-02051 City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department IiVRC19-0205 73510 Fred Waring Drive Palm Desert, CA 92260 Permit Type: HVAC CHANGE OUT Appl. Date: 4/16/2019 RESIDENTIAL Permit TIER 1-LESS 15 SEER Appr. Date: Subtype: Exp. Date: Job Valuation: $3,000.00 Project Address: 41702 AVENTINE CT Project Description: CONDENSER AND COIL SPLIT SYSTEM APN1Tract/L.ot No: Owner: Contractor: Applicant: 622051052 PHYLLIS ENGLE JOHN HARRISON JOHN HARRISON TR 14079 & INT IN 41702 AVENTINE CT CONTRACTING INC CONTRACTING INC COMMON AREAS PALM DESERT, CA 92260 1143 W LINCOLN ST STE 2 1143 W LINCOLN ST STE 2 97 BANNING, CA 92220 BANNING, CA 92220 (760)322-2653 (760)322-2653 Licensed Contractor Declaration Fee Summary ///''' QI hereby affirm under Penalty of Perjury that I am licensed under provisions of Chapter 9 ARCHIVE FEE - 8.5Xt 1 UP TO 11X17 GL-1100000-3411600 $0.42 (commencing with Seclion 7000) of Division 3 of the Business and Professions Code, and my license is in Suit force and effect. GREEN BLDG FEE SB1473 GL#5100000-228100D $1.00 Initial RESIDENTIAL HVAC GRANGE OUT GL-1100000-3221100 $159.00 Total Fees Paid: $160.42 Owner -Builder Declaration 1 herebyafrm under the penaltyof perjury that there is a construction fending agencyfor the 0 1 hereby affirm under Density of Dedury 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 (See 3097, Civil Code) to the applicable item(s) Section 7031.5 Business and Professions Code: Any city or Lenders Name andaddress 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' 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 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. L 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 Sac- 66020 wilt 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.66020ta) and must be filed within 90 Business and Professions Code: The Contractors' Stale 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 10 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. 7D44, 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' Slate 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 CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, 1N ADDMON TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 1 hereby affirm under the Penalty of pedury ONE of the follawinq declarations: r-5 I have and will maintain a certificate of consent to selfinsure forworkers' 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 carrier and policy number are: _ Initial Carrier& Policy Number Expiration Date I certify that in the performance of the work for t p mit is issued, I shall not employ any person in any manner so as to ome j to the workers' compensation laws of California and ag that if become subject to the workers' compensation provisions of clion 3 Labor Code, I shall forthw{th compl with t 5see provisions. oat 'c / Appljca _ Initial City of Palm Desert Department of Building and Safety Buildinq Permit Application (For Office %Use Only) %�� JOB ID:i` 1y 1 uY `'00 PLANS FILED: l Project Address: 41702 AVENTINE CT PALM DESERT, Ca 92260 Suite #p Total Value of work: $ 3 1 000 Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): Replacement of 4 Ton Condenser and Coil; Split System Contractor Business Name John Harrison Contracting Property Owner Name Blair Kelly Robin Address 1143 W. Lincoln St Address 1435 N Eldorado Ave city Zip Banning 92220 city Zip Klamath Falls 97601 Phone 760.322.2685 x 104 Phone (760) 636-0285 Fax Fax E-mail jwrenQhcontracting.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 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-IR-ALT-i{VAC) (Page 1 of 3) Project Name: Phyllis Engle Date Prepared: 2019-04-16 A. General Information CF1R-ALT-07 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 dwelling unit. 01 Project Name Phyllis Engle 02 Date Prepared 2019-04-16 03 Project Location 41702 AVENTINE CT PALLY DESERT, California 04 Building Type Single family 92260-302 05 CA City Palm Desert 06 Dwelling Unit Name Phyllis Engle 07 Zip Code 92250' 08 Dwelling Unit Conditioned 1514 Floor Area (ft) 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 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 (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1514 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section15O.2(b)1Diib) This section does not apply to'this project. Registration Number:419-A020036311A-000-000-OOOD000-000D Registration Date/Time: 2019.04-16 05:50:32 HERS Provider: CHEERS CA 3uilding Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-16 05:50:31 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 Beating 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 Centro[ gas No Heating This field or This field or Central split All new This field or This fleld or System 1 furnace Component section is not section is not AC cooling SEER 14 Setback section is not section is not Altered I applicable applicable components applicable applicable Reauired Documentation: - MR-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and retum-air ducts or plenums:R6 {CZ 1-10, 12 and 13) and RB (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H- Duct Leakage Test required when heating orcooling components are insWletl. in ducted systems, or when more than 4D ft of duct length is replaced -Leakage rate compliance: <=15 percent or <-10 percent leakage to outside, or seal all accessible leaks, CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >=3o0 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 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.Z(b)1C) This section does not apply to this project. Registration Number: 419-AO20036313A-000-000-ODOODOO-OOOD Registration Date/rime: 2019-04-16 D5:50:32 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019.04.16 05:50:31 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: Tony J a ckson Tony jackson. Company: Signature Date: John Harrison Contracting, Inc. 2019-04-16 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 perjury, under the laws ofthe State of Callfornia: 1. The information provided on this Certificate of Compliance is true and correct. - - 2. 1 am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the bullding design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 ofthe 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, ca Iculations, 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 ter the building, and made avaiTable 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 bulkier provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: TanyJackson TonyJackaon Company : Date Signed: John Harrison Contracting, Inc. 2019-04-16 Address: License: 1143 West Lincoln Street City/state/Zip: Phone: Banning CA 92220 760-322-2653 Registration Number: 419-A020036311A-000-000-0000000-0000 Registration Date/Time: 2019-04-16 05:50:32 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-16 05:50:31 Schema Version: rev 20180426