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C16267
0 City of Palm Springs BUILDING PERMIT 0 Permit Technician John Shoemaker DATE PLAN CHECK PLAN CHECK CASE B E M P EP HP SUBMITTED 6/ 2 2/ 2 0 0 6 NUMBER FEE NUMBER PERMITS x Owner Address Phone State Lic. Number Bruno same Contractor Address Phone State Lic. Number Lake Air 583 S Oleander Rd, P.S. 320-2727 467000 Architect Address Total value of work $ 2,800.00 Sewer Agreement # Engineer Address School Fee 0 Fixture Units Lot # Block # Tract Building Address Building Permit 9 H TAHQRIVEREST 0979 SAN LORENZO ROAD 001-32201 52.60 Lot Size Zone Height Occupancy A.A. No. Total Area Plan Check R.1 C 001-34301 0.00 Setbacks As Front Side Side Rear Parcel Number SMIP Tax Constructed 508-263-003 001-37111 0.50 Square Building Garage/Carport Roofed Pato/Porch Microfilm Footage 1 001-34308 2.60 Use of building SMIP Type Permit Type Const. Type Fire Sprinkler Units New Sew Cn Permit Issuance Single Fam Res 1 MSC 001-32204 23.50 Class Of New Additions Alterations Repair Remodel Removal Replace Construction Tax 0.00 Work 001-31601 Describe work In detail: DbLFee/Rmw/Mist. Replace packaged HVAC system, in same location, with 001-32210 0.00 new 5 ton, 13 SEER unit. Construction Permit 001-32203 0.00 � -f'••' t ` ... Sewer Inspection IiC)h sl'i 001-32202 0.00 Sewer Main Special Conditions: 420-38704 0.00 Tines must be in Sewer Agreement T8A 0.00 Sewer Connection Fee DO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL. THE WORK IS INSPECTED 420-38703 0.00 IMPORTANT Drainage Fee 0.00 The issuance of this permit shall not be held to be an approval of the violation of any provisions of any TUMF Fee city or county ordinance or state law. 134-33110 0.00 Misc, Filing Fee 0.00 Inspections of work are subject to an approved set of plans being on the job. Changes to plans are not to be made without permission of the Building and Safety Divisions. Public Arts Fee The owner and/or contractor is responsible for establishing all property lines. All utilities must be 150-34390 0.00 underground. Planning Fee This permit will expire if work is not started in 180 days or if more than 180 days elapses between 001-34303 0.00 Technology Fee inspections. Z61-32214 3.64 I certify that I am familiar with all requirements of the City of Palm Springs as they apply to this permit and understand that these requirements must be completed prior to final inspection and that no General Plan Maint. Fee 0.00 certification of occupancy will be issued until such time as these requirements are met. I certify that 001-34310 I have read this application and state that the information is true and correct. TOTAL FEE 82.84 G Z� QlP p1� Q ER/CONTRA OR/AGE T DATE ISSUED BY This is a Building when properly filled out, signed and validated, and is not transferable. INSPECTOR'S COPY i PERMIT 16 NUMB 267 94 PALM SA, JOB CARD Building & Safety A �4crFoaN� City of Palm Springs Owner Bruno Date 6/22/2006 Address 0979 SAN LORENZO ROAD Permit n C 16267 SWIMMING POOLS Steel, Bonding, Setbacks Underground Piping/Elect Final, Gas Pres. Housing, Energy Clean, Patch, Flash Roof Final Fireplace Ftgs Fireplace BB Massonry Wall Figs Massonry Wall BB GENERAL BUILDING INSPECTIONS Temp Pole Lath Setbacks Insulation Pad Certification Drywall Ground Plumbing Gas Pres Footings Sewer (Sketch on reverse side) Roof Nail Planning Release Outside Wrap Fire Release A.C./Htg Ducts Eng. Release Top -Out Plumbing Final Gas Rough Electric Final Electric Framing C.O. Issued Final 0 Project Address: Date: Building Permit Number: 79 s� L ot� � zz�o� /& Z(,,-7T IMPORTANT: This form is only for use when an HVAC only alteration is made to an existing dwelling. Use one form for each system being altered. This system is number © of L l 1 systems being altered in this dwelling. Scope of Alterations: 1. An air handler is to be installed or replaced. Duct sealing to be determined. ❑ 2. A furnace heat exchanger is to be installed or replaced. Duct sealing to be determined. Rr 3. An outdoor condensing unit is to be installed or replaced. Duct sealing and/or TXV to be determined. kr"4'. A cooling or heating coil is to be installed or replaced. Duct sealing and/or TXV to be determined. ❑ 5. More than 40 feet of new or replacement duct is to be installed in unconditioned space. Duct sealing to be determined. ❑ 5a. Entire duct system is be new or replaced. ❑ 6. None of lines 1-5a are checked. Neither duct sealing nor TXV are required. If checked, go to section 5. Section 1 - Duct Sealing (Only if line 6 is checked 7. This system is in Climate Zone 1, 3, 4, 5, .6, 7 or 8. No duct sealing is required. If checked, go to section 2. . _ ............. - rvf 8. This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. If checked, go to section 2. ❑ 9. This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous, approved CF-4R. If checked, go to section 2. ❑ 10. This duct system is sealed or insulated with asbestos. No duct sealing is required. If checked, go to section 2. Note: If line 5a is checked, go to section 2. ❑ 11. This system is in Climate Zone 2, 12 or 16 and an 0.92 AFUE furnace will be installed in lieu of duct sealing (and TXV, if. app ica e) I 'checked, go to section:2. ❑ 12. This system is in Climate Zone 10, 13 or 15 and a 14 SEER and 12 EER condenser will be installed with TXV and added duct insulation (R-4 wrap on existing ducts, R-8 on new dusts) in lieu of duct sealing. If checked, go to section 2. ❑ 13. This system is in Climate Zone 9, 10, 11, 13, 14 or 15 and a 14 SEER and 12 EER condenser will be installed with TXV and an .92 AFUE furnace will be installed in lieu of duct sealing. If checked, go to section 2. -... --. ............- ............,.........M..._--........................ 14. This: system is in Climate Zone 2 9,11 12, 14 or l6 and a 14 SEER and: 12 EER condenserwill be installed with TXV arid.. an .82 AAM furnace will be installed with increased duct insulation in lieu of duct sealing.,:If checked; 'go to: :section 2. .............. -- -- --......... . ❑ 15. None of lines 7-14 above are checked. Duct sealing is required. If checked, go to section 2 Section 2 - TXV(Only if line 3 or 4 is checked fVr 16. This system is a packaged unit. No TXV is required. If checked, go to section 3. ❑ 17. This s. fem is in Climate Zone 8 and a4:SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV is required. Ifchecked.,:gp to section 3. - -- ..........._._..__.._...._. __ _............. ......... ❑ 18. This system is in Climate Zone 1; 3; 4, 5, 6 or 7. No TXV is required. If checked, go to section 3. ❑ 19. This system is iri Climate Zone 16 and line 14 is not checked. No TXV is required. If checked, go to section..3.:... ❑ 20 This system i.s in Climate Zone lC; ljne 14 is checked_and line 16 is not checked. TXV is required. If checked,,,go to section 3. ❑ 21. This system is in Climate Zone 2 or 8-15, and line 11, 16 or 17 is not checked. TXV is required. If checked, go to section 3. Section 3 - HERS Rater Verification ❑ 22. If line 15 is checked, HERS verification is required for duct sealing. _._. ........... ._ . ❑ 23. If line 12, 13, 14, 20 or 21 is checked and line 16 or 17 is not checked, HERS verification is required for TXV. ❑ 24. If line 12, 13 or 14 is checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies ❑ 25. If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5 - Duct R-Values ❑ 26. If more than 40 feet of duct is being installed or replaced, duct R-value must meet or exceed Package D requirements. ❑ 27, If less than 40 feet of duct is being installed or replaced, duct R-value must meet or exceed R-4.2. Section 6 - Minimum Requirements for Equipment to be Installed/Altered 28. Configuration: ❑ Split System Wackage Unit 9. Air Handler: ❑ Gas Furnace: ❑ Heatpump FAU: ❑ Hydronic FAU ❑ Other AFUE -7A HSPF ❑ 30. Heat Exchanger �31. Condensing Unit: ❑ A/C: ❑ Heatpump ❑ EER SEER . J HSPF ❑ 32, Cooling or Heating ❑ A/C ❑ Heatpump ❑ Hydronic Coil ❑ 33. Ducts Location: Length: R-Value: All mandatory measures apply to any altered component. See MF-1R. Compliance Statement: This form lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This form has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Document Author: Name: Name: Company Name: Address: Address: City/State/Zip: City/State/Zip: �L I i.._--LA v�u Phonc: ` Phone: Signature: Signature: Notes/Comments BUILDING PERMIT APPLICATION FOR BLOCK WALLS, POOLS RE -ROOFS & REPIPES DATE: Project Address 7 ��.. Owner's Name t w .( 7r-U� \c _, ......_ Phone #7 mac? ----1 Owner's C_� Contractor's Name. ,_ _..T. ------Phone #11L T 7,2--7 Contractor's Address �.�_ 7 cc► ut. .- �) � Lie. Engineer's Name Phone # Engineer's Address Lie. # CONTACT PERSON r j�; Address;LL, Phone #,, j Walls - Height of Wall Length of Wall Front Set Back Re -roofs - S.F. of Roof Wt. of Material ICBO Report I UL Listing Project Description ' gq& c c i-. V4 ;_i f t.,rn� ._ Total Value of Work $ WHERE INDICATED BY A C, _ SUBMIT 3 SETS (Minlum size of pool plans 11� Minium scale 1!_ 4 1') ❑ Plot Plan with lot square footage. ❑ Waste, Drain & Vent Isometric. © Planning Department Approval. ❑ Structural Calculations, if applicable. 11 Roof or Truss Eng., if applicable. © Plan for Pool with Wet Stamp from Engineer. ❑ Water Piping Isometric, dimensioned. ❑ Gas Piping Isometric: Show BTU ratings of each appliance on all branches, distanc placement of longest run & total BTU for entire system. City of Palm Springs V N BUILDING PERMIT WORK SHEET . °�eiFoa0`'' Address 0979 SAN LORENZO ROAD DATE PLAN CHECK PLAN CHECK CASE B E M P EP HP X SUBMITTED 6/ 2 2/ 2 0 0 6 NUMBER FEE NUMBER PERMITS Owner Address Phone State Lic. Number Bruno same Contractor Address Phone State Lic. Number Lake Air 583 S Oleander Rd, P.S. 320-2727 467000 Architect Address Phone State Lic. Number Engineer Address Phone State Lic. Number Lot # Block # Tract Building Address 9 H TAHQRTVEREST 0979 SAN LORENZO ROAD Lot Size Zone Height Occupancy A.A. No. Total Area Total value of work $ R1C 2,800.00 Setbacks As Front Side Side Rear 1 Parcel Number Building Permit 0. 0 0 Constructed 5 0 8- 2 6 3- 0 0 3 Electrical Permit 0 .00 52 Building Garage/Carport Roofed Pato/Porch Square Mechanical Permit .60 Footage Plumbing Permit 0 .00 5-2 Use of building SMIP Type Permit Type Const. Type Fire Sprinkler Units New Sew Cn Single Fam Res 1 MSC Combined Permits Plan Check 0 . 00 Class Of New Additions Alterations Repair Remodel Removal Replace Work Plan Check less Plan Check Dep. 0 . 00 0 . 00 Describe work In detail: Replace packaged HVAC system, in same location, with new 5 ton, 13 SEER unit. Plan Check Due 0.00 SMIP Tax 0.50 Microfilm 2.60 Permit Issuance 23 .50 Special Conditions: Construction Tax 0 . 00 Dbl.Fee/Rmw/Mist. 0,00 Construction Permit 0 . 00 Sewer Inspection 0 . 00 Sewer Main 0.00 Sewer Agreement Sewer Connection Fee 0 . 00 0 • 00 Description Qty Amount Limit Amount Total Drainage Fee 0 . 00 10,000 CFM and less 1 10.65 999 10.65 10.65 TUMF Fee 0 . 00 15 ton, 15 hp, 500,000 BTU 1 27.15 999 27.15 27.15 0 00 100,000 BTU and less 1 14.80 999 14.80 14.80 Misc. Filing Fee . Public Arts Fee 0 . 00 Planning Fee 0 . 00 Technology Fee 3 .64 General Plan Maint. Fee 0 . 00 TOTAL FEE Fixture Units 0 c a a n