HomeMy WebLinkAboutC30297U
• City of Palm Springs
BUILDING PERMIT
•
Permit Technician Angela LaFrance
DATE
PLAN CHECK
PLAN CHECK
CASE
8 E M P EP HP
SUBMTrrED 9 / 2 2 / 2 0 11
NUMBER
FEE
NUMBER
PERMITS X
Owner Address
Phone
State Lic. Number
Sylvia Lugo same
760)325-5006
Contractor Address
Phone
State Uc. Number
John Harrison 1143 Lincoln, Banning, Ca
760)322-2653
697530
Architect Address
Total value of work $
3,000.00
Sewer Agreement #
Engineer Address
School Fee
Fixture Units
0
Lot #
Block #
Tract
Building Address
Building Permit
26
+
PALOSVERDES2
0192 OCOTILLO AVENUE
001-32201
35.00
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
5 0 8- 2 9 2- 018
001-37111
0.50
Square
Building
Garage/Carport
Roofed Pato/Porch
Microfilm
Footage
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
26.11
Class of
New
Additions
Alterations
Repair
Remodel
Removal
Replace
Construction Tax
Work
X
001-31601
0.00
Describe work In detail;
Dbl.Fee/Rmw/Mist.
Replace 5 ton a/c unit:, same size and location. Not on
001-32210
0.00
roof.
Construction Permit
001-32203
0.00
Sewer Inspection
001-32202
0.00
Special Conditions:
Sewer Main
-
420-38704
0.00
Sewer Agreement
-
T&A
0.00
Sewer Connection Fee
Do'itci l'o6 tCEAUOR 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.
0.00
134-33110
Misc. Filing Fee
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.
0.00
Public Arts Fee
The owner and/or contractor is responsible for establishing all property lines. All utilities must be
0.00
underground.
150-34390
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
inspections.
Technology Fee
261-32214
43
I certify that I am familiar with all requirements of the City of Palm Springs as they apply to this permit
General Plan Maint. Fee
and understand that these requirements must be completed prior to final inspection and that no
certification of occupancy will be issued until such time as these requirements are met. I certify that
001-34310
0.00
I have read this application and state that the information is true and correct.
.001-32219
1.00
69.56
/
TOTAL. FEE
OWN C NTRACT R/AGENT DATE ISSUED BY
f
This is a Building when properly filled out, signed and validated, and is not transferable.
P.Xl -0-2
INSPECTOR'S COPY
PERMIT NUMBER C
3 97
t FARM �w
JOB CARD
Building & Safety
....,..
City of Palm Springs
C,
Owner Sylvia Lugo
Date 9/22/2011
Address 0192 OCOTILLO AVENUE Permit # C 30297
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 Certifkation
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
'"" City of Palm Springs
11QF air*
V' N
BUILD NG PERMIT WORK SHEET
. �ae,�oa�`�• Address 0192 OCOTILLO AVENUE
DATE
PLAN CHECK
PLAN CHECK
CASE
B E M P EP HP
SUBMITTED 9 / 2 2 / 2 011
NUMBER
FEE
NUMBER
PERMrFS X
Owner
Address
Phone
State Lic. Number
Sylvia Lugo
same
760)325-5006
Contractor
Address
Phone
State Lic. Number
John Harrison
1143 Lincoln,
Banning, Ca
760)322-2653
697530
Architect
Address
Phone
State Lic. Number
Engineer
Address
Phone
State Lic. Number
LoC #
Block #
Tract
Building Address
26
+
PALOSVERDES2
0192
OCOTILLO AVENUE
Lot Size
zone
Height
Occupancy
A.A. No.
Total Area
Total value of work $
R1C
3,000.00
Setbacks As
Front
Side
Side
Rear
Parcel Number
0. 00
Constructed
1
1
5 0 8- 2 9 2- 018
Building Permit
Electrical Permit
0. 00
Square
Building
Gpo arage/Carrt
Roofed Pato/Porch
Mechanical Permit
32. 77
Footage
Plumbing Permit
0 . 0 0
Use of building
SMIP Type
Permit Type
Const. Type
Fire Sprinkler
Units
New Sew Cn
Single Fam Res
1
MSC
Combined Permits
0 0 0
Class of
New
Additions
Alterations
Repair
Remodel
Removal
Replace
Work
g
Plan Check
.
Plan Check
0 .00
Describe work In detail:
Replace 5 ton a/c unit, same size and location.
Not on
Less Plan Check Dep.
0.00
roof.
Plan Check Due
SMIP Tax
0.50
Microfilm
2.60
Special Conditions:
Permit Issuance
26 . 11
Construction Tax
0 . 00
Dbl.Fee/Rmw/Mist.
0.00
Construction Permit
0 . 00
Sewer Inspection
0 . 00
Sewer Main
0.00
Sewer Agreement
0 . 00
Descrigtion _
Qty Amount
Limit Amount
Total
Sewer Connection Fee
Drainage Fee
0 . 00
0. 00
3 ton, 3 hp, 100,000 BTU a 1 16.33 999 16.33 16.33
100,000 BTU and less
1 16.44
999 16.44
16.44
TUMF Fee
0 . 00
Misc. Filing Fee
0. 00
Public Arts Fee
0 . 00
Planning Fee
0 • 00
Technology Fee
4 .35
General Plan Maint. Fee
0 . 00
001-32219
1 . 00
TOTAL FEE
69.5-6
Fixture Units
0
U61.4,,I"'
DATE:
BU4PING PERMIT APPLICATIO
PLAN CHECK DEPOSIT FEE:
Project Address 2-6, koTtuuo rAiC Assessor's Parcel #
Owner's Name 'SLAMk Phone# �lb�• 3zSSOo�
Owner's Address fl26 Cctm t (,sic Pn�rn s G
Contractor's Name` Ate. Phone#-Ao z4, Lic.# &-i-1,530
Contractor's Address\gkt r\nkr'V x C.R 7,_?,_Z0
Architect's Name
Phone # Lic.#
Architect's Address
Engineer's Name
Phone # Lic.#
Engineer's Address
CONTACT PERSON_ �,�' -`,�
Address ►n gi27_2(7
PHONE `7 U 'S)L� 2�`�� FAX 7bo
EMAIL
TOTAL. VALUE OF WORK $ 73bc)(D. C)<'
Lot Size (sf.) Zone Flood
Zone % of Lot Covered
Building Use Type of Const.
Occupancy Group(s) Sprinkled
Project Square Footage: Building Garage
Carport Patio (type)
Project Description
WHERE INDICATED BY
A CHECK,
SUBMIT 3 SETS
(Minium size of plans 18" X24" Minium
scale 1/4 inch W 1ft )
❑ COMPLETE APPLICATION
LAYOUT)
❑ PLOT PLAN WITH LOT SQUARE FOOTAGE
❑
DETAILS SHOWING COMPLIANCE WITH
❑ DRAINAGE PLAN: SHOW LOT CORNER ELEVATIONS
ACCESSIBILITY REQUIREMENTS
❑ STRUCTURAL CALCULATIONS, IF APPLICABLE
❑
SITE PLAN SHOWING PARKING FOR PERSONS WITH
❑ FLOOR PLAN, DIMENSIONED. DOOR & WINDOW
DISABILITIES AND PATH OF TRAVEL TO BUILDING
SCHEDULE
ENTRANCE.
❑ FRAMING PLAN WITH SECTIONS AND ELEVATIONS
❑
TITLE 24 (ENERGY) - 2 SETS
❑ TRUSS CALCULATIONS AND LAYOUT AS
❑
MANUFACTURE'S BROCHURE FOR HVAC
APPLICABLE
EQUIPMENT.
❑ FOUNDATION PLAN
❑
MECH. PLAN / DUCT SCHEMATIC, EQUIPMENT
❑ ELECTRICAL PLAN / LOAD CALCULATIONS INCLUDE
LOCATION
8-KW FUTURE FOR NEW SINGLE DWELLINGS AND
❑
FIREPLACE SPECIFICATIONS, IF APPLICABLE
CONDOS
❑
PLANNING/ FIRE / ENGINEERING APPROVAL
❑ WASTE, DRAIN & VENT ISOMETRIC
❑ GAS/WATER PIPING ISOMETRIC (DIMENSIONED
Bldg. Plan Check# Eng. File Fire Dept. Job # Planning Case #
S m y�ed Pr_ _escril
Climate Zones 10 to 15
of Compliance: 2008 Residential HVA C Alterations CP-IR-ALT-HVAC
Site Address:
Enforcement Agency:
.Date:
Peripit t
t 7 •V 0
Conditioned Floor
E ui ment Type'
List Minimum Efficiene =
Duct insulation requirement
Area
Thermostat
ackaged Unit
_...
Furnace
AFUE COp
Over 40 ft of ducts added or
� Setback
Indoor Coil
EETf= HSPF_
P
replaced in unconditioned space
R 6 (CZ 10-13)
Sery d by system
���� sf
(If norelread
y
must be
Condensing Unit
EER Resistance
® R 8 (CZ 14-I5)
�LiaL.e
present,
installed)
_.
Other
1. Equipment Type: Choose
the equipment being installed; if more than one system, use another CF-IR-ACT-HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems.
t ERN V hK1k1L A.'FIVN SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and
picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be lets on site for final
inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the
installer. Th'e inspector also verifies that each appropriate CF-6R and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and
sigped. Beginning October I, 2010, a registered copy of the CF-1R and CF-611 shall also be on site for final inspection.
1. IIVAC Changeout Required Forms:
• All HVAC Equipment replaced CF-6R forms; MECH-04, MECH-21 -HERS and (for split systems) MECH- 25-HERS
CF- 4R forms. MECH- 21 and for s lit s stems MECH-25
• Condenser Coil and/or
• Indoor Coil and/or CF-6R forms: MECH-2I-HERS and (for split systems) MECH- 25-HERS
• Furnace I
CF4R forms: MECH- 21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA ? 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage testing if:
1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
2. Duct systems with less than 40 linear feet in unconditioned space, or
3. Existing duct s stems are constructed, insulated or sealed with asbestos
2. New HVAC System Required Forms:
Cut in or Changegut with new CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECIw5-HERS
ducts: (all new ducting and all CI.-4R forms: MECH 20•, and (for split systems)MECII-22, and MECH 25
new a ui meat
For Split Systems: Duct leakage < 6 percent; RC, CCA �: 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leaks e < 6 percent
C3 3, New Ducts with Replacement Required Forms:
• Includes replacing or installing all new ducting' CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF-411 forms: MECH-20.and (for split systems) MECH-25
coil and/or furnace. Not all equipment changed.
For Split Systems: Duct leakage t 6 percent, RC, CCA? 300 CFM/ton,'TMAH
For Packs ed Units: Duct leaks e < 6 percent
4. New DuctinS over 44 feet Re uired Forms:
• Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS CF-4R tbrms: MECH-21
linear feet of duct in unconditioned space.
For splits stem or packaged units: Duct leakage < 15 percent
EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title'24,
Parts 1 and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets,
calculations, plans andspecifications submitted to the enforcement agency for a2proval with the t tiva
Name: Signature: .
Company: MAKK1OVN %oun i ACTING, INC, Date: -
Address: 255 N. E CIELD S I E. 14U R76 License: f �^-��
City/State/lip:SPRINGS, Phone: (f, /
2008 Residential Compliance Forms March 2010
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INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS
Duct Leakage Test — Existing Duct System (Page 1 of 2
Site Address: Enforcement Agency: Permit Number:
192 E OCOTILLO AVE Palm Springs CA 92264 Palm Springs, City of C30297
Enter the Duct System Name or Identification/Tag: SYSTEM
Enter the Duct System Location or Area Served: HOUSE
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.
This installation certificate is required for compliance for alterations and additions in existing dwellings to space
conditioning systems and duct systems.
Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original
duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a
completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled 'Duct
Leakage Test - Completely New or Replacement Duct System. "
Select one compliance method from the following four choices.
❑ Option 1. Measured leakage less than 15% of Fan Airflow.
❑ Option 2Qa4jf Qrgao id ch"Acerformance
.... ........
OFC48 ti o n
❑� Option 3 ly r 11 a
1
❑ Option 4� 211 accessible le to t�,� Hl:tater
Note: (Optidiii;I'tJnust be
Determine notna� Aiai"flo ne of g three on methods.
El Cooling system method: Size 0
❑ Heating system method: 21.7 pa _
1] Measured system airflow using RA3.3 airflow teiedures: CFM°
Option 1 used then:
Allowed leakage = Fan Airflow x 0.15 = CFM
1 Actual leakage = CFM
Pass if Actual leakage is less than Allowed leaka a El Pass ElFail
Option 2 used then:
Allowed leakage = Fan Airflow x 0.10 = CFM
2 Actual leakage to outside = CFM
Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail
Option 3 used then:
Initial leakage prior to start of work= 1D50 CFM
3 Final leakage after sealing all accessible leaks using smoke test = 342 CFM
Initial leakage 1050 - Final leakage 342 = Leakage reduction 708 CFM
(Leakage reduction 708 / Initial leakage 1050 ) x 100% = % Reduction
Pass if % Reduction > 60% El Pass
Option 4 used then:
4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling).
ail
Pass if all accessible leaks have been sealed using Smoke Test I El Pass ❑Fail
Registration Number: 311-A0008751 A-M2107287A-0000
2008 Residential Compliance Forms
Registration Datel7ime: 10/17/2011 07:58:24
HERS Provider: CBPCA
August GUUY