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HomeMy WebLinkAbout2020-1226 ApplicationDESERT ri♦vrv-�a�w.r�..- Email Cover Sheet 590 Williams Rd. Palm Springs, CA 92264 760-323-3383 760-318-1164 To: City of Palm Springs- Building Department Email: JACKIE LINARES <Jackie.linares&palmspringsca.gov>; Jennifer Aguilera <Jennifer.A uilera(a-,palmspringsca.go_v>; Rebeca McKeown <Rebeca.McKeownna,palmspringsca.gov> Fax Number: 760-322-8342 Phone Number: 760-323-8259 Date: 4/29/2020 Re: Building permit request Notes/ Comments: Replace 5-ton split system on roof like for like Total valuation $1.0,654.00 Please call with questions Thank You, Meredith Palumbo OWNER I BUILDER DECLARATION I hereby affirm under penalty of perjury mat I am exempt from the Contractors License Law for the following reason (Section 70 31.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any Structure prior to its issuance. also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License law (Chapter 9 commencing with Sea 7000 of Division 3 of the Business and Professions Code) or mat he or she Is exempt therefrom and the basis for the adeged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500)-) Please cheek one of the following: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the structure is not intended or offered for sale (Sec- 7044 of Me Business and Profession Code: The Contractors License Law does not apply to an owner ol:property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvementsarenot intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sea 7044 of the 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 contractor(s) licensed pursuant to the Contractors License taw.) ❑ I am exempt under Sec. of the Business and Professions Code for this reason: Ownei Signature: Date: LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. The following applies to B contractors only, 1 undersiland the limitations of Section 7057 related to my ability to take prime contracts orsubcantrads invoVirg spedally trades. C20 276586 00001213 License Class: State Lic. No.: City Bus. Uc. No . Print Name on License: DESERTAfR CONDITfONING, INC. Phone: 760-323-3383 Address: 590 WILLIAMS RD., PALM SPRINGS, CA 92264 Every county Of city which requires the issuance of a permit as a condition precedent to the consbOctton, allerabon. Improvement. demolition or repair of any building or structure shall require that each applicant for the permit sign a declaration under penalty of perjury verifying workers' compensation coverage or exemption from coverage as required by Section 19825 of the Health and Safety Code. I. hereby affirm under penaltgof perjury one of the followtng eclamtiona: ❑ �1 HAVE AND WILL MAINTAIN A CERTIFICATE TO SELF INSURE for workers compensabon as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. d 1 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 carrier and policy number .Carrier CYPRESS INSURANCE COMPANY Pali cY No 3300065410131 I - ❑ I CERTIFY that in the performance of work for which 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 1 should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall for with comply with those provisions. Contractor or Agents Signature: & Date: 02/07/2020 Disclosure Form City of Palm Springs, CA o,00, Date : 04/29/20 Project Address 4765 E. RAMON RD. CITY OF PALM SPRINGS BUILDING PERMIT APPLICATION Plan Check Deposit Fees: Building: Fire: Owner's Name ORGANIC SOLUTIONS OF THE DESERT Owner's Address 4765 E. RAMON RD. Contractor's Name Desert Air Conditioning Contractor's Address 590 Williams Road, Palm Springs, CA 92264 Architect's Name Architect's Address Assessor's Parcel # Phone # 760-832-7813 Phone # 760-323-3383 Llc# 276586 Phone # Lic.# CONTACT PERSON Meredith Palumbo Address 590 Williams Road, Palm Springs, CA 92264 PHONE760-323-3383 FAX760-323-8983 EMAILmpalumbo@desertairps.com Business License. #00001213 Exp. Date 10/31/2020 Lot Size (sf.) Building Use Type of Const. Occupancy Group(s) Sprinkled Project SQ Ft:Bui Garage Carpo Patio (type) Project Description Replace 5-ton split system on roof like for like Total Value of Work $10.654.00 *All submittals of New Construction (Single Familv Residence). and Additions (including Casitas) are subiect to Public Works and Engineering Conditions of Approval. All required Conditions of Approval for the project must be submitted and/or addressed directly to Engineering and Public Works by the Applicant for review, approval and issuance of all grading and encroachment permits WHERE INDICATED BY A CHECK, SUBMIT 4 SETS (Minimum size of plans *18 x 24" Minimum scale ''/."=11';Maximum size of plans 40" x 36") ❑ Complete Application ❑ Plot Plan with lot square footage. ❑ Drainage Plan: show lot corner elevations. ❑ Structural Calculations, if applicable (wet -stamped and signed) ❑ FloorPlan, dimensioned. Door & Window Schedule ❑ Framing Plan with sections and elevations ❑ Truss Calculations and layout as applicable (wet -stamped and signed) ❑ Foundation Plan ❑ Electrical Plan/Load Calculations ❑ Health Department approval ❑ Waste, Drain & Vent Isometric ❑ Gas/Water Piping Isometric (dimensioned layout) ❑ Details showing compliance with accessibility requirements ❑ Site Plan showing parking for persons with disabilities and path of travel to building entrance ❑Title 24 (Energy) — 2 sets/ Lighting Compliance Forms ❑ Manufacture's brochure for HVAC equipment Bldg. Plan Check ❑ Mech. Plan / Duct Schematic, Equipment Location ❑ Fireplace Specifications, if applicable ❑Planning / Fire approval / Engineering Approval ❑Fire Sprinkler plans (required at time of submittal) Submit the following directly to the Engineering Department: *ENGINEERING SERVICES: Min Requirements, project maybe subject to additional conditions of approval (Submit 1 copy of the following ). Z Site Plan with the following Finish Floor Elevations of: Existing, Proposed and Immediate Adjacent Homes !� Title report or Grant Deed with a Tax Bill showing current ownership ❑ RIFA (Red Imported Fire Ant Certificate) for anv export of soil from the site © PM-10 (Dust Control) for projects of more than 5000 square feet of soil disturbance 2 Tribal Clearance Letter for all New Construction (not required for additions or Casitas) Planning Case # Signature 7eZ4 POaA 4rtc49 STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCGMCN-01-E RWWd 01118 CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 1 of 4) "N''4765 E. RAMON RD, PALM SPRINGS, CA 92264 °"'""11'"`04/29/2020 A. MECHANICAL COMPLIANCE DOCUMENTS & WORKSHEETS (check box if worksheet is included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, refer to the 2016 Nonresidential Manual Note: The Enforcement Agency may require all forms to be incorporated onto the building plans. YES NO omp.Doc./Worksheettl Title ❑ RCC-MCH-01-E (Part 1 of 3) Certificate of Compliance, Declaration. Required on plans for all submittals. ❑ RCC-MCH-01-E (Part 2 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-02-A to 11-A). Required on plans for all submittals. ❑ RCC-MCH-01-E (Part 3 of 3) Certificate of Compliance, Required Acceptance Tests (MCH-12-A to 18-A). Required on plans where applicable. ❑ NRCC-MCH-02-E (Part 1 of 2) Mechanical Dry Equipment Summary is required for all submittals with Central Air Systems. It is optional on plans. ❑ NRCC-MCH-02-E (Part 2 of 2) Mechanical Wet Equipment Summary is required for all submittals with chilled water, hot water or condenser water systems, It is optional on plans. ❑NRCC-MCH-07-E NRCC-MCH-03-E Mechanical Ventilation and Reheat is required for all submittals with multiple zone heating and cooling systems. It is optional on plans. ❑ L❑ (Part 1 of 2) Power Consumption of Fans. Required on plans where applicable NRCC-MCH-07-E (Part 2 of 2) Power Consumption of Fans, Declaration. Required on plans where applicable CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCC-MCH-01-E ReW6e001/16 CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 2 of 4) °io `""`4765 E. RAMON RD, PALM SPRINGS, CA 92264 °iePrwre 04/29/2020 B. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents) Test Performed By: Designer: This compliance document is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck —The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occupancy permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-02-A MCH-03-A MCH-04-A MCH-05-A MCH-06-A MCH-07-A MCH-08-A MCH-09-A MCH-10-A MCH-11-A Equipment Air Demand Hydronic Automatic Requiring Testing III of Outdoor Single Zone Distribution Economizer Control Supply Fan Valve Leakage Supply Water System Demand Shed or Verification Units Air Unitary Ducts Controls Ventilation VAV Test Temp. Reset Variable Flow Control (DCV) Control PA15NCO60 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PGBOESUA6080 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL SYSTEMS r. CEC-NRCC-MCH-01-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 3 of 4) "°""a'.:4765 E. RAMON RD, PALM SPRINGS, CA 92264 a"°"`'04/29/2020 C. MECHANICAL HVAC ACCEPTANCE FORMS (check box for required compliance documents) Test Performed By: Designer: This compliance document Is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for HVAC systems. The designer is required to check the applicable boxes for all acceptance tests that apply and list all equipment that requires an acceptance test. All equipment of the same type that requires a test, list the equipment description and the number of systems. Installing Contractor: The contractor who installed the equipment is responsible to either conduct the acceptance test themselves or have a qualified entity run the test for them. If more than one person has responsibility for the acceptance testing, each person shall sign and submit the Certificate of Acceptance applicable to the portion of the construction or installation for which they are responsible. Enforcement Agency: Plancheck —The NRCC-MCH-01-E compliance document is not considered a completed document and is not to be accepted by the building department unless the correct boxes are checked. Inspector - Before occu a permit is granted all newly installed process systems must be tested to ensure proper operations. Test Description MCH-12-A MCH-13-A MCH-14-A MCH-15-A MCH-16-A MCH-17-A MCH-18-A Equipment Fault Detection & Automatic Fault Distributed Energy Thermal Energy Supply Air Requiring Testing # of Diagnostics for DX Detection & Storage DX AC Storage (TES) Temperature Reset Condenser Water ELMS or Verification Unks Units Diagnostics for Air& Systems Systems Controls Reset Controls Zone PA15NCO60 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ PGBOESUA6080 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ i ❑ ❑ i ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA MECHANICAL SYSTEMS CEC-NRCC-MCH-01-E Revtwd 01I18 CALIFORNIA ENERGY COMMISSION � CERTIFICATE OF COMPLIANCE NRCC-MCH-01-E Mechanical Systems (Page 4 of 4) Project N..4765 E. RAMON RD, PALM SPRINGS, CA 92264 Dare P""'d:04/29/2020 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Signature Date: Address: CEA/ HERS Certification Identification (if applicable): City/State/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The Information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer(. 3. 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 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 completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designed Name: MEREDITH PALUMBO Responsible Designer Signature: S `omor" DESERT AIR CONDITIONING, INC Date signed: 04/29/2020 0.ddress590 WILLIAMS ROAD Dense276586 aty/sta"I':PALM SPRINGS, CA 92264 Phone'760-323-3383 CA Building Energy Efficiency Standards- 2016 Nonresidential Compliance January 2016 CERTIFICATE OF COMPLIANCE —USER INSTRUCTIONS. NRCC-MCH-01-E Required Acceptance Tests (Page 1 of 1) NRCC-MCH-01-E User Instructions NRCC-MCH-01-E is the primary mechanical compliance document. The purpose of the compliance document is to provide compliance information in a form useful to the enforcement agency's field inspectors. This compliance document should be included on the plans, usually near the front of the mechanical drawings. A copy of these compliance documents should also be submitted to the enforcement agency along with the rest of the compliance submittal at the time of building permit application. With enforcement agency approval, the applicant may use alternative formats of these forms (rather than the Energy Commission's compliance documents), provided the information is the same and in similar format. PROJECT NAME is the title of the project, as shown on the plans and known to the enforcement agency. DATE is the last revision date of the plans. If the plans are revised after this date, it may be necessary to re -submit the compliance documentation to reflect the altered design. Note that it is the enforcement agency's discretion whether or not to require new compliance documentation. Documl ntation Author's Declaration Statement The CERTIFICATE OF COMPLIANCE is signed by both the Documentation Author and the Principal Mechanical Designer who is responsible for preparation of the plans of building. This latter person is also responsible for the energy compliance documentation, even if Ithe actual work is delegated to a different person acting as Documentation Author. It is necessary that the compliance documentation be consistent with the plans. DOCUMENTATION AUTHOR is the person who prepared the energy compliance documentation and who signs the Declaration Statement. The person's telephone number is given to facilitate response to any questions that arise. A Documentation Author may have additional certifications such as a Certified Energy Analyst certification number. Enter number in the CEA# or CEPE#'field Declaration Statement of Principle Mechanical Designer The Declaration Statement is signed by the person responsible for preparation of the plans for the building and the documentation author This principal designer is also responsible for the energy compliance documentation, even if the actual work is delegated to someone else (the Documentation Author as described above). It is necessary that the compliance documentation be consistent with the plans. The Business and Professions Code governs who is qualified to prepare plans and therefore to sign this statement. See Section 2.2.2 Permit Application for applicable text from the Business and Professions Code. Section A. Mechanical Compliance Documents & Worksheets The checkboxes list all applicable compliance documents or worksheets included with the compliance documentation submitted to the enforcement agency. Sections B & C Mechanical HVAC Acceptance Documents The Designer is required to list all system and identify the applicable acceptance testing required. The Designer should think about who will be conducting the tests and list this person in the section titled "Test Performed By" if applicable. Those who are allowed to conduct the tests are the installing contractor, design professional or an agent selected by the owner. Note that a single system may require multiple acceptance tests, depending on the type of system. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016