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Home My WebLink About2015-1919 - CAMINO SAN SIMEON 3712a 10 City of Palm Springs BUILDING PERMIT Building Address: 3712 Camino San Simeon Date 06/08/2015 Case No. Permit Angela LaFrance Submitted Technician Owner Address Phone Luke Waldo 3712 Camino San Simeon 323 791 7018 Palm Springs CA Contractor Address Phone Lic.Number Tradewinds Air 7349 Cartilla Ave 909 721 3236 960669 Conditioning Rancho CucamorQM Architect Address Phone Engineer Address Phone Lot# Block# Tract Building Address Parcel Number 40 VISTADELCIE 3712 Camino San Simeon 680-061-010 Lot Size ZoneLO Occupancy Building Sq.Ft. Garage/Carport Roofed Patio/Porch Remodeled Area Use of building Permit Type Const.Type Fixture Units SFD Mechanical Equipment Change-out Fire Sprinkler Units Valuation Permit Fees Paid 8000.00 90.00 Describe work in detail: Replace 4ton HVAC,not on roof. HERS duct testing required prior to final inspection. Setback thermostat required. Rooftop mechanical equipment must be on minimum six inch high sheet metal covered platforms or other approved support.Condensate Special Conditions: lines must be in hard copper. Refrigerant service ports located outdoors shall be fitted with locking-type tamper-resistant caps. C.M.C. 1106.3.1 DO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL THE WORK IS INSPECTED IMPORTANT The issuance of this permit shall not be held to be an approval of the violation of any provisions of any city or county ordinance or state law. 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. The owner and/or contractor is responsible for establishing all property lines. All utilities must be underground. This permit will expire if work is not started in 180 days or if more than 180 days elapses between inspections. 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 certification of occupancy will be issued until such time as these require77 nts are met. I certify that I havereadthisapplicationtatethattheinformtionistrueandcorrect. f N E TIONS CALLED MI EXPIRED OWNER/CONTRACTOR/AGENT DATE I§S61ED jL rramcr This is a Building Permit when properly filled out, signed and validated, and is not transferable. PERMITNUMBER 2015-1919 0ALM INSPECTION INFORMATION No work shall be concealed without a signature by the inspector. The approved plans and this card must always be available to the inspector. Preserve this record. A permit shall expire and become null and void if JOB CARD substanial work is not commenced within 180 days, or if the work is suspended or abandoned for a period of Project address: 3712 Camino San Simeon 180 days. If the work is progressing but approaching the end of the 180 day period from the last recorded day of a passed inspection, a progress inspection must Permit#: 2015-1919 be obtained to keep an active permit. Inspection hours 8AM-4PM Monday-Thursday CONSTRUCTION HOURS Inspection request line(760)323-8243 Building Department(760)323-8242 Weekdays 7am to 7pm Building Department Fax(760)322-8342 Saturdays 8am to 5pm Sundays & Holidays Not Permitted MECHANICAL CHANGEOUT INSPECTIONS JOB NOTES:AC/Compliance Forms Final NO INSPECTIONS CALLED PERMIT EXPIRED FILE CLOSED 0 OWNER I BUILDER DECLARATION 1 hereby affirm under penalty of perjury that i am exempt from the Contractor's 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 Contractor's License Law Chapter 9 commencing with Sec.7000 of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged 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($500).) Please check one of the following: 1, 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 the Business and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not 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(Sec. 7044 of the 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 contractor(s)licensed pursuant to the Contractor's License Law.) I am exempt under Sec. of the Business and Professions Code for this reason.- Owner 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: I understand the limitations of Section 7057 related to my ability totto take prime contracts or subcontracts involving specialty trades. License Class: C—A-1 _ State Lic. No.: City Bus. Lic. No. F, Print Name on License: VC,CC i 1C T' Gn d'=i n hon 905 Z Address: 71 7 Ce;/` t 1 U f. C_ C' Every county or city which requires the issuance of a permit as a condition precedent to the construction,alteration, 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 penalty of perjury one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE TO SELF INSURE for worker's compensation as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 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 are: Carrier: ! J r r J`' Policy No. , 1 q 2' J 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 worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions of ection 37 a Labor Code, I shall for with comply with those provisions. Contractor or Agents Signature: Date: Disclosure Form City of Palm Springs,CA Page 1 City of Palm Springs pPaidReli t Summary 3200 East Tahquitz Canyon Way Page 1 of 1 Palm Springs, CA 92262 DATE 6/8/2015 Phone: Bldg: 760-323-8242 Eng:760-323-8253 Fax: See Below ACCOUNT: Tradewinds Air Conditioning 7349 Cartilla Ave PERMIT NUMBER 2015-1919 Rancho Cucamonga CA 91730 3712 Camino San Simeon Phone: 909 721 3236 LOT 40 MB 020/086 VISTA DEL CIELO Palm Springs, CA 92264 Date Reference Number Invoice Number FeeCat Description Status Amount 6/8/2015 2015-1919 15-2085 001-32201 Mechanical Fees Paid 46.60 6/8/2015 2015-1919 15-2085 001-32204 Permit Issuance Fee Paid 26.11 6/8/2015 2015-1919 15-2085 001-32219 S.B.1473 Paid 1.00 6/8/2015 2015-1919 15-2085 001-34308 Microfilm Paid 3.65 6/8/2015 2015-1919 15-2085 001-37111 SMIP1 Paid 1.04 6/8/2015 2015-1919 15-2085 261-32214 Technology Fee Paid 11.60 Date InvoiceNum Status Payment Amount 6/8/2015 15-2085 Original Due 90.00 6/8/2015 15-2085 Paid Check648 90.00 Total Paid 90.00 Building Fax#: 760-322-8342 Engineering Fax#: 760-322-8325 CERTIFICATE OF COMPLIANCE CF1R- ALT 02- E Alterations to Space Conditioning Systems( formerly CF- IR- ALT HVAC) Page 1 of 3) Project Name: WALDO, LUKE Date Prepared: 2015- 06- 08 A. General Information CF1R- ALT- 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF1R- ALT 02 document for each dwelling unit. 01 Project Name WALDO, LUKE 02 Date Prepared 2015- 06- 08 03 Project Location 3712 E. CAMINO SAN SIMEON 04 Building Type Single family 05 CA City Palm Springs 06 Dwelling Unit Name WALDO, LUKE 07 Zip Code 92264 08 Dwelling Unit Conditioned 1700 Floor Area( ft2) Number of space conditioning 09 Climate Zone 15 30 ( SC) systems in this dwelling 1 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 CFA 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 1700 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet( Section 150. 2( b) iDiib) This section does not apply to this project. Registration Number: 215- A0151240A- 000000000- 0000 Registration Date/ Time: 2015- 06- 08 09: 35: 15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014- 03- 31 Report Generated: 2015- 06- 08 09: 35: 14 CERTIFICATE OF COMPLIANCE CF111- 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) 1E and F) 01 02 03 04 05 06 07 08 09 30 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 Gas furnace Central split Outdoor This field or This field or System 1 AFUE 0. 78 condensing SEER 13 Setback section is not section is not furnace AHU AC unit applicable applicable Required Documentation: CF2R- MCH- 01- E- Space Conditioning Systems Ducts and Fans Duct insulation requirement for new plenums: R6. CF2R- MCH- 20- H& CF3R- MCH- 20- H— Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. Leakage rate compliance:<_ 15%, or<_ 10% leakage to outside, or seal all accessible leaks. CF2R- MCH- 25- H& CF3R- MCH- 25- H Refrigerant Charge Verification required when refrigerant containing components are installed or altered( applicable in CZ 2, 8- 15). CF2RCF3R- MCH- 23& CF3R- MCH- 23 Air Flow 2 300 CFM/ 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 MECH- 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) 1E, F) This section does not apply to this project. AIL F. Entirely New or Complete Replacement Space Conditioning System( Section 150. 2( b) 1C) This section does not apply to this project. Registration Number: 215- AO15124OA- 000000000- 0000 Registration Date/ Time: 2015- 06- 08 09: 35: 15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014- 03- 31 Report Generated: 2015- 06- 08 09: 35: 14 CERTIFICATE OF COMPLIANCE CF1R- 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: U V' r Farnell, William Company: Signature Date: TRADEWINDS AIR CONDITIONING& HEATING 2015- 06- 08 09: 35: 15 ddress: CEA/ HERS Certification Identification( if applicable): 7349 CARTILLA AVENUE City/ State/ Zip: Phone: RANCHO CUCAMONGA CA 91730 909) 721- 3236 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. That 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 registered 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 registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. F esigner Name: Responsible Designer Signature: liamDate Signed: DS AIR CONDITIONING& HEATING 2015- 06- 08 09: 35: 15 License: 7349 CARTILLA AVENUE 960569 City/ State/ Zip: PhoTe RANCHO CUCAMONGA CA 91730 903236 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215- AO15124OA- 000000000- 0000 Registration Date/ Time: 2015- 06- 08 09: 35: 15 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014- 03- 31 Report Generated: 2015- 06- 08 09: 35: 14