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10-1088 (MECH)P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001,0_88 ; Property Address: 77885 AVENIDA MONTEZUMA APN: 773-101-001-12 -000000- Application description: MECHANICAL Property Zoning: VILLAGE COMMERCIAL Application valuation: 2500 Applicant: Architect or Engineer: BUILDING & SAFETY. DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LA QUINTA REDEVELOPMENT"AGENCY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: SPEEDY AIR CONDITIONI 54685 AVENIDA HERRE LA QUINTA, CA 922 o (760)567-0133 Ln >, I� Lic. No.: 834471C�l r-. Cs `^ t� 'vim 0 .ZrL LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION D . N ! - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations" Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and,effect. _ I have and will maintain a certificate of consent to self -insure f�r�workers' co ensation, as provided License Class: C20 - Lice se No.: 4471 for by Section 3700 of the Labor Code, for the performance ofthe wor or which this permit is _ issued. Da Contractor: _ I have and will maintain workers' compensation insurance, as required y Section 3700 of the Labor Code, for the performance of the work -for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION, insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031-5, Business and Professions Code: Any city or county that requires a permit to1 certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I all forthwithiconwith tho e%prowsio that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by/(i /any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date• DL pplicant: Q (_ 1• 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, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.)• whose benefit work is performed under or pursuant to ahy.permit issued as a result of this application, ( 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Date: Owner: - 2. Any permit issued _as result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued .(Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize repres tatives oft is county to,enter up nthe above-mentioned property for ins ction purposes. Lender's Name: DateSignature (Applicant or Agent): .Lender's Address: T _ Date: 10/21/10' LQPERMIT LQPERMIT ' Application Number . . . . . 10-00001088 Permit . . . MECHANICAL Additional desc . Permit Fee .00 Plan Check Fee .00 Issue Date . . . . 10/21/10 Valuation 0 Expiration Date 4/20/11 Qty Unit Charge Per Extension 1.00 .0000 EA MECH FURNACE <=100K .00 1.00 .0000 EA MECH B/C <=3HP/100K BTU .00 ---------------------------------------------------------=------------------ Special Notes and Comments INSTALL,NEW 1 TON DUCTLESS MINI SPLIT SYSTEM WITH EVAP COIL & CONDENSER. 2007 CODES. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 LQPERMIT I Jimplilted Prescriptive Certificate of Comelittnce• 2008 R !den f "A4 erations CF -IR -ALT -HVAC Climate Zones 10 to 15 J!!e AQQlYSA 1 Lnforroelaerro.tgalcyc Date. Pettnit iR 10-2-1-10 0-/088 Equipment T 'Conditioned List Minimum Efficiency 2 O Packaged UnitDEMO Duct Insulation uirement Floor O Fur now O AFUE O COP Over 40 ft of ducts added or ! §etbaok Indoor Coil OSEENL9 O HSPF,-V 0 dttdErasing4Unit O EER O Resistance �i� in unconditioned space Olt 6 M210-13) ed by system oetJ sf (7lnaalready prsent, MW be Other © R 8 (CZ 14-/5) lxrWled) 1. Equipment : Choose theequl #tf&v behag bwalled; if more than one system, use another CF-/R-ALT-KYAC reach system 2. AfGrinsrrt L grtfpatanE B,pfimd4p: /i SBBI� 7896.171 UE, 7.7KSPF fortypkol ►rsiderttial systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration picks one of the ate �S the HERS OpHoru. lute installer dtxtdux what work is being done and appy Options. Ebb ¢ oes'batmust.boconducted. A off' forms sttA11be"ellsitbi.tat.80at. inspection and given Dopy given to i(ot *6wn&. At fie d, the i peaor verifies.dut the wotic 1iste0 on Qiis�was in W'fie n d worm, t�tpkt4ty tie installer. Theinspector also t�etifits d0 dW sate Ma Mid •his allawo ate filled out aced rtUd ed CF-�R forms (no hand filled CP si October l 2010 a Of tht5 COF-lfi ttCi iiBflt aiao be oa site tot 6lniti I. HVAC Chsngtout ReqdrtO Pormr. • All HVAC Equipment replaced CF -6R fotms: -04, and (Got ijkt CF4R forms - 24 atcd forH_25 • Condenser Coil and /or • Indoor Coil and /or CF-611forms: MECH-2I-1HERS apo _(foe split Systems) MECH- 25 -HERS • Furnace CF -4R forms:. MECW 21 and (tbr eoliit systd>i$) MECH-25 For Split Systems; Duct leakage < 15 tit: RC, CCA 2:300 CFMAon(Minimu m Air Flow Ra pircatedi), TMAH For Pactraged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: 1'. Duct system was documci*dto'j�jve been previously sealed and confirmed tlttough HEItS verification, or 0.2. Duct systems with less than 40 linear feet in unconditionedspace, or O 3. Existing duct s stems or zve O 2-. New HVAC_ VIVO: • Cut in or Chang=* v4th nerw ducts: (ctrl now ducting Ed -all CF•6R forms:' NEC, H-04, MECH•2NWS;and (titr dplit systems) MECH-22-HERS, and MECH-25419IkS new e t) CF Olt 15mus: MBCH 2Uti and (fanaptitsystems AWWi2, and M$CH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_350 CFMAon, FWD, TMAH, STM and either HSPP or PSPP. , For Packaged Units: Dud 1 6 percent Q 3`. Nei* Deets with efilacemtnt Required Porms: • Includes.replacing or installing all new ducting CF -6R forms: H ECH-04,,MECH-2,0-KERS,ettd.(for split systems) MBCH•25.WRS and% BID MEMO JOB BID # Z TAX - •- LUDED r EXCLUDED ADDRESS • r 3 , DATEAe r �,s`_ s a> ,at• _ x'p {7 J' r 9.: ..� �. ,�, ,J-. ` 4 _,,.�. • -a�� �', „, x� .INCLUDED FIRM i „, { �, t t ,.� "' r PREPARED BY ADDRESS - .. ,, a n. APPROVED BY.,--...-' _ / Y --. TYPE OF WORK PHON -� XCLUSIONS,ANDIQUALIFICATIONS „BILE �..� £-.'>.'^•.r"elm -, .J•jrrl '�: :iw �.:s ,.,,, � "t .sA 4 •. SL.. 7>• t <,,,. .s � .. s � j� < tiS-•w �. t w.Y" -,e f: �;. ,. t:%i �ZV1T/,� K'�. �i �, �„ �;` � tis. �.^'•s x >t^r,p., ',� e r�. *� C' x �� �x,�l�..sj `� •Y' t -� s �{f�,r^ i 'r?(�},, '- �t ,. r ♦ i1: , � '` � � / � �... � s,,� ��. � Y�r� \tc. \� �.N♦v vel .,y r� )d/ 1'* ;\ '�..i`:r>x`f *•r.::\ `,�... £. F-ii�f :i1a��ti.��"7,'�x zh M. :t'♦I" �:' " `'C \\ ;x't�f v �ye �aan�: 'Citt it ? sx %:.";iQs..,... x r a... , f .r,�h�(y lifi,`. {,. f:'.°. t•_?'�l;_t, r 1Z' i../., ,ii:J ,.;i` :.a.` wS�s ;t£� v _t�•t w. Fl�l'f rn, alf. )� 1},`.t s,: sv l `k!°•�'1'••'a e �t t. ..r. i( -� r..! IS.:f!,•\.,�.. ..:1T 1 lA,; :��':/'M {l w;5 �✓r:i.V•y".:. - <.,.f�it ^. S,a3r ,, .: Ifr,{ ix.'^'�': t' ,{?11k,'i,11nt{4'lj,,,.r .:..�..r.ai3.," "`.frf-.`�..`/Y.y.•, a'4° r•.t•`„- is bi_ 'rr: riii•!"_lr,'wv-rir,ir�i: } L.1'�^r i'}. -.+.rJ �;; .�-,t -a•.� .j',1"-': {{:;j . .. :-� C+'."�_%I-. + i.. .,/ ...,� ri \ "s �-_LL�"it_. _:<. ,..:� ,f.. /,.,,:-.,.> ^ri `2-i ( '•f. -i i - _.r .� a .ry ` _r � - :hr 'r .. ,y r_ „-, :♦. Vr. �,r \t�.t,�, �, `�1, \t 1:-``t 1 <„!(� t ��f}"�?t£��Y•J?4,\� .i,�St Jj,�tt+;,� ✓,. }-.tC'.1��\�`�t�t[}.e Zt i1 Crt.V. J,.y.�_.i RJ\ ! l �t f .it,?.,�i� 1 � "C`shS:C'1 y`/i sr'f!:- -•. e� .-.i>~ `� r -..... �r il—” /f ; "..., :- �;•!�: r �f. � y _ ' ,._� !4`F�.r.--71•v,? ^'e<��i?{` .x:.l;<Y) r •x. +r�� rr.. -:9ES31,:::1s:•�:�I! �{ _t,'.:rtJr� : i . �+t.<4,si�r1. �_,�'��'T = � i2r� � `� �'it,�JL 1L'�T •t�r.%t T.�.- a � i�r�,y / :L-{ �, ,r --i )S� Ilil.� ..s:✓1 his..: :`$ :.:: ,;u.�_ '..3... >!?"..::'•if a�:r `yt ,f, i J.- ik �-j.1 �SrIy: it ti F :. f .:St -"* kii:.r\ 5.., ii:....+:,y 3)� :v �i;. r e.: . 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"F'� f R �;..-t ���i j.\.� .\ * �V>J,�t�� rrty/�� }�� ��%�xt��',!l�.. r�?` ..;l,.: i+tiii,A� �P. �(t/,;`,.7�\ ��>,:fc�)l�•?eti°{�Y��ii� '�i';Y'. itS �.-t'r,.�.eft�.(I)�Y7��`KY��i;o:i�h'i �%'ih' j�»l�;n <�t .l „+� rJ.. ACKNOWLEDGEMENT OF ADDENDA: TAX - •- LUDED r EXCLUDED • • r 3 i i lv >X.� 37 _,�o-_.�"'ar ws.{;. s� /� c +...•,-} � r �,s`_ s a> ,at• _ x'p {7 J' r 9.: ..� �. ,�, ,J-. ` 4 _,,.�. • -a�� �', „, x� .INCLUDED r ti •k, .. RECEIVED BY: .. i 71 -44 (/l000l, ' t• P '( '� - :.•opeed Y Ac Heating64685 - .. .. - Avenida Herre,, La Quinta; Ca 92253 - Ic N 034471 TOTAL BID XCLUSIONS,ANDIQUALIFICATIONS „BILE �..� £-.'>.'^•.r"elm -, .J•jrrl '�: :iw �.:s ,.,,, � "t .sA 4 •. SL.. 7>• t <,,,. .s � .. s � j� < tiS-•w �. t w.Y" -,e f: �;. ,. t:%i �ZV1T/,� K'�. �i �, �„ �;` � tis. �.^'•s x >t^r,p., ',� e r�. *� C' x �� �x,�l�..sj `� •Y' t -� s �{f�,r^ i 'r?(�},, '- �t ,. r ♦ i1: , � '` � � / � �... � s,,� ��. � Y�r� \tc. \� �.N♦v vel .,y r� )d/ 1'* ;\ '�..i`:r>x`f *•r.::\ `,�... £. 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(^If. �.'`_�' •,- '! i .x -,i, lJ�y / "• �,y".' 1 s c1".Y`;=ijr -:'ft...,�.lit,1�.\sib")i.:��.1.';�s:>.i's1Y.�l\\�♦ ,v. \,. «. .r' t\�.».��.�f lly.....,�< rtV, ��.."��..ih`�-iVh%� \`i�iA �l�O, <'q; JJ'Lt,r.�•'�.�5` i .\.,\�a .�'�i��\. fJr ^. 7 a'r ' s '+t.�;> rid "s.ti� " t - t +.i i. `;,,f t <^..;.-w.'- i .•'t :a:x, t <f " "t i �a �r w :.-.r. ,," ,•'it}%� i �ji•� �t f ` € 3.� : ';�i tj1,.,: -'-.Y/fa• (�{.�( ,:.5:`1-,- fL r ' � .w �-•, jr t >:l' � : 3ti , �_ z. "F'� f R �;..-t ���i j.\.� .\ * �V>J,�t�� rrty/�� }�� ��%�xt��',!l�.. r�?` ..;l,.: i+tiii,A� �P. �(t/,;`,.7�\ ��>,:fc�)l�•?eti°{�Y��ii� '�i';Y'. itS �.-t'r,.�.eft�.(I)�Y7��`KY��i;o:i�h'i �%'ih' j�»l�;n <�t .l „+� rJ.. ACKNOWLEDGEMENT OF ADDENDA: TAX - DELIVERY',wt Ai- r EXCLUDED F r �..���.-eti�.��.�;� , • ,�+, �=,y� "�. _�.� ;: 3 i i lv >X.� 37 _,�o-_.�"'ar ws.{;. s� /� c +...•,-} � r �,s`_ s a> ,at• _ x'p {7 r 9.: ..� �. ,�, ,J-. ` 4 _,,.�. • -a�� �', „, x� .INCLUDED r ti •k, .. RECEIVED BY: .. D8120 BID MEMO mou MADE IN USA Din # Qty of � QuInt'a Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # V ` Project Address: 1 _ $BS Owner's Name: L� . A. P. Number: Address: Legal Description: Contractor: City, ST, Zip: Telephone: """"" ' sa . !a . ' Project Description: Address: City, ST, Zip: �n Z Telephone:NOW City Lie. #, State Lie. # : 4a OL Arch., Engr., Designer. Address: City, ST, Zip: ...,• Telephone: '`'Construction ;. :� !1—J �.::.:nwState Lic. #:s:•.�mn0.!Project Name of Contact Person: 4Estimated T Occupancy: Type: type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees r CITY OF LA QUINTA ` BUILDING & SAFETY DEPARTMENT s (760) 777-7012 INSPECTION REQUEST LINE =(760) 7W-715 3�-, 3TV.O N!1,A 01TINT A - Lerml9R OB'IN'CONSPICUOUS PLACE. INSPECTOR MUST SIGN ALL APPLICABLE SPACES' JOB ADDRESS77-885 AVENIDA MONTEZUMA `'INSTALL NEW 1 TON DUCTLESS MINI SPLIT SYSTEM WITH EVAP COIL & CONDENSER. 2007 CODES. r y. TYPE OF INSPECTION DATE INSP. '-f TEMPORARY. POWER j SETBACKS U/G PLUMBING/ WASTE `. U/G ELECTRICAL / GROUNDING t FOOTINGS / STEEL- CONCRETE SLAB t DO NOT POUR CONCRETE UNTIL ABOVE SIGNED , ROOF NAIL/ PRE -ROOF `$C OKAY TO WRAP: r' •" �s 4 FRAMING COMBINATION g ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION:.`,, r -COVER NO WORK UNTIL ABOVE SIGNED i' INTERIOR GYP. BD. DRYWALL EXTERIOR LATH �. GAS -TEST .SEPTIC ABANDONMENT- SEWER BANDONMENT•SEWER CONNECTION x- ` SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS, iF FOOTINGS / STEEL J BOND BEAM , • POOL / SPA / WATER FEATURE INSPECTIONS r PRE-GUNITE / SETBACKS r ` U/G PLUMBING } U/G GAS U/G ELECTRICAL A PRE -PLASTER ALARMS / BARRIERS DECK BONDING •- t FINAL INSPEC "TEMP. USE OF PERMANENT POWER `:ELECTRICAL 4'r PLUMBING I '+ MECHANICAL " PUBLIC WORKS DEPARTMENT a (COMMUNITY DEVELOPMENT DEPT. , ,FINAL / JOB COMPLETED z it • . IONS . W,ZA V,r ' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING s.� ' SfmpUtied rescripHve Certificate of CompUauce• 2008 en all AS.! eradons CF 1R ALT HVAC Climate Zones 10 to IS S1re AQ rew t .or+craaeeo� Dater t'uarft ?7_o 29 O FurtWe O AF11E 0 COP Over 40 ft of ducts added at Indoor Cal OSE _ O HSP � Q t 060d tm unconditioned spaoe �sy system (Vora aIM44 rng Unit O EER O (1 R 6 (M 10-13) ooU s(' pre=K *t be 13 R 9 (CZ /4-15) (astaltedJ 1. F.quipmew °' �OOse theequ�intara � ' ritatalled: if more than Tones rage another CF -1 R -ALT -HVAC r systeaL 2. Aflnitttsurt F.�rrlpataa, ur s LISW 78%AF.UE, 7.7HSPFforryplral rrsidenlid rysterns. H19" VERIFICATION SUMMARY Listed below are four HVAC alteration Op6ot►s. installer what work is being dose and picks one ofthe copy given Options F,)p¢ hs4 dee MRS thatnurstbus mWacted. A gf*c frxw td<tdfbe"OAtltQp,int$eat• 11 101' and a 00�' f ha t filial, the VCd&s'dt4 ik w'cjk SW on 's . instpller. The iaspoctor also. vetlfits tT&"* tpptvlttW ER6R ad i . to f d a vNwiG l the sims6d. Beolnuina tl,a„ t— i •ni n _ — _ d+ett CFVR fOntts (no hand f1YlCQ Cf 4QW4 are filled Ott pfd 1. HVAC Chmgt curtzz ort • All HVAC Equipment replaoed CF -6t foams Ifix4W,atai (rot sprtt CF-411,foamis at and for WEM25 • Cortdenstx Coil and !or . • Indoor Coil and /or CF -6R farms: MECH-21-HERS apd -(for s*t Ops =) MECH. 2S -HERS • Furnace CF -4R farms: MECH• 21 and (for q& syardt�) 1ECH-25 For Spt SYdews;punt leakagr, < I S. paoant; RC, CCA Z 300 CFM/tQa>(Mini�ttttm Air Flow Requimmebt), TMAH For PaciCrtged Units: Duct leakage < 15 percent Exempted from duet leakage testing if. O t. Duet system was doeumettW to fit" beat previously sealed and confirmed tluough HERS verification, or 0.2. Duct systems with less than 40 linear feet in unoorditionedspaoe, or E3 3. Existing duct systems me r n,d.,.....,r-- O 2.. New HV C 6'batts: • Cut ip or *th.now duds: (a11 now ducting '411 ►R formr: + MECH`W&ISRSitud (fbr #ftit systems) MECH-n-H W, and M l-ZS4j6M new a CFr.e ms: MKH 20�% and ( WSPIksystems)Iiitll M22, and MECH 25 For Sprit Systems: Dttat leakage < 6 percent; RC, CGA >_ 350 CFMAon, FWD, TMAH, M. and abbot HSPP or PSPP.. For Packa ed Units: Dud lg CT T. N& D6cb- wifhi cemeaiRequired Itotms: • Includes.rgllacimg er installing, all Clew ducting CF -6R forms: MECH-04.•MECH-V4WXSAud (for split systems)- and(&M, ddoot'condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems}IAECI•i-25 coil enwlor fmuwm -lot all t For Sprit S sfieilts: leakage < 6 A 2:300 -$ TMAH For P Uflltsf9ucr a <6 t O 4. New Dueft over feet otlns: • Includes adding or replacing more titan 40 Unear feet of duct in tilteordimoma. CF -6R fes: MECH•04, MECH-21•HERS CF -4R forms: MECH-2t r Wflt sytft=ln otpaekaged nut mat 08* < tS percent O EXCEPTION: Ex' dudEMEM iacttlated or sealed with Contractor (Documentation Ant hoes /Respot:ls[6 a Designer's Declaration toMent) • 1 certify that this Certificate of cotnpliance documentation is acaaate and complete. • 1 am eligible under Division 3 of the-Callfarnia Business and PrOfbsuOns Code to sooept responsibility for the design identified on this Certificate of Compliat=. • 1 certify that the energy features and perfomna m specifications for the design identified on this Certificate of C form to the Parts I and 6 of the California Code of Regulations. °"'aiance Con►eVuirt matt: of tide 2t, • ilk deign features Wctitifted on this Certificate of ComptWgc ate ow4istent with the in on &,unteatod on other applk%W comptiartee faRlms, Miorletiuoets, calccilations- olanc s,,,1 wv :r ,.:. - ...�.:»_� .- -. - - _ Address: (/ S'L ems, Lioatse: L City/Statc/Zip: Phone: _ 2008 Residential Compliance Forms March 2010