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BRES 2015-018050965 Mandarina BRES2015-0180 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twit 4 4v QuIAZ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0180 Property Address: 50965 MANDARINA APN: 776210019 Application Description: PIETRZAK/ REPLACE (2) HVAC AND (1) 75 GALLON GAS WATER H Property Zoning: Application Valuation: $32,779.00 Applicant: HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE STE A THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under 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. License Class: C20 License No.: 686310 Date: 515)15- Contractor: Sll OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a . signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 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).: (_J 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). () I am exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. S I 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: _ Policy Number: ' _ I certify that in the performance of the 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Jr 5 /S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , 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. 2. Any permit issued as a 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: L4577 Signature (Applicant or Agent): Date: 5/5/2015 Owner: DENNIS PIETRZAK 50965 MANDARINA LA QUINTA, CA 92253 W Contractor: O z z HARRISON ENTERPRISES INC DB ow G `- LtJ j p w 31-170 RESERVE DRIVE STE A S : THOUSAND PALMS, CA 92276 0 4+ Q1 (760)343-7488 z Llc. No.: 686310 Z U WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. S I 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: _ Policy Number: ' _ I certify that in the performance of the 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Jr 5 /S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , 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. 2. Any permit issued as a 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: L4577 Signature (Applicant or Agent): Bin City of La Quinta Building 8z Safety Division 15 C) i D P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: q co! ; 0.hcjr irG Owner's Name: err L A. P. Number: Address: So G 1 Legal Description: City, ST, Zip: L.c,- Qvir 0. C az-2-S-3 Contractor: r' telephone: n ho e. - 3 c - U P I g 7 Address: 3\\-70 QeSecvc_ Project Description: City, ST, Zip: lhovso Y.c c. Yms GZZ1Co e qee Q Z 3 or Telephone: ele h - - 7 { P b0 3 4 3 L 7 O lam. "S V r r c,ce S State Lic. # : % t^o 31 c . City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P 0 ne: ?` Construction i struct on TY P e: Occupancy: P Y: State Lic. # S c . Project o ect e ca'1 c w r e one): New Add'n P Alter Re • J h'P Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 32 9 APPLICANT: DO NOT WRITE BELOW THIS LINE /I 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 god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees . Total Permit Fees FINANCIAL •• • DSC ERIPTION - ACCOUNT, - `QTY' - AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 ' a PAID BY, r METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION .ACCOUNT, QTY .. ,. AMOUNT , PAID PAID DATE AIR HANDLER 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD_ . • " RECEIPT-# • CHECK # , ` CLTD BY _W `-' DESCRIPTION ,. ACCOUNT ';QTY: AMOUNT PAID PAID DATE AIR HANDLER PC 101-0000-42600 0 $24.18 $0.00 PAID BY METHOD . _ RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT.` PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 .0 $72.52 $0.00 PAID BY "• '.. METHOD RECEIPT # ,. CHECK # CLTD BY DESCRIPTION y-.. ACCOUNT QTY' AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $48.34 $0.00 PAID BY METHOD RECEIPT # , CHECK # CLTD BY _ - -DESCRIPTION. "ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $72.52 $0.00 `PAIDKBYy METHOD. ; 'RECEIPT # CHECK # CLTD BY DESCRIPTION - ACCOUNT QTY. AMOUNT PAID PAID DATE FURNACE PC 101-0000-42600 0 $48.34 $0.00 PAID BY - METHOD RECEIPT -#' CHECK # CLTD BY Total Paid for.MECHANICAL: $338.42 $0.00 DESCRIPTION ACCOUNT-' _ a QTY; AMOUNT-' : PAID, ^- f PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY r METHOD' RECEIPT # CHECK # CLTD BY -, Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY ` AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 - PAID BY ` METHOD RECEIPT.# CHECK # . CLTD BY DESCRIPTION' ° , , ACCOUNT,' QTY AMOUNT_ ;PAID - PAID DATE WATER H `t "v Permit Details PERMIT NUMBER -BRES2015,-: 0180 City of La Quinta, y - Description: PIETRZAK/ REPLACE (2) HVAC AND (1) 75 GALLON GAS WATER H Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 5/5/2015 SKH Approved: Parcel No: 776210019 Site Address: 50965 MANDARINA LA QUINTA,CA 92253 Subdivision: TR 24890-1 CM 92/82 92 Block: Lot: 25 Issued: Lot Sq Ft: 0 - Building Sq Ft: 0 Zoning: Finaled: Valuation: $32,779.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 OWNER Details: HVAC CHANGE OUT - (2) 19SEER/80AFUE SPLIT SYSTEMS AND (1) 75 GALLON GAS WATER HEATER [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES CONDITIONS 0 Printed: Tuesday, May 05, 2015 2:32:05 PM 1 of 3 CR SYSTEMS 51 t A YALIVIb OWNER - DENNIS PIETRZAK 50965 MANDARINA LA QUINTA CA 92253 (630)607-8187 FINANCIAL INFORMATION Printed: Tuesday, May 05, 2015 2:32:05 PM 1 of 3 CR SYSTEMS r .' . DESCRIPTION `ACCOUNT - QTY ; AMOUNT s PAID -' 'PAID DATE :RECEIPT # f CHECK # METHOD PAID BY CLTD,, _ 1 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: AIR HANDLER 101-0000-42402 0 $72.52 $0.00 AIR HANDLER PC ,101-0000-42600 0 - $24.18 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $72.52 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $48.34 $0.00 SOR PC FURNACE • 101-0000-42402 0- $72.52 $0.00 FURNACE PC 101-0000-42600 0 $48.34 $0.00 . Total Paid forMECHANICAL: $338.42 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101=0000-42401 0: $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 ti $0.00 ` PC Total Paid for PLUMBING FEES: $19.34 $0.00 • $0.00 Is EQID '.,INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED -RESULT REMARKS :NOTES _ - A • .. DATE DATE w FINAL** BLD `PARENT PROJECTS REVIEWS - x , RETURNED.. w.R,FVIF_W TVDF . ,RFVIFWF.R GFNT.nA.T.F-—n1LIF>>n]ATFf w ' -,TAT.LIC . . .RF_MARXC .r . Nl1TFC --- - Printed: Tuesday, May 05, 2015 2:32:05 PM 2 of 3 CR SYSTEMS = Permit, DEtalIS -" PERMIT.NUMBER _ 5-0380 ofBRES201 -'Cit La Quinta i _ Lrw JY i TYPE. ,.REVIEWER SENDATE, DUA AE S 'NOTES "VIEW NON-STRUCTURAL BUILDING 5/5/2015 5/19/2015 BUCKET : .. .. .. ... j b BOND'INFORMATION A'TIO N ATTACHMENTS STATE OF CALIFdRNIA ALTERATIONS - HVAC * "A CEC-CFIR-ALT-04-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: s o9(0s M,\'a -irC), s s IS Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged System JX Evaporator Coil qn• AFUE COP ❑ R-6 (CZ 2,'8-13) Ducting Served by system 56 Setback Split System Condensing Unit —L , ❑ R-8 (Q 11, 14, 15) Ducting .3, sgft (If not already ❑ Mini Split ❑ Compressor SEER HSPF ❑ R-6 (all CZ's) Plenums present must JK Furnace ❑ Linesetbe EER ❑ R-5 or R7.5) Lineset° installed) ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. X 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< X5%, or < 10% to outside, or seal all, accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: . ❑ 1. Duct system registered with HERS provider as previously seated, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CFIR-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS' CF3R: MECH-20-HERS, MECH-22-HERS, MECH (23 or24)-HERS', MECH-25-HERS' Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (,58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New -Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: . New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (<_15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g.; registers, grilles, boots, air handler, coil, plenums, duct material) ° R-511" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5 -3T -2Y.", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. 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 (CCR). 4. 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 CCR. 5. 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. Responsible Designer Name: S evei-, Responsible Designer Signature: ..wz_ Date Signed: License: lo i(o3iO e- 5 i5 Company: Gc ex f rCor.d Address: 311 .1 esc>_cvc City/State/Zip: ) Phone: x(00 3q3-7y8 ' 0 ovscxt c SP7-Z7 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF-lR-ALT-HVAC) (Page 1 of 1) Site Address: 5 o9c s M1\1a -meq Enforcement Agency: Date Prepared: Permit#: C; OrcG uir ,X 5s ISE Equipment ui ment Type Equi ment Efficiency —.515115- New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged System JX Evaporator Coll 20.1 AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system W Setback X Split System ❑ Mini Split Condensing Unit ❑ _ L_ ❑ R-8' (CZ 11, 14, 15) Ducting .3, (-OD sgft (If not already Jffi Furnace Compressor ❑ SEER HSPF ❑ R-6 (all CZ's) Plenums present, must Linesetbe EER ❑ R-5 or R7.5) Lineset° installed) ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: . ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ........ ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFIR-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or24)-HERS2, MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CFIR-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 1S% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-25/8", 2.5-3T-2'/.", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. 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 (CCR). 4. 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 CCR. 5. 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. Responsible Designer Name: S evei-, Responsible Designer Signature: 9. Date Signed: License: /c 31O exe . S S t5 (o Company: A:r Cor a7\ o Address: 2n--70 F2eservc City/State/Zip: 1 o sQr.d s9ZZ7 Phone: -7G0 -3 13--798E ror assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF"COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Project Name: -GOOi GS e • tcx-"a - Y-m Date Prepared: S S 1 A. GENERAL INFORMATION 01 02 01 Project Name: 05 02 Date Prepared: 03 Project Location: S O 5 04 Building Front Oi•Ien`tafign'(deg or cardinal): 05 CA City: L v 06 - \,&, Number of AI,terediDwelling Units: IV q , 07 Zip Code: LI -Factor 08 Fuel Type: 09 Climate Zone: Is 10 Total,6jc itidned Floor Area (ftZ)i> 11 Building Type 1 12 SIab;Aiea (ft2) 13 Project Scope: '7S Ge.\A oh A,,r Oec4sc. ff `\ 0s B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 1 08s ,409 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) t.rP,r9pdsed t4 Required Comments & ` GonUnuous Cavity Insulation R -value, ,. R -value s U -factor AppendixJA4 Reference LI -Factor Table, Cell NOTESVIN • Roof area covered by buildi1ngjntegrated photovoltarc>panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field appliedtings)must comply withntallation criteria from section 110.8(i)4. ff `\ 0s ., a ff -\N 19 . 7-Y 1& W A i .try C. ROOF REPLACEMENT (Prescriptive Alteration, Seetion;150.2(b)1H) 10 ";V" 'titin 1 01 02 03 04 +, 05't,, 06 #t'07.4' 08 1 09 10 11 12 1 13 Method of Compliance Roof Pitch Exception , CRRC Aroduct ID #Number , oduct Type R -value '{ Decd insulation Proposed Minimum Required VIInitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) It . NOTESVIN • Roof area covered by buildi1ngjntegrated photovoltarc>panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field appliedtings)must comply withntallation criteria from section 110.8(i)4. Registration Number: . Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA R -y RESIDENTIAL ALTERATIONS o CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFI1R-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: Date Prepared: D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) 04 01 02 03. n Alteration Type Orientation Maximum Allowed ft2 Cornmer?ts NN E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) 1 02 03. 04 05 06 07 0.8 10 O _11 12 13 14 15 [Tag/ } glow.,' Combined Orientation Area Area t Net c ''C'v Maximum Exterior SHGC Fenestration Frame Dynamic N, S, W, E, or Removed Added + Added A v e Shading from ID Type Type Glazing Roof ft2 ft2,, Area ft2 U -factor U -factor Source SHGC Source Device MR -ENV -03 a Net Added West f ci g Fenestration AQ 3 b Existing + Addeedd 0/ 'ssIt Fenestration.Area c Maximum Ilo wed West facing= gene Cation Area ; d {. . O Is West facing Fenestration Area,< ami m AllowedWst fang Fenestratio0 e VftNet Added Fenestration Area (all orientation) f Existing+Add edFenestration Area (all,orientations) g Maximum AkIlowed Fenestration Area (all orientations) $ h Is Existing + Addeed`1 enestration Area,'Maximum Allowed Fenestration Area (all _ orientations) Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance . June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION 4r CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations(Page 3 of 4) Project Name: S 09 r0S Date Prepared: S s` 1S F. SPACE CONDITIONING(SC).SYSTEMS — HEATING/COOLING (Prescriptive section 1S0.2(b)) 01 02 03."'%'1W' Dwelling Unit Name Dwelling Unit CFA (Ft2) Comm nts V ,,O:zi, G. WATER HEATING SYSTEMS (Section 150.2(b)1G) Ol 02 03 04 05 06 07 08Q9k y, 10 X11 1 v 12 13 14 15 Water Heating Alteration to the Space # of Water t, ,p Name ,0 ,1 entification or Name Conditioning System(s)? Comments Back -Up Water Heater *HHeeati Dwelling Unit DHW System Water Water Heaters Storage Rated Rated q( Heating Exterior Solar Identification or Heating Heater in Volume Fuel Input i;kjnpu Efficiency f Efficiency Standby Insul. Savings Central DHW System System Name System Type Type system (gal) . Type Types k Value Typed Value Loss (%) R -Value Fraction Distribution Type Distribution Type DH w SAO C•0. G r FT .- v v +.. ( JO, 4 , ,Z SV Q.` G GiM H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS IN MULTIFAMILY'DWELLING UNITS 01 02 , 031*rW .04o" 05 06 d Central Watdodating b elling Unit Dwelling Unit: Dwelling UnitATotaI:CFA System- I entification or ! k'` 0 - vatee&eating System Ye Alteration to the Space Dwelling Unit Name (ft2) t, ,p Name ,0 ,1 entification or Name Conditioning System(s)? Comments Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA 4 RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION ' CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4.of 4) Project Name: Sp c)(oS o.YN8v iY Date Prepared: 5 IS DOCUMENTATION AUTHOR'S DECLARATION STATEMENT .:.' X' 1. 1 certify that this.Certificate of Compliance documentation is accurate and complete. . Documentation Author Name:: S Sc hr er e Documentation Author Signature: i,w ttL • G/ . w ' ' ttr ,re, 2 eh Company: ^' Signature Date: Gerer l ,q.c- Corcl o ir S) -511S Address: 3 W -7b eser z 1Jr CEA/ HERS Certification IdeniificitiorNif applicable): . 9S—tate/Zip: Phone: ^ pV S C,\ -\A C-` rrl5'CA R Z Z to " rd t3, 3 L1 38 RESPONSIBLE PERSON'S DECLARATION STATEMENT 4%, 1 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. Compliance 2: 1 am eligible under Division 3 of the Business and Professions Code to accept iespons'bbility for the building delslg n,or system design identified on this Certificate of (responsible designer). 3. That the energy features and performance specifications, materials, componennts man ufacturre''d deVic for the bu'Iding design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the.Ca'yll"f is Code of`Regulafions. 0, . pliance are with, documents, 4. The building design features or system design features identified on this Certificate of Co consistent information provided on other applicable compliance '' , v z+ r, ft—M, ` ' building worksheets, calculations, plans and specifications submitted to the enforcement agencyfor,approvaI with this permit application. . 5. 1 will ensure that a registered copy of this Certificate of Compliansce shall be made aV ai lable with the.bui d `g permit(s) issued.for the building, and made available to the enforcement agency copy,of be included documentation builder to the building for all applicable inspections. I understand that a registered this Certificaate,o„f Compliance is req'uired'to with the the provides owner at occupancy. Responsible Designer Name: Responsible Designer Signature: NX%ve if— Company : "` .. ]i + Date Signed: Address: ' License: City/State/Zip: Vk '' Phone: For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014