BRES2016-032578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/ 4 haw
DESIGN & DEVELOPMENT DEPARTME
BUILDING PERMIT
VOICE (760) 777-7125
Q 60) 777-7011
INP CTI 0) 777-7153
NOV 0 9 2016 a : 11/9/2016
Application Number: BRES2016-0325 Owner:
Property Address: 53060 AVENIDA MENDOZA HA LTA
APN: 774063003 DESI t
Application Description: REYES RESIDENCE / HVAC & WATER HEATER �l6JT DEPARTMENT
Property Zoning:
Application Valuation: $21,162.00
Applicant: Contractor:
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 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, C36 License No.: 686310
r
Date: I1 A Contractof>.tAWT�
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).: .
(_) 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 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: Q.
Lender's Na
Lender's
(760)343-7488
Llc. No.: 686310
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 th
ag ork for which this permit is issued.
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: INSURANCE COMPANY OF THE WEST Policy Number:WSD5031658
I certify that in the performance of the work for which this permit is issued, l
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: II G t:o ' Applicant:J,%L
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: II �t �b Signature'(ApplicantorAgent).-
i
Date: 11/9/2016
Application Number: BRES2016-0325
Owner:
Property Address: 53060 AVENIDA MENDOZA
RICHARD REYES
APN: 774063003
53060 AVENIDA MENDOZA
Application Description: REYES RESIDENCE / HVAC & WATER HEATER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $21,162.00
Applicant:
Contractor:
IE INC
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343-7488
---------------------------------------------------------------------------------------------
LIc. No.: 686310
Detail: HVAC CHANGE OUT - 18 SEER/90AFUE SPLIT SYSTEM [2013 ENERGY]
GAS TANKLESS WATER HEATER CHANGE OUT [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
DESCRIPTION ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FURNACE PC
101-0000-42600
0
$25.33
Total Paid for MECHANICAL: $126.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
Total Paid for PLUMBING FEES: $20.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$2.75
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.75
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
II i U i Hix >Z51.ys
Bin. #
City, 0f Ld Quo:
Building 8L Safety Division
P.O. Box 1504, *78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Applicatlon and Tracking Sheet
Perinit #
ProjeccAddress: 53060 Avenida Mendoza
Owner's Name:. Richard Reyes
A. P. Number.
Address: 53060 Avenida Mendoza
Legal Description:
City, ST, Zip: La Quinta, CA. 92253
Contractor. General Air Conditioning and*Plumbing
Telephone: 760-485-8416
Address: 31170 Reserve Drive
Project Description: Replace 4 ton A/C, Coil, & 90,000 BTU.
City, ST, Zip: Thousand Palms, CA 92276
Furnace,
Telephone: 760-343-7488
''' ' `
Install Tankless Water Heater
State Lic. # : 686310
City Lie. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: V .Y �.
State Lia #: j,
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft ; #Stories: # Units:
Name of Contact Person: Steven SchniererSq.
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $21,162,00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
ff
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales•
Called Contact Person
Plan Check Balance
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted _ .
Mecharilcal
Grading plan
V 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
IPI HOUSE:-
"'Review' ready for corrections/issue
Developer Impact Fee
Planning Approval
CaIM Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS = WATER HEATER
CEC-CKIR-ALT-01-E (Revised 06114)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations for Water Heater
CALIFORNIA ENERGY COMMISSION
CF111-ALT-01-E WATER HEATER
(Page 1 of 2)
A. GENERAL -INFORMATION
Site address:
3b4�b /weY,; cia. �iev�c�a7�
Building Type: ngle Family Dwelling
❑ Multi Family Dwellings.
City, Zip Code:
L c?_GXArA& j 9zzf 3
Climate 2'one:
G. WATER HEATING SYSTEMS Section 150.2(b)IG)
01
02
03
04
05
06
07
08
09
10
12
12
13
14
15
Water
Water
Water,
• uaf
water
Fuel
Rated
Rated
Heating
Heating
Standby
Exterior
Back -Up
Central
Dwelling "
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Efgclency
Efficiency
Loss'(%)
Insul.
Solar
1 HW System
Unit DHW
System
System
Type
Heaters
Storage
Type
Value.
'type
Value'
R. -Value
Savings
Distribution
System
Identification
Type
In
Volume
Frattion
Type
Distribution
Dr.
system
(gal)
Type
Names.
r�468
�'NL.?
y7s,-N, "
N A
Ca
B4t+1,
Ia9I�
FFa
9S.
fJ alts
F1 Q.
N' A
N A
5��:1tidArd
WATER HEATING SYSTEMS
Water heating cortipliance for an alteratlon.is described In Section 150.2(b)1G. For single dwelling•a.gas or propane Water heater, with a stdrage tank of 60 gallons maximum
br instantaneous (tankless) can be used, gwelling. Unit distribution systems aredimited to Standard -trunk and branch or demand recirculation for gas or propane water.
�gater..Demand recirculation is not allowed for electric water heater. If there is no natural gas'conneeted to the building, an electric water h;eatermay be replaced with
another electric water heater., However, changing•from gas to electric is not allowed. Multi -family gritral systems must use certified v.quiptment:as defined.66de.r Section
tid:1 and 110:3.
NOTE: If the proposed instaIla tion -doeshof meet the requirements allowed specifically for alterations, use f4rfn CF1R-NCB=01 to document the water heater. alteration, .:
Instructions for sections with column numbers are elven below:
1.. Water Heating System Identification or Name: enter a unique name for the Water Heating System..
2. Water heating system type: Domestic Hot Water (DHW); Hydronic, Combined Hydronic, orCentral. DHW is for domestic hot water, hydronlc is a water heating
system used for space heating only; combined hydronic are when the water heater will provide both space conditioning and.domestic hot water.
3. Water heater type: For nein-central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from.Large Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small instantaneous or Indirect.
CERTIFICATE OF COMPLIANCE MR -ALT -01-E WATER HEATER •
Prescriptive Residential Alterations for Water HeaterIPaee 2 of 21
4. Number of water heaters in system: In single-family and multi -family with water heaters in each dwelling units the value is 1. For multi -family centra systems
serving multiple dwelling units enter the total number of water heaters.
5. water beeater volume (gal): tank capacity in gallons.'For individual water heaters for a dwelling unit this will be 60 gallons or. less. If Instantaneous, enter n%a. For
multi -family central systems enter the total storage volume:
6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available) '
7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired system the un`it9 are kW.
'8, Rated Input Value: Enter the numeric value of rated input,
9. •Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or atalifornla; Energy Commission directory.
10. Heating Efficiency Value: -Enter the value from product literature or a California Energy Cominission directory
11. Standby Loss (percent): Applies only to Iargestorage water heaters, Enter n/a for small storage or Instantaneous water heaters.
12. Exterior Insylation R -Value: Enter the R -value if exterior.insulation on the storage tank is'installed
.13. Back-up solar savitigs fraction: If compliance requires a back-up solar system, indicate the solar contribution-(e.g., 0.30). External calculations are. required.
14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculationsystem•with at least two distribution
loops must be Installed. This requirement applies to any building with eight or more units. Ifthe system is non -central or project is In units enter n/a..
15. DwellingUnit•DHW 01stri utio.n T r • `
b ype: For a Central DHW -this field shall 6e:Standard:ilf non-c�htral then pjckfrom Standard, Dernan`d Re circ
ulation'=Manual
Control; Demand Recirculation - Sensor Control If non -central electric water heater this must be Standard, no recirculation system shall be instalred.
DOCUMENTATION AUTHOR'S DECLARATIO'N'STATEMENT
ids,
• I certify that this Certificate of Com,plianced.ocumentation is accurate and complete. :.
Name:. - j -c3Owner a Authorized agent tractor
Signature:.
Company: Cjg
Corltractorlicense#: (A81o131F�
Address: 313-10 1< _se vB ��
Phone: 7�0-x.13'778fi
City/State/Zip: R,o uSahci �o.� mS, C A -LZ-2-?C-
122X-
Date:' 11 ��
For assistance or questions. regarding the Energy Standards,.contac4 fhe.Energy Hotline at:.1-800-772-33.00.,
�:
BRADFORDMWITE�
W A T E .R H E A T ER S
Infiniti Tankless"m High Efficiency
Residential (Condensing) Gas Water Heater
gg �� RTG-199HE-N
��y
CF6tIFj�p �
.FEATURING: • x csrP+acr. s�sa �«ssa
N
am
The Infiniti Tankless'" Condensing 'Water Heater Model features:
■ Featuring the SRT" Scale Reduction Technology --Significantly reduces
the incidence of scale build-up known to result in poor performance,
additional maintenance, and pre -mature component or product failure.
Vertical Modulating Burner Design—Ultra low NOx burner disperses
heat evenly across the entire surface area, eliminating hot spots that can
cause lime accumulation and material stress known to reduce product
efficiency and longevity.
- Dual Fan Configuration—Assists with the even distribution of heat
throughout the heat exchanger, increasing efficiency and reducing scale
accumulation.
- Internal Turbulators—Create significant turbulence of water as it moves
through the heat exchanger, greatly reducing the occurrence of scale
buildup throughout the system.
- Dual Heat Exchanger—Primary heat exchanger is comprised of
copper and the secondary condensing heat exchanger is comprised of
aluminum casing to be more advantageous against thermal stress. Both
heat exchangers have all copper waterways to insure a high thermal
conductivity.
■ Built-in Digital Control—Temperature can be adjusted on the front control
panel (100-140°F). Can store up to 10 previous error codes. Multiple
indicators for ease of monitoring.
■ High Temperature Kit (Optional}—Optional high temperature kit allows for
a maximum setpoint up to 184`F.
■ Active Bypass—Achieves superior temperature stability.
■ Cascading Kit (Optional)—Up to 24 units can be connected together with
ease.
■ Venting Flexibility—Common venting, concentric "up & out", twin pipe
and concentric termination approved. PP, PVC, CPVC and ABS approved
venting material (refer to 1&0 manual for details). Altitude tested up to 8000
ft.
■ Gas Connection Flexibility -1/2", 3/4", or 1" connections permitted (refer
to 1&0 manual for details).
■ Inlet Water Filter—External access for easy maintenance.
■ Space Saving Installation—Compact size for tight installations.
■ Built In Freeze Protection --Protects water from freezing inside the
appliance copper pipes. Activates automatically when the water heater is -
plugged in.
■ Interior and Exterior Installation Capability—Outdoor installation
requires optional outdoor kit. recess box and pipe enclosure available.
ti. Complies with the latest Ultra -Low NOx requirement (10 ng/J NOx
limit).
C".
12 -Year Limited Residential Heat Exchanger Warranty.
5 -Year Limited Parts Warranty.
For more information on warranty, please visit www.bradfordwhite.com
uPc For products installed In USA, Canada and Puerto Rico. Some states do not allow limitations. on warranties.
0
See complete copy of the warranty included with the heater.
151-8-0216-A
Infiniti Tank/ess' Gas Water Heater
High Efficiency Modei
NATURAL GAS AND. LIOUID,PROPANF GAS .
Model
Installation
8
Vent Conn.
'GPM.Flow.Rate
EF Haling
Minimum
Maximum
Number
K
Nat LPI
M
at"F
Nat, and LP
Water Flow
Temperature
Depth
:lntake/Exhaust
BTU/Hr. BTU/Hr.
Cold Water
Temperature Rise,
Gas
GPM
Selling
Gas
Shipping
Input. Input
in•
45-F 75°F 90°F
Combined
CentecLine
Outlet
RTG-199HE-N
.Indoor /Outdoor'
19;900-'199,000 19,900-199.000
Tee
1 8:3 5:0 4;2
0:95
10.5
440-F
Model
Installation
in.
Vent Conn.
LPM FIowlRate
EFRating
Minimum
Maximum
Number
in.
Nat. LP
lbs.
at'C
Nat. and LP
Water Flow
Temperature
51ho
69h6
kW kW
1 65k
Temperature Rise
28/8
LPM
Setting
1 74
Input Input
mm.
25-C 41.7-C 50°C
allowable
RTG-199HE-N
IndoorlOutdoor'
5.8-.58:3 5.8-58.3'
1 76
1 31:4 18.8 15:7
0:95
1.9
60°C
Model
A
8
C
0
G
H
l
J
K
L
M
Approx.
Number
Height
Width
Depth
:lntake/Exhaust
Hot Water
Cold Water
Hal Water
Gas
Condensate
Condensate
Gas
Shipping
3" Venting
Maximum
Maximum
Combined
CentecLine
Outlet
Inlet
Outlet
Conn.
Tee
Tee
Conn.
Weight
allowable
in.
in.
in.
in.
in,
in,
in.
in.;
in
in.
in.
lbs.
RTG-199HE-N
3091is
17'1ehe
10?/,s
51ho
69h6
6V8
1 65k
J 2l/s 1
28/8
25/8
1 21A.
1 74
Model
A
B
C. `
D
G
H
I
J
K
L
M
Approx.
Number
Height
Width
Depth
Intake/Exhaust
Hot Water
' Cold Water
Hol Water
Gas
Condensate
Condensate
Gas
Shipping
3" Venting
Maximum
Maximum
Combined
Center Line
Outlet
Inlet
:Outlet
Conn.
Tee
Tee
Conn.
Weight
allowable
mm
mm
mm
mm
mm
mm
mm
mm
mm
mm
mm
kg.
RTG-199HE-N
776
452
1 265
132
167
156
160
68
60
67
60
33:6
For Propane (LP) Models change suffix "N° to "X".
Requires an electrical power supply from a 126VAC 60Hz properly rated receptacle and must be properly grounded. Power supply cord provided.
'Outdoor installation requires optional outdoor kit
2" Venting'
Maximum
Maximum
Combined
Elbow Equivalency
allowable
allowable
maximum
exhaust vent
intake vent
allowable
length,
length
vent
90' 45'
Twin pipe
9.5 ft.
9:5 ft.
19:0 ft
5.0 ft.
2.5 ft.
3" Venting
Maximum
Maximum
Combined
Elbow Equivalency
afiowaDle,
ailowaDle.
maximum
exhauslvent
iMake Vent
allowable
length
length
vent
go' 45'
Twin pipe
31.0 If.
31.0 ft.
62.0 it.
5.0 I1.. 2.5 I1.
Concentric
23.0 If.
23.0 ft.
46.0 ft.
5.0 it. 2.5 it
4" Venting
Maximum
Maximum
Combined
Elbow Equivalency
allowable
allowable
maximum
exhaust vent
intake vent
allowable
length
length
vent
90' 45'
Twin pipe
63.0 ft.
63.0 ft.
126.0 ft.
5.0 ft. 2.5 ft
Concentric '
43:0 ft.
43.0 ft.
86.0 if.
5.0 ft. . 2.5 It_
Maximum *number of 90' elbows 2" Venting
3'' Venting 4" Venting
Twio-pipe 1
5 7
Concentric NIA
4 7
General
All: potable water connections are 3/4" NPT (19mm). Gas connections are 3/4" (i 9mm). Recommended gas pipe size is 3/4", for other gas pipe sizes
please consultinstallation and.operation manual.
Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement.
Toxic chemicals, such as those used for boiler treatment, shall NEVER be introduced into the potable side of this system. The potable side may NEVER be
connected to any existing heating system orcomponent(s) previously used with a non -potable water heating appliance.
BRADFODWHifTE'
-\ ATE.R RE.AT E
Ambler, PA
For U.S. and Canada field service, contact your professional installer or local Bradford While sates representative.
Sales 800-523-2931 • Fax 215-.641-1670 /Technical Support 800-334-3393 a Fax 269-795-1089 • Warranty 800.531-2111 • Fax 269-795.1089
�. Intemational: Telephone 215641-9400 • Telefax 215.641-9750 / www.bradfordwhite,com
BRADFORD WHITE--CAAiADA" INc: Sales/ Technical Support 866a)O- 61 / 905238-0100 • Fax 905-238-0105 / www.bradfordwhhe com
Built to be the Best TM
02016, Bradford White Corporation. All rights reserved.
151 -B -0216-A Printed in U.S.A.
CERTIFICATE OF COMPLIANCE
CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of .3 )
Project Name:
RICHARD REYES I Date Prepared:
2016-11-08
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF111-ALT-02 document for each dwelling unit.
01
Project Name
RICHARD REYES
02
Date Prepared
2016-11-08
03
Project Location
53060 AVENIDA MENDOZA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RICHARD REYES
07
Zip Code
92253
08
Dwelling Unit Conditioned
1400
N .a •.,� r
:moi �::.�'
�a �:a�
w.:.;;�.+.',
Floor Area (ft2)
SC System
SC System
CFA served
systema
r f igerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
co taini g R
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
01
02
03
0405
6
U7
08',
09
10
@
..... �
'
K„�;;.�
is the SC'
e M �-� -?. ,.,' :..*�
Installing a
N .a •.,� r
:moi �::.�'
�a �:a�
w.:.;;�.+.',
SC System
SC System
CFA served
systema
r f igerant
Installing new SC
Installing
An talling
installing
Identification or
Location or Area
by this SC
ducted
co taini g R
system
more than 40
ent ely a
entirely new
-Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-AO41699SA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: . 2016-11-08 16:19:36
Report Version: 2013 Rev 1.008
Schema Version: O.SSSSDD
HERS Provider: CaICERTS
Report Generated: 2016-11-08 16:20:00
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
08
09
10
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
System 1
Central gas
All new
heating
AFUE
80
Central split
All new
cooling
SEER
18
Setback
Less than or
equal to 40
R-8
furnace
components
AC
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF311-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: 5159, or 5109 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 2300 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 FI , 0 23'or'Refngerant Charge Iv10 , 25t.{E
-Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH=20 Duct{Leakage Testing requl cements. }B
:. � t, ��... ... !�:.�. .�'�' �� 'lx"�... _. �. .`v...... } e'. 5 fl S� i' i-.... .f /, .a':.. , Z�:x: • 4. 4.6.. ... .fay..
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout,(Sections 150.2(b)lDiiatand 150.2(b)1E, F)
0-4 0. -;ll 6 b ii
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0416995A-000000000-0000
Registration Date/Time: 2016-11-08 16:19:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-08 16:20:00
Schema Version: 0.5555DD
CF111-ALT 02-E
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -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: n
c9an �aco�
Jacoby, Ian
Company:
Signature Date:
2016-11-08 16:19:36
i PERMIT E RATERS
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
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. 1 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).
am
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
California Code ofR egulation
requirements of Title 24, Part 1 and Part 6 of the
in formatiomprovided on other:: p licable compliance documents, worksheets,
4. The building design features or system design features identified on this Certificate of Compliance are cl nsistenAP40,the
enforcement agency for with this building permit application. Et i{y
calculations, plans and specifications submitted to the approval
.�� .aa ♦t. E rs ,, PP
copy of this Certificate of,Compliance shall be.made,av_adable witfi_the building permit(s),issu'ed forlthe�building,and_made available fo the;enforcement agency for all applicable
5. I will ensure that a registered
inspections. I understand that a registered copy of this Certiifcate of Compllianc ,is,required to be_included with the documentation the�builder provides to.,the building owner at occupancy.
» +m; Responsible Designer signature: i �/ �
Responsible Designer Name:
cyan �acobJc
Jacoby, Ian
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-11-08 16:19:36
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
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: 216-A0416995A-000000000-0000
Registration Date/Time: 2016-11-08 16:19:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-11-08 16:20:00
Schema Version: 0.555SDD