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05-2294 (SFD)
Ti -tit 4 4 0", BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: 1trchitect or Engineer: j`- ,��el�n -------------- 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 ivision 3 of the Business and Professionals Code, and my License is in full force and effect. License lass: License No.: B Datel ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur at 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).: (_ 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 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.). (_ 1 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.). (_ 1 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 Name: Lender's Address: LQPERMIT 2 a 2005 EpEU E� Owner: LENNAR HOMES 78401 HIGHWAY (` A QUINTA, CA A QUINTA, CA Contractor: LENNAR HOMES 78401 HIGHWAY LA QUINTA, CA WCC: AON Lic. No.: B VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OF CALIFORNIA 111, STE C 92253 OF CALIFORNIA INC 111, SUITE C 92253 RISK SRVC ------------------ WORKER'S COMPENSATION DECLARATION Date: 6/13/05 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. 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 MWC11114500 11 / 0 1 / 0 Solicy Number 728102 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 //� 37 of the Labor C , shall forthwi comply with those provisions. Date: plicant: WARNING: F LURE TO SECURE W ERS' 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 Director of Building and Safety 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 ord' ances and state laws relating to building nstruction, an ereby authorize representatives of this cou ty to ter u he above-mentioned prope r i spection pur es Date: S nature (Applicant or Agent): P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002294 Property Address: 79912 CASTILLE DR APN: 609-380-999-21 -293234- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 136306 Ti -tit 4 4 0", BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: 1trchitect or Engineer: j`- ,��el�n -------------- 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 ivision 3 of the Business and Professionals Code, and my License is in full force and effect. License lass: License No.: B Datel ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur at 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).: (_ 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 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.). (_ 1 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.). (_ 1 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 Name: Lender's Address: LQPERMIT 2 a 2005 EpEU E� Owner: LENNAR HOMES 78401 HIGHWAY (` A QUINTA, CA A QUINTA, CA Contractor: LENNAR HOMES 78401 HIGHWAY LA QUINTA, CA WCC: AON Lic. No.: B VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OF CALIFORNIA 111, STE C 92253 OF CALIFORNIA INC 111, SUITE C 92253 RISK SRVC ------------------ WORKER'S COMPENSATION DECLARATION Date: 6/13/05 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. 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 MWC11114500 11 / 0 1 / 0 Solicy Number 728102 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 //� 37 of the Labor C , shall forthwi comply with those provisions. Date: plicant: WARNING: F LURE TO SECURE W ERS' 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 Director of Building and Safety 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 ord' ances and state laws relating to building nstruction, an ereby authorize representatives of this cou ty to ter u he above-mentioned prope r i spection pur es Date: S nature (Applicant or Agent): Application'Number . . . 05-00002294 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION. 2001 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 42S..00' PATIO SQ FTG 53.00 NUMBER OF UNITS 1.00 ------------------------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE 2225.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee' 769.00 Plan Check Fee 4'99.85 Issue Date . . . . Valuation . . . . 136306. Expiration Date 12/10/05 Qty Unit Charge Per Extension' BASE FEE 639.50 37.00 3.5000 ----------------------------------------------------- THOU BLDG 100,001-500,000 ----------------------- 129.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE' 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1."00 6.5000 - ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 101.38 Plan Check Fee 25.35 Issue Date Valuation . . . . 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 2225.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 77.88 425.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.50 LQPERMIT - . Application Number ---------------------------------------------------------------------------- 05-00002294 Permit . . PLUMBING Additional desc . Permit Fee . . . . 152.25 Plan Check Fee .. 38.06 Issue Date . . . . Valuation . . . . 0 Expiration Date .12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 "6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 E.A. PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB.GAS PIPE >=5 3.75 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------•---------------------------------------------- Special Notes and Comments SFD - LOT 21. PLAN 4, 2225 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ' ----------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES .00 DIF COMMUNITY_CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 49.99 DIF FIRE PROTECTION-RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 13.63 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due LQPERMIT Application Number .Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERAIIT . . . . 05-00002294 1077.13 .00 00 1077.13 573.14 .00 .00 573.14 2468.62 .00 .00 2468.62 4118.89 .00 ..00 4118.89 DEC 15,2005 13:01. BCI*TESTING,ril 000-000-00000 Page 2 Ca10ERTS Certified Rating December, 15 2005 This Compliance rating is for the home located at: 79917. Cashilp Drive ested Duct Leakage, La Quinta CA, 92253 Certificate Number: CC3-1798353620 Yes Passed Date Inspected: December, 12 2005 ' Ca10ERTS Rater: Rex Graham + CC2004077 N/A HERS Analyst: N/A t: Builder/Developer: Lennar Homes \ ,� Project: Tdpestry (9) Esplanade k Phase: Phase 14 N/A Plan Name: Plan 4 i Lot Number: 021 Specifics about this home: General Information uilding Envelope Conditioned Floor Area: 3100 Square feet Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stores. i Heating and Cooling Systerns Heating Equipment: Furnace: 0.8 Cooling Equipment; AC: 12 Heating Equipment: Furnace: 0.8 Cooling Equipment: ACSplit: 17 HVAC Air Distribution Duct Location: Attic Duct Leakage Target: 6.0 Duct Insulation R -Value: 4.2 Air Infiltration Blower Door Target: 72 Water Heating. stem E= osed TY I Size Fuel I EF Distribution Water Heating S stem Ar:tlral TY I Sire Fuel I EF Distribution Tocrina Racithc ain S stem MVAC System Area ested Duct Leakage, Yes -Passed ested TXV: Yes Passed ested Duct Design Compliance: N/A ested Duct in Conditioned Space: N/A ested Reduced Duct Surface Area: N/A ew System HVAC System value e sted Duct Leakage: Passed Yes -Passed TXV: Yes- Passed Rested Duct Design Compliance: N/A Surface Area Pro osed Actual R Value U Factor R Value U Factor Windows =TESTEO PAGF I OF 7) =APPROVED AS PART OF SAMPLE GROUP FIRM: BCI TESTING ADDRES 77.760 COUNTRY CLUB ORNE, SUITE I PALM DESEERT. CA. 92211 PHONE: 760-772-2954 CERTIFYIAG SIG TURF DAT riro osed Actual U U Orientation Area SHGC value SHGC Value =TESTEO PAGF I OF 7) =APPROVED AS PART OF SAMPLE GROUP FIRM: BCI TESTING ADDRES 77.760 COUNTRY CLUB ORNE, SUITE I PALM DESEERT. CA. 92211 PHONE: 760-772-2954 CERTIFYIAG SIG TURF DAT M a Certificate of Insulation Your home has been insulated with John Mansviile Fiberglass insulation products, which are designed for today's safety standards and tomorrows energy requirements. m N V4 Fiberglass Is inorganic and therefore permanently noncombustible, so It does not have to be treated Ln with fire -retardant chemicals that will likely lose their effectiveness over time. It has not been treated with chemicals that can corrode wiring or metal. Fiberglass will not absorb moisture nor will it m settle over time as may other insulation materials. N "i 0 w ti 0 This also certifies that Insulation have been professionally installed in this home to provide the following thermal performance. Lan nar Homes Job Name: 'tapestry L Esplanade Tract: 29323 Plan# 4C Phase: 14 Lot No: 21 Job Address: SFR - 7"12Castilie Dr, La Quinta, CA Calling Area: R-38 batt insulation Garage Ceiling: Non -Access: With Living Above & Sloping Areas Exterior Walls R-13 batt Insulation Between Floors: Overhangs: With Living Above Interior Wails: Access Attic: Subcontractor...0 J Insulation., Inc. 72-227 Adelaid St, Thousand Palms, CA 92276 N N M Signed: m Mike Dickerson, General Manager - Palm Springs Division R -means resistance to heat flow. The higher the R -value, the greater the insulating power. Ask your builder for the fact sheet on R -values. Keep this certificate with your other valued papers. If you ever sell this home, this certificate should be passed on to the buyer. 0 DEC -09-2005 FRI 08:56 AM TEAM HEATING & A/C FAX N0, 9516943803 P. 05 ti HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 1 oft CF -6R Site Address: 79-912 Castille Drive, La Quetta, Ca 92253 permit Number. Tract•Number. 29323 Plan #: 4 Phase: 14 Lot Number: 21 Project Esplanade Builder Lennar Homes An Installation certificate Is required to be posted at the building site or made avalible for all appropriate inspections. Atter completion of final inspection, a copy must be provided to the Building Department (upon request) and the building ower at occupancy, per Section 1D -103(b). HVAC SYSTEMS: Heatina Eauioment Efficiency Duct Heating Heating Equip. EC Cetutl Name Identide (AFUE, etc.) Location Duct Load Capacity Type and Model Name Systems >= CFAR) attic, etc.) R -value (BTU / Hr) (BTU / Hr) Bryant a Coolina Eauioment 111tat ImMency Duct cooling Cooling Equip.Name Identicle (SEER, etc.) Location Duct Load Capacity Type and Model Number Systems(?=CF-1 R) (attic, eta) R -value (BTU I Hr) (BTU / Mr) !n2nt ___MCNX048 WEIR 12 a cyan a i, ine unaersigneu, deny tnat equipment usiea anove is. 'i) is ine acruai equipment i n uvu, q Uquivaieni to or more efficient than that specified in the ce ' to of complia (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residcnti 11 fl i ,3) uk ment that meets or exceeds the appropriate requirements for manufactured devices (from the A Ila ffi . cy ions or art ),were applicable. 2 Team Heath & Aft, Inc signature, cue Installing Subcontraictor me OR General Contractor (Co. Name) OR Owner MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) CFA: System © of Indicate the maximum a owa le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 x 400 x (Cooling Capacity In Nominal Torts) x (0.06) 21.7 x (Heating Capacity In Thousands of Output BTU per hour) x (0.06) Measured Fan Flow I—, Mu Pressurization Test Resin25 PA) 100 x Test Leakage / Fan Flow = % Leakage Chad( Box for Pass or Fail (Pass = 6% or Less) "X T-24 Compliance Credit was Taken far TXV siffa-m [U of Indicate the mEmmum allowable Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 x 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow u Pressurization Test Resu 100 x Test Leakage / Fan Flow = % Leakage Cheri( Box for Pass or Fail (Pass;:; 8% or Less) dT -24 Compliance Credit was Taken for TXV X.06 X.06 TXV was TXV wa; PAGE 1 F2001-01 (402) Action Now T-24CF6-RTD&TXV macro DEC -09-2005 FRI 08:56 AM TEAM HEATING & A/C FAX N0, 9516943803 P. 06 HVAC INSTALLATION CERTIFICATE for Tested Duct Leakage & TXV Page 2of2 CF -611 Site Address: 79-912 Castille Drive, La Quinta, Ca 92253 �^ Permit Number: 0 Tract Number 29323 Lot Number. 21 Plan #: 4 Phase: 14 Project: Esplanade Builder. Lennar Homes System i'-aof 7-71 indicate the mmlxxY um a owe la Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 400 x (Goofing Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capa ' in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow I—� DIM Pressurization Test Results (CFM @-25-PA) 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) -24 Com lance Credit was Taken for TXV of Indicate the maximum a (e Dud Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 816 400 x (Cooling Capacity In Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of output BTU per hour) x (0.06) Measured Fan Flow u Pressurization Test Results 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fall (Pass = 6% or Less) W-24 Com Ince Credit was Taken for TXV ysf m of Indicate the maximum al orwable Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 6 through 15 0,6 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow Pressurization Test Results 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) RT-24 Compliance Credit was Taken forTXV m of Indicate the maximum a le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 6 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 400 x (Cooling Capacity in Nominal Tons) x (0.06) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow D-0 Pres5urastion Test Results 100 x Test Leakage / Fan Flow = % Leakage Check Box for Pass or Fail (Pass = 6°/a or Less) r--IT-24 Compliance Credit was Taken for TXV X.06 x .06 X.06 TXV wai TXV wa: TXV was TXV was I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) Is in conformance with the requirements for compliance credit. (rhe builder shall provide the HERS provider a copy of the CF -SR Signed by the builder employees u n ors Ing that diagnostic testing and installation meat the requirements for compliance cred(L) 7 Team Heating & Air, Inc Tom " gna ure, Date Q-�� ln3Wlling n reor ami Performed OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy PAGE 2 F2001-01 (4-02) Action Now T-24CF6-RTD&TXV macro L--_