BMCH2014-1150Applicant: 1COMMUN17TYDEVELOPM:ENT
u Contractor:
DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD 590 WILLIAMS ROAD
PALM SPRINGS, CA 92264 D23 2014 PALM SPRINGS, CA 92264
f LA NTA (7,60)323 3383
DEPARTMUff
Llc. No.: 276586
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 C43License No.: 276586.
Date: f /, 14 Contractor:
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
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. C.).
Lender's
Lender's
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.
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 polity number are:
Carrier: _ Polity 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 a Labor Code, I shall forthwith
comply with those provisiol'ns.
Date: J % J r' X r L% 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 eJr up he above-
mentioned property for inspection purposes. ��
Date:Ott// Signature (Applicant or Agent)
G
78-495 CALLE TAMPICO
,�
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/8/2014
Application Number:
BMCH2O14-115�
Owner:
Property Address:
49110 RIO ARENOSO
ROGER MARSTON
APN:
646330032
49110 RIO ARENOSO
Application Description:
HVAC CHANGE -OUT, 2 SYSTEMS
LA QUINTA, CA 92253
Property Zoning:
'
Application Valuation:
$13,000.00
Applicant: 1COMMUN17TYDEVELOPM:ENT
u Contractor:
DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD 590 WILLIAMS ROAD
PALM SPRINGS, CA 92264 D23 2014 PALM SPRINGS, CA 92264
f LA NTA (7,60)323 3383
DEPARTMUff
Llc. No.: 276586
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 C43License No.: 276586.
Date: f /, 14 Contractor:
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
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. C.).
Lender's
Lender's
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.
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 polity number are:
Carrier: _ Polity 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 a Labor Code, I shall forthwith
comply with those provisiol'ns.
Date: J % J r' X r L% 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 eJr up he above-
mentioned property for inspection purposes. ��
Date:Ott// Signature (Applicant or Agent)
G
✓'.'. i L 4 '4 1 '�=i`'. �.. eY 'y i 'ti
.:�<,, >,.,.�,_, �:.r.:,: �.,.,.<r.,.. ..�:�.i:� .f,x�.,-..�. : �:�•.� �...r,;�zv ,.. Ax:..,: ..x.......r „ x.a: «,,. � ;; .:ti,�, <. <�.. � s,4 _�,ir.:�,,., :::.,� �:x+. ,ar,..,.�
BSAS SB1473 FEE 1011-0000-20306 0 $1.00 $0.00
g�"xPAIDvvm aBYa<narr�?CHECK
a 141 ,.. E #R ..,ttCLTD BYvX,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
' 4Z rF _ v -(''+N x�`"S', E e,(X rEs,.e1Y'..q }i J k"Y Ix � : {S"�,ij:.�i9 ,k?: ti, '+'�'W»E•T S '!:. �.> i+ .Y. W+Y AT ,,..Me al.l"Vt.
aDES`GRIPTION r z k" <"ACCOUNTS r k ��, ,*sya
QTY AM0UNT t PAll7 PAID'DATE'
: i ,a.b a� c r s
�,y^. �..�,:._.:..5 a a:�:° ..:.,, .�i. ,,:, .. _s nr^a, .. ,: .u..: `Ff.. ..n.aa_as_.-.:::;_i: r.__�.:.a. 01, kSY�'x:� s .:,�v._ fps _-x•Y,... _»"u"._.f
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0 $145.04
$0.00
� x .. > -,�..
tic d�
MAN," E-• , d ',xr -
PAIDs BY i t
.n a ,.,.;� ,- u
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# {: -; - r._ t` r ,, v i -
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x.. rt...q.:
QTY
n! cs.E4rrN� S�'4"ac. x,
aEAMOUNT
v i y;• 7 ,?''y? :P54 ',k z
�° °,
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z
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�;:.., ,u�x
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s
x SPAID�
.,:tns:,x;s', .. #•a;Y ..�'Fx ?...,
PAID DATE'
HVAC CyHANGEOUT - SPLIT -SYSTEM PC
101-0000-4.2600
0
$72.52 -
, $0.00
-�++
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�<,VRECEIP:T'#E
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Total Paid forCHANGEOUT: $217:56 $0.00
F `xkai a......`Y xirTwk :..,.
gum sxDESCRIPTION
%+. ,n, Yrs'6:<'SK �, zr
' ACCa, R' h
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:
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-DO«a4ss:
".
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PAIO DATE
x, i ..:...<.•.v c-4#�`ax::.
PERMIT ISSUANCE
101-0000-42404
.0 •
$91.85
$0.00,
+.;§ . ^': PAID.BY
f.1�' P'1'6
E:x ` . d
METHOD
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Total Paid for PERMIT ISSUANCE: $91.85 $0.00
Permit Details PERMIT NUMBER
n
City of La Quinta WC-H2o1�4 1'1=50
Description: HVAC CHANGE -OUT, 2 SYSTEMS
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 12/8/2014 KHE
Approved: 12/8/2014 KHE
Parcel No: 646330032 Site Address: 49110 RIO ARENOSO LA QUINTA,CA 92253
Subdivision: TR -25154
Block: Lot: 67
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 -
No. Stories: 0 No. Unites: 0
CA
Details: REPLACE (2) SPLIT SYSTEMS -ONE 4 TON AND ONE 2 TON AT GROUND LEVEL. 2013 CODES.
DESCRIPTION ACCOUNT QTY :AMOUNT PAID PAID DATE RECEIPT # . CHECK # METHOD PAID BY [CLTD
. _ - i► -
. -... -..
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Monday, December 08, 2014 4:45:22 PM 1 of 2 C U
sysrrnns
COFIDITIORS
NAME TYPE.
NAME
Af)DRESSI`
CONTACTS
CITY
STATE
YIP PHONE_-
FAX EMAIL =
APPLICANT.
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
CONTRACTOR
DESERT AIR CONDITIONING INC
590 WILLIAMS ROAD
PALM SPRINGS
CA
92264
OWNER
ROGER MARSTON
49110 RIO ARENOSO
LA QUINTA
CA
92253
DESCRIPTION ACCOUNT QTY :AMOUNT PAID PAID DATE RECEIPT # . CHECK # METHOD PAID BY [CLTD
. _ - i► -
. -... -..
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Monday, December 08, 2014 4:45:22 PM 1 of 2 C U
sysrrnns
DESCRIPTION
y. :,ACCOUNT
QTY
AMOUNT
PAID: •
PAID DATE
. RECEIP.T#
CHECK 4, *
METHOD
PAID BY
_
,.
HVAC CHANGEOUT -
SPLIT -SYSTEM
1010000-42402
0
$145.04
$0.00
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
T__0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85- $0.00
$310.41 $0.00
PARENT PROJECTS
BOND INFORMATION
Printed: Monday, December 08, 2014 4:45:22 PM 2 of 2 C
SYSTEti15
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
49110 RIO ARENOSO I Date Prepared:
CF111-ALT-02-E
(Page 1 of 4 )
2014-12-08
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within
documented,
a single dwelling unit. When
multiple dwelling units must be
use one MR -ALT -02 document for each dwelling unit.
OL
02
03
01
Project Name
49110 RIO ARENOSO
07
02
Date Prepared p
lt) .
2014-11-08
03
Project Location
49110 RIO ARENOSO
Installing a
04
BuildingType yp
Single family
Q5
CA City
La Qulnta
system a
ducted
06
Dwelling Unit Name
49110 RIO ARENOSO
07
Zip Code.
92253
Name
08
Dwelling Unit Conditioned
system? .t
containing
component?
system
components?
more than 40
feet of ducts?
entirely new
duct system?
entirely new
SC system?
Floor Area (ft2)
2000
09
Climate Zone
1.S
Yes
. Yes
Number of space conditioning
No
No
Altered space
10
(SC) systems in this dwelling
2 .
conditioning system
unit.
n. space conditioning (SC) System Information
OL
02
03
04
OS
06
07
trs
09
lt) .
Is the SC .
Installing a
SC System
Identification or
SC System
Location or Area
Ck served
by this SC
system a
ducted
refrigerant
Installing new SC
Installing
Installing
Installing
Name
Served
System (ft2)
system? .t
containing
component?
system
components?
more than 40
feet of ducts?
entirely new
duct system?
entirely new
SC system?
Alteration Type
System I OF 2
Location I of 2
1600
Yes
Yes
. Yes
No
No
No
Altered space
conditioning system
System 2 OF 2.
Location 2 OF 2
800
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2{ b)1Diib)
This section does not apply to this project.
Registration Aumber: 214-A0154333A-000000000-0000
CA Building Energy EfficlencyStandards -2013 Residential Compliance
Registration Date/Time: 2014 -12 -OB 10:01:22 HERS Provider: CaICERTS
Report Version: 2014-03-31 Report Generated: 2014-12-08 10:01:25
Schema Version:0.S51SDD
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-AL17-02-E
(Page 2 of 4 )
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 i
Efficiency
Cooling
Cooling
.
Efficiency
Efficiency
Thermostat
Replaced
New Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
System 1 OF 2
Centrals
All new
heating
AFUE
0.78
CentrAacsplit
All new
cool(ng
SEER
This field or
This field or
furnacea
13
Setback
section is not
section is not
components
components
applicable
applicable
System 20F 2
Central as
furnace
All new
heating
AFUE
0-78
CentACsplit
All new
cooling
SEER
13
Setback
This field or
section is not
This field or
section is not
components
components
applicable
applicable
Required Documentation:
CF21k-MCH-014 - Space Conditioning Systems Ducts and Fans
-Duct insulation reau.irement for new plenums: R6.
CF2R-?VICH-20•11 & MR -MCH -20•1-1 — Duct Leakage testing requiredwhen heating or cooling components are Installed in ducted systems, or when more than 40 ft of dud length is replaced.
-Leakage rate compliance: 515%i, or < 10n, leakage to outside, or seal all aocessible leaks.
CF2R•MCH•25-H & CF3R-MCH-25-H Reftlgerant Ch arge Verification required wheh.refr�gerant containing components are installed or akered (applicable In CZ 2, 8-15).
CF213CF311-MC44•23 & CF3R-MCH-23 Air Flowz 30D CFM/ton fequited when NICH-25 is required.
Exceptions:
-Duct systems registered with HERS provider as previouslysealed are exempt from MCH -20 Dict Leakage Testing requirements-
-Heating•ont1systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge IviECH-25.
'Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or.without. Equipment Changeout (Sections 150.2(b)1Diia and 150.2{b)lE, F)
This section does not apply to this project.
Registration [dumber: 214-A0154333A-000000000-0000
Registration Date%rme: 2014-12-08 10:01:22
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-08 10:01,25
Schema Version: D.551SDD
CERTIFICATE GF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT44vA '
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number. 214-A0154333A-M0000000-0000 Registration Date/Time: 2014-12-O8 10:01:22
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.5515DD
CFIR-ALT-02-£
(Page 3 of 4 )
HERS Provider. OICERTS
Report Generated: 2014-12-08 10:01:25
CERTIFICATE OF COMPUANCE
Alterations to Space Conditioning Systems (former4V CF -1R -ALT HVAC)
MR -ALT -02 -FE
(Page 4 of 4 )
Documentation Author's Declaration Statement
1. f certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Avthorsignatura:
Skov, Keri
Company: Signature Date:
Desert Air Conditioning Inc.
2014-12-08 10;01:22
Address,
590 Williams Road
CEAJ HERS Certification Identtficatlon (if applicable):
City/State/Zip:
Palm Springs CA 92264
Phone:
760-32.3-3383
Responsible Person's Declaration statement
I certify the following under penaltyof perjury, under the laws of the State of California:
1, The information provided on this Certifimte of Compliance is true and correct,
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design Identified on this Certificate of Compliance (resporuible designer).
3. That the energy features and performance specifications; materlals, componems, and manu.faciured devices for five building design or system design identified on this Certificate of Compliance conform to the
requirements of Tale 24, Part L and Part 6 of the Catifornla
Code of Regulations,
4. The building design features or snrstem design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance dociuments, worksheets,
calculations, plans and specifications submitted
to the enforcement agency forapproyal with this building permit application.
5. 1 will ensure that a reeistered copy of this Certificate of Compliance shall be made avai lable, Mth the building permit(s) Issued for the. bullding, and made available to the enforcement agency all applicable
inspectlons. I understand thata registered copy of this Certificate of Compliance is required to be Included vrith the dorumentadon the builder provides to the building owner at occupancy.
Responsible Designer Name:
Skov, Keri
Responsible Designer Signature:
Company:
Desert Air Conditioning Inc.
DateSlgned:
2014-12-08 10:01;22
Address:
License:
590 Williams Road
276586
Chy/state/Tp:
Phone:
Palm Springs CA 92264
760-323-3383
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Registration Number: 214-A0154333A-DDDD0DD00-0000 Registration Date/Time: 2014-12-08 10:011:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Vernon: 2014-03-31 Report Generated: 2014-12-03 10:01:25
Schema Version: 0.551SDD