BMCH2015-0030al���lS
78-495 CALLE TAMPICO Twit
D "i - ' VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA; CA"- fF0RNIA 922.53 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING. PERMIT
Date: 1/30/2015
Application Number: BMCH2O15-0030
Owner:
Property Address: 57695 SALIDA DEL SOL
ALTA VERDE BUILDERS INC
APN: 762490047
71905 HIGHWAY 111 STE G
Application Description: ALTA VERDE BUILDERS/ALTA VERDE BUILDERS/AC 19SEER GARAGE
RANCHO MIRAGE, CA 9lt2ge
Property Zoning:
0
Application Valuation: $6,000.00
Z
n
o
Applicant:
Contractor: M-
ALTA VERDE BUILDERS INC
ALTA VERDE BUILDERS kc V.
71905 HIGHWAY 111 STE G r
71905 HIGHWAY 111 S IM
ry o
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 9I )
o
a
(760)776-1111 r
Llc. No.: 969219
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am licensed under provisions of Chapter
9 (commencing with Section 7006) of Divisi n of the Business and Professions Code,.
and my License is in full force and effect.
License CI ss: B License No.:.969219
�r
Date ? l Contractor"
1tr f�
OWNER-BUILDER'DECLA ATION
I hereby affirm under penalty of perjury thati am ex mpt 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 lice nsed.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'impr'oves
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 undefpenalty 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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under,penalty of.perjury one of the following declarations:
have andwill maintain a certificate of consent to self -insure for workers'
compens tion, as provided for. by Section 3700 of the Labor Code; for the performance
of th rk*for which this permit is issued.
�I•have and will maintain workers' compensation insurance, as required by
Section 06.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 mano as to become subject to the workers'
compensation, laws of,California, and ag a that, if I should become subject to the
workers' co pen ation provisions of Secti ri 00 of the Labor Code, I shall forthwith
comply witl�thosprovisions.
( V
Da-tlf- ` Applicant; x
WARNING: FAILURE TO SECURE WORKERS' COMP SATION C S 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 th bove information is correct.
I agreeto comply with all city and county ordinances an ate laws relating to building
construc ion, and hereby authoriie representatives of thi ty to enter upon the above.
mention d prf perty.for inspection purposes.
Dae y : Signature (Applicant or Agent.t).:�
•' � i��'rF1s ."�. k?S '.��.�+iL�l �t .[7 �:?>��?si � fb' ifiT.+U�.`Li".;Y`gk3 +,.i�'3 �'.1C�r%''.;IL .'�'Qrtu�
DESCRIPTION, xrx�x� ACCOl1NT, .r Nzg71VIQUNT. #F r de
PADiDATE
�,.�
v!Ws��ll= Qw ?.. �`is:T. , ,`? r. �aPA�D,'`.
f. E S �rS1473 FEE. 101 0000 20306 X 0
` $1 "00 t $0.00
, ^tXti ' !k Sx� r fit. k]:(�yfY:i6F1 - '%"<QTI�"^'xv`"C' �K� T �A Y• :t°.�" 7'F7. E 4V 14 RF}R txCptA iws�.?'r. r' ax" 1.'t.��„7y' P''.•..:. NONE :i� t i'Y1.3.. r " '.'v. pppwwi� r�ht`•'t�i'`,b,
" PAIU;BY ME+'T'. 0 �*Y� j �M '��y���y�. RECEIPTr# �'�� �'�'� CHECK#� e�,�CLTDrBYrStb
�E'i•'.4it'iF;.:SiYrnFFKv-t'T�!Cy�4.�.
$ Z'
EfASeSl'i,a'L 1 4F_t&ti<t.i18n.C� .rSr�`.a5 int x.�
Total-Paid for BUILDING -STANDARDS ADMINISTRATION BSA:, •: $1.00 $0.00
fi
DESCRIPTION ;
Y� FjT•"f;; $Y.G ig 'k!igti.F$dp4; -f
ACCOl1NT� r
t'a. rF ?
CITY
P$'dy ,Y' ^ - 'T'.'F, *a+e� I 3.;
5AMO,UNTs
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PAIDr
2'L)s !G .Ratti.. �{
'�PAIDiDATE
H�
, ' _ svx
w�f a ax.,usr t� x at k� a
? s
HVAC.CHANGEOUT-PRCKAGED UNITJ.t
101 0000-42402k...>
0
$36 26"
$0.00
,'2 1i `7' SC"•
:;.`",£y ='> .. rF�4."..`"15,'$'7" lx d"MEN
'�. ?PAID BY.,�,�
y�•,�,. ,��".F t tYE`�,r"y
METIiODr
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RECEIPT #
CLTD BY,
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cY, R,yn,e .,SS r�.'�}�ir
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crl'hai"Ed :'%J%+/ :.. . "
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AINIOUN7�L�PAID
Y,
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$P`AUs�E
fD,ESC �TNR
t&
HVAC. CHANGEOUT. PACKAGED UNITPC
5
101 0000-42600;! .
r. .:� ...
0
$24'_17
"$0.00
,.... ' '-`yoAi. g�
�" `
}+ '. .+'p tom" i;`,.,,7...L.i:.`�`sTYe.•r,..Y " .'
METHODp
' T x't`t3 �.:x4'4R%x'n.''�'- -
RECEIPT # "'
t"�' sKt�vziY>°.R.'H�`:x�t
?, p,
„Y � CHECK #
%CLTp BY
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9�.ft�3!XY4Vt''WSkr�'•T •,a.
�+xf4P�AaRt?diT7�i�'
Total.Paid fof CHANGEOUT: $60.43: $0.00
.> �', �a. %
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• �:yh.
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?QNAM�NT��PAID>..
_PADDApT,E;
PERMIT ISSUANCE
101 0000-42404'
0 .:
$91.85
$0.00
S":� !1'vB�>d:�RYr±:. r.•�. 4
�
METHOD^
A<",.
'sYRrKr?'Er24CM.tt�Eair:I?P*yT
#v�u� �.
a"v�y3rS44kix•+!?..f.44i�?ru'#sr.. 6':te,`r't�:'.5(9•-%�,+P72A4Grs%i»I;D•}+_S-iAla.1+..p
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..
�m�mGry':;G
.Tota-"l'Paid for,PERMIT ISSUANCE $91 85 a 0
.R:.. •.h..,_ .,: .•.' .' 1
r
Description: ALTA VERDE BUILDERS/ALTA VERDE BUILDERS/AC 19SEER GARAGE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/30/2015 SKH
Approved:
Parcel No: 762490047 Site Address: 57695 SALIDA DEL SOL LA QUINTA CA 92253
Subdivision: Block: Lot: 47
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
APPLICANT
Details: HVAC IN GARAGE-19SEER/12.60EER PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Friday, January 30, 2015 11:08:15 AM 1 of 2
SY.C7FM.S
CONDITIONS
CONTACTS
.A.,s
�T�� ...-.�. �.",+�:"r`zY.yiy..r; �. 'x..;n.",5.....
:ADDRE551:
AME CITY
NTYPE-, . NAME -- �.�
ESTATE
ZIP'S: PHONE FAX ,t r- -. EMAILy
;. „, y
"3,� .. .. � �::..:> .t�'�.: Y `F .w•{ k.. i'. o n � ��
, z,_. ^,
�4
APPLICANT
ALTA VERDE BUILDERS INC
71905 HIGHWAY 111
RANCHO
CA
92270
(760)776-1111
STE G
MIRAGE
CONTRACTOR
ALTA VERDE BUILDERS INC
71905 HIGHWAY 111
RANCHO
CA
92270
(760)776-1111
STE G
MIRAGE
OWNER
ALTA VERDE BUILDERS INC
71905 HIGHWAY 111, RANCHO
CA
92270
(760)776-1111
STE G MIRAGE
OWNER 1
ALTA VERDE BUILDERS INC
71905 HIGHWAY 111 RANCHO
CA
92270
(760)776-1111
STE G MIRAGE
FINANCIAL INFORMATION
Printed: Friday, January 30, 2015 11:08:15 AM 1 of 2
SY.C7FM.S
Printed: Friday, January 30, 2015 11:08:15 AM 2 of 2 CRWYSTFAAS
r ..;
....,.
-
�'.C
F17
`DESCRIPTION
CITY.
AMOUNT
PAID
PAID DATE
.?RECEIPT#
CHECK#-
METHOD:
PAID BY
r .. .-.
_'ACGOWNT..:
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT:- $60.43 $0.00
PERMIT ISSUANCE
1 101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT. ISSUANCE: $91.85 $0.00
TOTALS:00
Printed: Friday, January 30, 2015 11:08:15 AM 2 of 2 CRWYSTFAAS
Bin t! Qty of La Q uin to .
'Building &r Safety Division
Permit # P.O. Boz 1504, 78-495. Calle Tampico .
Ca Quinta, CA 92253 - (760) 777-7012.
i5- Building Aeririit Application and Tracking Sheet
Project Address: S-7 -= (lot S . 5�194R �L . ' ' Owner's Names ,
A. P. Number:
D
. Address:
Legal Description:
City, ST, Zip: -
Contractor:
V , `� _
Telephone:
Address:' . 1 - I��j.
� I `�� ,
Trojdet.Description:
City, ST, Zip:. 1L.. ..
VU'S — 122.113
\4 �
Telephone:�][�.. 'f ( _
C t .
=�#'•;z>.:::::::,,,:<::>#<:,:::>•>,>,:•.:"v.
\ `� l'Q �C .
State Lic. 9: �.2`
City Lic. #; '
Arch., Engr., Designer:
Address: .
City., ST, Zip:
Telephone:
:•,.<::;:;; <::;::::;;:;;;;;;;;,:<;,;;;;
Construction TYe: Occupancy:
State Lic. #:
;rProject.type.(ciicle one):. New . Add'n Alter Repair Demo
Name of Contact Person: 1J2AJ�
Jug j:�
' Si. Ft.:
# Stories:
# Units:
Telephone #,of Contact.Person:
bDi7
Estimated Value of Projcct: �O Q
APPLICANT: DO'NOT WRITE BELOW THIS LINE
# Submittal Req'd Rcc'.d . TRACKING PERMIT FEES.
Plan Sets
i?Ian Check submitted
Item
Amount
Structural Calcs.
Revicwcd, ready for'corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrcctions/issue
Electrical
Subcontactor List`
Called Contact Person .
Plumbing
Grant Decd
Plans picked up
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 Fccs .
Total Permit Fees
Coac-hilla.'.*aHey Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760)39*5.909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA: _
AMOUNT
LEVEL ONE AMOUNT:
- LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK H:
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Alta Verde Builders, Date: February 2, 2015
Owner's Name: Alta Verde Builders Phone No.
Project Address: 57-695 Salida Del Sol, LaQuinta
Project Description: Add HVAC to Garage
APN: 762-490-047 Tract #: Lot #'s:
Type of Development: Residential XX! Commercial
Total Square Feet of Building Area:
Certification of Applicant/Owners: The person signing
penalty of perjury and further represents that he/she is aut.
Dated: February 2, 2015 Signature:
473
Industrial
3 that the above information is correct and makes this statement under
to sign on behalf of the owner/developer.
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
Gov. Code
Project
Agreement Existing
Not Subject to Fee
17620
65995
Approval
Prior to 1/1/87
Requirement.
Number of Sq.Ft.
Amount per Sq.Ft.
473
$0.00
Note:
:Pursuant to AB 181 any. room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being. relocated within the same school district's
Amount Collected $0.00 jurisdiction are exempt from developer fees.
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Laurie Howard, Secretary Signature: r n A 0-1
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or otheir exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with.section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount:of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a. Certificate of Occupancy. .As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
M V:c/mydocs'devfees/certificate of compliance fonn updated 3-2007 11/2010
Subm�'Jfta] Data
Job Data: ...
Lo cat - ion:. ..: .
Buyer. 00yer P,O_#
Carrier# ..:
Unit Number; ... .Model -Number'
Performance Data Certified By:
Dale:
HIGHWALLSTANDARD FEATURES
. .. 19 SEER
tine lengths up to 66
Auto restart ,afterpow`erfailure
• Variablespeed digitafmverter compressor
is
5'rndo6r unit fan'speeds..
• Moloi nied louver.allows fixed oroscinating motion
►.+1
Turbo mode setting for quick temperature adjustment
Indoor sound as low as 35 dec}bels .
1.��'
` `' roaNrae
• System diagnostics
;, U Carrier
.. .
CONTROL STANDARD FEATURES
• Wireless remote control standard
z,
OneTOUC, My Comfort settings
• Timer, sleep mode
ar
• Up to 24 -dour staR/stop timer
P
Urorir�T«
(Unless otherwise indicated, data applies
to' both.lndoor. and oa(doof models)
w..
SYSTEM SIZE-,...,...: .......... ..............I 17
Wires between Indoor
.......
REFRIGERANT ........ :........... ...................................... R 410A
PERFORMANCEMCA:..
and Outdoor 4
Indoor Unit........ Wired from Outdoor
. .
.Rated Cooling Capacity (Btuh):.:.......:...::..... ......,:...16.200
.._.....
MOCP -....._:,,.....::::..:............ :............:
Cooling Range (Btuh).................. ........:3,750,- 20,45o::
,,
CONTROLS: :
SEER/EER 19 60
Rated Heating Capacity (Btuh)
.
W reless Rindte .....,
............. 20,200
Wtred;ConlroL.:: .
.. ,..............
Optional
O 1 ono
Heating Range (Btuh) ...... .... ........................:...2,750.21,500
REFRIGERANT LINES:
HSPF:..........:..:....:... ...........I..,..... ............. .......... 9
Total Piping length (tt).... ....... ;....-- ..._........-.---..
66
COP....... ................................. ........... ............... ........ 12A0
.....
Vertical Lift (R)
CFM1Sound Pressure -. dBA
Suction Line Size (in) .
Outdoor Sound Pressure (dBA) _.... ..............::....;:-:., .......52
Liquid Line Size ... ..................
,(m)
12
14
Indoor Cooling AirflovrH.! M 1: G (dm) ...........:.........::.::636 /.505:/ 388
AMBIENT OPERATINGAANGE
Indoor Cooling atDifferent Speeds (dBA).::........ 47144 / 41 /-38 / 35
Cooling DB Min -�:Max (F) ............. ............. .....................0
Indoor Heatirig Alrflow�H,I M. L (cfm) :: 6461572 !:4.20 :.
Heat'ing,OB Min'- Max (F] .............. ........:............................
4:':75
Indoor Heating of Different Speeds (dBA) ;: „,,. 47/-4'* 4./ 42 % 38135
UNIT• WEIGHT = GrosslNet.
....
ELECTRICAL
Indoor unit (lbs).
SystemVoltage...:.......:....:; .................. ...._, ..::..:.:.208230 -.1 -:60
Outdoor98/91
Accessories: .. . ....
Q Condensate Pump 208230V Q Wired Control RAS. HP = Fahrenheit [] Wired. Control RAS HP — Celsius
. _... .
Copyright 2014 Canter Corp. S 7ilo W I oOX4.St. S tndiampoh. IN 46231 Edition Dote 07114
Catalog No' . RAS47EK(A)V•1
Mantdaciurar reser4es' lire pa yre
to drengo. al arty lime, s arKations end designs w4hout notiee.and without obligations - Replaces. NEW
S,ubmitt' ] Dana
Job ata:...
...
'Location:.
Buyer: Buyer' P.O. # . .... .:. :Carrier # .:.
Unit Number; ... Modet.Number
Performance Data Certified By:
Dale:
HIGHWALL STANDARD FEATURES
..... .19 SEER:
.
• Line lengths up'to. fib'
`-,
•, Auto restart after power failure '
Variable -speed digital inverter compressor
5 in oar unit fan speeds,
a,
Motoriied'louver.allows fixed or oscillating motion
Wit
Turbo mode setting for quiek.temperature adjustment
aw.
• ' " Irjdoor sound as towns 35 decibels
fi r X F"
• System diagnostics '"
�" Carsir, 1
CONTROL STANDARD FEATURES
< -d
Wireless remote control standard-
" r
n
OeTouct My Comfort settings
Timer (sleep mode
�.;, .;-•_ _
• Up1o24hourstart/stoptrrn r
P�iron .14137
-lUnless otherwlse indicated, data appiles to both inlioor.and outdoor models)
SYSTEM SIZE,. ;,
Wires, between+Indoor
;17
REFRIGERANT . :... ,...:. : R 410A
PERFORMANCE
and Outdoor 4
...............
Indoor Unit ....., ....... ........Wired from Outdoor
Rated Cooling Capacity (Btuh)..... :....:....::.:.: 16.200 ..
MCA:.. ..
MOCP .
Cooling Range (Btuti)...........................::....:.......:..:.:3;750 -:20.450;
;. ,:..:., ... 20
CONTROLS,
SEER/EER "...... ... 19/1260
Rated Healing Capacity (Stuh) ::. Z0;200
Wireless Remote Standard
Wred`Gonlroi....
Heating Range (Btuh) ,:.... ................... . 2,750 21,500
..
, :.,.:. .........: ....... Optional
a_ REFRIGERANT LINES.:
HSPF.............. ..... ';:9:.'
Total;Piping- [Angtti{ft). 66
COP ...... ........I.......... ..... ...... :.:.. 12.40
CFWSound Pressure - dBA
Vertical LIR (ft)
' .............
Suction Line Size (in)
Outdoor Sound Pressure (dBA) .......................::....................•52
::. Llquidaine Size{m)..:..;.. „..... 1/4
..............................
Indoor Cooling Airflow H./ M 1 L• (cfm)............63fi L505 / 3t38
AMBIENT'dPERATING RANGE
Indoor Cooling at Different Speeds (dBA}.......... 47i;44/,41' 38 / 35
Cooling DBMin(Uaz (F) ....................:...:.............................0
....
Indoor Heating Airflow;hi'/ M / L{cfm) 646572 /:420
Heating.OB Mm-. aMax (F) ............. .4:75.
Indoor Heating at'Different Speeds (dBA) ::.::..... 47144:-/.:4'2 '/ 08"/36
UNIT -:WEIGHT:= Goss/Net
ELECTRICAL"
Indoor unit (lbs).35/29
Systerri Voltage............:...:.....,:................,,....,..._-..:. 208Q30 �.1 -- 60
Outdoor unit.( Obs)-...,:.;...:: ..... w/91.
Accessories:
Condensate Pump;208/230V .. 0 Wired Control RAS HP —Fahrenheit [] Wired:Conlrol RAS HP-- Celsius
copyrigh12014 Carrie► Corp. S 7310 W Mona St S Indianapolis, IN 46231: Editan Date 07/14, ; Catalog No SURRAS-17EV4A)V-1
Manufaciurer mse"e the'
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STATE OF CALIFORNIA
ADDITIONS 1000 FT OR LESS
;EC-CF1R-ADD-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ADD-01-E
Prescriptive Residential Additions 1,000 ftZ or less (Page 1 of 6)
Project Name:/ t9 A L
0.e• v1< � Prepared: 1
A. General Information
>
01
02
01
Project Name:
GAM(eF,
02
Date Prepared: _ Y �; I t C,,
03
Project Location:
- b 15 5 AL 14A DEL 5,5 L
04
Building Front Orientation CEOS
Required
CA City:
t-4CZs t rJTA
06
Number of Dwelling Units';wifh*Additions:`
07
Zip Code:
53
0&
Fuel Type: '' ' •,.,�'r1 "�
09
Climate Zone:
10 1
Total ConditionedgFliorArea (ft2) ('Addition):> G( -IS
11
Building Type
��!(p� FAµttr RfC��W�viL
12
S I a b A r e ajft2I V �.,,";
13
Project Scope:
1
Frame Type
(inches)
J 't,
B. Opaque Surface Details — Framed (Section 150..2(a)) - ~. • ' `-
>
01
02
03
04
05
06:, "`' X07 0_8`x; ''J 09
10
11
t
:Proposed
Required
E' Proposed �;v
J
Required
Appendix JA4
Frame
Frame
Cotinuous .'>:
nAp6endixJA4 Reference
,1 s�
,ore Continuous'-,.
Depth
Spacing
Cavity ;.'`Insulation
Tag/ID
Assembly Type
Frame Type
(inches)
(inches)
R -value";, '14 R -value Factor Table., Cell
U Factor
Comments
1 Assembly_Materials
W vL
oo
L0000
X11
Package A
£.: ,.- i
. t., Os.'aV:.K ,_ �. h.Z,�•Att
D
iL olt
us000
I rlY
_ice;_
�;:
`.. o X48=r�4'-," .I -M
R- t�1
C. Opaque.Surface Details - Non -framed (Section 150.11 )i�)
1
01
02'
03
°04:"".205
06 a :g07-,:. R' 08 09
10
11
t
:Proposed
Required
Appendix JA4
,ore Continuous'-,.
Reference
r
jam, ���
�l
Thickness
xi
Insulation
U -Factor from
Tag/ID
Assembly Type
1 Assembly_Materials
(inches.)
.Insulation
R -valuer R=Value
U -Factor Table Cell
Package A
Comments
ll�
•� i
�s
Registration Number:
2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
ADDITIONS 1000 FT' OR LESS
a
EC-CFIR-ADD-01-E (Revised 06114) 11
CERTIFICATE. OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Additions 1,000 ft' or less CF1R-ADD-OI-E
(Page 2 of 6)
Project Name: /` {.' M V-A U
N Dale Prepared:
D. Opaque Surface Details — Mass Walls (Section 150.1(c)1)
01
02
03
04
-OS06
07 1 08 09
10 11
Proposed
Required
Proposed
�' ltt Required r �
"
lnsulatiin
Ins&ation=
Walls
Floor Type
Mass
Furring Strip
Interior Insulation Exterior Insulation Appen`dix�JA4
Re e e
Inter or Insulation Exterior Insulation
!c
�, Comments
Above
Thickness
Thickness
ce'',:,
• .Heated slab floors re uire mandator slab1nsu6tion :;A `x>(see Tables10 8av
Tag/ID
Grade
Type
(inches)
(inches)
R -"value U -factor R -value U -factor pTable Cell t
;�R,- alue. U factor R -value U factor
�v<;n
E. Slab Insulation (Table.150.1-A)y_ vy
s
01 --
02
03
04tX ti'y'='
05:..Y
Sit
06
Proposed
�' ltt Required r �
"
lnsulatiin
Ins&ation=
Floor Type
R-valueU-factor
ERwalueU'factor
�, Comments
• .Heated slab floors re uire mandator slab1nsu6tion :;A `x>(see Tables10 8av
aT'
R3I� •Ti?.a
F. Radiant Barrier (Section 150.1(c)2 %
-91
01
.02
Radiant Barrier installed below the:roof�d ck and on all ga'bl,e�er'd'.walls? Comment
A radiant barrier'is required (fold mate Zones 2,15)x
• Radiant barriers shall meet specific e�gtbility and .installation criteria to receive energy credit for compliance with the Building, Ehergy Efficiency Standards
for low-rise'residential.buildings tR�efe— to RA4.2.1
•
The emittan:ce f the radiant barrier shall be less than or equal to 0.05 as tested in accordance with ASTM C1371 or ASTM E408.
For. Prescriptive Compliance th'e:attic shall'be ventilated to provide a minimum free ventilation area of not less than one square foot of vent area for each 300 ft2 of
attic floor area with: no: less. than 3�0 percent upper vents. Ridge vents or gable end vents are recommended to achieve the'best performance: The material should
be cut to allow for full airflcr-t§%the venting.
Registration Number:
2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
June 2014
S/I',;TE OF CALIFORNIA
ADDITIONS 1000 FT' OR LESS
CEC-CFIR-ADD-01-E Revised 06/14
CERTIFICATE.OF COMPLIANCE
Prescriptive Residential Additions 1,000 ft2 or less
Project Name: lA A
Date Prepared: / / 9
CALIFORNIA ENERGY COMMISSION "
CFIR-ADD-01-E
(Page 3 of 6)
G. Roofing Products (Cool Roof) (Section. 150.1(c)11)
01
02 .: 03
01
0z
03
04
05
06'
07
08 09 10, ,^ 11
12 13
Comments .
Mass Roof
TFi Greaten ,
_MaximumMaxlmum'
Maximum
Calculated
Calculated
based on fes,
Allowed ft2 F`t
Allowed-%���
SFR. Mawmum
ra
Caiculeted �.�`,
�_ Calculated -�
based'on•
tiab , .f . Allowed ft2
Proposed
Required
25 Ib/ft2
or
Roof
Method of
Product
CRRC Product ID
Initial Solar
Aged Solar
Thermal y SRI Aged Sol 5n
Thermal SRI
lag/ID.
.greate r
Pitch
compliance
Type -
Number
,: Reflectance-
.,Reflectance
4'
Emittance- 4 O tional -:Reflectance
Emittance (Optional)
z
Lt�
NOTES:
Any roof area covered by building integrated: photovoltaic.panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4. `
"'
c'
-ti
H. Fenestration/Glazing.Areas Allowed (Section 150.2(a)1)
01
02 .: 03
.04 :.._ �' 05,
s X0607
08
Addrtion.Jypeft2
Maximum Allowed
Fenestration Area�For:AII Orientations ft2
Maxim, Allowed
West -Facing Fenestration Area Only-
Maximum',
a �,Alhowed
"U factor
-
Maximum
Allowed
SHGC
Comments .
TheGreater.;
TFi Greaten ,
_MaximumMaxlmum'
Maximum
Calculated
Calculated
based on fes,
Allowed ft2 F`t
Allowed-%���
SFR. Mawmum
ra
Caiculeted �.�`,
�_ Calculated -�
based'on•
tiab , .f . Allowed ft2
vis r !=4 r
"
r
j��
Awa
Registration Number: Registration Date/Time: HERS Provider:
2013 Residential Compliance Forms June 2014
STATE OF CALIFORNIA
ADDITIONS 1000 FT OR LESS
CEC-CFIR-ADD-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions 1,000 ft2 or less
Project Name: l0 A hA W /
I. Fenestration Proposed Areas and Efficiencies (Section 150.2(a)1)
01 02 03 04 05 06 07 08
Orientation Proposed Proposed
Tag/ID Fenestration Type Frame T e Dynamic Number of West Facing
yP yP �Glazin N, S, W, E Fenestration
Glazing or Roof Panes Area ft2 Fenestration
Area ft2
14
Total Proposed Fenestration Area
11
15
Maximum Allowed Fenestration Area
•�^
16
Compliance Statement
Exterior
17
Total Proposed West -Facing Fenestration' Area
o osed
Y P
18
Maximum -Allowed West -Facing Fenestration Area
-
ac6 _,
--,
SHGC' ,'=
.x
_ Source
19
Compliance Statement
? '
20
Proposed. Fenestration U -factor
Device
21
Required Fenestration U -factor
03
s�Fn.
` 22
Compliance Statement.,
u
23
Proposed Fenestration SHGC. "
24
Required Fenestration SHGC?`
25
Compliance Statement
r
-
Yr
�l �r
G°
r
4
V,
r
Registration Number:
2013 Residential Compliance Forms
Registration Date/Time:
MMISSION
CFIR-ADD-01-E
(Page 4 of 6)
Date Prepared:
09
X1'0
11
12
13
•�^
3l. fib%' q
'"'P
.: M
Exterior
Combined
posed`n„
o osed
Y P
:- -
SHGC from
ac6 _,
--,
SHGC' ,'=
.x
_ Source
Shading
CFIR-ENV-
.
Device
03
HERS Provider:
June 2014
STATE OF CALIFORNIA
ADDITIONS 1000 FT 2 OR LESS
CEC-CFlR-ADD-01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Additions 1,000 ft" or less
Project Name:
Date Prepared: / 1 45 11 _;
FORNIA
' -
W
.0N,
,
MISSION
CF1R-ADD-01-E
(Page 5 of 6)
J. Space Conditioning (SC) Systems —Heating/Cooling — Single Family Dwelling (Section 150.2(b) or Section 150.1(c
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic¢spiace heating.
01
02
03
03
Dwelling Unit Total CFA =
2%
Dwelling Unit Name
Sum of Existing + Addition (ft2)
-Comments
A L&A3
10
E,L IL U rpt S2
K. Water Heating Systems (Section 150.1(c)8)
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic¢spiace heating.
01
01
02
03
04
05
06
07
08
z-x40yvelling Unit
10
12
13
14
15
Installing a New Space
Dwelling Unit Name
# of
Water
,Identification or Name
Conditioning System?
Comments
1 4
Water
Heater
Back -Up
Water Heating
Water
Water
Heaters
Storage
Ra ted .4-116ted
N
Heating
eo ti6g
Exterior
Solar
Dwelling Unit DHW
System ID or
Heating
Heater
in
Volume
Fuel
Input
Input
Efficienzy�,Efficiency
.
;
Standby
Insul.
Savings
Central DHW System
System
System Type
Type
system
(gal)
Type
Type�_..F�'�
Value_
11TY 6
Typed=`'
{;Loss
qLosss(%)
;(%)
R -Value
Fraction
Distribution Type
Distribution Type
I
Ik
jj,
C'-41,.
L. Space Conditioning Systems and Water He s
Systems in,Multifam.-ily Dwelling it (Section 150.2(a))
01
02
0S
06
Dwelling Unit.TotakCFA
Central VVAerlHeaing
z-x40yvelling Unit
Dwelling Unit:
Sum of Existing-+Mcldition
System lcldntification or, i,
.,,.Wat6r Heating System
Installing a New Space
Dwelling Unit Name
Name
,Identification or Name
Conditioning System?
Comments
1 4
11
Registration Number:
2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
ADDITIONS 1000 FT OR LESS
CERTIFICATE OF COMPLIANCE
Prescriptive, Residential Additions 1,000 ft2 or less
Project Name: ^ e
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and
Documentation Author Name:
N' o A O D . PJ &c_tc_'e
Company:
City/State/Zip: -
Date Prepared:
Documentation thor Signature:
Signature Datf: 1
HERS Certification Identifc6bonf(ifaappliiiatilei: .,
II
A IMP_
MMISSION
CF1R-ADD-01-E
(Page 6 of 6)
J? -d- L&_A D fc. EXF1 C i —
RESPONSIBLE PERSONS DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
AyT P p,
1. The information provided on -this Certificate of Compliance is true and correct. `
2. I am eligible under Division 3 of the Business and Professions Code'
to accept responsibility for iliabuilding design or system design identified on this Certificate of Compliance (responsible
designer). ` rt....
3. That the energy features and performance specifications, materials,,components anndim' ufactured de ices+for.the building design or system design identified on this Certificate of
Compliance conform to the requirements ofTitle 24, Part 1 and Part,6 of the .Califdrnia Code of Regulations
4. The building design features or system design:feat+ures identified on this Cert f tate of Compliance a onsi tent 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.
5. I will ensure that a registered copy of fhisCertificate ofComplianee shahl tie.rrtade°avaiillablee with the building, permit(§)�issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy�of this Certificate of.Compliance is requiredttoibeplincluded with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name:
ResponsibWp� signer Signature:
Company:.
Address:
City/State/Zip:
For assistance or
IV
di
estions regarding the Energy Staridards, contact the Energy Hotline at: 1-800-772-3300.
V,
y.
Registration Number:
• 2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
June 2014
6'•.;
Sig
'S y
License:
Phone:
estions regarding the Energy Staridards, contact the Energy Hotline at: 1-800-772-3300.
V,
y.
Registration Number:
• 2013 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
June 2014