BMCH2015-0320•
�
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
Q�i ��
VOICE (760) 777-7125
78-495 CALLE TAMPICO
I have and will maintain workers' compensation insurance, as required by
U
Section 3700 of the Labor Code, for the performance of the work for which this permit
LA gUINTA, CALIFORNIA
92253
OWNER -BUILDER DECLARATION
FAX (760) 777-7011COMMUNITY
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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 I
D
°
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
Date: 8/18/2015
Application Number:
BMCH2O15-0320
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
Owner:
Property Address:
78076 CALLE NORTE
APPLICANT ACKNOWLEDGEMENT
1 G
LAU1 8 2U15
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
TONY LONG
APN:
770012042
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
78076 CALLE NORTE
Application Description:
LONG RESIDENCE / HVAC CHANGE
UT CITY OF LAQUINTA
employees for any act or omission related to the work being performed under or
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $20,000.00
Applicant:
VIC'S AIR CONDITIONING INC'
P 0 BOX 215
THOUSAND PALMS, CA 92276
Contractor:
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND PALMS, CA 92276
(760)343-5033
Llc. No.: 756658
LICENSED CONTRACTOR'S;DECLARATION I - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 756658
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date: lAe.6, 20r%,�Contractor:jo��-110�5141--
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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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 I
Date: %a-- Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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 Add
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: `Az. -& Signa. urea (AAp�piicant or Agent
gr2r:;
FINANCIAL INFORMATION
a`. PAID DATE +DSCRIPTONrF
«QTY
•�: wW.'.. ra ,
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $1.00 8/18/15
�r 'c„ '- <# '=
'PAIDBY METHOD' RECEIPT # ` CHECK # `CLTD BY '
r, F �`' ! e §
VIC'S AIR CONDITIONING INC CHECK R8549 146 AZA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.U0
3DES6RI1PTION; ` ,.- "
: ` ACCOUNT,'"'
:;QTY
rvW , ff AMOUNTS.'. F
.,µs PAID�'� '
PAID DATE
..
<`., €s•w''
}�
4,z.
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
8/18/15
" 'PAID BY
t RECEIPT #�
'y�CHECK # ``
CLTD BY
.
, k
VIC'S AIR CONDITIONING INC
CHECK
R8549
146
AZA
41 `fiDESCRIPTIONa'ACCOUNT'
QTY
;AMOUNT`' '
PAID b
iPAID DATE
.>i.�..
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
8/18/15
B
r .. r .
.F '
METH
`' a `• P ',,-.
RECEIPT # {PAI
> ";sCECK # _..
CL•T� D.
BYOD
VIC'S AIR CONDITIONING INC
CHECK
R8549
146
AZA
Total Paid forCHANGEOUT: $108.78 $108.78
.,
` .,DESCRIPTION'"
g.c r >, •AOUNT r
CC
3QTY,'
':' AMOUNT '
PAID
iPAID,DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/18/15
PAID.BY `
",.F� " METHOD "'xRECEIPT
#w,
; `CHECK # '19P
CLTD BY.1
VIC'S AIR CONDITIONING INC
CHECK
R8549
146
AZA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: LONG RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 8/18/2015 AZA
Approved: 8/18/2015 AZA
Parcel No: 770012042 Site Address: 78076 CALLE NORTE LA QUINTA,CA 92253
Subdivision: TR 20158 Block: Lot: 4
Issued: 8/18/2015 AZA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type: Construction Type:
Expired: 2/14/2016 AZA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
VIC'S AIR CONDITIONING INC
Details: HVAC CHANGE OUT - 20 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
i Approved to Issued
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY: STATE
ZIP
.PHONE .:
FAX
EMAIL
APPLICANT
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND CA
PALMS
92276
(760)366-0148
CONTRACTOR
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND CA
PALMS
92276
(760)366-0148
OWNER
TONY LONG
78076 CALLE NORTE
LA QUINTA CA
92253
(760)366-0148
Printed: Tuesday, August 18, 2015 11:19:51 AM 1 of 2 r
SYS7ENIS
DESCRIPTION
ACCOUNT
4Z y'
—AMOUNT:PAID
'PAID DATE,'
; RECEIPT #
CHECK #
METHOD
PAID BY ' �u,
CLTD
-"
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
8/18/15
R8549
146
CHECK
VIC'S AIR
-AZA
CONDITIONING INC
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CH T -
101-0000-42402
0
$72.52
$72.52
8/18/15
R8549
146
CHECK
VIC'S AIR
AZA
SYSTEM
SPLIT -SYSTEM
CONDITIONING INC
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
8/18/15
R8549
146
CHECK
VIC'S AIR
AZA
SPLIT -SYSTEM PC
CONDITIONING INC
Total Paid forCHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
8/18/15
R8549
146
CHECK
VIC'S AIR
AZA
CONDITIONING INC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:i
PARENT PROJECTS
Printed: Tuesday, August 18, 2015 11:19:51 AM 2 of 2
sysTrms
Bin #City
Permit #
Project Address: _ b '7
of La Quinta
Building 8t: Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
6A r•e Name:
A. P. Number:
Address: ,q e
Legal Description:
City, ST, Zip:
Contractor:
S
Telephone: y
7� ��lo O
"-a:'. =<€ :.>
'
Address: 6 &O Z �5�
Project Description: G ' 1 19 s�'`v.e
City, ST, Zip: �� (7U SQn Cli �%� �i'l1S 64
Z�j �S•��i�'s S. ��
Ci- Yf
Telephone: Z D 3Y3 -s7o33
State Lie. #: '7 !�T665' 2j
City Lie. 4:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy
State Lie.-:><.......=.>.
type (circle circle one : New Add'n Alter Repair
J ) P
Demo
Name of Contact Person:
UJ
Sq. Ft:
# Stories:
# Units:
Telephone #,of Contact Person:7
qa 2 y
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance•
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
q
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CF1R-ALT-02-E
(Page 1 of 3 )
I Project Name: Tony Long I Date Prepared: 2015-08-16 I
A. General Information
CHR -ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.
O3
Project Name
Tony Long
02
Date Prepared
2015-08-16
03
Project Location
78076 Calle Norte
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Tony Long
07
Zip Code
92253
08
Dwelling Unit Conditioned
3000
-t6*
.1A `*,�..A-"
Floor Area (ft2)
SC System
SC System
CFA served
system A,`
refrigerant
Number of space conditioning
>' I stall ng
09
Climate Zone
15
10
(SC) systems in this dwelling
2
ducted i
containing k
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
Ol
02
03
04
05
06
07�i
08
09
SO
. a+
.1
k
T1s the SC "
Y a ,-,.y,�. �'.,R
Installing aiv
-t6*
.1A `*,�..A-"
SC System
SC System
CFA served
system A,`
refrigerant
Installing' new ,
>' I stall ng
;Installing
-Installing
Identification or
Location or Area
by this SC
ducted i
containing k
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
bedrooms
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 1
LIVING AREA
1500
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 Number: 215-A6292944A-000000000-0000
Registration Date/Time:
2015-08-16 05:36:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-16 05:36:08
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
Central gas
All new
Central split
All new
Less than or
System 1
heating
AFUE
0.78
AC
cooling
SEER
20
- Setback
equal to 40
R-8
furnace
components
components
feet
Central gas
All new
,'
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
20
Setback
equal to 40
R-8
components
f '
components
feet
Required Documentation:
Space Conditioning stems Ducts and Faz '
Y4 ,,....
CF2R-MCH-01-E - g S ns
-Duct insulation requirement for new plenurrms: R6:
CF211-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or.cco�oling components are,installed in ducted
systems or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, or <_ 30% leakage to outside, or seal all accesse leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant components are installed or altered applicable in CZ 8r'1S)
containing
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300ACFM/tiin regwre&when MCH -25 is required!
J,
Exceptions: f �,, �� .0,
-Duct systems registered with HERS provider as previously sealed are teexempt from MCH -20 Duct Leakage Testing requirements.
r; �. x rr`- M
-Heating -only systems and Air Handler/Furnace.changes do not require nfication of=Air flowCH•23�, or.�--• Refrigerant Charge MECH-2
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH=20`Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
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: 215-A6292944A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-16 05:36:15
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-16 05:36:08
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
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: 7} j n,
Victoria, Blanca
anca rctoria
Company:
Signature Date:
VIC'S AIR CONDITIONING INC
2015-08-16 05:36:15
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 215
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-5033
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 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 (responsible designer).
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
requirements of Title 24, Part 1 and Part 6 of the California Code of Re lationsI
4. The building design features or system design features identified on"this Certificate of Compliance are consistent with the informatibmprovided on. otherapplica,tile'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for approvaliwrtli this building permit apphcatwn.
S'i't- 011, Ik .'4. -' ..,,�
,i .fir&
5. 1 will ensure that a registered copy of this Certificate of,Compliance shall be maiie.available with the building permit(s):issued for ihe,liuil ding, and,made availabletq;the enforcement agency for all applicable
inspections. I understand that a registered copy of this,Certiffiicate of Complliance„is„required to be included with the�,documentation thebuilder provides to the building owner at occupancy.
�
Responsible Designer Name: ;� � �.,r �CA'Responsible
r&^ �:^n,:.
Desigriser Signature: 3�/'� j�-�,
Victoria, Blanca
[anca ictoria
Company:
Date Signed:
VIC'S AIR CONDITIONING INC
2015-08-16 05:36:15
Address:
License:
P 0 BOX 215
756658
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-5033
Digitally signed by Ca10ERTS. 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: 215-A6292944A-000000000-0000 Registration Date/Time: 2015-08-16 05:36:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-16 05:36:08
Schema Version: 0.555SDD
Vic's Air Conditioning Service, LLC
//�� pp�, ��ee P.O.Box 276
AIR CONDIT'®NING SERVICE LLC
� � Thou A 922
343
It, /W1Phone (760) 5033
��
Fax (760) 343-5040
6Ke Coude at a Sate" Service@vicsair.com
Lic. No. 756658
1295
YOUR NONE CONFUffr, HEALT N AND ENERGY SAVINGS SSM PROPUM
CUSTOMER NAMES� PHONE: DATE: 7
mS
CELL PHONE: l CJZ 1i�%- WORK PHONE: FAX:
ADDRESS: 79- 079t9p- EMAIL'
CITY, STATE, ZIP: JOB LOCATION:
Vic's Air Conditioning is a family owned and operated, certified Trane Comfort Specialist dealer cooling the desert one house at a time. Vies Air has served both residential and commercial clients.
Our specialties include air conditioning and heating repair, annual planned maintenance agreements, replacing existing systems, remodel projects, new construction, and customized sheet metal
ductwork. As a locally based company we offer excellent customer service 24 hours a day 6 days a week. Providing timely service to our client base and first time clients has contributed to 20 years
of success in the desert and 10 years as Vic's Air Conditioning.
SYSTEM #1 �CONDENSEROR HPCOIL 'FURNACE - UP- DOWB 10 El AIR HANDLER ❑ PACKAGE - GAS OR HP ❑ OTHER
TONS:_ VOLTAGES - PHASESEER A2 EER AR# AIR CLEANER TYPE
WARRANTY: PARTS LABOR COMPRESSOR EXTENDED WARRANTY
T -STAT MODEL- COMFORT/HEALTH ENHANCEMENT
SYSTEM #1 KCONDENSER(90R HP COIL FURNACE- UP - DOWNORI ❑ AIR HANDLER ❑ PACKAGE - GAS OR HP ❑ OTHER
TONS:_ VOLTAGE PHASE_ SEER ?- Z) E/ER AR# AIR CLEANER TYPE
WARRANTY: PA RTS R LABOCOMPRESSOR EXTENDED WARRANTY
�' J
T -STAT MODEL: COMFORT/HEALTH ENHANCEMENT
GOOD
SYSTEM #1 ❑ CONDENSER - AC OR HP ❑ COIL ❑ FURNACE - UP - DOWN - HORIZ ❑ AIR HANDLER ❑ PACKAGE - GAS OR HP ❑ OTHER
TONS: VOLTAGE PHASE SEER EER AR# AIR CLEANER TYPE
WARRANTY: PARTS LABOR COMPRESSOR EXTENDED WARRANTY
T -STAT MODEL: COMFORTIHEALTH ENHANCE ENT
ENERGY SAVINGS MAINTENANCE AGREEMENT:
❑ CRANE OR HILIFT - SMALL OR LARGE
COMPRESSOR CHANGE OUTS ONLY: EXISTING UNIT MODEL# SERIAL#
COMMENTS:
NEW OUTSIDE ELECTRICAL DISCONNECT ❑ NEW GAS PIPING ❑ INSTALLERS ARRIVE ON TIME
NEW AMP SERVICE ❑ NEW LOW VOLTAGE WIRING ❑ INSTALLERS COURTEOUS & PROFESSIONAL
VNEW OUTDOOR CONDENSING UNIT PAD ❑ NEW INSULATED RETURN AIR PLENUM ❑ MAINTAIN CLEAN WORK AREAS
NEW PROPERLY SIZED REFRIGERANT LINES ❑ MASTIC SEALING OF INSTALLED DUCTWORK ❑ REMOVE EXISTING EQUIPMENT
❑ REPLACE SUPPLY AIR REGISTERS ❑ BALANCE AIR FLOW THROUGHOUT SYSTEM ❑ RECYCLE EXISTING EQUIPMENT
❑ NEW CONDENSATE PUMP ❑ INSTALL MANUAL BALANCING DAMPERS ❑ COMPLETE SYSTEM START-UP
❑ 17 POINT SYSTEM PERFORMANCE CHECK
BEST �'S BETTER GOOD
/n t
Ir
i (�.
a i
L� �o vslrils 'Aro
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WE PROPOSE HERBY TO FURNISH MATERIAL, LABOR - COMPLETE IN ACCORDANCE WITH TH AB VE SPEC}F'CATIONS FOR THE UM OF:
PAYMENT TO BE MADE AS FOLLOWS: DOLLARS ($�
❑ CREDIT CARD/DEBIT ❑ FINANCING CHECK ❑ CASH DOWN PAYMENT $ '�✓ '
BALANCE $ Z
(OCCLUSIONS: CARPENTRY WORK, CUTTING, PAINTING, PATCHING, DRYWALL, LINE VOLTAGE, ELECTRIC, LOW VOLTAGE CONDUIT OR DISCONNECTS, HEATING PERMITS,
COMBINATION FURNACE AND WATER HEATER VENTS, TRENCHING, GRADING OR LEVELING, LEVEL ROOF PLATFORMS, DRAFT STOPPING, FIRE STOPPING, FIRE DAMPERS AND
STRUCTURAL STRAPPING. WE ARE NOT RESPONSIBLE TO REPAIR DRYWALL, STUCCO, ROOF OR ANY DAMAGE IN THE HOUSE WHEN INSTALLING THE UNIT. ALL MATERIAL IS
GUARANTEED TO BE AS SPECIFIED. ALL WORKTO BE COMPLETED IN A WORKMAN LIKE MANNER ACCORDING TO THE STANDARD PRACTICES. ANY ALTERATION OR DEVIATION
FROM THE ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE
ESTIMATE. ALL AGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS OR DELAYS BEYOND OUR CONTROL OWNER TO CARRY FIRE, TORNADO A'"ld OTHE NECESSA Y
INSURANCE. OUR WORKERS ARE FULLY COVERED BY WORKMAN'S COMPENSATION IN CE. i.,1_ f Ar2enr J k' 14-V - 4Af ( -41 0'41041-
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NOTE:'I
NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 4Q DAYS.
ACCEPTANCE OF PROPOSAL THE ABOVE PRICE, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE
AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE OUTLINED AB VE.
COMFORT
DATE OF ACCEPTANCE: ' 3 D - F lr CONSULTANT
SIGNATURE: SIGNATURE: �+�^
ON