BPLB2016-013478-495 CALLE TAM PICO . -
LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2016-0134
"&-ty. 4au c IOU
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT,
Property Address:
80677 SPANISH BAY
APN:
775310021
Application Description:
BLACKWELL/ CHANGE Q).TANKLESS WATER HEATERS
Property Zoning:
I1have 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
Application Valuation:
$5,000.60
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91,362
® VOICE (760) 77777125
AX (760) 777-7011
IN P S1) 7 -7153
/Vo.29pate: 1/0/ 6
W I C/�LQF� eft
MEDICINE HAT_ �FJ op Q�I//!/T
CANADA T16, A9 92253 �pg9T
MF/VT
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE.
THOUSAND PALMS; CA 92276
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under'provisions of Chapter I I hereby affirm under penalty of perjury one.ofthe 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, C36 License'No.: 686310
of the work for which this permit is issued.
�_.37i f
Date:; 13 Ito ) to Contractor`'
: IZ:Z
I1have 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:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its.issuance,.also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject'to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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
_-
Date: I I
3ti tb Applicant:�
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not.intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or impioves thereon, and who does the work
INTEREST., AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of.sale:).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this.application is made; each person at.whose
to construct the project. (Sec. 7044, Business and. Professions Code: The Contractors"
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant; each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the.work being performed under or .
(_) I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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:
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 c to enter upon the
above-mentioned property for inspection purposes.
.. �
Date: T A 30 � Signature (Applicant or Agent):
r
Date: 11/30/2016..
Applica;ion Number:.. BP.LB2016-0134.. Owner.
Property.Address: 80677 SPANISH BAY WILL BLACKWELL
APN: ..77S310021 MEDICINE HAT AB
Application'Description: BLACKWELL / CHANGE (2) TANKLESS WATER HEATERS CANADA TIB, A9 92253
Property Zoning:
Application Valuation: $5,000.00
ApplicantsContractor:.
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR .
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
------------
Detail: PLUMBING - CHANGE OUT (2)TANKLESS WATER HEATERS. 2013 CALIFORNIA BUILDING CODES.
t
:FINANCIAL INFORIVIATIOU
DESCRIPTION ACCOUNT QTY AMOUNT'
BSAS SB1473'FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION.
ACCOUNT.
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27 ..
Total Paid for PERMIT ISSUANCE: $96.27 '
DESCRIPTION.: .. ".
ACCOUNT.
QTY
AMOUNT
WATER HEATER/VENT.
-1017-0000-42401
0
$25.34
DESCRIPTION,.'.
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT-PC _
101-0000-42600 A
Q'
$15.20
Total Paid for PLUMBING FEES: $40.54
#
Pe
1�.
Qty. of LA Q✓ rota
Building 8z Safety Division
P.0• Box 1.504,•78-495 Calle Tarnpico
La.Quinta, CA 92253 - (760) 777-7012
` Building Permit Application and Tracking Sheet
Project Address: 80677.Spanish.Bay
Owner's Name:. William Blackwell
A P. Number.
Address: 80677 Spanish,Bay
Legal Description:
City, ST, Zip: 'La"Quinta,.CA 92253
Contractor. GeneraLAir Conditioning and'Plumbing
:����
Telephone: 760-689-8740 .-.`hw.r,,-,,.� .
Address: 31170 Reserve Drive
Project Description: Replace 5 ton / 90,000,BTU complete
City, ST, Zip: Thousand'Pakns, CA 92276
HVAC system
Telephone: 760-343-7488.?•
.; a�"Qv�/i< fel:'
Lia #;
Replace 4.ton / 90,000 BTU complete HVAC system
State Lie. # : 686310-.City
2 tankless water heaters with 20' gas line
Arch-, EV., Designer.
Address:
City., ST. Zip:'.
Telephone: `
P . 2
State Lic. #: ;,:,.•:,w/
Name of Contact Person:. Steven SchniererSq.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft: ,
#Stories:. —T
# Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project: $36,235.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TTtACMG
PERMiT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIes. -
Reviewed, ready for corrections.
Plan Check Deposit. .
'mss Cates.
Called Contact Person
Plan Check Balance_
Tide 24 Calc$.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mechanical.
Grading plan.
2" Review, ready for correetioashssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"'^` Review; ready for correctiortsiissue
'Developer Impact Fee
Planning Approval
Called Contact Person
AXP-P.
Pub. Wks: Appr`
Date of permit Issue
School Fees
Total Permit Fees
Bin.
Premium Condensing
Tankless Gas Water.Heater
• Certified design according to.ANSI Z21.10.3/CSA 4.3-2013
standards for both indoor or outdoor installations (with
optional Outdoor Vent_Kit)
• Compatible with 1/2" gas pipe up to a length of.24 ft*
j"see htsta!!ation �lanual ln; aAditional Infomtatien)
• Compatible with 2" PVC vent up to: 60 ft** and 150 ft**
using 3" PVC vent ("• -Ith nq elbow)
`� Gas liipurRanges '
NPE-150 -120,000 to 18,006 BTUh
NPE-180 -150;000 to 15,000.BTUli
NPE-110 -180,000 to 19,900 BTUh
,NPE-240`199;900 to 19,900 BTUh..•:
• Hof Water.Fl9. "Pte Capadtv;{ ... nI . , ..fnpentirrc: rie)!M;
NPE-150 - 6.8 GPM
NPE-180 - 8.4 GPM
NPE-210 -10.1 GPM
NP£ _240 =11.2 GPM
• Dual.Primaryand Secondary Stainless Steel Heat
Exchangers for optimum efficiency and durability
• Built-in Control Panel -allows adjustment of temperature
settings and.displays the operating status and error codes
• G=ftff1oVtTechnology - "A" models come included with
built-in OS gallon Buffer Tank and Recirculation Pump to provide
maximum comfort
INTELLIGENT Preheating -recognizes hot water usage patterns
to intelligently provide hot water "when needed (aptiondl for"s-.models)
• Temperature Options - available temperature settings for
Residential applications rattge,from 981F up to 140'F with high
temperature Cominercidl mode capable of up to 182eF
• Ready-LinkMulti-System.-up to 16 units can be cascaded
together for increased hot water production,
Reduced pressure loss for maximum hot.water output
• Ease of Maintenance and Service - allows for quick removal and
simple repairs to veaterway eo"mponents such ;as the pump, water
adjustment valve; and 27way valve
• Freeze Protection : inaintains normal operation during freezing
ambient temperatures down to -5eF (standard on all models)
• Uniform Energy factor Ratings.ror NG and LP unWs
NPE-180A/210A/240A-0.96'UEF (0.97 EF for Canada)
NPE- 1.50S - 0.96 UEF (0.97£Ffor.Canada)
NPE-1805/210S/240S Oi97UEF (0.99.EFfor:Canada)
• Compatible with Natural Gas (NG) and Propane (LPG)-
(
LPG)•°'
(' requ!re{installatioh ofindiided Field conversion Kitb§a gtLit!lied Rvsrniwr)
• Approved for Installations on Mobile/Manufactumd Homes
• Certified by CSA, NSF.5, AHRI, AB1953.CA.Low Lead, SCAQMD
(Rule 11462 Type 1- Complies with '14 ng%/•or 20 ppm NOx Ca.3% 02)
• SS -Year Heat Exchanger and S -Year Parts Warranty (Res idential)tl•f
8 -Year Heat Exchanger and 5 -Year Parts: Warranty (Commercial)""
(`•"• see Navien United Warm nty)
• Optional accessories are available (see below)'
NPE Series Tankless Water Heaters
Specificati®n Sheet
DiagnoiUcs UP
InfomraUati — Down '
Reset , Pa ONIOFF
Built-in Control Panel
with Diagnostics_
Indoor and Outdoor
Venting Options
Non -Direct Vent (indoor)
Direct Vent (indoor)
outdo«
Wm cap-
1'
Non-Oirea Vent (Outdoor)
NSF ► ! o
EWRu-YVAJR�
aAu:®i CERTIFIED .
�. - w»N.i6RalreetOplaiq
Job Name.
Location:
Engineer: _
Wholesaler:
ontracti?t•: — - - —
Model No.:
Submitted to.
Remote Controller Pt mbliasy Valve SetjValj. Condensate Neutralizer wRead Link - N�
(Gtxx(.XA-.,rn9le Unnl .)- Outdoor Vent Kit_ External Pump Wire' 3"Vent Termination Caps
NR-2oDU. t3nJtrg323A•iead Fee. s Communication Cable acid Wall Flan
i c - XX..00) 2a Up to6UNrx+. . , (30010604A; fGY,?CX(1O131r ges
(300J97$),ti (3t�12,O1A-tor Pip over. GxYX007 ?5 UprolSUnn,( '•Gxxa1'r00c4e1 .fiti;.X.L3n738i
:• a NPE Series Tankless Water Heaters.
Premium Condesing '
T.anklessGasWaterHedter Specif1Cat1®n Sheet
• Dimensions Specifications•
,NPE;150S� t
t ,N?E=180A. ;NPE 1805 NP 210A 'NPE 2I0� ` NPE 240A ; rNPE 240S1
Heat
Natural'Gas .4 18,000-
1'5,000-150,000 BTU/H 19,900-180,000 BTU/H 19,900-199,900 frTU/li
•C,apacity
120,000
15,000-150,000 BTU1H'. 19,900 180,000 BTU/H .79,900-199,900 BTU^H '
(Input) •
Propane Gas STU(H
EffitienIiy,
UEF;ta:NGaiv) 0.96
6.9fi
0.97 096
1 0:97 0.96
0.97
Ratings
EF•'(Canada)IroruGSLP) .0.97
A97
0.99 0:97
1 0.99 0:97
0.99.
35`F(19`Q Temp Rise. 6;8 GPM (26.Uri1)
6:4 GPM (32 Um) , 10.1 GPM (38 Um) 11.2 GPM (42 Um)
Flow Rate53
'(OHuv)
GPM '
457(25-0 Temp Rise
j20 Urn)
6:5 GPM (25.L•rm) 7.8 GPM {30 I.W. 8.7 GPM (33 Urn)-
-
67'F(36'C)TempRise '3.2'GPM
4.3;GPM. :
.4.2GPM' S:O
' GPM
((19
2 -GPM 5:6 GPM 5.7.GPM
{12 Um)
(16 Um)
06 Um) Um)
(20 Umi (21 Um) (22 Um)'
.Dimensions l7.X(W) x 27.4 (H) x 13.2'(D)
SS•Ibs
75 lbs
67 lbs
821W
15 lbs
82lbs '
75 lbs
Ldeight f25Rg)
(34kg)
(30kg)
(37k0)
(34kg) . •
(37 kg)
(34kg)
installation Type Indoor or Outdoor Wall -Hung
Venting Type Forced Draft DireaVeni "
Ignition Electronic Ignition
Water:Pressure, 15-150 PSI
ressure •.
.Natura(GasSupply. Pressure-
35 in in WC f
,1C-10.5
(from source]
.(fro
Propane Gas Supply Pressure , 8 in WC-13in WC
(from source)
Natural Gas Manifold Pressure. -0.04 in WC -
-0.0 in WC --0.84 in WC
-0.05 in WC =-0.36 in WC'
I
-O.OSin WG -0S8 in WC
.(min-mai0 . =038 in WC
. .. ... ,
Propane Gas Manifold Pressure •0,04 in WC -
-0:05 in: WC --0,50 in WC
-
•0.1 bin WC --0.66 in WC
-0.10 in WC --0.78 in WC;
(niin-max) 0.4Yin WC
Minimum Flow Rate' OSGPM `(1.9Um),<0.01GPM`,(0:04Um)option for"A'modeis'
Cold Water Inlet 3/4 in NPT t
Connection.
Sizes
Hot Water Outlet 3/4 in NPT
Gas Inlet 3/4 in NPT t
:
Main Supply . 1 120V.AC 60Hz -
r
3uppiy
Maximum Power 200W (max 2A), 3SOW (max 4A) with external• m p connected ,
Consumption ,
Casing Gold Rolled, Carbon Steel,
',MaterialsPrimary
Heat Ekhangeri Stainless Steel
Heat.Exehangers
j Secondary Heat Exchanger; Stainless -Steel ,
12' or 3' PVC, CPVC, Polypropylene
Exhaust
1 2- oi3"Special Gas VentSype BH (Class II, A/B;Q
Veniirig
j 2',or3" PVC, CPVC; Polypropylene. `
Intake
':.?":or3"SpecIla l'GasVenEType.BH(Classll A/B/C)
Vent Clearances j O'to;combustibles',..
_
Safety:
Home Rod, APS, Ignition. Operation Detector WateiTemperature High'Limii Siaitch: ExliaustTemperature High Limit Sensor,
Devices
Power S69eTuse c
•Avoilabletor-A",modelsconfigured inan.optionalCanforWoivredreulo8onmade.Addidarm ergyuse willoccurWhen usingrecirculation. '
Gas fired, iankless, cohdensing, lvall-inounled watei heater(s) shall be direct veirt NPESeries models cis indnufactui ed byNovieii, lite: and nre.certified by CSA Croup to the
latest edition oJ•ANS! standard /.21:10.3%CSA,4.3:.Water.hea'te)-(s) slioll heive a i,l year limited Heat L•xchanger woi�rnnry nnd.5 year limited Ports ibgr;`anty, (8 yenr'Hent
Exchanger find 5 yens Portsfoe i7dinrnercial use).per Novien Liri ited Wtiminty. U»it(.$) sholl be designed'to btirn.riahtrolgiis otidzdn be fiot use with propane whei+ a Field
Conversion Kit is installed. 'I Water heater(s) shall have d norriingl Jltnv rate capacity of GPM/GPH at °Friseivith rated inpuCol `"BTU/hr. Water .
--henter(sJ shnN be vertted'wlth ZT P.VC/CI'VCvcritppe,rn distance iiocto exccetP60'•(or equlvglr rlC) cvfth.-each elboli zglrnf'to'A'ofpfpe length or 3""PVC/CPVC✓etit.pipe.�t u:
distance 61' 150`(ur equivalent) with each elbow eq'uul to,5'gf pipe length. Water heyter(s) is rated Jar 750 PSI working. ivoterp!-ensure'and 300 PSI test pressure. Gos supply
In-esstire shall be 3.S" to10.5' WCfnr., natriralgas phd B.0" to'13.0" WC for propa»a Units) shnll Have;a'steel case, ttugl stnibless steel hcgt_exchnngcrs eco: premixed burner,
-r+egoiivepressurebpsyolve,.dualventlrri,.3/4 rnletgmconnetgon;3/4"brnssinlet%autletwater connections,.svaterholdi.ngcpppcil) of0.6.;gnllonsforthe NPE-75t7S,L0' .
gallon fir the NPE•180A model.(0.7gallons jar NPE-1805.rnndel),1;2gnllonsjorthe NPE 230A%i1'PE-240A modes (0 7 rand 0.9gnlloits jorN!'E-2105 rand NPE-2405 models,
respectively), and a.condenstite collector.. The NPE-1505 model tveighs 55.lbs, the. NPE-I BOA model weighs 75 lbs (NPE.180S weighs 67lbs),.and iho NPF210A/NPF-240A
models weigh. B211u (NPE-2105.mid NYE-2405 weigh.75'Ihs). thlft(s) shall include fenturessudi as nn ad)usbpent jar iasfalinrlons tit high elcvntiat, tenrperahue lockout grid
temperature nptiorts fr•gn+ 98-120'Fin 1'Fintervois and 125-1417Fin sr intervals. The It"t(s) shall include additionit/ teinpernture bp'tions o% 150.180'FinIOF intervals
nn(l 182'F for high ternpera[irre ca»rrneicial npplrcahons'Afl NPE A"niodels sliafl'indtide ori iritcriial circulation pirrnp and O.Sgalfon hiifjer tank. The svnter hc6tir(;) shall
be controlled by on infernal circuit board that mgiiiiors the inlet and outlet temperotures witlririsialled ther n)istors, senting and confrolling/iow i -ate -to sei point ieinperaturc
with air fgcl ratio controls iii order to inauttoin thermal conibusfioh ef�ciericy. lhiit[.c) shall`include snfery fentiires`su'ch nr/Inme sensorsysteni, liigli IiniiCseimors, overheat
prevention device, freeze protection rnode,'�and fan moiorrdintion-detecior•. Multi-systein'(casiade) applications that -t-equiie 2 to'1.6 trnid.shall be installed by eo• necting the
unit's using cable -only connections (Read -Link): 7he.Wat&:heater(s) exceeds the energy efficiency requirements nfASHHAE90.1-2013 rand is listed by SCAQMDavle 1146.2 '
(Type'1) Jill- Low NOx that complies with 14 dq/J dr -26 ppin NOx requireinents CN 3% 02.
{Navien reserves the right to changespecificalions at.nityditne without priornotice:
Navien, Inc. 20 Goodyear, Irvine, CA 9261.8 Ph: (949)420=0420 Fax: (949)420-0430 1vww.Navien.corn. Rev. 12/'1 5
STATE OF CALIFORNIA'
RE°SIDENTiAL ALTERATIONS — WATER' HEATER
CEC-C'rlK-ALT-01-E (Revised 06114) '
CERTIFICATE OF COMPLIANCE
Prescriptive .Resid.ential.Alterations for Water. Heater
A: GENERAUNFORMATION`
Site address:
Bullding Type: Single Family pwelling
PoMulti Family awe.11ings:
City,: Zip Code: la.. -Cl. G Z2..S M.
Climate Zone:
L
12 13 14 '
G. WATER HEATING -SYSTEMS Section 150.E b 1G
01
02
03
04
05
06
07
08
09
10
11
15
Water
Water
Water
#nf
WBLPf
Fuer.
Rated
stated
Heating
Heating _
-Standby
Exterior
Back -Up
Central' I
Dwelling
Heating
Heating
Heater
. Water
Heater
Type
Input
Input
Efficiency
Efficiency
"Loss'N
Insul•
Solar
DHW System
Unit DHW
System
System
Type
Heaters
Storage
Type
Value
Type
Value'
R -Value.
Savings
Distribution
System
Identification
Type
In
Volume
Fraction
Type i
Distribution
lir•
system
(gal)
{
Type
Name _
Comas
BFv1.
1R9,gt1�
'EF
Ria
•N A
N A
N A
N A
S�ri..�la�si
NPE-Z�IQA
• �
• .
WATER HEATING SYSTEMS
Nater heating corTipliance'for an alteratlon Is described in Section 150.2(b)1G. For single dwelling'a.gas or propane watee heater, with a'storage tankof'S0 gallons maximum
br instantaneous (tankles;.) can.be used.. pwelling Unitdistribution systems areJimited to Standard trunk and' 4tanch or demand recirculaf(on for gas or propane..water.
leater..Demand recirculation (snot allowed for electrlc.water heater. If there is no natural gas connected to the building, an e(gctric Y✓atkf• heatu.'.may be hepia'ce'd with
another electric water heater, However, changtrig,from gas to electric is not allowed. Multi -family central systems must use certi(led.gqui0ment.as d.e.finedunder Section
11da'and 310:3. h ,
MOTE: If the proposed Installation -does not meet the requirements allowed specifically for alterations, use form C1=1R-NCB=01 to docurnent the water heater alteft#,tion,
Instructions for sections with column numbers are Riven below:
1r Water Heating System Identification or Name; -enter a unique'nam'e for the Water Heating Sy;tem,
2: Waterheatin,g system type: DpMesticHot'Water (DHW}; Hydronic, Combined'Hydronic, or Central. DHW is for domestic hot water, hydronic Is a water heating
system used for space heating only; combined;hydronic are when the water heater will provide both space .condItlening and
dome hot water.
3. Water heater type: For npn-central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from .Large Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.
CERT.IFICATE OF COMPLIANCE...:' CF'1R-ALT-01-�. ' .WATER HEATER • -
Prescriptive Residential Alterations for Water Heater (Page 2 of 2)
• 4; Number of waier heaters in system: In single-family and multi -family with water heaters in each dwelling units tM'val.ue is 1. For rhulti-familyCentral'-systems
serving multiple dwelling units.enter the total number of water heaters,
5; water heater volume (gal): tank capacity In gallons. For individual water heaters fora dwelling unit this will be 60 gallonsciefess. If instantaneous, 'enter n/a; For
multi-famlly central systems enter the.total storage;volume: 1
6, Fuel Type: Gas, Propane, Electric (Dnly if natural gas Is not available) r
7. Rated Input Type: Enter the equlpment.input rating type, for gas or propane-firedd units are Stuh, for electric fired systenf th'e unit's are'•kVJ, '
'8. Rated input Value: Enter.the numeric value of rated input.
.9. -Heating Efficiency. Type:- Energy Factor, AFUE, or Thermal Efficiency: From product Iit'eratdre or a Californta Energy Commission directory:
10. Heating Efficiency Value:'Enter the value from product literature or a California Energy Comhllssfon directory
.11. Standby Loss_(percent): Applies only to largestorage watgr heaters, Enter n/a for $mail storage or Instantaneous water heaters:
12. Exterior Insulation it -Value:. Enter the R -value if exterior. insulation on the storage tank Is installed
13. hack -up solar savidgs fraction:'If compliance requires a back-up solar system, indicate the solar contributione..,
( g 0.30); External calculationsare,reQuired:
14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system with at least two distrlbutiop .
loops must be iristalled. This requlrement applies to any buildingwith eight or. more units. Ifthe system is non -central or project is ind(vidual. ulitsente.r n/ -a.
15. Dwelling Unit•DHW Distribution TypeaFor a Central DHW this field shall be Standard.11f non•c¢ntral then picOibm Standard, Demand Recirculation Manuel
Control, Demand Recirculation— Sensor Control. If noncentral electric water heater this mustbe Standard, no recirculation system shall be installed.: .
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I
• 1 certify that this Certificate of Cpmpliancedocumentation is accurate and complete.
".
Name•:•• • r^ ° E3 Authorized agent ontractor
°oOwner 'eale�r. ��1M�erer
1
Signature:-. • • . �--
Company: ewer Co i ahs �1 )vw,lu,r,
Contra't'torJlcense N: '
Address: 3i��0 7
hese �c
Phone
'7b0-3�i'3 `748s
Clty/State/Zlp:'•^
i�noV SGy. �. �al �mS, C A "A iz-n,
bate:'' 11 3p 11,
For assistance or
questions regarding the Energy Statidards, contact the Fnergy Hotllne. at:1c80d?772-3300,' "