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BRES2017-023578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 °w VOICE (760) 777-7125 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/23/2018 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: BRES2017-0235 GAIL MOONEY Property Address: 78660 AVENIDA TORRES 78660 AVENIDA TORRES APN: 770171008 LA QUINTA, CA 92253 z Application Description: MOONEY RESIDENCE / HOT WATER HEATER & HVAC CHANGE OUT W Property Zoning: Application Valuation: .$10,239.00 �¢ w � !Q o Applicant: Contractor: cC z IE INC BRADLEY CONSTRUCTIO W cl- 31225 LA,BAYA 43803 ANATRA PLACE �] p WESTLAKE VILLAGE, CA 91362 11 INDIO, CA 92203 id O ty (760)899-0122 Q V ) Llc. No.: i005249 Q C.0 --------------------------------------------------------------------------:-------- =r --- 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: B License No.: 1005249 Date: % 3 —/'7Contractor:,' 6VZAD Se4WI C-IL 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: OWNER -BUILDER DECLARATION Carri r: EXEMPT 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 2J — Q 3 of the Business and Professions Code) or that he or she is exempt therefrom and the , &-_2 J Date: O Applica - 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).: f ' AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO I ) I, 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 (_) I, 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: q v /v Signature (Applicant or Agent Date: 4/23/20181 Application Number: BRES2017-0235 Owner: . Property Address: 78660 AVENIDA TORRES • GAIL MOONEY APN: 770171008 78660 AVENIDA TORRES Application. Description: MOONEY RESIDENCE /HOT WATER HEATER & HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $10,239.00 Applicant:. Contractor: IE INC BRADLEY CONSTRUCTION 31225LA BAYA 43803 ANATRA PLACE WESTLAKE VILLAGE, CA 9136.2 INDIO, CA 92203 (760)899-0122 --------------------------------------------------------------------------------------------- Llc. No.: 1005249 Detail: HVAC CHANGE OUT - 16 SEER /80AFUE SPLIT SYSTEM AND 50'GALLON GAS HOT WATER HEATER. CARBON MONOXIDE ALARM(S) TO BE, INSTALLED ' PRIOR TO FINAL INSPECTION.2016 CALIFORNIA BUILDING CODES. I ' DESCRIPTION ACCOUNT QTY AMOUNT CHANGE OF CONTR/ARCH/OWNER PROCESSING 101-0000-42600 0 $104.55 Total Paid for ADMINISTRATIVE: $104.SS DESCRIPTION ACCOUNT CITY AMOUNT BSA S61473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $2S.33 ' DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 1 0 $2533 Total Paid for MECHANICAL: $126.66 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 Total Paid for PLUMBING FEES: $20.27 DESCRIPTION ACCOUNT CITY AMOUNT REPLACEMENT INSPECTION CARD 101-0000-42600 1 $39.01 Total Paid for REPLACEMENT OF PLANS/JOB CARD: $39.01 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.33 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $i.33 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE . 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 0 78-49S CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2017-0235 Property Address: 78660 AVENIDA TORRES APN: 770171008 Application Description: MOONEY RESIDENCE/ HOT WATER '6A R &hin C CHAN,G -OU Property Zoning:- Application oning: Application Valuation: $10,239.00 AUG 3 1 X017 � Applicant:COPr)t9�Nl CMY6f '__ IE INC �OfOpMQNINTA 31225 LA BAYAOEPARTMfNT WESTLAKE VILLAGE, CA 91362 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 License No.: 920062 Fate: 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 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 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 contractors) 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/2017 Owner: GAIL MOONEY 78660 AVENIDA TORRES LA QUINTA, CA 92253 Contractor: TIMO'S AIR CONDITIONING & HEATING INC 72232 CORPORATE WAY THOUSAND PALMS, CA 92276 (760)770-4357 Llc. No.: 920062 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 policy number are: Carrier: NORGUARD INSURANCE COMPANY Policy Number: TIWC851602 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 the Labor Code, I shall forthwith comply with those provisions. 0 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 enter upon the above-mentioned property for inspection purposes. Date31 t, Signature (Applicant or Agent): • <�::7—�--� ..........-. C Date: 8/31/20+7 . Application Number: BRES2017-0235 Owner: Property Address: 78660 AVENIDA TORRES . GAIL MOONEY APN: 770171008 78660 AVENIDA TORRES Application Description: MOONEY RESIDENCE / HOT WATER HEATER & HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning:. Application Valuation: $10,239.00 Applicant: Contractor:_ IE INC TIMO'S AIR CONDITIONING & HEATING INC 31225 LA BAYA 72232 CORPORATE WAY WESTLAKE VILLAGE, CA 91362. THOUSAND PALMS, CA 92276 (760)770=4357 Llc. No.: 920062 Detail: HVAC CHANGE OUT - 16 SEER /80AFUE SPLIT SYSTEM AND 50 GALLON GAS HOT WATER HEATER. CARBON MONOXIDE ALARM(S) TO BE INSTALLEC PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. C FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 F $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR 101-0000-42402 0 $38.00 DESCRIPTION ACCOUNT QTY AMOUNT CONDENSER/COMPRESSOR PC 101-0000-42600 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT FURNACE 101-0000-42402 0 $38.00 DESCRIPTION . ACCOUNT QTY AMOUNT FURNACE PC 101-0000-42600 0. $25.33 Total Paid for MECHANICAL: $126.66 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 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 Total Paid for PLUMBING FEES: $20.27 DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.33 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.33 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $250.53 N Bin.# La Quo: ' cittaLa -Building & Safety Division P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 - (760) 777-7012 Building Permit' Application and Tracking Sheet Permit # Project Address: 78660 Avenue La Torres Owner1sName: Gayle Mooney A. P. Number. Address: 78660 Avenue La Torres Legal Description: Contractor: Timo's Air Conditioning & Heating City,.ST, Zip: La Quinta, CA 92253 iF`�:-;tea '1"":5,. • . Telephone: 760-774-5692 Address: 72232 Corporate Way Project Description: Replace 4 ton heat pump & air handler, City, ST, Zip: .Thousand Palms, CA 92276 replace 50 gallon water heater . . Telephone: 760-770-4357 City Lie. #, State Lic. #: 920062 Arch., Engr., Designer. Address: City., ST. Zip: Telephone: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo ' Sq. Ft : # Stories: #Units: State Lic. #: Name of Contact Pe son: Steven Schnierer Telephone # of Contact Person: 818-735-7876 Estimated Value of project: $10,239.00 . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACIONG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted 'Mechanical Grading plan tad Review, ready for correctionsrrsstie Electrical Subcontactor last Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. i H.O.A. Approval Plans resubmitted Grading N SOUSE:- ''d Review; ready for correctionsTissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees' CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: GAYLE MOONEY I Date Prepared: CF1R-ALT-02-E (Page 1 of 3) 2017-08-29 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF111-ALT-02 document for each dwelling unit. 01 Project Name GAYLE MOONEY 02 Date Prepared 2017-08-29 03 Project Location 78.660 AVENDIA LA TORRES 04 Building Type Single family 05 CA City La Quinta r?y°+{gy X06 Dwelling Unit Name HOUSE SC System SC System CFA served system a Dwelling Unit Conditioned Installing new SC 07 Zip Code 92253 a�''� 08 4 Floor Area (ft) 1600 by this SC ducted containing system more than 40 entirely new entirely new Name Served Number of Space system? 09 Climate Zone 15� 10 Conditioning (SC) Systems in _ 1 SYSTEM #1 WHOLE HOUSE 1600 Yes this Dwelling Unit: Yes B. Space Conditioning (SC) System Information , 1 O1 02 03 04 ' . 05 ; 06 i 07 08 09 10 Is the SC �Irtly InstallinF,a � tcl 10;� w eM �? . �& :Inteoril SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type SYSTEM #1 WHOLE HOUSE 1600 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: 417-A020112917A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 16:39:38 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-29 16:39:38 Schema Version: rev 10/16 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)1E 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 split All new Central split All new This field or This field or SYSTEM #1 HP heating AFUE 0.81 HP cooling SEER 16 Setback section is not section is not components components applicable applicable Required Documentation: CF2R-MCH-01-E -Space Conditioning Systems - Duct insulation requirement for the hew portions of supply -air and return -air ducts or plenums: R6 -(CZ 1 10, 12 andil3) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling components are installed in ducted'systems, or when more than 40 ft of duct length is replaced -Leakage rate compliance: <=15% or <=10% leakage to outside, or seal all accessible leaks. CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing compone'nts.,are installed or altered (applicable in CZ 2,.8-15).. CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required t' 0f Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. Heating -only systems and Air Handler Furnace changes do not require verification 'of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements. i. 11�1R 9f., �--,. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeoat (Sections 150.2(b)iDiia and 150.2(b)1E, F) t_irm� dI i serum with i acirlt This section does not apply to this°project. F. Entirely New or.Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 417-A020112917A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-08-29 16:39:38 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-08-29 16:39:38 CERTIFICATE OF COMPLIANCE . CF1R-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: Joey Timo J6eyT%moa Company: Signature Date: Timo's Air Conditioning & Heating 2017-08-29 Address: CEA/ HERS Certification Identification (if applicable): 72232 Corporate Way City/State/Zip: ��� Phone: Thousand Palms CA 92276 ;760770-4357 Responsible Person's Declaration statementti 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. r 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 land Part 6 of the California Code of Regulations. .4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, s calculations, plans and specifications submitted to the enforcement agency.for-approvaleith this building permit application. . ►i dal �.- S. (will ensure that a registered copy of this Certificate of Compliance shall made available�with the building permi�t(s)itssued for the building, and made available to the enforcement agency for all applicable �be inspections. I understand that a registered copy of this Certificate of Compliance is'required'to be included wlth'the documentation the builder provides to the building owner at occupancy. Responsible Designer Name:(: "t Respon sible D signe r Signature: Joey<T%rno- y Joey Timo ,Company: Date Signed: Timo's Air. Conditioning & Heating 2017-08-29 Address: License: 72232 Corporate Way 920062 City/State/Zip: Phone: Thousand Palms CA 92276 760-770-4357 Digitally signed by CHEERSTM. This digital signature is provided in order to secure the content of thisregistered document, and in no way implies Registration Provider responsibility for the accuracy.of the information. Registration Number: 417-A020112917A-000-000-0000000-0000 Registration Date/Time: 2017-08-29 16:39:38 CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-08-29 16:39:38 STATE -.OF CALIFORNIA • - - .. -. .. RESIDENTPAL ALTERATIONS —WATER HEATER CRC-CFIR-ALT-Ot-8 (Revised 06/14) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations for WatgrHeater CALIFORNIA ENERGY COMMISSION CF111-ALT-01-E WATER HEATER (Page 1 of 2) A. GENERAL -.INFORMATION Site address: Building Type: " Single Family AZIling 1$lcto0 we;Y�VP La. tortes n'Multi'Pamilybwellings City, Zip.Code: ;,L :,Qvji ,}a �� 01 L2S� Climate7on2: S G. WATER HEATING' SYSTEMS SeCtion 160.2(b)IG) 03 02 • 03 04 05 06 07 08 09 16 11 12 13 14 SS Water Water Water: .- f/af Water Fuel Rated Rated Heating Heating >Standby `' Exterior Back -Up 'Central' Dwelling Heating ' Heating Heater Water Heater Type Input Input Efficiency "EfFlcieniy .'Loss'(%i- InsuC• Solar DHW System Unit DHW System System Type Heaters Storage Type Value Type . Value R.Value Sayings Dlse btttion • System Identification Tybe •' in, 'Volu'me Fraction Type Distribution 'or. system • (gal) Type Name a '. SO +4 ,IAk SVoa d WATER HEATING SYSTEMS - Water heating cottipllahce for'an alteration is destirlbed In Section 150.2(b)1G. For single dweiling'a.gas br propahelaater heater, with a storage tank.of 60 gallons maximum br instantaneous(tar)kless):can be used pwelling Unit distribution systems are,limited to Standard trunk'and grahch or demarid recirculation for gas or propane water.' heater..Demand recirculation Is not. allowed for electric water heater. If there is no natural gas•Connected to the building, an elgctri6 water heaiei..may bt replaced with' inoth'er'el'ectric water heater. However, '¢hanging'froin gas to electric is not allowed. Multl-family Central systems must use certifled 1~quipment..as defided.undec Section 114.3 and 110:3. NOTE: If the proposed Installation.does not'meet the requirements allowed specifically for alterations, use form cP jR NCB=01 to document the water. heater alteyekior i' Insirucf1: ns foi 'sections wlth column numbers are elven below: 1. Water Heating. System Identification or Name: enter a unique name for the Water Heating System.. , 2. Water heating system type: DpMestic Hot Water (DH W); Hydronic, Combined Hydronic,'or Central. bHW is for domestic hot water, hydropic is a water heating system used forsp.ace hearing only: combined hydronicare when the water heater will provide both space conditioning and.domestic hot water. ' 3. Water heater type: For ngn-central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, SmaliStorage, HeatYump, Boller, large Instahtarieobs, Small Instantaneous or indirect. CERTIFICATE OF COMPLIANCE' MR -ALT -02-E WATER HEATER Prescriptive Residential Alterations for Water Heater " (Page 2 of 2) 4.. Number of water heaters in system: In single-family and multi -family with water heaters in each dwelling units the value Is 1. For multi-famlly centralsystems serving multiple dwelling units enter the total 'number of water heaters. S- Waterbeater volume (gal): tank capacity in gallons. For individual water heaters fora dwelling unit this will be 60 gallons or less. if instantaneous, enter n/a. For multi-famitycentral systems enter the total storage volume; 6. Fuel Type: Gas, Propane, Electric (Only if natural gas Is not available) 7. Rated Input Type: Enter the equlpment input rating type, for gas or propane fired units are Btuh., for electric fired system tlie•linits are kW. 8: Ratedinput Value: Enter the numeric value of rated Input. .9': -Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficienty. From produtt lReratdre' or a:Califoihla. Eneigy.tomrnission directory; 10. Heating Efficlency Value: Enter the value from product literature'or a California Energy Commission directory 11. Standby Loss (percent); Applies only to.large storage water heaters; Enter n/a for.small storage or instantaneous.waterheaters. 12.. Exterior Insulation R -Value; Enter the R -Value if•exterior.insulation on the storage tank is installed • • 13. Back-up solar savir)gs fraction: if compliance requires a back-up solar system, Indicate the solar contribution. (e.g.' 0,30). External calculations are,requlred. 14: Cgntral DH1N Distribution System: For multi-famlly buildings with using a central distribution system a demand recirculatlon system'with at least two distribution loops must be Installed: This requirement applies to any building with eight or more units. If the system is non -central or project is Individual units enter n/a. 15. Dwelling Urilt•DHW Distribution Type: For a Central DHW this field shall be Standard.. If non -central .th'en pick from 3tand3rd, Demand Redreufation —Manual Control, Demand Recirculation- Sensor Control. If noncentral electric water heater this must be Standard, no reclrculatlon system shall be Installed: DOCUMENTATION AUTHOR'S PECLARATIO'N' STATEMENT • I certify that fhis Certificate of Compliance documentation is accurate and complete. Name: �^- �. o0wner othorized agent oContractor' Signature:. C^'_ _ o �L Company:. ' s . a CPA' eEa�iv� QOritrattorApprise N: 9Z ,? Address: tjPhone: 'O- "1'7 O City/State/Zip_7� i ovsoev�d �o.1nn5, 'CA ©12Z^1(o Datei Z@It't For assistance or questions regarding the Energy Standards, contact the -Energy. Hotline at:1=8(10-,77Z3300,..;�