BMCH2014-112178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&t,, 4 4� QuiKr(v
COMMUNITY DEVELOPMENT,DEPARTMENT
BUILDING PERMIT
BMCH2O14-1121
52845 AVENIDA VILLA
773333019
HVAC CHANGE OUT 13SEER/7.7HSPF CENTRAL SPLIT SYSTEM
$4,530.00
Applicant:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
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Owner:
C:)
HOUSING AUTHORITY OF CITY OF
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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.: 985406
r �
Date: Z:9�10YZI,111V 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 contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. __, B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY .
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 peeormance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Caier Policy Number:
I certify that in the performanceof 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 &ofe or Code, I shall forthwith
comply with those provisions.
Date: Applicant: I
WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI %ANAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10[,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 ACK'VOWLEDGEMENT
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 a-oplication is made, each person at whose
request and for whose benefit work is perfprmed 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 harmlessthe City of La Quinta, its officers, agents, and
employees for any act or omission related =o 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 purposzs.
Date: v Signature (Appli:ant or Agent)_
Date:
10/20/2014
Owner:
HOUSING AUTHORITY OF CITY OF
P 0 BOX 1504
rAi
LA QUINTA, CA 92253
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Contractor:
GREENUP AIR CONDITIONING
P 0 BOX 7431
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LA QUINTA, CA 92248-0
A.
(760)625-6537
Llc. No.: 985405
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 peeormance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Caier Policy Number:
I certify that in the performanceof 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 &ofe or Code, I shall forthwith
comply with those provisions.
Date: Applicant: I
WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI %ANAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10[,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 ACK'VOWLEDGEMENT
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 a-oplication is made, each person at whose
request and for whose benefit work is perfprmed 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 harmlessthe City of La Quinta, its officers, agents, and
employees for any act or omission related =o 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 purposzs.
Date: v Signature (Appli:ant or Agent)_
t i�;"",i♦ DESCRIPTION ''' '
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FINANCIAL INFORMATION
S,�ACCOUNT4AMOUNT PAID'
..,
PAID'DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
'PAID"BY tc tip.;#METHOD
s«
" bi i l:T'Kh .Y�G1
�� `RECEIPT'#,,? - "CHECK
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1 CLTD,BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
' MESCRIPTION
�,.. `ACCOUNT,_� r
i2
'QTY
. '! IMOUNT'`
'tit
f_ 'PAID s; , xµ'
r. PAID DATE -
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
W� pz 1,} Fs PAID'BY °,s
t m�• s -METHOD '' k
y ; RECEIPT # t' `
�, ' 3 CHECK #�',
x;CLTD BY...
, 4.. ,DESCRIPTION, ' + 'J `t
`�� C,.;.-: ACCOUNT
I.QTY
�' AMOUNT" '
. ; } ,PAID, K
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY '' ♦ ?: '
st '�?z•.METHOD
:RECEIPT ;# 3`
CHECK # t, -
. CLTD BY M
♦
Total Paid forCHANGEOUT: $108.78 $0.00
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SCRIP,TION
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QTY
TL1,ye ,1<,: #
AMOUNT '
1 ctPAiID s fi
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAIM
�'0"METHOD
RECEIPT#' »tl
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CHEC#D
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Total Paid for PERMIT ISSUANCE: $91.85 $0.00 1
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Description: HVAC CHANGE OUT 13SEER/7.7HSPF CENTRAL SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 10/20/2014 SKH
Parcel No: 773333019 Site Address: 52845 AVENIDA VILLA LA QUINTA,CA 92253 Approved:
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 147 Lot: 6 Issued:
UNIT 15
Lot Sq Ft: 0 Building Sq Ft: 0- Zoning: Finaled: _
Valuation: $4,530.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13SEER/7.7AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
Printed: Monday, October 20, 2014 1:34:40 PM' ' .1 of 2 C TSYSTEMS
;,DESCRIPTION
-,�.`
; QTY
PAID tiL
DATE
RECEIPT- #t, �CHECK#,
METHOD PAID
BYAMOUNTb _
BY
J
.y -
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
s-
$1.00
$0.00
BSA:
Printed: Monday, October 20, 2014 1:34:40 PM' ' .1 of 2 C TSYSTEMS
Printed: Monday, October 20, 2014 1:34:40 PM 2 of 2 C
SYSTEMS
.::..
CLTD
-DESCRIPTION ,:"
ACCOUNT _ i- i a
.QTY 1
' r AMOUNTx ' .
..: PAID
; PAID'DATE
RECEIPT #
y CHECK #
METHOD
AI
t r .:PAID BY : r
z.,
gY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
r
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00 _
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT:
$108.78
$0.00
-
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE:
$91.85
$0.00
TOTALS:•
00
INSPECTIONS
rSEQID INSPECTIONTYPE, <', ' '' INSPECTOR, r, SCHEDULED COMPLETED RESULT.
REMARKS =_ NOTES y�' "t.�w
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MECHANICAL FINAL"
PARENT PROJECTS
REVIEWS
ti .d•T's?="' frs"W'e' `,.''•. ri. �i'� ., w'c `' n, :�.-.'i-{�.;y".V
o }RETURNEDA STATUS Wiz, ;.a
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�. REMARKS,, mac'` , a
NOTES
,.:
REVIEWTYPE -:REVIEWER' SENT DATE, DUEDATEs.>-
•�' S�.'
....
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= >.,
Printed: Monday, October 20, 2014 1:34:40 PM 2 of 2 C
SYSTEMS
Bin #City
ofla La Quin to
Building Sz• Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760).777-7012
Building Permit Application_ and Tracking. Sheet
Permit #
Project Address: 99-s—
V
l 1 C
Owner's Name:
A. P. Number:
Address:.
Legal, Description:
City, ST, Zip:
r
C nt act
0 or:
Telephone:
P
Address:
��
Project.Deseription: V
City, ST, Zip:
Telephone. 60
20
f%:::'> >::;:;:.,;•<::»:<.;;:•;
State Lic. # : S'
O
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
. epair DemoJect t3P
State Lic. #:
;v?
-Name of Contact Peison:
Sq. Ft.: CfZ.
# Stories:
#Units:
Telephone # of Contact Person:-2p
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 Calcs:
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Cala.
..Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p' Review, reidy for corrections/issue
Electrical
r
Subcontactor List
Called Contact Person
Plumbing`
.'Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`u 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 Pecs
i
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: City La Quinta Date Prepared: 2014-10-16
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 CF1R-ALT-02 document for each dwelling unit.
OS
Project Name
City La Quinta
02
Date Prepared
1
03
Project Location
52845 Avenida Villa
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: City La Quinta Date Prepared: 2014-10-16
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 CF1R-ALT-02 document for each dwelling unit.
OS
Project Name
City La Quinta
02
Date Prepared
2014-10-16
03
Project Location
52845 Avenida Villa
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
City La Quinta
07
Zip Code
92253
OS
Dwelling Unit Conditioned
1434
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
''by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1 `
system?
component?
components?
feet of duds?
unit.
SC system?
B. Space Conditioning (SC) SystemIrtformation
Ol
02.
10
SC
lostellIn'
g a ..
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 (ft2)
system?
component?
components?
feet of duds?
duct system?
SC system?
Alteration Type
System 1
r7
Location 1
1434
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-AO11920OA-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
}
Registration Date/Time: 2014-10-16 13:03:54 HERS Provider: CalCERTS
Report Version: 2014-03.31 Report Generated: 2014-10-16 12:58:16
Schema Version: O.SSISDO -
4
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
;
01
02
03
04
05
06
07
08
09
10
11
12
Heating
t"
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
;
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
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
Central split
Outdoor
This field or
This field or
System 1
HP ,
Fancoil AHU
HSPF
7.7
HP
condensing
SEER
13
Setback
section is not
section is not
unit
applicable
applicable
Require d Documentation,
CF2R-MCH-01-E -Spice Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required . when heating or cooling components are installed in ducted systems, or when more than 40 it of duct length is replaced.
-Leakage rate compliance: 515%, or 510°%leakage to outslde, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-1S).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton:required when MCH 25 is�requlred
Exceptions:d: .}'Y sr.,j; .. .� -
-Duct systems registered with HERS provider as previously scaled areexempt from MCH 20 Duct leakage Testing,requirements
or �
-Heating-only systems and Air Handler/Furnace'changes do not regwre wrfh ation of Air Flow MCH -23 Refrigerant Charge MECH 25
-Existing duct systems constructed, insulated or sealeil with asbestos are ,exempt from MCH 20 Duct Leakage Testing requirements �� '� % ���i_" �',}r'„�-
... _
i
Registration Number: 214-AO11920OA-000000000-0000 Registration Date/Time: 2014-10-1613:03:54 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 . Report Generated: 2014-10-16 12:58:16
Schema Version: 0.551SDD -
ti
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
t
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
R
• •f
r
F
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
1�
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: s
Documentation Author Signature:
Srianocreenup
•
1
Company: -
Signature Date:
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: s
Documentation Author Signature:
Srianocreenup
Greenup, Brian
Company: -
Signature Date:
GREENUP AIR CONDITIONING AND HEATING
2014-10-16 13:03:54
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 7431
City/State/Zip:
Phone: t
LA QUINTA CA 92248
(760)625-6537
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. I am eligible under Division 3 of the Buslnessand.Professions Code to accept responsibility for the building design or—system—design ident�ied on this Certificate of Compliance (responsible designer).
3. That the energy features and performan ecec specifkations, materials co p nents a d inainufactuFed devices for the bwiding design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Pari fi of the California{od� 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,
.calculations, plans and specifications submitte ddo the enforcement agency for4apprroval'�wdh this building permit apphcation:
S. I will ensure that a registered copy o(this Certificate of Complian`oe stial(be matle ava(Iable with tliebullding"permit(s) issued for the. It Ing and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Orian
Greenup, Brian
oCreertup
Company:
Date Signed:
GREENUP AIR CONDITIONING AND HEATING
2014-10-16 13:03:54
Address: -
License:
P 0 BOX 7431
985406
—W-11ate/Zip:
Phone:
LA QUINTA CA 92248•
(760)625-6537
Digitally signed by CaICERTS. 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: 214-A0119200A-000000000-0000 Registration Date/Time: 2014-10-16 13:03:54 HERS Provider: CaICERTS ,
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03.31 Report Generated: 2014-10-16 12:58:16
• - Schema Version:0.551SDD - -
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