BMCH2016-0112�a
,78'495 CALLE TAMP`
LA QUINTA, CALIFORNIA 9e 25
3APR..1 9 6i MMU
CITY QFLA QUINTA
Application Number: BMCH2O16-0112 -�
Property Address: •48141 VIA HERMOSA
APN: 646100001
Application Description: JUDY WOHL / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $12,579.00
Applicant:
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND PALMS, CA 92276
4 VOICE (760) 777-7125
FAX (760) 777-7011
Y DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT.
Date: 4/19/2016
Owner:
JUDY WOHL
Contractor:
VIC'S AIR CONDIT0NING INC
P O BOX 215
THOUSAND PALM6; CA 92276
(760)343-5033
Llc. No.: 756658
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSAMN 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
oft work for which this permit is issued.
,I have and will maintain workers' compensation insurance, as required by
Date: Contractor:a�
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: _ Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of .he.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
Date: Applicant: !ice
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 ,
(� I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,00. 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 applation 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
employeesfor any act or omission related to fie 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
Date: IOwner:
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
Lender's Address: '
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 ordl nances and state laws relating to building
construction, and hereby authorize representatives of this.city to enter upon the
above-mentioned pLr�opperty for inspection purposes.
Date: 4 ' I%(r Signature (Applicant or Agent):
FINANCIAL ••i
DESCRIPTIONS �E.,gg OUNT�� d QTY AMOUNTp" ' PAIDf ;PAID,,DATE
w"`ACC�
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 4/19/16
4
$fr`�4+'_- I $t',s .r .. h r' w .
r
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VIC'S AIR CONDITIONING INC DEBIT
R14895 RSE.
Total Paid for, BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
;,��{.�`DESCRIPTIONE4 �y
<ACCOUNT Y>,
QTYw
';x�� AMOUNTNY
ry ix# Pi41D
�Y
'PAID DATE'
:Y".i ._:::f,•.: s .-..°t¢1gi
.
.y.. «�,4
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
4/19/16
PAIDBY>{ .`� g?�P
`'�METHOD'��
s`'YRECEIP7#z�
CHECK#�
}�
xCLTDBY
VIC'S AIR CONDITIONING INC
DEBIT
R14895
RSE
DESCRIPTION
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AMOUNT
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I
PAID DATE
_..
s . x s.�E'QN
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cPAfU`I
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HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
4/19/16
METHOD
EIPT#�
o-
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VIC'S AIR CONDITIONING INC .
DEBIT
R14895
RSE
Total Paid for CHANGEOUT: $108.78 $108.78
e DESCRIPTION OWN
ACCOUNT - >
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5 AMOUNTf"PAID
GATE:
X
.._SFS.$ '�..%1+. 1M -SY
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..ef. ., �..
PERMIT ISSUANCE
101-0000-42404
01
$91.85
$91.85
4/19/16
gf .�Y z5.'" "y1 ,�
PAID BYE*° 'r % *'
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VIC'S AIR CONDITIONING INC
DEBIT
R14895
RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
•TALS: $201.63 $201.63
7
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Description: -JUDY WOHL / HVAC CHANGE OUT
Type: MECHANICAL Subtype:. Status: APPROVED
Applied: 4/19/2016 RSE
Approved: 4/19/2016 RSE
Parcel No:.646100001 Site Address: 48141 VIA HERMOSA LA QUINTA,CA 92253
Subdivision: TR 20052-1 Block:, Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,579.00 Occupancy Type: Construction Type:
Expired: '
No. Buildings: 0 No. Stories: 0 No. Unites: 0
P_.HONE
Details: HVAC CHANGE OUT - 20.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON. MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ,
CHRONOLOGY •
FINANCIAL INFORMATION
Printed: Tuesday, April 19, 2016 3:22:35 PM 1 of 2
SYST1AAS
CONTACTS
NAME;TYPE
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APPLICANT
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND
CA 92276
PALMS
CONTRACTOR
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND
CA 92276 .
PALMS
OWNER
JUDY WOHL
10811 SAVONA RD
LOS ANGELES
CA 92253
•
FINANCIAL INFORMATION
Printed: Tuesday, April 19, 2016 3:22:35 PM 1 of 2
SYST1AAS
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'4QTY
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777
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ACCOUNT
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VIC'S AIR
BSAS SB1473 FEE
101-0000-20306
. 0
$1.00
4/19/16
R1489S
DE BIT
RSE
CONDITIONING INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.60
BSA:
HVACCHANGEOUT-
101-0000-42402
0.
$72.52
$72.52
4/19/16
R14895
DEBIT
VIC'S AIR
RSE
SPLIT -SYSTEM
CONDITIONING INC
HVAC CHANGEOUT-
101-0000-42600
0
$36.26
$36,26
4/19/16
R14895
DEBIT
VIC'S AIR
IRSE
SPLIT -'SYSTEM PC
CONDITIONING INC
Total Paid for CHANdEOuf:'
$108.78
s108J8
VIC'S AIR
MIT ISSUANCE
PER E'
101-0000- 4240
1.8
$9 S
$91.m
4/19/1 6
k-4895
1
DEBIT
m
RSE
CONDITIONING INC
—7
Total Paid for PERMIT ISSUANCE:
$91.85
$91.85
. . . ... ....... ..... . . .
TOTALS:
$201.63
�i6l.63
INSPECTIONS.
ED :
DATE
REVIEW TYPE;,' PREVIEWER T�I) DATE Ej'r.,,.DUEDA
.--NOTES
A;_7a:.
ATEg
-F
BOND INFORMATION
.. ... .....
ATTACHMENTS
. ....
.... ..
Bin #
City of La Qulnta
' Building 8r Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
�VVV— 201 b— I Building Permit Application and Tracking Sheet
Project Address: �6_41 V C M `4 t' -W, M 05p Owner's Name'% TU y\ Wo H L
A. P. Number: Address:
Legal Description: City, ST, Zip:
Contractor. Vi e"s Al Telephone: -
Address: b Q bj� . 2,114 Project Description: C_'
City, ST, Zip: ^I F'101AS4hdv% (m -S
Telephone: -760- 3q —
503 3
State Lic. # : City Lie. #,
Arch., Engr., Designer:
City, ST, Zip:.
Telephone:
p :<:•;:;:::;::::;.:; :::: >:;:.:v.:;«>;; Construction Type: Occupancy:
State Lie. #: Project type (circle one): Now Add'n Alter Repair. Demo
Name of Contact Person: lq4 Gws Sq. Ft.: # Stories: # Units:
Telephone *,of Contact Person: 76, D f,9?, O q ,? Estimated Value of Project: 12,
APPLICANT: DO NOT WRITE RF1_OW THIS 1 INF
!!
Submittal
Rcq'd
Recd
TRACKING
PERAUT FEES.
Plan Sets
Plan Cluck submitted
Item
Amount
Structural Calcs.
Reviewed, ready.for corrections
Plan Check Deposit
Truss Calu.
Called Contact Person
Plan Check Balance,
Titic 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcclionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fecs
"
Total Permit Fees
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
Cuuling
Minimum
Required
Now 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
furnace
heating
AFUE
0.8
AC
cooling
SEER
20.5
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -MCH -20-H — Duct Leakage testing 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-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct LeakagTesting requirements .
do Air Flow MCH Refrigerant Cha}ge MECH 21
-Heating-only systems and Air Handler/Furnace changes not require verifica tion of -23 or
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 OucbLeakage Testing requiremenEs.
.0 N:N,. 11 11 111 ;: .,A d « 'M t f P; t NI"
q ,t �.,--•r.'...:...� x.:, g,..:�. ....,.�..u: ate: .e_ .:-. r' f' - Z W.,
E. Entirely New or Complete Replacement Duct=Systenl, with or.without Equipment Changeout (Sections.150.2(b)Wiia;and 150.2(b)1E, F)
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.
r
Registration Number: 216-A0135092A-000000000-0000 Registration Date/Time: 2016-04-12 08:46:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-12 08:46:29
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 1 of 3 )
Project Name: Wohl I Date Prepared: 2016-04-12
A. General Information �.�..
CF111-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. `
01
Project Name
Wohl
02
Date Prepared
2016-04-12
03
Project Location
48141 Via Hermosa
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Wohl
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
:4ls the SC
_.. c _
Installing a
Floor Area (ft2)
,:
SC System
Number of space conditioning
CFA served
09
Climate Zone
15
30
(SC) systems in this dwelling
1
Identification or
Location or Area
by this SC
unit.
containing m
B. Space Conditioning (SC) System Information g
01
02
06
07
OS
09
10
�..
...
y
•4
,i.
:4ls the SC
_.. c _
Installing a
,:
SC System
SC System
CFA served
-`' ,systL,m a
r f ige ar nt i.'Installing
ew SCS
Installing
I ialIi g
Installing
entirely
Identification or
Location or Area
by this SC
ducted
containing m
system
ore than 4
entirely w
new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
whole house
2000
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: 216-A0135092A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:,2016-04-12 08:46:04
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-04-12 08:46:29
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: / n 1
Victoria, Blanca
(anca fctoria
Company:
Signature Date:
VIC'S AIR CONDITIONING INC
2016-04-12 08:46:04
Address:
CEA/ HERS Certification Identification (if applicable):
P O 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 Busines's 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 o the Califomi wCode of R guia4ons.4jF.
.'ii?r ) k `{ k r "4- '.-��"i+
4. The building design features or system design features identified onthis Certificate of Compliance are cons(stent with the information'provided on'otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the er forcemer&agency for approval Illwith this building permit epplicatiori. : a _
r ie
. -+ .
5.. I will ensure that a registered copy of thisCertific teso( Compliance st all be:made'ayailable with.:the building permit(s).issued for -the building, and made available:,tothe enforcement agency for, all applicable
x•
inspections. I understand that a registered copy of this Certificate of Compliance is -required to be, included with the, document ation the builder rovides to_the buildin owner at occupancy.
:. -
Responsible Designer Name: _ t—• ... =
Responsible Designer Signature:. -•3
Victoria, Blanca
Otanca'R tori,
Company:
Date Signed:
VIC'S AIR CONDITIONING INC
2016-04-12 08:46:04
Address:
License:
P 0 BOX 215
756658
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
1760-343-5033
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: 216-A0135092A-000000000-0000 Registration Date/Time: 2016-04-12 08:46:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 'Report Generated: 2016-04-12 08:46:29
Schema Version: 0.555SDD
I
Vic's,Air Conditioning Service LLC.
P.O Box 215.Thousand Palm Ca 92276
72-774 ramon rd thousand palms ca 92276
760 3435033
service@vicsair.com
Proposal Date Due Date Summary SP: Job Date
2777-2586 4/5/2016 4/5/2016 MAINTENANCE RENE 4/5/2016
Bill To: Job Name:
JUDY WOHL TRUST- BRAD JACOBSON JUDY WOHL TRUS--BRAD JACOBSON
48141 VIA HERMOSA 48141 VIA HERMOSA
LA QUINTA, CA 92253 LA QUINTA, CA 92253
We Hereby Submit Specifications and Estimates For:
i
SYSTEKTRANE
CONDENSER- AC:XV20 - T4TTV0060A1000A
COIL:ASPEN - . ACC60E44245L110
FURNANCE — UP —DOWN-HORIZ: XC80-TTUD2C100ACV52A j
AHRI# 7181375 i
OTHER:
TONS.5 VOLTAGES: PAHSE: "`SEER: 20.5 ERR: 13
EXTENDED WARRANTY:
CONDENSER: 10 year parts and 12 Compressor. !
COILS: 10 years parts
FURNACE: 10 year parts and lifetime heat exchanger
LABOR: 10 YEARS all inclusive (does not included refrigerant or maintenance)
T -STAT MODEL: TRANE XL 950 71NCH TOUCH SCREEN THERMOSTAT
TRANE CLEANEFFECTS
ENERGY SAVING MAINTENANCE AGREEMENT:
CRANE - SMALL OR LARGE:
COMPRESSOR CHANGE OUTS ONLY: EXISTING UNIT MODEL# SERIAL#
COMMENTS:
NEW OUTSIDE ELECTRICAL DISCONNECT: X
NEW AMPS SERVICE:
NEW OUTDOOR CONDENSING UNIT PAD: X
NEW PROPERLY SIZED REFRIGERANT LINES:
REPLACED SUPPLY AIR REGISTERS: X 4= 8x8, 5=10x10', 1= 16x8, 1=12x8
I
NEW GAS PIPING: '
NEW LOW VOLTAGE WIRING:
NEW INSULTAGE RETURNED AIR PLENUM:
MASTIC SEALING OR INSTALLED DUCTWORK:
BALANCE AIR FLOW THROUGHOUT SYSTEM:
INSTALLED MANUAL BALANCING DAMPERS:
We propose hereby to furnish material and labor - complete in accordance with the above spec;fications, for the
sum of: $0.00
i
j
i
INSTALLERS ARRIVE ON TIMEX !
INSTALLERS COURTEOUS & PROFESSIONAL;X i
MAINTAIN CLEAN WORK AREAS:X j
REMOVE EXISTING EQUIPMENT:X
RECYCLE EXISTING EQUIPMENT:X
COMPLETE SYSTEM START-UP:X i
17 POINT SYSTEM PERFORMANCE CHECK:x j
NOTES: j
TAKE OUT OLD EQUIPMENT AND HAUL IT AWAY. INSTALL NEW CONDENSOR, NEW FURANACE AND
NEW INDOOR COIL, WE WILL ALSO REPLACE THERMOSTAT. TRANE CLEANEFFECTS WILL ALSO BE
INSTALLED. CAULK, AND INSTALL NEW SUPPLY VENTS. WE WILL SEAL ONE SUPPLY DUCT IN ATTIC
THAT HAS THE INSULATION RAP TORN.
CITY PERMITS INCLUDED, HERS TESTER IS NOT.
j
i
WE PROPOSE HERBY TO FURNISH MATERIAL,` -LABOR -COMPLETE IN ACCORDANCE WITH THE ABOVE
SPECIFICTIONS FOR: THIRTEEN THOUSAND EIGHT HUNDRED SEVENTY NINE
PAYMENT WILL BE MADE AS FOLLOWS: j
CREDIT: FINANCING: CHECK: CASH:
TRANE REBATE $1000.00
DOLLARS $13,879.00
DOWN PAYMENT $1,300.00
BALANCE $12,579
IID REBATE: $1000.00
EXTENDED WARRANTY: 10 YEARS LABOR, 10 PARTS, 12 YEARS COMPRESSOR($606.00) INCLUDED
(AIR CLEANER) TRANE .CLEANEFFECTS : ($950.00) INCLUDED i
i
Exclusions: carpentry work, cutting, painting, 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
work to 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 estimate. All agreement contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by workman's
compensation insurance. Note: this proposal may be withdrawn by us if not accepted within 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 made as outlined above i
i
i
We propose hereby'to furnish material and labor - complete in accordance with the above specifications, for the
sum of: $0.00
Authorized r
Signature
l
Acceptance
Signature
!
!
Date
i
i
i