BMCH2014-114278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O14-1142
80265 VIA VALEROSA
777240006
(2) AC UNITS & (2)
$21,108.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Twr444uIAZ
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
F FACES/1
NOV 13 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :LIC -0003606 _
i Date:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fro ractor'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 al
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.).
(_) 1, 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:, 11/13/2014
Owner:
JIM NUNAN
80265 VIA VALEROSA
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606
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: Policy Number: _
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.
Date: `` �! Y Applicant.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGENLA
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV 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.
41-13,1! Signature (Applicant
FINANCIAL •1•
s� DESCRIPTION - _•• ,� ,. ACCOUNT ,;'
QTY
AMOUNT PAID- PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
METHOD = `;
RECEIPT # CHECK # ;, . ,:.CLTD BY, .
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION% ^'
,." ACCOUNT"`a tai
QTY
h, AMOUNT
'-PAID
PAIDD E
ATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402 ' .
0
$72.52
$0.00
L PAID BY ,; �. _
; METHOD • _ ,p
-RECEIPT,# . r.
CHECK.#
CLTD BY;
-
DESCRIPTION' .
ACCO UNT _ _.
QTY
,AMOUNT ' ,'
..
PAID" _. y
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$48.34
$0.00
,' ; -PAID BY 'r<''
! METHOD. .:-<;
�� 4RECEIPT #
CHECK:#
,CLTD BY
" =DESCRIPTION Y. T
-ACCOUNT-:-'-,QTY•.
AMOUNT;
`4 PAID
PAID DATE
HVAC CHANGEOUT - FURNACE ONLY
101-0000-42402
0
$72.S2-
$0.00
• . * PAID,BY
METHOD �P
., '`RECEIPT ' #
. `CHECK #,_v, . 'y
CLTD BY,
`t } tf-DESCRIPTION-- °.. .,17�- -
,- ?ACCOUNT ;
:QTY
'-, 'AMOUNT
�3' PAID
PAID DATE,
HVAC CHANGEOUT - FURNACE ONLY PC
101-0000-42600
0
$48.34
$0.00
'PAID BY >' ' ?" '
METHOD
"RECEIPT;#�
* '" CHECK # .
CLTD BY
Total Paid forCHANGEOUT: $241.72 $0.00
p r a DESCRIPTION <-' ..Yw
ACCOUNT t =
QTY
AMOUNT:+MPAID
µy,
PAID`DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00 .
----PAID BY4".METHOD
• " ; 'RECEIPT;#�
"`,CHECK# "`
t.�CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• • ••
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Description: (2) AC UNITS & (2) FURNACES '
Type: MECHANICAL Subtype: - Status: SUBMITTED
Applied: 11/13/2014 PJU
Approved:
Parcel No: 777240006 Site Address: 80265 VIA VALEROSA LA QUINTA,CA 92253
Subdivision: TR 30357 Block: Lot- 31
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $21,108.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: CHANGE OUT (1) 3.5 TON A/C & (1) 5 TON 14.5 SEER & (1) FURNACE 90,000 (1) 110,000 BTU CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES DESCRIPTION
Printed: Thursday, November 13, 2014 10:24:56 AM 1 of 2 CST
SYSTEMS
FINANCIAL
INFORMATION•
•e e e
c '. ' '' ' ; e' .: r i =
AMOUNT
CLTDr
BY-
CONDITIONS
PAlCHECK
D DATE
MEACCOUNPAID
BY-
CONTACTS
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
F5 NAME TYPE r
NAME :.. r ti " 4
Ab&ESSI 4�`�
CITY '
::STATE''
ZIPS;
PHONE,''
FAX"_ EMAIL _
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)771-6988
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253'
(760)771-6988
OWNER,
JIM NUNAN
80265 VIA VALEROSA
LA QUINTA
CA
92253
(760)771-6988
Printed: Thursday, November 13, 2014 10:24:56 AM 1 of 2 CST
SYSTEMS
FINANCIAL
INFORMATION•
c '. ' '' ' ; e' .: r i =
AMOUNT
CLTDr
BY-
PAlCHECK
D DATE
MEACCOUNPAID
BY-
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Thursday, November 13, 2014 10:24:56 AM 1 of 2 CST
SYSTEMS
•.,-, , c-+ .. , e - . �. .,
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-- DESCRIPTION -
-ACCOUNT
QTY
AMOUNT
i'' i PAID
PAID DATE'
=RECEIPT #
CHECK # .
METHOD
•' PAID BY 1 ?, '
YCBYD
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
CONDENSER ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$48.34
$0.00
CONDENSER ONLY PC
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
FURNACE ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$48.34
$0.00
FURNACE ONLY PC
Total Paid forCHANGEOUT: $241.72 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
1 $91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT PROJECTS
Printed: Thursday, November 13, 2014 10:24:56 AM 2 of 2
CB?WIYSTEMS
.#
City. ®f La Quina
&"w er Safety DhWw
P.O. Box 1504,'78-49S Cage Tampko
4 Qufi CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
pem* y
ProlcdAddters: 80265 VIA VALEROSA
Owaer'sNamc. JIM NUNAN
A. P. Number.
Address: 80265 VIA VALEROSA
Lao Wit on:
city, sT, zip: LA QU I NTA, CA 92253
Cir GENERAL A/C & HEATING
Telephone: 760-771-6988
Adetess: 31170 RESERVE DRIVE
PmjeaDesaiptim:
CitY.ST.ZiP: THOUSAND PALMS, CA 92276
Tekphone: 760-343-7488
CHANGE OUT (1) 3.5 A/C.& (1) 5 TON 14.5 SEER,
& (1) FURNACES 90,000 & (1) 110,000,BTU
State Lia 9: 686310. city U. k
Ard , Bngr., Designer
Addre=
City, ST, Zip:
Conslsudion type: Ocaupaney:
Stft Lic. B: Project type (cirde one): New Add'n Alter Repair Demo
Name of Conma Person: PATRICK _ Sq: Ft-: storm unity
TdcPhwc i of Cott d Pason 760-343-7488 Eswaatod• Value of Project 21108.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
ti Submittal Beq'd Beed TRACKING PERbQT FEES
Plan Sets
Pian Check submitted Item Amoaat
Strodard Cales.
Reviewed, ready for correction Pian Ck & Deposit.
Trost c
Called peattet Persaa Plan Cteeh Balance
11IIe 24 CQler.
Pon picked up Contraction
Flood plate plan
Plea rtmbmitted Medwilcal
��g lin
2" Review, ready for oarreetioatfetsne Electrical
Sabcaetador List
Called Coated Person Plumbing
Grant Deed
Plans picked up SAIL
ILO.A. Approval
Plans resabmitkd Grading
IN HOUSE:-
Review; ready for torrtctioas/issae Developer Impact Fee
Planning Approval
Called Coetaet Person A.I.P.P.
Pub. Wks- Appr '
Date of permit lssae
School Fees
Total Permit Fees
v - •
m CERTIFICATE OF COMPLIANCE
" • CFiR-ALT-02-E •
aAlterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ; (Page 4 of4 )
D_
Documentation Author's Declaration Statement
1: 1 eertifythat this Certificate of Compliance documentation is accurate and complete. ,
Dooumentation Author Name: Documentation Author Signature: �y /~
Jacoby, Ian - Jarz (-far-0bJr
Company: Signature Date:
Stratz Permit Service 2014-1.1-12 15:39:16
Address:
U) CEA/ HERS Cecdficatfon Identification (if applicable):
w 5858 Dovetail Drive
Q aty/State/Zip:
PFane:
w Agoura Hills CA 91301 818-735-7876
--
H Responsible Person's Declaration statement
W l ca rtify the following under penally of perjury. under the laws of the State of California
0- 1. The information provided on this Certificate of Compliance is true --and correct.
2. I am ell ible under Division 3 of the Susin
g gssanWessions Cod 6to acceptt res�oPsjb;lit�.r-the builtJ�gg l��;ign gr�rst�m�si�n identified on this Certificate of Gompl'ance (responsible designerl.
3. That the energy features and perfornia s dations, materialF c g `='' 'a4.
P� ol'1�ponents and Ufac ora oesr" j e bur jtb desig ochy3iein design identify on this Certificate of Compliance conform to the
req uirements of Title 24, Part 1 and rk15-6f the Cafifotttia de Matrons
,,. K
•4. U.
lire burial n design feature ors f.
g g ys drr ��ign features'iQ dii SaCertifKate of �gince a_%' fStent'with Rte:
r . .: ;=. 1 ,. !P €� (ie_xirTormatton ta�ided'n 3other ap&abje compliance documents, vrorksheets,
calculations, plans and spec ratio ' ytimitted3n he' orce len ePcy for apprN� L;wtth' h n ' r Ika
�b' _ -m .p Sion•:
5. 1 will ensure that a registered copy b - s erti jc�je1Df�CgJ{$j'attize-MIkkte;ri►�d`.aG3il`alilaY4i� �yc ti�lding< ertttiE�� iu'e6 ffi a pil' � Y " x
— _, _...,., �!�. . {s _ ��_,Jts tltedAka#abletothe enfoicementagency. for all applicable
inspections" I understand that a registered'copyoff3iis Cert ficafe 6LbmpllaRce rs regiliied ioY+e included viitfi tfie`docLinentatlo n the fiuilder provides to the building oviner atocaapa.nty"
Responsible Designer Name: Responsible Design+ r Signature:
Valdez, Dayana`a/�
Company: Date Signed:
Ln HARRISON ENTERPRISES'INCdba GENERAL AIR CONDITIONING
W)2014-11 12 15:39:33
M Address: License:
Ln 31-170 RESERVE DRIVE STE A 656310
� Gity/State/Zip:
Phone: � -
00 THOUSAND PALMS CA 92276 (760) 343-7488
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A rta�'y vgned by Ca1CkRTS. 'This digital signatureis povkled in cvderto secure the con.-ent of this registered dDaumeol, ardin no way impfies Registrafian Provider resp ons0foy rat jhe acarmacy of the inforrnauon.
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nn . Reolstration Number. 214 A0138209A 000DD0000 DODO-- - - Registration Date�me` 20t4-11-12 15:39:33 HERS Provider: CaICERTS.
.� -
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CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated; 2014-11-12 15:40:I9
Schema Version: 0,551SDD
CERTIFICATE of COMPLIANCE
Alteratiansto5pace Conditioning Systems (formerly CF -:LR -ALT -HVAC)
IF Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 214-AD138209A-000000000.0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-11-12 15:39:33
Report Version: 201403-31
Schema Version: 0,5515DD
CF -IR -ALT -02-E
(Page 3 of 4 )
VERS Provider: CaICERTS
Report Generated: 2014-11-12 15:40:1.8
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CERTIFICATE OF,COMPLIANCE CFLR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page Z of 4 )
Ln trey ew or Complete Replacement Duct System, tenth or without Equipment Changeout (Sections 150,21b)lDiia. and 1.50.2(b)lE, F)
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to This section does not apply to this project.'
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CA Building Energy Efficiency Standards - 2013 Residential Compliance
r
-_ Registration Datefrime: 2014-11-1215:39:33 - HERS Provider: CaICERTS
Report Version: 2014.03-31 Report Generated: 2014-11-12 ' 15:40:18
Schema Version. 0.551SDD
D. Altered Space Conditioning'System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
.07
as
09.
LO
it
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
Newor
Identification
System :
Heating
Efficierity
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or NameType
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
System 1 ''
Central gas
All new
hearing
AFUE
0.78
Central split
eAC •
All nevi,
cooling
SEER
This field or
This field or,
furnace
14.5
Setback'
section is not
section is not
components
components
"
applicable
applicable
`
System
Central gas
All neiv
'heating—'h
E
8
All new
This field or
--n-is-field-or
fumace
components
ACP
coo ing
SEER
14.5
Setback
section is not
section is not
components
applicable
applicable
Required Documentation
CF2P.-MCH-01-E-Space Conditioning Systems Ducts and Fans
_ _:.
Dun insulation requirement for new plenums: R6_
'
F=-•-�-:•-^•. •e :.;�:?pi:a 'K'-- :ra-r.•:.--' .r"" -c...
CF2R-h4CH-20-H, & CF3 R-N1CH-20-H— Duct Leaks e;%itiri re• uleed vihen he " ` Y- '
g., �_, . g` q rjg:n tiiojing cwt iP9ge�ts �rE:tnst e-irG9fiieti ds ' s}oT .. Iaor�• an 40 ft of duct length is replaced.
-Les compliance: <_ 15°,e, or:5 10%lea ;outside, orseal.a aoc�il� '#eaKs.
J -^I .-e :: .vim-- •fes 4� E::'� '
-
CF2R MCH -25-H & CF3R-MCH 25-H Refrigerantate Uerifiptcrn r ujt?1� engerant mr�n1a_rQinpo >E +e [is'4alledltered (appal le in Ci' 2 :815). '
CF2RCF3R-MCH-23 & MR -MCH Air Flow>_ "e r�: - "
-23 j13QLFM%ton resj5rise' ati [v4 ZSis re stied = .' '=` "'
a - 4i_ q:" ".. ,;.; _ ^t -a' ;.
Exceotiais ��-..'.. _'=i:; •`:`•�s=.:...:: _ �,:
:�?N'$.:.;t•-Y:Yif�j'y ';'-�•��.st�'M•'Y^'Q'D;.' ��...Y-
1'__..._�^,�i_fr::.J�:_i•'.
._..lF_?,:_y: _. ;
Duct systems registered with HELLS provider as prevfoiu19 tii6f".. are'E m ffraiirRlCH O":Duca e`al� Testi6 •r. uiremerits° ` a?.•`
-Heating-only systems and Air Handler/Fu.mace changes do not require ver cation of A-ir Fiew MCH -23, or Refrigerant Charge MECH-25.
=EritstirU duct systems constructed, insulated or se�fed..wRA€asbestos are ezerttpt1rom MCH -20 Duct Leakage Testing requirements.
E Ent' I N -
Ln trey ew or Complete Replacement Duct System, tenth or without Equipment Changeout (Sections 150,21b)lDiia. and 1.50.2(b)lE, F)
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to This section does not apply to this project.'
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Report Version: 2014.03-31 Report Generated: 2014-11-12 ' 15:40:18
Schema Version. 0.551SDD
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CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E .
Alterations to Space Conditioning Systems (formerly CF -IA -ALT -HVAC) (Page 1 of 4 )
Project Name: JIM NUNAN Date Prepared: 2014-11-12
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When muftiple dwelling units must be
documented, use one CF1R-ALT-02 document for each dwelling unit.
01
Project Name
JIM NUNAN 02
Date Prepared 2014-11-12
03
Project location
80265 VIA VALEROSA 04
Building Type Single family
05
CA City
La Quinta 06
Dwelling Unit Name JIM NUNAN
07
Zip Code
92253013
Dwelling Unit Conditioned 3423
Installing
Installing
..0 a-(
containing
system
more than 40
entirely new
entirely new
System [ft2). system?
Number of space conditioning
09
Climate Zone
10
(SC) systems in this dwelling 2
Alteration Type
-
m'�'qs•. r . - -. ...-,.-ate__ _- �-._. __ _._. _
unit..
_ _
S. Space Conditioning (SC) Systeinjj
D1
02 -
SC System
SC System _
Identification or
Location orArea:.-
Name
Served
System 1
Location 1 '
System 2
Location 2
a .
ja
:
09
10
...;.,,.,.... ...,..-- ingsa,�:; _ter -
CFA -'served syst0ma
=:.
refrigerant'
Installing riew SC
Installing
Installing
Installing
:6y:tliis=SC . ductied
containing
system
more than 40
entirely new
entirely new
System [ft2). system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
1712
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
1712
Yes
Yes
Yes
No
No
No
Altered space
conditioning sysbem
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1D1ib)
This section does not apply to this project.
Registration Number: 214-A0138209A-000000000-0000 Registration Date/Time: 201441-12 15:39;33
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version:0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-11-12 15:40:15