BMCH2015-017978-495 CALLE TAMPICO
Date:
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O15-0179
Property Address:
49170 VISTA ESTRELLA
APN:
602240012
Application Description:
ERWIN/CHANGE OUT
Property Zoning:
Application Valuation:
$27,374.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
T41y, 44 Q��q
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION I
.
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.: 686310
Date: S ZO 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 Name:_
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(760)343-7488
Llc. No.: 686310
LIM
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.
1 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:
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: 512-11>115- Applicant:
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 peimit.
2. Any permit issued as a result of this application becomes null andvoid 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.
Date:- S. 2A t Signature (Applicant or Agent): �'G ,
Date:
Owner:
GERALD ERWIN
29417 NW 11TH AVE
RIDGEFIELD, WA 92253
ca
O =1
'
�
O
Contractor:
o
HARRISON ENTERPRISES I
31-170 RESERVE DRIVE S
THOUSAND PALMS, CA 92
(760)343-7488
Llc. No.: 686310
LIM
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.
1 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:
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: 512-11>115- Applicant:
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 peimit.
2. Any permit issued as a result of this application becomes null andvoid 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.
Date:- S. 2A t Signature (Applicant or Agent): �'G ,
FINANCIAL INFORMATION
�,
DESCRIPTION: ' rte ACCO,IINT = QTY, AMOUNT
PAID 3�
PAIDDATE,
BSAS SB1473 FEE 101-0000-20306 • 0 $2.00
$0.00
EPAID BY "' ` r . METHOD{ `
4, CLTD BY,�
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00. $0.00
DESCRIPTION„w ` �.; k;
` 1; ACCOUNT .4J: p g
”-QTY
AMOUNT.,,,y"
f :> PAID I y
} PAI -.DATE:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
PAID"BY g
METHOD , „ '�
f •„ RECEIP.,T #'� R^ F
; F CHECK #'
CLTD BY rr
! ,. DESCRIPTION . ;, .ftkx�
ACCOUNT 14=
-.QTY,
y . ANIOUNTf .v
PAID" �e
1.PAID DATE:
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
PAID &Y
�{ ,,,
�1 METHOD
a _
t 'RECEIP.T #
-@�
CHECK #
CLTD BYYr
Total Paid forCHANGEOUT: $217.56 $0.00
�., c DESCRIPTION `"` e sa: � d s`;
's e `t ACCOUNT ; . �z
;QTY
s AMOUNT y
' q g;PA�D<�'PAID
DATE.
PERMIT ISSUANCE
101-0000;42404
0
$91:85
$0.00
`ca
n METHOD
?` �'tt X, RECEIPT # i f�
x� CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•-
Description: ERWIN/CHANGE OUT
,
eO,
Type: MECHANICAL
Subtype: Status: UNDER REVIEW
Applied: 5/20/2015 SKH
Approved:
Parcel No: 602240012 Site Address' 49170 VISTA ESTRELLALA QUINTA,CA 92253
Subdivision: TR 29457-1
Block: Lot: 88
Issued:
Lot Sq Ft' 0'
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $27,374.00
Occupancy Type: Construction Type:
Expired: .
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (1)4TON SPLIT SYSTEM AND 18SEER/8AFUE AND (1) 2TON SPLIT SYSTEM 21SEER/80AFUE SPLIT SYSTEM [2013
ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES..'
FINANCIALINFUKIVl1.1'f IUIV
Printed: Wednesday, May 20, 2015 1:49:39 PM 1 of 2
SYSTEMS
eO,
NDiTiows
FINANCIALINFUKIVl1.1'f IUIV
Printed: Wednesday, May 20, 2015 1:49:39 PM 1 of 2
SYSTEMS
..
�.
MECHANICAL FINAL" 'BLD
.°'PRnIFCTS
' °
REVIEWS
` . ..
IBOND INFORMATION
' . '
'ACCOUNT.
DESCRIPTIbN::":'7_
QTY
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-,
101-0000-42402
.0
$145.04
$0.00
101-0000-42600
0.-
$0.00
SPLIT -SYSTEM PC
.$72.52
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANC
101-0000-42404
0
$91.8S
$0.00'.
Total Paid for PERMIT ISSUANCE:' $91.85 $0.00
TOTALS: $311.41 $0.00
..
�.
MECHANICAL FINAL" 'BLD
.°'PRnIFCTS
' °
REVIEWS
` . ..
IBOND INFORMATION
' . '
Qin #
City Of La Quinia
Building &r 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: q Cl 1-7p V-1 S.} G C S LI�
Owner's Name:
A. P. Number:
Address: y 011-70• V i Sj &, si c e l
Legal Description:City,
ST, Zip: CA CiiZZ-9
Contractor: r
e <-
e'?
c� 1�
�A%�
Telephone: - 1 to4
O 7 Z
Address: 31\ —7<) \1—) C-- e v e
.............
Project Description:
City, ST, Zip: ho 1 CA 22
1<< e,e_ 1. Co e •%X-JAC
Tele hone•
P `7 (oO • -
�•13 8
�8
S t Z k . C
b
State Lic. # : (031 p
City Lie. #:
VAC. S s}
Arch., Engr., Designer:
Address:
City., ST, Zip:' '
Telephone:
e one:
P
_
Construction T e: ccu
Type:. Occupancy:
P Y:
State Lic. #
Project e ie Add'n Alter
cr one): New . �
(circle ct tYP Repair Demo
Name of Contact Person:
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person:
Estimated. Value of Project: 2. 7 ?�, e'Y->
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3' Review, ready for'coirection'issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Bin .#
City. Of, 'La Qulinta
Buildhy &I Safety Division
P.O. Box 1504,78-495 Calle Tampico
L4.Quinta, CA 92253 - (760) 777-7012
wilding Permit Application and Tracking Sheet
Permit #
Project Address: 49170 Vista Estrella '
Owner's Name:. Jerry Erwin
A. P. Number. ..
Address: 49170 Vista Estrella
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contactor: General Air Conditioning760-772-1646
"ag�.�.s.
Telephone: �'�„"•�3rs �, .•�,•,
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
Replace 2ton A/C, Coil, &70,000 BTU Furnace
Telephone: 760-343-7488
State Lic. 4: 686310
City Lic. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:v `�� v
State Lie. #: c . .
^ .. ; .. .. " .
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add n Alter Repair Demo
Sq.Ft.: #Stories: #Units:
Telephone # of Contact Person: 818-735-7876 Estimated Valite of Project: $27.374.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
H
Submittal
Req'd
Recd
TRACKING
PERMtI FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.' ,
Mechanical
Grading plan
2id Review, ready for correctionsliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IPI HOUSE,
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Stephanie Khatami
From: Steven W. Schnierer <swschnierer@road runner..com>
Sent: Thursday, July 16, 2015 6:52 AM
To: Mary Fasano; Stephanie Khatami
Subject: Permit Request - HVAC For 49170 Vista Estrella
Attachments: 49170 Vista Estrella.pdf -
Good morning. Y �.
I pulled a permit at this address for 2 systems on -Ma' 20,,2015: -The permit number is BMCH2O15-0179. It
should have been for 3 systems. Can we add this third system to the original permit? I don't know if there
have been any inspections yet. Also, I don't have the CF1R showing 3 systems yet, just the original that has 2. 1
will send it as soon as I receive it. Please let me know if you need anything else.
Steve
1 +
6 -
`r
f
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: JERRY ERWIN Date Prepared: 2015-05-20
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.
01
Project Name
JERRY ERWIN
02
Date Prepared
2015-05-20
03
Project Location
49170 VISTA ESTRELLA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JERRY ERWIN
07
Zip Code
92253
08
Dwelling Unit Conditioned
3562
newrSC
Installing
�""
Installing•
'
Installing
Floor Area (ft2).
Identification or
location or Area
by this SC
ducted
+�... t • w
containing
Number of space conditioning
t*
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
component?
components? -
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information `
.. - _..
OS
02
0304
OS"
06 r
07
08
09
10
:.:
-
9• -itXa
aids the SC
+ "X -,AV
Installing a
,�• a + W w4
'#4
SC System
SC System
CFA served
systema
refrigerant•Installing
gib..
newrSC
Installing
�""
Installing•
'
Installing
Identification or
location or Area
by this SC
ducted
+�... t • w
containing
,'
system
t*
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components? -
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1781
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1781
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: 215-A0134364A-000000000-0000
Registration Date/Time: 2015-05-20 09:14:54 .
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-20 09:13:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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)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
gas
All new
Central split
All new
This
This field or
Phis field or
System 1
.Central
furnace
heating
AFUf
0.8
AC
cooling
SEER
18
Setback
is not
section isnot
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
>AFUE
0.8
AC
'cooling
SEER
21
Setback
section is not
section. is not
components
components
applicable
applicable
Reouired DocOmentation:
CF2R-MCH-01-E - Space Conditioning systems Ducts andTans ..
-Duct insulation requirement for new plenums:,R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage,testing required when heating or cco�o, ling components are.,installed,in ducted systems,. or. when. more than 40 ft of duct length is.replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seaCall'accessi 'I"eaks.
� ; rz
., 'M#
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant contairnngcomppnentsare installed or altered (applicable in CZ -218-251)
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton regwredwhen MCH=25 is regyired. t
Exceptions:
-Duct systems registered with HERS provider as previously sealed aree,exempt from �MCH-20 Duct Leakage Testing requirements. �
-Heating-only. systems and Air. Handler/Furnace changes do not regwre;vaerification3of Asir Flow MCH'; 23� or Refrigerant Charge EICtH-25
W
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH=20`Duct Leakage'Testing requirements:
E. Entirely New or Complete Replacement Duct System, with or without Equipment.Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, 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.
Registration Number: 215-A0134364A-000000000-0000 Registration Date/Time: 2015-05-20 09:14:54 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance- Report Version: 2014-03-31 Report Generated: 2015-05-20 09:13:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
i. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �/
�aco'Y
Jacoby, Ian
cyan
Company:
Signature Date:
Stratz Permit Service
2015-05-20 09:13:39 .
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement''
I certify the following under penalty of perjury, under the laws`of the State of California:
r.
1. The information provided on this Certificate of Compliance is.true'and correct.
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 1 and Parf 6,of the California!Code of Regufatlons. � '
tithpje.^(r/
4. The building design features or system design features identified o is Certifica a of ComplAleiance are�consistent with%the information,provided on plicable ompliance documents, worksheets,
;,� 4
+ •'• rri .04.1 Y.4 r-•�..-ate, mow; . YA "
calculations, plans and specifications submitted to the en-fLorcement La�gency for.approval witch this building permit ap([�lication. yp y
IM"IS l'Yp iY. it '�. y J�.N R '"".
f
5. 1 will ensure that a registered copy of fhis.Certificate of Compliance shallPbe;made`amailable wi the building;permit(s),issugd forth, a bwldliy g and made availableato�thQnforcement agency for all applicable
inspections. I understand that a registered copy of thistteerrtiifficate of Compl ance its„required to be included with the*documentation heebuil er p�rov des t _the building owner at occupancy.
Responsible Designer Name: -
” er Signature:V 41
Responsi I Desi
�t�
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-05-20 09:14:54
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Digitally signed by WCERTS. 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: 215-A0134364A-000000000-0000 Registration Date/Time: 2015-05-20 09:14:54 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-20 .09:13:32
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: JERRY ERWIN I Date Prepared: 2015-07-16
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 CFIR-ALT 02 document for each dwelling unit.
01
Project Name
JERRY ERWIN
02
Date Prepared
2015-07-16
03
Project Location
49170 VISTA ESTRELLA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JERRY ERWIN
07
Zip Code
92253 1
08
Dwelling Unit Conditioned
3563
.&WA bow.. r'; two Yah.
U0 "
a�+ iew
i^w r2 Wx"
Floor Area (ft2)
SC System
SC System s
"CFA served
system a,
r�efrige ant Y
Number of space conditioning
Installing �
09
Climate Zone
15 {
10
(SC) systems in this dwelling
3
ducted
containing
'.
more than 40
unit.
entirely new
B. Space Conditioning (SC) System' Information ' ,r 010ft sow "..
01
02
' =' 03
04
05
06 e
07
4* ,
10
--..
_09
r•w..,
Is the SC
- .,,y,,.,�y .1A --k
Installing a
.&WA bow.. r'; two Yah.
U0 "
a�+ iew
i^w r2 Wx"
SC System
SC System s
"CFA served
system a,
r�efrige ant Y
- stalhng�new7
Installing �
)Installinng,
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 ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1188
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1187
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3
Location 3
1187
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.
dj S
Registration Number: 215-A0195992A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-07-16 14:41:15 HERS Provider: CaICERTS
Report Generated: 2015-07-16 14:39:28
CERTIFICATE OF COMPLIANCE CF111-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)lE and F)
01
02
03
04
05
06
07
08
09
30
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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
' AFUE
0.8
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field. or
This field or
System 3
furnace
, heating"-
AFUE
0.8
AC
cooling
SEER
21
Setback
section is not
section is not
components
_
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans-
-Duct insulation requirement for new plenums: R6.' �
n_
CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage.testing required'wfien heating oc cooln ponentsarc-installed in ducted sy terns, or when
more than 40 ftlen replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, orseal all accessible leaks.
'� S s a rw.a .:4m:'t: �'^rw '. k @`tii..
CF2R-MCH-25-H & MR Refrigerant Charge Verification lled ble.in CZ 2, 8;15)
.
-MCH -25-H required when refrigerant containing components are.insta or altered (applA
c
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow 2300 CFM/ton required hw en MCH -25 isrequired. �"* A, %`" 0e
f� �2
�"'"� '
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 MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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.
Registration Number: 215-A0195992A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-07-16 14:41:15
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-07-16 14:39:28
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:
Jan
Jacoby, Ian
Jaco'Y
Company:
Signature Date:
Stratz Permit Service
2015-07-16 14:39:02
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
5 7
1. The information provided on this Certificate of Compliance is true and correct.
2. lam 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 i and 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 with4the information.provided on other applicable compliance documents, worksheets,
r ti aput rt ? t building pitapplication.
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit
` 44
y'l�G 40 pt yF,5�.t �+r F
5. I will ensure that a registered copy of this Certificate of.�Compliance shalPbe,matle available withthe buildirig;permit(s)}issued forahe;buildiag, andmadeavailable totFieenforcement agency for all applicable
inspections. I understand that a registered copy of this Cert fate of Co�mpl ancefs.,requ�red to be.included with the do�cumentat�h b
ionuilder pr}oyi`des t�,the building owner at occupancy:
Responsible Designer Name: > . - ►
Responsible DeWiner S'gnai ure: V 'IX -o-0'
�lUs!i1ll!�/�G�i2�i
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-07-16 14:41:15
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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.
P.
Registration Number: 215-A0195992A-000000000-0000 Registration Date/Time: 2015-07-16 14:41:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-16 14:39:28
Schema Version: 0.555SDD