BPLB2015-0145•,78-495 CALLE TAMPICO
I,A QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
11111111111111111111
47
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/2015
Application Number:
BPLB2015-0145
Owner:
Property Address:
54140 AVENIDA MONTEZUMA
RICHARD THOMPSON
APN:
774191007
NORTH SAANICH BC
o
Application Description:
THOMPSON / REPLACE WATER HEATER WITH TANKLESS WATER HEATER
CANADA V8L, N192253
Property Zoning:
0; m
Application Valuation:
$6,900.00
�1: l n
M�( I�
Applicant:
Contractor:
CD C�
A R S AMERICAN RESIDENTIAL SERVICES OF C
A R S AMERICAN RESIDENTIAL
SERVICES
965 RIDGE LAKE BLVD SUITE
201
965 RIDGE LAKE BLVD SUITE 201, n csi
MEMPHIS, TN 38120MEMPHIS,
TN 38120
1'O
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
9 (commencing with Section 7000) of Division 3 of the Business and P fessior
and my License is in full force and effect.
License Class: C36. C42. A License No.: 765155
Date: Z' )� (o 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.).
U 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 Add
(901)271-9700
Llc. No.: 765155
C L
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
ion 7
Sect00 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 th Zfw>ith-��7
'
compensation laws of California, and agree that, if I should beco ecworkers' compensation provisions of Section 3700 of the L de, I 31
comply with those provisions.
Date: �2 �) ' 1� 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 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 uil
construction, and hereby authorize representatives of this city �ener_:;�habove-mentioned property for inspection purposes.�-
Date: Signature (Applicant or Agent
FINANCIAL INFORMATION
V '"-""°" MY I' :T firy ': HIYIVVIYI E"r
....:: �", .,. 'X 9A1;"N .::,» ,.i ,.;in: «a`# x "*. rr. x"!`?ts �. :ani-aaa
BSAS SB1473 FEE. 101-0000=20306 0 $1.00- $0.00
,=`sem°�:.0 :� .:��;; s�:.'�
PAIDEB,Y ME=THOD���CHECK
,a x s�RECEIPT# #; CLTD BIf+
_.... kRim�,,r`x._,:...a;,.
• Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 $0:00 .
P
<`l"
AMONT
DZ3 AN.TS
y'1
PAID,,
Y.
'Nil �
EDESCRI
PERMIT ISSUANCE
101-0000-42404
0
.$91.85
$0.00
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Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION {`;
`, E ACCOUNT x
Q TY
'�
AMOUNT,
PAID
t .- ,
RAID DATE
,, , .
..�-a, .....a ;e .t':ar>rz`'SzzU',ae,a,ra
h
WATER HEATER/VENT
101-0000-42401.
0
$12.09
$0.00
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aQTY�AMOUNT=PAID{
+.
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PAIDDATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25.
$0.00
PAID
. 4SiK,
RECEIPT #
CHECK # r
.... .. .,
CLTD BYS
„<FMETHOD'Y�
�, , ;
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:• •-
Description: THOMPSON / REPLACE WATER HEATER.WITH TANKLESS WATER HEATER
Type: PLUMBING Subtype: Status: APPROVED
Applied: 12/15/2015 SKH
Approved: 12/15/2015 SKH
Parcel No: 774191007 Site Address: 54140 AVENIDA MONTEZUMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 259 Lot: 6
Issued:
UNIT 24
Lot Scl Ft: 0 Building Scl Ft: 0. Zoning:
Finaled:
Valuation: $6,900.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: REPLACE WATER HEATER WITH TANKLESS WATER HEATER[2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Tuesday, December 15, 2015 1:29:02 PM 1 of 2
SYSTEMS
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
A R S AMERICAN RESIDENTIAL
965 RIDGE LAKE BLVD
MEMPHIS
TN
38120
SERVICES OF C
SUITE 201
CONTRACTOR
A R S AMERICAN RESIDENTIAL
965 RIDGE LAKE BLVD
MEMPHIS
TN
38120
SERVICES OF C
SUITE 201
OWNER
RICHARD THOMPSON
NORTH SAANICH BC
CANADA V81.
N1
92253
FINANCIAL INFORMATION
Printed: Tuesday, December 15, 2015 1:29:02 PM 1 of 2
SYSTEMS
PARENT PROJECTS
Printed:. Tuesday, December 15, 2015 1:29:02 PM 2 of 2 r7
SYS7Fti1S
CLTBY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT
101-0000-42600
0
$7.25
$0.00
PC
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:00
PARENT PROJECTS
Printed:. Tuesday, December 15, 2015 1:29:02 PM 2 of 2 r7
SYS7Fti1S
#
Qty 0f-.La Quishta
Building &r Safety Division
P.O. Box 1504,78-495 Calte Tampico
4.Quinta, CA 92253 -:(760) 777,7012
Building Permit Application and Tracking Sheet
Pen'nit #
Project Address: 6qlqo7
1pf4 AV76 _,4,.fA4
'Owner's Name:. I t4 4-, (2, 1 66(M P_QQ
A. P. Number.
Address: 5H WO VC
Legal Description:
City, ST, Zip:
Contractor: U c gw-,Et /AIL-s
Telephone: -1(oo -7-1
Project Description: LJ 1H
Address: I "2a 0 W L I NWEt -5-1
City, ST, Zip: F-At, I pC- C(A q)5i77
VJ 111A 1_6+31-LC56 I �J
Telephone: 10: 1
xx.. -
N
Lic. 13
fZ-00 (,A p3 D &A5
�JCW 5
State Lic.#: -2,i:;I,(;�
Arch., Engr., Designer.
.
Address:
City., ST, Zip:
Telephone:
State Lie. #: X,
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:# Stories" # Units:
Telephone # of Contact Person:
Estimated Value of Project: woo
APPLICANT: DO NOT WRITE BELOW THIS LINE
SubmItUl
Req1d
'Reeld
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cates,
Called Contact Person
Plan Check Balance.
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plaits resubmitted..
Mechafilcal
Gi-ading plan
2! Review, ready for correctionshme
Electrical
Subcontattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN MUM:
3a 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 Fees
Total Permit Fees
smavieN NPE Series Tankless Water Heaters
Premium Condensing Specification Sheet
Tankless Gas Water Heater
• Certified design according to ANSI Z21.10.3/CSA 4.3-2013
standards for both indoor or outdoor installations (with
optional Outdoor Vent Kit)
• Compatible with 1/2" gas pipe up to a length of 24 ft'
(*see Installation Manual foradditional information)
• Compatible with 2" PVC vent up to 60 ft" and 150 ft•'
using 3" PVC vent ('-with no elbows)
• Gas Input Ranges
NPE-150 - 120,000 to 18,000 BTUh
NPE- 0 15`08
210 -180,000 to 19,900
8900 BTUh
• Hot Water Flow Rate Capacity (*based on 35°F temperature rise)
NPE-150 - 6.8 GPM
NPE-180 - 8.4 GPM
NPE-210 -10.1 GPM
NPE-240 - 11.2 GPM
• Dual Primary and Secondary Stainless Steel Heat
Exchangers for optimum efficiency and durability
• Built-in Control Panel - allows adjustment of temperature
settings and displays the operating status and error codes
• QOmkiff loVII Technology - "A" models come included with
built-in 0.5 gallon Buffer Tank and Recirculation Pump to provide
maximum comfort
• INTELLIGENT Preheating - recognizes hot water usage patterns
to intelligently provide hot water when needed (optional for'S' models)
• Temperature Options - available temperature settings for
Residential applications range from 98°F up to 140eF with high
temperature Commercial mode capable of up to 182°F
• Ready -Link Multi -System - up to 16 units can be cascaded
together for increased hot water production
• Reduced pressure loss for maximum hot water output
• Ease of Maintenance and Service - allows for quick removal and
simple repairs to waterway components such as the pump, water
adjustment valve, and 2 -way valve
• Freeze Protection - maintains normal operation during freezing
ambient temperatures down to -5•F (standard on all models)
• Uniform Energy Factor Ratings for NG and LP units
NPE-180A/210A 240A - 0.96 UEF (0.97 EF for Canada)
NP ^'O:tT6UEF–(0?JT Canada)
PE-1805/21OS/24OS - 0.97 UEF 99 EF for Canada)
ompatible with Natural Gas (N nd Propane (LPG)***
uirgs installation of In d-fi Conversion Kit by qualified gas servicer)
• Approved for Installations on Mobile/Manufactured Homes
• Certified by CSA, NSF 5, AHRI, AB1953 CA Low Lead, SCAQMD
(Rule 1146.2 Type 1 - Complies with 14 ng/J or20 ppm NOx @ 3% 02)
• 15 -Year Heat Exchanger and 5 -Year Parts Warranty (Residential)
8 -Year Heat Exchanger and 3 -Year Parts Warranty (Commercial)""
(.... see Navien Limited Warranty)
• Optional accessories are available (see below)
Sleek Design - Compatible with
2" PVC Vent and 112" Gas Pipe
Diagnostics-- Up
Information -- • O Down
Reset — Power ON/OFF
Built -In Control Panel
with Diagnostics
Indoor and Outdoor
,IntateCap do Venting Options
Coupling
2' Pipe —
a�
�f
Non -Direct Vent (Indoor)
Outdoor
VentCap
�}} j
S 2
e
Non -Direct Vent (Outdoor)
® Qt319k
i� oEF�® CEYTIEIEa
Job Name:
Location:
Engineer:
Wholesaler.
Contractor:
Model No.:
Submitted to:
Remote Controller Plumb Easy Valve Set (3/4') Condensate Neutralizer Rea Link 3'Vent Termination Ca s
NR-20DU (30009323A -Lead Free) (GXXX001322-Single Unit) Communication Outdoor Vent Kit ExtemalPumpWire and Wall Flanges p
(30009757A) (30012581A -for Pipe Cover) (GXXX001324-Upto6Units) (GXXX000546) (30010604A) (GXXX001319) (GXXX38738)
(GXXX001325 - Up to 16 Units)
smaviem
Premium Condensing
Tankless Gas Water Heater
Dimensions
NPE Series Tankless Water Heaters
Specification Sheet
Specifications
Item
NPE-1505
NPE-180A NPE-1805 NPE-210A NPE-2105
NPE-240A NPE-2405
Heat
Natural Gas 18,000-
15,000-150,000 BTU/H 19,900-180,000 BTU/H
19,900-199,900 BTU/H
Capacity
120,000
15,000-150,000 BTU/H 19,900-180,000 BTU/H
19,900-199,900 BTU/H
(Input)
Propane Gas BTU/H
Efficiency
UEFU.,NGatP) 0.96
0.96
0.97 0.96
10.97
0.96
0.97
Ratings
EF(Canada)(fol NGaUP) 0.97
0.97
0.99 0.97
10.99
0.97
0.99
35"F(19"C)Temp Rise 6.8 GPM
(26 Um)
8,4 GPM (32 Um) 10.1 GPM (38 Um)
11.2 GPM (42 Um)
Flow Rate
45"F(25"q Temp Rise 5.3 GPM
6.5 GPM (25 Um) 7.8 GPM (30 Um)
8.7 GPM (33 Um)
(DHW)
(20 Um)
67°F(36"C) Temp Rise 3.2 GPM
4.3 GPM
1 4.2 GPM 5.0 GPM
5.2 GPM
5.6 GPM
5.7 GPM
(12 Um)
06U )
(16 Um) (19 Um)
(20 Um)
(21 Um)
(22 Um)
Dimensions 17.3"(W) x 27.41H) x 13.2"(D)
Weight 55 lbs
75 lbs
67 lbs
82 lbs
75 lbs
82 lbs
75 lbs
(25kg)
(34kg)
(30kg)
(37 kg)
(34kg)
(37 kg)
(34kg)
Installation Type Indoor or Outdoor Wall -Hung
Venting Type Forced Draft Direct Vent
Ignition Electronic Ignition
Water Pressure 15-150 PSI
Natural Gas Supply Pressure 3.5 in WC -10.5 in WC
(from source)
Propane Gas Supply Pressure 8 in WC-13in WC
(from source)
Natural Gas Manifold Pressure -0.04 in WC-
-004inWC--0.84inWC
-O.OSinWC--0.36inWC
-0.05inWC--0.58inWC '
(min -max) -0.38 in WC
Propane Gas Manifold Pressure -0.04 in WC-
-0.05 in WC--0.50inWC
-0.10inWC--0.66inWC
-0.10inWC--0.78inwc
(min -max) -0.42 in WC
Minimum Flow Rate 0 GPM (0 Urn) for"A"models/ 0.5 GPM (1.9 Um) for"S"models
Cold Water Inlet 3/4 in NPT
Connection
Sizes
Hot Water Outlet 3/4 in NPT
Gas Inlet 3/4 in NPT
Main Supply 120V AC, 60Hz
Power
Supply
Maximum Power 20OW (max 2A), 35OW (max 4A) with external pump connected
Consumption
Casing Cold Rolled Carbon Steel
Materials
Heat Exchangers Primary Heat Exchanger: Stainless Steel
Secondary Heat Exchanger: Stainless Steel
Exhaust 2" or 3" PVC, CPVC, Polypropylene
2" or 3" Special Gas Vent Type BH (Class II, A/B/C)
Venting
Intake 2" or 3" PVC, CPVC, Polypropylene
2" or 3" Special Gas Vent Type BH (Class II, A/B/C)
Vent Clearances 0" to combustibles
Safety
Flame Rod, APS, Ignition Operation Detector, Water Temperature High Limit Switch, Exhaust Temperature High Limit Sensor,
Devices
I Power Surge Fuse
Gas-fired, tankless condensing, wall -mounted water heater(s) shall be direct vent NPE Series models as manufactured by Navien, Inc. and are certified by CSA Group to the
latest edition ofANSI standard Z21.10.3/CSA 4.3. Water heater(s) shall have a 15 year limited Heat Exchanger warranty and 5 -year limited Parts warranty (8 year Heat
Exchanger and 3 -year Parts for Commercial use) per Navien Limited Warranty. Unit(s) shall be designed to burn natural gas and can be for use with propane when a Field
Conversion Kit is installed. Water heater(s) shall have a nominal flow rate capacity of GPM/GPH at °F rise with rated input of BTU/hr. Water
heater(s) shall be vented with 2" PVC/CPVC vent pipe at a distance not to exceed 60' (or equivalent) with each elbow equal to 8' of pipe length or 3"PVC/CPVC vent pipe at a
distance of 150' (or equivalent) with each elbow equal to 5' of pipe length. Water heater(s) is rated for 150 PSI working water pressure and 300 PSI test pressure. Gas supply
pressure shall be 3.5" to 10.5" WC for natural gas and 8.0" to 13.0" WC for propane. Unit(s) shall have a steel case, dual stainless steel heat exchangers, eco premixed burner,
negative pressure gas valve, dual venturi, 3/4"inletgas connection, 3/4" brass inlet/outlet water connections, water holding capacity of 0.6 gallons for the NPE-1505, 1.0
gallon for the NPE-180A model (0.79allons for NPE-1805 model), 1.2 gallons for the NPE-21 OA/NPE-240A models (0.7 and 0.9 gallons for NPE-2105 and NPE-2405 models
respectively), and a condensate collector. The NPE-1505 model weighs 55 lbs, the NPE-180A model weighs 75 lbs (NPE-1805 weighs 67 lbs), and the NPE-210A/NPE-240A
models weigh 82 lbs (NPE-2105 and NPE-2405 weigh 75 lbs). Unit(s) shall include features such as an adjustment for installations at high elevation, temperature lockout, and
temperature options from 98-120°Fin 1'F intervals and 125-140°F in 5°F intervals. The unit(s) shall include additional temperature options of 150-180°F in 10°F intervals,
and 182°Fforhigh temperature commercial applications. All NPE'A"models shall include an internal circulation pump and 0.5gallon buffer tank. The water heater(s) shall
be controlled by an internal circuit board that monitors the inlet and outlet temperatures with installed thermistors, sensing and controlling flow rate to set point temperature
with air fuel ratio controls in order to maintain thermal combustion efficiency. Unit(s) shall include safety features such as flame sensorsystem, high limitsensors overheat
prevention device, freeze protection mode, and fan motor rotation detector. Multi -system (cascade) applications that require 2 to 16 units shall be installed by connecting the
units using cable -only connections (Ready -Link). The water heater(s) exceeds the energy efficiency requirements ofASHRAE 90.1-2013 and is listed by SCAQMD rule 1146.2
(Type 1) for Low NOx that complies with 14 ng/) or 10 ppm NOx requirements @ 3% 02.
*Navien reserves the right to change specifications at any time without prior notice
Navien, Inc. 20 Goodyear, Irvine, CA 92618 Ph: (949)420-0420 Fax: (949)420-0430 www.Navien.com Rev. 6/15
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS - WATER HEATER
CEC-CF1R-ALT-01-E (Revised 06114) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E WATER HEATER
Prescriptive Residential Alterations for Water Heater (Pagel of 2)
A. GENERAL INFORMATION
Site address:
/ 1 Y D � SON Building Type: ❑ Single Family Dwelling
�j /�" ❑ Multi Family Dwellings
City, Zip Code:
6dAIIPEE, CA&) �(/rivi G► Climate Zone: 10
G. WATER HEATING SYSTEMS (Section 150.2(b)1G)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Water
Water
Water
#of
Water
Fuel
Rated
Rated
Heating
Heating
Standby
Exterior
Back -Up
Central
Dwelling
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Efficiency
Efficiency
Loss (90)
Insul.
Solar
DHW System
Unit DHW
System
System
Type
Heaters
Storage
Type
Value
Type
Value
R -Value
Savings
Distribution
System
Identification
Type
in
Volume
Fraction
Type
Distribution
or
system
(gal)
n
Type
Name
H
Sr
)
—
5
(fry I
IN,69
19-
I—
In -
WATER
WATER HEATING SYSTEMS
Water heating compliance for an alteration is described in Section 150.2(b)IG. For single dwelling a gas or propane water heater, with a storage tank of 60 gallons maximum
or instantaneous (tankless) can be used. Dwelling Unit distribution systems are limited to Standard trunk and branch or demand recirculation for gas or propane water
heater. Demand recirculation is not allowed for electric water heater. If there is no natural gas connected to the building, an electric water heater may be replaced with
another electric water heater. However, changing from gas to electric is not allowed. Multi -family central systems must use certified equipment as defined under Section
110.1 and 110.3.
NOTE: If the proposed installation does not meet the requirements allowed specifically for alterations, use form CFIR-NCB-01 to document the water heater alteration.
Instructions for sections with column numbers are given below:
1. Water Heating System Identification or Name: enter a unique name for the Water Heating System.
2. Water heating system type: Domestic Hot Water {DHW), Hydronic, Combined Hydronic, or Central. DHW is for domestic hot water, hydronic is A water heating
system used for space heating only; combined hydronic are when the water heater will provide both space conditioning and domestic hot water.
3. Water heater type: For non -central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Small Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous or Indirect.
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E WATER HEATER
Prescriptive Residential Alterations for Water Heater (Page 2 of 2)
4. Number of water heaters in system: In single-family and multi -family with water heaters in each dwelling units the value is 1. For multi -family central systems
serving multiple dwelling units enter the total number of water heaters.
5. Water heater volume (gal): tank capacity in gallons. For individual water heaters for a dwelling unit this will be 60 gallons or less. If instantaneous, enter n/a. For
multi -family central systems enter the total storage volume.
6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available)
7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired system the units are kW.
8. Rated Input Value: Enter the numeric value of rated input.
9. Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory.
10. Heating Efficiency Value: Enter the value from product literature or a California Energy Commission directory
11. Standby Loss (percent): Applies only to large storage water heaters, Enter n/a for small storage or instantaneous water heaters.
12. Exterior Insulation R -Value: Enter the R -value if exterior insulation on the storage tank is installed
13. Back-up solar savings fraction: If compliance requires a back-up solar system, indicate the solar contribution (e.g., 0.30). External calculations are required.
14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system with at least two distribution
loops must be installed. This requirement applies to any building with eight or more units. If the system is non -central or project is individual units enter n/a.
15. Dwelling Unit DHW Distribution Type: For a Central DHW this field shall be Standard. If non -central then pick from Standard, Demand Recirculation — Manual
Control, Demand Recirculation —Sensor Control. If non -central electric water heater this must be Standard, no recirculation system shall be installed.
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:2
oOwner uthorized agent oContractor
Signature:
Company: ,
Contractor license #: Ica Do
Address:S(
PJ&
Phone:IN
City/State/Zip: „ A �-
y 0"
Date:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.