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BMCH2015-041478-495 CALLE TAMPICO Q.�i ���! I IIIIII'IIII II'I I"I VOICE ( )760 777-7125 0 D LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING -PERMIT Date: 10/26/2015 Application Number: BMCH2O15-0414%11 "�� yiO, ner: Property Address: 49030 VISTA ESTRELLA �#JAMES TANNER n APN: 602240005 _ ��'�� 49030 VISTA ESTRELLA Application Description: TANNER RESIDENCE / HVAC CHANGE OUTS VLA QUINTA, CA 92253 Property Zoning: Application Valuation: $65,033.00 4 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 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: C20. C36 License No.: 68631.0 Date: 10Zb L! 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).: (_)1, 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 Lender's (760)601-3500 Llc. No.: 686310 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: 10 b 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 to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: 10 i Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT . PAID. PAID DATE BSAS SB1473 FEE = 101-0000-20306 0 $3.00 $0.00 SAID BY METHOD RECEIPT #:. CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $290.08 $0.00 PAID BY = METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $145.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $435.12 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: TANNER RESIDENCE / HVAC CHANGE OUTS Type: MECHANICAL Subtype: Status: APPROVED Applied: 10/26/2015 MFA Approved: 10/26/2015 MFA Parcel No: 602240005 Site Address: 49030 VISTA ESTRELLA LA QUINTA,CA 92253 Subdivision: TR 29457-1 Block: Lot: 81 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $65,033.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: (4) HVAC CHANGE OUT- 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. __j Applied to Approved CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (760)564-0296 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 (760)564-0296 OWNER JAMES TANNER 49030 VISTA ESTRELLA LA QUINTA CA 92253 (760)564-0296 FINANCIAL INFORMATION Printed: Monday, October 26, 2015 10:17:50 AM 1 of 2 0r#? _ ' SYSTEMS BOND INFORMATION Printed: Monday, October 26, 2015 10:17:50 AM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $3.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $3.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $290.08 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $145.04 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $435.12 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 BOND INFORMATION Printed: Monday, October 26, 2015 10:17:50 AM 2 of 2 SYSTEMS Bin.# Crty of La Quina Building u 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: 49030 Vista Estrella Owner's Name:. Jim Tanner A- P. Number. Address: 49030 Vista Estrella Legal Description: Contractor. General Air Conditioning City, ST, Zip: La Quinfa, CA 92253 Telephone: 760-564-0296 ` MFS">g'� epone: yrs• � Address: 31170 Reserve Drive Project Description: Replace 4 HVAC Systems - (1) Ston City, ST, Zip: Thousand Palms, CA 92276 A/C, Coil, & 70,000 BTU Furnace, (2) 4ton A/C, Coil, Telephone: 760-343-7488 4 ,A'` & 90,000 BTU Furnace, 1 2.5ton Heat Pump & Air State Lic. # : 686310 City Lie'. 9. Handler Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lic. #:vFj y 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 x 1 Estimated Value of Project $65,033.00. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACICYIVG PERMIT FEES Plan Sete Plan Check submitted Item Amount Structural Calci. Reviewed, ready for corrections Plan Check Deposit. . Truss Calm Called Contact Person Pian Check Balance Tide 24 Calci. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Giading plan 2i1 Review, ready for correctionstissue Electrical Subcoetactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IM HOUSE:- ''" Review; ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees STATE OF CALIFORNIA ALTERATIONS - HVACJS�en=, ,'CEC-CF1R-ALT-04-E Revised 03/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-04-E Alterations -.HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Pagel of 1) Site Address: qq 02,0 V ; E__�V aco, Enforcement Agency: Dae Prepared: Permit#: ska C L46, 0iD s Equipment Type Equipment Efficiency New bucting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (s ft) ❑ Packaged B[Evaporator Coif System JB(Compr Condensing Unit t AFUE COP fl R"6 (CZ 2, 8-13) Ducting Served by system ❑ Setback (Split System ❑ Compressor SEER HSPF ❑ R-8' (CZ11, 14, IS)Ducting 4,2-40 sgft (Ifnotalready ❑ Mini Split ❑ ❑ R-6 (all CZ's) Plenums present, must ($Furnace ❑ TXV TXV EER ❑ R-5 or R7.5) Uneset° be Installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site: ;X1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20•HERS,. MECH-(23 or 24)' -HERS, MECH-25-HERS= Compressor, TXV, Uneset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS=, MECH-25-HERS= Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage (< 15%.or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, Insulated or sealed with asbestos (list manufacture date of building _ 1 ❑ 2. New HVAC System Required Compliance Documents, to be. left on site for Final: All new equipment and All New Ducts' CFiR-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' Mini Splits require CF1R-ALT-02-E,'CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow a 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required. Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 of 24)-HERS,.MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documerits to be left on site for Final:. New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15% or, <10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is'when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) - 4 R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 Inch. Most mfg will require Suction line Diameter with Insulation as the following 1.547-26/e", 2.5-3T-2%", 3.5 to 4r-2%", ST -4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information . on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement provided agency forApproval with this building permitaplication. Date Signed: Ucense: Re5pon5lble Designer Name: Re ansible Designer Si nature: �— iD�z,li5 (0$(0310 Company: Address: G�c /State/Zip: Phone: �ex�er �� A�� �d:F�av,ic� 31� 7v 12e scxv�r (housa.cl a�rns 9227 _7roo-l3-��+8fi _.1:_..... , _Qnn_-777_aann For assistance or questions regaramgcne energyawnuc1��, �..••w�• •••� �••�•d. ••-- STATE OF CALIFORNIA ALTERATIONS - HVAC Q I' CEC-CF1 R -ALT -04E Revised 03/15 CALIFORNIA ENERGY COMMISSION T CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly. CF -SR -ALT -HVAC) (Page 1 of 1) Site Address: v-% Esi-c a,, Enforcement Agency: Dae Prepared: Permit#: qq 030 S�-:X !DL7lS Equipment T Type Equipment Efficiency New ucting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged XEvaporator Coil 261 AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system 11 Setback System 1K Split System 3B[ Condensing Unit ❑ Compressor 14 ❑ R -8t (CZ 11, 14, IS) Ducting � O X24 sgft (Ifnotalready ❑ Mini Split ❑ Lineset SEER HSPF 11R-6 (all CZ's) Plenums present, must be Installed) i$Fumace 11 TXV EER ❑ R-5 or R7.5) !!Wesel° HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final ins ection=all forms are to be registered (no hand filled forms allowed) and a copy left on site. 91. HVAC Changeout/Repai.r Required Compliance Documents to be left on site. for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 Compressor, TXV, Uneset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS Air Handler/Fumace2 Can include new ducting Installer Requirement: Duct leakage (515%, or < SO% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct In unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ) ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF111-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HER52, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage:5 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge 113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Uneset, Furnace2 CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage:5 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge Exempted from dud leakage testing if: ❑ 1. Existing duct systems are constructed, Insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Dud leakage (< 15% or, < 30%to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing dud systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Duds is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency forapproval with this building permit application. Responsible Designer Name: �} S' GV G C Yl\ 2C'� Res onsible Designer Signature: ' � wt.tirL � Date Signed: Ifl�24IIS License: 10$(0310 Company: Address: S�mState/tp: Phone: Genexc,\ r- Cox d:� iotnir� Ai 311-10 e_s", e- �r llnousov. c.� 9zz7 %(00— 3c} 3 7� 8� For assistance or questions regarding the Energy standards, contact the energy moame at: i-auu-i it.-»uu STATE OF CALIFORNIA I„} ALTERATIONS - HVAC CEG-CFIR-ALT-04E Revised 03/1 — CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: ` I '49 • V 03 i --k G 3 k, e, C Enforcement Agency: eiO4' La. Qom.) Date Prepared: 1 D zi- 1 S Permit#: Equipment Type Equipment Efficient Y New Ducting, Plenums, Lineset. Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged g Evaporator Coil COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system Setback System ❑ Split System $Condensing Unit ❑ Compressor _AFUE I'; -7--7 0R-8' (CZ 11, 14, 15)Ducting, '+,24D sgft (if not already ❑ Mini Split ❑ Lineset SEER HSPF ❑ R-6 (all CZ's) Plenums present, must ❑ Furnace ❑ TXV EER ❑ R-5 or R7.5) Lineset° be installed) HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final Inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. X1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF111-ALT-024 Condenser Unit, Evaporator Coil, CF2R: MECH-OS, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handier/Furnace' Can include new ducting) Installer Requirement: Duct leakage (:S.15%, or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There Is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building -1 ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF111-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E; CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage:5 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Duds with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF111-ALT-024 replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Uneset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing If: ❑ 1. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (5_15% or,: 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the. dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5 -2T -2:a", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%" Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR). 4. 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 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets; calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date lgned: license: ev r� V-�e� _w � to z� tS j�g(o3tc� Company: l5eine-rs\ /air Address: 31 CI 5 ate/Zip: Phone: 760--3143--74'88 i \70iZ v v .L, For assistance or questions regarding the Energy Standards, contact the tnergy notune at: i-auu-i is-33uu STATE OF CALIFORNIA ALTERATIONS - HVACsylexy-1 ~ -7 CEC-CFIR-ALT-04E Revised 03/15 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPUANCE CFlR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) : (Page.1 of 1) - Site Address: Est-cemc, Enforcement Agency: Dae Prepared: Permit#: qct p3o C- 6a LS Equipment Type Equipment Efficiency New ucting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑Pack' ed Packaged $Eva orator Coil p �� AFUE COP ❑ R-6 (CZ Z, 8-13) Ducting Served by system ❑Setback System gCondensing Unit + ❑ R-8 (CZ 11, 14, 15)Ducting 4 0 s qft (if not already WL Split System ❑ Compressor 14 SEER HSPF ❑ R-6 (allCz's) Plenums X24 present, must ❑ Mini Split ❑ Linesetbe EER ❑ R-5 or R7.51 Lineset° installed) NFurnace ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. J:1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS' , Compressor, TXV, Uneset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace= Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing If: ❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or ❑ 3. Existing duct systems are constructed, Insulated or sealed with asbestos (list manufacture date of building ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CF1R-ALT-02-E including Mini Split CF2R: MECH-O3, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy .58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts' and one or more of the following CF1R-ALT-02-E replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Compressor, TXV, Lineset, Furnace2 CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage < 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge Exempted from duct leakage testing if. O 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feetRequired Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. I All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. Thisincludesin walls, between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25 ' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) ° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5 -2T -25/a", 2.5 -3T -2V4", 3.5 to 4T-2%", ST -4%" Contractor (Documentation Author's /Responsible Designer's Declaration Statement) 1 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 California Business and Professions Code to accept responsibility for the information on this document. 3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and6 of the California Code of Regulations (CCR). 4. 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 of the CCR. S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: �evG Sc�r,�exer Res onsible Designer Signature: ^, u � res--- Date Signed: tflf 2-61 IS Ucense: (9a(o310 Company: Address: 9—q/—StateRp: Phone: 6ex,�r�1A��Gc�r ack�ov,in 3t\-fC> e-sexxve--1 r 92x1 -7coo-343-7488 For assistance or questions regarding the Energy btanaaras, contact the energy nowne di: i-ovu-i.