PMT15-03477 City of Menifee Permit No.: PMT16-03477
29714 HAUN RD. Type: Residential Alteration
'XCCEL147 MENIFEE,CA 92586
MENIFEE Date Issued:
11/05/2015
PERMIT
Site Address: 26843 MADERA CT, MENIFEE, CA 92584 Parcel Number: 360-422-027
Construction Cost: $3,750.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of PATIO COVER WOOD REPAIR, INSTALL 1-10"SOLATUBE W/LIGHT KIT, REPLACE A/C
Work: CONDENSOR
**PLEASE VERIFY UP TO 3 4 X 4 POSTS FOR PATIO COVER**
Owner Contractor
WILLIAM STAGGS BRIGHT IMPRESSIONS INC
26843 MADERA CT 630 SOUTH GRAND AVENUE#113
MENIFEE, CA 92584 SANTA ANA, CA 92705
Applicant Phone: 7148352870
ROBERT CORMANY License Number: 844337
BRIGHT IMPRESSIONS INC
630 SOUTH GRAND AVENUE#113
SANTA ANA, CA 92705
Fee Description QQtt( Amount(S)
Receptacle, Switch, Outlet&Fixture 1 116.00
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Mechanical 1 6.65
$284.66
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Templatexpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty or perjury e nder provisions of
Chapter 9(co g with sectio 0)of Divisio of the Bu 'pess-and By my signature below I acknowledge that, except for my personal residence in
Professions Code y license i in orce an which I must have resided for at least one year prior to completion of
License Class improvements covered by this permit, I cannot legally sell a structure that I have
Expires Z— I- / Signature built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: submitted or t the following
Web site:
I have and will maintain a certificate of consent of self-insure for workers'
1.
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
+? —, construction.I authorize representatives of this city or county to enter the above-
Carrier �r / (� / identified property for the inspection purposes.
Date
Policy# ' 7U 7��/� (�Expires CJ
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ I certify&rs'
orman a of the work for which this permit is issued,I
shall not eons n any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers' cqf California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject toFbnsation provisions of Section 3700 of the LaborCode, I shp with those provisions. amounts spe d on the Hazardous Materials Information Guide?
❑YES NO
ApplicantDate; (— S Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideline
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS DYES 0
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the propose uildi or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of chool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 0
CONSTRUCTION LENDING AGENCY I h e read the azardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending rmitting ch ckli . understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section alifornia a &Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) azardou teria ing.
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work, and the structure is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.:
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Arknnw]—inomont
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION"
'Menifee
DATE ��� s��� PERMIT/PLAN CHECK NUMBER t V5— O
TYPE: C'COMMERCIAL �ENTIAL % MULTI-FAMILY 0 MOBILE HOME CO POOL/SPA O SIGN
SUBTYPE: O ADDITION L RATION O DEMOLITION ELECTRICAL O MECHANICAL
O NEW = PLUMBING O RE-ROOF-NUMBER OF SQUARES 22
DESCRIPTION OF WORK �i 7 ( D� L-t�� �� �o �f��i, ` Gc,(l 7 6)
PROJECT ADDRESS
ASSESSOR'S PARCEL NUMBER �W V tea- -� LOT TRACT
PROPERTY OWNER'S NAME 4�4AU(j
ADDRESS
PHONE EMAIL
APPLICANT NAME 6�C r r
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? YES-&f
BUSINESS NAME ` s51 C
ADDRESS � SalA4 A n ?cl)
PHONE j - /7 EMAIL
CONTRACTOR'S STATE LIC UM LICE
NSE ENSE CLASSIFICATION
VALUATION$ 3 7 S
APPLICANT'S SIGNATURE DATE
i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT AMOUNT %CASH O CHECK# 0 OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES NO DL NUMBER NOTARIZED LETTER CO YES 0 NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92585 951-672-6777
www.cit yofinenifee.us Inspection Request Line 951-246-5213
City of Menifee
BLO(ding & Safety Dept.
j l-P-Irvl--tk Avvx NOV 0 5 2015
CITY OF ME'
BUILDING P : "'MENT
FLAN APPFz ,-
REVIEWIF) ,
D
...... -.a a permit for,or In
*Approval of tlies�*Approval
v 0'
p p' a' "
Aera,stat""
approval ot,any wji,.
regulations
ti a
egulations and ordin3n.c.— Jans must be kept on the
j j t 11 tj
obsite until completicri
1-1-77
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P
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swap
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2X SOLID BLOCKING REQUIRED FOR 2X2 OR 2X4 03"O.C.MIN.SPACING Y."PER FOOT MIN.
ROOF SLOPE:
ALL SOLID PATIO COVERS W/MIN(3) LATTICE OR/z"NOMINAL PLYWOOD RAFTER SPACING: EDGE NAIL PLYWOOD W/8d
16d TOENAILS TO HEADER,OR A-34 WITH BUILTLP OR ROLL ROOFING SEE TABLE"A" NAILS @ 6"O.C.(SrnNonRD 6"/ ---- ,
OR EQUAL FRAMING ANGLES 12"NAILING ELSEWHERE) �
7011ERH-ANG
SIMPSON H2(OR EQUAL)SIMPSON(OR EQUAL) I�24� HURRICANE CLIPS @ 48"O C.HEADER SPAN&S2E: POST CAPSOR SEE TABLE"B- A'1AX LEDGER SEE TABLE 'D'T"STRAP EACH SIDE OVERHAN FRAMQiG DETAILS(PG.2)
/:"DIA.THRU BOLTS
KNEE BRACE: —30-- -- "" OR 16d NAILS
CLEARANCE: SEE FRAMING
6-8"MIN.
DETAILS(PG.2) R RAFTER SPAN&SE SEE TABLE"A'
8'-O"MAX.
EXISTING WOOD
•------- STUD WALL
TYPICAL COLUMN BASE-USE
4X4 POSTS — — SIMPSON CBSO,PBS _- 3 I/z"CONCRETE
OR EQUAL W/BOLTS/ I SLAB TYPICAL
MIN SCREWS/NAILS PER
I' ..,— SLOPE
O MFG.SPECS.
n''yI $ u 4X4 POST
"a a��I -" ie 'Sun . 1"STANDOFF BE7WEENi`-.______-
CONCRETE AND WOOD
POST
L� FOOTING S2E: ..
SEETABLE-C
FRO�VII `-------------------------------------' SIDE Vi
TABLE "A" TABLE TTBTT TABLE TTCTT TABLE TTDTT
RAFTER SPANS HEADER SIZE& SPANS FOOTING SIZE LEDGER
(DOUGLAS FIR#2 OR BETTER) (DOUGLAS FIR#2 OR BETTER) BOLTING
SIZE SPACING SPAN RAFTER HEADER BASED ON 1000 ALL LAG BOLTS
P.S.F. SOIL BEARING SMALL HAVE la
SPAN SPAN SIZE PRESSURE. PRE-DRILLED
HOLES-(SEE NOTE 2)
2 x 4 1211 O.C. 9'-10" 8'-0" MAX 4 x 6 18" S .X 12" DEEP
1 6" O.C. 8'- 1 1" UP TO 10'-0" MAX 4 x 8 18"SQ.X 12" DEEP 3/8" DIA. X 5"
24" O.C. 7'-8" 12`-OTT 12'-0" MAX 4 x 10 1811 SQ.X 1211 DEEP LONGAT 1 6" O.C.
32" O.C. *6'-3" 14'-0" MAX 4 x 12 18"SQ.X 12" DEEP
STAGGERED
2 X 6 12" O.C. 15'-4" 12'-1'T 24" SQ.X 12" DEEP
S
16" O.C. 13'-9" TO 10'-0" MAX 4 x 10 24" SO.X 12" DEEP LONG AT ,1 6
24" O.C. 1 1'.-3" TI 12'-0" MAX 4 x 12 24" SQ.X 12" DEEP O.C.
32" O.C. *9'_7" 20-0 14'-0" MAX 14 x 14 1 24"SQ.X 12" DEEP
2 x 8 1211 O.C. 20'-O" NOTES:
1 6" O.C. 18'-2" 1. TWO 2X MEMBERS MAY BE SUBSTITUTED FOR ONE 4X HORIZONTAL r
24" O.C. 1 4'- 10" FRAMING MEMBER.
32" O.C. *12'-8" 2 LAG BOLTS MUST FULLY ENGAGE A WOOD STUD OR RIM JOIST AND BE
2 X 10 12" O.C. 20'-0" PROVIDED WITH APPROPRIATE WASHERS. LAG BOLTS SHALL BE LOCATED A
1 6" O.C. 20'-0" MINIMUM OF 1-1/2"FROM THE TOP OR BOTTOM OF THE LEDGER.
24" O.C. 18'- 1 1" 3. NOT DESIGNED TO BE ENCLOSED-ADDITIONAL ENGINEERING ANALYSIS WILL
32" O.C. *1 6'-2" BE REQUIRED IF ENCLOSED.
4 X 4 24" O.C. 10'-0" 4. SE AGEQRF'Z Yf7R IfATRUCTION DETAILS.
" O.C. *9'-3"
48" O.C. 7'-8" DISIMI=K.I 9 AND SAFETY DEPARTMENT
48 *
4 X 6 24" O.C. 1 5' 1 1 IFALTEIP 49 MAY BE POSSIBLE WHEN PROVIDED WITH AN
ENGI E A U OF THIS NVENTIONAL STANDARD DESIGN IS
32" O.C. *1 '- " AT THE USER'S RISK AND CA I S MPLIED OR INFERRED GUARANTEE
48" O.C. *1 1'-3" AGAINST FAILURE OR DEFECT .
4 x 8 2411 O.C. 20'-0" REVIEWED
32" O.C. *18' 2" w 1DE tMiTrffCo tjN1 PROGRAM
48" O.C. CITY OF MENIFEE
* THIS SPACING AND SPAN *Approva of theee-pla s3 g not he onstruedB1A11 P1NC#oP9FV TMENT
ENIFEE
IS FOR LATTICE PATIO approval f,any 1.t.q atlon of ahy provi ions of the federal,state or city
COVERINGS ONLY. regulatioi s and orbances.'this set approAAp T4gj 6?V_ Rn§TANDARD
jobsite u 2-6777
29714 HAUN ROAD,MENIFEE,CA 92586
FAX(951)679-3843 2/24/2014 WWW.CITYOFMENIFEE.US PAGE i OF
4t,
.4
KNEE BRACE DETAIL AT END POSTS LEDGER ATTACHMENT
(REQUIRED WHEN RAFTER SPAN EXCEEDS 12 Fr.) DETAIL
24" 24" EXISTING
ROOF
—HEADER 0 EDGE NAIL 3/6"X 5"
PLYWOOD AT 6"
O.C.AT LEDGER LAG
'h"DIA BOLTS W/NuTs a BOLTS
WASHERS TYPICAL ALL
45*
BRACED CONNECTIONS EXISTING
STUDS
4x4 BRACE
NUT a
BOLTS
W/ S
4-4 3 L—'CAL ALL
'SCNNE.T'ON
X _C
4X4 I]
(2)2X4 BRACES RAFTER
3" A 0 A APPROVED JOIST N,
P X�POST —Z@ 2xLEDGER
OST _AV_ 4X4 POST HANGER
SECTION A-A
t NOTES:
/NOTE I.USE A CONTINUOUS 2X LEDGER—SAME DEPTH
I- AS RAFTER OR LARGER
OPTION I crymcAo OPTION 2 2.SEE TABLE"D"FOR BOLTING REQUIREMENTS
INVERTED HEADER DESIGN OPTION (LATTICE ONLY)
TWO 1/2"DIA.THRU-BOLTS
0 (W/WASHERS), PER
0 CONNECTION AS SHOWN
0 0 FOR HEADERS OR RAFTERS-
0 0
0 TWO 2X MEMBERS MAY BE
SUBSTITUTED FOR ONE 4X
MEMBER. SEE TABLES "A" &
"B"FOR SPAN LIMITS
NOTE KNEE BRACING REQUIRED
WHEN RAFTER SPAN
EXCEEDS 12 FEET
2X FASCIA(OVERHANG)ATTACHMENT LATTICE ONLY
c O"ON I 021110N 2
2X4 RAFTERS OR PREFAB.ROOF TRUSSES
2X4 LEDGER W/20d NAILS OR'/"DIA.X 4" 2X6 OR LARGER RAFTERS
LONG LAG BOLTS @32"O.C.
2X4 STRUT W/(3)8d TOENAILS SIMPSON A-35 OR
FROM STRUT TO LEDGER ————— EQUAL ANCHOR
(2)16d NAILS IVI
2X FASCIA
A-35 OR EQUAL ANCHOR JAI APPROVED
2X FASCIA JOIST HANGER
APPROVED JOIST HANGER
0 mgmmm 2X2 OR 2X4
PATIO RAFTERS PATIO RAFTERS
SEE TABLE"A-' A� SEE TABLE"A"
30"MAX PATIO RAFTER SPAN PATIO RAFTER SPAN
OVERHANG LIMITEDTO 87OR LATTICE 30"MAX UM]ITEOTO 811FOR LATTICE
COVER OVERHANG COVER
• WESTERN RIVERSIDE COUNTY CODE UNiFoRmrry PROGRAM
NOTE: VERIFY STRUCTURAL SOUNDNESS OF ROOF CfrY OF MENIFEE
RAFTERS FOR DECAY OR TERMITE DAMAGE, BUILDING DEPARTMENT
AND REPLACE WITH LIKE MATERIALS AS MENIFEE
NEEDED, AFTER CONSULTATION WITH THE r PATIO COVER STANDARD
BUILDING DEPARTMENT.
(95 1)672-6777 29714 HAUN ROAD,MENIFEE,CA 92586
FAX(951)679-3843 2/24/2014 WWW.CITYOFMEN 20F2
STATE OF CALIFORNIA f3
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE amity of Menifee CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) N`' (Page 1 of 1)
Site r Enforcement A en Date Prepared: Per it#:
1
Equipment Type Equipment Efficiency New Ductk-7,Pl—n iy — et: Conditioned Thermostat
�� Required R-var e Floor Area(sq ft)
❑Packaged System ❑Evaporator Coil AFUE COP ❑R-6 (CZ 2,8-13)Ducting Served by system ❑Setback
❑Split System ❑Condensing Unit ❑R-8' (CZ 11,14,15)Ducting Z�sq ft (if not already
❑Mini Split ompressor SEER HSPF ❑R-6(all CZ's)Plenums present must
❑Furnace ❑Lineset < be installed)
❑TXV EER ❑R 5 or R7.5)Lineset
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is Allewed 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.
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,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS2,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>_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' 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 CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_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 or 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 Documents to be left on site for Final:
New ducting but less than All New Ducts' I 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
3 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 1.5-2T-2%",2.5-3T-2W,3.5 to 4T-2y8",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 Cpts,calculations,
s(CCR).
4. That the energy features and performance specificati nents,and manufactured devices for the building design or
system design identified on this Certificate of C i eequirements of Title 24,Part I and Part 6 of the CCR.
5. The building design features or system desi fe res iertificate of Compliance are consistent with the information
provided on other applicable compliant doc ents,woions,plans and specifications submitted to the enforcement
agency for approval with this building pe t application.
Res?nsibl Desig er Name: Re onsi ig ure: Date Signed: �— ense:
pang: d City/State/Zip: Phone:
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300