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07-1632 (MECH)r'• w P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: >y07�00001632 Property Address: 550`69 OAK HILL APN: 775-141-025- - - Application description: MECHANICAL Property Zoning:. LOW DENSITY RESIDENTIAL Application valuation: 8000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT' Owner: RAUPAH 55069 OAK HILL LA QUINTA, CA 92253 VOICE (760) 7777,7012 FAX (760) 777-7011 INSPECTIONS (760) ,777-7153 Date: 6/04/07 Contractor: Applicant: Architect, or Engineer: AIR EXPERTS AIR -C TI G. PO BOX 94 LA QUINTA,. .922 (760)7772'uk l Lic . .No 3;,P 1.t D _.cam -----------=------- NTRACT.OR'S-DECLARATION WOR R:S�p l.hereby affirm under penalty of peri thatiham Ii ens under provisions of Chapter, 9Icommencing with -I hereby. affirm under penalty of perjury.orie of Section 7000) of. Division 3 of the I siness and r ssionals Code, and my License is in full force and effect, I'have and will maintain a certrficate License Cl C20 Li nse No.:,- '725283 , •-�� _ .' forby Section 3700 of theLaoor issued. ate:.. - ontractor: ` - — I have and will maintain workers'co " Code, for the performance of the OWNER -BUILDER DECLARATION '...insurance' carrier and policy numt I hereby affirm under penalty of'periurythat I am exempt from the Contractor`s State License Law for.the - Carrier EXEMPT .. f following reason (Sec. 7031x5 _Business acid Professions Code: Any city or county that requires a permit to w/ I certify_ that,. in-th' !rfo,rm o construct, alter, improve„demolish; or;repair any structure, prior to its issuance,. alsd regbires,the applicanffor the - P` ?person in manlier`-” .as to. be _ •:+permit,to.file a signed statement -that he oCshe'is'licerised pursuant to the. provisions of the ,Contractor's State License Law (Chapte(9. (commencingwith,Section 7000) of Division Sof the Business and Professions Code);or -.•arid agree that, if 1 sho Id become _ ,;' 3700:ofthe Labor Code I sha rthat he.or she,is exempt therefrom and the basis for the alleged exemption. ,Any wolation�of Secti7031on,-5 by .. anyapplicant for :a per b- theapphcant to a civil penalty of not more than fivehundred tlollars IS500):;. Date pplicant: (• 1 I, as -owner of the property,.or'my:employees-with.wages'as theirsole compensation, will do the work, and ����� ION DECLARATION ` ofconsentto self -insure for workers' compensation, as provided 'Code, for the performance of the work',for which this permit is mpensation insurance, as required�by Section 3700 of;theiabor work`for which this permit is issued. My workers compensation r ` .>•. r.. - er are:- i yNumber EXEMPT _ - •..: k-fot which -this permiPisissued, I'shall not employ any bject to the'workers' compensation laws of California, . s lect to the workers compensation provisions of Section .. h ith co pl with those provisions. the structure;is not iritended orioffered for sale (Sec. 7044, Business and Professions Code: The •-WARNING: ,FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL, Contractors' Ststali6ense-Law does not apply to an owner of property who builds or improves thereon, SUBJECT -AN EMPLOYER TO CRIMINAL -PENALTIES AND.CIVICFINI°S'UP..TO`ONE HUNDRED THOUSAND and who'doesthe.work himself.ortierself through his or her own:employees, provided that -the DOLLARS (5100,60& IN'ADDITION TO THE COST'OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not.intended oroffered for sale. If, however,.the building or improvemenvis sold within SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '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 ofsale). ' ' - APPLICANT ACKNOWLEDGEMENT ' ( 1 1, as owner of the property, am exclusively contracting with.licensed contractors to construct;the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety.for.a,permitsubject,to the 7044, Business and Professions Code: The Contractors' State License Law does novapply'to an owner of conditions and restrictions:skJorth on this application. property Who builds or improves thereon, and who contracts for the,projects witha,contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for .pursuantao,the Contractors' :StateLicense'Law.). whose benefit work is performed under or pursuant to any permit -issued as a result of .this application, "(— 1 I am exempt untler Sec. B.&P.C. for this reason - the owner -and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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' Name: 0. PA Lender's Address: LQPERMIT of La Quinta; its officers, agents and employees'for any a1.ct 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 becInes null and void if work is not commenced. _.within 180days from date of issuance of it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this -application and state,t at the abo nformation is correct. I agree to comply with all city and cou rdinances and state laws relating. buildi nstruction, and hereby authorize representatives of this ty o E;:�=ant -mentioned p y for spe tion purposes. ate: or ent): i LQPERMIT Application Number . . . . . 07-00001632 Permit . . . . . MECHANICAL Additional desc . • Permit Fee . . . . 51.00 Plan Check Fee 12.75 Issue Date . . . Valuation . . . . 0 Expiration Date 12/01/07 Qty Unit.Charge Per Extension BASE' FEE 15.00 2.00. 9000'0 EA MECH FURNACE <=100K 18:00 2.00. 9..0000 EA MECH B/C <=3HP/100K BTU 18.00 'Special•Notes and Comments INSTALL 2.,NEW3,TON GAS=ELECTRIC . PACKAGE :,A'/G --, ITS; Fee summary: ? Charged Paid Credited Due a Permit Fee Total' 51.00`.- 00" 0.0 51.00 Plain -Check. Total 12'. 75 . 00 . 00 12'. 75 -Grand•Total 63.75 00 .:00 63.75 LQPERMIT Iain # City Of -La Q '. uinta Buiiding 8t:'Safety Division : P.O. Box 1,5--78,-49504.Calle Tampieo La, Quinta,:CA .92253 - (760) 777-70.12 Bullding Permit; AP Alcation andTracking Sheet Permit # 1 Project Address: S^� Q Owner's Name: A. P. Number: Address: t- Legal Description:City, Contractor: Ale EXAAej: Ss ST, Zip: Telephoner Address: — . d�OX %- _ Project Description: City, ST, Zip: Qu 1, fJ 1- l— � ,9 Z24 7 Telephone: % %7 /72 State Lie. #.: .�%Zz City Ltc # Arch.,'Engr., Designer: Address: City, ST; Zip: - Telephone: State Lic. #: Name of Contact Person:. Construction Type: Occupancy: Project.type (circle one): New Add'n Alter Repair Demo "St Ft : #Stories: #Units: Telephone # of Contact Person: Estimated Valve of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE #. Submittal Req'd Reed TRACKING• PERMIT FEES Plan Sets Plan Check s' Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Persou:., Plan'. Check Balance . Energy Cales. Plans.picked up'Construction Flood plain plan, _ � Plans: resubmitted Mechanical Grading.plan 2°°'Review, ready_ for.correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up •S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:= 3'4 Review, ready for correctionslissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees.` Certificate of Compliance Prescriptive Method - HVAC-onlv Alteration rF-1 R -AI T Project Title- tAPA4 Date/: 6` L41,0-7 ©CaICERTS 2005PA Enforcement A enc se nl Project Address: p e 0 i d 1 Climate Zone: Building Pe;mit # Do zl tation Author: MA Telephone: 777-7 l� Z Plan Check Date Company Name: A /!C %S Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # I of systems altered in this house. Check all lines that ap_oly. Check only lines that anniv Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 n o td condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. -[I Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV RCA are required. Go to Section 5. Section.1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach premous CF -4R toren. Go to Section 2. r 10 ❑ This ducts stem is sealed or insulated wiih asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV, if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND added duct insulation (R-4 wrap on existing ducts, R-8 new ducts) in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AMr_% EER 12 condc^ser v:ill be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sexing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12,14 or 16: An SEER 14 AMU EER 12 condenser will be installed with TXV(RCA) D an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16_0**'The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. _ 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ IThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 ❑ This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section - HERS Rater verification 22 If line 15 is checked, HERS vanfication is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17L HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ Ilf lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used or projects baling ve."Ifiled by CaICERTS certified raters. www.calcerts.com Certificate of Compliance' Peescriptive Method - HVAC -only Alteration CF -1R -ALT rro)ecr I rtle: PM 1D9te- ©CaICERTS 2005 ,XA IMPORTANT: This CF, -1 R-ALT:form is only, fo'r use when an HVA my alteration is made to an existing home Use one form for eachaystem being,altered:. This is system #1` of Z- systems altered in this house. Section 6 - Minimum Requirements for Equipment 'to be Installed/AIII&W. Installed equipment must match typ�ion and meet or exceed effiaencies/R-values. 28 Configuration: ❑-Sprit system Package Unit 29 r Handler as furnace, AFUE: U❑Heatpump FAU ❑Hydronic FAU 00ther 30 ❑ Heat ExDhan er 31 door Condensin Unit F ❑Heatpump tficie SEERMSPF: EER if r d 32 Coormg.orhealing cog C' ❑Heatpump ❑Hydronic 33!EL01 Duds Location:. fLength (fl):IR-value: All mandatory measures a6ply10 an Compliance Statement: altereiixom onent: See'MF-1 R -ACT form. This certificate of compliance lists the building features andspecifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the with individual overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require .installer testing and certification and verification by anapproved HERS rater. Home Owner or Authorized 'Agent - Document n Author ` Name: 11AmpanyName: Address: City/State2ip: Address: 4 Phone.- City/State/Zip: Phone: 7 d `?7 o7z4 Signature: !Signature: Enforcement Agency (Building Department Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies.to homeowner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement, agency, HERS rater. CF -4R -ALT: by HERS rater. Required to Gose permit. Copies to homeowner, enforcement agency,'inMaller. The CF -4R forms for a sample group shall not be released until all testinn and vPrifienrinn is ,.n,-r%le#ea —4 w..w..—J s -c •— __. __ _ - Version 03-10-06 L4,vuw. This form can only be used on projects being verged by Ca'ICERTS certified raters.Page 2 of 2 www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -IR -Al T Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Project Title: Date: VA ©CaICERTS 2005 U P d Enforcement A en Use Only Building Permit # Project Address: O Climat� Zo ey Docu on -Author.--. — . elephone: Plan Check Date ✓ ea "� /til16A) 7- 7 I ZZ Company Field NTe: Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVA -only alteration is made to an existing home Use one form for each system beingaltered. This is system # of Check Z systems altered in this house. all lines that aggly. Check only lines that apply Scope of Alterations: 1 ❑ n Air Handler is to be inor replaced. Duct sealing to be determined. Continue to next line. Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 outdoor condensing unit is to be installed.or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 5 ❑ cooling or heating coil is to be installed or laced. Duct Sealingand/or TXV(RCA) to be determined. Continue to next line. More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA)-are-required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is reQuied. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R forth. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealin is uired. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing (and if Iicable -M, . 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 Ablt2 EER 12 condenser will be installed with TXV(RCA) AND added duct insulation (R-4 wrap on existing ducts, R-8 new ducts) in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AMJ— EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 ANN EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 1 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section V(RCA)((Only if Lines 3 or 4 are checked, otherwise got to Section 3 16,0'The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA)is uired. Go to Section 3. 19 ❑ This s stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA is r uired. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 ❑ This system is in Climate Zone 2 or 8-15 and line 11, 16 or 11 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 -,HERS Rater verification 22 If line 15 is checked, HERS verification is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ 27 ❑ ore than 40 feet of duct is bein installed or laced, duct R -value must meet or exceed Pac e D requirements. FIfIess than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 -see next age Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com r Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: Date: . / �p U © CaICERTS 2005 IMPORTANT: This CCF -IR -ALT form is only for use when an HVA my altegition is made to an existing home Use one form for each system being altered. This is system # of Gsystems altered in this house. Section 6 - Minimum Requirements for Equipment to be lnstalled/Altered. Installed equipment must match typetlocation and meet or exceed of i iencies/R-values. 28 Configuration: ❑ Split systenVB�adcage Unit 6 29 r Handier as furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31Outdoor Condensing Unit ❑Heatpump kftency SEER/HSPF: JA 1EER d read): 32 ooling or heating cod ❑Heatpump ❑Hydronic 3 ❑ Duds Location: Length (H): R -value: All mandato measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regul &lons to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documenta ALon Author Name: :Name' �� �>` N Address: Company Name: A►� City/State/Zip: AddrpIrCSQ I Phone: City/State/Zip. ZA Qu►N-I-. CA 2Z4 Phone: _.---------- Signature: Signature: Enforcement Agency (Building Department) Notes/Commen s: Name: 1 I . Title: -- Department: I I Phone #: Fax #: r Signature or Stamp: Required forms: CFAR-ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be relP,ased Until all t?Shnn and verification IS completed and passed for the entire group. version yr iLH Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Jun 06 V 09 25a 7603603277 760.360-3Z77 P • a •CF -4R CERTMICATE OF FIELD VERIFICATION WDIAGNOSTIC TESTING e 1 of 8 Walter Nellis HERS Rater Flan: VAIr solutions of the Desert Street Address: PMB 150 42-208 Washington street Air Experts / 725283 contractor Name/ license No. 07-1632 Telephone Permit Number 275-4919 64631 Telephone Sample Group Number e6,200115 CC34-17amns213 Date certificate Number HERS ProvidenCall t1S, Inc. City/State/Zip:Bermuda Dunes ( CA /92203 Copies to: Homeowner HERS Provider and Building Department This CF -4R has been registered with the CaICERTS® registry In accordance with the Title 24 r3<Title 20 of the CCR. CaKERTSO is an owed HERS provider b the California En Commission. HERS RATER COMPLIANCE_STATE14ENT mple testing, but was not tweed. The house was LITested YlAPp� as part of sa As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements a5 checked on this form• The HERS rater must check and verify that the new distribution e H system is fully dueled and correct tape is used before a CFs. release the CF -4R until a property completed and signed has -4R mayreleased received for the e a �IngThtested buiid�ingrater must not The installer has provided a copy of the CF -611 Installation CertJflcate New Distribution system is fulty,ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive dud ttap*e �is I'talle , asti and dra�nds are used in NEW CONSTRUCTION Measured Duct Pressurization Test Results (CFM 0 25 Pa) Values N/A 1 " 2 Fan Flow: Calculated (Nominal ._: CooBng -: Heating) or -•:'Measured Not Tesred Enter Total Fan Flow in CFM: WA 3 ALTERATIONS: Duct System and/or HVAC Equipment Mange -Out N/A Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test or Existing Duct Systiem Prior to Dud Not Tested 4 System Alteration and/or Equipment Change -Out. Eimer Tested Leakage Flow in CFM: Final Test of New Drxr System or Altered Duct System for Not Tested 5 Duct System Alteration and/or Equipment change -Out Enter Reduction In Leakage for Altered Dud System Not Tested 6 [Une 4 - Line 5] - (Only if Applicable) Not Tested 7 Enter Tested Leakage Flow in CFN to outside (Only If Applicable) JPass UFail Entire New Duct System - Pass -if Leakage Percentage < 6% [ 100 x ( Line S / Line 2 )]: Not Tested 8 OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC TEST of the fnitowing four Test or Verification Equipment Change -Out, use one Standards for compliance: Not Tested --1l JPass OF.11 9 Pass if Leakage Percertage <= 1543 [ 100 x (Line 5 /Line 2 )] —I- Fail 10 Pass if Leakage to Outside Percentage 10% [ 100 x ( Line 7 / Line 2 )]: Not rested pass Pass if Leakage Reduction Percentage >= 60% [ loo x ( Line 6 /Line a`)) Not Tested ass Fail 11 and Verification by Smoke Test ana visual Inspedlon UFall 12 Pass If Sealing of all Accessible Leaks and verificatiorr by Smoke Test and Visual Inspection JPass UFatf Pass if One of L Jun 08 Ory 09:26a 7603603277 760.360.3277 P-6 -.—.-_ ail sik A _ U%1Af'-nniv Alteration CF -SR -ALT iinta((ation certmcaie r-rca%..•r•■*� ..��.__ •-_--- ----. - roject Title: fie: 0 2005 CaICERTS J1 � �D Q t�toroe�aecn u®a rojegAdd`yre-ss ! ` ten Climateane: eummil Pe a 0 �L^4 nstalling Contractor. Teleptrone: Pfau gredc Dace ✓RN V FeW Company Date Name:` IMPO ANT: This CF -OR fomr is only for use when an WAC -only ek on a rra�de to an existing home Use one form for each system being altered, This is system #__t_ of systems altered in this house. C to Homeowner, HERS Rater. and Building Department List the speafi bons for the newly installed equipment. These must match the installed equipment exactly. Installed ui int must match location mrd meet or exceed effidenciesrR-values from CFAR. ' Equipment T Manufacturer Model Number Eifieien Load' Ca a �� Furnace Heat Exchanger WA Feat Pump fan coil WA Hydronic fan coil WA Other FAU Describe Pardcage gas/AC AR' 33 SEER (0 Package heatpump HSPF IS -EER EB2' A/C Condenser EER Hestpump Condenser HSPF SEER Indoor DX coil EER' Hydronic coil Provide EER W needed for compliance (fine 24 of C:FAR-ALT). Installer must provide adequate documentation to verify EE:R. In some cases the speck furnace may need to be verified in order to achieve a specific EER to ve verified in order to achieve a specific EER. In some cases a time defy relay and/or TXV may need " toads are sensible for roofing. Capacities are sensible at design conditions for cooling and acgusted (altitude, downfiow, etc.) output for healing, 0 if TXV is required by the CF -1 R form (fine 23 on CFAR-ALT form), is has been Installed and access has been provided for visual verification by HERS rater. Sam Gn is Mowed for TXV verification. Entirely New Duct System: (Line 5 of CF -IR ALT) O For Entirely new duct systems, the required leakage is 6% rather, than 15% for altered systems., The alternative to duct sealirm by increas' the effi ' of the ggiennit is not an option for enthetf new duct systems. to or more efficient I, the verify that the,equipment listed above 1)'tno actual equipment installed in the home; 2) equal undersigned, by the Certificate of Compliant* (CF -IR -ALT Form); and 3) equipment that meets or exceeds the appropriate than required requirements for manufactured devices (Appliance Efficiency Standards). where applicable. form in conformance with the requirements for I, the undersigned, e' t diagnostic test resuRs listed on this were performed installed or retrofitted mechanical *fem componerds conform with the Mandatory requirements wmpfiance the pecifre Section 50( t 20105 Building Energy Efficiency Standards. —7 ed I all Date: Page 1 of 2 Version 0310-M This form can only be used on projects being verified by CaICERTS certified raters. www•catcerts•com Jun OB 0�7 09:26a 7603603277 760.360.3277 P•7 incloun4inn r.Artiftrate Prescriative Method - HVAC -only Alteration CF -6R -ALT Project Title: - -- - - - Date: 02005 CaICERTS a d IMPORTANT: This CF -811 form is only for use when an AC -only alteration is made to an mdating home Use one form for each system being altered. This Is systemit of_ systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results (if dud testing is required per CF -1 R -ALT form Step 1 - Pre-test Leakage of the ETMbeforeany alteratiorm This test is.op5ona I and is only used for Via 60% reduction option 1 Pne-test leakage. i425 2 1 tine t x 0.4 liarnei for W% reduction Step 2 - ennineTotoSystern Fan Flows Use any of these methods Use values for equi atter attera5ons. 3 Cooling: Condenser lormage: tons x 400 CFMRon = I i Z4UO JCFM 4 Healing: Fu nape output Btuh x.0217 CFMfBtuh = FM 5 5 Measured: (refer to ACM Manual Appendix RE, section 4:1) = FM Measurement method: O flow hood 13 Plenum pressure matdiing O flow grid 7 Total system fan flow value to be used I I ZO-0 JCFM may use highest of lures 3.4. or S. Step 3 - Oetertrmte Tar 138 Total System fan Low (rine 7 from above) x 0.06 = = 6% leakage target (new duet systems) Bb Total System fan OtSw (tine 7 from above) x 0.15 = CFM26 = 16% leakage target 9 otai Sstem fan flow ne 7 from above x 0.10 = I ICFNI25 = 10% laskage to dAside target Step 4 -Alterations 10 ❑ Must be consistent woh the CF -1 R form. seatanirrewcommcbonsvAtha nuteriais. 11 ❑ No newly oonstnaled portions of thesyslem can have undurted buildhw cavities to convey system air. 12 ❑ V adding or repiadng more then 40 feet of duct, insulate new duces Wr Package D for that climate zone step 5 -Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = FM25 refer to 2005 ACM appenox RC, Sections RC 4.3.1 4a ❑ R one 13 Is less than lure 8a house passes the 6% leaks a requirement, Go to Step 9. 41; A3- ff=—effliii less than tine Vs. house the 1556 leakage requirement. Go to StED 9. 15 ❑ If one 13 is less than lure I house set the 60% reduedon requirement con8nue. 16 either of tines 14a, 14b or 15 are checked. FIRS verfbcatlon is required. sampling can be used. 17 13ch If one 15 Is eck but not 140 or 14b. Smoke Test and Visual Inspection of AccessihM DW Sealing is reandred Go to Step e Step 6 -Leakage to Outside: Similar to a regular dud Waster test but the house is pressurized to 25 pascals at the same time. 18 Ileakage = I _1CFM25 refer to 2005 ACM appendix RC. Sections RC 4.3.3 19 ❑ in line 18 is lees than line 9 house passes the 11^ leakage to outside requirernerd. 9 O If one 19 passes, HERS verification is required. Samplim can be used• Step 7 - it the house does nol pass any of lines 14, 15 or 19. 21 ❑ Ismaq Test and VmW inspection of Aconiuble Dia Sealing is required. See Step B. 22 ❑ linstall required label perACM Appamcfix RC. Sections RC.4.3.5. Stop 8 - S 23 O Test and Visual Verification 005 Residential ACM Appenobt RC Sections RC 4.3-15- Perrone smoke ACMpendix RC Sections RC 4.3.6. 24 ❑ Perform Visual In and reosir of excessively damaged ducts perACM Appendix RC Sections RC 4.3.7. 25 ❑ Sealregisterbaots to surrotmefing material per ACM RC. Sections RC 4.9.7. HERS Vefification 26 Itne14 is checked. 15% leakage is beverlfied by HERS rater. Samp&q is allowed. 27 ❑ if one 15 is checked. 6D% leakage reduction to be verified by HERS rater (post test arty) AND Smdm Te St and Visual Vedfi a8ah to be awned HERS Rater. Sampling is allowed. 28 13 If line 19 is checked. 10% to outside to be veribad by HERS rater. Sampling is aflawed. 29 (3 If none of lines 14.15 or 19 are checked Smoke Test and fox all aaoessable leakes. NoSamplivigallowed. Sampling yilhousepassesonfines114.15crig. 301.) Hpmeawner chooses to be put Into a group of homes for tendon third petty HERS sampAng. 2.) Homeowner. installer and tater must.sign the ouee-party agreement 1,33A6 above tests must be camplaW by the installer or their MgMEMalive not the third party rater. No Samplbla -House does not pass by lanes 14 15 or 19 OR homeowner chooses not lobe part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by in'"' 2.) Homoommor, installer and tenor const sign tht: (treepany agreement 3.) All above tests may be completed by Ore arstaller or their representatim and then verified by a third party rater. OR all above tests may be solely by the Ott! party rater. 32 ❑ 1.) House to be tested by Orad party HERS rater selected by homeowner. 2.) AO above tests may be completed by the installer or their representative, and Oren verified by a third party rater. OR. all above tests may be perionO solely by the Chad party rater. pnno7nf9 Version 03-10-05 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Jun 09 07 09:24a 7603603277 �r 760.360.3277 P•z CERTIFICATE OF FIEI D VERIFICATION DIAR�10SiIC TESTING (Pane i of 8) CF -4R Firm: Air solutions of the Desert street Address: PMB 150 42-208 Washinctpn Street Air Experts / 725283 ContMolor Name / License NO - 07 -1632 Permit Number 64631 Sample Group Number CC14-1798405212 Certificate Number rnr=ry rwvider CatCERTS, LtG City/state/Zip:eermuda Dunes -/-CA / 92203 Copies to: Momeowner HERS Provider aad Building Department This CF -4R has been registered with the CaICERTSO registry In accordance with the Title 24 &Title 20 of the CCR. CaICERTSO is an approved HERS provider bythe Cailfomla Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Nested Approved as part of sample testing, but was not bested. As the HERS rater providing diagnostic testing and field veriftcation, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape is used before a CF -41t may be released on every wed building. The HERS rater must not release the CF -41% until a property completed and signed CF -61% has been received for the sample and tested buildings. The installer has vided a CpIW of the CF-6R(Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of - ducts). -1.ea n hhar adharive duct tape Is installed, rnastic'and drawbands are used in Jun 08 07 09:25a 7603603277 certificate Prescriptive Method - 760.360.3277 P.4 Alteration GF -6R -ALT ® 2005 CaICERTS Condenser 11 1 1 11 provide EER if needed for compliance pine 24 of CF -IR -ALT)_ Installer must provide adequate documentation to verity EER. EER - In some rases the s"'P sac furnace may need to be vetfied in radar to achieve a specific EER to some eases a time delay relay and/or TXV may need to ve verirwri in order to achieve a specific EER. Loads are sensible for cooling - �- -- _r....m.-4-4 ,-w hm. d&mnflow. etc.l output for heating.- - 0 If TXV is required by the CF -IR torr (line 23 an CF-1R-ALTfonn). it has been installed and access has been provided for direly, New Dud System: (Lute 5 et Ur -111 A.r ) duct t3 For Entirely new dud systems. the required leakage is 695 rather than 159'0 for altered systems. The alternative to seat rutcreSsl the efficiency of the equipment is not an o0on for entirelynow installed m Me �� Z) equal to or a eftl the undersigned, verify that the equipment fisted above is: 1) the ;actual egtapm ant an required by the Ctific erate of Compfance'(�1R-ALT Form). and 3) equipment that meets ore eds the appropriate quirements for manufactured devices (Appfianae Efficiency Standards). where apPficaW- the undersigned verify that diagnostic test results listed on this form were performed in conformconfwith t Mandatory requirements a for )mpl nd 1h a installed or rehotated mechanical Certr Stsystartdards.��� ts in Sectio 1 of the 2005 G o LO Version 03 -10 -Md CatCERTS � rates www.caleert"Orn This form can only be used on prolecls being U(O Q s nroroomere use on Ac�►PAt� address: LQ ZZ S3 Carte %s— vanati l�t;Dc i t' rl>r OM1 .lt�r7 — tmctor. `` Telephone: Plot Che& Date i 1/PY1j y Name: a" orate At A ii�-7x IMPORTANT: This CF 6R form only for use when an HVAt:o�fy alteration made to an existing home This is system of systems altered in thishouse Use one form for each system being altered. _a, Covies to: Homeowner HERS Rater. and Buld'mg Department ' List the spfor the newly installed equipment. These must match the installed equipment exacthy. ecifications location and meevor exceed efficiencies/11 lues from CF -1R Installed u' xnent must match meat T Manufacturer Cap Model Number Effi Load"aci Furnace AFlJE t Exchanger NIA NIA Pump fan coil AhIA ron= fan coil )Mr FAU 1366701 s 3 pGO kage gas/ACAli--) Condenser 11 1 1 11 provide EER if needed for compliance pine 24 of CF -IR -ALT)_ Installer must provide adequate documentation to verity EER. EER - In some rases the s"'P sac furnace may need to be vetfied in radar to achieve a specific EER to some eases a time delay relay and/or TXV may need to ve verirwri in order to achieve a specific EER. Loads are sensible for cooling - �- -- _r....m.-4-4 ,-w hm. d&mnflow. etc.l output for heating.- - 0 If TXV is required by the CF -IR torr (line 23 an CF-1R-ALTfonn). it has been installed and access has been provided for direly, New Dud System: (Lute 5 et Ur -111 A.r ) duct t3 For Entirely new dud systems. the required leakage is 695 rather than 159'0 for altered systems. The alternative to seat rutcreSsl the efficiency of the equipment is not an o0on for entirelynow installed m Me �� Z) equal to or a eftl the undersigned, verify that the equipment fisted above is: 1) the ;actual egtapm ant an required by the Ctific erate of Compfance'(�1R-ALT Form). and 3) equipment that meets ore eds the appropriate quirements for manufactured devices (Appfianae Efficiency Standards). where apPficaW- the undersigned verify that diagnostic test results listed on this form were performed in conformconfwith t Mandatory requirements a for )mpl nd 1h a installed or rehotated mechanical Certr Stsystartdards.��� ts in Sectio 1 of the 2005 G o LO Version 03 -10 -Md CatCERTS � rates www.caleert"Orn This form can only be used on prolecls being Jun Qe 07 09t25a 7603603277 760.360.3277 ,.,. rro.t;sr-oto Prescriptive Method - HVAC -only Alteration P.5 CF -6R -ALT Version 03-10-M This fort can only be used on p uiects being verified by Ca10ERTS certified raters. www.calcerts.com Prolect Title: Date: � P�+ �� � � � ®2005 CaICERTS IMPORTANT: This CF -6R form is only for use when C-00 alteratio11' s. made b an existing home use one forrn for each system being altered. This Is system # of systems altered in this house. Copies to: Homeowner, HERS' Rater, and Building Department Dud Leakage Lest Results If duct testIM is m4uired per CF -1R -ALT form) Step 1 - Pre-test Leakage of the system before anyafoerations This oast is' and is used fathe 60% r�udim QPU an 1 Prrfest leakage :L JCFIM 2 Line 1 x 0.4 = ror+ reduction Step 2 - O ne Tont SISM Fan FkW use wn, of these method& use values for eq after alteratlons_ 3 C : Condenser tonnage 451 tans x 400 CFMftn o CFM 4 cleating: Furnace Btu h x.=17 CFiltlatulh = CFM 5 Measured. (rererto ACM manual Appendix RF- section 4.1) _ FM 6 Meaen'mert method: El flow hood 0 plenum Pressure matching 0 flow gild 7 Total fan tclrr value to be used CFM use tri of ram 9, 4 or S. Step 3 - Detemine So jTotal Targets: System ran flow pine 7 from above) x 0.06 = = 5% leakage target (new duct systems) Bb jToW System ran flow pine 7 from above) x 0.15 = IEFM25 =15% leakage target 9 Tata) System tan tow ZM 7 from above x 0.10 = L JCM5 =10% wakage to outside target Step 4 - Attu . : Must be cormistent m tt the CF -1 R tams. 10 ❑ sew all new connections uft 8PWWWed mawhWt 11 ❑ No newly combucted Portions of the system can have umducted building cavities to convey air. 12 ❑ If _ddino or reogeing more than 40TOM of oucL.ipsulate new duds per package D for that climate zone Step 5 - Final Leake(regular duet leakage teat for 15% total and 60% reduction) 13$Ieak�W= I CFLaS mW td 2005 ACM RC. Sections RC 4.3.1 14a 13 b less than rine house the !2!6 teaks nlrmeM GotoS 9_4b 13 is cess than line • house the 15% tea a re rement. Go to Ste 9. 1543 is less than rine reduction continue• 16er ttf Ones 14a 146 or 15 are dhedh HERS vexititation is Sa in ran be used. 17 15 is chedc�, but trot 14a or 14b Smotre Ted and Vmrsll Inspection of Accessible Duct Sealing is mQuke' Go to Step a Step 6 - Leakage to Outside: SilnUartoaregulardud blastertest but the house's pressurized to 25 pascals at the same time. 18 I - 25 refer to 2005 ACM appenft RC. Sections REC 4.3.3 19 ❑ U line 18 is MS than line 9 housepassesthe 1 leikage to outsideuirement- 20 E3 t tine is passes. HERS vwftatial is "'W"' Sampfog can be used Step 7 - H the house does not pass any of liras 14.15 or 19. 21 0 Smoke T and V 1 of Accessible Sealtng Is 39utrad. See Step S. 22 E3t stallrequired label per ACM Appendix RC. Sections RC.4.3.5. Step a - SmokeTest and Visual Verification See 2005 gesldentJal ACM RC Sections RC 4.35 23 O Pertonn smoke test ACM &Modix RC Sections RC 4.3.8. ' damaged duds per ACM 82pendbc RC Sections RC 4.3.7. 24 ❑ Pertorm Yhsuallection and of e=esstvery 25 ❑ S'alregIden boots to su maeeriat ACM die RC Sections RC 4.3.7. HERS Verifica 14 is decked. 15% to be verified HERS rater. Is aEauued. 26113f 27 15 is dhedued. 60% leakage reduction to be'veNled by HERS rater (post test only) AN e Ted and Visual Vedifleation to be Performed HERS Rater i is aAowed. 28 19 is checked. 10% I to outside to be verified HERS later. Sampling is allowed. 29 e of fines 14.15 or 19 ars decked Smoke Test and fa at accessable Ie'alam No sampliq allowed._ Sampling - house passes on fines 14.15 or 19. &looses to be Pro bfo a group of homes for random thud pony HERS aamptnx� 30 1.) Kwwamw 2) Homeowner instal er and rater must sign the thre"any agreement 3 All above tests must be completed by the installer or thea MEMentative. not the third ra No Sam ptin - House does not ass 6rces 14 15 or 1 •OR homeav , rAno5:Ps not to be of a sa 31 ❑ 1.) Howse to be tested by a third party HERS rater selected by installer. 2.) Homeowner, incialler and rater mutt Wqn, the three-pWly agnwme 't 3.) All above tests may be corripided by the installer or their representative, and then verified by a third party later. OR all above tests caBeammed solely by the third rimer 32 0 1.) House lobe tested try third Darty HERS ra lerseleded by homeowner. All tests may be ted by tate installer or teirrepresentativP- and tl+en verified by a third party rater. 2.) above OR, all above testsmaybepwfqmed S"y by the third pvty rater. Page 2 of 2 Version 03-10-M This fort can only be used on p uiects being verified by Ca10ERTS certified raters. www.calcerts.com