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12-1289 (MECH)e.: .- %- -'S P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: (-,12-0000128_9 ' Property Address: 55590 -OAK TREE APN: 775 -231 -011 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1600 Applicant: I hereby affirm under penalty of perjury that Section 7000) of Division 3 of the Business License lass: C20 -C38 atet?E ntraytor: T41Y 1 ' Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: DECLARATION ons of Chapter 9 (commencing with d my License is in full force.and effect. . : 826714 —OWNER -BUILDER DECLARATION I hereby affirm under penal of p ry th the Contractor's State License Law for the following reason (Sec. 7031. usiness 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 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: - The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). - (_ I 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.). (_ 1 I am exempt under Sec. 8.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: �✓ Lender's Address: Y' LQPERMIT Owner: ARNIE BILLINGSLEY 55590 OAK TREE LA QUINTA, CA 92253 Contractor: BEST IN THE WEST 255 N. EL CIELO, 140-125 PALM SPRINGS, CA 92262 (760)343-1002 Lic. No.: 826714 FAX ('/60) 777-7011 INSPECTIONS (760) 777-7153 0 Dan: „ CCT 2 9 2011 CITY OF L4 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. -YLI 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 GUARD INS GRP Polic _3 735 I certify that, in the performance of ork for h this permit is issued, I shall not employ any - person in any manner so Alirth me su ' the workers' compensation laws of California, and agree that, if I should ct to workers' compensation provisions of Section OO 3700 of the abor Code, o ly with those provisions. D�@V�~ Iicant: " 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 Director of Building and Safety 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 permV 2. Any permit issued as a result of this application bec' work is not commenced within 180 days from date of issuance of such pework for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ovrrect. I agree to comply with all city and county ordinances and state laws relating to buil ' g creby authorize representatives of tfj��,, county to enter upon t bove•menti0 d grope y o . Dari/ nature (Applicant orjtAgent)• Application,Number . . . . . 12-00001289 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 21.50 Plan Check Fee 5.38 Issue'Date . . . . Valuation . . . . 0 Expiration Date 4/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 ---------------------------------1------------------------------------------ Special Notes and Comments HVAC CHANGE -OUT: REPLACE 3.5 TON EVAPORATIVE COIL IN ATTIC. 2010 CODES. , ----------------------------------------------------------------------------' Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 21.50 -------------------- .00 .00 21.50 Plan Check Total 5.38 .00 .00 5.38 Other Fee Total 1.00 .00 .00 1.00 Grand Total 27.88 00 .00 27.88.' LQPERMIT r Simplified Prescriptive Certificate, of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Add ressr . Agency: - Date: 7 Permit #: - [Enforcement 55590 Oaktree La Quinta, CA 92253 City of La Quinta Oct 29, 2012 - -Duct insulation Conditioned. Floor Equipment Typel List Minimum Efficiency2 - • requirement Area Thermostat 0 Package Unit- - . , , 0 Furnace' to Indoor Coil '• U AFUE ❑ SEER U COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system R Setback If not already present, must be [3 Condensing Unit EER Ll D R 8 (CZ 14-15) 1400 sf ,, installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done , and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall. be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the instauer- The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 ' . Condenser Coil and /or. . Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-4R.forms: MECH-21 and (for split systems) MECH-25 � - -' • For Split Systems: Duct leakage =1:;;;15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH - Exempted from duct leakage testirigif::. :.::❑:.Y:: Diict:syste_m`was documento.d to have been previously sealed and confirmed through HERS verification, or ❑:Z: Ductsysterris with less_thAn'40 linear: feet in unconditioned space, or ❑'3. Existing duct systems are Constructed, insulated ar sealed with asbestos . ❑'4: The systein,,mill not be Duc etl (ie_ Duca ss�Mrm SplFt�System)z(AlsaExerript (roTtn,Refr ger�ant C rge) 2. NewV a ka-� s•�� ::, -,❑ ,' RequiedFof3 . Cut iwitl�-:�-SSi new ductin ;a.tl.all -W..�3•:: . .w.f .... .r -..v. h�C... <Yn. . .. - �X p• - �.,sv .�C3Si.,._:... .......�. "t Y2 +.F 5�. � -� : .. For Split Systems Duct leakage z6 peicnt; Rte; CCA> 350 CFM ::`as_FWbTiAH TMS;'and <}theCE15PP'"or-PSPP. For Packa ed:Unrtso-Duct7eaka 9 9, 1.3. New: Ducts tiY Yh/or without '': , Required Forms: RepBaceineo4 . Includes replacing or installing:ai ll:;ii:ew ducting and/or outdoor condensyng:unA Cf -5R %Tans: MZ -0i-104, Mk" -7D -KERS, and tfoT split systems) MECH_ -25-HERS and/or indoor'coil and/or furriace: No or some CF 4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. ' For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 0 4. New Ducting over 40 feet ' , Required Forms: . Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-21-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 - For split system or packaged units: Duct Leakage <115'pervmt - p EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement). . I certify that this Certificate of Compliance documentation is accurate and complete. ' . I am eligible under. Division 3 of the California Business and Professions Code to accept, responsibility for the design identified on this Certificate of • Compliance. - . I certify 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. - I . The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms,'worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Richard C Weaver Sr Signature: Richard C Weaver Sr Company: BEST IN THE' WEST AIR CONDITIONING & HEATING INC Date: Oct 29,-2012 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 ,. Phone: (760) 343-1002 ' Reg:•212-A0060397A-000000000-0000•, Registration Date/Time: 2012/10/29 13:33:16 HERS Provider: Ca10ERTS; Inc. .2008 Residential Compliance.Forms •. July 2010 Bin # City of La Quinta Building & Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. �, \� Project Address: �S'5�0 gF-yes,7f-- Owner's Name: ,6— � 'l " ' A. P. Number: Address: S © Legal Description: City, ST, Zip: Contractor: "% jli 'T�'�. ' v Ale,. Telephone••.'• 7%7. Syn - =. Project Description: Address: s� j��, City, ST, Zip: 1 /Z/ /L S C�14' r �2 4tv 2, % C�•� • .1 �' �! �. Telephone: ZKOJ3 /007. State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: R1 ,I t Construction Type: Occupancy: State Lic. #: ProjecttYP a (circle one) : New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 66 34 3 % o o 2— Estimated Value of Project: 16 oa'. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING pEp FES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctionslissue Electrical v Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ` INSTALLATION. CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page i of 2) Site Address: Enforcement Agency: Permit Number: 55590 Oaktree, La Quinta CA 92253 (Sysbim 1) City of La Quinta ' 12-1289 Space Conditioning Systems ; Heating Equipment - - Cooling Equipment - ;r .. Efficiency Duct Duct .. (SEER - Location Efficiency ; Location Typeand Equip EER) (attic, (AFUE, (attic, - r. of Type crawl- ' ARI # of etc.)1, 3 crawl- CE.0,Certified Mfr. Name::::'. Reference Heating Heating '(package-' CEC Certified Mfr. Name Reference . Identical (>=CF -1R space, Duct Load Capacity. heat pump) and Model Number' ' ' Number2 " ' Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Rheem A/C::. y«:rE>«��TfR4042C1 .';..:::nY.:' ::'4700/ '5,' :.:_: �.�-..is..�ah ?1{sig j 12 0:.E_FF-RF' ":Attic <s�R ' 38: '"?.. Split RGPH07NAMGR 4700725 1, ' .80 AFUE Attic R-4.2 56.0 80.0 kBtu R. WX PINES _ ' .. ... ....^..< �.. �:. _ .rte::.. :.:. G'•.";dv4_-_•''.. y,.G� ' L •:::`�: ��,.pp�� �::�: ,� �j . ' R - Cooling Equipment - 1. If project'is new construction, see Fcotnotes to Standards Table 151-8 and Table 151-C for dud ceiling alternative compliance. 2. ARI Reference Number'ca'h:i e:fqund by entering the equipment model number at ' http://www.aridirectoty.org/ari/ac'.,p" + 3, Listed efficiency on this page inust'be greater than or equal ( ?) to the value shown on the CF -IR form. 4. When CF -IR 'is reference it is also applicable to the CF -IR, CF -1R -AA or CF -1R -ALT ALL BOXES -MUST BE CHECKED TO BE 'A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §150(h): Heating and/or cooling Loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of- `§ 112(c). ® §150(j)2: Pipe insulation -for cooling system refrigerant suction, chilled water, and brine lines meets k minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. ► Reg: 212-A0060397A-M0400001A-0000- Registration Date/Time: 2012/11/1719:45:07 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms f `' "August 2009 Efficiency Duct Equip - (SEER - Location Typeand EER) (attic, (package:::. .. .:' ...- - :.. ::.:::::::::. ARI ' of 1, 3 crawl- ' Goofing Cooling heat CE.0,Certified Mfr. Name::::'. Reference Identical (>=CF -1R space, -Dud Load Capacity pump) and Model Number ::::.: Number2 Systems value)4 etc.) -R-value (kBtu/hr) (kBtu/hr) Split . Trane 14.5 SEER .: A/C::. y«:rE>«��TfR4042C1 .';..:::nY.:' ::'4700/ '5,' :.:_: �.�-..is..�ah ?1{sig j 12 0:.E_FF-RF' ":Attic <s�R 't Z= '_E 38: '"?.. 43.0 kBtu .. ,. n•<. :s»,i. .. .:.. c.... �v'S-..:c.: .a ..: y,..»... ..... "-.a :..�1s'R.-.. R. WX PINES _ ' .. ... ....^..< �.. �:. _ .rte::.. :.:. G'•.";dv4_-_•''.. y,.G� ' L •:::`�: ��,.pp�� �::�: ,� �j . : --a. .. ..:.;G...v.:::.v:_..-.....•-'�':: `::::'✓:L�;.::...T:r-..� -:ice? >�:k--�:� __ •_ 1. If project'is new construction, see Fcotnotes to Standards Table 151-8 and Table 151-C for dud ceiling alternative compliance. 2. ARI Reference Number'ca'h:i e:fqund by entering the equipment model number at ' http://www.aridirectoty.org/ari/ac'.,p" + 3, Listed efficiency on this page inust'be greater than or equal ( ?) to the value shown on the CF -IR form. 4. When CF -IR 'is reference it is also applicable to the CF -IR, CF -1R -AA or CF -1R -ALT ALL BOXES -MUST BE CHECKED TO BE 'A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §150(h): Heating and/or cooling Loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of- `§ 112(c). ® §150(j)2: Pipe insulation -for cooling system refrigerant suction, chilled water, and brine lines meets k minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. ► Reg: 212-A0060397A-M0400001A-0000- Registration Date/Time: 2012/11/1719:45:07 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms f `' "August 2009 Ducts and Fans §150(m): Duct and Fans " ® 1. 'All.air-distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602,603, 604,`605 and Standard 6-5; supply -air and return -air ` ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets' the applicable requirements of UL -181, UL 181A; or UL•181B or aerosol sealant that meets the' - requirements of. UL 723. If mastic or tape is used to seal openings greatei than 1/4. inch, the combination + of mastic and either mesh or tape shall be used; 'and s ` ®i. Building cavities, support platforms for air handlers, and plenums defined or constructed with .y - materials other than, sealed sheet metal, duct board or flexible duct shall not be used for conveying ` 4 conditioned air: Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the'. ducts. ® 2D•' Joints and seams of duct systems and their components'shall not be`sealed with cloth back - rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. -* 07. Exhaust fan systems have back draft or automatic dampers.- ® 81. Gravity ventilating systems serving conditioned space have either automatic or readily accessible; x' • manually .operated 'dampers: `: _ ® Protection of Insulation % solation shall be protected from damage, including that due to sunlight; moisture,equipment-maintenance, and wind. Cellular•foam insulation shall be protected as above or painted with a coating,that % "water. retardant and provides shielding from solar radiation that can cause degradation: of' -the material::...."..,. • ? .. _ t ®:10. Flexible ducts cannot:..". porous inner cores. e, ; .. •) .i ..... mo�•'ii^^ ....IV_ •. �,; 10 ',". .:'i•> a ..,♦ s �r_ . �..:,.. .> '::��• ^moi `zaa; :.�.. : ����_,�,` �:� ...�:.:sr . .. „ �^.>:.. °7.4=,,.:, .� ,. _., :• -� . ?� � � +�'- _,.�. Vis: ..,�c�+' �' _ I .. DECLA02ATLO.N:S.... MENT • I cerfi'ify undeY periaIty...t jury; under'the laws of the State•of`California, the informatlon provided on this form is true and correct.'•= - . I am eligible under Division:3 of the Business and Professions Code to accept responsibility for construction; or an authorized representative of the personrespon'sip[e;'for construction (responsible person). „ � • I certify that the installed feahires,.rflaterials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and:f 411 lations, and the installation is consistent with the plans and specifications approved by the ` enforcement agency. , . I reviewed a copy of the Certificate of'Compliance (CF -11Z) form approved by the enforcement agency that identifies the specific • requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to.the installation have been met. `+ . • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the. _ building,permit(s) issued for the building, and made available, to the enforcement agency for all applicable inspections. I ; understand that a signed copy of this Installation certificate is required to be included with the documentation the builder + provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) , Best in the West Air Conditioning 8k Heatirtg'Irtc Responsible Person's Name: _ t, Ducts and Fans §150(m): Duct and Fans " ® 1. 'All.air-distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602,603, 604,`605 and Standard 6-5; supply -air and return -air ` ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets' the applicable requirements of UL -181, UL 181A; or UL•181B or aerosol sealant that meets the' - requirements of. UL 723. If mastic or tape is used to seal openings greatei than 1/4. inch, the combination + of mastic and either mesh or tape shall be used; 'and s ` ®i. Building cavities, support platforms for air handlers, and plenums defined or constructed with .y - materials other than, sealed sheet metal, duct board or flexible duct shall not be used for conveying ` 4 conditioned air: Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the'. ducts. ® 2D•' Joints and seams of duct systems and their components'shall not be`sealed with cloth back - rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. -* 07. Exhaust fan systems have back draft or automatic dampers.- ® 81. Gravity ventilating systems serving conditioned space have either automatic or readily accessible; x' • manually .operated 'dampers: `: _ ® Protection of Insulation % solation shall be protected from damage, including that due to sunlight; moisture,equipment-maintenance, and wind. Cellular•foam insulation shall be protected as above or painted with a coating,that % "water. retardant and provides shielding from solar radiation that can cause degradation: of' -the material::...."..,. • ? .. _ t ®:10. Flexible ducts cannot:..". porous inner cores. e, ; .. •) .i ..... mo�•'ii^^ ....IV_ •. �,; 10 ',". .:'i•> a ..,♦ s �r_ . �..:,.. .> '::��• ^moi `zaa; :.�.. : ����_,�,` �:� ...�:.:sr . .. „ �^.>:.. °7.4=,,.:, .� ,. _., :• -� . ?� � � +�'- _,.�. Vis: ..,�c�+' �' _ I .. DECLA02ATLO.N:S.... MENT • I cerfi'ify undeY periaIty...t jury; under'the laws of the State•of`California, the informatlon provided on this form is true and correct.'•= - . I am eligible under Division:3 of the Business and Professions Code to accept responsibility for construction; or an authorized representative of the personrespon'sip[e;'for construction (responsible person). „ � • I certify that the installed feahires,.rflaterials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and:f 411 lations, and the installation is consistent with the plans and specifications approved by the ` enforcement agency. , . I reviewed a copy of the Certificate of'Compliance (CF -11Z) form approved by the enforcement agency that identifies the specific • requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to.the installation have been met. `+ . • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the. _ building,permit(s) issued for the building, and made available, to the enforcement agency for all applicable inspections. I ; understand that a signed copy of this Installation certificate is required to be included with the documentation the builder + provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) , Best in the West Air Conditioning 8k Heatirtg'Irtc Responsible Person's Name: _ Responsible Person's Signature:+ , Wendy StewartWendy Stewart CSLB License: Date Signed:w 967982 ) 10/30!2012 - Position With Company (Title): » �r Jll Reg: 212-A0060397A-M0400001A-0000 Registration Date/Time: 2012/11/17-19:45:07• .HERS Provider: CaICERTS, Inc. 2008 Residentia_l'Compliance Forma at ,, ,August 2009 INSTALLATION CERTIFICATE 1. CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 55590 Oaktree, La Quinta CA 92253 (System 1) City of. La Quinta 12-1289- Enter 2-1289- Enter the'Duct System Name or'Identification/Tag: System 1 - Enter the Duct System•Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and 'additions in existing dwellings to . space conditioning systems and duct systems. - Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,•plenums, etc.) if those parts are accessible and they can be sealed..For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test Completely New or Replacement Duct System. " • f . Duct Leakage Diagnostic Test - existing duct system .. ' r - Reg: 212-A0060397A-M2100001A-0000 Registration Date/Time: 2012/11/17 19:46:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms, March .2010 F . Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60%6:and co►iduct smoke and fix all leaks ' ' s ❑ 4. Fix:all.accessible leaks using'sK ke and HERS rater verify Note::: (One of. Options 1; 2 or 3 must':bd attempted before utilizing Option 4,) •. Determine nomin_dl, an. Flow usingorie'of..the folla�nei A t ee�calculation m,..ethods. ✓ ®Conlin system method: Size ii • ondens ;iii 7ss x400 0 CFM r' �. :. �/.:. ❑ Hea,inyusystem method z,1:;7.._.. <:; �OUt ut Ca acit: Ain%Ihrousand f:Btu' hr: = ' • >GffYl : `y: ":, :�-'.:<<::`:'.:':`.: �:::.' :::: ::';: . a „€ _ 91 ::. F:4 . s'. ✓❑Measur: ds stemx'a'i y zv^'t.. ,>: ... ..+H :.. ,.: :e •e. .... �...n.3�a:.v.:.. :iP .rte::.... .:u..:.R�.` �.1:�:... . _ O tro g1 used':ak� n:. ;:- >::; ;:..:. . g . `" ' :' P .i~. am�uu.. :°� .�. �:�, --• �:: -- ..C-I ie:... ..:%:,"'4. :.n. ......:.. ..'e' -'.. :`::>.•t'. :, Vii, -•%.'.0 i;:n - 'A...'.;yv.^�. y '�.0';:.. t n. , _ Allowed,lea.ka e..::,_�'an.:Atrfloww<,.:140a�x�,x.:fk1:5.:.-.�,. -.210__.,:C'�f!+F.:,_•�,=-;`;:;:::.�:;>: Actual Leakage'='.:'.171...'.CFM;='::,,�-,::'::;';-:':;::::':''- ::..:.:_Pass if Actual Leakage is less than Allowed leakage Pass Fail Option 2 Usetlf'.then: 2 Allowed leakage ='Ean`Airflow>x 0.10 = _CFM' . Actual Leakage to outside.= :_CFM - :Pass if Actual leakage to outside is less than Allowed leakage Pass Fail Option 3 used then: , Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM, 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM - ((Leakage reduction _/ Initial leakage _) x 100% _ "/o Reduction' Pass if "/o Reduction >= 60% Pass Fail Option 4 used then: • . -, 4 All accessible leaks repaired using smoke test. HERS rater must verify'(No Sampling). - "Pass if all accessible leaks have been repaired using smoke 0 Pass 0 Fail .. ' r - Reg: 212-A0060397A-M2100001A-0000 Registration Date/Time: 2012/11/17 19:46:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms, March .2010 F . Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60%6:and co►iduct smoke and fix all leaks ' ' s ❑ 4. Fix:all.accessible leaks using'sK ke and HERS rater verify Note::: (One of. Options 1; 2 or 3 must':bd attempted before utilizing Option 4,) •. Determine nomin_dl, an. Flow usingorie'of..the folla�nei A t ee�calculation m,..ethods. ✓ ®Conlin system method: Size ii • ondens ;iii 7ss x400 0 CFM r' �. :. �/.:. ❑ Hea,inyusystem method z,1:;7.._.. <:; �OUt ut Ca acit: Ain%Ihrousand f:Btu' hr: = ' • >GffYl : `y: ":, :�-'.:<<::`:'.:':`.: �:::.' :::: ::';: . a „€ _ 91 ::. F:4 . s'. ✓❑Measur: ds stemx'a'i y zv^'t.. ,>: ... ..+H :.. ,.: :e •e. .... �...n.3�a:.v.:.. :iP .rte::.... .:u..:.R�.` �.1:�:... . _ O tro g1 used':ak� n:. ;:- >::; ;:..:. . g . `" ' :' P .i~. am�uu.. :°� .�. �:�, --• �:: -- ..C-I ie:... ..:%:,"'4. :.n. ......:.. ..'e' -'.. :`::>.•t'. :, Vii, -•%.'.0 i;:n - 'A...'.;yv.^�. y '�.0';:.. t n. , _ Allowed,lea.ka e..::,_�'an.:Atrfloww<,.:140a�x�,x.:fk1:5.:.-.�,. -.210__.,:C'�f!+F.:,_•�,=-;`;:;:::.�:;>: Actual Leakage'='.:'.171...'.CFM;='::,,�-,::'::;';-:':;::::':''- ::..:.:_Pass if Actual Leakage is less than Allowed leakage Pass Fail Option 2 Usetlf'.then: 2 Allowed leakage ='Ean`Airflow>x 0.10 = _CFM' . Actual Leakage to outside.= :_CFM - :Pass if Actual leakage to outside is less than Allowed leakage Pass Fail Option 3 used then: , Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM, 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM - ((Leakage reduction _/ Initial leakage _) x 100% _ "/o Reduction' Pass if "/o Reduction >= 60% Pass Fail Option 4 used then: • . -, 4 All accessible leaks repaired using smoke test. HERS rater must verify'(No Sampling). - "Pass if all accessible • • A . . • • •, a .. ,. f _ ' , _ ` ® Outside air (OA)-ductsFan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing: CFIOA ducts that utilize controlled motorized dampers, that open only when OA ventilation -is:required toe}�;'?;Ji'TrL ��3rr'..a�d 62.2, and cSose when OA ventilation is not required, may ?be configured tb the. closed positioh during duct leakage testing. ' ® All':supply an,& eturn register t ooEs:m ust beseale�d..to the.drywal fsmoke test is iti.lized for.. compliance - applies toduCt leakage complrar�ce rptlon 3. eaka e redctlo�r``y 60°�o)%anc! ption`ix all accessible leaks) desr>:Ibed'above.. a .� ✓G. .. ... ...a,. ..:.... < � @r. .. •. 'L ® New duct installatioras:>cartxtot> u MizI Lidding cav as: lenur is tfor K. rns in �, 9 P P •,n.. .. b._ : ®Mastic and dtOR tae io seal.: ` i.,; leaks:at all nev�:ducY:connectaons- Z .y DEC LARATION5TA7EMENT I cerfify:Qiider penally of perjury .under the taws of the State of California, the information provided on this form is true and'correct. . I am eligible under Division 3':of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person,responsi6 e.for construction (responsible person). - I certify that the installed features,.rnaterials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation Is consistent with the plans and specifications approved by the enforcement agency. - - ' . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am. required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also ' perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS _ rater,"and if.those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional cherkinn /testinn of nther installations in that HFRS samnle oroun will he performed at my expense. ' ' enforcement agency that identifies the specific " :F-111 that apply to the installation have been met. shall be posted, or made available with the ' ♦ . �` , +rcement agency for all applicable inspections. I • :o be included with the documentation the builder r • • A . . • • •, a .. ,. f _ ' , _ ` ® Outside air (OA)-ductsFan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing: CFIOA ducts that utilize controlled motorized dampers, that open only when OA ventilation -is:required toe}�;'?;Ji'TrL ��3rr'..a�d 62.2, and cSose when OA ventilation is not required, may ?be configured tb the. closed positioh during duct leakage testing. ' ® All':supply an,& eturn register t ooEs:m ust beseale�d..to the.drywal fsmoke test is iti.lized for.. compliance - applies toduCt leakage complrar�ce rptlon 3. eaka e redctlo�r``y 60°�o)%anc! ption`ix all accessible leaks) desr>:Ibed'above.. a .� ✓G. .. ... ...a,. ..:.... < � @r. .. •. 'L ® New duct installatioras:>cartxtot> u MizI Lidding cav as: lenur is tfor K. rns in �, 9 P P •,n.. .. b._ : ®Mastic and dtOR tae io seal.: ` i.,; leaks:at all nev�:ducY:connectaons- Z .y DEC LARATION5TA7EMENT I cerfify:Qiider penally of perjury .under the taws of the State of California, the information provided on this form is true and'correct. . I am eligible under Division 3':of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person,responsi6 e.for construction (responsible person). - I certify that the installed features,.rnaterials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation Is consistent with the plans and specifications approved by the enforcement agency. - - ' . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am. required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also ' perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS _ rater,"and if.those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional cherkinn /testinn of nther installations in that HFRS samnle oroun will he performed at my expense. ' ' enforcement agency that identifies the specific " :F-111 that apply to the installation have been met. shall be posted, or made available with the ' ♦ . �` , +rcement agency for all applicable inspections. I • :o be included with the documentation the builder Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. t As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for . any additional systems in the dwel inq as applicable. ' Y Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement 4 _ Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix•RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method.. ' TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification%Tag Sristem IL f System Location or Area Served Whole House' 1 ® Yes ❑ No. .::....:.]labeled 4 5/16 inch (8.mm) access hole upstream,of evaporative coil in the return plenum'and labeled according to Figure in Section RA3.2.2.2.2. 2 ®Yes ❑ IVb. : " f .1, .5 T tf sirc*,iR �mrrj access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. ~ [Yes to.. 1. and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail, STMS:- Sensor,oM the Evaporator Goih..::.::�,:....•.. . System Narneor IdentificationITag 3 .❑ Yes A. jQxN.o__ The sensor is factory tstallPd or iigldSnSha1led acco>> hd.td iraanufac urer's.,.,.....�:.. . ecrfFzations, or is- nstlled;by etfiod5/specificattos.�pprbved�X the:ExecuEive 4 Cl;sar..•N .:� a ate. is"terr inated.wrf#� tah lard m� I suitable fo�'eonna'cfEarii`:fp a" s �9 All r•w r w �. {digs I ,t�Drnete,eeirsar inl pWgs accessCble to te3nsling tcinictari vuitholit ch'ang `the'arrflow tfr3'ugh the>caDtleris'er coif` „ 5 : ❑Yes ; .... U -No . ;[resensor measures the saturation temperature of the coil within 1.3 degrees F °* Yes to.:.3.; 4;�an;d;5.{s 3a>pass. Enter IV/.A?if STMS are not _ applicableiOtlerviise enter Pass orFail ,. -✓ ® N/A ' ^✓ ❑ Pass ✓ ' ❑ Fail. STMS - Sensor on the Conderisei '.toil System Name, or Identification/Tag-::-.�� System 1 ' The sensor is factory, installed, or field installed according to manufacturer's 6 ❑ Yes Q No tspadficatians., or is installed by methods/specifications approved by the Executive. « Director.. ' The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician' and the HERS rater without changing the airflow through the condenser coil - 8 ❑ Yes 1 ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F . Yes to 6, 7, and 8 is a pass. Enter,N/A if STMS are not ✓ ' ® N/A ❑Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail - Reg: 212-A0060397A-M2500001A-0000 Registration Date/Time: 2012/11/17 19:49:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 «� f Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential q Appendix RA3.2. As many -as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, ,the installer must use the Alternate Charge Measurement Procedure. Space Conditioning, Systems System Name or Identification/Tag -- System 1 (must be re -calibrated monthly) �y�,............ �o Date ofThecmV6eV6 Ie;Gahbration .:. � ;:i1::." > F F::.':::::. .: �.''.•.. y^ . System Location or Area Served Whole House �' :�'.'d �:.'�."�"�.• 3-.ni�'•CID:'s/r.:,,.cT.. Outdoor Unit Serial #_ , .352KJRBF - :�., _ :.�•c.. - -......•r- - - _':�' �-.:-�:��_ O.utdoor Unit Make �" Trane - '• - Outdoor Unit Model a 4TTR4O42C1 r 78.0 "r r Nominal.Cooling Capacity Btu/hr: ;.':.:, Return. (evaporator entering) air wet=.bulb 61:0 143000 temperature Treturn, wee..... .:.. p { �. Date of Verification 10/30/2012 • r Evaporator saturation temperature;::,::`::: , (T evaporator, sat) - Calibration. of -Diagnostic Instruments - Date `of Refrigerant Gauge Calibration :.:,' . 10/10/2012 (must be re -calibrated monthly) �y�,............ �o Date ofThecmV6eV6 Ie;Gahbration .:. � ;:i1::." > F F::.':::::. .: �.''.•.. y^ . ;.................... ..�4",..:'<��>'�:"::C. :(:`rYii' ..beer -calibrated monthly) r Measured tern eratuvesT.<,a E 4o-....-:...?�.._ <�.';.f ..._ , �-.". • .v?�aV ��''c•:::_'^':.ge A<nv.`ns: .c .. .%cil:::, '. 5 stem htarn.e:or Identifica: io y: Y t, 't?%T'4s: Sysf tom, z'at��: .:.. .... s�•. �' :�'.'d �:.'�."�"�.• 3-.ni�'•CID:'s/r.:,,.cT.. a::.tc .....:-Y Su I eva � or-atar_,�eav:i� <.� r.:.,--:t'>-may-;• :_ ;• ,-.;c'�.. - 3 ,��� - :�., _ :.�•c.. - -......•r- - - _':�' �-.:-�:��_ ..,::::..: tempe atu e > :..�:-:-:•'.,:'..._<. supply, � ., .;..:..:. ... Return (evaporator entering).air dry-i?iilb, temper,.at�rre=(Teturnikti�.. 78.0 "r Return. (evaporator entering) air wet=.bulb 61:0 temperature Treturn, wee..... .:.. p { �. Evaporator saturation temperature;::,::`::: ' 41.0 (T evaporator, sat) - r ' Condensor saturation. temperature - 95.0 (Tcondensor, sat) Suction line temperature'(Tsuction) '46.0 Liquid Line Temperature (Tiiq' - 80.0 Condenser (entering) air dry-bulb 90.0 ; temperature (Tcondenser, condenser, db n 1' Reg: 212-A0060397A-M2500001A-0000 Registration Date/Time:.2012/11/17 19:49:13 HERS Provider: Ca10ERTS, Inc-. 2008 Residential Compliance Forms ' August 2009 ISTALLATION CERTIFICATE _ CF-611t-MECH-25-1­11EI 3frigerant Charge Verification- Standard Measurement Procedure (Page 3 of ite Address:.. _ . Enforcement Agency: J Permit Number: 5590 Oaktree, La Quinta CA g«'5-3 City of La Quints 12-1289 Minimum Airflow Requirement Temperature Split Method Calcdtalti�ons1ur 6etermining Min'imum<Airfiow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2.. , System Name or Identification/Tag System I. . Calculate: Actual Temperature Split =Treturn, 21.00' ; Tsuction - Tevaporetor,'sat ro db - Tsu I db . l , Target Superheat from Table RA3.2-2 using Target Temperature Split,from Table RA3.2-3 23:5 Treturn, cab and Tcondenser, db y using Treturn; wb and Treturn, bb` ` Calculate difference: Calculate difference: Actual .Temperature Split - -2.5 Actual Superheat -;.Target Superheat'= Target Temperature Split = System passes if difference is between -5°F and { Passes if difference is between -3°F and +30F or, Upon remeasurement, if between-30Fa%V PASS • Enter Pass or Fai =100°F' r t r .. Enter' Pass or Fail, Note Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures. specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is ",- measured, the value must be equal tq;or greater than the Calculated Minimum Airflow Requirement in the table below. ' Calculated 'MiMmuni Airt?oa�•R yttiii*ci nt��.ShePj = Nominal Cooling Capacity (ton) X 300 (cfm/ton) .: ==: 5 stemNarraeso ='den ftcation a - ;{>?S fi l :..>....., L.. - ,ter.,,. IN - `.s. Calculated'`Mlnimum Airflow:Re u��ernen =•CFM q..:_ (: ) . til'•' :.lC:.-.uv Measured:�Kirflow'<usir� _ :' ..,i`��,�� - �;:<; '<<':� ,,:.rc::..-<;,. ...<.>- �'�,,'.':' �.�__ :-•�`� _ ?:,.�''�<:.-,..-yam'. .ter,. v;:,:�'F,;_.• " �'.,ri, . x.. .�[;. Passes if measiire8'"ainYviro a yFdtt�:fharrui?-'z;::_:- equal to. the calculated minimum requirement:^ , :... terPassorFai . Superheat Charge Method::Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering dev'ice:systems System -Name or Identification/Tag s ' r System -1 . Calculate: Actual Superheat =. , Tsuction - Tevaporetor,'sat ro , Target Superheat from Table RA3.2-2 using Treturn, cab and Tcondenser, db y Calculate difference: Actual Superheat -;.Target Superheat'= System passes if difference is between -5°F and • Enter Pass or Fai ' M -Reg: 212-A0060397A-7A-:'K6gibtration 17ate/'Time: 2012/11/17 19:49:13 HERS'Provider: CalCERTS, Inc. ' 2008 Residential Compliance'.Forms - �•"". August 2009 INSTALLATION CERTIFICATE T 7- CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4of 5) -Site Address: Enforcement Agency: Permit Number: 55590'Oaktree, La Quinta CA 7«21'3 F City of La Quinta 12-1289 - Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion -valve (EXV) systems. r System Name or Identification/Tag Y " System,i + i Calculate: Actual Subcooling = 15.0., - Tcondenser, sat - Tliquid Target Subcooling specified by manufacture. " 12.0 + ` man ufacturer's`.specifications (or userange 4-25 Calculate difference:'. I 9 f bet -40F and 25°F if matm%a% c ei 3 4' Actual Subcooling - Target Subcooling _ 4 specification is not available) System passes if difference is. between System.passesf:acEual-superheat is?ithmtta`e„ h!?"v�.: ....;... _ ...n._. -a:..:..cs.....- Jai„ ::. : -3°F and +3°F a owaDie.. st' a ••Leat range, f •�.:: 'Enter�Pass or Fai + ' ` • Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansionyalve (TXV) and electronic expansion valye.(EXV) systems. -• System Name or Identification/Tag ,. System 1 Calculate: Actual Superheat 5.0 - Tsuction " Tevaporato"r, sat-:-'.-.:..- Enter.allowable superheat range frdMT .-:. man ufacturer's`.specifications (or userange 4-25 bet -40F and 25°F if matm%a% c ei 3 4' ' specification is not available) System.passesf:acEual-superheat is?ithmtta`e„ h!?"v�.: ....;... _ ...n._. -a:..:..cs.....- Jai„ ::. i�^:.:: :•'Si l:: ;... a owaDie.. st' a ••Leat range, -;. •�.:: nter < ,. W. MIRN w^^.......:..h� , X .. y. .,..-.:u. v; :... �... W�.- ...= ......... . ...... ... . . 1. Reg: .212-A0060397A-M2500001A-0000' Registration,Date%Time: 2012/11117 19:49:13' HERS Provider: CalCERTS, Inc_ 2008 Residential Compliance -Forms August. 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification,7 Standard Measurement. Procedure _ (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 55590 Oaktree,:La Quinta CR► yZ'£5Olty of to Quinta 112-1289 " Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable); and minimum cooling coil airflow criteria based on meas>arecoacktsJakeo rnoci rrently during system operation. If corrective actions were taken, -all applicable verification criteria must be re -measured and/or recalculated. ' System Name or Identification/Tag System i Wendy Stewart CSLB License:, L Date Signed: System meets all refrigerant charnp_anrLairfJnw. 967982 10/30/2012.. requirements. PASS Harne of TPQCP (if applicable): Control Program (TPQCP)? -.pYes ' ` ' Enter Pass or Fai F Best in the West Air Conditioning &,Heating Inc Responsible Person's Name: * } ' •+ - - , .i s ` .' r ` * A • ` -' � R S � it ' > .. .vim•..%>.:.ii.�:.� ,�...' `.j ..,�,,,�nm?*C.3"' '.: ��'aA:t^YW�.^Y�. �"eT-.��•':e MM_.... _ r :.' ` ..y:.: ..:...;'~,f : ..g...... yy :xs no r; r,z .. N.jKi'>.Ema.•� :2cY.• ♦ r-3�. >:.. .a 6`xiE :. r s. :,= s f". �3::�':'.::::,y� e-0� .'ro :rt.. ;,.Yi :,'....:q<J,:a„^�'O vim. _ e:: .: - 0.2,.1 •xr" ..........:..-.-...,..:.•.:...-...-.... .>,r.::. _.,.>.::.>�»,...-.. _.:r=....-v:�..: ::r:::::'%?;^.: -::::..mac DECLARAthON:STATEMENr.. . I certify under penalty of perjury,. unAer:the laws of the State of California, the Information provided on this form Is true and'correct. + - e I am eligible under Division 3:65f., the Business and Professions Code to accept responsibility for construction, or an authorized 1 representative of the person respons`i61e: for construction (responsible person). . I certify that the installed features;:.materials, components, or manufactured devices identified on this certificate. (the installation)*. 'conforms to all applicable cod&sznrt: riydafissns ,and. •he.4FAa%a1C%oe is consistent with the plans zM specifications approved by the 'enforcement agency. v ' ,.-. . I understand that a HERS rater will check the installation to verify compliance, and.that that if such checking identifies defects, I am ` required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also ' perform quality as checking of installations, including those approved as part of a sample group but not checked by a HERS ; rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific it requirements for the Installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the' r building permit(s) issued for.the building, and made available to the enforcement agency for all applicable inspections. I - t understand that a signed copy of tbu=s bx%mUatiAm CertirwA1e is requited to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data ' registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. ..i Company Name:. (Installing Subcontractor or General Contractor. or.Builder/Owner) Best in the West Air Conditioning &,Heating Inc Responsible Person's Name: Responsible Person's Signature:.4 " Wendy Stewart Wendy Stewart CSLB License:, L Date Signed: Position With Company (Title): 967982 10/30/2012.. Is this installation monitored bq a 'pNo Harne of TPQCP (if applicable): Control Program (TPQCP)? -.pYes ' L - r' Reg: 212-A0060397A-M2500001A-0000 Registration Date/Time:- 2012/11/17., 19:49:13 HERS Provider: Ca10ERTS, Inc. 200.8 Residential Compliance Forms August 2009 Reg: 212-A0060397A-M2500001A-0000 Registration Date/Time:- 2012/11/17., 19:49:13 HERS Provider: Ca10ERTS, Inc. 200.8 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R=MECH-21 Duct Leakage Test = Existing Duct System (Page 1 of 2) Site Address: z . - - Enforcement Agency: Permit Number: . 55590 Oaktree, La Quinta CT SQ753'tSy5tem 1) City of La Quinta - 12-1289 Enter the Duct System Name or. Identification/Tag: System 1,, , Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct systemthat must demonstrate compliance in the dwelling. This installation certificate is rem. dxert *a ,_-=pUance for -alterations and additions in existing dwellings to > space conditioning systems and duct systems. Note: .For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., ray��r����h�.u,'air handler, coil, plenums,'etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct -system installed in an existing dwelling,' use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. Duct Leakage Diagnostic Test - existing duct system . r Select one compliance method from the following four choices., 01. Measured leakage less than 1S% of fan flow 0 2. Measured leakage to outside -Jess than 10% of Fan Flow 0 3. Reduce leakage by 604"and conduct smoke and fix all leaks 0 4.: Fiz::all eccessible.leaks using smoke and HERS rater verify , Note:;'.(One of..Options 1, 2, or 3 mus`t'vE-atcempkeb before utitizmg Option 4.) Determine nomrain.aKkan Flow using �on�"` f'- �a �••th��ollowi�gsthr��calc�latio�eto.ds. -- eelr ❑ Coobrlg sys em: rgethod: Size o Mondensec.;m':7on5 : _ x::! 00 .=;::.": -:.�.:' '."::;= ' o- _ _ , '.. 3.•,.;—•r!o.:E : io+' �:•:F': !1�'Il'.a�'��'�••i .�,'? ��-'- <� rvrteft� • _ ..: Lzar. ,S, , .,' . J:� \,.',.-' s.<^:?i:i'^..'' :' y : ',�i,w. .,.. ?• .c ✓❑Heatqngr. -se3,'g-, ..:.:... ; stem meihn :�° 7 t al 51hoysand— fY6tu r:-= M INN x::::.. '.�5.'k .�+.. .'..:'. e , ::. .. . ❑ sur iron :sin :Rpr33 airf ow tes n . _ ✓ Me a -'s ste a . - - - .._ �....... .: _..,.,.... _, .: -.... ,,..r .r. ,: -. .....:>.." .... . .::.......:.arm... �� - Allowed..leakage..:Fan:Floiiv.. Actual Leakage:= - Pass if Leakage Actual is less than Allowed Pass Fail Option:2;usedafien:... 2 AiloiNed leakage =:Fan:: Flow CFM. , Actual Leakage to outside..=�-='.cccFM Pass if leakage Actual is less than Allowed Pass Fail Option 3 used then: ' Initial leakage prior to start of work = _ CFM ' Final leakage after sealing all accessible leaks using smoke test. = CFM a .3 Initial leakage'_- Fina% 4ealfw _ =leakage reduction' ' CFM - _ ((Leakage reduction _/ Initial leakage x 100% _ 0/b Reduction Pass if % Reduction >= 60% 0 Pass ❑ Fail Option 4 used then: 4 AII'accessible leaks repaired using smoke test. HERS rater must verify. (No sampling). Pass if all accessible leaks have been repaired using smoke rl Pass r3 Fail Reg: 212-A0060397A-M2100001A-M21A Registration Date/Time: 2012/11/18"15:09:08 HERS Provider: CalCERTS, Inc. i 2008;Residential Compliance Forms' -March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF,-4R-MECH-21 Duct Leakage Test -Existing Duct System (Page 2 of 2) Site Address: - - Enforcement Agency: 'Permit -Number: 55590 Oaktree, La Quinta CA 92253 (System, i) City of La Quinta 12-1289 s �• ; ~. r [3 outside air (OA),ducts: for Ceritcal'Fan�Integrated `(CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing,: CF1 DA' ducts that utilize controlled motorized dampers, that open only when 0A ventilation. -Is. required to meet.' F 51r1kA`F` Standard 62.2, and Close when OA ventilation is not required, may be configured to'the'closed positi --n.during duct leakage testing. ` ' ❑All supply andSret�w,rn register:tioots rri tst heksealed; q tl e::dryli%,smokeatesk_fs ttiliaed-for--compliance - -applies t tluct 7e9 age corryol once NiQri: 3 eaka 'red tti'a iy 6 °la :and t oh 4 { ix alr ccessible leaks descl<fbed above - :r ' .... _4,,; 3, may?ri t�„ ,• .::'N'• , r-" .,Fug-,:!::. ,'.A" ..�... q. •. A . w S.•2:. NEW- M.' ❑New dint,:Installati9ns_cetino�t�trsuilding ca ntles as:ple t% s o� platfor�returns;:ln Ireu of duct S� I rt cvs ❑ Mastic r d�draw hands rrius kbe uses arfin, a%�a tc ri�w�tt �twct .a�d rii��adhesi�erdu``c� tape tO seal fix`• :.:. leaks:at all.ne:w"d ct<connections ` DECLARA1fION'S7A�'FMEfd7��'.. I certify under penalty, of.pequry, unftirjhe laws of the State of California, the Information provided on this form Is true and correct., I am the certified HERS raiiiimho p * rued the verification services identified and reported on this certificate (responsible rater), , . The installed feature, material; coTripnh6nt, or manufactured device requiring HERS verification that is identified on this certificate (the installation).complies with the applicable requirements in Reference Residential Appendices RA2 and RA3.and the requirements specified ' on the Certificate(s) of Comptiactcp"(rF-1R.),;uWnus-1 44 tkv=.local erdoxcpmemtagency. . The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the . • y enforcement agency. - Y Builder or,Installer information as shown on the Installation Certificate (CF -6R) c Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC - i - Responsible Person's Name: a , CSLB.License: Richard C Weaver Sr 967982 - HERS Provider Data Registry. Information Sample Group # (if.applicable): 366484 ❑ tested/verified dwelling' v. ® not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCi-1798703317 HERS Rater Company Name: , Energy Management Services Responsible Raters Name: Responsible Rater's Signature: lack B LaFontaine - Jack B LaFatttcutte ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/14/2012 - CC2004051 " > 1S Reg: 212-A0060397A-M2100001A-M21A Registration Date/Time: 2012/11_/18 15:09:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance, Forms, ' ` March 2010 r. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING ' . , CF-4R-MECH-2S ' Refrigerant Charge Verification - Standard Measurement Procedure x (Page 1 of S) Site Address: Enforcement Agency: Permit Number: x 55590 Oaktree„La Quinta CA'92253 - City of La Quinta 12-1289 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a WfCH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH. and STMS are not required for compliance, when a 'CID is utilized for compliance. �- f . � r .. • i ' . �. • , + .. , ,.,, -x y tit . _ r As many as 4 systems in the dwelling can, be documented for compliance using this form. Attach an additional:form(s) for any additional systems in the dweSfng ar. zwi�cawe. - � •h a •I Temperature Measurement 'Access Holes'(TMAH),and Saturation Temperature Measurement Sensors (STMS) ” Procedures for installing TMAH are specifled.tn Reference Residential Appendix RA3.2_ If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or, replacement space2conditioning systems that utilize'prescriptive compliance method. , TMAH - Access Holes in Supply and'Return Plenums of Air Handler ; System Name or Identification/Tag r System 1 System Location or Area Served Whole House ; .... T#relseji is f IttbrX0r stalled 'or fl l&., it taped accordrig'to<ir�an tfacturar.'s.........,,:. . #kT9 2 9%a F rxt,`.' y' �'.�`:fi'':'. y6v itits �, a ;i ��aitisirs, s +�5�s3 aJlEd:by metfiis zis s ecifrcatrans approves b the Ex cuhve %;..:. ❑Yes N0` 4 _ 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ❑Yes k _ ❑ No' 5/16 inch (8 mm) access hole downstream of evaporative coil in•the supply plenum :: `and labeled according to Figure in Section RA3.2.2.2.2. Yes+to' l .and -2 is a pass. • - " .Enter Pass or Fail V.❑ Pass ✓ ❑ Fail STMS':_Sensor,o.wAhe. Evaporator Cora = �� __v_. .ti,.. :.. > ... - System Narrtear Idenifitation/Ta<1-� 3 :: r:] Ges .... T#relseji is f IttbrX0r stalled 'or fl l&., it taped accordrig'to<ir�an tfacturar.'s.........,,:. . #kT9 2 9%a F rxt,`.' y' �'.�`:fi'':'. y6v itits �, a ;i ��aitisirs, s +�5�s3 aJlEd:by metfiis zis s ecifrcatrans approves b the Ex cuhve %;..:. 14re sierstir is 5actmy installed, DT field installed according to manufacturer's 6 _07... t 4� [jsY _��'eThesetisoriie�terrninat�ed C►o;r rthasiandarrl rrrrtrpug suitable forconhectrph to ati rtaltMertXro et2r;..eefisor rnr lih�acesibfe to Ctre.insfallin tec#anicr n,:; g n3; 9 L Director. r Y ::;.:<-..r: :. z .> P f_ 9 ndaeER5 r.'ater::withaut efiangrnt�.ttie:arrflowa#irough the:condenser coil 5 :. ' .: .. Yes::;:::=;i.>. ;.: '.. ❑ No 1iVhen-attached to,a digital thermometer, the sensor provides an indication of the ❑ Yes ' ' ~ • ..::: saturation temperature of the coil. - Yes to:3i`:4: and 5 is`a:pa.ss. Enter NJA:if STMS are not applicable: Otherwise enEer.Pass or fail. ❑ N/A= ❑Pass ' ; .� ❑ Fail r ' STMS - Sensor on the Condenser Coil • y ,, . System Name or Identification/Tag ` . System 1 ' 14re sierstir is 5actmy installed, DT field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by. methods/specifications approved by the Executive Director. {: •. M The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ' 0 No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ` 8 ❑ Yes ❑ No •-• When attached to a digital thermometer, the sensor provides an indication of.the saturationtemperature of the coil. Yes to 6, 7, •and -8 is a'pass. Enter N/A if STMS are notN/A .i Pass 01 •/ [3 Fail applicable. Otherwise enter Pass or Fah • L .. — - Reg: 212-A0060397A-142500001A-M25A Registration Date/Time: 2012/11/18.•15:14:33 HERS Provider:'Ca10ERTS, Inc. 2008_ Residential Compliance Forms v " March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 55590 Oaktree, La Quinta CA 92Z53 City of La Quinta i2 -i289 , Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for•determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed.and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag i System 1 • System Location or Area Served Whole House aturc�. �"ir'r�' � t,/-: �'t:� ��.r.....s,::.-��.... _ .+> "3�, - ��i.•s.Y �.^'Fy�:-,`: ms's: � •. mss.. Outdoor. Unit Serial # > - .,� rtr�catr�Ori ` Outdoor Unit Make: Outdoor Unit Model - ��fes€ Nominal Cooling Capacity Btu/hr:::.::;:.. r <Y`. �":.fir`:: •rr' x�.:..;�,:: . Date of Verification - ' Calibration. of DiaanosYic Instruments r Date.,of. Refrigerant Gauge Calibratir =:.:;;:::.... .. •tel_ �� (must be re -calibrated monthly) .77 r :.... Dat e of _Th,erinasou aturc�. �"ir'r�' � t,/-: �'t:� ��.r.....s,::.-��.... M i2q,:L. � .. �C`,�5.>-�..:;1::. p 1 _�.r<• .. •tel_ �� 'r�i�st:le:re-c lr[ired'monthl r :.... aturc�. �"ir'r�' � t,/-: �'t:� ��.r.....s,::.-��.... _ .+> "3�, - ��i.•s.Y �.^'Fy�:-,`: ms's: � •. mss.. _ •3" � • ;�:::: �:��N::. �-�' > - .,� rtr�catr�Ori t em erature:.T::<;.`:::;:::'..:._; su db t Return. (evapprator entering) air dry- ulb - ��fes€ temperattire (x`'.':^ :::::"::.:::: ) r <Y`. �":.fir`:: •rr' x�.:..;�,:: . System Name.or Id r :.... Su I eV_6'"orato:r.l. 3 d ..b Ib : �. t em erature:.T::<;.`:::;:::'..:._; su db t Return. (evapprator entering) air dry- ulb temperattire (x`'.':^ :::::"::.:::: ) Return (evaporator enterin:g.) air w,6b bulb temperature (Treturn, wb Evaporator saturation temperature:; : (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tiiquid) Condenser. (entering) air dry-bulb temperature (Tcondenser, db) Reg: 212-A0060397A-M2500001A-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms ,March 2010 INSTALLATION CERTIFICATE - CF-4R-MECH-25 Refrigerant Charge Verification.- Standard Measurement Procedure (Page3 of 5) Site Address: [Enforcement Agency: Permit Number: 55590.Oaktree, La Quinta CA 922531! r,.. t City of La_Quinta -f, . 12-1289 Minimum Airflow Requirement'.., Temperature Split Method, Calculations for, determining Minimum Airflow-Requirement„for Refrigerant Charge Verification: The temperature split•method is specified in Reference Residential Appendix RA3.2.:, System Name or IdentificatioiiJTag.z::: �• -System Name or Identification/Tag A, x • ' ' Tsuction - Tevaporator, sat Calculate: Actual Temperature Split = Treturn, db.- . Target Superheat from Table RA3.2-2 using' Tsupply,db 4' - Treturn, wb and Tcondenser, db Target Temperature Split from Table RA3.2-3 using i . Calculate difference: i Treturn, wb and Treturn, db •' ' Calculate difference:,Actual Temperature Split System passes if difference is between -6°F and Target Temperature 5plit = ' +6°F r, ' Passes if difference is between -49F and +4°F or; „ Enter Pass or. Fail upon remeasurement, if.between-4�Fana'-IOIT''>= F ' s Enter Pass or Fail' Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement proceduresspecified in Reference Residential'Appendix RA3.3. If actual ciooling,coil airflow is measured, the value must:be' equalao, or greater than the Calculated Minimum Airflow Requirement in the table below. Cakulated •Mifichlum Airflow R040,trernent-(CFM) = Nominal Cooling Capacity (ton) X 300 (cfin/ton) - Systerrs.Name" d`etmcation/Tag. ...�:.::.::^:.. 11, RI Calculated iniriium Airftow`R uirrte tit;Ml, �. :@AWN 3e>�i �•''%..'- s-'tom;C::• FM'_ Measuredw bd:u ir .. ,..,..,.,_ ..x:.. r...l .-• .,., :,.,cai :e-r.Y..�—::�f....z:•� 3�':::.:ic.� `..s�,,:�tt a.� :..�5�. .w�x`:..��.•r.'.'rty4 Passes. if rrieasuredar_ft1 w is greater,-i}i Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or. Identification/Tag ' .. Calculate: Actual Superheat.= ........':;):.. Calculate: Actual Subcooling =, - , Tsuction-Tevaporator, sat ' :.:• .::` <s :'. Tcondenser, sat ` Tliquid i r Target Subcooling specified by manufacturer y manufacturer's specifications (or use range Calculate difference: f } between 30F and 260F if manufactue. Actual Subcooling - Target Subcooling specification is not available) System passes if difference is between _ System'.passes�f-actt3a��superheat is ..Etltin�t�e'i>?['..-- ble;era'n''� e -44F and +4°F �y.�::... Enter., Pass or Fai 6 ^�•� ......................... Metering Device Calculations for. Refrigerant Charge Verification. This procedure is required to be used for thermostatic'expansion,valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag•.. Calculate: Actual Superheat.= ........':;):.. , Tsuction-Tevaporator, sat ' :.:• .::` <s :'. Enter allowable superheat range from:::-. y manufacturer's specifications (or use range f } between 30F and 260F if manufactue. specification is not available) System'.passes�f-actt3a��superheat is ..Etltin�t�e'i>?['..-- ble;era'n''� e �:<: �y.�::... may,. • ' �•-- nter'<Pa sofFait 6 ^�•� ......................... �:.,.... allow.-su t�aeat - 3.....:.:::. _. ..1- 1. re, - • ` - - • 4y e • - • _ k 'I� Reg: 212-A0060397A-M2500001A-M25A Registration Date/Time: 2012/11/18 15':14:33 HERS•Provider: Ca10ERTS, Inc.. 2008 Residential Compliance -Forms` March. 2010 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering•device criteria:(if applicable), and minimum cooling''coil airflow criteria based on measurements itAinr cmwx,rrently during system operation. If corrective^actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 Sample Group # (if applicable): 366484 ❑tested/verified dwelling ® not-tested/verified dwelling in System meets all refrigerant ChbTge WA IMANuw a. HERS sample -group. HERS Rater Information CafCERr9Cerffficate # CCI -1798703317 HERS Rater Company Name: requirements. Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jock B LeFontoine Enter Pass or Fai Date Signed: 11/14/2012 CC2004051 � '_ - • _ t . • • 1 - - . X. } :...i . _ f� .,_ t .. ... . ANNE . max; ` z 7 15,z ...,.r.;�,.,;,x�;,: 'iY s%:.::::. _ .f' Vii' J 5Y'=L .;.:ro:'-..Y%.:.:. b:.z.-.,.:: :s�`�'�'•a. c:E:u..q.. �::.:n :.y.2a�..:<a` r: r....r%: .yx...• W_ r . ..... .. .... ... .....:.... .. -�.. ..... .. ... ..:: �:. ......:.,.:.. ;:+.-Gt:^:t-._tea �:"Ki'.'<:� DECLi4kWftON`5T4TEM6iT ..{:. .. I certify under penalty of"perjury;-urioer:the laws of the State of California, the Information provided on this form is true and correct. I am the certified HERS rater:who.p6 med the verification services Identified and reported on this certificate (responsible rater). The installedfeature, material; component, or manufactured device requiring HERS verification that is Identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -6R),, signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111). approved by the enforcement agency' Builder or Installer information as shown on the Installation. Certificate (CF -6R) - Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) • BEST IN THE WEST AIR CONDITIONING St HEATING INC ' ' _ • Responsible Person's Name: CSLB License: Richard C Weaver Sir 467g82 HERS Provider Data Registry Information Sample Group # (if applicable): 366484 ❑tested/verified dwelling ® not-tested/verified dwelling in a. HERS sample -group. HERS Rater Information CafCERr9Cerffficate # CCI -1798703317 HERS Rater Company Name: Energy. Management Services ._ Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jock B LeFontoine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/14/2012 CC2004051 � '_ - • _ t . Reg: 212-A0060397A-M2500001A-M25A Registration'Date/Time: 2012_/11/18 15:14:33 HERS Provider: CalCERTSInc. , 2008 Residential Compliance Forms March 2010