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06-1889 (SFD).. P.6. "BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: �06-00001889 Property Address: 5-4-024—RIVIERA APN: 775-030-021- - - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 208104 Tit 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED rchitect or Engineer: c,w,_ Owner: RIVIERA VILLAS 1651 E 4TH ST NO 228 SANTA ANA, CA 92701 Contractor: FIRST PACIFICA DEV CORP 300 EAST STATE ST, SUITE REDLANDS, CA 92373 (909)798-3688 tic. No.: 760044 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153' Date: 6/15/06 D Q 0 ° JUL 17 2006 CITY OF LA QUINTA FINANCE DEPT. -——————————————————————-————————————————————-———— LICENSED CONTRACTOR'S DECLARATION — ———————————————————————————————————————,---————— WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Sectio 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Li se Class: B - license No.: 760044 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `�— issued. Date:ontractar: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation • OWNER -BUILDER DCLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number W613-4291 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. - 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 ($5001.: ate: .++ pplicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706'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 of sale.). APPLICANT ACKNOWLEDGEMENT - (_) I, 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 permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under 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's Name: Lender's Address LQPERMIT of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and co ty ordinances and state laws relating to building construction, and hereby authorize representatives of this my to enter up the above-mentioned o erty for inspection pur b es. e: =444-w Signature (Applicant or Age LQPERMIT Application Number . . . . . 06-00001889 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1021.00 Plan Check Fee 165.91 Issue Date . . Valuation . . . . 208104 Expiration Date 12/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 109.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 381.50 Permit MECHANICAL Additional desc . Permit Fee 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation 0 Expiration Date 12/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000, EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ----------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 109.09 Plan Check Fee 6.82 Issue Date . . . . Valuation 0 Expiration Date 12/12/06 Qty Unit Charge .Per Extension BASE FEE 15.00 2422.00 .0350 ELEC NEW RES -.1 OR 2 FAMILY 84.77 4.66.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.32 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 167.25 Plan Check Fee 10.35 Issue Date . . . . Valuation 0 Expiration Date 12/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT LQPERMIT Application Number . . . . . 06-00001889 Permit. . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000.EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 .7500'EA PLB.GAS PIPE >=5 6.75 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date.. 12/12/06 kty Unit Charge Per Extension BASE FEE 15.00 ------------------------- Special Notes and Comments -- ---------- SFD - LOT 7, PLAN 3B,,2422 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE.OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES 20.26 DIF COMMUNITY CENTERS -RES 74.00. DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 16.59 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 20.81 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited ------------------------------------- Due Permit Fee Total -------------------- 1395.84 .00 .00 1395.84 Plan Check Total 188.30 .00 .00 188.•30 Other Fee Total 3753.66 .00 .00 3753.66 LQPERMIT Application Number . . . . . 06-00001889 Grand Total .5337.80 .00 .00 5337.80 13:38 JAN 02, 2007 ID: GCI ASSOC., INC. FAX N0: 7560208 011391 PAGE: 2/2 GCI ASSOCIATES INC. 3831 Birch Street Newport Beach, California 92660 Phone: (949) 756-1525 Fax (949) 756-0206 To:' Dennis Schall Company: First Pacifica Development Corporation From: Robert Favela Re: The Laurels @ Riveria — Exterior wrap and lathe�Su—©'-Y -- Date: January -2, 2007 GCI FN: 2005 -589 - Message The exterior shear and exterior framing is in general compliance with the intent of the structural documents. Therefore, it is acceptable to apply exterior wrap and lathe. General compliance of exterior is based upon the completion of all GCI memo's / RFI responses faxed to the site. If you should have any further questions please do not hesitate to call. Thanks, Robert Favela GCI_ Associates, Inc. 949-756-1525 x308 QW ASSOOR DLEWNFLF adedor wmp.doc f CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address syazf �� Builder Na ��Tk <� ; Builder ContactTelephone ,i&r «f- o �?o�- 3 �-z I t % Plan Number -3 HERS Rater1 Telephone t o A t 'Pct 2'J Z' t 3rS Sample GrouNumber -'.S Compliance Method (Prescriptive) Climate Zone 145 Certifying Signature Sample House Number �3 Wm N t3.c,� V /ti+.c NNL�2C3- C-e�S ��-•z�n.J't3 Street Addres • _ �J City/State/Zi Copies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER CONTLIANCEATATEMENT . The house was: ✓ ❑ Tested -'proved as part of sample testing, but was not tested As the HERS rater providing Zgnos ' testing and field verification I certify that the house identified on this form complies with the diagnostic tested compliance req 'cements as checked ✓ on this ?orm. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for tris sample and tested buildings. The installer has provided a copy of CF -6R (Installation Certificate). l�O New Distribution system is fully ducted (Le'; does not'use building cavities as plenums or platform returns in lieu of ducts). I;Y New systems where cloth backed, rubber. adhesive :duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. 112 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT P cedures, for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values >' a' VI? = ; Enter Tested Leakage Flow in CFM: AL ✓ ✓ 2 Fan Flow: Calculated (Nominal: ✓?=ooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage:5 6% [ 100 x ne # ]) / (Line # 2)]] ass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 'Y�`��� �°'-�T' .e ; ;1;• = : .:; ' 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Ex System Alteration 'sting Duct System Prior to Duct S Y on and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct System Alteration and/or E ui ment Chan a -Out. Reduction in Leakage for Al Duct g Enter Altered Du stem 6 Y L_(L e # 4) Minus (Line # 5)] (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if A e) 8 Entire New Duct System - Pass if Leakage Percenta /o 100 x Line # 5 / Line # 2 TEST OR VERIFICATION STANDARDS- r Altered Duct System and/or HVAC Equipment Change -Out Use one of the followin four Test or V 'cation Standards for compliance: 9 Pass if Leakage Percentage /o 1100 x L_(Line # 5) / (Line # 2)]] 10 Pass if Leakage to O e Percentage 5.10% [100 x L_(Line #'7) / (Line # 2)]] Pass if Leak eduction Percentage -> 60% [100 x 11 and Veri tion b Smoke Test and Visual inspection—(L�ne # 6) / (Line # 4)j] 12 P ealin of all Accessible Leaks and Verification b Smoke Test and Visual lns eetion +,.;.,cli1!hs;riM Pass if One of Lines # 9 through # 12 pass Residential Compliance Forms ❑ Pass ❑ Fail ✓ ✓ ❑ Pass ❑Fail ❑ Pass ❑ Fail ❑ Pass 13 Fail ❑Pass 13 Fail ❑pass ❑Fail April 2005 CER'T'IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8 CF -4R Project Address „ . 'a D tdic: W 6&,, E� ..�,m�-P.4& �Bu—il-der N I +29 r' i'Ac-tFtc�. :Builder Contact ZIL %j Telephone Plan Number HERS Rater tD �� u� &0 Telephone Z j'3!!525 Sample GroupNumber � ❑ No Compliance Method Prescri 've [] Climate Zone / Certifying Signat tt /� installation of the specific equipment shall be verified. a/ I]ate fi Sample House Number H S Provider Street Address:�C/S�tate/Zip: •� j A�I�STlJ ' C—�+�LZZ"�7aac►"""'�'�j'� ass Fail �ftNGS � � .. ;IG,Eaples to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE ST TEMENT The house was: ✓❑ Tested ✓ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic sting and field verification I certify that the house identified on this form complies w� h diagnostic tested compliance requirements as checked on this form. ✓ e installer has provided a copy of CF -6R (instal lation Certificate). LJ rliMMUSTATIC EXPANSION -VALVE (TXV) Procedtires.fOr field verification'of thermostatic expansion valves are available, in RACA . Appendix Rl. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Exp on Valves door Unit Serial # Location . Outdoor Unit Make Outdoor Unit Model Cooling Capacity B hr Date of Verification Date of Refrigerant Gauge Calibration ust be c onthly) Date of Thermocouple Calibration (must be monthly) Standard Charge Measurement outdoor air do - b 55 T and above): i Note: The system should be installed and ch ed in accordance with the manufacturer's specifications and installer verification shall be documented on CF- before starting this procedure. If outdoor air dry-bulb is below 55 °F rater shall use the Alternative Charge Measure cedure , Procedures for DetermininR i erant Char a using the Standard Method are available in RACM Appendix RD2. ✓ ❑Yes ❑ No copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential . ompliance Forms April 2005. r. Access is provided for inspection. The procedure shall consist of ✓ ❑ Yes ❑ No visual verification that the TXV is installed on the system and [] installation of the specific equipment shall be verified. Yes is a ass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Exp on Valves door Unit Serial # Location . Outdoor Unit Make Outdoor Unit Model Cooling Capacity B hr Date of Verification Date of Refrigerant Gauge Calibration ust be c onthly) Date of Thermocouple Calibration (must be monthly) Standard Charge Measurement outdoor air do - b 55 T and above): i Note: The system should be installed and ch ed in accordance with the manufacturer's specifications and installer verification shall be documented on CF- before starting this procedure. If outdoor air dry-bulb is below 55 °F rater shall use the Alternative Charge Measure cedure , Procedures for DetermininR i erant Char a using the Standard Method are available in RACM Appendix RD2. ✓ ❑Yes ❑ No copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential . ompliance Forms April 2005. r. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 -of 8) CF -4R Project Addres r N D Z (2�'L�2R p . L4P - _r ,ft Buri der Name t- � s�•r' C�• Builder Contact Telephone -,'.may . • 3,Lr,l Plan Number 3 HERS RaterTelephone -7A-1 Z7_t31 Sample Group Number. 7,-,s 3. Certifying Signature F* _ Date Sample House Number -r- HERS rovider Street Address: . as■n■ r.�� unr�n .. City/State/Zip: HERS RATER COMPLIANCE ST TEMENT The house was: v" Tested ✓ pproved as part of sample testing, but was not.tested As the HERS rater providing diagnostic t ing and field verification, th 1 certify that the house identified on this forcomplies wit diagnostic tested compliance requirements as checked on this form. ✓ he installer has Brovided a copy of CF -6R (installation Certificate). ✓ ADEQUATE AIRFLOW VERIFICATION !'rocedu es for field verification and diagnostic testing of adequate air oiv are available in RA CU, Append' Method For Airflow Measurement ❑ Yes ❑ No Duct design exists on plans ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Diagnostic FanFlow Using Ple um Pressure Matchi ❑ RE4.1.3 Diagnostic Fan Flow Usina FloW Grid Measur nt ✓ L ❑ Yes 1 ❑ No I Measured airflow is ✓ ❑ MAXIMUM COOLING CAPAt1 Procedures for determining mnrimvm i 7`"'-' Airflow: Rated Tons: thel^ria in Table RE -2 Yes is a pass Total CFM cfm/ton ✓ ✓ 'ass Fail I ✓ ✓ - ----•••-••- ❑ Yes ❑ No -� •••• •�-�. �a ��� u,e uvuuaoie to KA(,M, .9 endiX RF3. equate airflow verified (see adequate airflow credit) 2 ✓ ❑Yes ❑ Refrigerant charge or TXV 3. ✓ ❑ Yes No Duct leakage reduction credit verified 4 v/ ❑ ❑ No Cooling capacities of installed systems are:5 to maximum cooling capacityindicated on the Performance's CF -1 R and RF -3. If the cooling capacities of installed systems are> than 5 ❑ Yes ❑ No maximum cooling capacity in the CF- I R, then the electrical input for the installed systems must be < to electrical input in the CF- I R. Yes to 12, and 3; and Yes to either 4 or 5 is a pass IGH EER AIR CONDITIONER edruvs• or veri rcation are available in Rwwt,, A endix Rl. I ✓ ❑ Yes ❑ No EER values of installed s stems match the CF -I R 2 ✓ ❑ Yes ❑ No For s lit s stem, indoor coil• is matched to outdoor coil 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes to I and 2; and 3 (If Reouire Residential Compliance /'orms ❑ ❑ Pass Fail April 2005 i CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pap 6 of 8 CF -4R Project Address- I Portable Meter Measu e t Builder N Builder Contac Telephone Plan Number HERS Rater w Telephone Sample Grou Number NAo Certifying Signature!. Date Sample House Number� Firm,c-�� Calculated fan watt/cfm is equal to or lower than the fan watt/cfm draw documented in CF -I R ❑ H RS rovider Street Address, ® City/State/Zip: tv. nr,x%,3 lrnyr{ur m Arru Dual•umrNk, ur-rAKA IVIL' -41 HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑ Tested ✓ ❑ Approved as part of sample testing, but was not test As the HERS rater providing diagnostic testing and field verification, I certif�Ihe se identified on this form complies with the diagnostic tested compliance requirements as ch ked on this form. ✓ ❑ The installer has provided a copy of CF -6R (Installation Certificat ✓ ❑ FAN WATT DRAW Nrm,eduresfor measures The air handler wall draw ✓ Method For Fan Watt Draw Meacorw in RACM,, Appendix RE3.2. ❑ RE3.2. ! I Portable Meter Measu e t ❑ RE3.2.2 I Uti ' evenue Meter Me4urement eas—ed Fan watt Draw: enter watts here) Measured Fan Flow Enter total cfm from airflow verification 2b. Enter results of Watts/cfm: NAo Check this box yes if mechanical ventilation is required (Yes in line 2) and ventilation fan watts are no greater than shown on CF- I R. infiltrationCheck this box yes if measured building he CFM@, 50 valu s sho n fforr an SLAof I 50 Pais greater than 5 on CF -1 R If this box is checked no mechanical ventilation is required.) 3. ✓ ❑ Yes ❑ No Calculated fan watt/cfm is equal to or lower than the fan watt/cfm draw documented in CF -I R ❑ ❑ �o Yes is a ass Pass Fail Watts cfm Watts/eft HERS RATER CONIPMANCE STATEMENT The house was: ✓ ❑ Tested ✓ Approved as partof sample testing, but was not tested As the HERS rater providing di nostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate). ✓�L7 MINIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT Procedures forfield verification and diagnostic testing of infiltration reduction are available in RACM Section 3.5. Diagnostic Testing Results I. 2 I/ es ❑ Yes V, ❑ No PMO Building Envelope Leakage (CFM@ 50 Pa) as measured by Rater: Is measured envelope leakage less than or equal to the re uired level from CF -IR? Is Mechanical Ventilation shown as Leguired on the CF -I R? 2a. ❑ Yes (ZINO l If Mechanical Ventilation is required on the CF -111 be (Yes in line 2), has it en installed? 2b. ❑ Yes NAo Check this box yes if mechanical ventilation is required (Yes in line 2) and ventilation fan watts are no greater than shown on CF- I R. infiltrationCheck this box yes if measured building he CFM@, 50 valu s sho n fforr an SLAof I 50 Pais greater than 5 on CF -1 R If this box is checked no mechanical ventilation is required.) 3. 1p'es ❑ No 4. ❑ Yes �o Check this box yes if measured building infiltration (CFM @ 50 Pa) is less than the CFM @ 50 values shown for an SLA of 1.5 on CF- I R, mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. Pass if. a) Yes in line I and line 3, or b) Ys in line I and line2, 2a, and 2b, or c)Yes in line I and line 4, Otherwise Fail. Residential Compliance h"orms ass Fail April 2005 Nov 13 2007 8:48RM KISSIMISER RC -909-595-8357 p.22 INSTALLATION CERTIFICATE page 1 C 1 Ske Address 54-024 RIVIERA WAY Permit Plumber An Inde OMCerollmais ragtdred to be posted at the bundbv aim or made avaoabte torso appropil to InspeWoniL Rho btiormaOw provided on this form is requireM After compWW of final Irtspection, a copy must be provided to the WWI deperlawd (upon requmo and the building owner at occupancy, per Section IG -1 os(a) HVAC SYSTEMS: Hearin E9&hjwWd Equip Type hast CEC certified mfr Mame and Model No, Number of Identical EfBctency (AFUE, etc)' -1R value Due Lo=*m attl Duct or PipIN RNalte Heet>� Load BtuM(Btwm l�eatlrtg Cape* AIRE FLO AF80MPA075B4 80% ATTIC i 4.2 60,000 76.10W AIRE FLO AF'80MPA075B4 8096 1 4.2 60.00 76 000 SEASON CCAG34813 13.0111.0 48,000 ALL STYLE ASCO -M228 Equip Type 0*2 heat CEC centlfled mtr Mans and Model No. Number A of Identical S Etftctency (SEER or EER,W) -1 R value Duct Location st}1 etc Duct or Piping R-Vehte HeattgI Load SEASON CCAG4813 13.0 / 11.0 ' 48 000 ALL STYLE ASFL60-27A35 SEASON CCAG34813 13.0111.0 48,000 ALL STYLE ASCO -M228 1 at symbol roads greater than or equal to what Is indicated on the CF -111 value. Include both SEER end EER if compliance credit for high EER air condi ioner is claimed. ❑ I. the undersigned, verify list equipment Rsted above to: 1) Is the actual equipment installed, 2) equivalent to or more elBclent than that Mocifled in the oeri icala of compliance (Form CF -1 R) submitted for complierm with the Energy ElbcWW Standards; fbr residenttat buildings, end 3) equipment that meets or exceeds the rkft requirements for manufactured devises (From the APPHance Efficiency Regulations or Part (8) where applicable. IWAHI M S6motrador (Co ) OR General Contractor Co NrJa OR OvAr Kissinger Air Conditioni Inc. Signature: C]rr tyx Da Tu . esday, November 13 2007, Copies tit U LO1116Ci DEPARTMENT, NM RATER (IF APPLICABLE) BUILDING OWNER AT OCCItPANCY Residential Compliance Forms April 2005 a 13 2007 B: 48RM INSTALLATION CER KISSIMGER 19C 0 Vi ATEMENT FOR MIrTIILLERSTATOMM no Building w�lested at Find ❑ Tested at Pwugh4n SOS -5S5-6357 p.23 INSTALLER VISlJ1N. INSPEC'110N AT FINAL CONSTRUCTION SIAM ❑ Rwwve at least one supply and one return register, and verity that spaced between the reglster boat end the Interior fWahing WON are property sealed ❑ M on house rough -In duct Ieakep *0 vas conducted wt1hout an air handler iustelied, trropett ft CMD On 90111W b a wewrthe air handler and the supply and mtum plerwrns to veft thatttte conneetlon points are pmpery sealed. ❑ (roped all points to ensure that no dolh backed rubber edhestve duct tape is used. ❑ Now OWbAon system is" ducted (Is. does not use bul&V cevatles pferwms or pWorrns returns in Oau of duab . E Tamm noN ❑ I, the undersigned, vewfdy that Iia above disgrmft test results were perkmfad.in conftmWcs whh the requirement for oompilanoa creM. I, the undersigned, also cer" Chet the newly Installed Atr4XW1buIkm System IN Plenums and Fans Comply wfth Mandatory requireeteints specified In Section 150 (m) of tfte 2005 Riding Entergy EfNcian y standards. cw*odofQ%NtraoMr R �oRr l Kissinger Air Conditionin Inc. �`at A- , ° Tuesday, November 13 2007 ❑-MERA&MAM E"ANSIM VALVE (TM Pioaedrnea for JIM verfAcaffm of Ummunfaft expensfcn valwas am available of RACK Appe+rdbr RI Yee Access is provlded fbr Unspecdon. The procedute shag ollow Yes to a Fees 2 For spill sydwn. Indoor cal is matdred to outdmr call I ERYOS C3 No consist of vied vedficetlan that the TXV Is Installed on the system end Installation of the spedit equipment No El Fail shall be verified. ❑ MH EOR AIR awwrioNER Procedures fbr venWcadon are avagaboa In RACK Acnandlr< Rf. 1. EER values of Installed splarns match the CF -1R HAYes D No I Yes to 1, 2; and 3 I (if it gtdra Q is a pass a ❑ Fact 2 For spill sydwn. Indoor cal is matdred to outdmr call I ERYOS C3 No 3. Time Debw Relay VerIRsd Of Required)Yes No Air Conditionin4. Inc. November 13.2007 NOW 13 2007 6:49RM KISSIMGER RC 909-595-6357 p.24 INSTALLATION CERTIFICATE Paw alto Address 54024 RIVIERA WAY Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER CONPUANCE STAT®11EW The Building was Tested at Find ❑ Tested at INUAL MVISUALINBPfiyC71ONATFlMALCONSTRUCTIONSTAGE ❑ Remove at last one supply and one return register, and verily Met apaced between the msgMer hoot said fm intmilor fintshing wag are property sealed ❑ If the house mugh-In duct Issimpe test vms aonducted without an air handler installed, hoped the oomedlan points babwm Me air hsMter aid the supply and return plenums to verify that the conraction pohts are propsry sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adh oolve duct tape Is used. D New DWAubm ayatem Is fully dulled (Le. dose not use building cavenes plfmuma or 0aftm miums in neu of ductal. U Oti1CT LEAKM3! I�DUCitON measAms for INM rsrMFeatrea red ia�Air AMMhr. NEW CTION Kissipger Air Conditioning,Inc. Maftta�d Dunt PressudMon Test Results CFM @ 25 Pa SYSTEM 21 UPSTAIRS Yakws 1. Enter Tested Lealtagle Flown CFM: 2. Fen Flow: Calculated (No~ OCodbV Hoa V) or Measured UNo If Fan Flow is calculated as 400 OaMon x number of tons or as 21.7 cfmf(kBtulhr) x HmOV 18D0 In Thotuande of 8ftAw ou%LA, anter total calculated or measured fan flow in CFM Here: 8. Pass If Leahags Pernrrtaye s 896 for Final or s 4% at Rough4n: p too x I (Urte*2)112.00!6 Fan [11. the undersigned, verify that the above ti ftnostle teat results werepertomred in eml m farm whet the requlreffmin for compliance pedis. I, the undersigned, also certify that MB newly Installed Air -Distribution System Ducts, Plenums and Fans Campy with Mardatoty %qulremarrla Wcdled In Section 150 (m) of Me 20Q5 i3wkt rg lErwgy EMclenoy standards. Instatnng 9ubambpetor (Co ) OR General Can lrexiar Co DR Kissipger Air Conditioning,Inc. &Wd":f Date Tuesday, November 13 2007 . - o ❑ THERMOSTATIC EXPANSM vALvE (T" Proosewu fbr ftid verlflcetton of tlrerrrrostaffc expamfnrr vahrea are eveflable at RACK Apperrddr Rl ❑ HIGH EER AW CONDITIONER Procedures liar vaerAuflon are available In RACK Apparmb Rl. 1. EER values of Im"Ied ByW&ms match itis CF -1 R Yes C1 No Yes to 1, 2; and S 2. For Indoor coy Is mstclod to outdoor coli es ❑ No (K required) Is a pada 3. Tine Del tne Verd if Yes No Fan lnsWbV Subcontrsctor (Co Name) OR Ommal Contractor Co OR QvmQ KJssinaer Air Condfflaning, Inc. $yned+ Date Tuesday, November 13, 2007 i C011168 UMG, iD£PARTNIMIT. "ERSRATER (IF APPL.ICABL.E) BUILDING OWNER AT OCCUPANCY Residarrm Camplience Forrro A" 2M Access Is provided for Inspec&m. The procedure ahall Yes is a Pas consist of visual verification "I Me TXY is Inetaned on the sygmn and installation of Bee specific equipment UNo U Fall shah be verft& ❑ HIGH EER AW CONDITIONER Procedures liar vaerAuflon are available In RACK Apparmb Rl. 1. EER values of Im"Ied ByW&ms match itis CF -1 R Yes C1 No Yes to 1, 2; and S 2. For Indoor coy Is mstclod to outdoor coli es ❑ No (K required) Is a pada 3. Tine Del tne Verd if Yes No Fan lnsWbV Subcontrsctor (Co Name) OR Ommal Contractor Co OR QvmQ KJssinaer Air Condfflaning, Inc. $yned+ Date Tuesday, November 13, 2007 i C011168 UMG, iD£PARTNIMIT. "ERSRATER (IF APPL.ICABL.E) BUILDING OWNER AT OCCUPANCY Residarrm Camplience Forrro A" 2M Certificate of Occupancy' INCORMiTm OF T9w Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 54-024 RIVIERA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-1889 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: RIVIERA VILLAS Address: 1651 E. 4th ST. City, ST, ZIP: SANTA ANA, CA 92701 By: STEVE TRAXEL Date: MARCH 31, 2008 Building Official POST IN A CONSPICUOUS PLACE