06-1878 (SFD)lo
P,.0 ,BOX 1504 4 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/15/06
Application Number: 0.6-00001878 Owner:
Property Address: 54048 RIVIERA RIVIERA VILLAS
APN: 775-030-017- - - .1651 E.4TH ST NO 228
Application description: DWELLING - SINGLE FAMILY DETACHED SANTA ANA, CA 92701
Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 208104 G
Contractor:
Applicant: A ct or Engineer: FIRST PACIFICA DEV CORP JUL 17 200
300 EAST STATE ST, SUITE #
REDLANDS CA 92373 CITyOF
�1 (909) 798-3688 F�NgNICEDEpr
Lic. No.: 760044
LJ
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: 13 License No.: 7600444\�\
ateLZ_ fT[ractor:
OWNER -BUILDER DEC RATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a•permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that. he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and el
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.).
1 _ 1 1, 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 _ 1 1 am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I. ' . .
Lender's Name:
Lender's Address:
LQPERMIT
-----------------------------------------------
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.
Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number W613-4291
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
370�0/1of the Labor Code, I shall forthwith ot`, mply vaith those pfovisions.
ate ���IC eannnlr r• \ \ t\\xA\� �\\\1l
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 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 my ordinances and state laws relating to building construction, and hereby authorize representatives
of this my to eryr upon the above-mentioned roperty for inspection purp ses.
ate: ure (Applicant or Age __..
r
Application Number .
. . . . 06-00001878
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
466.00 .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
15.0.0
LQPERMIT
r
' 'Application Number 06-00001878
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
Qty Unit Charge Per
E: -tension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD -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
Grand Total 5337.80 .00 .00
5337.80
LQPERAIIT
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R
Pro ect Address
���D
Builder N
G/E
Builder Contact Telephone
*i• -C -a X04- IS `21t t
Plan Number
.3
HERS Rater �to , ` 1&0 2.'�Z' Telephone
e� lVt� r3�
Sample GroupNumber
Compliance Method (Prescriptive)/
Climate Zone I
Certifying Signature i�GQ,gfe
TT��
Sample House NumberArm3 fir+Z
RS rovider
Street Addres
City/State/ZiR/�
"nnipc tn• RI111 mire NFRC DQf1VIncn .win ft.— .
!.� 4Z2o3
-- vu •v va:r Mm 11VAG1\
HERS RATER COMPLIANCE STATEMENT
The house was: 7pvidhl�g ested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater diagnostic testing and field verification I certify that the house identified on thisform corn lies with
the diagnostic testance requirements as checked ✓ on this corm. 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 -6R has been received for tete s -ample and tested
buildings.
The installer has provided a copy of CF -611 (Installation Certificate).
Ir New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
! 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.
2✓ MINIMUM REQUIREMENTS FOR DUCT—LEAKAGE REDUCTION COMPLIANCE CREDIT
P edures. for field verification and diagnostic testing ojair distribution systems are available in RACM, Appendix RC4.3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa) Measured
1 Enter Tested Leakage Flow in CFM: Valu
2 Fan Flow: Calculated (Nominal: ✓/ooling %*'❑ Heating) or 1/0 Measured 41 J
Enter Total Fan Flow in CFM:
3 Pass if Leakage Percentage 5 6% [ 100 x _(Line # 0 / (Line # 2)11
ALTERATIONS: Duct System and/or HVAC EaniDment C'hnnoa�.nu•
-I
4 I Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
5 for Duct S stem Alteration andui ment Change -Out.
Enter • Reduction in Leakage for Altered Duct System
L —(L ne # 4) Minus (Line # 5)]
6 (Only if Applicable)
7 Enter Tested Leakage Flow in CFM to Outside (Only if A e)
8 Entire New Duct System - Pass if Leakage Percen /o
100 x Line # 5 / Line # 2
TEST OR VERIFICATION STANDARDS- r Altered Duct System and/or HVAC Equipment Change -Oat
Use one of the following four Test or V (cation Standards for compliance:
9 Pass if Leakage Percentage /o [100 x
_(Line # 51 / (Line 7F.2)]]
10 Pass if Leakage to O de Percentage 5 10% [ 100 x
[_(Line # 7) / (Line # 2)]]
Pass if Leaka eduction Percentage Z 60% [100 x
11 and Veri tion Smoke Test and Visual Ins coon —{Line # 6) / (Line # 4)]]
12 P ealin of all Accessible Leaks and Verification by Smoke Test and Visual Ins action
Pass if One of Lines # 9 through # 12 pas
Residential Compliance Fortes
V/ . ✓
�P4ss ❑ Fail
❑ Pass ❑ Fail
❑ Pass ❑aiF I
❑ Pass Fail
❑ Pass ❑a1F I
"" ❑ Pass ❑ Fail
❑ Pass ❑ Fail
April 2005
1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8 CF -4R
Pro ect Ad essBuilder
, 4
N
Builder Contact /J Telephone
793
Plan Number
HERS Rater Telephone
tD Alar so� Go Z z t 3S5
Sample Gro Number
Es
Com liance Method (Prescriptive)
Climate Zone /
Certifying Signa a/ jute
Sample House Number
Hider
e F*f
Street Address:
Cit y/StateJZip:
Copies to. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATE C WLIANCE STATEMENT'
The house was: ested ✓ ❑ Approved. as part of sample testing, but was not tested
As the HERS rat providing dia.gnostic testing and field. verification, I certify that the house identified on this form complies
wi diagnostic tested compliance requirements. as checked on this form.
✓ he installer has provided a copy of CF -6R (installation Certificate).
✓ ERMOSTATIC'EXPANSION VALVE (TXV) '
drrres for field verification of the
rmoslaticic expansion valves are available in RACM Appendix RI
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge ,for Split System Space Cooling Systems without Thermostatic Exp on
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cool ing.Capacity B r
Date of Verification
c
Date of Refrigerant Gauge Calibration ust be c c onthly)
Date of Thermocouple Calibration (must be d monthly}
Standard Cham
Ye Measurement outdoor air d -b 55 °F and above : r
Note: The system should be iZand in accordance with the manufacturer's specifications and installerverification shall'be documenstarting this procedure. If outdoor air dry-bulb is below 55 7 rater shalluse the Alternative Charge MProcedures for Determinin . n the Standard Method are available in RACM A ndix RD2.
✓ ❑ Yes O No copy of CF -6R (installation Certificate) has been provided with ref
Residential
measurement documented. ngerant charge
April 2005
r-
✓ es
❑ No
Access is provided for. inspection. The procedure shall consist of
visual verification that the TX is installed on the system and
installation of the s ecific ui ment shall be verified.
Es
Yes is a ass
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge ,for Split System Space Cooling Systems without Thermostatic Exp on
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cool ing.Capacity B r
Date of Verification
c
Date of Refrigerant Gauge Calibration ust be c c onthly)
Date of Thermocouple Calibration (must be d monthly}
Standard Cham
Ye Measurement outdoor air d -b 55 °F and above : r
Note: The system should be iZand in accordance with the manufacturer's specifications and installerverification shall'be documenstarting this procedure. If outdoor air dry-bulb is below 55 7 rater shalluse the Alternative Charge MProcedures for Determinin . n the Standard Method are available in RACM A ndix RD2.
✓ ❑ Yes O No copy of CF -6R (installation Certificate) has been provided with ref
Residential
measurement documented. ngerant charge
April 2005
r-
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R
Project Addres 1,
54 Q 9.. ir44"72L/v
a " N rA% �,�
B wder Name
t—, Q*r K,,Ft,; A
Builder Contact Telephone
Gaa -;� -'�3= zt►r
Plan Number
3
HERS Rater Telephone
-IA -1 z7zt3
Sample Grou • Number "r
3
Certifying Signature
���,y� Date
Sample House Number��
(.�sn,o• J
rl Sir
HERS Provider .
Street Addresss:
`5-f ( —DAC
5
City/State/Zip:
S -?Zac
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ sted ✓ ❑ Approved as part of sample testing, but was not tested
As the 14ERS rate/tested
viding diagnostic testing and field verification, I certify that the house identified on this form complies
wit diagnosti compliance requirements as checked on this form.
✓ he installer has provided a copX of CF -6R (Installation Certificate).
✓ ADEQUATE AIRFLOW VERIFICATION
Procedures or +eld verification and diagnostic testing o ade uate air ow are available in RACM, 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 Fan Flow Using Ple um Pressure Match'
❑ RE4.1.3 Diagnostic Fan Flow Using Flo1v Grid Measur nt
M red Airflow: Total CFM
Rated Tons: cfm/ton
✓ ✓
11, ❑ Yes ❑No Measured airflow is great an th ria in Table RE -2 ❑ ❑ :q
Yes is apass Pass Fail
✓ ❑MAXIMUM COOLING CAP)Y
Prfx•edures for determining maximum ro 1pP load cnnnrily oro nvni/nAlo l., R J!'AA d.,., ,., I:. AC7
1
✓
❑ Yes ❑ No
equate airflow verified (see adequate airflow credit) »r
2
✓
❑Yes ❑ N
Refrigerant charge or TXV
3
✓
❑ Yes No
Duct leakage reduction credit verified
4
✓
❑ s ❑ No
Cooling capacities of installed systems are:5 to maximum cooling
capacity indicated on the Performance's CF -IR and RF -3.
5
❑ Yes ❑ No
If the cooling capacities of installed systems are> than maximum
cooling capacity in the CF- I R, then the electrical input for the
installed systems must be:5 to electrical input in the CF -1 R.
Yes to 1, 2, and 3; and Yes to either 4 or 5 is a ass
✓IGH EER AIR CONDITIONER
edu,es_fb, vert +cation are available in RACA1,, Appendix Rt.
I ✓ Wes ❑ No EER values of installed systems match the CF -IR
2 ✓ es ❑ No Fors lits stem, indoor coil is matched to outdoor coil
3 ✓ es ❑ No Time Delay Relay Verified (if Required)
Yes to I and 2; and 3 (If Require
Residential Compliance / orms
❑ ❑
Pass Fail
Iry
Aprit 2005
i
ra
CERTIFICATE. OF FIELD VERIFICATION & DIAGNOSTIC TESTING .(Page 6 of 8) CF -4R
Pro*lect Addros•
W,b ireA P
/1
ItR 6)ck .^ ' V"'�
Builder N
!!5 f4cr it.[ A.
Builder C �
tact T %
�(�_
Telephone
Plan Number
HERS Rater ��-��,
y Telephone
Sample GroupNumber
2a.
Certifying'Signature!
, Date
Sample House Numbes�
Firm
H RS rovider
Street Address-City/State/Zip:
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.
to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
The house was: ✓ 0 Tested ✓ ❑ Approved as part of sample testing, but was not test
As the HERS rater providing dia.gnostic testing and field verification, I certify that the 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
Pr•oc•edrues or measuring The air handler watt drmv re ail ble in RACM,, Aplyndir RE3.2.
✓ Method For Fan. Watt Draw Meas ent
❑
RE3.2.1
Portable Meter Measu e t .
Uti ' evenue Meter M urement
Building Envelope Leakage (CFM @50 Pa) as measured by Rater:
❑
RE3.2.2
❑ No
JEPNO
easured Fan watt Draw: enter watts here)
2a.
❑ Yes
Measured Fan Flow Enter total cfm from airflow verification
If Mechanical Ventilation is required on the CF -IR (Yes in line 2), has it been
installed?
2b.
❑ Yes
Enter results of Watts/cfm:
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.
3.
Wyes
❑ No
Check this box yes if measured building infiltration (CFM (a,) 50 Pa) is greater than
the CFM @ 50 values shown for an SLA of 1.5 on CF- I R
✓ ❑Yes
❑ No
Calculated fan watt/cfm is equal to or lower than the fan
watt/cfm draw documented in CF -I R
11
❑
❑ Yes
4ZNo
" Yes is a ass
Pass
Fail
Watts
cfm
Watts/cfm
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS ra r providing diagnostic testing and field verification, l certify that the house identified on this form complies
with the diagnos is tested compliance requirements as checked on this form.
✓ he installer has provided a copX of CF -6R (Installation Certificate).
INIMUM REQUIREMENTS FOR INFILTRATION REDUCTION COMPLIANCE CREDIT
�,ocedures or field verification and dia noslic lesting of infiltration reduction are available in 94CM Section 3.5.
n:T....
rte.rruerwal c. onrpliance Vorms
April 2005
✓
✓
Building Envelope Leakage (CFM @50 Pa) as measured by Rater:
I,
2
es
❑ Yes
❑ No
JEPNO
Is measured envelope leakage less than orequal to the required level from CF -I R?
Is Mechanical Ventilation shown as required on the CF -I R?
2a.
❑ Yes
CONo
If Mechanical Ventilation is required on the CF -IR (Yes in line 2), has it been
installed?
2b.
❑ Yes
T ' o
r
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.
3.
Wyes
❑ No
Check this box yes if measured building infiltration (CFM (a,) 50 Pa) is greater than
the CFM @ 50 values shown for an SLA of 1.5 on CF- I R
If this box is checked no mechanical ventilation is required.)
4.
❑ Yes
4ZNo
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
o ratin .
✓
V,Pass
if: a) Yes in line 1 and line 3, or b) Yes in line I and line2, 2a, and 2b, or c)Yes in line I and
line 4, Otherwise Fail.
❑
Pass
Fail
rte.rruerwal c. onrpliance Vorms
April 2005
"ov 13 2007 8s43RM KISSIhGER RC
909-595-6357 p.13
INSTALLATION CERTIFICATE paw 1 CFBR
She Address 54-048 RMERA WAY PaMit Number
An InoahMen Cadicmte M rheouired to be ooetad at the bUDOW Site or made aveclabia W14=q appropet Itropectiorls.
(The lMbnneton provided on rift form in required) After completion of fel InWedlon, a c" nand be provided
to fro bculldhhg deparknert (upon mques!) and tree bukMV owner at 000upaney. per Section 110-103(a)
HVAC 8YSMS:
r~a.ar,� 6gpdjaoren�t
Eq* Type
hem
CEC 06111111001 M*
f4ame and UMdd No.
Manber
0 of
Identical
3
Efficiency
(AFUE, atcr
1R Value
D
Loclid"
a
Duct or
Piping
RrVWUO
HMW
Load
SM
He"
Capacity
Mk—ft
AIRE FLO
AFBQMPA075B4
6096
AM.
4.2
60,000
75 000
AIRE FLO
AF80MPA07584
809f,
4.2
80 OOQ
75.01M
SEASON
CCAG34813
13.0111.4
J
48 000
148,000
ALL STYLE
A860 -M228
Coaffm EW
Equip Type
02 heat
CEC certified mfr
Dame and Model No.
Number
Not
Identical
Efficiency
(SEER or EER,eta)
F -1R value
DOd
Locgon
Dud or
R -Value
Heafto
Load
I h
Heaft
Capacity
SEASON
CCAG4813
13.0111.0
48.000
-48M
ALL STYLE
ASFl�-27A35
SEASON
CCAG34813
13.0111.4
J
48 000
148,000
ALL STYLE
A860 -M228
1 t symbol reads greater than or equal to what Is indicated on the CF -1R value.
Include both BEER and EER If compliance credit for high EER. air conditioner is ctairned.
i."uuhdera*w. verify then equipment listed above Is: 1) Is the actual equipment Instaped, 2) equ4sientto or
mora efficient than that apecilled in the certificate of compliance (Forth CF -1 R) submMad fol cmnhpttance with the
67sr Efficienc7 Shwa er b for resideMiat bundhrga, and 3) equipment that meets or exoods the appropriate
reghdremenis for nun ufacrhrred deviese (From the Appffence Efficiency Reguktfons or Parti(S) where applicable.
M Ming Subcor bi0or (Co Name) OR General
Contractor too
Mssinger Air Qonditioning, Inc.
n f
Dom' Tuesday, !November 13, 2007
C*n"WLMQ MPARi111EWT, HERS RATER (IF APPLICABLE) BUILDIN3 OWNIERAT OCCUPANCY
PASIderMal Compliance Forms April 2M
nWV Aa cuur e:19Rnn K1551MISER RC 909-595-6357 P.14
' INSTALLATION CERTIFICATE P 2 CF6R
Site Address 54-048 RIVIERA WAY Ipwamomw
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
WSTALL2RC)OMPLIAMPSTATO&W
J a' The BWWV alas Testa at Fines ❑ Tested at Rough -In
INSTALLER VISUAL INSPECTION AT FINAL COINSTRUCTION STAGE:
❑ iAreovs at least ane supply and one ratum regislar, and verify that spaced between the register boot and Rte hdmior
flrAshIng wag aro property, sealed
❑ If the house rovah-In duct leakage test was conducted w[thout an air handler ktslalied, tmwW Ute conrreatlmt pohb
between tete air handy and dte steply ami return plenums to verify that the connacilon polrtls aro property sealed.
❑ Inaperx of joints to ensure flat no cloth backed rubber adhesive dual tape is used.
❑ NOW Dlabft#*n ayaWrn Is fully ducted (La. does not use buildhg cavatles plenums or plattomm mkno In lieu of
U DUCT CIMAN RMXICiM '
areedleera- &rebu nrwa2AfihM A ,a
N6W CONSTRUam
Duct Preswtbatton Test Results CFM 25 Pa SYsTam 1 I DOVIMISTAIRS
Measured
Values
1. Eniw Tested LeakmeFlaw In CFW91
S�raara �
2. Fen Flow: Calculated (Nominat []Cooling 0 Heeling) or 01YIessured
If Fan Flow 6 calculated as 400 c b Aon x number of tone or as 21.7 dFN(kBtulhr) x HealingCOVICRY
1600
In Thousands of BWft Output enter total calculated or measured fan flow In CFM Here:
3. Pass if Leakage Percentage s 6% for Final ors 4% at Rough -in: -T
100 x I tune 01 / Line # 2
3A6% Fag
4, < ❑ 1. the undaralgned, verW that the above diagnostic test results were performed In conlornoos adth the requirements
tbroompgance cxediL f. the a ndemoted, also cently, that" newly hat aIW AIr-Distribution Sydwn Ducts, Pbnums end
Fans Comply with Mandatory requlromerns epecNed in Section 1130 (m) of the 2005 Building EnaW Eftlency afandards.
) OR General
InStOlIft s(Coon oOR
N
Kissinger Air COndidonin / Inc.
S�raara �
hate
Tuesday, November 13 21p7
❑ THERMOSTATIC EXPANSION VALVE (MV)
A=9dwea for felts vemkediovt ot(twmoateftc 9Jf 8ambn vahw are evaNeble at RACM, Aplpe M )a
Access to provided for Inspection. The prmdum shaheaa Yee Ili a Paattg
consul of visual vert6cxtion that the TXV Is Installed on
UNG the system and Installation of the apwft equipment 0 Fall
shall be vented.
❑ HIGH ISR Alin CONDITIONER
Procedures for varfflcawn are ata//able fn RACM Apgandix Rl.
1. EER values Of Installed Systems match the CF -1R Yes No Yes to t/ 2; end 3
2• For indoor cog is msttdted to outdoor cog Yea N(lf req%dnmQ in a pass
I T'hrte De Rala Verified u ss Noo ae ❑Fal
;s
909-595-6357
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INSTALLER COMPLIANCE
X8 RIVIERA WAY
ATEMENT FOR DUCT
MSTALUm comMAIFE STATEMENT
The auttdfng rtes Tooted at Final Q Tested at Rough -in
MSTALLER VWML lIMP =MN AT FIML CQP[MUCTWN STAG&
Q RM74" at Isast Ona 9uPPty and one return regleter, and verily that gPRCd behmm the raghftr tool and the frvWW
fiMahMP wap ere proprrrty seabd
❑ If the house roughdn duct bops test was oonduCW wMout an air handler insta,W hitt "Ore t�rreadon polrrd
b0*W the air harfbr and do wppy and mtum ptsrwms to verify that the connecflon poh�ls are
lmPect a8 jobrta to ensure that no doth backed rubber edhesfve duct tape IS used.
Q New D ern ie fully &wkd (Le. does rat use
drnda). hiding cen►aties pknurrm or p)edfomro rlmm h tleu Of
TiM Results (CFM Q 25 Pa) SYSTEM 8!
k Fff%- h. r.caA.
IfFen .ri—i"a u numung) or L IMeasuredwoelculad W 400 w
dtn/ton x number of tons Or ere 21.7 OW(kswft) x 1"Isatirgt
K Lealwga In Thousands of Mfhtu/hr oubpaut
enter total eatculateq or measurMd fan Rev in CFM Hero: 1800
Rercenta8e s 895 far Flnai or s 4% at Rough -in:
j100 x tLiee P 1/ Line d 2
)11
Q I. the 3.94%
unders�ned, verl/y that Etre aboNe dlaBrtOstfc test msub were perknned in Cordonnanom wldr the regWmmsnts
Fars mplianos credit I, thq unders(gned, also Oergy that the newly In�Ued Air-0istn'butlon System puede, pler�u� end
Comply with r4andatory requfremernm GPMWed In Section 150 (m) of the 2005 Building Enera►
Imawn ,.. Q..Y_.r�-- .- -- Efficierrcystandarda.
erAir Conditioning- Inc
1esdaV, November 13, 2007
❑ THERAAOSTA= f XP/1 IMN VALVE (UV)
P+ooadure s for Rehr uen7%stron of thermoatedc expansion vaWs ere evG#a&V at RACM
Apperraryr R1
Aoaene i9 provided for hepec9on. The procedure shall
� cxinstrf of visual verlRcatlon that the TXV la kmtalbd on Y� 4 a
ah�rr r�..o.� in�allatlon of the specditc equfpmerrt �„�,
❑ "M EER AIR CONDITIONER
P►Oa9du1ss for t e catbn are avaj
t. EER values of frrstalled sysbarrrs
. For epflt system trdwr coop fs mr
had to outdoor coilCJ No Yea io 1, 2; egad S
IL&Yea es OjIo No 41 reWrad) Asa pasts
FaH
4 General
feria
Kit -sin erAir C®ndi#ionin_q, Inc.
HETI RATr-la (W b%As .. _Tuesda , N- mber 13. 2
Certificate of Occupancy
T'df 4 xP a"
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: 54-048 RIVIERA
Use classification: SINGLE FAMILY DWELLING
Occupancy Group: RR=3
Owner of Building: RIVIERA VILLAS
Building Official
Type of Construction: VN
Building Permit No.: 06-1878
Land Use Zone: RL
Address: 1651 E. 4th ST.
City, ST, ZIP: SANTA ANA, CA 92701
By: STEVE TRAXEL
Date: APRIL 8„ 2008
POST IN A CONSPICUOUS PLACE