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07-1161 (MECH)rt, P.O. BOX 1504:: 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253- Application 2253 Application Number: ! 07-00001161 Property Address: 55105 RIVIERA APN: 775 -153 -015 - Application description: MECHANICAL Property Zoning: Application valuation: 7700 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/07 Owner: DON ADOLPH D - 55105 RIVIERA LA QUINTA, CA 92253 APR 18 2007 Contractor: CITY OF Lq QUINTA Architect or. Engineer: AIR EXPERTS AIR CONDITIO FINAN EDEPT: PO -BOX 94 LA QUINTA, .CA 92247 '1 (760)777-1724 r Lic. No.: 725283 LICE SED CONTRACTOR'S DECLARATION I heieby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Bus' an fessionals Code, and my License is in full force and effect. Licens Cass: C20 License No.: 725283 Date: � U� ntractor: V �— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 anystructure, 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business andProfessionsCode: 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. , 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.). Lender's Name: Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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. 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 EXEMPT Policy Number EXEMPT ertify that, in the performance the work for which this permit is issued, I shall not employ any person in any manner come subject to the workers' compensation laws of California, and agree that, if I s ould bec subject to th workers' compensation provisions of Section 700 of the Lab r de, I sh orth it om�y with those provisions. ate: plicant: 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 issuancJsuchpermi r cessation of work for 180 days will subject permit to cancellation.I certify that I have read this application and state mation is correct. I agree to comply with all city and my ordinances and stat aws relating ction, nd reby authorize representatives of. thi ntYenter upon the ove-mentioned on p p esDate:S' ature (Applicant or Agent -Application Number .. . . . . 07-00001161 Permit .. . . MECHANICAL Additional desc . Permit Fee.".. 70.00 Plan Check Fee 17.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/15/07 Qty Unit Charge Per- Extension BASE FEE -15.00 2.00• .11.0000 EA MECH FURNACE >100K 22.00 2.00. 16.5000.EA MECH B/C >3-15HP/>100K-500KBTU 33.00 ------------------------------------------------ C, Special Notes and Comments INSTALL 2 NEW CONDENSING UNITS & 2 EVAPORATOR COILS Fee summary Charged Paid Credited Due Permit Fee Total 70.00 .00 .00 70.00 Plan Check Total 17.50 .00 .00 17.50 Grand Total 87.50 .00 .00 87.50 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# \ Project Address: Owner's Name:. '�bo a A`6 o L P,!-/ A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Aik f A/C Telephoner Address: �d Project Description: City, ST, Zip: Zlam QUA N? -A e,4 9Z-2-4-7. of—:,vi 1 51N Telephone: -7—/-'7 j 7 Z C! f S 3 2-0,?_ City Lie. #: State State Lie. # : —7ZSZ t Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: I ✓p ^ f /��,J Construction Type: Occupancy: Project type (circle one): New Add'n . Alter Repair Demo . Sq: Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: O O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES 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 Floodplain plan Plans resubmitted Mechanical Grading. plan 2°" Review, ready for corrections/issue Electrical 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 Certificate of Compliance Prescriative Method - HVAC-nniv AltPrnfinn r'l=-1 F?_A I T Proiect`JT�itl�e: /��/ ��vL�" Project Address: Da) / qlimaVZon : ©CaICERTS 2005 EnforcementA ency Use Only Building Permit # Docum a Ion rthor: '/ .• r 11AW r /yZE111' Telephone: 7% 1-72-4 Plan check Date Company Name: Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of Z systems altered in this house. Check all lin -c that anDly Check only lines that aRRIV Scope of Alterations: 1 ❑ n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 coolin or heatingcoil is to be installed or laced. Duct Sealing and/or PMRCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ - If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing OnIv if anv of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ hiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach Drevious CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) AND added duct insulation (R-4 wrap on existing ducts, R-8 new ducts) in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Add EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 Ata EER 12 condenser will be installed with TXV(RCA) D an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Themimate Zone 1 3 4 5 6 or 7. No TXV RCA is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 ❑ If line 15 is checked, HERS verification is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced. duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page xlare;n n,2 in nc — Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com i r Certificate of Compliance Prescrintive Method - HVAc-nnly elltarnfir%n rl-_'lt7_Al -r Project Title: .7 Date: ltY 7 1 ©CaICERTS 2005 IMPORTANT: This CF -IR -ALT form is only for use when an HVAC on alteration is made to an existing home Use one form for each system being altered. This is syM6m # Zof Z systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Aftered. installed equipment TW.4natch type/location and meet or exceed efTdencies/R-values. 28 Configuration: lit system Cl Package Unit 29 ❑ Air Handler Mas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 Outdoor Condensin Unit A/C ❑Heatpkm p kfficiency SEER/HSPF: 14 1EER if r d : 32 Cooling or heating cod 430C ❑Heatpump ❑Hydronic 33 ❑ Ducts Locatiow Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them.) This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized A ent Docume Author Name: N_ ame: Address: - Company Name: P-, 7: City/State/Zip: Address: .� 9.4 i Phone: City/State/Zip: Phone: -7 ?7 1724 Signature: Signatul,,; Enforcement Agency (Building Department) Notes/Comments. Name: Tftle: — Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -IR -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to Gose. permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verifir..atin_ n is rompleted and passed for the entire group. Varsinn r13117111R rage z of z This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com r t Apr 30 07 O9:17a 7603603277 p760.36O.3277 p.7 Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: L�I->� Date: lid 0 20p5 CaICERTS rojectAddress: ds ✓f climatene: r � su Permit/ '-7-1/G Installing Contractor. eeme Telephone: X72 Pian Check Dame Company Name: f: r Field chedi Dole IMPORTANT: This CF -6R form is only for use when an HVAC-apIy after pn is made to an existing home Use one form for each system being altered. This is system m+f of ! systems altered in this house. Copies to: Homeowner, HERS Rater. and BuildingjDepariiment List the specifications for the newly instalted equipment. These must match the installed equipment exactly. Installed equipment must match typellocation and meet or exceed efficiencies/R-values from CF -1 R. EquipmentType Manufacturer Model Number Efficiency Load.. Ca ci" Furnace AFLIE Heat Exchanger NIA Heat Pump fan coil NIA Hydronic fan coil NIA Other FAU Describe Package gas/AC AFUE SEER Package heatpmmmp HSPF SEER EER' A/C Condenser mRNA�f / SEER 1 Heatpump Condenser HSPF SEER Indoor DX coil f /V EER' Hydronic coil Provide EER if needed for compliance (line 24 of CF -IR -ALT). Instalter must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER- ERIn some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. In Loads are sensible for roofing. Capacities ase sensible at des n conditions for cooling and adjusted (altitude. downflow, etc.) output for heating. If TXV is required by the CF -1R forte (line 23 on CF -IR -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirety New Dud System: (Line 5 of CF 1R ALT) 0 For Entirely new dud systems, the required leakage is 696 rather than 15% for altered systems. The alternative to duct seafinq by Increasing the efficiency of the equipment is not an o " n for entirety new duct systerns" I, the undersigned, verify that the equipment fisted above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -IR -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for anufactured devices (Appliance Efficiency Standards), where applicable. the undersig verify that diagnostic test results fisted on this form were performed in conformance with the requirements for mplian a newly installed or retrofitted mechanical system components conform with the Mandatory requirements eci in Sed m) the 2005 Building Energy Efficiency Standards. U 7 Signed ler : We: Notes: Version 03-10-06 rage r of c This form can only be used on projects being verified by Ca►CERTS certified raters. www.caloens.com Apr 30 07 08:17a 7603603277 Installation Certificate 760.360.3277 Prescriptive Method - HVAC -only Alteration p.8 CF -6R -ALT Pro'ec4 Title: l®2005 Date: )Z�A_7 Ca10ERTS IMPORTANT: This CF -611 form is only for use when an AG -only alteAtion is made to an existing home Use one form for each system being altered. This is system #_2� of k -- systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results K dud testing is required per CF -1 R -ALT fort» Step 1 - Pre-test Leakage of the before any alterations. This test is nal and is onlyused for the 60% reduction option 1 Pretest leakage : CFM25 2 1 Un e 1 x0.4= a et for 80% reduction Step 2 - Determine Total System Fan Flow. Use anv of these method§. Use values for equipment after alterations. 3 Cod' : Condenser tonnage: tons x 400 CFMllon = -U CFM 4 Heating: Furnace output Btuh x .0217 CFMA tuh CFM 5 5 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: 0 flow hood 0 plenum pressure matching 0 flow grid 7 Total system fan low value to be used: , h JCFM may use highest of lines 3 4, or 5. Step 3 - Detemane Targets: Be Total System fan now pine 7 from above) x 0.06 = FN125 = 5% leakage target (raw dud systems) Bb otal System fan Flow pine 7 from above) x 0.15 = CFM25 = 15% leakage lamet 9 lTcW System fan fbly ine 7 tmm above x 0.10 = FM26 = 10% leaks to outside target Step 4 - Alterations: Must be consistent with the CF -1 R fort. 10 ❑ ISeal all new connections with approved mater. 11 ❑ No newAy constructed portions of the system can have unduded building cavities to convey system as 12 ❑ lif adding or replacing more than 40 feet of dud. I sWate new ducts per package D for that dimhate Lone Step 5 - Flnal.(regular dud a lest, for 15% total and 60% reduction) 13 leakage= CFM25 refer to 2005 ACM appendix RC. Sections RC 4.3.1 4a O None 13 is less than lure 8a, house passes the 6% leakage mquirenterd, Go to Step 9. 4b ine 13 Is less than line ON house passes the 15% leakage requirement. Go to Step 9. 15 ❑ If Itne 13 Is less than lure 2 horse passes the 60% reduction regutrement, cwrtirme. 16 ❑ If either of lines 14a, 14b or 15 are checked,HERS verification is required. SampliM can be used 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Viisual Inspection of Accessible Dud Sealing is required. Go to Step 8 ep6-Leaks toOhdsibe. Similar to a regular duct Washy test but the house is ressudwd to 25 ascals at the same time. 8 leakage = CFM25 rhe to 2005 ACM appendix RC. Sections RC 4.3.3 9 D I tt line 19 Is less than line 9 house s the 10% 1 e to outside rerequirement- 2 ❑ lif line 19 passes. HERS verification is required. Sampling can be used. Step 7 - If the house does net pass any of fines 14, 15 or 19. 21 ❑ ISmake Test and Visual Inspection of Accessible Duet Sealing is required. See Step 8. 22 ❑ linstall mcluired label perACM Appendix RC. Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2015 Residential ACM Appendix RC Sections RC 4.3.5 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged duds per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal register boots to surrounding material per ACM Appendix RC. Sections RC 4.3.7. HERS Ve 'fication 28 r lime 14 is checked. 15% leakage to be verified q HERS rater. li Is allowed. 27 ❑ If line 15 is checked 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is dhecked. 10% leakage to outside to be verified by HERS rater. Sampling Is allowed. 29 ❑ If Wane of lines 14, 15 or 19 ale checked Smoke Test and fix all accessabte leakes. No sampling allowed_ Sampling -qnbLgheuse passes on lines 14.15 or 19. 30 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2) Homeowner, installer and rater must sign the three -panty agreement. 3. All above tests must be completed by the installer or their representative, not the third party rater. No Sampllna -House does not pfts bylines 14, 16 or 19: OR homeowner chooses not to be parlor a sample rou 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed solely by the third Eft rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2) All above tests may be completed by the installer or their representative. and then verified by a third party rater. OR all above tests rna be performed solely by the third party rater. Version 03-10-06 rage c kn c This form can only be used on projects being verified by CaICERTS certified raters. www.coicerts.com Apr 30 07 08:15a 7603603277 760.360.3277 p.3 Installation Certificate Prescriptive Method - HVAC -only Alteration CF -GR -ALT Project TOR: !", ow f ��L� Dat © 2005 CalCERTS Ua0D Project Address: Crimale Zo e: StMing Perms 0 s /C)5-- /sv `7_ Installing Contractor. Telephone: -if Plan cne& Dace r- M 172- ompany Name: \l exA--eTS F*W Check Date IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made to an existing home Use one forth for each system being altered. This is system #—J_ of -7, systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match typellocation and meet or exceed efficienciesiR-values from CF -1 R. Equipment T Manufacturer Model Number Ef arien Load" Capacity— a at `Furnace Furnace AFUE Heat Exchanger WA Heat Pump fan cod NIA Hydronic fan coil NIA Other FAU Describe Package gas/AC AWE SEER Package heatpump HSPF SEER EER' AIC Condenser AMMA AV 14= 1SEER � , 7 ,1 3��0 Heatpump Condenser }SPF SEER Indoor DX coil 2� EER• Hydronic coif Provide EER if needed for compliance (line 24 of CFA R -ALT). Installer must provide adequate documentation to verity EER In some cases the specific furnace may need to be verified in order to achieve a speck EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. Loads are sensible for cooling. •" Capacities are sensible at design conditions for cooling and adjusted (altitude, downflow, etc.) output for heating. XV: 914iXV is required by the CF -1 R form (tine 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampring is allowed for TXV verification. Entirely New Duda System: (Line 5 of CFAR ALT) Q For Entirely new dud systems, the required leakage is 6% rather than 15% for altered systems. The attemative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new dud systems. I, the undersigned, verily that the equipment fisted above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -IR -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufa devices (Appliance Efficiency Standards), where applicable. I, the undersigned, ve ostic test results fisted on this form were performed in conformance with the requirements for mpliartce and the in Illed or retfofitted mechanical system components conform with the Mandatory requirements specified in ion 150(m) 200 itding Energy Efficiency Standards. 4)11/6-7 Signed Instal Date: Notes: Version 03-10.05 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certi5ed raters. www.caloerts.com Apr 30 07 08:16a 7603603277 Installation Certificate 760.360.3277 Prescriptive Method - HVAC -only Alteration P•4 CF -6R -ALT Project Title: /�•�i z>'Y Date: � G`� �.� �2005CaICJ=RTS IMPORTANT: This CF -6R form is only for use when ad HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # I of -z- Systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results (If dud testing is required per CF -1 R -ALT form) Step 1 - Pre test Leakage Of the System befOre2riyallerations. This lest is optional and Is only used for the 60% reduction option 1 Pre-test leakage: I ICFM25 2 1 Line 1 x 0.4 fLarget for 60% reduction Step 2 - Determine Total System Fan Flow. Use any of these methods. Use values for equipment after alterations. 3 Cooling: Condenser tannage: tons x 400 CFU/ton = FM 4 FM Heating: Furnace output Btuh x.0217 CFMIBtuh = IFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Total system fan flow value to be used: / f CFM ma use highest of lines 3, 4, Or S. Step 3 - Determine Targets: 8a JTotal Systpn fan flow (line 7 from above) x 0.06 = m5 = 6% leakage target (new duct systes)8b Total System fan flow pine 7 from above) x 0.15 = ;]CFM CFM25 = 15% leakage target 9 Total System fan flow ate 7 from above x 0.10 = CFM25 =10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ Seal all new connections with approved materials. 11 ❑ 1 No newly ConsWcted poillionsi of the system can have unducted building cavities to convey system au. 12 ❑ 1 If adding or replacing more than 40 feet of duct, Insulate new ducts per package D for that climate zone Step 5 - Final Leakage ( r duct leakage test, for 15% total and 60% reduction) 13 leakage = M25 refer to 2005 ACM appendix RC, Seclions RC 4.3.1 4a ❑ If fine 13 is less than rine 8a house passes the 9% leakatterequirement, Go to Step 9. 4b If fine 13 is less than line 8b house passes the 16% leakage reuirement- Go to Step 9. 15 ❑ If cute 13 is less than line 2, house passes the 60% reduction requirement t continue. 16 ❑ If either of fines 14 14b or 15 are checked. HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Dud Seating is required. Go to Step 6 Step 8 - Leakage to Outside: Similar to a regular dud blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage = I ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 Is less than tine 9 house passes the 10% leakage to outside requirement. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - if the crouse does not pass any of lanes 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Duct Sealing is requinad See Stop 8. 22 ❑ linstall reoured label perACM Amendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 ❑ Perform smoke test rACM Appendix RC Sections RC 4.3"6. 24 ❑ Perform Visual inspection and of excessivelyd duds ACM Appendix RC Sections RC 4.5.7_ aSeal23 2$ ❑ register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS V 'on 26 ET If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling Is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and visual Verification to be Wormed by HERS Rater. Samp!inq is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ If none of lines 14.15 or 19 are checked Smoke Test and fix a0 accessable leakes. No sampling allowed. Sampling - Only If house passes on fines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling_ 2.) Homeowner, installer and rater must sign the three -party agreement. 13.)All above tests must be completed by the installer or their Miyesentative,not the third rater. No Samptlng - House does not pass bylines 14, 16 or 19: OR homeawmerlooses not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be perf..d solely by the third part,, rater. 32 ❑ 1 _) House to be tested by third party HERS rater selected by homeowner. 2.) Al above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be rdormed solely by the third party rater. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Apr 30 07 09%14a 7603603277 w 760.360.3277 p.1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of la) CF -41k ss -i.05 Riviera G'% s Bedroom - La Quinta , CA 92253 Air Experts 1725283 Project Address Conbactor Name / Upper No. 07-1161 Contractor Contact Telephone Permit Number Walter Nelli: HERS Rater Firm: Air Solutions of the Desert Street Address: PMB 150 42-208 Washington Street Copies to: Homeowner. HERS Provider and Buildina De 275-4919 60832 Telephone Sample Group Number CC14-1798401413 Certificate Number HERS Provider:Ca10ERT3, Inc. Gty/State/Zip: Bermuda Dunes / CA/ 92203 This CF -4R has been registered with the Ca10ERTS® registry in accordanoe with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was brested JApproved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not 'ease the CF -4R until a property completed and signed CF -6R has been received for the sample and tested buildings. New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). %I New systems where cloth backed, rubber adhesive dud tape is installed, mastic and drawbands are used in combination with doth backed, rubber adhesive dud tape to seal leaks at dud connections. NIMUM REQUIREMENTS FOR DUCT r h=areGE RFntWTrr1N Mmal VANew roonvv. NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A r^. 2 Fan Flow: Calculated (Nominal'.-Cooting ',-;Heating) or*— Measured Enter Total Fan Flow in CFM: 1200 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Prue -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for 80 Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Dud System - Pass If Leakage Percentage < 6% [ 100 x ( Une S / Line 2 )]: .JPass IJFaii TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )): 6.67% ,`Pass []Fail 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Pass c 'Fall 11 Pass d Leakage Reduction Percentage >= 60% [ 10D x ( Line 6 / Line a )] and Verification by Smoke Test and Visual Inspection Pass OFatl 12 Pass if Seating of all Accessible Leaks and Verification by Smoke Test and visual Inspection JP. L1Fai1 Pass R One of Lines 49 through S12 pass Pass LJFail Rpr 30 07 08:15a 7603603277 s 760.360.3277 P.2 CMTIFICATE OF*FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R SS -LOS Rlviara Guest Bedroom - La Quiff . CA 92253 Air Experts / 725283 protect Address Con6ractor Name / License No. 07-1161 Contractor Contact Telephone Permit Number Walter Nellis 760-275-4919 60832 HERS Rater Telephone Sample Group Number A ri125 2007 CC14-1798401413 CeKilying Sigrta Date Certificate Number Firm: INr Solutions of the Desert HERS Provider:CaiCERTS, Inc. Street Address: PMB 150 42-208 Washington Street City/State/Zip: Bermuda Dunes / CA / 92203 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the Ca10ERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Nested JApproved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this farm complies with the diagnostic tested compliance requirements as checked on this form. A The installer has provided a copy of the CF -61Z (Installation Certificate). Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System e.' Rpr • 3� 07 08.16a 7603603277 760.360.3277 P -z CATION fill'v+^�•' Air E arts 725263 ERTiFICATE OF FIELD r Name / time No. La CA 92253 contractor waster eedroon' side - i5 -los Rivera 07-1161 "Jett Address TelephOAe permit Number 760-275-4919 60832 Group Number :ontractor Contact Telephone Walter NeiliS/ Aril 25 2007 CC14-1798401414 ,HERS Rarer Date Gerbtrcate ntumber HERS provider:Ca10ER Znc In 51 nature CA 92203 Certify 9 g City/StateiziP:Bermuda Dunes Firm' Air Solutions of the Desert Strut pddness; PINB 150 42-208 Washin ton Sd^eet a Zp of the CCR and Buildin Co ie5 to: Hon�wner HERS Provider in aa%aanue Wt�,t�e Title 24 & Titl This CF -4R has been registered with the C110Erni �e ......,vaA HERS Provider b the a CaICERTsl.9r is a" " • � NCE STATEMENT HERS gpTER COl4PLIA roved as Part of sample testingr but was not te5 ldenUfled on this form complies �� 012 eseed `�►PP tton, I certlfY Mat tt� how that the rrew dlstrlbutlon As the HERS � nostic te5h� aC1>edt�ld verWca The HERS rater must check and verNy rater must not The hOUse rpyiding dla9 ed on this form• bWldtng. The HERS • -- rdt� .P.�nuance requiremen __, �,,....� w ff-aR may be released on ev � �� a and tested bulldings. qpr 30 07 08:i0a 7603603277 760.360.3277 P•b e � 3-4 - -- CA 92253 Air Expert51725293 _ - 55-105 Riviera Ma~ Bedroom Side - La u-ueta Contractor Name / Ucense No. pro/ectAddreSS 07-1161 Telephone permit Number ConhectorContoct 760-275-4919 60832 Walter NelliS Telephone sampre Group Number HERS Rater April 25, 2007 CC14-1798401414 Date Certificate Number Certirying signature HERS Provider:Ca10ERT5 Inc. C-ity/State/Zip:Bermu la Dunes! / 92203 Firm: Air Solutions of the Desert Street Address: PMB 150 42-208 Washin9� Co ies to: homeowner HERS Provider ana Ouuam — in accordance with the Title 24 & Title 20 of the CCR. This cF•4R has been fi registered wdthe CaICERTS® registry CalCERTS® is an a roved H 31rovider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was .}Tested !6Approved as part of sample testing. but was not tested. As the HERS rater providing diagnostic testing and field verification. I certify that the house Identified on this form complies with the di a nostic tested compliance requirements as chedced on this form. The installer has provided a co of the CF -6R Installation Certificate . THERMOSTATIC EXPANSION VALVE Access is provided for Inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shallbe KVAC veriSYd ]p. ❑Fall