06-2430 (SATT)..0..'_BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: , 06-00002430
Property Address: 45245 SEELEY DR UNIT 16
APN: 604-040-999-2 -31116 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: TOURIST COMMERCIAL
Application valuation: 71752
T4t!t 4 4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
B CP DEVELOPMENT LA QUINTA, LLC
77-564 COUNTRY CLUB DRIVE
ATTACHED PALM DESERT, CA 92211
Applicant: rchitect or Engineer:
- j
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 00) of Division 3 of tyl
u ess and Professionals Code,. and my License is in full force and effect.
Licens Iasi: B inLicense No.: 728102 '
ate:ontracto
OWNER -BUILDER DECLARATION
I, hereby affirm under penalty of perju at 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 any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ I 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: Apr
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/06
Contractor: v
LENNAR HOMES OF CALIFORNF EAUG
40004 COOK ST. O:1n20061
PALM DESERT, CA 92211 11
(760)601-3100 CITY OF LA QUINTA
Lic. No.: 728102 FIKIAKlrc neor
------------------
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.
ill 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 OLD REPUBLIC IN Policy Number MWC11148500
_ 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,
a agree that, if I h Id become subject to the workers' compensation provisions of Section
00 of the Labor shall forthwit omply with those provisions.
ate: plicant:
WARNING: F URE TO SECURE WOR ER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 tha I have read this application,gnd state that the above information is correct. I agree to comply with all
city and c my ordinances and state law relating to building construction, and hereby authorize representatives
of thi ty enter upon the above -m io ed propert for inspection purposes.
ate: / S' ature (Applica
LQPERMIT
Application Number 06-00002430
Permit'
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
513.50
Plan Check Fee
83.45
Issue Date
. . . .
Valuation
71752
Expiration
Date
12/16/06
Qty
Unit Charge
Per
Extension
BASE
FEE
414.50
22.00
--------------------------------------------
4.5000
THOU BLDG
50,001-100,000
-------------------------------
99.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
70.50
Plan Check Fee
4.41
Issue Date
. . . .
Valuation . . . .
0
Expiration
DLte . . .
12/16/06
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
2.00
6.5000
EA MECH
VENT FAN
13.00
1.00
----------------------------------.----------------------------------=-------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
51.69
Plan Check Fee
3.23
Issue Date
. . . .
Valuation
0
Expiration
Date
12/16/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1223.00
----------------------------------------------------------------------------
.0300
ELEC
NEW RES - MULTI FAMILY
36.69
Permit PLUMBING
Additional desc .
Permit Fee . . . . 136.50
Issue Date . . . .
Expiration Date . . 12/16/06
Qty Unit Charge Per
Plan Check Fee .
Valuation . .
BASE FEE
13.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
1.00 7.5000 EA PLB WATER HEATER/VENT
8-.53
0
Extension
15.00
78.00
15.00
7.50
N
LQPERMIT
Application Number 06-00002430
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
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'. 12/16/06
Qty Unit Charge Per
Extension
-
BASE FEE
15.00
------------------------------ ---------------------------
Special Notes and Comments
SFA (1,223 sqft) w/Porch (227 sgft).,
TOT Eligible. 75% REDUCTION TO -PLAN
CHECK FEES DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES BLDG. 167B
- ----------------------------------------------------------------------
Other Fees . ... . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
56.00
DIF CIVIC CENTER - RES
157.00
DIF FIRE PROTECTION -RES
45.00 r
DIF LIBRARIES - RES
266.00
DIF PARK MAINT FAC - RES
16.00
DIF PARKS/REC - RES
669.00
STRONG MOTION (SMI) - RES
7.17
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
----------------------------
Due
------------------------------
Permit Fee Total 787.19 .00 .00
787.19
Plan Check Total 99.62 .00 .00
99.62
Other Fee Total 2969.17 .00 00
2969.17
Grand Total 3855.98 .00 .00
3855.98
N
LQPERMIT
='I -1 - L
W160 I A
February 12, 2007
Mr. John Ewing
Lennar Homes
40004 Cook Street
Palm Desert, CA 92211
Re.: La Quinta Desert Villas — Building 16, Framing
Subj.: Opinion of Construction f
Dear Mr. Ewing:
Visits were made to observe the work and determine if it had proceeded in general
conformance of the intent of the construction documents prepared by our office. Reports
were provided to your firm detailing deviations from what the documents had intended and
providing recommendations we had made to be implemented.
Based on our observations, it is our opinion that the framing of Building 16 was constructed in
general conformance with the intent of the construction documents prepared by our office.
The content of this letter is understood to be an expression of professional opinion by this Costa Mesa, CA
engineer which is based on his/her best knowledge, information and belief. As such, it
consists of neither a guarantee nor a warrantee expressed.or implied.
Modesto, CA
If you have any questions please contact our office.
Pleasanton, CA
Very truly yours,
BORM ASSOCIATES, INC.
Roseville, CA
Mohammad Douroudian ' Las Vegas, NV
Director of Field Operations
jh:1110321 021207 Opiri of Const Frm Bldg 16 Phoenix,Az
distribution: (3) Addfessee via Mail
(1) John Ewing via Fax (760) 772-8874 Tucson, Az
(1) File 10321
ON�SSIONAL EN��
tVQo BAYAN/ Denver, Co
m
1%0. NO• o613oBeijing, PRC
STATE OF GP
JAN 17 2007 3:40 PM FR WA�LDESIGN 949 251 9968 TO 917606013178 P.03
i
i
Wadidesign
Incorporated'
DRYWALL'' INSULATION " PAINT PLASTER' CONTRACTOR
245 Seeley Drive 168
La Quinta
Street Address
City
Riverside
Lennar Homes
Desert Villas 16
County
Builder
Project Lot
Description of Insulation :
Thickness
R -Value
Exterior Walls
Insulation Type: Batts
31/2
13
Flat Ceilings j
Insulation Type: Batts 1
12
38
Cathedral Ceilings
Insulation Type: Ba=i
0
Garage Ceilings rr
0
Insulation Type: BtittS Y
Interior Walls
Insulation Type: Batts
0
Interm Ceilings
Insuletion Type: Bata 1
0
Garage Walls
insulation Type: Bates 1
0
Party Walls �-
Insulation Type: Batts 1
31/2
1-1
Blown Ceilings
Insulation Type: Cellulose
0
Blown Ceilings
Insulsa 1
0
Insulation Type:
1 hereby certify that the above insulation rusl{installed in the building at the above location in conformance with
the current Energy Efficient Standards for rcsidontial buildings (Title 24, Part 6. Califomia Code of Regulations)
as Indicated on the Certificate of Compilancd, where applicable.
449739 Walldesign, Inc.
Lieanse Number Signature Date Insulation
Subcontractor
i
q
MAY -02-2007 WED 10:48 AM TEAM FAX N0. 951 676 2774 P. 11/21
+CE TZF[OA" E OF FIELD VERIFICATION & DEACN08TW TESTIM (Pae It ors) CE -4R
rgtAddrasn
uesert Villas Tract 30830 Lot' -16-8 La Quints)
Val up -9
B under Natne
Lennar Homes
Milder CoRtmi Installing Contactor
Telephone
Von NumlAu 1
1URSRidw
Home Enalae
7ele0ane
760-788- 2t3
Sample GroaNumber 3
3 8858 ifLeal^agePan rlteBeS614b j 100A j---U—(LinP,* 1)r j§.%L(Une*2)]j
Iian�e,Meihcd Prea�ri rdr
X1 p��rQ Pall
Clirrmiazone 1
Certl[yinS9lglrsture a' '"i' .,
(2lwronicullY sl ned)rte-
08/02/07Dar.
9amplel-14 s Namber
21
T31i�9 p to rider
CPbCA
V n m
6nalasys corp
Sueet Addmer:
250 Cammillo ave.3
ten. IPPf�1n n.�MPtP.r1n • �rKnrrrr Tywn aaon i s•rwrn'lm
city i�rptcl 1p:
4�F %W L'V@ .P-PVii ■ ,wI µ��rflr ryMvN�11w P+ A•11�
E19RS RATER CoMFLIA r4CI, 8'rAYENtriJW
The hnuae was: 0' M T=Wd i( YQ ,approved aspad, -pFaample Min8, but was neat Izatad
Av*eHBUrmpprovidipAUgnaalbteetinRAn �ieltl IGcatipp loert�fy ehaupaidentifradon1111aft+rmmm IUrswa'h
tllediagna8l(CtesteticA (lance alremerllaaid ecrlmdd+�onthis,4rm le 9ratermmotcllP.ckandvrifytMAd,new
dieulbullon st�gzm le fully du6Uedobd cbrreat"iv uredWbte.a CP -4R maybe released on every tested baud' n . TUHM
M1:er must got reIaWMbeCF 4R wntll a properly aamplr woudalgned CSe= rec
R beff dod r�+r fi—enmple,and'l ltd
build'mgo.
D The installer b*Rrowldad a coy der -6R a 0vallation cenlr1we).
q NewDiatributlanayRm ie fullydwUA(I,e., dour not ue 'building clvltieg wple.numaorplatform rd arno in lieucNe-4.
❑ New sydlaTro whew olwh bwA=d, rublrr adhesive duel. Irapa is inalallod, made and drawbaMg a= usad in
combination with olath bacW, robber adhe4ve duet Wa c lc ar„al teaks at dyot mr=kiana.
,� r M1ir1r1esun� RUQTlin1�1V11gMVT>; Attu'E7+flCiLiiATGfuCi�>a1ti;�tt'C'�CTf �n�am-,r�.rroe cm»>rerr
,pmAe�a�tc,�rfield user;,riCdRfiQR c+a� dir{�AraSJ'it lesfiR,g Of �rir d,'sbibcflc�,k S,µelmFCS trre aafilfe6le !�k RSI Cii4. /�jPentt,'t R a!'.3.
Duct biagna bQLeakmeTesting ktaaulte
wrw 001187RUC( lOK.
Du Freuaurl2atlon'llurtlteRulto(CPM'@ 25 Pay
Val up -9
I BMr Te,WA t almg.Plow In CPM:
48
2 %R T, low :ralaulWA(HomiN1: e M Cool Ing+r ❑ UMI n,g)0r1 AMView UIPA
Eftr Total loan Now in CYN:
1600
3 8858 ifLeal^agePan rlteBeS614b j 100A j---U—(LinP,* 1)r j§.%L(Une*2)]j
3.0
X1 p��rQ Pall
A �:11�>u�rrurrs: Rust s nndlar �rAC i m Cp auQr-out
4
'hater 7eated L al't?to
r�gew In CON! from CP -61Z: Pre -Test Prior iD
pact 9yttterRti itllkrntion a nd/arl3�uipnrarnt C ng+s Qut,
I
'mer Testad 1.�k�Plow in C.PN1; >ain�al Tait bf Tlew Duret b br AHwzrsd 1�uCt 3yrtP.1H ,
fair Dud S Altera'libnand/oru mentChan Dut_
otic u4A on n Leshslge br Iteted Dural System [ � (Their 4) Minas (Z.ineIf 5)7
(onlyirApptimbla)
6
7
Roter7erlPAtoraLtO%wtwInC14Mioaulrlde( RIyIfAp IICaDIe)
/� tf
3 '8m1re.New 174at Wm - Pass IFL981 pa Pelcentt & S O%
IQOn ineff Sat UnetY2
'ITSt' pR 1�1RTRICh'IT{rN 8'Jl'hT+fAAta'f'M51 'Fret hlter�l Duct &�Gerrw aud/ar A'�,�{' Fpuipmaat Chatt��<]ut
U* brae of the trans four Tlgst Ar' 01ficatiou 81 naedardsfor eb 1lanee:
b i Q Rail
,� war'
15% 1'100 A r �Llut A'a)! (LinalY21]
❑ halm G 1811
Ib Pam lco%Ilooitf (TlnetY7)/ etinP,tf2)31
0Pave Cgail
Parr IfLcalgpRaduetlop 1A,,trVUUP,46WA jldosl( (Lin&W6)J_(Line,*4)]]
I t and�lerlCcaUon b Sl�k�tTertend�/Icual in tion
b MR O Fail
l2 Pwrlf,SmIIngofa11 A=wlbliLeal'aendVellfiesda k e dViausdln cn
Pam If Ow of Ltacv A � tbrwiZ4 911, pw
as ❑ %il
Q Fars ❑Fall
A4!a9�P�trier I vKt ,u Su? 1i rbry , ApP:f'lr 0S
INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R
Site Address Permit Number
45245 Seeley Drive`#16-6>1-a Quinta CA
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The .
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section• 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(Pkjt. heat
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiencyt
(AFUE, etc.)
2CF-IR value(attic,
DuG
Location
etc.)
Duct or
Piping
R -value
Heating
Load
BkAr
Healing
Capacity
BtuMr
Split HP + Coil
AdD 1
80.0%
Attic
6
48000
48000
48000
Cooling Equipment
Equip Type
(pkg. heat u
CEC Certified Mfr.
Name and Model
Number
# of
Identical
systems(;>CF-1R
Efficiency t
(SEER of EER)
value
Duct
Location
attic etc.
Duct
R -value
Cooling
Load
BtWIT
Cooling
Capacity
Btu/hr
Split HP + Coil
Bryant
1
13.0
Attic
6
48000
48000
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
11, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or
more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the
Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Copies to: BUILDING DEPARTMENT, ITERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms April 2005
INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R
Site Address Permit Number
45245 Seeley Drive #16-b La Quinta CA
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ N 'ested at Final ✓ 0 Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
X Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior
finishing wall are properly sealed.
X If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used
X New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of
ducts).
✓ 17 DUCT LEAKAGE REDUCTION
Procedures for field verification and diaenostfc testi a of air distribution vwtAms are available in RArM- AnnpnSw R['d_ 3
NEW
CONSTRUCTION:
Contractor (Co. ame) QR O ea
Duct Pressurization Test Results (CFM @ 25 Pa)
Signature: -
Date: 05/01/07
Values
1
Enter Tested Leakage Flow in CFM:
48
Fan Flow: Calculated (Nominal: ✓ IX Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating
1600
Capacity in Thousands of Btu/hr output,enter total calculated or measured fan flow in CFM h
✓ ✓
3
Pass if Leakage Percentage-- 6% for Final or15 4% at Rough -in:
3.0
r Pass ❑Fail
100 x ine # 1 / ine # 2
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct
4
System Alteration and/or Equipment Change -Out.
Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct
5
System for Duct System Alteration and/or Equipment Chan -Out.
Enter Reduction in Leakage for Altered Duct System
6
ine # 4 Minus(Line # 5 —(Only if A licable
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ ✓
t3
Entire New Duct System - Pass if Leakage Percentage!9 6% for Final
❑Pass ❑Fail
100 x ine # 5 / Line # 2
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)]]
❑ Pass ❑ Fad
10
Pass if Leakage to Outside Percentage15 10% [ l 00 x r_(Line # 7) / (Line # 2)]]
p Pays ❑ Fail
Pass if Leakage Reduction Percentage >_ 60% [ 100 x L_(Line # 6) / (Line # 4)]]
I l
❑ Pass 13Fail
and Verification by Smoke Test and Visual Inspection
12
Pass if ealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines # 9 throu # 12 pass
❑ Pass ❑ Fail
✓ E.I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for
compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and
Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. ame) QR O ea
Team Air &Hearin
Signature: -
Date: 05/01/07
Copies to: BUYLDYNG DEPARTMENT, HERS RATER (IF APPLICABLE) BUYLDYNG OWNER AT OCCUPANCY
Residential Compliance Forms September 2005
INSTALLATION CER'T'IFICATE (Page 5 of 12) CF -6R
ermit Number
45245 Seeley Drive #16-b La Quinta CA Site Address P
✓ CX THERMOSTATIC EXPANSION VALVE (TXV)
Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI.
✓ ✓
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Thermostatic Eximmsion Valves
Outdoor Unit Serial #
OF
Location
OF
Access is provided for inspection. The procedure shall
OF
Outdoor Unit Model
OF
Cooling Capacity
Btu/hr
Date of Verification
OF
consist of visual verification that the TXV is installed on
(must be checked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
✓
!X Yes
❑ No
the system and installation of the specific equipment
(X
❑
shall be verified.
Yes is a pass
1 Pass
I Fail
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without
Thermostatic Eximmsion Valves
Outdoor Unit Serial #
OF
Location
OF
Outdoor Unit Make
OF
Outdoor Unit Model
OF
Cooling Capacity
Btu/hr
Date of Verification
OF
Date of Refrigerant Gauge Calibration
(must be checked monthly)
Date of Thermocouple Calibration
(must be checked monthly)
Standard Charge Measurement Procedure (outdoor air dry-bulb 55T and above):
Procedures for Determining Refrigerant Charge using the Standard Method are available in RA CM, Appendix RD2.
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
Measured Temneratures
Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db)
OF
Return (evaporator entering) air dry-bulb temperature (Treturn, db)
OF
Return (evaporator entering) air wet -bulb temperature (Treturn, wb)
OF
Evaporator saturation temperature (Tevaporator, sat)
OF
Suction line temperature (Tsuction, db)
OF
Condenser (entering) air dry-bulb temperature (Tcondenser, db)
OF
5u heat Charee Method Calculations for Refrigerant Charge
Actual Superheat = Tsuction, db — Tevaporator, sat OF
Target Superheat (from Table RD -2) OF
Actual Superheat —Target Superheat (System passes if between -5 and +5°F) OF
Temperature Split Method Calculations for Adequate Airflow
Split Method Calculation is not necessary ifAdeauate Airflow credit is taken
Actual Temperature Split = T return, db Tsupply, db
OF
Target Temperature Split (from Table RD3)
°F
Actual Temperature Split Target Temperature Split (System passes if between -
3°F and +3°F or, upon remeasurement,if between -3°F and -100°
OF
Residential Compliance Forms April 2005
INSTALLATION CERTIFICATE (Pae 6 or n) CF -6R
Site Address Per mit Number
45245 Seeley Drive #16-b La Quints CA
Standard Charge Measurement Summary:
System steal I pas8 both ref rigera nt charge and adequate a it flow calculation criteria from the sa me
measurements. If correctiveactions weretaban,both criteria mustberemeasured and recalculated.
or I IX Yee ❑ No I System Passes
A Iter nate Ch arge Meas uremen i Precad u re (outdoor ai r dry-bulb below 55 T)
Now The sysum should be i natal led and charged in accordance with the me n ulhcturer's sped frcations and i nuts I ler
Ener i ficstion aha I I be documented on CF -6R before sta ni ng th is procedure. I f outdoor a it dry-bulb is 55 °P or abort, inma Her
shall use the Smndard Charge Measure Procedure:
Pnooedwres fQr Dafernei*Ag Refr gerad Ckarge xsbgg Ike Atle„eafe Mefhad a,e awwkbie iR RA CJS Appendix RD3.
Weigh -In Ch arki na Method for Refrigerant Charge
Actua I I iquid I ine length: ft
Man ufacturer's Sta ndard I iquid I ine length: ft
Difference (Actual —Standard): ft
Man ufacturer'scorrection (ounces per foot) x difference in length = ounces
(+ = add) (- = remove)
4eaeured Airflow Method for AdequateAirflow Verification a wfabte i,¢ RAC . ApfiepzdixRDZ6
Calculated A it flow: Cool ing Capacity (Btwb r) X 4.033 (cf rwBtu h r) = CFM
Miasured Airflow is CFM (Measured ei r flow m w n be greater gra n the ca Iculated ai r flow).
Alger nate Charge Measurement 3 amma ry:.
System shalI pass both refrigerantchergeand adequmairflow caleulation criteria from the sane measurements. If
correcti,reactionewere taloen both criteriamuatberemeasuredandrecalculated.
+� ❑ Yes O No I s sten¢ Passes
Ca pies W: SU ILD WG DSPARTMSNT, H SRS RATER {I6 A PP LICABLS} BU ILD WG OWN SR AT OCCU PAAIC Y
Re9de*jAf Carreptdae Forn4s April 2WS
n
INSTALLATIONCLMPICATL (page 7 of 12) CF -6R
Site Address Per mit Number
45245 Seeley Drive #16-b La Quinta CA
MISCELLANEOUS CREDITS
✓ 13 DTACNOSTTC SUPPLY DUCTLOCATTON, SURFACEAREA AND R VALUE.
Pmcambms fforjidd ueri�ficelion and dhVimlic lesling, jAr ibis Kmap camplikwe cmdils am alwiiabk is A4 cu. App dx RC, RB & Am
✓ ❑ LESS THAN 12 LTNEAL FLET OF SUPPLY DUCT OUTSIDE OF CONDT'ITONED SPACE
v' I OYea I ❑No I Leas thea 12linealraft afaupptyductautskin afcaadilkwedspace.
Yestothiscomalianeecredit isa mass I ✓ ❑ Paas I✓ ❑ Vail
V 0 SUPPLY DUCTS LOCATED TN CONDITIONED SPALL COMPLIANCE CRFATT
✓ ❑Yea 113 NO I Ducts aro lacatsd w tibia the canditiaoadval um e a f b ui Idio
Yes tothisco lisncecreditisa paes ✓ ❑ Paas ✓ ❑ mail
Duct System Deslgv verification is required for a oampliauce credit for the fallawlmq:
1. Supply duct surface area reduction
2. Buried supply ducts on the oeilluq
3_ Deeply buried supply ducts
✓ 0 DUCT SYSTEM DESTCN YLRTFTCATTON
✓
❑ Yea
❑ No
Adequatesirflow verified
✓
❑ Yea
❑ No
Theductsyslem design plan meets the requiremenisspecifled in RACK Appendix RB, Section
RE.4.2
✓
❑ Yes
❑ No
Theductsystem design plan exislson building pla ns
to
❑ Yes
❑ No
D uct sizes, duct system layout a nd locstians of supply & retu rn registers match the duct system
design plan
Yes to all is PaRg ❑ Paas ❑ Bail
✓ U SUPPLY DUCTS SURFACE AREA REDUCTION COMPLIANCE CREDIT
Attic
Crawl
Soace Basement
Covered
Deeply
Covered €}cher
RA 2 Rb4 R,8.4
D uct Sur Ece Sur face Surface
Diameter Area Area Area
❑
❑ ❑
❑
❑ 0
a
a a
a
0 0
0
a a
a
0 0
0
a 0
0
0 ❑
❑
a a
❑
0 a
a
0 0
a
❑ a
o
a ❑
0
❑ ❑
Total SurfaeeArea for Bach R -Value=
+� a Yes a No 6tdes Performance's CF -IR? ✓ ✓
Yesioallisapaw, 0 pass 0 Fail
✓ 0 BURTED DUCTS ON THE CLTLTNC COMPLIANCE CREDIT
❑ Yes I ❑ No BuriedDucison theCeiling
❑ Yes I ❑ No I Verified High Insulation installation Quality ✓
Yes to duct symm design, supply duct surface a ren reduction and th is oom I is nce credit is a paw ❑ Pass ❑ Fai I
ri DLLP'[Y w mwn DIICPS m?mwrTAMCR ('!owurr
Copies le: BUtLDLNG DMPARTJKMNT,HMRS RATER (IF APPL[CABL&}BUILD INGOWAMRATOCCUPANCV
Re9deAwd C&*pAa ace Forms Ap it 24"5
1 ❑ Yes
❑ No Deeply Buried Duds
01
❑ Yes
❑ No I VerifiedHigh Tnsulation Tnslsllation Quality ,i ✓
Yes to duct system deftn, supply dwct surface a nae reduction and th is eom I is nce credit is s paw ❑Pass ❑ Fail
Copies le: BUtLDLNG DMPARTJKMNT,HMRS RATER (IF APPL[CABL&}BUILD INGOWAMRATOCCUPANCV
Re9deAwd C&*pAa ace Forms Ap it 24"5
INSTALLATION CERTIFICATE {Pste 8 or 12} CF -6R
SiteAddresa Permll Number
45245 Seeley Drive #16-b La Quinta CA
vID FAN WATT DRAW
Pno eedxresfor meamring Ike air Ra,edler vva f draw are a amiable ut RA CU A x RM. 2.
NLetbod For Fau Watt DrawMenurerneot
❑ RB3.2.1 Portable Wau Meler Meaaurement
❑ 1 RM.2.2 Utility RevenueMeterMeasurement
Measured Pan Watt Draw
Measured Ran glow enter total am from airfbue verification
Bnter results of Watts eft
❑ Yes ONO
❑ RB4.1.1 DiaknostiolianFlowUsin glow Capture Wbod
v d
✓ ❑ Yes
O No
Measured fa n watllcf m dra w is aqua I to or lower than the
fan waftfm draw documented in CF -IR ❑
❑
Duet leakage reduction credit Yerified T
Measured Ai rf low:
Yes U a Pam I Pass
iia i I
to 0 ADFQUAZL ATRFLI W VERMCATTON
P,ace&msfor nwas oiv toe airl7eware auadablei a RA CW. Avnepedix RE3.1.
Metbod For Airflow Me mwernieut
P,acedwres r Bete nri,ei neaxinewa woljytk load eapawy are aia,lable iR RA Chi Appesubx RM
1 V
❑ Yes ONO
❑ RB4.1.1 DiaknostiolianFlowUsin glow Capture Wbod
❑ R84.12 DiagnostioPanFlowUrin Plenum Preware.Maetink
❑ RB4.13 DiaknouticPsnFlowUsin Flow Gridlu-muiemeat
❑ Yea ❑ No Duct design exists on plans
3 +'
O Yea ❑ No
Duet leakage reduction credit Yerified T
Measured Ai rf low:
❑ Yes ❑ No
Cool i ng capacities of i nos [led systems a re:5 to max im um cool ing
camcity i ndicated on the Performance's CP- I R and RF 3.
Rated Tons cfml on
If the cooling capacities of installed systems area than maximum
5
it
.01
+' ❑ Yes
❑ No Measured airflow is greater than thecriteria in TableRl,2
Yes is a D in
Pala
I Fail
Watts
cfm
Wattrlcfm
Tots 1 am
cfmAon
+ 0 MAXTMTlM COOmC CAPACTTY
P,acedwres r Bete nri,ei neaxinewa woljytk load eapawy are aia,lable iR RA Chi Appesubx RM
1 V
❑ Yes ONO
Adequate a it flow ,seri fled (see adequate ai rf low credit)
2 V
O Yes ❑ No
Ref rigerant charge or TKV
3 +'
O Yea ❑ No
Duet leakage reduction credit Yerified T
4 V
❑ Yes ❑ No
Cool i ng capacities of i nos [led systems a re:5 to max im um cool ing
camcity i ndicated on the Performance's CP- I R and RF 3.
If the cooling capacities of installed systems area than maximum
5
❑ Yes
❑ No
cooling capacity in the CP -IR, then the e[ectrical input for the
installed s ms mustbes to electrical in ut in the CF -IR. ❑❑
Yes b I, 2, and 3; end Yea to either 4 or 5 is pass Paas Fail
OF AfGA LER ATR COMMONER
dares for teri ,canoe are available i,e RACk Apfiepubx Rl.
1 ❑ Yee ❑ No BUR values of installed systems malch theCP- IR
2 ❑ Yes ONO For split affiftm, indoor coil is matched to outdoor coil
3 J ❑ Yes ❑ No T ime Delay Relay Veri Pied (I f Required) ❑ ❑
Yea to I and 2; and3 (if Required) is a pear Paas Fail
Instal I ing 3 ubcontlactor (Co. Name) OR Genera I
Contractor (C . NameyQR Owner I _ Vd u_
3ignalurg/ B'P-: 05/01/07 U
Co pies ia: BUILDING DEPARTMENT, H MRS RATMR (W A PP L[CABLE) BU [LD WG OWN SR AT OCCU PANC Y
Re&dexfW ConepA&ue Fomes April 200
- Ceitificate,*of 0&cypanc
044 7'T
� of 9� Building & :Safety DepartMent ti
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 Jn• compliance with the -
provisions .of.. the Building Code -and the ;various ordinances of the <City regulating building .
construction and/or- use., -7. :
s
is • `t,. .• r. , e r ` ;a - ;" i � a.
_
BUILDING yADDRESS..45-245 SEEL'EY DRIVE (UNIT #16-B)
Use classification: -SFA Building. Permit No.:.06-2430
Occupancy.Group: R-1 Type of -Construction: VN ' _ - Land `Use Zone: CT.
Owner of'Building:. QP DEVELOPMENT LA QUINTA, LLC Address: -77-564 COUNTRY CLUB DR. #100
- . .City, ST, ZIP: PALM DESERT, CA 92211 '
` • By: STEVE TRAXEL
Date: JUNE 4; 2007
` Building Official
POST IN A CONSPICUOUS PLACE `