08-0658 (SOTB)81240 Alydar Ct
.g 100 1111111 19
P.O. BOX 1504 - - - - IE - -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92,253
Application Number: 08-00000658
Property Address: 81240 ALYDAR CT
APN: 767-320-999-239 -32879 -
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1000
Applicant: Architects or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I icense
hereby affirm under penalty of perjury that 1 a ld under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus' s and rofessionals Code, and my License is in full force and effect.
License Clas: C C27 C29 License No.: 656128
Date: Contractor:
O ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury tha mpt 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 Icommencing 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 1, 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, 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 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:
LQPERi1IIT
Owner:
CHA RESIDENCE
81-240 ALYDAR CT
LA QUINTA, CA 92253
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA
(760)398-9222
Lic. No.: 656.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
f!
AF'R 2 3 1000 b)
Date: 4/22/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 SEABRIGHT Policy Number BB1080510
_ 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 be
rct to the workers' compensation laws of California,
and agree that, if I should comthe workers' compensation provisions of Section
L X9/7 37 0 of the Labor Code s allmply with those provisions.
Date: / I Applicant:
WARNING: FAILURE TO SECURE WORKE M NSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE 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.
I . 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 inf mation is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr ction, and hereby authorize representatives
of this cou y to ter upon the above-mentioned proper f r inspe tion purposes.
Date: Signature (Applicant or Agent):
I
LQPERnIIT
Application Number . . . 08-00000658
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
25.00
Plan Check Fee
16.25
Issue Date
Valuation
100.0
Expiration Date
10/19/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5.00 2.0000
----------------------------------------------------------------------------
HND BLDG
501-2,000
10.00
PermitELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
17.25
Plan Check Fee
4.31
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/19/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 .7500
---------- -------------------------------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20
2.25
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
21.00
Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/19/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
----------------------------------------------------------------------------
Special Notes and Comments
BBQ/SWIM UP BAR PER APPROVED
PLAN.
Fee summary Charged
---------------------------
Paid Credited
Due
Permit Fee Total
----------
63.25
--------------------
.00 .00
63.25
Plan Check Total
25.81
.00 .00
25.81
Grand Total
89.06
.00 .00
89.06
Bin # {
City. of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
([ �G
' SIG
Project Address: t a Lj 0
Lx
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address: 5r6 —too
Project Description:
City, ST, Zip: CA)aM,
Telephone: L
City Lic. #:
State Lic. # : 956
Arch., Engr., Designer:
Address: '
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: �SL
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Sq. Ft.: #Stories: #Units:
Demo
Telephone # of Contact Person:
5- 0 7
Estimated Value of Project: 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item .
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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
PER CEC 680.22, SINK TO BE GRILL LIGHT
BONDED TO POOL STEEL IF
WITHIN 5 FT. OF POOL WALL
STAINLESS
STEEL
SINK GRILL
00 0 00
a 11/2" PRE -HUNG 0 0
S. S. - DOORS
LENGTH VARIES
LENGTH OF GAS PIPE
DIAM. OF GAS PIPE �
OUTDOOR KITCHEN NEAR POOL
FKONT ELEVATION
PER CEC 680.22, BBQ TO BE
BONDED TO POOL STEEL IF
WITHIN 5 FT. OF POOL WALL
6X8X16 CMU AT
FRONT AND
SIDE WALLS
SOLID GROUT
#4 BARS VERT.
AT 24"
O.C. (TYP.)
#3 TIE STEEL
0 C"
. (TYP.)
#3 VERT.
AT 12"
O.C. (TYP.)
= w
c2 of L_
FIN. SURFACE
PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
WATERTIGHT CEC 680.6 & 680.22(2)
ELEC. RECEPTACLE
SHALL NOT BE LESS THAN
1/2"=1'-0"
10 FT. FROM POOL WALL
LIGHT SWITCH
GFI DUPLEX
OUTLET
6X8X i6 CMU AT
FRONT AND SIDE WALLS
SOLID GROUT
BBQ:
1.C.B.0. #
ANSI # z-9L5R -/YP�
BTU
U. L. APPROVED.
STONE, TILE, OR
4'-0" CONCRETE SLAB COUNTER
#3 BAR AT 12" O.C.
EACH WAY (TYP.)
3'-0" I'-0" PLASTER, PEBBLE -PLASTER,
OR TILE
6°'
BENCH OR
3-1/2" 16" 0 BAR STOOL
BBQ �� #3 VERT./HORIZ.
GRILL AT 12"
—� oO .C. (TYP.)
-w
-b
3" U) �Im
, -3 a =
3" wO � w ��CL
CCR ~ = (if - ,< uJ
0
(TYP) _<-,,.. j ,o o > N
• e —L �'8• Awe _ . .. ® .
R ' L 32" / L 18" I. 16" 1_ \ Zo
#3'S AT 12" O.C. �_
EACH WAY LAP #3 BARS
(TYP.) 18" MIN.'
-SECTION - OUTDOOR KITCHEN NEAR POOL
`2 A
i�u nu
#3 BAR AT 12" O.C.
EACH WAY (EYP.) 4,-0„
F-
w
�
�
#�3 BARS VERT.
AND HORIZ.
AT 12"
O.C. (TYP.)
FIN. S F
s
.S ALLOWED.
F
kNCES.
-ED
6"
— 3-1/2"
3-- ---
CLR
3„
CLR �
JACEa (TYP)
CLR VAROS 18" 16"
_ PLASTER, PEBBLE -PLASTER,
OR TILE
BENCH OR
16" BAR STOOL
#3 VERT./HORIZ.
AT 12"
O° O.C. (TYP.) .
0-1
Lu
LU
D`O m:Ou-i X Lu
Q
>N2 _ N T:
co I
I
#3's AT 12" O.0 LAP #3 BARS
EACH WAY � 18" MIN.
(TYP.) COUNTERTOP NEAR POOL (NO APPLIANCES)
1/2"=1'-0"
NOTE:
I HIS STANDARD STRUCTURAL PLAN, MUST BE ACCOMPANIED
BY A CLEAR PLOT PLAN SHOWING LOCATION, LENGTH
AND SIZE OF UTILITY CONNECTIONS TO BBQ, FIREPLACE,
AND / OR FIRE RING.
NOTE: BY THE USE OF THIS PLAN THE USER ACKNOWLEDGES THAT HE/SHE HAS READ
AND UNDERSTANDS ALL OF THE NOTES INCLUDED HEREIN.
THIS PLAN IS THE WORK OF THE ENGINEER AND SHALL NOT BE REPRODUCED, COPIED, OR OTHERWISE USED j
WITHOUT HER PERMISSION.
THIS PLAN IS INTENDED FOR USE IN THE FOLLOWING CITIES ONLY: f
PALM DESERT, PALM SPRINGS, CATHEDRAL CITY, RANCHO MIRAGE, THOUSAND PALMS,
P LA QUINTA, DESERT HOT SPRINGS, INDIAN WELLS, YUCCA VALLEY AND INDIO
'UTDOOR BBQ, FIRE RING, AND FIREPLACE
STRUCTURAL DETAILS
JTRACTOR:
HOMEOWNER:
ADDRESS:
4RQFESSIp
fJo.3;i<1116 '�;
� "-aT-1,;01,3(94)8'
r..../�•Uf' Cr1� �
PLAN VALID ONLY WITH
BLUE WET STAMP AND
FNlrlNlPPP'c Clr:NlATi roc
12/14/2007 07:53
i
I
9516818245
WESTERN INSULATION
WESTERN INSULATION L.P.
3190 CORNERSTONE DRIVE
MIRA LOMA, CA 91752
(951)160-31.27 FAX (951) 681-8245
PAGE 08/18
IIIIIIIIIIIIIIIIIIIIIIIII 20
lT IE
MIR INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
i THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
it TRACT/PHASE: 32879 CAMPANIA (D, GRIFFIN RANCH -PHASE 1
'.; LOT 239
SITE ADDRESS: 81-240 ALYDAR COURT — LA QUINTA, CA
----------------------- 1- -^---------^
CEILINGS:BLOWN
MANUFACTURER: GREENFIBER THICKNESS: - 10.3" R- VALUE: R-38
i! C ILINGS: BATTS
MANUFACTURER: KNAUF THICKNESS: 121 R- VALUE: R-38
EXTERIOR WALLS: BATTS
9 MANUFACTURER: KNAUF THICKNESS: 6 %" R- VALUE: R-19
BATTS
WILE G LE ENPA:
a
MANUFACTURER: KNAUF THICKNESS: 3%" R —VALUE: R-11
ii
'j GENERAL CONTRACTOR: TRANSWEST HOUSING, INC.
BY: `
TITLE:
:j DATE:
!
INSULATION CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER: 794484
i! BY:
TITLE: PRODUCTION MANAGER
DATE: December 13, 2007
-
a
'i
i
;
it
i
IIIIIIIIIIIIIIIIIII311 21
i IE
�Rw�prt�r%;r � GW FFr.s�
AA
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF -4R
Project Address Builder Name
1 4* •a -W�, �� .a � Ld ��� a."s �asr
Telephone Plan Number
Builder Contact
i3 l••ao:a Go Bd t- 34-V-5
HERS Rater Tele hone Sample GroupNumber 1-39
�AasaD /Utet�-CSo.J �� 2.�Z r3S�
Compliance Method Pre cri ive Climate Zone t5
Certifying Signa _ Date Sample House Number
17
C'&AGMW&&A L-%9-4 W. —W—s?
Street Address: City/State/Zi
4JAC iRd CAPAP-1%. d4w q-7-�-4
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓ PApproved as part of sample testing, but was not tested
As the HERS rater providing diagnos is 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 -4R 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 the sample and tested
buildings.
The installer has provided a copy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
AN ew systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
4P,,'
`combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
dur es for, f eld verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4. 3.
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
i-,
1
Enter Tested Leakage Flow in CFM:
an Flow: Calculated (Nominal: V)ik Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
Enter Total Fan Flow in CFM:
✓ y/
3
Pass if Leakage Percentage <_ 6% [ 100 x L(Line # 1) / (Line # 2)11
Apass ❑
ail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
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 DuctSys
5
for Duct System Alteration and/or Equipment Chan e- ut
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5))
`tlw
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outsi if A e)
V/
Entire New Duct System - Pass if Leakage P cent _ %
❑Pass ❑
8
100 x Line # 5 / Line
ail
TEST OR VERIFICATION STANDARD or Altered Duct stand/or HVAC Equipment Change -Out
v/Use
one of the following four Test or ttication Standards com fiance:
9 Pass if Leakage Percent 5% [100 x L_(Line # 5) / (Line # 2)]]
❑ Pass ❑
Fail
10 Pass if Leakagetside Percentage 5 10% [100 x L_(Line # 7) / (Line # 2)]]
❑ Pass ❑
Fail
Pass if age Reduction Percentage >_ 60% [100 x _(Line # 6) / (Line # 4)]]
l l
❑Pass ❑Fail
erification by Smoke Test and Visual Inspection
IaOTas if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
11 Pass 11
Fail
Pass if One of Lines # 9 through # 12 pass
`"''"-°'
❑ Pass ❑
Fail
Residential Compliance Forms
April 2005
•
•
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R
Pro ect Address
t o 239 Zttd 9--
Builder Name
i w s W cvr iisc- =�.kkc
Builder Contact ^�Telephone
moa i ��a $er s�143
Plan Number
t .
HERS Rater _DAC7 ID -i'
Ic wa Ttg0 (3Telephone
o
Sample Group Number (--W-.Compliance
Method Prescri 've
Climate Zone 15
Certifying Signature Date
Sample House Number
A� �f �cts4 AttC
CSS � �4 �St�4wT`S
HERS rovider
Street Address:
Y$'57/ d-7%AGK S Ta^ > �s+a2�
M• 81111 (ICD IlC OC DDwrnc•n ♦ isn n
City/State/Zip-
.►aA A! 42243
vl..o w. aivauvv�y r►urw ainvv'Llrcln HI4V DUIJUUIIVI� UEPAR MENS
HERS RATER COMPLIANCE STATEMENT
The house was: ✓❑ Tested ✓ WApproved 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 e diagnostic tested compliance requirements as checked on this form.
✓ The installer has provided a copy of CF -6R (Installation Certificate).
✓THERMOSTATIC EXPANSION VALVE (TXV)
Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix Rl.
✓ ✓
Access is provided for inspection. The procedure shall consist of
✓ ❑ Yes ❑ No visual verification that the TXV is installed on the system and 0
installation of the specific a ui ment shall be verified. /—
Yes is a ass Pass Fail
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermost xpansion
Valves
tdoor Unit Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity W lotgr
Date of Verification
Date of Refrigerant Gauge Calibration (mu be c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should bei ed and charged in accordance with the manufacturer's specifications and installer
verification shall be doc ted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 °F rater shall
use the Alternative C ge Measure Procedure
Procedures
!rermming Ketrigerant Charge using the Standard Method are available in RACM, Appendix RD2
❑ No A copy of CF -6R (installation Certificate) has been provided with refrigerant charge
measurement documented.
Residential Compliance Forms
Anril MOS
A
011
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R
Pro' ct AddressBuil
o # ZzeT 'S1 11
%
er Name
IR WS L.S�'�,
Builder Contact _�_
AGO Telephone
Plan Number
cooling capacity in the CF -1 R, then the electrical input for the
HERS Rater I (�
��„p Telephone
Sam ►e Group Number
Ei
aJtc-CS,oa 7_72- �3
Certifying Signature
Date
rZ 14
�
Sample House Number `
Sp
Firm
4o�Arcfex� V gjF.��
�e�sccc�at.Mr�.
H RS rovider
Procedures at' veri rcation are available in RACM, Appendix R1.
4 3
Street Address-
N5-7-( 4ACgVr4W E �... #Lv--
City/State/Zip-
RAin
'nn;oc tn- irii nrD QCDc DDryuincn •n.r....
Eio1.w+�! 4Zzd3
S
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓�pproved 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.
✓ XThe installer has provided a copy of CF -6R (installation Certificate).
❑ ADEQUATE AIRFLOW VERIFICATION
Procedures or field verification and diagnostie testing o ade uate air oiv are available in RACM, Appe RE4.1.
WMethoddMeasurementDuct design existson plans
Dia ostic Fan Flow Usin Flow Ca ture Hood
Dia ostic Fan Flow Usin PI um Pressure MatchiDiagnostic Fan Flow Using w Grid Measure
Mea d Airflow:
Rated Tons:
❑ Yes I ❑ No Measured airflow is
the 'teria in Table RE -2
Yes is a pass
✓ ❑ MAXIMUM COOLING CAPAC
Procedures or determinin maximum coo ' load ca aci are available in RACM, A endix RF3.
1 ✓ ❑ Yes ❑ No uate airflow verified (see adequate airflow credit)
2 ✓ ❑Yes ❑ N efrigerant charge or TXV
3 ✓ ❑ Yes o I Duct leakage reduction credit verified
Total CFM
cfm/ton
Pass Fail
4 ✓ ❑ ❑ No Cooling capacities of installed systems are:5 to maximum cooling
capacity indicated on the Performance's CF -1R and RF -3.
If the cooling capacities of installed systems are > than maximum
5 ❑ Yes ❑ No
cooling capacity in the CF -1 R, then the electrical input for the
installed s stems must be< to electrical in ut in the CF -1 R.Yes
Ei
to 12and 3- and Yes to either 4 or 5 is a ass
Fai I
✓� HIGH EER AIR CONDITIONER
Procedures at' veri rcation are available in RACM, Appendix R1.
1 ✓ ❑ Yes❑ No EER values of installed systems match the CF- I R
2 ✓ ❑ Yes ❑ No Fors lit system, indoor coil is matched to outdoor coil
✓ ✓
3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required)
❑
Yes to 1 and 2; and 3 If Required2 Requiredis a pass
Pass
Fail
Residential Compliance Forms
Anril 2005