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12-1059 (MECH)49745 Anacapa Cir 12-1059 ... P.O. BOX 1504 _- IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 72 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-00001059 Property Address: 49745 ANACAPA CIR APN: 646-230-011- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7520 Applicant: Architect or Engineer: LIC ENS CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and1/icenose sionals de, and my License is in full force and effect. LicenseClass: C20 // No.: 968141 Date:0,11 / T/ I LOntractor: ER -BUILDER DECLARATION I hereby affirm under penalty of perjury t 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, demotish,.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 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 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 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: ri pt LQPERMIT Owner: MIKE FURLONG 49745 ANACAPA CIRCLE LA QUINTA, CA 92253 Contractor: DCS AIR CONDITIONING 72078 CORPORATE WAY,.#101 THOUSAND PALMS, CA 92276 (760)343-5562 LiC. No.: 968141 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/17/12 ITY OF LA QUINT;; FWANCE DEPT 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. 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 ZENITH INS Policy Number Z071741501 I certify that, in the performance ofthe work or which this permit is issued, I shall not employ any person in any manner so as to becomes ct to the workers' compensation laws of California, ' and agree that, if I should become subje o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit ompl with those provisions. /Bate: / _Jplicant: — WARNING: FAILURE TO SECURE WORKERS' ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D 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 that I have read this application and state that the above inform -ion is correct. I agree to comply with all city and county ordinances and state laws relating to building constructi , and hereby authorize representatives of this county to enter upon the above-mentioned property for inspecti purposes. gate: -. I Z ignature (Applicant or Agent): Application Number . . . . . 12-00001059 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 31.50 Plan Check Fee 7.88 Issue Date Valuation . . . . .0 Expiration Date 3/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 .00 9.0000 EA MECH FURNACE.<=100K .00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ----------------------------------------------------------------------------- Special' Notes and Comments HVAC CHANGE -OUT: INSTALL NEW CONDENSER & INDOOR COIL. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 31.50 .00 .00 31.50 Plan Check Total 7.88 .00 .00 7.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 40.38 .00 .00 40.38 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 49745 ANACAPA CIRCLE La Quinta, CA 92253 City of La Quinta Sep 14, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace ® Indoor Coil ❑ AFUE ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit ❑ EER [3 Resistance ❑ R g CZ 14-15) 1960 sf installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to.the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111 and CF-611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF-4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: ; [1-1- Duct systerri was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or .❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The.,system*will not be Ducted (ie.,DuctlessiMini-Split>System-)-(Also,Exempt.from-Refrigerant Charge) ❑ 2. New HVAC System Requ}'red Forms: y i . Cut in"or Changeout with'_CF-6R forms: MECH-04; MECH-20 HERSjand (for split systems) MECH-22-HERS, and` new ducts: (all new A- ducting and all new MECH-25-HERS, _ I - 1 f (` J r t CF-4R for`ms: MECH-20, and (for split systems) MECH-22, and MECH-25 .. equipment) > 1 <J r✓ . iI -I .r:.;, For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or-PSPP."','"- For Packaged Units: Duct'leakage < 6 percent - - - - - - 11:3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For. Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify that fhis Certificate of Compliance documentation is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. . I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. . The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: LESLIE ROGAN Signature: LESLIE POSAN Company: HARRISON ENTERPRISES INC Date: Sep 14, 2012 Address: 72078 CORPORATE WAY #101 License: 968141 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-5566 Reg: 212-A0051343A-00000000-0000 Registration Date/Time: 2012/09/14 17:56:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Bin # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit .Application and Tracking Sheet Permit # Oh Project Address: 14n ad"A Gj Owner's Name: �e A. P. Number: Address: Legal Description: Contractor: b ( Address:lno 4141L)Project City, ST, Zip =Z?- Teleph '' Description: City, ST, Zip: Telephone: , J , 2— State Lic. # : City Lic. #; Arch., Engr., Designer. Address: City, ST, Zip: Tel one: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: C`esh'1C c� Sq. Ft.:0 I # Stories: Telephone # of Contact Person: /#Units: Estimated Value of Project: 7i0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Colts. CaRed Contact Person Plan Check Balance. Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted . Mechanical Grading plan 2°" Review, ready for correctionstissae Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for eorrectious/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS IIIIII�IIIIIIIIIIIIIIIIII Site Address: 49745 ANACAPA CIRCLE, La Quinta CA 92253 (System t Permit Number: 74 City of La Quinta IE Note: (One of Options , 2 or 3 must -be attempted.,before 1_utilizing,Option_j.) INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 49745 ANACAPA CIRCLE, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1059 nter the Duct System Name or Identification/Tag: System 1 nter the Duct System Location or Area Served: Whole House tote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the 'welling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. tote: For existing dwellings, a completely new or replacement duct system can also include existing parts o he original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible nd they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, se the Installation Certificate titled 'Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakaqe Diaqnostic Test - existina duct system Select one compliance method from the following four choices. M 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow 1: ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4..,Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options , 2 or 3 must -be attempted.,before 1_utilizing,Option_j.) Determine nominal Fari low using one ofothe'following three calculation methods.": €T" ✓ ® Cooling system method Size of condenser in Tons L 5.; , x 400'= � 2000 `&M ✓ ❑Heating Output system method 21'7 x Capacity in'Thousands of Btu/Fir = _CFM �,.. .r - 41 ✓❑ Measured_system airflow uSj6 . A3 3 airflow -test proceduresi"" CFM Option fused then::,, ^ 1 Allowed leakage = Fan Airflow 2000 x 0.15 — 300 CFM Actual Leakage-,, 205 CFM ;. Pass if Actual Leakage is less than Allowed leakage ® Pass ❑ Fail Option 2 used then:-. 2 Allowed leakage = Fan Airflow_ x 0.10 = _ CFM Actual Leakage to outside = E. . CFM Pass if Actual leakage to outside is less than Allowed leakage Pass Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM ((Leakage reduction _ / Initial leakage x 100% _ % Reduction Pass if % Reduction >= 60% Pass E3 Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke Cl Pass Fail Reg: 213-A0016257A-M2100001A-0000 Registration Date/Time: 2013/05/10 19:57:02 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 49745 ANACAPA CIRCLE, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1059 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage. testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ® All supply�an tun register`boots mins ' b pseal d to t e dry�wa�ll,If smoky a test i�utllized for�compliance - applies to duct leakage compliance option 3 (leakage reduction by 60%);and option '4 (fix all"accessible leaks) descr lied above f" m� �` ®New duct,Installations<cannotiutlllze;bulldln`g cavities as;p+.}lTe.nums,or platform returns In lieu of ducts '- ix:ak�.+.. 3n'z w �t`��• �4 K "'Tr. ® Mastic ands bands must be use'd in.combi.nation with<cloth--backed rubber. adheslve,duct'tape to seal leaks at all new duct connections`^' DECLARATION STATEMENT . Icertify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: BEATRIZ MORA-PICASO BEATRIZ MORA-PICASO CSLB License: Date Signed: Position With Company (Title): 968141 9/17/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? p Yes p No Reg: 213-A0016257A-M2100001A-0000 Registration Date/Time: 2013/05/10 19:57:02 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 J, [NSTALLATION CERTIFICATE CF-611-MECH-25-HERS Iefrigerant Charge Verification - Standard. Measurement Procedure (Page 1 of 6; Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 City of La Quinta 12-1059 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance when a CID -is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is -required for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Stibift,and Return Plenums of Air Handler System Name or Identification'jTag System 1 System Location or Area Served. Whole House 5/16;nch (8'mm) access hole1. l upstream of•evaporative.c6illin the 0 Yes ❑ Yes ❑ Yes ❑ Yes ,return;_plenum and .labeled according ❑ No ❑ No ❑ No ❑ No to figure Ous'ection RA3 2.T;.2- la�� Retu�r.ts►derof the -duct systm eis } '.^5 'tl .des,\ Jl 10cated entirely within conditioned «Yes r_ ��❑Yes t, F k" ❑Yes t x' y.> Qt"❑ Yes spac ed return rflow to perature to;bemeasured�a"E theretyr, ❑ No ®Nom¥ ❑ No NO 2 5/l�ti in`ch�8rnArn�)a�e�,ess�hole��-¢� dow'nstreamvf'3euaporatrve,Coiliin t e, - ,� s ¢ ®Yeses DYes 0 Yes;`❑Yes supply plenum and. labeled accordng r ❑<No' , ❑ No'"' m`" ❑ No ❑ No ': to, Figure inSection RA3.2.222. The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section 2 2 2 Using this Compliance Option requires the HVAC installer to annotate on RA3:2 the HERS Provider's dataregistry.=:an explanation as to why the TMAH cannot be installed on the system, and .photographs of the.;equ.iprnent on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflowl'verification through the direct measurement of airflow per RA3.3 For more information see htt6:%/www.enerav.ca.gov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to is and 2, or checking the TMAH Compliance Option, is . H Pass ❑.Pass ❑,Pass 13 Pass a pass. ❑ Fail 0 Fail 0 Fail 0 Fail Enter Pass or Fail Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10 19:59:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 1 City of La Quinta 12-1059 STMS - Sensor on the Evauorator Coil System Name or System 1 Identification/Tag 3T'the sensor is factory installed, or field installed according to manufacturer's specifications, or is installed y methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F 0 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail '. Fail STMS -Sensor on the Condenser Coil System Name or k.y41 System 1 Identification 6 The sensor is factory instaIIedjo-Vfield;installed acc6rding to)manufacturers"specifications, or is installed by meth`ods%specifications•,approved by the Executiuirector, 0 ;Yes ❑ No ❑ Y.es, ❑ T-77: •Y ,❑Yes ,❑ No : L� Yes �:IVq� w wirte' is terminated with ajst dard mim plug sta�table for connection to�aydigital theretorre7 jThe,s'�nsor Thesensor mirn plug ,is a`ccess�ble to�the mstallmgbtechnida' n a`nd-thes.HERS rate6 without chanfgin1g the .., airflow"tFiroughahe'condenser 0 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 8 The sensor measures the saturation temperature of the coil within 1.3 degrees F `❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or p Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10 19:59:04 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 61 Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 1 City of La Quinta 12-1059 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. - The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. - If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement. Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioninq Svstems System Name or IdentificationiTag System 1 must be re -calibrated month) Y( 4V y) Date of Therrnocouple'Calibrations� ". 5/1/2013 System Location or Area Served Whole House Outdoor Unit Serial # 1206646623 Outdoor Unit Make AMANA dry. -bulb temperature (Treturn db) 75 Outdoor .UnitModel/ 4 ASX140601 Nominal Coolmg.Capacity ) 5 Tons c� aton Tw 13 41 ` Dateof�v f 5 013..".' � temperature (Tcondenser, db) Calibration`of Diagno'stic Instruments: rad,±'" ROO �.y,�*:!u.�'v".��C.4��5':�� K �� A5/1/2013 Date of Refrigerant GaugeCaliti"rttaa�.fion .4 must be re -calibrated month) Y( 4V y) Date of Therrnocouple'Calibrations� ". 5/1/2013 (must be re -calibrated monthly) Measuired'Temperatures (°F) System Name or Identification%Tag System 1 Supply (evaporator leaving)'air dry-bulb 51 temperature (Tsu I db) 48 Return (evaporator entering) air 69 dry. -bulb temperature (Treturn db) 75 Return (evaporator entering) air 60 wet -bulb temperature (Treturn wb) Evaporator saturation temperature 48 (Teva orator sat) Condensor saturation temperature 75 (Tcondensor, sat) Suction line temperature (Tsuction) 65 ., Liquid Line Temperature (Tliquid) 68 Condenser (entering) air dry-bulb 75 temperature (Tcondenser, db) Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10,19:59:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 1 City of La Quinta 12-1059 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split = 18.00 Treturn db - Tsu I db Target Temperature Split from Table RA3.2-3 17 using Treturn wb and Treturn db Calculate difference: Actual Temperature 1 Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between PASS -3°F and -100°F Enter Pass or Fail Note: Temperature Split Methodltalculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement�grocedures specified in Reference Residential Appendix RA3.3. If actual cooling coil air low,is-measured *' ehe value must be equal to or greater than the Calculated Minimum Airflow Requirement ro: the table below."; `) Calcula MmimumaAirflow #tequiremen ;(CF Nominal Cooling Ca'pacity(tan) (cfm/ton) X 300 - System ame 0r ld fcai�on/Tag Y System n"� Calculated,`MirnmumWirflow RequirementY'"��;) ,�.. CFM, Measured?A�rtlow using RA3 3' °procedures �. (CFM) Measurement Method Passes if measured airflow: W* (eater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail I Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10 19:59:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 1 City of La Quint a 12-1059 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = 7.0 Tsuction - Teva orator sat 17.0 Target Superheat from Table RA3.2-2 7 using Treturn wb and Tcondenser, db Calculate difference: 0 '" `: Actual Superheat - Target Superheat = � :,. System passes if difference is between PAS. -5°F and +5°F Enter Pass or Fail PASS Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = '' 7.0 Tcondenser, sat - Tli uid 17.0 Target-Subcooling specified by '.:' 7 manufacturer Calculate difference: ', F ActuaU,ngSubco�l ;Target Sub 0 '" `: between 4°F and 25°F if manufacturer's � :,. em°passesif difference is between E-3Mand +3°F + PAS. System passes if actual superheat is within ;�� ;;iEntePass or Fail Metering,Device Caiculations for'Refrige,irant CFargewVerificatio0ThisaprocedbreIs''Pequirred`td be�1�,.v used for thermostatic expanSionvalve':(TXV)_and'electronic expansiomvalve (EXV) systems. System.Narne o" r Identification/,Tag System 1 Calculate -'Actual Superheat 17.0 Tsuction - Teva orator sat. Enter allowable superheat range from manufacturer's specifications (or use range 17 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or Fail Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10 19:59:04 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2013 INS LAT LATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 1 City of La Quinta 12-1059 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: 968141 Date Signed: 9/17/2012 Position With Company (Title): System meets all refrigerant charge and Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes 0 No airflow requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 --of, the Business and Professions Code to accept responsibility for construction, or an authorized representative of th: person responsible for construction (responsible person). . I certify that the installed features :.materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I 'understand that -a' HERS rater will,check the installation to verify compliance, and that that if such checking identifies defects,. I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations including, those approved as part of a sample grou -�, dt not checked�by a MERS rater, and €fthose:instaliations fail to meet$the�requ�e ents of such qualityassurance checking, the require8`ieorrecEive action and additional cfieckmg%testmg.of other installations in that HERS s�a`mple:group will be�performed°`at-my expense . I reviewed.a coov of thefCertificate of,Compliance (CF-1R)fam aooroved 6v the enforcement abanrv,that ide^ntifie" certify tht the;requir •Twill inspections. I understandt at asigned copy of this Installation Certificate is required to be ith.the. documentation:the builder provides to the building owner at occupancy. I will ensure that wn:Certificates will come from a HERS provider data registry for multiple orientation alternatives, and cfober 1, 2010, for aU low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC --Z.= Responsible Person's Name:`::'*';_:;:::" Responsible Person's Signature: BEATRIZ MORA-PICASO SEATRIZ MORA-PICASO CSLB License: 968141 Date Signed: 9/17/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes 0 No Reg: 213-A0016257A-M2500001A-0000 Registration Date/Time: 2013/05/10 19:59:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 49745 ANACAPA CIRCLE, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1059 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to I soace conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow J.. ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Optio tsj, 2, or 3 must=.be attempted, before, utilizing Option;4.),, , Determine nominal Fan'Flow using one`ofethe following thhee calculation methods e'_ ✓ ❑ Cooling`system method: Size of,corideriser in Tons x 4,00'= -'CFM , t ✓ ❑ Heating system method 21'.7,x Output Capacityin Thousands of. Btu/hr = _ CFM — k+ ✓ ❑ Measured system airflow using RA3:3 airFloiv test:procedures: _ CFM' �° . Option iI used then:n.- 1 Allowed leakage = Fan Flow' x 0.15 _ CFM Actual, Leakage's .,— CFM 77: 11 «� '.,, : , Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then:' 2 Allowed leakage = Fan Flow 3 x 0.10 = _ CFM Actual Leakage to outside, CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reductionCFM ((Leakage reduction _/ Initial leakage x 100% _ %o Reduction Pass if % Reduction >= 60% ElPassElFail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke Pass Fail W Reg: 213-A0016257A-M2100001A-M21A Registration Date/Time: 2013/05/10 20:13:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 49745 ANACAPA CIRCLE, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1059 y ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. ❑ All supply a d r `et4urn register boots must be; sealed`to the.drywall'if; smoke,test is utilized for;compliance - applieslo'duct leakage compliance option 3 (leakage reduction by 60%) and option-41(fix all accessible leaks) described above' ❑ New duct instaliations..cannot utilizeabuilding cavities as+plenumsor, platform returns in•lieu of,ducts:,r" ❑ Mastic and draw' bands mustibevsed in`combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections:i DECLARATION STATEMENT;`- . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: BEATRIZ MORA-PICASO 1968141 HERS Provider Data Registry Information Sample Group # (if applicable): 399393 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCi-1798739973 HERS Rater Company Name: Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 5/8/2013 CC2006208 Reg: 213-A0016257A-M2100001A-M21A Registration Date/Time: 2013/05/10 20:13:44 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 City of La Qui nta 12-1059 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance Option is chosen. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification%Tag System 1 System Location or Area Served:',. Whole House 5/16tinch-(8 mm) access hole 1 upstream of evaporative coW in the ❑ Yes ❑ Yes ❑ Yes ❑ Yes :return plenum and labeled according ❑ No ❑ No ❑ No ❑ No to Fig uW0n1kSeeti9n RA3.2.2 2 2: N Ww Retu(hMde°6f1he*duct system is". '�; la located eritirely with+ncondrtioned° , �,. t , inflow i?emperature Yes ❑ No l7�Yest O No 13 Yes ,- ;❑ No " - El Yes. ❑ No sq ce.and retur tolemeasuredxaf the �. reit rn'grille: .�.. .. '� 4 Y Y' 7 '# 5/1650 �8.mrri) access hale �, ,,, , pf a a 2 downstream of;evaporativecoil m the,❑,Yes Mgr„ ❑ Yes x ❑Yes : ❑Yes supply plenum and labeledlpccording .. ' ' ❑ No ❑ No ❑ No ❑ No to FigureAnxSection RA3.2.212;;2. The TMAH.`,Compliance Option should be checked only if the HERS Rater is able to confirm that it was physically impossible fo`r, the HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires the_:HVAC installer to annotate on the HERS Provider's data registry an explanation as to why the TMAKcannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see http://www.enerciv.ca.aov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ❑ Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail ❑ Fail ❑ Fail Enter Pass or Fail Reg: 213-A0016257A-M2500001A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 City of La Qui nta 12-1059 STMS - Sensor on the Evaporator Coil System Name or ., , -T Identificai % 9System Identification/Tag 6 The s"ensor,is factory tr stalle ; or field' installed!ad6rding tcP manufacturer's specifications, or is installed - 31by he sensor is factory installed, or field installed according to manufacturer's specifications, or is installed f ${ ❑Yes:❑ Nod; ❑.Yes!�,P'No" "r0`.Yes'f.] No ]j ❑ Yes ❑ Nod. methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 13 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 7 The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the 0;'Yes ❑ No ❑ Yes []No ❑ Yes ❑ No ❑Yes ❑ No airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 Phen attached to a digital thermometer, the sensor provides an indication of the saturation temperature the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ❑ N/A ❑ Pass pass. Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑pass ❑Pass ❑Pass ❑Pass Otherwise enter Pass or, ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail. e ' STMS - Sensor on the Condenser Coil System • Na a or; +°" ion a ., , '. Identificai % 9System 6 The s"ensor,is factory tr stalle ; or field' installed!ad6rding tcP manufacturer's specifications, or is installed - by m�eChods/specifteafions approved by the ExeCutiesDirector ' .. - a _E... f ${ ❑Yes:❑ Nod; ❑.Yes!�,P'No" "r0`.Yes'f.] No ]j ❑ Yes ❑ Nod. The sensorUfre is terminated,(with aIstandard mmiplug':suitable for connection to w,,di-gital th"erm` Weter-7< 7 The sensor mini plug is accessible,tothe installing teclinician`and the HERS rater wiftiout changing the airflow throughrthe condense'r,coil 0;'Yes ❑ No ❑ Yes []No ❑ Yes ❑ No ❑Yes ❑ No 8 When attached to a. digital thermometer, the sensor provides an indication of the saturation temperature of the coil. :_❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑Yes ❑ No Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. Otherwise enter Pass or ❑ Fail ❑ Fail ❑ Fail ❑ Fail Fail Reg: 213-A0016257A-M2500001A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure_ (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 City of La Quinta 1 12-1059 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be'documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh-In'Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Svstems System Name or Identification/Tag System 1 .:(t be rhe alib rare d"mon tfil System Location or Area Served Whole House (must be re -calibrated monthly) . Outdoor Unit Serial # " Outdoor Unit Make ht� ' Outdoor Unit Mod.el'£ Nominal Coohng`Capacity wet -bulb temperature (Treturn wb) ._. Date ofNlrlfication e7 I; Y' ,vsica ux i Yi" ,� j ,... E 1 ,,4100 Calibre ion of is no�st� MN� rume' is Date of ME=t Gau e Calibrationy) 9�.....:. System 1 .:(t be rhe alib rare d"mon tfil Supply (evaporator leaving) air dry-bulb Date of Thrermo o pl##& Calibration ' (must be re -calibrated monthly) . temperature (Tsu I db) 1 Measured Temperatures,'(°F) ' System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb temperature (Tsu I db) " Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet -bulb temperature (Treturn wb) Evaporator saturation temperature (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 213-A0016257A-M2500001A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: CalCERTS, Inc. 2008.Residential Compliance Forms + • February 2013 x TALLATION CERTIFICATE CF-4R-MECI •igerant Charge Verification - Standard Measurement Procedure (Page 4 c Address: Enforcement Agency: Permit Number: 45 ANACAPA CIRCLE, La Quinta CA 92253 City of La Qui nta 12-1059 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name,or Identification/Tag Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using•Treturn wb and Treturn db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F . Enter Pass or Fail :: . Note: Temperature Sphi'Methom, Ca/culation is not necessary if actual Cooling Coil Airflow is verified using one of th'e airflow measuremenF'p ,ocedures specified in Reference Residential Appendix RA3.3. H actual coolwng,coilairflow".is measured,, the value must be equal to or greater than the Calculated Minimum Airflow Requiremehf4r; the table below. "�iS675... `.P�i ! '!kF�(�� '.R�tr. NRt.:x 7`„ �iCV . Calculated Minimum Airf ow RequiremenY(CFP1) Nominal (cfm/ton) x Gdohng;Capaclty (tonx) X`30'0 w ., � yr� YnC. �' System fVa�me of Identiiff cation ag s "M Y :. Calculated Minimum;Airflow'RequrementF (CFM):.. Measured Airflow using RA3.3'procedures Measurement Method _ Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail t Reg: 213-A0016251A-M2500001A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: CalCERTS, Inc. 200.8 Residential Compliance Forms February 2013 [NSTALLATION CERTIFICATE CF-4R-MECH-2! tefrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6' Site Address: Enforcement Agency: Permit Number: 49745 ANACAPA CIRCLE, La Quinta CA 92253 City of La Quinta 12-1059 Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag systems. System Name or Identification%T66,; Calculate: Actual Superheat = Calculate: Actual Superheatx, - Tsuction - Teva orator sat .. , . Tsuction - Teva orator sat '' <<"' 'ra h.ip Target Superheat from Table RA3.2-2 using > c- Treturn wb and Tcondenser, db -:1., manufacturer's specifications (or use range Calculate difference: between 3°F and 26°F if manufacturer's Actual Superheat - Target Superheat = X . specification is not available) System passes if difference is between -6°F , Suff and +6°F the allowable superheat range Enter Pass or Fail Enter -Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or IdentificationfiT systems. System Name or Identification%T66,; Calculate: Actual Superheatx, - Calculate:. Actual Subcooling`= ;. Tcdnsersat -'liquidon' .. , . Tsuction - Teva orator sat '' <<"' 'ra h.ip Target Subcoolingfspecified by mryryanufacturer > c- -:1., manufacturer's specifications (or use range Calculate:d►f.ere cn e7� , between 3°F and 26°F if manufacturer's Actual Subcooling `target Suboolig X . specification is not available) System passes. if differ n e iso e-enR -4°F ands+=4°F � �.I , Suff EntePasstor Fail . , . .c,�.... ,.� .:: the allowable superheat range Metering Devic%Caleulationsstdi,'.'Refrigerant Charge Verification.,This procedure is required to be used for thermostatic. expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification%T66,; Calculate: Actual Superheatx, - .. , . Tsuction - Teva orator sat '' <<"' 'ra h.ip > c- -:1., manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's Metering Devic%Caleulationsstdi,'.'Refrigerant Charge Verification.,This procedure is required to be used for thermostatic. expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification%T66,; Calculate: Actual Superheatx, - .. , . Tsuction - Teva orator sat '' <<"' Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range Enter -Pass or Fail Reg: 213-A0016257A-M2500o01A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 ri INSTALLATION CERTIFICATE CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6) Site Address: Enforcement Agency: Permit Number: 4974.5 ANACAPA CIRCLE, La Quinta CA 92253 City of La Quinta 12-1059 J Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 968141 -, R HERS Provider*Data Reg istryjInformation Sample Group #' (if applicable) (x399393 System meets all refrigerant charge and ®not-tested/verified dwelling lin a HERS sample group airflow requirements. HERS Rater Company Names --1 `.; Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 5/8/2013 CC2006208 0 Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). s . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and -the: requirements specified; on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. c;.. I'Y ... . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s)�ponsible for the insta�llatiomconforms to the requirements^specified on„the Certificate(s)�of Compliance (CF-1R),aooroved.bvithe enforcement:aoencv IP4 Jl&W '!` ,-" 1 ��r� 1 ::. Builder installer infor-nationiasts.liown onithe, Installation CertificateJ(GF=6RY) �. H CompanyName: (InstallingSub;contracEor or Gen`erat `Cgntractor o"f Builder/Owner) - r INC HARRISON ENT RPRISES ,t ResponsgLe�Per"son'sNane "` !� CSLBLicense-: ; +� ` BEATRIZ'MORA-PICASO! +' 968141 -, R HERS Provider*Data Reg istryjInformation Sample Group #' (if applicable) (x399393 ❑tested/verified dwelling ®not-tested/verified dwelling lin a HERS sample group HERS Rater Information, Ca'ICERTS Certificate # CC1-1798739973 HERS Rater Company Names --1 `.; Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 5/8/2013 CC2006208 Reg: 213-A0016257A-M2500001A-M25A Registration Date/Time: 2013/05/10 20:15:08 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms February 2013