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07-0197 (MECH) 1 -. IIIIIIIIIIIIIIIIIIIIIIIII 32 IE _—JTiht 4 P.O. BOX 1504 � VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT Date: 1/19/07 Application Number: 07-00000197 Owner: Property Address: 49778 AVILA DR ROBB CO APN: 646-270-004 - - 2709 SW 29TH ST Application description: MECHANICAL TOPEKA, KS 66614 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4000 Contractor: Applicant: Architect or Engineer: CAVANAUGH ELECTRIC & AIR d0 D 83231 HIGHWAY 111 (f INDIO, CA 92201 (760)347-3608 J Lic. No. : 286936 A CJ. �007 C�y 01:4A �QVTA ----- ---- - --- - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Business and Professionals Code,and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self-insure for workers'compensation,as provided Lice�n lass: C20-C10 License No: 286936 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is /1-i9-07nt _ slued. Date: ntractor: 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 OWNER-BUILDER CI ARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0004779-2007 following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to I certify that,in the performance of the work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code,1 shall forthwith comply with thos provisions. 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).: e: Z scant: 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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVE GE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_1 I am exempt under Sec. BAP.C.for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for i pe ion purpose Lender's Name: �,7fa ate:7 W Si re(Applicant or Agent):- Lender's Address: IV LQPERMIT Application Number . . . . . 07-00000197 Permit . . . MECHANICAL Additional desc . Permit Fee 42.50 Plan Check Fee 10.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/18/07 . Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments CHANGE OUT •SPLIT AIR CONDITIONING & HEATING SYSTEM Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.50 .00 .00 42.50 Plan Check Total 10.63 .00 .00 10.63 Grand Total 53 .13 .00 .00 53 .13 LQPERMIT Bin # City of La Quinta Building at Safety Division Permit# /� P.O. Box 1504, 78-495 Calle Tampico \ La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 49— 779 h1//La $11eef Owner's Name: SRO ,/ FVA6 A.P.Number: Address: 4 9_ 779 AVIZA 5)" Legal Description: City,ST,Zip: La Qu/ j, q f�53 Contractor: Ca7{/aha `L �,�e /"/� Telephone: 7165 Q31— 'fg0 Address: 93'.73/ Project Description: City,ST,Zip: ,Z/7d1b CA 9 20/ Cha e Quf Got /r4 d/%' Telephone: 7 — 7 3f �pj�/ - acid head S State Lic.#: Raz;- 316 City Lic.#: Arch.,Engr.,Designer: Address: City,ST,Zip: Telephone: Construction Type: Occupancy: State Lic.#: Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Rod Ca yanc7l•� Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: 160— ,341—.3609 Estimated Value of Project: 04,0clo 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 Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"Review,ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- '`'Review,ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL a e 1 of CF-IR Project Title Date h'vw A96.A I `- /12-07 Project Address 49- 796 AY12A L a 44 �'�• Documentation Author Telephone if a vanau h Z-Zect-k Compliance Method(Prescriptive) Climate Zone�5 ✓ ❑ Alternative Component Package Method:(check one) C D D(Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing(see CF-1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION . Total Conditioned Floor Area(CFA) ft Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or.151-C----(5%X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C----(20%X CFA) ft2 ✓❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS-4R,Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor:(circle one or both) Front Orientation: North/South/East/West/All Orientations(input front orientation in degrees from True North and circle one). ✓❑ RADIANT BARRIER(required in climate zones 2.4.8-151 OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Assembly U- Type(Wall, Frame factor(for wood, Joint Roof Radiant Location Roof,Floor, Type Cavity Continuous metal frame and Appendix Barrier Comments. Slab Edge, (Wood or Insulation Insulation mass IV Installed (attic,garage, Doors) Metal) R-Value R-Value. assemblies)' Reference Yes or No typical,etc. 1) See Joint Appendix IV in Section IV.2,IV.3 and IVA,which is the-basis for t U64hi or cr actors can not exceed prescriptive value to show equivalence to R-values. OF LA Quil BUILDING & SAF TA Residential Compliance Forms F OR E L.4pri1 fl0 T RUCTION DAT Y CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF-IR Project Tytle /4p,�j/ Ra Date /— 18-.6-7 FENESTRATION PRODUCTS—U-FACTOR AND SHGC ✓❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New Construction,Additions and Alterations. Fenestration Exterior #/Type/Pos. Orien- Shading/Overhangs",' (Front, Left, tation, ✓box if WS-3R is Rear,Right, N,S,E, Area U-factor SHGC Skylight) W t (f?) U-facto? Source' SHGC" Sources included 13 13 1) Skylights are now included in West-facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than1:12. See§151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS-3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS-3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Distribution Duct or Piping Thermostat Type and Capacity ;Efficiency' Type and Location P g Configuration fumace heat um boiler etc. UE or HSPF ducts attic etc. R-Value (split or package) F14rn ace O° /c - fr l Cooling Equipment Type and Capacity Minimum (A/C,heat pump,evap. Efficiency Duct Location Duct Thermostat Configuration alue age) Cooling) SEER or EER attic etc. R-V Residential Compliance Forms April 200: CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF-1R Project Title PON R066 Date SEALED DUCTS and TXVs(or Alternative Measures) A signed CF-4R Form must be provided to the building department for each home for which the following.are re uired. ❑ Sealed Ductsall climate zones (Installer testing and certification and HERS rater field verification required.) ❑ TXVs,readily accessible(climate zones 2 and 8-15 only) . staller testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge(climate zones 2 and 8-15 only)(Installer testing and certification and HERS Rater field verification required.) OR ❑ Alternative to Sealed Ducts and Refrigerant Charge/TXVs(See Package D Alternative Package Features for Project Climate Zone in the RM Anpendix B Table 1.51-C Footnotes 7-14. OR For additions and.alterations,duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than40 linear feet in unconditioned spaces shall meet the requirements of.Section 150(m)and duct insulation requirements ofPacka a D. WATER HEATING SYSTEMS Check box if system meets criteria of a"Standard"system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type,50 gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water Heating table,Table 5-4 in Chapter 5 in the Residential Manual.No water heating calculations are required,and the system complies automatically.. Check box if system does not meet criteria of"Standard"system,and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case,the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems-servinsingle dwellin units Rated Energy Tank i Tank Factor or External Water Heater Distribution Number Input' W or Capacity Thermal Standby' Insulation Type/Fuel Type Type in System Bwft aeons Efficieno Loss % R-Value System serving multi le dwelling units Rated Ener gTank y ti Tank Factor or External Water Heater Distribution Number (kW or Capacity Thermal Standby' Insulation Type Type in System BhVhr (gallons) Efficienc Loss % R-Value 1)For small gas storage water heaters(rated inputs of less than or equal to 75,000 Btu/hr),electric resistance,and heat pump water heaters,list Energy Factor. For large gas storage water heaters(rated input of greater than 75,000 Btu/hr),list Rated Input,Recovery Efficiency,Thermal Efficiency and Standby Loss.For instantaneous gas water heaters,list Rated Input and Thermal Efficiencies. Pine Insulation(kitchen lines>_3/4 inches)All hot water pipes from the heating source to the kitchen fixtures that are%inches or greater in diameter shall be thermally insulated as specified by Section 150 0)2 A or 150 0)2 B. Residential Compliance Forms April 200. _ CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of•5) CF-IR Project Tille /QO SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the prescri tive method. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF-1R ❑ Radiant Barriers CF-1R ❑ Exterior Shades WS-4R . ❑ Cool Roof N/A;Attach CRRC Label to Forms. 13 System Hydronic Heating Performance Calculation S stem Re uired•Attach Run to Forms. Performance Calculation ❑ Combined Hydronic System Required;Attach Rua to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A;Indicate on buildin plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF-1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Wood Stove Boiler Performance Calculation and ❑ attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION add extra sheets if necess Indicate to the HERS Rater which credits are art of this pLoject and need verification. ✓ Feature I Re wired Forms if applicable) Description ❑ Duct Sealing CF-6R part 4 of 12 ❑ 1 Refrigerant Charge CF-6R part 5 of 12 d1T Thermostatic Expansion Valve CF-6R part 6 of 12 Residential Compliance Forms April 2005 O 1 - _ ••' � 1 1 1 1 1 1 u O � ,• ur: vr: 1 1 u r 1 - •ne:n't•;ifv,`.;i;?':�.e';.;fr""df:n� '�(�'-?::6'�'rr;E,^,'�S;u;?''...aY,;y�� £H�_,`,,�yZ;p, ...M::uT.' :.t: a::p 7�u fr ';?try;YFf:.4 3 1 V-1 't.!`j't2• F r'} ;.t=;w;lSB'.`,r;°.� iY-rrtF� YI:t�'Y,S tx;, .:uy�',TS Will ":+.a:C•:!'4L':'�;;h. ai.1+. ,'ys;'J7•!';-• t.p^j - Y ..�;J f._iJ4 c: f :fy_3�,.ct � fin.Ott.�J:.-7.r� s..7 S. 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Y<.I it •j.0 Va/ tt/ZVVV Vt .Vt rAA 0303000VU0 ,t^n4 ann u.icau WJ + � - l i INSTALLATION CERTIFICATE j (P(Page 3 4I 12) CIF-6R Site Addrvss�( /q-V/'1-7 - , C� Permit Number_ '7'7e �Q-vi la - L " t Urn An installation certificate is required to be posted at the building site or made avallsble 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 10-10?(a). HVAC SYSTEMS: Heating Equipment Emciancy CEC CertftlrA Mb. #of � Duct Duct or Heating Heating Equip Type Name and Model Montiaal (AFU$oto.) Location Piping Load Capacity kg.how utn Number S Stems 2CF•IRvalue attic etc. R-value Btu/hr BtuAtr Far�ace $�r SIO I eo SOK Cooling Boulpment CEC Certified Mfr. Efficiency. M of t Duct Cooling Cooling Equip Type Namo end Modol Idenbcal (88811 or BCR) Location Duct Load Capaolty k .heat um Number Systems LCF•IRvatue 1e.;W3 .value tubr Btu/hr Ca6l�eni�e!' ar/-r / /S Mite 4 60K 60K rA A oD3 1. _>symbol reads greater than or equal to what is indicated on the CF-JR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. �1 I,the undersigned,verify that equipment listed above is: 1)Is the actual equipment installed,2)equivalent to or more effioient than that specified in the ocRificatc of compliance (Form CF-1 R) submitted for compliance with the Energy gffictency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices(from the Appliance F klancy Regulations or Part 6),where applicable. Installing Subcontractor(Co.Name)OR General �leG�r�G Contractor(Co.Name)OR Owner L'a 1/a�la Uq� Signature: „r Date. Copies to:BUILDING DEPARTMENT,KERSR�4TER(IF APPLICABLE))3MD�TN(:OWNER AT OCCUPANCY Residential Compliance Forms Aprd 2005 OCT 04,2005 08:44 SEARS HOME I MP 8585869098 Page 4 VJ/ I I/GvVv v1 .v& rnr, VJVJUVVVVV vrrrrry �r.r. ver.... ••.. ..�.. V im. INSTALLATION CERTIFICATE Tate 4 of 12 CF-6R Site Address Permit INumbor 49- ''178 ,4✓iz.+ 1/'+ sm/i V_/.+► INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was:✓Wasted at Final ✓E3 Tested et Rough-in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register,and verify that the spaces-between the register boot and the intortor finishing wall are properly sealed. 0 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 soaled. ❑Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓C]DUCT LEAKAGE REDUCTION Procedures or eld vatflcadan and ostlC testin of air dWribudoa systeim Ore available in R4CMAppendix RC4.3 NEW CONSTRVCTIONt Duct Pressurization Test Results(CPM @ 25 Pa) Measured ;. ''4,,� Values I Enter Tested Lcakage Flow in CFM: S, •'S` Lti ria'''` r"v' Fan Flow:Calculated(Nominal: ✓❑Cooling Heating)or-1 C3 Measured 2 If Fan Flow Is Calculated as 400 efin/ton x number of tons or as 21.7 cffin/(kBtu/hr)x Hosting Ca act In Thousands of Btu/hr,enter total calculated or measured fan flow in CFM here: �2, 9971 ✓ ✓ 3 Pass If Leakage PercentagaS 6%for Final or S 4%at Rough-in: ❑Pass❑Fail 100 x ine#1 / (Line#2)11 ALTERATIONS:Duct System and/or HVAC Equipment Cha a-Out jMl�, 4�j M. 4 Enter Tested Leakage Flow In CFM from Pro-Test of Existing Duct System Prior to Duct , ! `; '• `:��'`�' System Alteration and/or Equipment Change-Out, 441 .1 i9 Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chan e-Out. 305 ri'`' 1�' 'i •''.fi;'>: �, Enter RoductIon in Leakage for Altered Duct System ; h 4 �'h 6 r Linc 0 4 Minus Line#3 — (Only If A Usable) 7 Enter Tested Leakage flow In CFM to Outside(Only if Applicable) Entire New Duct System-Pass If Leakage Percentage S 6%for Final or S 4%at Rough-in 8100 x Line 4 5 / Line#2 O Pass ❑Feil *TESTR VERIFICATION STANDARDS-For Altered Duct System apd/or HVAC Equipment Change-one of the followfn f ur T or Ver f cation Standards for eotn lienee: If Leakage Percentage S 1S% [100 x[ 3D5 (Lino#5)/�g (Line#2)j) 3*/® )KPass 0 Fail if Leakage to Outside Percentage 5 I0%[100 x ,_(Line#7)/ (Lino#2))] 0 Pass 0 Fail ifLeakage Reduction Percentage 2 60%[100 x[ _(Line#6)/ (Line#4))]Verification Smoke Test and Visual Ins ection U Pass ❑ Fail 12 1 Pass If Scaling of alt Accessible Leaks and Verification by Smoke Test and Visual inspection Pass © Fall Pass If O C) Fall # ; ; ❑I,the undersigned,verlty that the above diagnostic test results were performed in conformance with the requirements for compliance cmditr I,the undersigned,Also cortify that the newly installed or rntroflt Air-Distribution System Ducts,Plenums and Fans comply with Mandatory requirements speolfied in Section 150(m)of the 2005 Building Energy Efficiency standards. Installing Subcontractor(Co.Name)OR General Contractor(Co.Name)OR Owner Signature: Date: Caples tai BUILDING DEPARTMENT,HeRs RATER(IF APPLICABLE)BUILDING OWNER AT OCCUPANCY Resldenlla/Compliance Forms April 2005 OCT 04,2005 08:45 SEARS HOME I MP 8585869098 Page 5 VJ/ 1i/CVVV V1 VG rAA OJOJOOOVOO ocnno oAR Ulcau Ali ALR 1ffj VVb/VIr INSTALLATION CER'T'IFICATE (page 5 of 12 CF-6R Site Address Permit Number 41- 7'70 �4WIA L..4 GVu/, / we eTIMRMOSTATIC EXPANSION VALVE(TXV) Procedtorifor field verification of thermostatic erparuion valves are available In IUCM,Appendix Rl. ✓ ✓ Access is provided for inspection.The procedure shall consist of visual verification that the TXV Is Installed on ✓ )(Yes ❑No the system and installation of the speciflo equipment [� shall be verified. Yes is a pass I Pass Fail ✓O REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split Systeln Space Cooling Systems without Thermostatic 6x anslon Valves Outdoor Unit Serial# Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity B Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Sign and Charge MMownent Procedure(ouWoor air dry-Izulb S5°F and above): Procedures for Determining Rq frlgerant Charge using the Standard Method are availahle In RRCM,Appendix RD2. Note:The system should be installed and charged in accordance with the manufacturer's specifications befbro starting this procedure. Measured Temperatures Su ly(evaporator leaving)air dry-bulb temperature(Tsu ly,db) °p Return(evaporator onterIng)air dry-bulb tem eratare(Treturn,db) OF Return(evaporator enterin )air wet-bulb temperature(Treturn,wb) OF Evaporator saturation temperature(Tevapomtor,sat) OF Suction line temperature(Tsuction,db) °F Condenser enterin )air dry-bulb temperature(Tcondenser,db) Superheat Charge Method Calculations for itaffigerant*Charge Actual Superheat -Tsuction,db—Tevaporator,sat OF Target Superheat(from Table RD-2) OF Actual Superheat—Target Superheat (System passes if between•3 end+S.°F) OF Temperature Split Method Calculations for Adequate Airflow S lit Method alculatlon is riot necessary Ade to Al ow ered(t Is.taken Actual Temperature Split o T return,db Tsupply,db OF Tar et Temperature Split from Table RIDS) OF Actual Temperature Split Target Temperature Split (System passes if between- TT and+3°F or,upon remeasurement if between -3°F and-1001,p Residential Compliance Forms .4prit 2005 OCT 04,2005 08:46 SEARS HOME I MP 8585869098 Page 6 . VJ/ I I/GV V V V I VL r nn OJOS/q VOV J V JCf111J )nil V1C V V • nV !1111 W.J INSTALLATION CERTIFICATE CPage 6 of 12� CF�6Xt Site Address Permit Number i Standard Charge' Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same j measurements.If corrective actions were taken,both criteria must be remeasured and recalculated. ❑Yes C No Systom Passes Alternate.C6arge Measurement Procedure(outdoor air dry-bulb below 55°P) Note:The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be doeumented'on CF-bit before starting this proeedvm. If outdoor air dry-bulb is 55 OF or above,installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM.Appendix RDS. . Wei h.ln Charging Method for Refrigerant Charge Actual liquid line length: ft Manufacturer's Standard liquid line length: ft Difference(Actual—Standard): ft Manufacturer's oon=don(ounces per foot) _ x diffomnce in length =__ounoos (+-add)(-a remove) Measured Airflow Method for Adequate Airflow Verification available in R4CM•'olpyendix RDZ..6 Calculated Airflow:Cooling Capacity(Btu/hr) X 0,033(cfrn/Btu-hr)_ _ CFM Measured Airflow is CFM(Measured airflow must be greater than the calculated airflow), Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements.If corrective aetlons were taken both criteria must be remoasured and recalculated. r I C Yes 10 No I S stem Passes installing Subcontractor(Co.Name)OR General 1 Contractor(Co.Name)OR Owner �aY2Ylallq�► �(e c!r�G�hG�/�-/G Signature. Date: tea.. Copies to:BUILDING DAPARTMENO,HERS RATER(IF APPLICABLE)BUILDING OWNER AT OCCUPANCY Residential Compliance Forms .4pril 2005 I OCT 04,2005 08:47 SEARS HOME I MP 8585869098 Page 7