MECH (10-1370)51990 Avenida Madero
10-1370
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00001370
Property Address: 51990 AVENIDA MADERO
APN: 773-154-012-13 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 5000
c&ht 4 4 QumiL
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GIGON RESIDENCE
51990 AVENIDA MADERO
LA QUINTA, CA 92253
(760)777-8499
Contractor:
Applicant: Architect or Engineer: AIR EXPERTS AIR CONDI
PO BOX 94
LA QUINTA, CA 92247
(760)777-1724
Lic. No.: 725283
LIC NTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t I am license under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu ' ess and Profe .onals Code, and my License is in full force and effect.
License Class: Q20 License No.: 725283
Date:1111,' Cv - Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair 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).:
(_ I
I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or -improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/10
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 EXEMPT Policy Number EXEMPT
certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so ecome subject to the workers' compensation laws of California,
and agree that, if I sh d beco a subject to the workers' compensation provisions of Section
,e_37 00 of the Labor C de, I I forthwith comply with those provisions.
Date: % •` Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITIONTOTHE 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 th a above formation is correct. I agree to comply with all
city and county ordinances and state laws relating t building co trucuon. and hereby authorize representatives
of this cou ty to nter upon the above-mentioned pr a inspection purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 10-00001370
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation
0
Expiration Date
6/13/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE A/C 3 HEATING
SYSTEM. 16
SEER
2007 CODES.
------------------------------------------------------------------7---------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
------------=-------
Due
Permit Fee Total
33.00
.00 .00
33.00
Plan Check Total
8.25
.00 .00
8.25
Other Fee Total
1.00
.00 .00
1.00
Grand Total
42.25
.00 .00
42.25
LQPERMIT
Bin #
City of La Quinta
Bln'lding 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
o
Project Address: AVE.
Owner's Name:
A. P. Number:
Address: .
✓ - } F,
Legal Description:
City, ST, Zip: ZZS
Contractor: Ate -
Telephone:
Address: V
Projec 'ption:
City, ST, Zip: 2-0, 927-Y
-77
%% —
-y _
Telephone: SOU 7 /7Z ,
Sr
_
State Lic. # : % z City Lic. #:
Arch., Engr., Designer:
Address: '
City, ST, Zip:
Telephone:
State Lic_ #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): Now Add'n Alter Repair Demo
Sq. Ft.:fj
# Stories: # Units:
Telephone # of Contact Person: v ao
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACENG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Plan Check Deposit
Structural Cates.Reviewed.,
ready for corrections
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Electrical
Plumbing
S.M.L
Grading plan
2" Review, ready for correctionmissue
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
A.LP.P.
IN HOUSE:
''' Review, ready for correctiooslissue
Planning Approval
Called Contact Person
Pub. Wks Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC
Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address: i10be;.v0
Enforcement Agency:
Date:.
Permit #:
51-990 Avenida Medaro La Quinta, CA 92253
City of La Quinta
Dec 14, 2010
Equipment Typel
List Minimum Efficiency2
Dud insulation
requirement
Conditioned Floor
Area
Thermostat
❑ Package Unit
Q Furnace
0 Indoor Coil
Q AFUE 80%
Cd SEER 16.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
Setback
If not already present,
0 Condensing Unit
❑ EER
❑ Resistance
❑ R 8 ( 14-15)
1600 sf
must be 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 Efflciencles: 13 SEER, 78016 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 fad 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-IR and CF-611 shall also be on site for final inspection.
0 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
. Indoor Coil and /or
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
• Furnace
CF-411 forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leagage testing if:
❑ 1. Duct system 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 dud systems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC
Required Forms:
System
. Cut in or Changeout
with new duds: (all
CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducting. all
new equipment)
MECH-25-HERS
CF-411 forms: MECH 20, and (for split systems) MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all
new ducting and/or outdoor
condensing unit and/or indoor coil
CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or furnace. No or some
CF-411 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 linear feet of duct in
CF-611 forms: MECH-04, MECH-2I-HERS
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 this 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 Tide 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: Paul Van Vlymen Signature: PaW v(Ln Vlytnen
Company: AIR EXPERTS AIR CONDITIONING-HEATING Date: Dec 14, 2010
Address: PO BOX 94 License: 725283
City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724
Reg: 210-AO03132BA-00000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2010/12/14 14:24:12 HERS Provider: Ca10ERTS, Inc.
July 2010
Dec 15 10 07:45p
Walter Nellis
760-360-3277
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-NECH-21
Duct Leakage Test — Existing Duct System (Page 1 of 2)
Site Address:
51-990 Avenida Medaro, La Quinta CA 92253 (System
Enforcement Agency:
City of La Quinta
Permit Number:
10-1370
1)
❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks
Enter the Duct System Name or Identiflcation/Tag: System 1
Enter the Dud 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
space conditioning systems and duct systems.
Note: For existing dwellings, a completely new or replacement dud 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 dud system installed In an existing dwelling,
use the Installation Certificate tiNed "Dud Leakage Test - Completely New or Replacement Dud System."
Duct Leakage Diagnostic Test - existina dud system
Select one compliance method from the following four choices.
01. Measured leakage less than 15% of fan flow
❑ 2. Measured leakage to outside less than 10% of Fan Flow
❑ 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 1, 2, or 3 must be attempted before utilizing Option 4.)
Determine nominal Fan Flow using one of the following three calculation methods.
%0'0 Cooling system method: Size of condenser in Tons 4 x 400 = 1fi00 CFM
✓ ❑ Heating system method: 21.7 x — Output Capacity in Thousands of Btu/hr = _ CFM
❑ Measured system airflow using RA3.3 airflow test procedures: _ CFM
Option 1 used then:
1
Allowed leakage = Fan Flow 1600 x OAS = 240 CFM
Actual Leakage = L82 CFM
Pass If Leakage Actual is less than Allowed
pj Pau Fail
Option 2 used then:
2
Allowed leakage = Fan Flow_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 reduction CFM
((Leakage reduction _^/ Initial leakage x 100% _ _ Reduction
Pass if % Reduction > 60%
n Pass n Fall
Option 4 used then:
4
All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke
allowed to leak from system. Including ducts, plenums, air handier and door panel.
Pass If all accessible leaks have been repaired using smoke
p Pass Fail
p.2
Reg: 210-A003132BA-142106001A-M21A Registration Date/Time: 2010/12/15 22:29:31 HERS Provider: Ca10ERTS, Inc.
200B Residential Compliance Forms March 2010
Dec 15 10 07:45p Walter Nellis 760-360-3277 p.3
CERTIFICATE OF FIELD VERIFICATION lit DIAGNOSTIC TESTING CF-4R-NECH-21
Duct Leakage Test — Existing Dud System (Page 2 of 2)
Site Address:
51-990 Avenida Medaro, La Quinta CA 92253 (System
Enforcement Agency:
City of La Quinta
Permit Nurnber.
10-1370
1)
7252833
HERS Provider Data Registry Information
2 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.
CJ All supply and return register boots must be sealed to the drywall if smoke test is utilized for compliance
- applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible
leaks) described above.
2 New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts.
2 Mastic and draw bands must be used in combination with doth backed rubber adhesive duct tape to seal
leaks at all new duct connections
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 an 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 -1R) 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 -111) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF -6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
AIR EXPERTS AIR CONDITIONING -HEATING
Responsible Person's Name:
CSLB license:
Paul Van Viymen
7252833
HERS Provider Data Registry Information
Sample Group # (If applicable): N/A 0 tested/verified dwelling
❑ not-tested/verified dwelling in
la
HERS sample group
HERS Rater Information CaICERTS Certificate # CCl-1798528894
HERS Rater Company Name:
Air Solutions of the Desert
Responsible Rater's Name:
Responsible Rater's Signature:
Walter W Nellis
waiter W Nellis
Responsible Raters Certification Number w/ this HERS Provider:
Date Signed: 12/15/2olo
OC2004361
Reg: 210-A0031328A-M2100001A-M21A Registration Date/Time: 2010/12/15 22:29:31 HERS Provider: CaICERTS, Inc.
2008 Residential Compliance Forms March 2010
Dec 15 10 07:46p Walter Nellis 760-360-3277 p.4
CERTIFICATE OF FIELD VERIFICATION IN DIAGNOSTIC TESTING CF-411-MECH-2
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 55
Site Address: Enforcement Agency: Permit Number.
51-990 Avenida Medaro, La Quinta CA 92253 City of La Quinta 10-1370
Note: If Installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for
compliance, a MEOI-24 Certificate (instead of this MECH-25 Cerdficate) should be used to demonstrate compliance with
the refrigerant charge verification requirement. TMAH and SIMS 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. STMS are only required for completely new or
replacement space -conditioning systems that utilize prescriptive compliance method.
TMAH - Access Holes in Supply and Retum Plenums of Air Handier
System Name or Identification/Tag
System 1
System Location or Area Served
Whole House
1
0 Yes
❑ No
5/16 inch (8 rnm) access hole upstream of evaporative coil in the return plenum and
labeled according to Figure in Section RA3.2.2.2.2.
2
2 Yes
❑ No
5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum
land labeled according to Figure in Section RA3.2.2.2.2.
Yes to 1 and 2 is a pass.
Enter Pass or Faill ✓ 0 Pass ✓ ❑ Fail
STMS - Sensor on the Evaporator Coil
System Name or Identification/Tag I System 2
The sensor is factory installed, or field installed according to manufacturer's
3
❑ Yes
❑ No
specifications, or is installed by methods/specifications approved by the Executive
Director.
The sensor wire is terminated with a standard mini plug suitable for connection to a
4
❑ Yes
❑ No
digital thermometer. The sensor mini plug is accessible to the Installing technician
and the HERS rater without changing the alrflow through the condenser coil
5
❑ Yes
ONO
When attached to a digital thermometer, the sensor provides an indication of the
saturation temperature of the coil.
Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not
0 N/A
✓ ❑Pass
✓ ❑Fail
applicable. Otherwise enter Pass or Fail
STMS - Sensor on the Condenser Coil
System Name or Identificatior/Tag System 1
The sensor is factory installed, or field installed according to manufacturers
6
❑ Yes
❑ No
specifications, or is installed by methods/specifications approved by the Executive
Director.
The sensor wire is terminated with a standard mini plug suitable for connection to a
7
❑ Yes
❑ No
digital thermometer. The sensor mini plug Is accessible to the installing technician
and the HERS rater without changing the airflow through the condenser call
8
❑ Yes
O No
when attached to a digital thermometer, the sensor provides an indication of the
saturation temperature of the cog.
Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not
✓ 0 N/A
✓ C. pass
✓ ❑ Fail
applicable. Otherwise enter Pass or Fail
Req: 210-A0031328A-M2500001A-M2SA Registration Date/Time: 2010/12/15 22:31:28 HERS Provider: Ca10ERTS, snc.
2008 Residential Compliance Forma March 2010
Dec 15 10 07:46p Walter Nellis 760-360-3277 p.5
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING. CF-411-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5)
Site Address: Enforcement Agency: Permit Number:
51-990 Avenida Medaro, La Quinta CA 92253. City of La Quinta 10-1370
Standard Charge Measurement Promdure (for use If outdoor air dry-bulb Is above S5°F)
Procedums for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available hi Reference Resldent/al
Appendix RA3.2. As many as 4 systems In the dwelling can be documented for miripliance using this form. Attach an additional form(s) for
any additional systems in the dwelling as applicable.
• The system should be Installed and charged M accordance wiM the manufacturer's specifications before starting Mis procedure.
• The system must meet minimum airflow requirements as Prerequisite for a valid refrigerant charge gest
• if outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure.
Sbace Conditioning Svstems
System Name or Identification/Tag
System 1
(must be re -calibrated monthly)
Date of Thermocouple Calibration
12/6/10
System Location or Area Served
Whole House
Outdoor Unit Serial
PSD100500268
Outdoor Unit Make
Maytag
Outdoor Unit Model
PSA4BF048KB
Nominal Cooling Capacity Btu/hr
48000
Date of Verification
12/15/10
%.412ara%1Un OF Y1agn0b11G LnSirumen1M
Date of Refrigerant Gauge Calibration
12/6/10
(must be re -calibrated monthly)
Date of Thermocouple Calibration
12/6/10
(must be re -calibrated monthly)
neasurea oemaerarures c-rr
System Name or Identification/Tag
System 1
Supply (evaporator leaving) air dry-bulb
47
temperature (Tsupply, db)
Return (evaporator entering) air dry-bulb
70
temperature (Tretum, db)
Return (evaporator entering) air wet -bulb
57
temperature (Tretum, wb)
Evaporator saturation temperature
39
(Tevaporatorr sat)
Condensor saturation temperature
82
(rcondensor, sat)
Suction line temperature (Tsuction)
55
Liquid Line Temperature (Tliquid)
74
Condenser (entering) air dry-bulb
temperature (Teondenser, db)
Reg: 210-A0031320A-M2500001A-M25A Registration Date/Time: 2010/12/15 22:31:26 HERS Provider: CalCERTS, Inca
2008 Residential Compliance Porms March 2010
Dec 15 10 07:46p Walter Nellis 760-360-3277 p.6
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5)
Site -Address: Enforcement Agency: Penult Number:
51-990 Avenida Medaro, La Quinta CA 92253 1 City of La Quints 10-1370
Minimum Alrflow Reaulrement .
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 = Tretum,
23
db -Tsu I db
Target Temperature Split from Table RA3.2-3
20
using Tneturn, wb and Tretum, db
Calculate difference: Actual Temperature Split -
3
Target Temperature Split =
Passes if difference is between -4°F and +4°F or,
upon remeasurement, if between -4°F and
PASS
-100°F
Enter Pass or Faill
Mote: Temperature Split Method Calculation is not necessary if actual Cooling ON/Airflow is verffled using one of the
airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is
measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below.
Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacky (ton) X 300 (drn/ton)
System Name or Identification/Tag
Calculated Minimum Airflow Requirement (CFM)
Measured Airflow using RA3.3 procedures (CFM)
Passes if measured airflow is greater than or
equal to the calculated minimum airflow
requirement.
Enter Pass or FaIll
Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure Is required to be used
for fixed orifice metering device systems
System Name or Identificatior/Tag
Calculate: Actual Superheat =
Tsuction - Tevaporator, sat
Target Superheat from Table RA3.2-2 using
Tretum, wb ond.Tcondenser, db
Calculate difference:
Actual Superheat - Target Superheat =
System passes if difference is between -6°F and
+6°F
(Enter Pass or Fail
Reg: 210-A003132BA-142500001A-M25A Registration Date/Time: 2010/12/15 22:31:26 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2010
Dec 15 10 07:47p Walter Mellis 760-360-3277 p.7
[NSTALLATION CERTIFICATE CF-4R-MECN-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 51
Site Address: Enforcement Agency: Permit Number.
51-990 Avenida Medaro, La Quinta CA 92253 City of La Quints 10-1370
Subcooling Charge Method Calculations for Refrigerant Charge Verif eWon. This procedure Is required to be used
For thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems.
System Name or Identif9cation/Tag
System 1
Calculate: Actual Subcooling =
8
Toondenser, sat - Tliquid
Target Subcooling specified by manufacturer
8
Calculate difference:
D
Actual SubcooHng - Target Subcooling =
System passes if difference is between
-40F and +4°F
PASS
Enter Pass or Fal
PASS
Metering Device 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 Identiflcation/Tag
System 1
Calculate: Actual Superheat =
16
Tsuction - Tevaporator, sat
Enter allowable superheat range from
manufacturer's specifications (or use range
16
between 3°F and 26°F if manufacturer's
specification is not available)
System passes if actual superheat is within the
allowable superheat range
PASS
Enter Pass or Fai
Reg: 210-A003132BA-M2500001A-1425A Registration Date/Time: 2010/12/15 22:31:28 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2010
Dec 15 10 07:47p
Walter trellis
760-360-3277
INSTALLATION CERTIFICATE CF-4R-MECH-2:
Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5]
Site Address: Enforcement Agency: Permit Number:
51-990 Avenida Medaro, La Quinta CA 92253 City of La Quints 10-1370
Standard Charge Measurement Summary:
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coli
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 Identlflcation/Tag
System 1
725283
HERS Provider Data Registry Information
Sample Group * (if applicable): N/A 0 tested/verified dwelling
System meets all refrigerant charge and airflow
a HERS sample group
HERS Rater Information CaICERTS Certificate S CC1-1798528894
HERS Rater Company Name:
requirements.
PASS
Responsible Raters Signature:
Walter W Nellis
Walter W Nellis
Enter Pass or Fal
date Signed: 12/15/2010
CC2004361
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of Califomla, 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 -1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF -61k), signed and submitted by the person(s)
responsible for the Installation conforms bo the requirements specified on the Certificate(s) of Compliance (CF -IR) approved by the
enforcement aoencv.
Builder or Installer information as shown on the Installation Certificate (CF -6R)
Company Name. (Installing Subcontractor or General Contractor or Builder/Owner)
AIR EXPERTS AIR CONDITIONING -HEATING
Responsible Person's Name:
CSIB License:
Paul Van Vlymen
725283
HERS Provider Data Registry Information
Sample Group * (if applicable): N/A 0 tested/verified dwelling
❑ not-tested/verified dwelling in
a HERS sample group
HERS Rater Information CaICERTS Certificate S CC1-1798528894
HERS Rater Company Name:
Air Solutions of the Desert
Responsible Rater's Name:
Responsible Raters Signature:
Walter W Nellis
Walter W Nellis
Responsible Rater's Cerdflcation Number w/ this HERS Provider:
date Signed: 12/15/2010
CC2004361
Reg: 210-A0031328A-M2S00001A-M2SA Registration Date/Time: 2010/12/15 22:31:28 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Po=e Marsh 2010