MECH (11-1334)52055 Avenida Madero
11-1334
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11=00001334
Property Address: 52055 AVENIDA MADERO
APN: 773-202-015-4 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 4700
Tdy . 444umM
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTPR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed u9qd r provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an P 6fessi FIs Eode, and y License is in full force and effect.
License Class: C20 cense N . 859195
Date: (a -Ilk 41 Contractor:
OWN ER-BUI ER 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 1$500).:
1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or,her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) 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
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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:
LQPERMIT
Owner:
MORALES RAMONA R
82345 MOUNTAIN VIEW
INDIO, CA 92201
Contractor:
VARGAS AIR & HEATING, MANNY
PO BOX 470
INDIO, CA 92202
(760)398-8034
Lic. No.: 859195
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/16/11
FA
Fro
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 SOUTHERN INS Policy Number WS100871003
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to ecom ubject to the workers' compensation laws of California,
and agree that, if I should b my$ s rNect to the workers' compensation provisions of Section
J 3700 of the Labor Co IYOrthwith comply with those provisions.
Date -AA -(6"'l 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 ($100,000). 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 Ouinta, 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 5.E=
on is correct. I agree to comply with all
city and county ordinances and state laws relating, and hereby authorize representatives
of this county to enter upon the above-mentioned urposes.
Date: /a- ' Signature (Applicant or Agen
Application Number . . 11-00001334
Permit . .
. MECHANICAL
Additional desc .
.
Permit Fee . . .
. 24.00
Plan Check Fee
6.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date .
. 6/13/12
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
a
9.00
------------------------------------------
Notes and
Comments
HVAC CHANGE OUT 3
TON WITH 3 TON
UNIT
AFUE 78% SEER 13.0.
----------------------------------------------7-----------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged
--------=-
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
----------
24.00
.00 .00
24.00
Plan Check Total
6.00
.00 .00
6.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
55-055 AVENIDA MAREDO La Quinta, CA 92253
City of La Quinta I
Dec 16, 2011
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
Package Unit
Furnace
Indoor Coil
vTAFETE5i78a%
vISEEIT: T3:0-
COP
,# HSPF
R 6 (CZ 10-13)
Served by system
v Setback
If not already present, must be
Condensing Unit
EER
Resistance
R 8 (CZ 14-15)
1200 sf
installed)
Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -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, p4r!GM 71 mER EXEMPTED aREJ (fee spimt sy..k,,...$) MEGN ^fC WERS
replaced
CF -4R forms: 04EC!4 2+ EXEMPTED and (f,._ split ,.,...«,....$) P45G14 7C
• Condenser Coil and /or
CF -6R forms: MECH-04, Mgigw 21 w_R& EXEMPTED and (f,.- split .-.,.-r,,ms) MCP N 25- HEAR
• Indoor Coil and /or
. Furnace
CF -4R forms: M=r. , 21 EXEMPTED and (f,.r split ,.....t,.ms) P49G14 7G
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage 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 duct systems are constructed, insulated or sealed with asbestos
4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
2. New HVAC System
Required Forms:
. Cut in or Changeout with
new ducts: (all new
CF -6R forms: MECH-04, 4E.G14 29 wERS EXEMPTED, and (for split systems) MECH-22-HERS, and
ducting and all new
MECH-25-HERS
equipment)
CF -4R 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, STMS, 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 -6R forms: MECH-04, ^^_GW 29 14ER& EXEMPTED, and (for split systems) MECH-25-HERS
and/or furnace. No or some
CF -4R forms: ^^,,&Gw_; g EXEMPTED 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
CF -6R forms: MECH-04, Mr-c;W ;w Wr.R EXEMPTED
than 40 linear feet of duct in
unconditioned space.
CF -4R forms: ^
^,, EXEMPTED
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 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: MANNY VARGAS Signature: MANNY VAR&As
Company: MANNY VARGAS A / C & HEATING Date: Dec 16, 2011
Address: P 0 BOX 470 License: 859195
City/State/Zip: INDIO / CA / 92202 Phone: (760) 398-8034
Reg: 211-A0065485A-00000000-0000 Registration Date/Time: 2011/12/16 14:07:52 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
Bin # : ..
.. .... .. , ,. .. ... .. :. ... .
City of La . Qulnta'
Building & Safety' Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet
.,
Permit #
Project Address: - D
A. P. Number:
Owner's Name:
Address:
City, ST, Zip:
Legal Description:
Contractor
Telephone: ° `x iM."
_
ate//
Address: - v a -Z Z7/ -a A, D
City, ST, Zip:
Project Description: / v C C/ A
/moi rJ
Telepho • a 7
e9.
:<F0.
::: t, A;z:::.:.:;. > i ; :<? 's,';•r.-
—
1,_ofJiJ
State Lic. # : S . I / S
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: "' ck':' a tits'
4 ,; >•:Z:
fl. A '
State Lie. #::;'
';4k
Name of Contact Person: / v/
Construction T YPe• Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Perso , O
Estimated Value of Project: % 0
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
Title 24 Caics.
Pians 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
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd Review, ready for corrections/issue
Deycloper 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 FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21
Duct Leakage Test — Existing Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1334
Enter the Duct System Name or Identification/Tag: System 1.
Enter the Duct System Location or Area Served: Whole House
Vote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
1welling.
This installation certificate is required for compliance for alterations and additions in existing dwellings to
space conditioning systems and duct systems.
Vote: 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
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 noominal,F,an Flow using one, of the following =three calculation methods.
F
✓ ✓ Cooling system method: Size of condenser in Tons 73 x 400 =) 1200- `CFMi
5
a_. rr ,
✓ Heating '21. z
system method Output Capacity in;Thousands of Bt /hr = _CFM
✓ procedures:
Measured system airFlow using RA3.3 airFlow,test CFM
_
Option 1 -used then: l; t Y t, T L
(,.."V t;71.`=
1
Allowed leakage = Fan Flow 1200 x 0.15 = 180 CFM
Actual Leakage = 116 CFM
Pass if Leakage Actual is less than Allowed
Pass 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%
Pass Fail
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 handler and door panel.
Pass if all accessible leaks have been repaired using smoke
Pass Fail
Reg: 211-A0066263A-M2100001A-M21A Registration Date/Time: 2011/12/20 22:06:22 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21
Duct Leakage Test — Existing Duct System (Page 2 of 2)
Site Address: Enforcement Agency:7,41-1334
rmit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) City of La Quinta
✓ 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 andireturn register boots must'be,sealedA the drywall tif,smoke=test is utilized1for=compliance
— applies.to d'uct leakage compliance,option 3 ,(leakage reduction by 60%) ani:110 on(4 (fix ah(accessible
leaks) de scnbed above .
✓ New duct installations cannot utilize, building cavities as plenums or platform returns in lieu of ducts:
rr
✓ Mastic and draw`bands.must be used, inicombinationmith`cloth backed,rubberiadhesiveiduct.tape,to seal—LOO
leaks at all.new duct connections 'A
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 -611), 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)
MANNY VARGAS A / C & HEATING
Responsible Person's Name:
CSLB License:
MANNY VARGAS
1859195
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A
tested/verified dwelling
not-tested/verified dwelling in
la
HERS sample group
HERS Rater Information CaICERTS Certificate # CC1-1798616743
HERS Rater Company Name:
All About Air
Responsible Rater's Name:
Responsible Rater's Signature:
Roman Diaz
Roman Diaz
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 12/20/2011
CC2004535
Reg: 211-A0066263A-M2100001A-M21A Registration Date/Time: 2011/12/20 22:06:22 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
I
V
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems, Ducts and Fans (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1334
Space Conditioning Systems
Heating Equipment
Equip
Type
(package-
heat pump)
CEC Certified Mfr. Name
and Model Number
ARI
Reference
Number2
# of
Identical
Systems
Efficiency
(AFUE,
etc.)1, 3
(>=CF -IR
value)4
Duct
Location
(attic,
crawl-
space,
etc.)
Duct
R -value
Heating
Load
(kBtu/hr)
Heating
Capacity
(kBtu/hr)
Package
Furnace
MAYTAG
PPG2GDX36K072X
J-r' ,,+
1
80 AFUE
Attic
R-4.2
45
72 kBtu
cooling Equipment
Equip
Type
(package
heat
pump)
CEC Certified Mfr. Name
and Model Number
ARI
Reference
Number2
# of
Identical
Systems
Efficiency
(SEER
and EER)
1, 3
(>=CF -1R
value)4
Duct
Location
(attic,
crawl-
space,
etc.)
Duct
R -value
Cooling
Load
(kBtu/hr)
Cooling
Capacity
(kBtu/hr)
Package
A/C :
MAYTAG
+ PPG2GDX36K072X1,
J-r' ,,+
1" rc
14 SEER
'1 12 FER C
NAW5i ;w
R 4:2,cZ
.ow 36 -j
3 Tons
i. !r project is new construction, see Footnotes to Standards /able 151-6 and Table 151-C for duct ceiling alternative
compliance.
2. ARI Reference Number can be found by entering the equipment model number at
http://www.aridirector-y.orglarilac.php#
3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form.
4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
v §110-§113: HVAC equipment is certified by the California Energy Commission.
V §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA.
v §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of
§112(c).
§150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets
minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in
conditioned space.
A
Reg: 211-A0066263A-M0400001A-0000 Registration Date/Time: 2011/12/20 21:56:46 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems, Ducts and Fans (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) City of La Quinta 11-1334
Ducts and Fans
§150(m): Duct and Fans
v 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the
requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air
ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in
conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets
the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the
requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination
of mastic and either mesh or tape shall be used; and
1. Building cavities, support platforms for air handlers, and plenums defined or constructed with
materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying
conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities
and support platforms shall not be compressed to cause reductions in the cross-sectional area of the
ducts.
v 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back
rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands.
v 7. Exhaust fan systems have back draft or automatic dampers.
8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers.
V Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight,
moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or
painted with a coating that is water retardant and provides shielding from solar radiation that can cause
degradation of the material.
V 10. Flexible ducts cannot have porous inner cores.
,
C4
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 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 reviewed a copy of the Certificate of Compliance (CF -111) 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.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
MANNY VARGAS A / C & HEATING
Responsible Person's Name:
Responsible Person's Signature:
MANNY VARGAS
MANNY VARGAS
CSLB License:
859195
Date Signed:
12/19/2011
Position With Company (Title):
Reg: 211-A0066263A-M0400001A-0000 Registration Date/Time: 2011/12/20 21:56:46 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-611-MECH-2I-HERS
Duct Leakage Test — Existing Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1334
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
space 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.
V 1. 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 noyminal,F an Flow using one of the following three, calculation.methods. ,
✓ V Cooling sysi:em method: Size of condenser in T6ns 3 x 400 =-1 1200CFM
r
✓ Heating system metthh d-::1-21.7 xx1_ Capacity in.Thousands of,Biuf/hr = ! CFM
✓ Measured
rflOutput
systemrairflow using RA3.3 aiow,testrprocedures: _,CFM
,
Optionziused then:'(- , * r .. A
,.- ' i.,.a-• ' ^y r =' +.._-.. i ' ,.. w .. rte.
Allowed leakage - Fan Airflow'1200 x 0.15 = ° • 180 CFM
.
1
Actual Leakage = 116 CFM
Pass if Actual Leakage is less than Allowed leakage
v Pass Fail
Option 2 used then:
2
Allowed leakage = Fan Airflow_ x 0.10 = _ CFM
Actual Leakage to outside = - 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% _ "/o Reduction
Pass if % Reduction > 60%
Pass 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
Pass Fail
Reg: 211-A0066263A-M2100001A-0000 Registration Date/Time: 2011/12/20 21:57:43 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: Enforcement Agency: Permit Number:
52055 AVE MADERO, La Quinta CA 92253 (System 1) City of La Quinta 11-1334
V 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.
v All supply and,return register boots must,be,sealed.to_,the drywall f. smoke ,test is utilized#for. compliance
— applies to'duct leakage compliance, opka
tion 3'(leage reduction by 60%) andfoptionj4,(fix ail kcessible
leaks) described above.
v New duct installations cannot utilize'. building cavities as plenums or platform returns in lieu of ducts. ,
Mastic arid.draw bands must,,be used in: combination with;tloth backed rubber', adhesive. duct tape to seal!:.#0
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 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 -111) 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)
MANNY VARGAS A / C & HEATING
Responsible Person's Name:
Responsible Person's Signature:
MANNY VARGAS
MANNY VARGAS
CSLB License:
Date Signed:
Position With Company (Title):
859195
12/19/2011
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? Yes No
Reg: 211-A0066263A-M2100001A-0000 Registration Date/Time: 2011/12/20 21:57:43 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2010