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MECH (10-1320)54218 Avenida Martinez 10-1320 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001320 Property Address: 54218 AVENIDA MARTINEZ APN: 774-222-010-14 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 5555 Ti -ht 4 4 Qum& Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 917275 ate: ntractor: 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 ISec. 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).: (_ 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.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of .property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed pursuant to the Contractors' State License Law.). I I 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.I. Lender's Name: Lender's Address: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/06/10 Owner: VIVIAN CHEVALIER 1 54-218 AVENIDA MARTINEZ LA QUINTA, CA 92253 1 Contractor: = '' EVEN FLOW HEATING & 11729 BALD EAGLE LANE G F.^ .'y p MORENO VALLEY, CA 925 7 (951)684-4979 Lic. No.: 917275 ------------------ 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 Yissued. 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 NORGUARD INS Policy Number EVWC112137 _ 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section y I, - 3700 of the Labor Cod shall fZhhcomply with those provisions. /Date: Q W pplicant: 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 15100,0001. 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 conditionsand 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 information is correct. 1 agree to comply with all city and county ordinances and state laws relating to buildin constructio , nd hereby authorize representatives ofthis cou tiy t enter upon the above-mentioned property inspecti p rposes. 11ate t'y (/ nature (Applicant or Agent): Application Number . . 10700001320 Permit MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/04/11 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 5 TON HEAT PUMP PACKAGE UNIT. 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 LQPERAiIT Ei Simplified Prescriptive Certificate of Compliance• 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 to IS Site address•' / ig— V.' Enforeemeut Agency: Date: Permit 0: Equipment Type' List Minim mEfficiency Packaged Unit Duct insulation requirement Conditib Floor Area Thermostat ❑ Furnace O AFUE ❑ COp_, Over 40 ft of ducts added or tyack O Indoor Coil OSEER_Z O HSPF'7 replaced in unconditioned space Served by system (ffnor already ❑ Condensing Unit O EER Rmstance O ❑ R 6 (CZ 10 13) ' l (' sf present, must be O Other O R 8 (0714-15) installed) !. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 1. Aflaimum Egalpmenr Effrclenetes: 13 SEER, 78%AFUE. 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer deades what work is being done and picks out of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms be left for shall on site final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fan the worlk ooanpleted by the installer. The inspector also verifies that each apptvpriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si ed. Beginning October 1 2010 a registered copy of the CF -1R and CF -6R shall also be on We for Mil Inspection. 1. HVAC Changeout Required Forms: • All H VAC Equipment replaced CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and s itsystem) steMECH-25 fa • Condenser Coil and/or • Indoor Coil and/or CF-61(forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if.. O 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or O 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Eximtrig duct sysitems arc constructed, insulated or sealed with asbestos 0 2. New HVAC System Required Forms: • Cut in or Changoout with new CF -6R forms: MECH-04, MECH-20-HERS duds: (all new ducting an all .and (for split system) MECH-22-HERS, and MECH-25-HERS new equi enc) CF4R forms: MECH 20-, and (for split systems)MECH-22,.atd 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 O 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split system) MECH-25-HERS and/or outdoor condensing unit and/or indoor CFAR farms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leak a <6 percent 0 4. New Ductilig over 40 feet I Required Forme: adding or replacing more than • In earfeet of duct in unconditioned space. linea feet e CF-6R forms: MECH-04, MECH-2I -4 -HERS CFR forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dun systems construcmd, insulated or sealed with asbestos Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance docwncntation is accurate and compleoe. a1 am eligible under Division 3 of the California Business mrd Professions Code to accept responsibdiry for the design identified on this'Catifite of Complia nee. • I certify that the anergy features and performarnee speaficatiom for the design identified on this Certificate of Complianoe conform to the requirements of Title 24, Parts I 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, worksheels, calculations la and iticati tus ons submitted to the enforcement agency for awrovai with theit a iation Name: Signatm. Company: ap,u> a Date: is 6 IM Address: -2 License: City/Statc/Zip: s Phone: ZUU6 Itesrdentitrt Compliance Forms March 2010 Bin # City of La Qu►nia Building 8i 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: SOwner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: fs<> y.„:o,1 -x: c Address: Project Description: City, ST, Zip: vr, Telephone: State Lic. # : City Lic. C Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: �»>.ay��;y},;:,�c}y�:>.�,{M1,i,v•}.}��\;,,4,_4.Sajvt;G.ti��:sk'„c.; yA ;• .:?:}) ,.`yam;,,.�.{,.. yG �^•.G^''Ci.:'<F �., Constructipn Type: Occupancy G Project tf pe (circle one): New Add'n Alter Repair Demo Sq. FL: a # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project• , s —Ar--- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE: 'a Review, ready for corrections/issuc Developer Impact Fee Planning Approval Called Contact Person A,I,P,P, Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF -IR -ALT -HVAC Alterations Climate Zones 10 - IS •a' Site Address: Enforcement Agency: Date: Permit #: 54218 Avenida Martinez La Quinta, CA 92253 City of La Quinta Dec 16, 2010 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat 0 Package Unit El Furnace p AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system ®Setback ❑ Indoor Coil 0 SEER 13.0 ❑ HSPF1800 sf If not already present El Condensing Unit ❑ EER C] Resistance C]R 8 ( CZ 14-15) must be installed) 9 ❑ Other ; sc 1. Equipment Type 'Choose the equipment.being installed; if more than one system, use another CF -SR -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 fog 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. 8 1. HVAC ChangeoutL Required Forms: . All HVAC Equipment VT.: CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF -611 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 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 duct systems are constructed,- insulated or sealed with asbestos /`---- ❑ 2. New HVAC Required Forms: ! J f System,` " + / / -,f 1 . Cut in or Changeout ` GF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and. with new ducts: (all ducting Fall MECH-25-HERS new CF -411 forms: MECH 20, and (for split systems) MECH-22; and MECH.25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Dud leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS condensing unit and/or indoor coil CF -411 forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some 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 -611 forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF -411 forms: MECH-21 unconditioned space. 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: Paul Reese Signature: Paul Reese Company: EVEN FLOW HEATING & AIR INC Date: Dec 16, 2010 Address: 11729 BALD EAGLE LANE License: 917275 City/State/Zip: MORENO VALLEY / CA / 92557 Phone: (951) 684-4979 Reg: 210-A0031982A-00000000-0000 Registration Date/Time: 2010/12/16 12:04:02 HERS Provider: CaiC RTS, Inc. 200? Jul— INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: ' 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 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 -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Package Heat Pump Armstrong RPHP13AO60 1 9 HSPF I Attic R-4.2 60 60 kBtu Type and EER) (attic, (package heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems 1,3 (>=CF -1R value)4 crawl- space, etc.) Dud R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Package Heat Pump -Armstrong . RPHP13AO60 j 11 - . 13 SEER -'s /,-- Attic - --- / R-4.2 / 'I, - 60 5 Tons I .sof,, I ! • .. Cooling Equipment I. 1t project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling altemative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. orglari/ac. 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 -1R is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM © §110-§113: HVAC equipment is certified by the California Energy Commission. a §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 9 §150(1): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 0 §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. Reg: 210-A0031982A-M0400001A-0000 Registration Date/Time: 2010/12/16 12:10:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Efficiency Duct Equip (SEER Location Type and EER) (attic, (package heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems 1,3 (>=CF -1R value)4 crawl- space, etc.) Dud R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Package Heat Pump -Armstrong . RPHP13AO60 j 11 - . 13 SEER -'s /,-- Attic - --- / R-4.2 / 'I, - 60 5 Tons .sof,, I ! • .. I. 1t project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling altemative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. orglari/ac. 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 -1R is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM © §110-§113: HVAC equipment is certified by the California Energy Commission. a §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 9 §150(1): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 0 §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. Reg: 210-A0031982A-M0400001A-0000 Registration Date/Time: 2010/12/16 12:10:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 !1 -11 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 Ducts and Fans §150(m): Duct and Fans R 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 2 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. 0 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. 0 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. ® 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. © 10. Flex ble ducts cannot have porous inner-cores. ., L 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 -1R 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 occuoancv. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EVEN FLOW HEATING & AIR INC Responsible Person's Name: Responsible Person's Signature: Paul Reese Paul Reese CSLB License: 917275 Date Signed: 12/12/2010 Position With Company (Title): Reg: 210-A0031982A-M0400001A-0000 Registration Date/Time: 2010/12/16 12:10:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 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. © 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.)_ , r Determine nominal Fan Flow using one of,the following three calculation methods. 4, ✓ 0 Cooling system method: Size of condenser in Tons 1 5 x 400 = ! 2000 CFM i r ✓ ❑ Heating system method 21.7 x _ Output Capacity in Thousands of Btu/hr = _ CFM ✓ ❑ Measured system airflow using RA3.3 airflow test procedures: _ CFM .l Option 1 used then: 1 Allowed leakage = Fan Airflow 2000 x 0.15 = 300 CFM Actual Leakage = 210 CFM Pass if Actual Leakage is less than Allowed leakage pl 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% _ "(g Reduction Pass if % Reduction > 60% n 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 't. Reg: 210-A0031982A-M2100001A-0000 Registration Date/Time: 2010/12/16 12:16:44 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: 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 0 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 thi ,closed position during'duct'leakage testing! k- ] r- , Ae, 1 © All supply and return re4i-ster 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. ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. 0 Mastic and draw bands must be used in combination with cloth 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 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 -SR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -SR 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) EVEN FLOW HEATING & AIR INC Responsible Person's Name: Responsible Person's Signature: Paul Reese Paul Reese CSLB License: 917275 Date Signed: 112/12/2010 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 210-A0031982A-M2100001A-0000 Registration Date/Time: 2010/12/16 12:16:44 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 1 of 2) Site Address: 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 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. and additions in existing dwellings to 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 ❑ 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_l, 2, or 3 must be attempted, before.utilizing Option 4.)4 r . Determine„nominal Fan Flow using one of•the following three calculation methods., ' ' 1 ✓ 0 Cooling system method: Size of condenser in Tons 15 x 400 = / 2000 CFM t ✓ ❑Heating system method: 21.7 x _Output Capacity in Thousands of Btu/hr = _ CFM procedures: , ✓ ❑ Measured system airflow using RA3.3 airflow test CFM Option 1 used then: 1 Allowed leakage = Fan Flow 2000 x 0.15 = 300 CFM Actual Leakage = 210 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 iib Reduction > 60% n 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 El Fail Reg: 210-A0031982A-M2100001A-M21A Registration Date/Time: 2010/12/16 12:25:22 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 54218 Avenida Martinez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 10-1320 © 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,.andlclose -when OA,ventilation.is not required, may be configured°fo the closed position during duct leakage testing? 0 All supply and returiyeglste Xboots must be sealed to4he drywall' f smoketestis utilized for compliance - - applies to duct leakage, compliance option 3 (leakage'reduction by 60%) and option 4 (fix all accessible. leaks) described above. ,' J - R New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. © Mastic and draw bands must be used in combination with cloth 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 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 -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EVEN FLOW HEATING & AIR INC Responsible Person's Name: _7917275 CSLB License: Paul Reese HERS Provider Data Registry Information Sample Group # (if applicable): N/A © tested/verified dwelling la ❑ not-tested/verified dwelling in HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798529556 HERS Rater Company Name: Dave Highland HVAC Testing & Diagnostics Responsible Rater's Name: Responsible Rater's Signature: Dave Highland pave Highland Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/12/2010 CC2004052 Reg: 210-A0031982A-M2100001A-M21A Registration Date/Time: 2010/12/16 12:25:22 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Reg: 210-A0031982A-M2100001A-M21A Registration Date/Time: 2010/12/16 12:25:22 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010