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MECH (12-0986)54305 Avenida Martinez 12-0986 . - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000986 Property Address: 54305 AVENIDA MARTINEZ APN: 774-253-014-3 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 12437 "`&t!t44Q" Applicant- Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------------------------- LICENSE ONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am a sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andf ssionals Code, and my License is in full force and effect. Li c nse Class: C20 icense No.: 686310 Date: 2 ntractor: i WNER-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, 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: nN, Lender's Address: f LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/27/12 Owner: JONATHAN GREENE 54305 AVENIDA MARTINEZ LA QUINTA, CA 92253 DPrContractor:GENERAL AIR CONDIT7 20131170 RESERVE DRITHOUSAND PALMS, CA 9 (760) 343-7488 C1W_0F A4U1NTA Lic. No.: 686310 FINANCE DEPT. ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. JC I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor T^ Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ZENITH INS CO Policy Number Z071741501 I certify that, in the performance of the work for ich this permit is issued, I shall not employ any person in any manner so as to become subje t the workers' compensation laws of California, and agree that, if I should become subject t workers' compensation provisions of Section 3700 of the rebor Code, I shall forthwith c ly w' those provisions. teG: FA RE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 suchkpermit,essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the acorrect. 1 agree to comply with all city and county ordinances and state laws relating to buildinhereby authorize representatives of thisppcounty to enter upon he above-mentioned property fses. ate: O nature (Applicant or Agent): A- LQPERMIT Application Number . . . . . 12-00000986 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/23/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -----------------------------------------=---------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL 4 TON SYSTEM, FURNACE, CONDENSER, INDOOR COIL. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -------------------- Due. ------------------=------------------ Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 :00 .00 51.63 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54305 AVENIDA MARTINEZ La Quinta, CA 92253 City of La Quinta I Aug 27, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement 'Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1S02 sf installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111 and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout, Required Forms: • All HVAC Equipment CF-611 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 Durct leakage: 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH .4 Inaka6. 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-w,ill not be Ducted (ie Ductless-Mini-Split—System)-(Also Exempt from-Refrigerant'Cha roe) y ❑ 2. New HVAC System Required Forms: L . Cut in'or Changeout with' — CF-6R forms: MECH-04, MECH-20 411S, and (for split systems) MECH-22-HERS and new ducts: (all new ducting and all new i MECH-257HERS _ - CF,,4R forms: MECH;20, and (for split systems) MECH=22, and MECH-25 equipment) f ! - r For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP ` For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF-61k forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that 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: Danielle Garcia Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC Date: Aug 27, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-AO04700BA-00000000-0000 2008 Residential Compliance Forms Registration Date/Time:. 2012/08/27 09:40:17 HERS Provider: CalCERTS, Inc. July 2010 Bln.# City of La Quinta Bullding a Safety Divfsion P.O. BOX 1504,78-495 Calle Tampico La.Qufita, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Perinit # a Project Address: R 1161 ti 1"1 ow nQ i Owner's Name:. A. P. Number. 2 30 ` Address: . Legal Description:Cit),, Contractor. ST, lap.CA Telephone:' ' Project Description: 1 `V N C C Address: City, ST, Zip: S S' Telephone: , State Lic. 4: City Lia #; Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type:. Occupancy: f State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: l 2 # Stories: # Unitp: Telephone # of Contact Person: Estimated Value of Project: . 0 P APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRALJaNG PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Trtm Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plana picked up Construction Flood plain plan Plans resubmitted.*, Mechanical Giading plea 2" Review, ready for correctionstiissue Electrical Subcoatactor Ila Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resabmitted Grading IN ROUSE:- 2" Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person 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: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-986 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 Leakaqe Diagnostic Test - existina 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.)„ Determined nominal Fan Flow using one of,the following three calculation-methdds.'`•r,,'I °' ✓ [3Cooling system method -Size of condenser in Tons z 400 y F• .r"`",, J t ' d ✓ ❑ Hea`,tiyrig system method s21F7„x Oyutput Capacity in Thousands of Btu/hr r CFM yt. I )9 M d.'/j_ . {F- . •i ' it,.. ' w er y. "i i's.. ✓ ❑ Measured,s.yster aiMow iing`RA3.3'airflow test procedures —_ACFM , .s„ ,•- {, s s r+? , ;f. Option 1 used then: - - 1 Allowed leakage = Fan Flow =x 0.15 = _CFM Actual Leakage = _ 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 test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke Pass Fail Reg: 212-A0047008A-M2100001A-M21A Registration Date/Time: 2012/09/19 20:02:24 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: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-986 ❑ 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. '!a' ^ `f tu i",± ;, ate,-, .' ' rtss• 1+' ..- ❑ All supply; and return register boots1must be.tsealed,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) desa ibed above , . ip '. .. - r r a , "• r ' ei' L ti. ' tii ❑ New duct installations cannot utilize building cavities as plenumsor platform returns in lieu'of ducts: .`' .G,,.'.1C`:' .,.:: + .•, ". `+`*.fit .g nR',s- l•r +., ,i Y;t }n+ + :"'a`'-^f" ' i. ❑ Mastic and draw bands must be use 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 -IR) 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 -IR) 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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 345443 ❑tested/verified dwelling ® not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798686024 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: William David Painter William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/18/2012 CC2005784 Reg: 212-A0047008A-M2100001A-M21A Registration Date/Time: 2012/09/19 20:02:24 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 7City of La Quinta 12-986 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in SUDDIV and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ❑ Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ❑ Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Fail ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor.on.the Evanorator Coil System Name -or Identification/Tag';,;a 3 4 ❑ Yes : No The sensor is factory installed, or field installed according to manufacturer's specifications, or is?.installed by 6 ❑ Yes ,❑ ` methods/specifications approved by the Executive ;P hr Director. f f Fh t1,t t,, x .: l J =* i. .1 , i{' _Ni -ori p 0 SPI The sensor wire e for -connection to Install 4 Yes-<- ❑'N`o d gital thermometere The see sorr mini plug s. a cessible to the ng Cechniciari 4111 and the'HERS rat&;without changing the airflow through the condenser coil 5 ❑ Yes ❑ No 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 ,/ El N/A ✓ [3 Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 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 coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail A Reg: 212-A0047008A-M2500001A-M25A Registration Date/Time: 2012/09/19 20:04:21 HERS Provider:.CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 :ERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2E tefrigerant Charge Verification - Standard Measurement Procedure (Page 2 of!51 Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 112-986 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55OF or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditionin4 Svstems System Name or Identification/Tag System 1 (must be re -calibrated monthly) Date of Thermocouple;Calibration - 3 f -f, ».. System Location or Area Served Whole House ' Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Nominal Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration System°1 (must be re -calibrated monthly) Date of Thermocouple;Calibration - 3 f -f, ».. e (must be re calibratd monthly) ' System Name or Identification/Tag System°1 ' 'r ` q ` Supply (evaporator leaving)`air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature (Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) .N Reg: 212-A0047008A-M2500001A-M25A Registration Date/Time: 2012/09/19 20:04:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 [NSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quint a 12-986 Minimum Airflow Reauirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified 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 Capacity (ton) X 300 (cfm/ton) System Name,or identification/Tag * XPA -; ) ,+:, a ..a .. --44 ► Calculated Minimum Airflow Requirement (CFM) , F .Yi a. Measured Airflow usingRA33proc dures(CFM) .1:ice-.+'Wr . 44 37. Vii., .i` ,.) ,Y'.. f. 'fl 4r.. tr 'a!`• i ,i ,+ {} . A+. Passes if measured airflow is greater:than or equal -!1=' ,- - to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail 01 Reg: 212-A0047008A-M2500001A-M25A Registration Date/Time: 2012/09/19 20:04:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 51 Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is'required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Subcooling = Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F Enter Pass or Fail t 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 Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufacturer's specification is not available) System passes,if actual superheat is within the allowable superheat range t ,.tEnter,'Pass or Fail rF y i1 Reg: 212-A0047008A-M2500001A-M25A Registration Date/Time:-2012/09/19 20:04:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 345443 System meets all refrigerant charge and airflow. not-tested/verified dwelling in a HERS sample group requirements. HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/18/2012 CC2005784 j p '' tl`1•A "tib z . ; q ' # _ e+.x r ,. '•Air . r ,. ., . * t:° ^.[ - .. J t 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 agencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 345443 ❑ tested/verified dwelling® not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798686024 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: William David Painter William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/18/2012 CC2005784 Reg: 212-A0047008A-M2500001A-M25A Registration Date/Time: 2012/09/19 20:04:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 27 Site Address: # of Identical Systems Efficiency ( etc.)1, 3 (>=CF -1R value)4 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-986 Space Conditioning Systems Heating Equipment EquipAFUE, Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency ( etc.)1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split Furnace LENNOX SC280UH0090WV60C-03 5433800 1 18 SEER 13 EER Attic 80 4 Tons 1 f rvvurry cyu pn cnc 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) Split A/C LENNOX XC21-046-230-08 1 18 SEER 13 EER Attic 80 4 Tons 1 f . I project is new construction, see Footnotes to Standards Table 151-8 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.aridirectory.org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form. 4. When CF71R is reference it is also applicable to the CF -1R, CF -IR -AA or CF -1R -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. ® §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. Reg: 212-A0047008A-M0400001A-0000 Registration Date/Time: 2012/09/12 19:49:36 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE :t _ CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Responsible Person's Signature: Danielle Garcia 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (SysHnforcement Agency: Permit Number: 1) ity of La Quinta 12-986 Ducts and Fans §150(m): Duct and Fans ® 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. ® 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. ® 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. Flexible ducts cannot have porous inner cores. 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 occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: 686310 Date Signed: 8/28/2012 position With Company (Title): Reg: 212-A0047008A-M0400001A-0000 Registration Date/Time: 2012/09/12 19:49:36 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: 3. Reduce leakage by 60% and conduct smoke and fix all leaks 4. Fix all accessible leaks using smoke and HERS rater verify 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-986 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 Leakaqe Diagnostic Test - existina duct systpm Select one compliance method from the following four choices. Cl 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 nominal Fan Flow using one. of the following three calculation methods. ✓ ® Cooling system method: Size of condenser in Tons _4 x 400 = 1600 CFM ✓ E3 Heating system method: 21.7 x _ Output Capacity in Thousands of Btu/hr = _ CFM ✓ O Measured system airflow using RA3.3 airflow test procedures: _ CFM Option 1 used then: 1 Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM Actual Leakage = 88 CFM Pass if Actual Leakage is less than Allowed leakage Pass Fail Option 2 used then: 2 Allowed leakage = Fan Airflow _ x 0.10 = —CFM Actual Leakage to outside = —CFM Pass if Actual leakage to outside is less than Allowed leakage Q Pass Q 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% 13 Pass 0 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 Q Fail Reg: 212-A0047008A-M2100001A-0000 Registration Date/Time: 2012/09/12 19:51:01 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-611-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: Responsible Person's Signature: Danielle Garcia 54305 AVENIDA MARTINEZ, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-986 ® 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. IN 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. ® 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 eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -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 occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: 686310 Date Signed: 8/28/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A004700BA-M2100001A-0000 Registration Date/Time: 2012/09/12 19:51:01 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency:712-986 Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ®Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name or Identification/Tag System 1 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 airflow through the condenser coil 5 1 ❑ Yes ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ®N/A ✓ [3 Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 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 coil 8 ❑ Yes ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ,i ®N/A ✓ ❑pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail Reg: 212-A0047008A-M2500001A-0000 Registration Date/Time: 2012/09/12 19:55:58 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is SS°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioninq Svstems System Name or Identification/Tag System 1 (must be re -calibrated monthly) Date of Thermocouple Calibration 8/1/12 System Location or Area Served Whole House Outdoor Unit Serial # 5812GS2227 Outdoor Unit Make LENNOX Outdoor Unit Model XC21- Nominal Cooling Capacity Btu/hr 48000 Date of Verification 8/28/12 ... . ... v. ..v r••. ano u ncnw Date of Refrigerant Gauge Calibration 8/1/12 (must be re -calibrated monthly) Date of Thermocouple Calibration 8/1/12 (must be re -calibrated monthly) -.M. c111ucIawlcal- r1 System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb 63 temperature (Tsupply, db) Return (evaporator entering) air dry-bulb 82 temperature (Treturn, db) Return (evaporator entering) air wet -bulb 70 temperature (Treturn, wb) Evaporator saturation temperature 49 (Tevaporator, sat) Condensor saturation temperature 106 (Tcondensor, sat) Suction line temperature (Tsuction) 68 Liquid Line Temperature (Tliquid) 102 Condenser (entering) air dry-bulb 105 temperature (Tcondenser, db) Reg: 212-A0047008A-M2500001A-0000 Registration Date/Time: 2012/09/12 19:55:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split = Treturn, 19.00 db - Tsupply,db Target Temperature Split from Table RA3.2-3 16.6 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - 2 4 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified 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 Capacity (ton) X 300 (cfm/ton) System Name or Identification/Tag System 1 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 Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fail Reg: 212-A0047008A-M2500001A-0000 Registration Date/Time: 2012/09/12 19:55:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6111-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: .54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Subcooling Charge -Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid 4.0 Target Subcooling specified by manufacturer 4 Calculate difference: 0 Actual Subcooling - Target Subcooling = System passes if difference is between -3°F and +3°F PASS Enter Pass or Fail 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 Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat 19.0 Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range PASS Enter Pass or•Fail Reg: 212-A0047008A-M2500001A-0000 Registration Date/Time: 2012/09/12 19:55:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HER9 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 54305 AVENIDA MARTINEZ, La Quinta CA 92253 City of La Quinta 12-986 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: 686310 Date Signed: 8/28/2012 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? p Yes p No requirements. PASS Enter Pass or Fail 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 -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR 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 heninninn Orrnhar t 7nin fnr all lnw-rico rodrlontial h..urlin— Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: 686310 Date Signed: 8/28/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? p Yes p No Reg: 212-A0047008A-M2500001A-0000 Registration Date/Time: 2012/09/12 19:55:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 HVAC Field Data Sheet Pg s oft Client Name'j l '2 C Y1.Q , " , Job # Adaress ' 3vS /- Vc Y1l int , Y11 1 r -(nn 2 Pb - 73z- Technician(s) 1 j&SOn LjCAlt, 1'J Permit # Gauge/Thermocouple Calibration Date SpUt 1,Padkage I Some Ducts Only I All Ducts Only (Circle type of work) A&& -441E- gr "wdData ZONE 1;' ZONE ZANE3 ZONB4 Srtem Location or Area Served Heating Equipment Make L Heating Equipment Model ARI Reference Number , Heating EquipmentAFUE --' Duct Location (attic, crawlspace, etc.) t [ Duct R -Value (if ducts were installed) Heating Load Heating Equipment Output Capacity Condenser Make Condenser Model Size in Tons SEER & EER Cooling load Cooling Capacity 5 *Cfl Z0.& ZI Duct Testing Duct leakage pretest result ZS b Dart Leakage Final Result 424 M/tm to pass (6%) I Fa IFaU Fanw-A i'js4ftfi Duct Lige Final Result <60 CFM/6mwpass (is%) P=IP o Passl i sslrail Pass using 60% leakage reduction? Pass using sm okee and visual inspection? MECil22. oT.A9iW.ZS Coote CotiAh flow di Pm:WaKDrnw . y y 4 Measured Air Volume from Flow Grid or Hood NEW DUCTS Target 350 CFM/ton a Condenser Tons CUMGgoUT Target 300 CFM/mn s condenser Tons Measured air greater titan Target? (YIN) Measured Fan Watt Draw Target: 0.58 watts/measured CFM = Measured Watts less titan Target? (Y/N) Copyright®2011 EDS Ener® Driven Sola lam lac / HVAC Field Data Sheet Pg 2 of 2 Client Name job # t -9 S.3.Date MBCH--ZS Charge&A& low ZONE ZONEZ ZONE ZONE Condenser Serial Number (: Z Supply air dry bulb temperature Return air dry bulb temperature Z Return air wet bulb temperature 2. Evaporator Saturation Temperature Condenser Saturation Temperature Suction Line Temperature 7 - Liquid Line Temperature Suction Pressure I- ' Liquid Pressure Actual Airflow Temperature Split Target Temperature Split from Table RA3.2.3 Passes if difference is t T of Target Temp (YM Actual Subcoolmg (t 4' of Target to pass) 14 Target Subcooling from Mfr. Actual Superheat (3 to 26° to pass) IZ& , Outside air dry bulb temperature AWGff 26--Weigh-ln 00gfng below SS° . Actual Line Set length (it) ' Mfr's Standard Line Set Length (ft) i Length Difference = Correction Factor (ounces per foot) Target Correction Factor s Length Difference System Charged to Target? (YIN) Other Data Minimum amps MaAmum amps •{ Breaker size Compressor amps Return Static Pressure Supply Static Pressure Supply Air Wet Bulb Temperature ALL APPLICMLEWIN ON TMS FORM MW BE COMPI.ETBD FOR F.Att7I JOft NO EJCCEP'170NS: • « C%wr%ft 0 =I sus amaw Drty® Soluflam I= CaICERTS - CF -1 R Registration. Page 1 of 1 ' .. v,= :,rif_2ris i s !?rert r r `Ho-rnex E gy Rii rrig,Probider ` Public Home Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Secure Home ` Your CF -IR -ALT -HVAC Registration is complete! About us You may want to print this page for your records. Training f . Site Address: 54305 AVENIDA MARTINEZ ' iLaQuinta,CA92253 CEC Registration: I 212-A_00470_08A-0_000_00_00-0_0.0_0 Rater Directory CF -IR -ALT -HVAC: HERETO DOWNLOAD ............................ -.......................... _........ _.... ........ .._.._........_._..._._......_......_............ i ..................................... ---............_..........---..__................................. _........... _.._....................................... _........... _.._._.__............ .... . Forms---- Assigned Company: 'HARRISON ENTERPRISES INC - Membership Benefits Do.you know your HERS Rater? t If you do, you may want to send this CF -1R to them. Events CalCERTS Rater ID: OR F-- Industry Partners --! . My Rater Quick Select: !,--Select From List Job Placement Every CaICERTS rater has aliicense number. Resources If you need to find the rater by name Click HERE to search our directory.. - SEND,,GF IR TO HERS-RATERg News To register for [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. our monthly ' - newsletter, please click here. ' Copyright O 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CalCERTS, Inc., 31 Natoma St Sulte 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) , Fax: 916-985-3402 Contact Us BBR; sl T l l.._ i1a _ https://www.calcerts.com/public_cflR.cfm?project_id=210357 8/27/2012 A 1 .r DUCT TESTING FORM INFORMATION Client name: Job# I ?I R Rs-?> ZONE 1 -Model# is G ?_ 1 "C3 8' Z30 C ZONE2-Model# Serial# S /Z('}Q 22"" 1 Serial# Make: ,Y1Y 0? Make: Outside Temp: 10 s Outside Temp: Discharge Pressure: Psi Discharge Pressure: PSI Discharge Temp: Discharge Temp: Actual Temp:_ Actual Temp: Suction pressure: PSI Suction pressure: PSI Suction temp: - ,q. ! Suction temp: Actual temp: 6-7• Actual temp: Return Air: Z Return air: Supply air: Supply air: Wet bulb: Wet bulb: Dry bulb: V Dry bulb: Minimum amps: _ Minimum amps: Maximum amps: s Maximum amps: 11 Breaker size: 3 L/ Breaker size: Amps: Amps: Compressor amps: Line set length: ft. Duct test final leakage: CFM CFM Number: 35 Compressor amps: Line set length: ft. Duct test final leakage: Number: Motor amps: Watts: Motor amps: Watts: \r4 AT E q ESTABLISHED IN 1918 AS A PUBLIC AGENCY O STRICI COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 • COACHELLA, CALIFORNIA 92236 • TELEPHONE (760) 398-2651 • FAX (760) 398-3711 DIRECTORS JOHN W. McFADDEN, PRESIDENT PETER NELSON, VICE PRESIDENT TELLS CODEKAS RUSSELL KITAHARA PATRICIA A. LARSON October 24, 2003 Dean Mangione Real Estate Appraiser Post Office Box 16 Palm Springs, California 92263 Dear Mr. Mangione: OFFICERS STEVEN B. ROBBINS, GENERAL MANAGER -CHIEF ENGINEER JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST TO GENERAL MANAGER REDWINE AND SHERRILL, ATTORNEYS File: 1112. Subject:''Account'No. 606131,555.0.1 54-305 Avenida Martinez, La Quinta In response to your inquiry, this district does not have available information regarding the completion of actual hook up to our sanitation collection system for the above -referenced property. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner s responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. Yours very truly, Richard Shonerd Customer Service Supervisor RIA:ra bc: City of La Quinta Post Office Box 1504 La Quinta, California 92253 TRUE CONSERVATION USE WATER WISELY