MECH (14-0578)78160 Masters Cir
14-0578
P.O.IBOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000578
Property Address:
78160 MASTERS CIR
APN:
770-350-008- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
37050
Appl' ant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
•4 W
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT NS (760) 777-7153
BUILDING PERMIT lJ Q -
5/0 4
Owner:
SHIRK RICHARD °Y 0
QJ ?Old
78160 MASTERS CIRCLE
LA (404)579-9061 92253
C HOyC Qv Te
I hereby affirm under penIt of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 f the Busis an Professionals Code, and my L trans is in full force and effect.
license CJoss: C20 L' ense No.: 48904
Date: il Cont actor: /
OWNER -BUILDER DECLARION
I hereby affirm under penalty of perjury that 1 am exempt from the Contract '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).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. .
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ I 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:
Lender's Address:
LQPERMIT
Contractor:
ESSER AIR CONDITIONING & HTG
P.O. BOX 1636
CATHEDRAL CITY, CA 92235
(760)324-0550
Lic. No.: 489046
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier CASTLEP61NT NTL Policy Number WSLTHPE90140304
I certify that, in the performance of the work for which this permit is issued, I shat not employ any
person in any anner so as ecome subject to the workers' compensat' n I ` sof California
and agree th , if I shout eco a subject to the workers' compensation ovis ons of Section
3700 f leabor Cod I s I fo t comply it those provisions.Date: ppC
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT SAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La 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 1 have read this appli ation and state that the ab ve intormati is corr t. I agree to comply with all
city and county ordinance an st to laws relating to buil g nstructi , and he e y authorize r resentative
of thiSnty t3 r ul t e ove-mentioned prope y for in on rpos ,
Date: Sign tura ( pplicant or Agent):
r, 7
Application Number . . . . . 14-00000578
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 286.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/01/14
Qty Unit Charge Per
Extension
4.00 35.7500 EA MECH FURNACE
143.00
4.00 35.7500 EA MECH CONDENSER/COMP
143.00
----------------------------------------------------------------------------
Special Notes and Comments
(4)HVAC & (4)FURNACE CHANGE OUT 80% AFUE
16'SEER 2013 MECHANICAL CODE8
ENERGYCARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
190.64
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 286.00 .00 .00
286.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 282.21 .00 .00
282.21
Grand Total 568.21 .00 00
568.21
LQPERMIT
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: % $ LP M S Owner's Name: h r
A. P. Number: Address: oia Cj cc 1
Legal Description: City, ST, Zip: Lei. (A q2? S3
r
Contractor: r•
o. Telephone
/
5 % "I 0 i0
Address: 1 (,e D Project Description:
^ + A
City, ST, Zip:
TeleP h0 n ^ 1 S
State Lie. #: (p City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: Construction TY e: Occupancy:ancY
P :
a i
State #: Project ect hP (circle cle one : Add'n Alte r Repair Demo
Name of Contact Person: Sq. Ft.: Q 06 # Stories: ` # Units:
Telephone #,of Contact Person: Estimated alue of Project: % ( 5
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Sim lifted Prescri tive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to IS
Site Address:
Enforcement Agency:
Date:
Permit #.
Equipment T '
List Minimum Efficienc Z
Duct insulation requirement
Conditioned Floor
Area
Thermostat
❑ Packaged Unit
�F'urnace
❑ AFUE � ❑COPSetback
Over 40 ft of ducts added or
❑ Indoor Coil
❑SEER ❑ HSPF
replaced in unconditioned space
❑ R 6 (CZ 10-13)
Served by system
(1 not already
Condensing Unit
❑ EER ❑ Resistance
sf
present, must be
❑ Other I
❑ R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC jor each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 CF4R forms (no hand filled CF-4Rs allowed) are filled out and
Sied. Beginning October 1, 2010, a registered co of the CF -1R and CF -6R shall also be on site for final inspection.
1. HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and (fors lits stems) MECH-25
• Condenser Coil and /or
• Indoor Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF -4R 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
❑ I. 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 ducts stems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System
Required Forms:
• Cut in or Changeout with new
ducts: (all new ducting and all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
new equipment)_
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage <6 percent.
113. New Ducts with Replacement- Required, Forms:.
• Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF4R forms: 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 leakage <6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct in unconditioned space.
CF -611 forms: MECH-04, MECH-2I-HERS CF4R forts: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• 1 certifi, that this Certificate of Compliance documentation is accurate and complete.
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
+ 1 cenifv that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,
farts 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, worksheets.
calculations, plans and specificati ns ubmitted to the enforcement age f approval with th � application.
Name:
Signature:
Company- P Y-
D
AL
Address:Air
ty o, r
O x
License: L4
City/State/Zip: CG • t_ _ 1 a Q4—\j
G� 2
Phone: —7L(A-7:1 -- qc:Wi
u
2008 Residential Compliance Forms March 2010
Sim lified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address: _7%) C' c I. -Enforcement
S
Agency:
Date:
Permit #:
Equipment ni t
List Minimum Efficienc 2
Duct insulation requirement
Conditioned Floor
Area
Thermostat
❑ Packaged Unit
'54 -Furnace
❑ AFUE ❑COPSetback
Over 40 ft of ducts added or
❑ Indoor Coil
❑SEER ❑ HSPF
replaced in unconditioned space
❑ R 6 (CZ 10-13)
Served by system
(1 not already
Condensing Unit
❑EER ❑Resistance
sf
present, must be
❑ Other
❑ R 8 (CZ 14-15)
installed)
I. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFjortypical 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 CF4R forms (no hand filled CF-4Rs allowed) are filled out and
si ed. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection.
1. HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-7I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and (fors lits stems) MECH-25
• Condenser Coil and /or
• Indoor Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF -4R 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
Fxempled from duct leakage testing if:
❑ I. 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 ducts stems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System Required Forms:
• Cut in or Changeout with new CF -611 forms: MECH-04, MECH-20-HERS,and for lit
ducts: (all new ducting and all ( split systems) MECH-22-HERS, and MECH-25-HERS
new equipmentCF-4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent"
03 .
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 systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF4R forms: 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 leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct in unconditioned space.
CF -6R fors: MECH-04, MECH-2l-HERS CF4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems 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.
• 1 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 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, worksheets.
Plans and soccificati tis ubmitted to the enforcement age c fora roval with th-cj)efmt application.
Lcalculations,
Name:,
Signature:
Company:
D
Address: C) h, r
V X
License: 0104
tate/7.ip: CG 1_ _ t `
ITC476,
Phone: "1 L 6 G-71 - qcl 40
u
touts nestdenttal Compliance Forms March 2010
Simplified—Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:Enforcement
Agency:
Date:
Permit #:
Equipment T i
List Minimum Efficiency2
Duct insulation re uirement
Conditioned Floor
Area
Thermostat
❑ Packaged Unit
�4.Furnace
t�
❑AFUE D ❑COP
Over 40 ft of ducts added or
Setback
❑ Indoor Coil
❑SEER ❑ HSPF
re placed in unconditioned space
Served by system
Q nor alread y
JV�Condensing Unit
_
❑ EER ❑ Resistance
❑ R 6 (CZ 10-13)
sf
present, must be
❑ Other 1
❑ R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC jor each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 fortes (no hand filled CF-4Rs allowed) are filled out and
si ed. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection.
1. HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and (fors lits stems) MECH-25
• Condenser Coil and /or
an
• Condor Coil and
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF -4R 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 firom 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 ducts stems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System Required Forms:'
• Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and for lit
ducts: (a11 new ducting and all ( split systems) MECH-22-HERS, and MECH-25-HERS
new equipmentCF-4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage <6 percent.
113. New Ducts with Replacement Required'Forms:
• Includes replacing or installing all new ducting CF -6R fortes: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF -411 forms: 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 leakage < 6 percent
❑ 4. New Ducting over 40 feet Re uired Forms:
• Include; adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS CF4R fomts: MECH-21
linear feet of duct in unconditioned s ace.
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems 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.
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
1 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 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, worksheets.
calculations, pla2s and sped icatignsisubmitted to the enforcement agency for approval with th ' application.
Name:
Signature:
Company:
D
Address:
�, I
x
License: LA q 610
1 to
City/State/Zip: C� 1_ _ 1 ax`
Phone: �( ) G71 - ` C
qtl
2008 Residential Compliance Forms March 2010
simplified—Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:
Enforcement Agency:
Date:
Permit #.
Equipment T r
List Minimum Efficient Z
Duct insulation requirement
Conditioned Floor
Area
Thermostat
❑ Packaged Unit
.Fumace
❑ AFUE J640
fl.of
Over of ducts added or
Setback
❑ Indoor Coil
Unit
❑SEER ❑ HSPF
replaced in unconditioned space
❑ R 6 (CZ 10-13)
Served by system
(1 not already
j%Londensing
❑ Other
❑ EER ❑ Resistance
❑ R 8 (CZ 14-15)
sf
present, must be
installed)
1. Equipment Type: Choose rhe equipment being installed: ijmore than one system, use another CF -1 R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFjortypical 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 CF4R 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 site for final inspection.
IJQ,1. HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2'1-HERS and (for split systems) MECH- 25 -HERS
CF -411 forms: MECH- 21 and (fors lits stems) MECH-25
• Condenser Coil and/or
• Indoor Coil and/or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF -4R 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
Fxempted 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 ducts stems are constructed, insulated or sealed with asbestos
J. ❑ 2. New HVAC System Required Forms:
• Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
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: Duct leakage < 6 percent,
03 .
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 systems) MECH-25-HERS
and/or outdoor.condensing unit and/or indoor CF -4R forms: 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 leakage <6 percent
❑ 4. New Ducting over 40 feet Required Forms:
• Include; adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF4R fomes: MECH-21
linear feet of duct in unconditioned space,
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
r 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,
Paris 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, worksheets.
calculations, plans and scificati its ubmitted to the enforcement age nc for approval with th application.
Name:
Signature:
Company:
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Phone: —7(.,6 G-71 - I:F
2008 Residential Compliance Forms March 2010