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MECH (13-0343)76923 Calle Mazatlan 13-0343 4 •,. P.O. BOX 1504 VOICE (760) 777-7012 '78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 ' BUILDING PERMIT • Date: 3/21/13 Application Number: 13-00000343 Owner: Property Address: 76923 CALLE MAZATLAN NANCY & .CHARLIE QUIMBY APN: 658-230-032- - - 76923 CALLE MAZATLAN :. • Application description: MECHANICAL ` •• LA QUINTA, CA 92253 -Property Zoning: .. LOW DENSITY RESIDENTIAL ' Application valuation: 13187 Contractor: 'Applicant: Architect or Engineer: GENERAL AIR CONDITIONI G ' 31170 RESERVE DRIVE THOUSAND PALMS, CA 92 t[AiAt7:Ulti A' (760)343-7488.ZO ` Lic. No.: 686310 3 QUIR • i l:7r _ LICENSED CONTRACTOR'S DECLARATION - "WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I.have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is cam- issued. pate: 1 Contractor: .. •'i r 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. OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZENITH INS CO Policy Number Z071741502 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ .person in any manner so as to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State_ and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by C-- - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Date. Zt 5 Applicant: (_ I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and + the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the , -DOLLARS ($100;000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within < SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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 oromission related to the work being performed under or following issuance of this permit. Date: Owner: - 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 ofsuchpermit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. - . 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building Construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Lender's Name: ate: 3 Zl Signature (Applicant or Agent): S-ZZ-11 Lender's Address: , LQPERD1IT LQPERMIT Application Number 13-00000343 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee. 10.13 Issue Date . . . . Valuation 0 Expiration Date 9/17/13 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/>100,K-5OOKBTU 16:50 Special Notes and Comments HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE. ALARM(S) TO BE INSTALLED PRIOR TO.FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. March 21, 2013.12:55:32 PM AORTEGA ------------------------ --------------------------------------------------- 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 LQPERMIT Bin. # CI Of La Quanta BUIW,- s[ 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: -%(meq 2-3 C. 1 e Ma, -z e,- Qv-, Owner's Name: N -Lr s: t Cin Q b v irkm A. P. Number. Address: ?(oCl 2-:5Ccai\ e_ 2G. ct 1' 10. r Legal Description: r. ContractoGme-,-Q Air Qi' City, ST, Zip: L C A G Z Z 53 Telephone: %foO-4 3- 09 S 9 a; Address: 3 1 -7O eser.re int . Ptnject Description: City, ST, Zip: QZZ?(o Z i2 10.Ge_ 4+OY1 A G i D 1- atv uC r1Gc Telephone: -7(oC>`3 t-13. -7c{ aa: State Lir. # : OS (p 31 OCity LiC. M Arch., Engr., Designer. Address: City., ST. Zip: Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: #Stories: # Units Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Reed TRAC NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cato. Called Contact Person Pian Cheek Balance Title 24 Cala. Plane picked up Contraction Flood plain plan Plans resubmitted Mechanical . Giading plan 2'! Review, ready for correctioneissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plant picked cep H.O.A. Approval Plans resubmitted Gradlag IN HOUSE:- Review; ready for correctionsfissae Developer Impact Fee Planning Approval Called Contact Person ti A I.P P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 76923 CALLE MAZATLAN, La Quinta CA 92253 (System Enforcement Agency: Permit Number:. 1) City of La Quinta 13-0343 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 r ' 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 • < , 0 3. Reduce leakage by 60% and conduct smoke and fix all leaks 0 4: Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be a.ttempted,before utilizing Option 4.), Determine. nominalTan"Flow using o e ofithe following three calculation methods P ✓ ®Cooling system method Size of condenser rn.-Tons 4:-4 400 X1600 CFM s j ✓ r ; O Heating system method 21 7 x' `Output Capacity m;xThousands 6f& CFM; ✓ ❑ Measured system aicHow usirigRA3,3 airflowestprdures'? '• ., •CFM 1 Allowed leakage - Fan Airflow 1600 x 0: _15 240 ' . Actual Leaka e192 9 1 92 CFM; Pass if Actual Leakage is less than Allowed leakage N Pass 0 Fail Option 2 used then:..,. 1 2 Allowed leakage Fan Airflow^_ x 0.10 = _ CFM Actual Leakage to outside.=d_'< CFM ,.,,::Pass if Actual leakage to outside is less than Allowed leakage [3 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 r ((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 p Fail , f - • til ... , • - • - . •f 1. Reg: 213-A0017166A-M2100001A-0000 Registration Date/Time: 2013/04/11 18:19:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms .,i..,. , `+. March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 76923 CALLE MAZATLAN, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-0343 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage:. testing. CH.1OA 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. 'oi"". ' M All sup y;and 'return register`boots<must be sealed:to theArywaWif sm oke testis utilized for,compliance - applies to duct leakage compliance option 3 (leakage reduction by 60 /oj and option 4f(fx allkaccessible leaks) described abover ti ® New ductinstallatl annot utiliie liuildin'o cavities as glen sxor°olatforin returns i u of'ducts Mastic and draw bands must 6e used in combination with` cloth backed rubber adhesive- uct 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 -111) 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) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 3/21/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 213-A0017166A-M2100001A-0000 Registration Date/Time: 2013/04/11 18:19:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page4 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 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) I • 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, unless the TMAH Compliance Option is chosen. - STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supplv and Return Plenums of Air Handler, System Name or Identification%Tag System 1 System Location or Area Served';_ Whole House Enter Pass or Fail -- 5/-16 inch (8 mm) access hole 1 upstream of`evaporative coil>in the ® Yes - ' ❑ Yes ❑ Yes ❑ Yes return plenum and labeled according ❑ No ❑ No ❑ No ❑ No ' .. Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time: to Figure,, nuSection RA3.2.22'.2.--_ Provider: Ca10ERTS, Inc. 2008 Residential Compliance•Forms + la Return"`sideiof the ducts stem,is <, located entirely withiniconditioned ❑ Yes , O Yes t Yes - .❑Yes, space and return airflowfitfemperature. ❑ LVo ,c: t O No's`❑ 't No : ❑ No.. to tie measuredaat,the return grille. ' ,., . 5/.16 inch (8 a ) _WWI ^ ; ' 2 of downstreamevapor ativecoil;in,the ®YesIi ❑°,Yes „. [3 Yes ❑=Yes= supply plenum and labeled ;according : F''#❑ No}' ❑ No' 13 No ❑ No to Figure_ n Section RA3.2.2c2 2. ° The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as required by Section RA3.2,2.2.2: Using this Compliance Option requires the HVAC.installer to annotate on the HERS Provider's data::registry an explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3 For more information see htto://www.enerov.ca.aov/title24/2008standards/special case appliance/ TMAH Compliance Option ❑ - ❑ ❑ ❑ Yes to 1 and 2, or Yes to la and 2, or checking the TMAH Compliance Option, is ® Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑Fail ❑Fair E3 Fail 13 Fail - Enter Pass or Fail -- ' Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time: 2013/04/11 18:23:52. HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance•Forms + March 2013 i INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure . (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 STMS - Sensor on the Evaoorator Coil , System Name or - FSystem 1 Identification/Tag 3Tthe sensor is factory installed, or field installed according to manufacturer's specifications, or is installed y methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil - ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F. - .1.0 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5 is a Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ Pass ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. Otherwise enter Pass or ❑Fail 13 Fail . pass. Enter N/A if STMS are not ® N/A ❑ N/A ❑ N/A ❑ N/A applicable. ❑ Pass ❑ Pass ❑ Pass ❑ Pass Otherwise enter Pass or ❑ Fail ❑ Fail • ❑ Fail ❑ Fail Fail;; STMS- Sensor "on the Condenser -Coil ' System Name or*° System 1 Identification/FTa.g:.. 6 The senso'nis'fadory instalied , o9field!installed according!top' faducers specifications, oris installed ryroved,b '. by methods%specifications a the Executive Director.' pp Y g. , •Yi °. ❑Yes ❑ No Q No y ?''❑ Yes,kO No " "Q:Yes ❑ No Y The sensor wire is terminated withja.standard mini plug suitablewfor cohnect onao a digital the momefer 7 The sensor m ni plug?is accessible tokthe,installmg,techni' l and the*HERS rater without chan,ging thea airflow thr..ough'the condenser",coil : -, A. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 1 ❑ Yes ❑ No 8 The sensor;measures the saturation temperature of the coil within 1.3 degrees.F - .1.0 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 6, 7, and 8 is a Enter N/A if STMS are not ❑ N/A ❑ N/A ❑ Pass ❑ Pass ❑ N/A ❑ Pass ❑ N/A ❑ Pass applicable. Otherwise enter Pass or ❑Fail 13 Fail . ❑Fail ❑Fail Fail T. ._ J Y. 1 Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time:.2013/04/11 18:23:52 HERS Provider: CalCERTS,-Inc. 2008 Residential Compliance Forms _ g 4 March•2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or above) 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 temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditioning Svstems System Name or Identification/Tag System 1 > (must'be're calibrated System Location or Area Served Whole House 4/1/2013 (must be re -calibrated Outdoor Unit Serial # 5813614390 Outdoor Unit Make + LENNOX Outdoor Unit Model XC21-048-230-08 Nominal CoolgCapacity 4 Tons Date of 'Verification 479/2013 4 - Calibration`, of Diagnostic Instruments ,r v 4 ', �, Date of Refrigerant Gauge Calibration:: ;- V , :4/1/2013 > (must'be're calibrated mo Date Date of Thermocouple Calibration'. 4/1/2013 (must be re -calibrated temperature (Tsu I db) monthly) Measured Temueratures (OF): System Name or Identification/Tag System 1 Supply (evaporator leaving) air dry-bulb 50 temperature (Tsu I db) 36 Return (evaporator entering) air 67 dry-bulb temperature (Treturn db) 85 Return (evaporator entering) air 60 wet -bulb temperature (Treturn wb) Evaporator saturation temperature 36 (Teva orator sat) Condensor saturation temperature 85 (Tcondensor, sat) Suction line temperature (Tsuction) 48 Liquid Line Temperature (Tliquid) 78 Condenser (entering) air dry-bulb 82 temperature (Tcondenser, db) a Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time: 2013/04/11 18:23:52 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 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 System 1 Calculate: Actual Temperature Split = 17.00 Treturn db - Tsupply, db Target Temperature Split from Table RA3.2-3 16 using Treturn wb and Treturn db Calculate difference: Actual Temperature 1 Split - Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between PASS -3°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),'." T..S ...... A: F .. Calculattd Minimum Airflow Requ rementi(CFM); Nominal Coohng Capacity (ton) X 300 (cfm/ton)' p C9F t J System Name or xxdentification/Tag y F Systemk F}A Calculated 'Minimum Airflow Requirement -' (CFM) Measured,Airflow using RA3.3,procedures (CFM) Measurement Method Passes if measured airflow isgreaterthan or equal to the calculated minimum airflow requirement. Enter Pass or Fail Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time: 2013/04/11 18:23:52 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 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 = c Tsuction - Teva orator sat 7.0 _ Target Superheat from Table RA3.2-2 _ _ using Treturn wb and Tcondenser, db .7 ' Calculate difference: 12 , , Actual Superheat - Target Superheat = 0 System passes if difference is between -5°F and +5°F ,x Enter Pass or Fail . PASS 1 ` f r.' ' ; " ' 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 Pass'or Fail c Calculate: Actual Subcooling =; , 7.0 _ Tcondenser, sat - Tli uid _• _ Target Subcooling specified by:: .7 manufacturer:, 12 , , Calculate difference: I 0 Actual`Subcoolir Target Subcooling= System passes if actual superheat is within ,x System p'asses`if difference is between ` -3°F and • . PASS 1 ` f r.' ' ; " •~" Enter Pass or Fail ' txEnterj Metering Device Calculations for 1 Refrigerant Charge Verification* This!procedUnE0is=required to be ' ,.... used•for thermostatic expansion valveµ(TXV)'and electronic'expansion'valve'(EXV) system's System,Name 160. Identification/Tag System 1 ' Pass'or Fail Calculate: Actual Superheat ` 12.0 Tsuction - Teva orator, sat Metering Device Calculations for 1 Refrigerant Charge Verification* This!procedUnE0is=required to be ' ,.... used•for thermostatic expansion valveµ(TXV)'and electronic'expansion'valve'(EXV) system's System,Name 160. Identification/Tag System 1 ' Calculate: Actual Superheat ` 12.0 Tsuction - Teva orator, sat _ Enter allowable superheat range from manufacturer's specifications (or use range 12 , 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: 213-A0017166A-M2500001A-0000 Registration Date/Time: 2013/04/11 18:23:52 HERS Provider: CalCERTS, Inc: 2008 Residential Compliance Forms, March 2013 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 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 - Date Signed: 3/21/2013 Position With Company (Title): ' System meets all refrigerant charge and Name of TPQCP (if applicable): Control Program (TPQCP)? ' ❑ Yes ❑ No airflow requirements. PASS Enter Pass or Fail ® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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 w lI. check the installation to verify compliance, and that that if such checking identifies r 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 thoseapprovedas part of a sampfeg oup but not checked by a HERS rater; antl if, those installatio.nsofail to meet theAquirements of such t quality.,assurance checking, the repuired,corrective action and additional checking)testing,of other4'nstalllations in that HERS sample group will be performed at`my expense , : s . I reviewed :a=copy of the Certificate of..Compliance (CF 1R)xform approved:,byr a enforcement agency that identifies the . specific, requirementsqfor,ah e msfallation *I certify that therequirements detailed on the CF 1R that apply to the installation have been niet{ggt. r . 1. s r i5` '.T i i " 4a ,x• kr ,. t . I will ensureiEhat a completed, signed4copy dfithis Installation Certificate shall be posted, or made availablex with the'bueldin `" Y" '" T g permit(sj'issued;for,the`buildmg,:and made available'-to:th6 enforcementagency 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:. ome from a HERS provider data registry for multiple orientation alternatives, and ' beginning"Octo6e t-1010, 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 banielle Garcia CSLB License: 686310 Date Signed: 3/21/2013 Position With Company (Title): ' Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ' ❑ Yes ❑ No Reg: 213-A0017166A-M2500001A-0000 Registration Date/Time: 2013/04/11-18:23:52 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: CALLE MAZATLAN, La Quinta CA 92253 (System. Enforcement Agency: Permit Number: )6923 City of La Quinta 13-0343 _ 133 Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4 Fix all ;accessible leaks' usingsmoke and HERS rater verify .. - • L Note (One of Optuns;1, 2, or:3* must be.attempted,beforeyutilizing Optton.4:).,,. D'etermiriMbrnina1::Fan Flow' using one offthe following three calculation methods . : M x 0 Coollffig system method of Size condenser,e in Tons x 400 ¢CFM ❑ Heating system method 21r7 x , i i0utput -opacj/ ity rn Thousands of,Btu/hr ❑ Measured,sy$tem airflowusing RA3.3 airtlow test procedures" hie CFM, Option VUsed then '' i Allowed leakageFan.Flow "`> x 0 15 CFM CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: CALLE MAZATLAN, La Quinta CA 92253 (System. Enforcement Agency: Permit Number: )6923 City of La Quinta 13-0343 _ 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 coin space conditioning systems and duct systems. nd additions in existing dwellings to 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. " Dud 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 30% of Fan Flow .. 133 Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4 Fix all ;accessible leaks' usingsmoke and HERS rater verify .. Note (One of Optuns;1, 2, or:3* must be.attempted,beforeyutilizing Optton.4:).,,. D'etermiriMbrnina1::Fan Flow' using one offthe following three calculation methods . : M x 0 Coollffig system method of Size condenser,e in Tons x 400 ¢CFM ❑ Heating system method 21r7 x , i i0utput -opacj/ ity rn Thousands of,Btu/hr ❑ Measured,sy$tem airflowusing RA3.3 airtlow test procedures" hie CFM, Option VUsed then '' i Allowed leakageFan.Flow "`> x 0 15 CFM a Actual.Leakage -' CFM ' it -Pass if Leakage Actual is less than Allowed ❑ Pass [IFail Option:2:used then" 2 • Allowed •leakage Fan Flow x.0.10 _CFM , + Actual Leakage to Outside=r=I 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 leakages x 100% _ % Reduction • • - Pass if % Reduction >= 600/a 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 / f _ [Reg:, 213-A0017166A-M2100001A-M21A Registration'Date/Time: 2013/04/23 20:92:24.• HERS Provider: CalCERTS, Inc. 12008Residential Compliance Forms_, March 2010 i C FMFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Dud System (Page 2 of 2) Site Address: 76923 CALLE MAZATLAN, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) y of La Quinta 13-0343 • ❑ Outside air (OA) ducfs.for:Central. Fan Integrated. (CFI) ventilation systems, shall not be sealed/taped off du[ingduct leakage testing CFS QA ducts that utilize controlled motorized dampers, that open only when OA ventllatlon Is required o..'meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may - be configured to the closed position during duct leakage testing. - DAll supply and returnregister boots rnust.be sealed, to the drywall'If,srnoke'test is`ut lized for compliance ; ..applies to duea cYlkage compliance option 3 (leak6ge red6ction`by60%)'6nd option 4,1(fix all accessible leaks) d'escnbed abov Wm 13 New duct rnstallations,cannot ubllze building cavities Ss'iplenums or platform, returns In:lieu of-aucts mv ❑Mastic anddraw:ba'nds must:be used:in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connection's ' t DECLARATION STATEMENT`_,, . r ," . Icertify under penalty of per)ury, under the laws of the State of California, the information provided on this form is true and correct . I am the certified HERS rater.whoperfornied the verification services identified and reported on this certificate (responsible rater). . The installed feature, material; component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry. Information Sample Group # (if applicable): 404038 tested/verified dwelling ® not-tested/verified dwelling in la • •' • HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798741090 HERS Rater.Company Name: ' Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 4/18/2013 - CC2006208 41 ❑ Outside air (OA) ducfs.for:Central. Fan Integrated. (CFI) ventilation systems, shall not be sealed/taped off du[ingduct leakage testing CFS QA ducts that utilize controlled motorized dampers, that open only when OA ventllatlon Is required o..'meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may - be configured to the closed position during duct leakage testing. - DAll supply and returnregister boots rnust.be sealed, to the drywall'If,srnoke'test is`ut lized for compliance ; ..applies to duea cYlkage compliance option 3 (leak6ge red6ction`by60%)'6nd option 4,1(fix all accessible leaks) d'escnbed abov Wm 13 New duct rnstallations,cannot ubllze building cavities Ss'iplenums or platform, returns In:lieu of-aucts mv ❑Mastic anddraw:ba'nds must:be used:in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connection's ' t DECLARATION STATEMENT`_,, . r ," . Icertify under penalty of per)ury, under the laws of the State of California, the information provided on this form is true and correct . I am the certified HERS rater.whoperfornied the verification services identified and reported on this certificate (responsible rater). . The installed feature, material; component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry. Information Sample Group # (if applicable): 404038 tested/verified dwelling ® not-tested/verified dwelling in la • •' • HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798741090 HERS Rater.Company Name: ' Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 4/18/2013 - CC2006208 h . Reg:. 213-AO01716: 6A-M2100001A-M21A Registration Date/Time2013/04/23 20:42:24 HERS Provider: Cd10ERTS, Inc. 2008 Residential Compliance Forms- ,y.•,,: March 2010 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' j 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, unless the TMAH Compliance Option is chosen. t 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 I L System Name or Identification/Tag. System 1 fReg:•213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: CalCERTS, Inc. F 2008•Residential Compliance Forms.. - ebruary ' 2013 System Location or Area Served`,, Whole House 5/16iinch_(8;mm) access hole upstream of: evaporative cgil in: the ❑ Yes •❑ Yes ❑ Yes ❑Yes • ret ur..n plenum and labeled (according' _ ❑ No. ❑ No ❑ No ❑ No. to 1,9 We,, RA3:2:2 2 2_a, , .. Return'Side'of�the':duct systemais located entirely withinFconditionetltFr K 13, w ❑�Yes� F xF la space and return inflow;temperature es ❑•N «',,j0 No _❑ Yesk '❑ No ❑Yes ❑ No. tobe measurec�at the retuum�grilfe' •r •,g `� x . 5/16*1& (8;mm):ra`&essthole� downstream.of euaporativecoil}m the; ❑Yes 0 Yes ❑ es 2;. supply`,plenum end labeledjaecording ; ❑ No` . Yes " - ❑ No ❑ NO.' ❑ No to Figure,;in4,5ection;:11A3.2:2"2'.2. The TMAH,Compliance.Option should be checked only if the HERS Rater is able to confirm that it was physically ?,impossibie for the HVAC'Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this Compliance Option requires then VAC installer to,annotate on.the-HERS Provider's data registry an explanation as to'why the`"TMAWifannot be installed on the system, and photographs of the equipment on which the TMAH cannot be in`s•t"alied. Use of this Compliance Option also requires minimum airflow verification through the direct measurement of airflow per RA3.3. For more information see TMAH Compliance Option ❑. ❑ ❑ ❑ Yes to'1-and 2; or Yes to la and 2, or checking the TMAH Compliance Option, is ❑ Pass ❑ Pass ❑ Pass ❑ Pass a pass. ❑ Fail ❑ Fail - ❑ Fail ❑ Fail Enter Pass or Fail I L System Name or Identification/Tag. System 1 fReg:•213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: CalCERTS, Inc. F 2008•Residential Compliance Forms.. - ebruary ' 2013 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Qui nta 13-0343 STMS - Sensor on the Evaporator Coil System Name or System r Identification/Tag T, 31by he sensor is factory installed, or field installed according to manufacturer's specifications, or is installed methods/specifications approved by the Executive Director. ❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. 4 The sensor mini plug is accessible to the installing technician and the HERS rater without changing the 7. airflow through the condenser coil ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5 When attached to a digital thermometer, the sensor_ provides an indication of the saturation temperature 8 of the coil. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes to 3, 4, and 5isa ❑ Yes ❑ No Yes•••to-6, 7, and 8 is a pass. Enter N/A if STMS are not ❑ N/A . . 13 Pass ❑ N/A ❑Pass ❑ N/A 13 N/A applicable. .13N A applicable. [3 Pass 13 Pass Otherwise enter Pass or. . 13 Fail 13 Fail "~' ❑ Fail ❑ Fail Fail' '❑ Fail , Fail :', - STMS_ ;Sensor on :'the Condenser Coil ' System Nameor' System r Identification/Tag 6 The sensor is factor., installe!d,Sor field installedjaccording to'manufacturer's spetifications, or is installed by methods /specifications approved: by the_ExecutveDirector '-rp. Yes' =p Nof ; j N 0 YOLQ,'No ' ❑_Yes ❑£No M ❑.Yes" ❑ No 's The sensor'Zwi is term inated4with{ajstandafd',mini plug suitable for connection toga digital thermometer* 7. The sensor mini p ug`;is.accessible to the1instatlirig- tethn116an and the HERS rater with out' changing the airflow through the condenser coil :;., -,❑:Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No 8 jWhehiattached'to a digital thermometer, the sensor provides an indication of the saturation temperature of thfe`coil.x`.w ❑ Yes ❑ No -.. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes•••to-6, 7, and 8 is a pass :...: : Enter N/A if STMS are not-. 13 N/A ❑ N/A ❑ N/A .13N A applicable. ❑pass - ❑Pass ❑Pass - ❑Pass, Otherwise enter Pass or' - ❑ Fail ❑ Fail - ❑ Fail '❑ Fail , Fail :', - L S Reg: 213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: CalCERTS, Inc. (2008 -Residential Compliance Forms February 2013 40ALLATION CERTIFICATE CF-411-MECH-3 efrigerant_Charge Verification - Standard Measurement Procedure (Page 3 of to iite Address: Enforcement Agency: Permit Number: 16923 CALLE MAZATLAN, La Quinta CA 92253 City of La Qu! 1 13-0343 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 startingthis procedure. • The system must meet minimum airflow•requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample group for HERS verification compliance.) Space Conditionin4 Svstems System Name or Identification/Tag System 1 be re -calibrated monthly) .".:9 System Location or Area Served Whole House (must be re -calibrated monthly) w : fir, Outdoor Unit Serial # a Outdoor Unit Make OutdoorMUrnt Model./ x ; '•Y wet-bulb,temperature (Treturn wb) Nominal Cooling Capacity 4s - Date of •verificationo,;j ow Calibration,of D.ia9n3stic'Instruments . Date of Refngerant Gauge Calibrations . ,.:(must be re -calibrated monthly) .".:9 Supply (evaporator leaving) air dry-bulb Date of pletCalibration ., (must be re -calibrated monthly) w : fir, temperature (Tsu- I db) 7. Measured Temperatures (: F) - tv.tvAF E.;"n t'g.,dwiaa+. :ter iri.. .' .. Q? System Name or_Identificetion/Tag System.1 Supply (evaporator leaving) air dry-bulb temperature (Tsu- I db) Return (evaporator entering) air dry-bulb temperature (Treturn db) Return (evaporator entering) air wet-bulb,temperature (Treturn wb) Evaporator saturation temperature (Teva orator sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser db) Reg: 213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 1 13-0343 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 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'* ethod Calculation is not necessary if actual Cooling Coil Airflow is verified using one of_the airflow measuremen't,procedures specified in Reference Residential Appendix RA3.3. Hactual cooling coil airflow:is measured,: the value must be equal to or greater than the Calculated Minimum Airflow Requirement.in the table. below. Minimum Airflow'Requirement`(CFM) X300 Nominal o1ing:Capacity,(ton) (cfm/tond SystemNName ordentification/Tag+, s Calculated Minimum`Airflow Requirement,- ` - (CFM) Measured Airflow using RA3.3 procedures (CFM) Measurement Method Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. . Enter Pass or Fail Reg: 213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:99:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 IN 'TALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6) Site Address: Enforcement Agency: Permit Number: 76923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 13-0343 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 systems. System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Teva orator sat Calculate: Actual Superheat ' " Target Superheat from Table RA3.2-2 using Tsuction - Teva orator sat Treturn wb and Tcondenser, db Enter allowable superheat range from Calculate difference: manufacturer's specifications (or use range . Actual Superheat - Target Superheat = between 30E -and 260F if manufacturer's System passes if difference is between -6°F specification is not available) and +6°F dd System passes if actual superheat is within Enter Pass or Fail the allowable superheat range 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 systems. System Name or Identification/Tag Calculate: Actual Subcooling = - Tcondenser .sat - Tli uid` Calculate: Actual Superheat ' " Target Subcooling specifed by. manufacturer Tsuction - Teva orator sat t Enter allowable superheat range from Calculate differeri'ce:-V :. manufacturer's specifications (or use range . Actual Subcooling 1Terget Subcooling, between 30E -and 260F if manufacturer's System1passes:if difference is between ' -4°F and +46F specification is not available) Enter Pass Nor Fail r. dd System passes if actual superheat is within - +a.: ""`'°.. "* .`3. art«.• '°' "' ®'! `-r,. .iC'.: iGo. ` ^.y,w`,,, ;.r* Metering DeviceXalculations for Refrigerant Charge Verification. This procedure is required to be used fortF ermostatie .expansion -valve JXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Superheat ' " Tsuction - Teva orator sat Enter allowable superheat range from manufacturer's specifications (or use range . between 30E -and 260F if manufacturer's specification is not available) System passes if actual superheat is within the allowable superheat range Enter Pass or Fail Reg: 213-A0017166A-M2500001A-M25A Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms February 2013 1S! A LATION CERTIFICATE CF-4R-MECH-: zfrigerant Charge Verification - Standard Measurement Procedure (Page 6 of I ite Address: Enforcement Agency: Permit Number: 6923 CALLE MAZATLAN, La Quinta CA 92253 City of La Quinta 1 13-0343 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 686310 VA HERS Provider Data ltegistry;Information t Sample Group # (if applicable) -404038 : System meets all refrigerant charge and not-tested/verified dwelling g fin a HERS sample group airflow requirements. ' Stratz-.Permit Service , Responsible Rater's Name: - Responsible Rater's Signature: Enter Pass or Fail Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: - Date,Si ned: 4 18 2013 g / 6C20062,08•. ❑ Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement Procedure. The signature of the Responsible Person in the declaration statement below certifies this requirement has been met for all applicable system verifications reported on this certificate. 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. im nstallation) coplies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and'the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency `• :.. ;; ` ; ` _ . The information reported on applicable,sections of the Installation Certificate(s) (CF 6R), signed and submitted by the ; persoH(s)6'es6,onsible for the inst• tionconforms toitheirequirements specified onwthe Certifieate(s} of Compliance CF-`1Rjxapproved by.the enfdNem,e t,agency,Y. ' A, a„ ? Builder or Installer infornpat on4s'shown>on,1the,Installation Certificate (CF"6R)- Company *Name: (Installing Subcontraetor or.General Cd'htractor or-Builder/Owner) at x m r: HARRISON,ENT.ERPRISESAINC _ .€ ' , . . i # °' _.. .. Responsible Persons)Name CSLB;LIcense :Og ` Danielle Garcia 17 n .. . 686310 VA HERS Provider Data ltegistry;Information t Sample Group # (if applicable) -404038 : ❑ tested/verified dwelling not-tested/verified dwelling g fin a HERS sample group HfRS•Rater Informations CalCERTS Certificate # CC1-1798741090 HERS, Rater Company Name Imo" ; :, Stratz-.Permit Service , Responsible Rater's Name: - Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: - Date,Si ned: 4 18 2013 g / 6C20062,08•. Reg: 213-A0017166A-M2500001A-M25A .Registration Date/Time: 2013/04/23 20:44:13 HERS Provider: Ca10ERTS, Inc. 12008 Residential,Compliance Forms r. February 2013