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MECH (06-1827)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001827 Property Address: 52805 AVENIDA .NAVARRO APN: 773-334-016-3 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 7300 Applicant: T-iht 4 Quum VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/08/06 Owner: JACKSON DAVID W 52805 AVENIDA NAVARRO LA QUINTA, CA 92253 --------------------------------- Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (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 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 contractors) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason /Date: CONSTRUCTION LENbING AGENCY 1 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: Owner 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. Policy Number �1 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 700 of the Labor I shall f h/Iw�ith com w' those provisions. -Date: Applicant: Vl WARNI G: FAILURE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county y eyler upon the above-mentioned pro r rasp o purpos Date: iBignature. (Applicant or Agent): c. LQPERMIT Application Number . . . . . 06-00001827 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 37.50 Plan Check Fee 3.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/04/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING A/C WITH 4 TON, 13 SEER 80% AFUE SYSTEM. Fee summary Charged ----------------- ---------- Permit Fee Total 37.50 Plan Check Total 3.75 Grand Total 41.25 Paid Credited Due ---------- ---------- ---------- .00 .00 37.50 .00 .00 3.75 .00 .00 41.25 Saturday, May 06, 200610:47 AM Jack LaFontaine 760-360-3074 CYRITFlCATE OF C;OMPTAANCF! RPSMI .NTIA1. 1 of 3) Q -IR I'rnject'I'itl -Pate PTO)ct Address Pgnuit !! 11 176o 70 Ruildiny, Du t h AuthorTelephkme Planc hoc k r note ( C ritw ChwA one Compliance Method (Package nr domputerj Climate Zone Unt i RWIX41t A Ptn,.y „y GENERAL TNFOR. T N' Tidal Condiduned Floor Area 11' Avcrage Ceiling Hcibht: )� Coudiliuncd Slab Fluur Area 44?6—ftZ JluildingType; Single Family Addition (check nae or nine) Multi -Family hxisting-plus-AJdiliun Front Orienlaliun: North / SautliPiwin West / All Orientations (input rtunt urte11w m degreesfmTn l. No,lh J,td cjicle 0110) Number Ut'SLOAe$ _ Number of Dwelling Units; Floor Construction Type: wised Fluor (urcle one or nod,) RAILIA 4. HARRI b;R (required in clintalc zones2.4.9.15) Required lur this submittal_ yes V-110 BUILDING ENMOPUNSULATI()ry, `A' nt ame TYIX Cavity Sheathing Total it- Assembly Location/(.: ails Type = wand Insulation Insulation Value' F�d 1.1-F'WtOrt (all' ,age, typical, etc.) .... _ sll — R•Value II` -Value _ Wall Rear -- Roof _ Floor Fluor "— Slab Edge tom a oom lianee 'f(ital R -Value firill Assembly L�•Faetor are not rcuuired firr 11 wnutt-frantcd wal that t eels wvit vnh�c insrr alien rc quimmcnlx for rhgNrescriptivc hacks[ e. FENESTRATTON 5hadin [) re ue uu Oricn- Arca Fenestration FenestrationExtcr Uverhaugs/ fi/I' e/I'n.. t,ttitm W) U -Factor til IGC t ing Alt. }•'ins Front • Frust _ .. ._ LAR •- . Left Rear (tear - - - Rif,,hL _ S light til li - Compliance Forms August 2001 A_2 L �v p.05 Saturday, May 08, 200610:47 AM Jack LaFontaine 780-360-3074 CERTIFICATE Ole COMPLIANCE: RESWENTIAL (Va e 2 of.3) CF -IR IWACC_ g? 1'rojeclTilhs .. lisle . _. HVAC SYSTEMS Note: input hydronie or ernnhimAl hyilronie data under Water I leathig Sysletm, umpt Design Heating Load SEALED DUCTS and,ms (or Alternative Mea-wrecl ..Scaled Ducts (all ciente zones) V (taSlsllq leshtr� aced certifrwliun and HF:Rti rater field vcrifi�.ation sluices ) V, TX Vs, readi ly accessible (dimale zones 2 and B-15 only) (lostallet testing and certification and TIERS Rim ui field verllitation required) I I It efeigennt ChargetAir Flu (cllrnutc mnes 2 ani $1 -IS only) (Installer tccGnv, And ecrtifilrition and I lLlts linter ur I'u ld vtnifiuttinn na)itircd) OR Climate Zune Ducts natal TXVs_(1SAXaekT9e C or D Altt:mative Package Features for Project Climate Zane) WATER HEATING SYSTEMS r3momal Rate sank Factor or rallk Water Healer Dictrt utlnn n ut (kW Capacity Recovery Standby' Insulmion T n T c stem t++ 1.11t+Au Efficiency Loss % R -Value I . rot 5n+a11 etas slunlet +rdlG heifers (mled lnpai of loss than nr equal to 95.0(k) LtlnAll), elmuir• resiuunce, and heat pump watet lieawm. list L•;nerp Fprtnr For IneRe ental l+ealesr (sated input ufgmutta than 75,t=7 kt.Af)• Gat k++letl lupat• Recover• Fbl}iuio fn by For instantaneous go Water heater., lift rated iupm and lemvely errrciulcles. ti' FTATIIRF $ add extra sltccis ifnttossa . Pa and In: '1'XVs, Sealed UuCls, Radiant IUarrier9 (sec Itlsta uircmmm for r;ldit ers In Section X.I-i or the ZIH)I Residential Manual). Package C:: thermal mass (thernta r, , covering, lhickitm, and description). Compliance Forces August 2001 A-3 a u P.06 Distribu tiun I seating Equipment Minimum •type said Duct or Heat Pump 'type (rurlmr..c. heat L• Ilieicney location Piping 'nermnsttt Configuration pump, rtr) (AFUL or IISFF) (ducts, attic., etc.) R -Value p�auha e) (split ur/a �Type rr Cooling Lquipinent Minimum lhltal Heat Pump Type (airco6liwes. L•lliuit•ncy I.qc tiot) Duct 'IYtemtnsult Configuration heat pump, cvap enolinp)($Lum• (Alain., ctr..) R-Valut: Type (split or pltcl:uge AILD /3_�'...._ .. SEALED DUCTS and,ms (or Alternative Mea-wrecl ..Scaled Ducts (all ciente zones) V (taSlsllq leshtr� aced certifrwliun and HF:Rti rater field vcrifi�.ation sluices ) V, TX Vs, readi ly accessible (dimale zones 2 and B-15 only) (lostallet testing and certification and TIERS Rim ui field verllitation required) I I It efeigennt ChargetAir Flu (cllrnutc mnes 2 ani $1 -IS only) (Installer tccGnv, And ecrtifilrition and I lLlts linter ur I'u ld vtnifiuttinn na)itircd) OR Climate Zune Ducts natal TXVs_(1SAXaekT9e C or D Altt:mative Package Features for Project Climate Zane) WATER HEATING SYSTEMS r3momal Rate sank Factor or rallk Water Healer Dictrt utlnn n ut (kW Capacity Recovery Standby' Insulmion T n T c stem t++ 1.11t+Au Efficiency Loss % R -Value I . rot 5n+a11 etas slunlet +rdlG heifers (mled lnpai of loss than nr equal to 95.0(k) LtlnAll), elmuir• resiuunce, and heat pump watet lieawm. list L•;nerp Fprtnr For IneRe ental l+ealesr (sated input ufgmutta than 75,t=7 kt.Af)• Gat k++letl lupat• Recover• Fbl}iuio fn by For instantaneous go Water heater., lift rated iupm and lemvely errrciulcles. ti' FTATIIRF $ add extra sltccis ifnttossa . Pa and In: '1'XVs, Sealed UuCls, Radiant IUarrier9 (sec Itlsta uircmmm for r;ldit ers In Section X.I-i or the ZIH)I Residential Manual). Package C:: thermal mass (thernta r, , covering, lhickitm, and description). Compliance Forces August 2001 A-3 a u P.06 Saturday, May 06, 200610:47 AM Jack LaFontaine 760-360-3074 CERTIFICATE OF COMPLIANCE: RESTDENTTAL l 3 of 3) CII' -1R A -e- V- ro &9- A 6: pruiect. Title )')ate - COMPLIANCE STATEMENT This certificate of compliance lists the building features and pertbmt,utce specifications needed to comply with Title 24, Pmts I and 6 of the Calitbrnia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this ccrtiliviw ul' compliance is submittal for a single huilding plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance using duct scaling and TXVs requires installer testing and certification and Field verificatiurt by an approved HERS r;dcr. 'Designer or Owner (per Bu(sintys and Professions Code) Name: D V ( f� TiLle/Fiim: o c Address: Telephone: 7ba 6f/ 4-770 (yip n01 ni f.) dolt.) Enforcement Agency Name: r 1Ue: Agancy: _ T¢laphnnu: (¢Rn orr. (date) Documentation Author Name: TiLlclfirm: Address: Telephone: (siendtme) (date) . Compliance Forms /August 2001 A-4 p.07 Bin # City of La Quin a Building ex Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I D��La Project Address:' Owner's Name: G �� A. P. Number: Address: OSS Legal Description: Contractor: / City, ST, Zip: Telephone: 776 t Address: Project Description: City, ST, Zip: Telephone: �o City Lic. #: l / OA/ (3 State Lie. # : G Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: • _ —2 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy 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:- 7nd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address; Builder Name 52-805 AVD. NAVARRO,_ILA AUINTA. CA. 92253 SPEEDY AIR CONDITIONING Builder ContactTelephone DANIEL T'DRRFs 760-5U"0133 Plan Number 1 HERS Rater„ Telephone .JACK LAP"T INE 760-360-4631 Sample Group Number 1600 liance od cri five Climate Zone is s' n MAY 24. 2006 Date RF'NERGY Sample House Number MANAGEMENT SERVICES 1iF.g.,S)'Cpyjder Street Address:: 41-485 ADAMS ST.. UNIT C - #- urry i►co veno nrs��nr�a.. City/SSttatKe/JZip: BERMUDA DUNES. CA. 92203 - --- -- -- - - uvauai.�v Lc.rHnii�u.�v► HERS RATER COMPLIANCE STATEMENT The house was: ✓RXrested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and fi�lderification Icertify that the house identified on this form complies withthe diagnostic tested compliance requirements as che✓ on this iorm. The HERS rater must check and verify that the newdistribution systemsductand cotapeisfoF-4R may be releasedoevery testedbuilding. The HERSratermustnot release the CF -4R until a properly comd and signed CF -6R has been received for tTie sample and tested buildings. XXX The installer has provided a copyofCF-6R (Installation Certificate). ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). E3 New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ` WMNIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT I., for f etd,ver(cation and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testine Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured _ Values 1 Enter Tested Leakage Flow in CFM:: 2 Fan Flow: Calculated (Nominal: Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 1600 3 Pass if Leakage Percentage:5 6% : [ 100 x L -(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested :Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. M 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or E Equipment Chane-Out 56 =.. _ .....•..:. 6 Enter Reduction in Leakage for Altered Duct System L_(Line # 4) Minus (Line # 5)] (Only if Applicable) _ 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage:5 6% 100 x 56 Line # 5 /1600 Line # 2 3.5% Wass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage:5 15% [] 00 x [__(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage 5 10% [100 x [__(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail 11 Pass.if Leakage Reduction Percentage >- 60% [100 x L_(Line # 6) / (Line.# 4)]] and Verification'b Smoke Test and�Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual fns cction :i 'ct-, ' `-75 ❑Pass Pass if One of Lines # 9 through # 12 pa ss - ass �Fail ✓)(0FHERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. Access is provided for inspection. The procedure shall consist of ✓ X19 Yes ❑ No visual verification that the TXV is installed on the system and M ❑ installation of the specific equipment shall be verified. Yes is a pass Pass Fail CjH flEjRjS Registry:: Changeout :: Alteration Detail o Alteration Details Home / Building Owner Name David Jackson Address 52-805 Avenida Navarro La Quinta, California 92253 Phone (760) 641-4770 Equipment Type Split System - Ducts Altered No Verification Method Tested Duct Leakage Installer Company Speedy Air Conditioning' Field Installer Daniel Torres Address 54-685 Avenida Herrera La Quinta, California 92253 Phone (760) 567-0133 Grouping Sample Group 1: Open Statistics Status Approved Created 2006-05-24 07:35:18 U Verification Tested J Number of 3 Verifications Page 1 of 2 r Verifications Ducts (Complete) Feature Verification Latest Test Status Duct Leakage Reduction Compliance Credit I Tested 05/23/2006 Complete initial i ested verification, Passed on 05/23/2006 by Jack LaFontaine of Energy Management Services Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered 56 Duct System for Duct System Alteration and/or Equipment Change -Out. Fan Flow Enter Tested Duct Leakage Percentage 3.5% http://www.cheersregistry.org/index.php?Realm=Changeout&Action=Detail&ChangeoutlD=2500 5/24/2006 CjHjEjEjRjS Registry:: Changeout :: Alteration Detail Page 2 of 2 Total Fan Flow in CFM 1600 HVAC Equipment (Complete) Feature Verification Latest Test Status Thermostatic Expansion Valve (TXV) Tested 05/23/2006 Complete Initial Tested verification Passed on 05/23/2006 by Jack LaFontaine of Energy Management Services Access is provided for inspection. Yes Structure Envelope (Complete) Feature Verification Latest Test Status CF -6R Verification ` Tested 05/23/2006 Complete Initial Tested verification Passed on 05/23/2006 by Jack LaFontaine of Energy Management Services The installer has provided a copy of CF -6R Yes © 2000 - 2006 CIHIEIEIRIS Pag6: 0.5349 Questions or Comments r r L t n ' J http://www.cheersregistry.org/index.php?Realm=Changeout&Action=Detail&ChangeoutiD=2500 5/24/2006 .'AaiuIuay, may w, zuuo w:4r AM .lack LaFontaine 760-360-3074 p.11 er t INSTALLAIMON CERTIFICATE Site Address (Wage 3 of 12)! S - r/ 2� o Permit Number . fo� ole vidW ou Oda f slow bui og site or made aval"lsa for all � departrnertt o oTHoat t p0. a dopy be (upon ie9n� mtd the build- m mit pmvfded tP the bmffda g o . iwr Setgoa 10 -103(3) - HVAC sYsrEM: �leolirrg �'grripRrenl B"P Type MC CUOred MIL sot EWK'-T pva Duet heatIdco*W (AFVF Doctor Heating Mem Lasmo . vum)er Itambes t8vatay I oad Cap-eib r � Goerv�Bgrripnren[ , Coc Catffied Mit for mfwkmw 'we': Name and ,rtn m oftmiat (St°.F7t.ar EEtt)� I.OwOioa Dnp : Caoting Caolie� Liao i8v�lue) a IAmd Y R-Vukc 13.0 /-tiTr-- 1 /3unn 1. > symbol rwd Sewer Own or equal so what is indcaud as the CF -IR v ak,-. . rnCltc SWR and FB[t if eomplianoe credit for air conditioner is chimer! V I. ohe uudaaigned, th" � t listod above it O's *0 acetal equipat io�alted, mare efi'idm dm ohat m 2) egmvalent to or ed *0 =Mficate of oampliwtw (Form Ci =1R BMW d"'7' 20m' ardt "br tr ial buil ) submitted far c tx with die req mt f�os ==*Mmd dwAc.(�t gm 3) e4ub+nont tLat meets or. exceeds die d. d. ,� I,�FClaary nagttlatioras or matt �, where applicable. ble- In g Saboontraccor (C.a Name) CM Concod > i`onteoctor (Cai. Nems) OR Owaer D n , ` P� S. � UatC b CoptCSrc-DMLDINCsD rAWTMgrr, MR= JMATMOWAP1•tdCAWjQBUMjNMOWNMAirOCxvpANCv Residential Gontplfmnoe: Fnrnns l April209S I vo�v�vor� away vV. LVVV IV. -#I AM l,• J .lack Larontame /B(1-360-3074 m 4 of I2) Eja]F1Of17W!ujmm7br DUCT LEAKAGE The building viw. vltlremd at Final Temad at Ralwk. 42i 11WAL LER Yf,SUAL INBPECnON AT IUTAL CQN5TRUC7ION STAGE: 1i��emove aI toast a=sappw am Ono teens fWishiag vM11 ane Fm ?anester.nester.lY seWed. and venfy that tho spaces ba Mem the rggsh r baot and the nuenar ❑ If the hoose dors 1=tW t estwas 000duabed wMiriat a sk bear 0>oOMW i�speattbe oon�caoq paw berm tha t& ht and the s"Ply and iee�m pt�mnc to.elty aat ti.'aora>,aoeo;ar� 1�`iire�pecc aU jot is m rname tmttim Nab ha�loed>rd6or add, dacc„po is amd `� DDi.T 1IIIICAG$ BSDIIGTlON p.12 0 DOO P110611riudion Test Remift (CM& ® 25 Pe) I F.ae rTested LaatOr�aFbw in Valores r "; �•� >-:-. PIMFlaw. baa p�aminai: f ,, D 11b� or 7 E] s 7fF1m Flow,6 Qrtcalatad ore s00 39+rum6w•af*xm or==7 cea/(lr nuu) xB ORIPS r total dgdete d ajammP*mrad Da Raw m CFW Iter �p D U ✓ ./ gBXlbrFiQalas54%atRomk OOx P1 / 10 D�wQFa2 4 EnoerTastad Phar in - Phis-7�estaf�iogDart PriorwDuct �ysmmAloeca S andl6sE F.nterTesoed.Leabp�pFlaw io �Miroat lifwal T�:�r: eeRafNowbact $jrStpaerAteemdDua �_ ;�' � �- • tail�IC: �d Pntt .ed tcfim m IdoewlhcAftated Doat Sysum .�•.t •. •F�-;.: . �.��JS..1J • f :1•; 6 towv w 8 M; ��.5����.11���QQ�tQ � J Q� VERII�IGa�f 61'ANDABOISs MW Atfmted Brat �//J N �•�� Chi Q l'i{V O� aaalie HVAC " >b�Tiatoe�mr M (� V,✓ 9 Pass eSlsx [1ODX(�_�••:5�, Pmae�eS 70% (Y00: [ [L=- dF �j / o Pima a FeH I1 a,�s t12� p�z60lfi[lOOaL 2irrotYlr7� f1:3 Pass O Fail . OPma D Fail aige�44j� midYosftlwpau 3maseTestaodYisaal '��,mss,�,�R,e:bowt�c+estnwl�wwpa�ea maoOtoiomaoaewm►t4e Baas O l °0 0Q ��`; t , also ore j►AoRffic softly msgdiod am Ao+�tat�uli0u Dae$ Pk=mma and FAM O0°RY w4b AGioddavywapacineaft speerSed in Sadao IM (o,) adtbe?AotSHapBag � , atrn�rrds (G" OR CAmbactar(cmlame)OROWOW /f0 ip s Duk: . 3 , Copra wz HtlIIA04G MWARMMUPr, M=M RA7 M (W AMUCAMJO MUMDM OWN= AT OCCEIPAKCY Kext4MI a! AMY= • �pri12Q/?S J OPY .-14wouoy, may uo, tuuo iLrvi Ann .lack LaFontaine_ 780-380-3074 p.13 ` r ' 1 ffTwU AmoN c ImA�^daces Mune 5 of 12) CF-6R o6p � �TBIMMOSMIW =PAMON YALVB CMV) f�lield aur ofvrern,vOwle a>rPamlo„ vahw me avafrabre nr RdC.A4 Appy)?J At= is fJw iagco�iom The ptoa�+dcae �caU ./ �-Yes D IVu . est vifSaai v t�itlas 17CV is in�talleti on me By and hnstaitatiiaa ofthe spoeMa equipmmt shall be verise& ,IL , _ •/ t��'e�Y�t�sbosedia�o9tiofest�ult4 "`-"--' _._ -amMBW,.,inmea isgansam wi�>be,ogoasm for P-00 oocccply wAh b101emtn ceps= d � na,.y toa �+ AIItiD Dry, �ua1s mw Mir a sperfiea m sladioa, iso (m) oYt9►e zoos �Y TastauingSuboocmraaor ((b. Name) Ot Gacetai COnvacWr (Cm Name) oTt ownerCuPim U t D to: TiUII. MG nsrAW M W. Mn swIM (MLrAMJCMujo BvqL=rG OWMW ATOCCOlAT+TCII Re hkvp►wCompummPo = � v • �p►r720DS / t < a l