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12-1287 (MECH).. - __/1. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 12-00001287 52990 AVENIDA CARRANZA 773-322-013-14 -000000- MECHANICAL COVE RESIDENTIAL 5800 T,ityl 4 4 Q" Architect or Engineer: �Ifk BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (76 777- 12 ) e FAX (76' 50) 7 -7011 INSPECTIONS (760) 777-7153 Owner: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WORKER'S COMPENSATION DECLARATION TERRANCE LANE I hereby affirm under penalty of perjury one of the following declarations: 52990 AVENIDA CARRAN LA QUINTA, CA 92253 Licens lass: C20 -C38 ic nseNo.: 826714 V � Contractor: LT 29 BEST IN THE WEST 2012 255 N. EL CIELO, 1 0_12!C17 -V �O�k�A PALM SPRINGS, CA 9 QUIAAII?�. ZA (76 0) 34 3 - 1002 Q pr Lic. No.: 826714 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the Date: 10/29/12 - - - - - - --- - - ! - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - LICEN CONTR OR'S DECLARATION 'C - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I Ii provisions of Chapter 9 (commencing with ry t I hereby affirm under penalty of perjury one of the following declarations: ennderl s �'s 'de, an Section 7000) of Division 3 of the Business ion s _d d 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 Licens lass: C20 -C38 ic nseNo.: 826714 V � for by Section 3700 of the Labor Code, for the performance of the work for which this permit is "—�4ntractor: issued. Y-1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 16 . Code, for the performance of the work for which this permit is issued. My workers' compensation �LDER DECLARATI ON insurance carrier and policy number are: I hereby affirm under penalty of perjury thatl-rm—exempt from the Contractor's State License Law for the or Carrier GUARD INS GRP P icy Nut" BEWC337354 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performa�c_e of the w for 1%*h 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 0 b person in any manner so as to beco c 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 bAeco lect e workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 1 th L b C d I sh qithpl 'with those provisions. 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 ($500).: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKER 'COMPENSATION COVERAG UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improve's thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($ 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.). 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 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 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. I . 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 becom,:� d.onoiodfif work is not commenced _�an� wo within 180 days from date of issuance of such per , or ce on of w, rl for 180 days will subject permit to cancellation. t or I certify that I have read this application and state hat ' he ab mf ton s 0're.,. I agree to comply with all city and county ordinances and state laws relating to bu nstru , an hereby authorize representatives pr000 y 0 s p of tDig county to enter upph the above-mentioned e , pur oses. JApplicant or Agent): Application Number . . . . .. 12-00001287 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/27/13 Qty 7nit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-50OKBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: REPLACE 3.5 TON SPLIT HEAT PUMP SYSTEM. FURNACE, CONDENSER. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged m Paid Credited Due --------------- -- ---------- ---------- Permit Fee Total 40.50 ---------- .00 .00 40. 50 Plan Check Total 10.13 .00 .00 1.0.13 Other Fee Total 1.00 ..00 .00 1.00 Grand Total 51.63 .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -;ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 52290 Avenida Carranza La Quinta, CA 92253 Oty of La Quinta Oct 29, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat 13 Package Unit 0 Furnace 13 AFUE — U CW [3 R 6 (CZ jo-13) Served by system Z Setback [3 Indoor Coil 0 Condensing Unit 9 SEER 13,0 Q EER 0 HSPF 7.7 [3 R 8 (CZ 14-15) Ll Resistance 1400 sf If not already present, must be installed) [3 Other _ 1. Equipment Type. Choose the equipment being instalAed; if more than one system, use another CF-1R4LT-HVAC for each system. 2. Minimum Equipment Efflciencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the instatter- The inspector also verifies that each appropriate CF -6R. and registered CF -4R forms (no,hand filled CF-4Rs allowed) are filled out,and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. 0 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or CF -611 forms: MECH-04, MECH-Zl-HERS and (for split systems) MECH-25-HERS • Indoor Coil and /or CF -4R forms: MECH-21 and (for split systems) MECH-25 • Furnace I For Split Systems: Duct leakagez;�:,.*.15 percent; RC, CCA :5 300 CFMIton (Minimum Air Flow Requirement), TMAH For. P�skaeed Uni ai ------- Exempted. from duct leaka'ge testi - n.,g.�,.. :;r: ERS verification, or ,:�(3-.:l.'.::DU'ct--�ystem:'Was docuMente��d h been previously sealed and confirmed through H _ � to ave ' 'EI:2. Duct'sy'stei* ms with less th ..6`�-.4:0 linear feet in unconditioned space, or 9 Existing duct systems are�*eonstructed, insulated or sealed with asbestos 0-.'4.-:--Thej "ll not be D-u'6i'�'& less -Mi..., ��Spljt--:System o n n iW rge) 0 2. N 6' W.� ... AC: SVA` Requi .CutinAde h�ngeoutwith,&'--:- new new duct ng, uipr�w eq For Ii so CtGAI, 0;N�5 F Kj�f -W MA . — 'S., ari`d.-.�,""s For Pack age U hitii:'. Duct t El.3�-.New..:Dut't"*s-'*"�:,tth,/or withot4-*:.K'.`..`.-'�..` Required Forms: Includes replacing or ihstalling-SIU.bew ducting and/or outdoor t0ndl�ri-SiT.1�4AMA CIF -BR iDTTns*. -and tfDT Split systems) MECK-25-HERS and/or indoor coil and/or f �na6 "'n'No or some CF -4R forms: IMECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA �: 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent E3 4. New Ducting over 40 feet Required Forms: Includes adding o; replacing more than 40 CF -6R forms: REECH-04, MECH-21-HERS I linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged unhs- Duct %eakwge < IS Pement E:3 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) I • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. � • I oerttfy that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features Identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcernent agency for approval with the permit application. Name: Richard C Weaver Sr ISignature: Richard C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Oct 29, 2012 Address: 255 N ELCIELO ROAD #140-125 License: 967982 1 ,City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 3434002 Reg: 212-AO060400A-000000000-0000 Registration Date/Time: 2012/10/29 13:37:06 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 P; Bin # I . I City of La Quinta Building U Safety Division P.O. Box I SO4, 78-49S Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Penn! . t # Project Address:' Owner's Name7-j4o <c-_ A. P. Number: Address;:57�_�Jlo Legal Description: City, ST, Zip: Contractor:'BZ Address: 2SYAJ, loryl*g Telephone - ). Project Description: City, ST, Zip - -B?_�ty 6w. ll;i�A_f- Telephone:7"o 3it3loo-z, 5'�gAzoli State Lic. #:SAk2FWg Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: Telephone: Construction Type: Occupancy - State Lic. #: Project type (circle.one): New Add'n Alter Repair Demo Name of Contact Person:��j Sq. Ft: # St6ries: # Units: Telephone # of Contact Person: 3 o o Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Reqld Rec'd TRACKNG. PERNMFEES Plan Sets ffSubmittal Plan Check submitted Item Amount tructural Cales. S Struct", Reviewed, ready for corrections Plan Check Deposit Trus*s CaIcs. Called Contact Person PlanCheck Balance Energy Cales. Plans bicked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Gradin� IN HOUSE:- 3' 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 INSTALLATION CERTIFICATE CF-611-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: 52290 Avenida Carranza, La Quin'ta CA 92253 �Sjskem I Pe mit Number: City of La Quinta W 12-1287 Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC. Certified M(r. Rarne and Model Number ARI RR-berenoe Numbei2 # of LdexWrml Systems Efficiency (AFUE, etc.)1, 3 (> = CF- 1-k value)4 Duct Location (attic, crawl- svace, etc.) I Duct R-vafue Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split Heat Pump Carrier FB4CNF042 3699500 1 8.0 HSPF Attic R-4.2 28.0 40.0 kBtu Type' and EER) (attic, (package.,-.. ARI # of 1 , 3 crawt- Cooling Cooling ,heat.- EC-Cer" aA, tified Mfr. Reference Identical (>=CF-lR space, Duct Load Capacity 'PUMP). - a nd Model Number 2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split... Carrier AFT Cooling Equipment 1. If project is new constru"L'�pn,:sigg . -,.Td0tnDteS to Standards Table 151-B and Table IS1-C for duct ceiling alternative compliance. 2. ARI Reference Number can - .6-6-16und by entering the equipment model number at http://www,aridirectory.orglar hp# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF- I R is reference it is also applicabte to the CF- IR, CF- VZ -AA or CF- IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. IM §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 0 §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 15�)-,B and intlUdeS a VaPDT TetaTdant OT is enclosed entirely in conditioned space. Reg: 212-AO060400A-MO400001A-0000 Registration Date/Time: M2/11/17 18:29:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 ..... .. ...... Efficiency Duct Equip.. (SEER Location Type' and EER) (attic, (package.,-.. ARI # of 1 , 3 crawt- Cooling Cooling ,heat.- EC-Cer" aA, tified Mfr. Reference Identical (>=CF-lR space, Duct Load Capacity 'PUMP). - a nd Model Number 2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split... Carrier AFT Heat 'g, W _10— 4 1.0 kBtu & AV 0 "Er '-V . . . . . . . . . . . . . . . . . . . . . . . . —s -A, V. V- V.. . . . . . . . . . . . . . g M .01 . . . . . . . . . . 1. If project is new constru"L'�pn,:sigg . -,.Td0tnDteS to Standards Table 151-B and Table IS1-C for duct ceiling alternative compliance. 2. ARI Reference Number can - .6-6-16und by entering the equipment model number at http://www,aridirectory.orglar hp# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF- I R is reference it is also applicabte to the CF- IR, CF- VZ -AA or CF- IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. IM §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 0 §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 15�)-,B and intlUdeS a VaPDT TetaTdant OT is enclosed entirely in conditioned space. Reg: 212-AO060400A-MO400001A-0000 Registration Date/Time: M2/11/17 18:29:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agencv: 52290 Avenida Carranza, 1-a Qu)nta CA 192253 (SyAem 1 Permit Number: 1 City of La Quinta 91) 12-1287 1 Ducts and Fans §150(m): Duct and Fans M 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shakk te seaAed YOLh mast%c, tape w �ather duU-closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and 2 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 0 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 0 7. Exhaust fan systems.:have back draft or automatic dampers. CM 8. Gravity ventilating:.S - ystems serving conditioned space have either automatic or readily accessible, manually operated dampers�,:.:-::. 0 Protection of InsUla' tib*r*i'.:4*fi�s'Ulation shall be protected from damage, including that due to sunlight, .:....moisture,- equipment maini�j�nce, and wind. Cellular foam' insulation shall be protected as above or 'M thai.-J' ater retardant and provides shielding from solar radiation that can cause dt�radatilon'*4 the Fl�L)Cio)lg., ucts cann,6fA _�g_ .. _-P�::pqr . . :, ....... ... N M W P, ATM 1.z ME gM R zg MA -g 04 �?M �&M, tMENTD15C':L1_*A" :'�A---T-4.."'I'�'O�:'N�.*;'ST-AT d&Ahe laws of the State of California, the information provided on this form is true and correct. • I certi un er pena y of-.perjury,-,un',�g,`, • I am eligible under Divisjoh:'Yof ME�Ad iness arW Professions Code to accept responsibility for construction, or an authorized representative of the persori'r&9ponsl -li�`for construction (responsible person). • I certify that the installed featufii�-�jn%f&ials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and:,'i.�ijulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detalW on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or BuMer/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date V%qMd*. 1967982 19/14/2012 Position With Company (Title): 1 1 Reg: 212-AO060400A-MO4000OIA-0000 Registration Date/Time: 2012/11/17 18:29:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-21-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: 5 2290 Avenida Carranza, La Quinta CA 92253 ksOtem I Permit Number: I City of La Quinta V) 12-1287 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. IThis installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. I Note: For existing dwellings, a completeJy new DrrepJacement 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 Leakaae Diacinostic Test - existinq duct system Select one compliance method from the following four choices. 1. Measured leakage less than.15% of fan flow 2. Measured leakage to outtjde-16��-than 10% of Fan Flow 3. Reduce leakage by..600/�'.a'n-d.--c��o�""n'a'uct smoke and fix all leaks 4.-.:Fix'.'all -atces�ible-l�a k� usih and HERS rater verify Note::. ne'of 2 or 3 2�� h;�n RM4t1ji !jg,0pL_ Determipe using :brAli�j-0f,th7. oll6w�i, -�tlli* I' iffio Off -.e .,n in h—bd: Size 1— To AM -'V C 0 0 1 n ggsysf e m a tepp in & W - Co ft Do:� 0 He ystem m V 0 Me 1 -0 d t ' syj�� op !ggn- Allow a., e. A 7CIF Ac C tual.-L Pass if Actual Leakage is less than Allowed leakage Pass Fail O0tib6:2':used-theh,'::-.-.'-.......... 2 Allowed leakage x 0.10 CFM Actual Leakage to outs'id'*,"- if Actual leakage to outside is less than Allowed leakage []Passr Fail Option 3 used then: Initial leakage prior to start of work CFM Final leakage after sealing all accessible leaks usinq smoke test CFM 3 Initial leakage_ - Final leakage_= Leakage reduction_ CFM ((Leakage reduction _/ Initial leakage x 100% O/o Reduction I Pass if % Reduction >= 60% 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 [3 Pass Fail Reg: 212-AO060400A-M21000OIA-0000 Registration Date/Time: 2012/11/17 18:31:38 HERS Provider: CalCERTS, Inc - 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-21-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Enforcement AgencV: Permit Number: 52290 Avenida Carranza, La Quin'ta 117-A 192253 tSystem City of La Quinta 12-1287 1) 1 1 0 Outside air (OA) ducts'fobir" At. I during duct leakage testing... venWa ion-. is:required to meet,., be configured to the closed MI.. 0 All'Suoply, jad'rb t6k.Vregiste T. e age co - appli leaks) c!g d ab6e 'Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off -d%alfts Vh-& -&*ve cwAr6%%ed miftwi-zed dampers, that open only when OA �AE Standard 62.2, and close when OA ventilation is not required, may :during duct leakage testing. 0 New M VP Z NO 'ted KU f. 656 U I lima'' leaks ..-connecti'on*s�.---.-zz�,-,::,-........- D EC LARAM WSTATE M E:NT::-:::::.�: P- _� VWk&y�-W- A.k H pk..� mp iance 6','3 a ild ca I certify under penalty of pddO . & . n .... _z.the laws of the State of California, the information provided on this form is true and correct. _y -�tj d. I am eligible under Division 3:oUthe-KiMfiess and Professions Code to accept responsibility for construction, or an authorized representative of the person re!ili8 * ri-4&. for construction (responsible person). I certify that the installed features:'��terials, 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 -111 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 reqistry for multiple orientation alternatives, and beqinninq October 1. 2010. for all low-rise residential buildinos. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: .967982 Date Signed: 19/4/2012 Position With Company (Titl I e): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? L] Yes L] No Reg: 212-AO060400A-M21000OIA-0000 Registration Date/Time: 2012/11/17 18:31:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 52290 Avenida Carranza, La Quinta CA 92753 Qtj 13f U6 Quinta 112-1287 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are Specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supplv and Return Plenums of Air Handier System Name or IdentificationfTag system -1 System Location or Area Served Whole House 1 0 Yes ONo I 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and Ilabeled according to Figure in Section RA3.2.2.2.2. 2 CM Yes G No 15116 I inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. I Yes to 1 and 2 is a pass. Enter Pass or Fail[ V 0 Pass V ff Fail I STMS - Sensor on the Evaporator Coil System Name or Wentification/Tag I, systern I I I I I The sensor is factory installed, or field installed according to manufacturer's 3 [I*es El No specifications, or is installed by methods1specifications. approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 4 �o Yes I ONO digital thermometer. The sensor mini plug is accessibie to the installing technician I and the HERS rater without changing the airflow through the condenser coil 5 1 .13 [3 No The s i nsor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and S is a pass. Enter N/A if STMS are not 0 N/A V [] Pass I [I Fail ,applicable. Otherwise enter Pass or fail STMS - Sensor on the Condenser coil System Name or Identification/Tag I system 1 1 1 The sensor is factory installed, or field installed according to manufacturer's 6 13 Yes E3 No specifications, or is instaUed by methodsispeciftcations approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 [3 Yes [3 No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 13Y s 1 [3 No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not V B N/A I I V [3 Pass V [] Fail I applicable. Otherwise enter Pass or Fail Reg: 212-AO060400A-M25000OIA-0000 Registration Date/Time: 2012/11/17 18:35:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: rcement Agency: Permit Number: 52290 Avenida Carranza, La Quinta CA 92253 City of La Quinta, 12-1287 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F) 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 manulacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55OF or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification[Tag System I (must be re -calibrated monthly) . ..................... 0':' 9' "'lib ration Date f %T_ h 0 AN . . ..... 1.1--.....,. pg '211 M. System Location or Area Served Whole House .0' j� -, . A Suppl fivffi- 16-b rpp RN Outdoor Unit Serial # 2410EI1355 temp Outdoor Unit Make Carrier Outdoor Unit Model 2SHBC342WO03 ReturnmIeVaoorator ent6eih g.) air wit b ulb Nominal Cooling Capacity Btu/hr.'.-: 41000 - , 65.0 temperature (Treturn, b Date of Verification 9/04/2012 Evaporator saturation temperatur`�` 45.0 Ca11brate6n:of.1Naqnostic Instruments Date, -*df. . :'R-efrigerghi'dauge Calibra6 8/20/2012 . (must be re -calibrated monthly) . ..................... 0':' 9' "'lib ration Date f %T_ h 0 AN . . ..... 1.1--.....,. pg '211 M. -bgli'�, 66 8 monthly) .0' j� -, . A Suppl fivffi- 16-b rpp RN System rn zor Iden' W. W * ;:: ... �4� �� Y . . . . . . . WN IN - Suppl fivffi- 16-b rpp RN temp Return .(evaporatog-ontering) air dry.' .�bblb- 81.0 ReturnmIeVaoorator ent6eih g.) air wit b ulb - , 65.0 temperature (Treturn, b Evaporator saturation temperatur`�` 45.0 (Tevaporator, sat) Condensor saturation temperature 117 (Tcondensor, sat) Suction line temperature (Tsuction) 57.0 Liquid Line Temperature (Tliquidl 'LQ7 Condenser (entering) air dry-bulb temperature (Tcondenser, db) 98.0 .......... Reg: 212-AO060400A-M2500001A-0000 Registration Date/Time: 2012/11/17 18:35:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency7-'T—Permr it Number: 52290 Avenida Carranza, La Quinta CA 92253 City of La Quinta 112-1287 Minimum Airflow Requirement Temperature Split Method Calculations for determiining 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 I Calculate: Actual Temperature Split = Tretu rn, db - Tsupply, db - 21.00 Target Temperature Split from Table RA3.2-3 using Teturn, b and Teturn, db 20.4 Calculate difference: Actual Temperature Split - 0.6 Target Temperature Split = Passes if difference is between -30F and +30F or, upon remeasurement, if between -30F and . PASS -100OF 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 procedure d in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must -be -e or greater than the Calculated Minimum Airflow Requirement in the table below. cai,cuiite�d minimark"Airflow R"Weement (CFM) Nominal Cooling Capacity (ton) X 300 (cfm/ton) 4.' jption/Tag'��n' -A Mj-h'imum Air o CAlculate4Z.. fl WKER�-'a-' -M WhVI) V NPO ---7- f Measur—.1 p Passes -if me'a-s-ur`r'e-'d*:- i ow ts:grea e K -;K - equal. tb,.'the -cal�bla.�6d: min imum airfil' requj E*"t' PassorFail n 0 Superheat Charge Metho'd':"*"Calt.':'d�'1'6"'t'ions for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering devite..'sy.tterns System Name or Identification/Ta System I Calculate: Actual Superheat Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference, Actual Superheat - Target Superheat System passes if difference is between -50F and +50F Enter Pass or Faill Reg: 212-AO060400A-M2SOOOOIA-0000 Registration Date/Time: 2012/11/17 18:35--46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-GR-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: FEnforcement Agency: Permit Number: Ci 52290 Avenida Carranza, La Quinta CA 92253 City of La Quinta 12-1287 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 I Calculate: Actual Subcooling 10.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 10.0 Calculate difference: 0 Actual Subcooling - Target Subcooling System passes if difference is between -30F and +30F PASS Enter Pass or Faig K P..15k Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identificationfrag System I Calculate: Actual Superheat 12.0 Tsuction - Tevaporator, sat:.::]::: Enter.allowable superheat range fr6fri".. maho-fat�6:i�6r'!s��specifications (or'6i ��.6rige 'arid 4-25 b et%4 e'eh-4 6F - 25-F7 if manufadij spedh'eation'is not available) ystem-:passel.Fif.-��t�6'9'�superh eat is�W_ithin-, allowable -sup- range _eWeat R, K P..15k IVIN IE�., ME Reg: 212-AO060400A-t425000OIA-0000 Registration Date/Time: 2012/11/17 18:35:46 HERS Provider: CalCERTS, Inc - 2008 Residential Cornpliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of S) EnfiDrcement Agency: Permit Number: 52290 Avenida Carranza, 1-a Quinta CA 192253 y of 1-a Quinta 12-1287 Site Address: I FC, tfvc I 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 I CSLB License: .967982 Date Signed: 19/4/2012 Position With Company (Title): System meets all refrigerant charge and aixflow "ame'DITPqCP kw aPTAir_bNe)*. Control Program (TPQCP)? [3 Yes [3 No I requirements. PASS Enter Pass or Fall NE K ................ DEC IAWATTONI�STATEMENT: - • I certify'Under penalty ..Uh laws of the State of California, the information provided on this form is true and correct. isi n. : . • I am eligible under Dii :.tfie�- I. ss and Professions Code to accept responsibility for construction, or an authorized representative of the r n ri:`::- on 6le.:-for construction (responsible person). • I certify that the inst r components, or manufactured devices identified on this certificate (the installation) conforms to all appV%cab eS a `0 uVaMQM, WM *ff- �A�Z%aKVM ir.,cw�YAvMwft Iftwe jAw�s -and specifications approved by the enforcement agency, • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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 UtsWtation CextWicalp- is reqWwed to be inckLded 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 reqistry for multiole orientation alternatives, and beainnina October 1. 2010. for all low-rise residential buildinas. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: .967982 Date Signed: 19/4/2012 Position With Company (Title): Is this installation monitored b%; a Third ftftj qu-aftV "ame'DITPqCP kw aPTAir_bNe)*. Control Program (TPQCP)? [3 Yes [3 No I Reg: 212-AO060400A-M25000OIA-0000 Registration Date/Time: 2012/11/17 18:35:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: 52290 Avenida Carranza, La Quinta CA 92253 (System Permit Number: City of La Quinta 12-1287 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 compJeteJy new or replacement duct system can aJso include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. 1. Measured leakage less than.15% of fan flow an 13 2. Measured leakage to outtide:- es-::-t� I 00JD of Fan J:JDW 0 3...Reduce leakage by..6-0`i?d'and:'-641' Uct smoke and fix all leaks 0 4*..:.: 6c6essi , 61e:feaks using -t - M. *6ke-and HERS rater verify :::(.0 s.1,2,or m e��tte Note Optiop 5, iq:ow Determine.zp,-, ih -FS-wFlow using,q f4th' f".116— p ng-, reema c �04. ft "FloU AN V0 co6i K i i &h od S i ze d1i 50 �*k 66se-r'i n -116 fi-§4��-ffi' Jg wMigg-.0, I; N V 0 Heibr.161""" t �L-Agutput Capa 050 ia. lv V 0 M66, I 4K W 'Allowed' .7 Actual.t6aka.T, N' C M 7 - Pass if Leakage Actual is less than Allowed [3 Pass [3 Fail Optidn:2 used then."�.,:,- 2 Allowed leakage = Faff-TIOW`.�-'. CFM Actual Leakage to outsidi�.:�-,`� FM Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work CFM Final leakage after sealing all accessible leaks using smoke test CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM _ ((Leakage reduction _/ Initial leakage x 100% 0/6 Reduction I Pass if % Reduction >= 60% Fail 4 Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). I Pass if all accessible leaks have been repaired using smoke Pass Fail . M. 2012/11/18 15:09:06 HERS Provider: CaICERTS, Inc. March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: E%6wr&m&nt Agency- 52290 Avenida Carranza, La Quinta CA 92253 (System 1 Permit Number - 1 City of La Quinta 11) 12-1287 1 0 Outside air (OA) ducts-fbr:Ceh#_� duri ' h -'g'-dutt- l�.akage..tdst'i*ng.",CFi.'.....�t�'I ventilation'As':re 61�6d to meetA, i be co"hfigured to the closed po§1ti d '�:registL 0 All -supp - appliea&ff.att lea -a e. o leaks) d . . . . . . .... Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off duLts'ehat uUYize Controlled MDtOelzed dampers, that open only when OA AE Standard 62.2, and close when OA ventilation is not required, may during duct leakage testing. 0 New d�b�a*�*i�i5talt.--at-i-�b-'-h-�-;.'�','t,-"'''b-t.-,* tifififfi, 11605- 04fd Aeft -d4�001 .2 - -Z0 M, 0 Q�. NO - :10 . N 'o ON 'M W , MM ----_�NWN. gz�4`1� t-Wlit. 004-1 ac e - Vi�`.z t t' t" :TU e.r.--:1-a- esi ape o sea R h ic 0 Masti' an :ra leaks -at -all ..heW::d' DE'& ON • I certify under penalty of p:e,r,jy.r is 1, t y.;: u p he laws of the State of California, the information provided on th form rue and correct. • I am the certified HERS rat6��A6::pi' ed 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 whin theapp�hCaVie TeqUneMerftL5 M Ad'eMInVe Ike5adrIftTali Appendxes RA2 and RA3 -and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the rnstaffation Cerfificate (CF -6R) Company Name. (Installing Subcontractor or General Contractor or Builder/Owner) n 1�leawag.Wreddttlqh g" essible-... nq.. 0 po m.4, U .1 -al I F? .......... .... g iR ..... . . ... .... gg .. ..... ... . 0, W -a OR- IN 0 New d�b�a*�*i�i5talt.--at-i-�b-'-h-�-;.'�','t,-"'''b-t.-,* tifififfi, 11605- 04fd Aeft -d4�001 .2 - -Z0 M, 0 Q�. NO - :10 . N 'o ON 'M W , MM ----_�NWN. gz�4`1� t-Wlit. 004-1 ac e - Vi�`.z t t' t" :TU e.r.--:1-a- esi ape o sea R h ic 0 Masti' an :ra leaks -at -all ..heW::d' DE'& ON • I certify under penalty of p:e,r,jy.r is 1, t y.;: u p he laws of the State of California, the information provided on th form rue and correct. • I am the certified HERS rat6��A6::pi' ed 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 whin theapp�hCaVie TeqUneMerftL5 M Ad'eMInVe Ike5adrIftTali Appendxes RA2 and RA3 -and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the rnstaffation Cerfificate (CF -6R) Company Name. (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: CSLB License: Richard C Weaver Sr 1967982 HERS Provider Data Registry Information Sample Group # (if applicable): 366484 J� 7tested/verified dwelling 10 not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798703321 HERS Rater Company Name: Energy Management Services Responsible Rater's Name'. PkespQrtsilate. Rater's. Signature-. Jack B LaFontaine Jack B LaForrtaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/14/2012 CC2004051 Reg: 212-AO060400A-M21000OIA-M21A Registration Date/Time: 2012/11/18 15:09:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page I of 5) Site Address: Enforcement Agency: Permit Number: 52290 Avenida Carranza, La QuInta CA 92253 1 City of 1-a Quinta 112-1287 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-2.5 CerrMcate) should be 11 to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference ResidenbalAqpendix RA3_2_ 1freffigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required thr completely new or replacement space -conditioning systems Mat utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 13 Yes [3 No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 [3 Yes inch (8 mm) access hole downstream of evaporative coil in the supply plenum hd labeled according to Figure in Section RA3.2.2.2.2. Yes-to:1:.aq.d,2 is a.. pass. Enter Pass or Faill V [] Pass I V 0 Fail S M- T '9�.'gen soromthe Eva poraioi�� Systerri::Na, dqifiration/Tag", 1 It AM 3 . 0. , � vsl r is fat 'I cdar yg:to-1fta-".* n0factUrer.s., s or is figf.'#M�by rd 111, 6 [3 Yes [3 No _ithi� JA ME. X �J§R&thftlat �st% a4f ul i. N orX, .6 "1 "C 4 L] Yes E3 No LIN _00-0 W.- t1i E e, co c 5..:: Yes I No. W 'f"'ift attached to a digital thermometer, the sensor provides an indication of the tbration temp erature of the coil. Yes td :1:":A',`:: a"n"d 5 �'is' - ''a" ss�-Enter N /A. --.if STMS are not %0' 0 N/A 0 Pass Fail e applica le.'Otherwise ent- STMS - Sensor an the Conde::n:':�'§�:d�.'�e:::::'C*'oiI System Name or Identification/Tag I system I I I 'The siensoT is tacka" insta"ed, OT iiield �nAaftd a=ding to Tnanufacturer*s 6 [3 Yes [3 No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 L] Yes E3 No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 Yes I 13 No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not 11 NIA V (2 Pass I V 0 Fail I applicable. Otherwise enter Pass or Fail Reg: 212-AO060400A-M25000OIA-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: 7E=4 rcement Agency: Permit Number: City 52290 Avenida Carranza, La Quinta CA 92253 City of La Quinta 112-1287 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F) 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 dwelfing can be documented for compliance using this lbrm. 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 befbre starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • ff outdoor air dry-bulb is 55OF or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditionina Systems System Name or IdentificationfTag System I (must be re -calibrated monthly) System Location or Area Served Whole House Date p 6 libration Wa. M�_ Outdoor Unit Serial # INS' Outdoor Unit Make . ...... . glw- Outdoor Unit Model Nominal Cooling Capacity Btu/h�:-::.:.-. .......... Date of V e rif ication 4. Lanbration,ouviaq,nostic Instruments . Date: 6f. Ref rigeraht Gauge Calibrat'i (must be re -calibrated monthly) W,t Date p 6 libration Wa. M�_ month ly) INS' tempel -,:su0pN:,db . ...... . glw- Return. (evaporator,--' tering) air M ea 9ur6tTVTTerhDeTatUTe�9'1 -0, System Nalt"'e'. or I e W,t .......... . Supply.(e' 0Mt&KjMj -4.1- 'b" I INS' tempel -,:su0pN:,db . ...... . Return. (evaporator,--' tering) air 7 temO _:r. turn�.Ab*.-::.�'. Return. (e V'aporator enterih'g-):air:Wff bulb -0, System Nalt"'e'. or I e W,t Supply.(e' 0Mt&KjMj -4.1- 'b" I INS' tempel -,:su0pN:,db . ...... . Return. (evaporator,--' tering) air 7 temO _:r. turn�.Ab*.-::.�'. Return. (e V'aporator enterih'g-):air:Wff bulb temperature (Treturn, w Evaporator saturation temperature;'� : (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (TIliqu-id) Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 212-AO060400A-M2500001A-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: rEnfbrcement Agency: Permit Number: 52290 Avenida Carranza, La Quinta CA 92253 C 112-1287 City of La Quint 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 +40F or, upon remeasurement, if between -4*F and -1000F 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 procedure�s.spjecified in Reference Residential Appendix RA3.3. If actual cooling Coil airflow is measured, the value must be:'edtig - io.or greater than the Calculated Minimum Airflow Requirement in the table below. 7 Caic,tii'a't"e"A-'Miniihu"*'m':'*"A''i�ti6w.it�iI ent (CFM) Nominal Cooling Capacity (ton) X 300 (cfm/ton) Syste fication/T'ad4.4.. 9- A�. 774 'z I to) himum 940 Calculat"o— A w M - M.- . . . . . . . . . . MW qW, reUidd W .0 Or Measure" using ...... . . . . . . . . ,jr.flow Passes. -if jp 'ffiihi to the':calculat6d.ffiiii-1-- . ....... r Fail Superhiiiit"Charge Method..Calc X Aians for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering s System Name or Identificatio'61T. Calculate: Actual Superheat Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenserj db Calculate difference: Actual Superheat - Target Superbeat System passes if difference is between -60F and +60F Enter Pass or Fail, 'RM X Reg: 212-AO060400A-M2500001A-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (page 4 of 5) Site Address: Enforcement Agency: Permit Number: 52290 Avenida Carranza, La Quinta CA 92253 City of La Quinta 112-1287 Subcooling Charge Method Calculations fbr Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Subcooling Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling System passes if difference is between -40F and +4*F RE- Enter Pass or Faii Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identificationfra�.: Calculate: Actual Superheat-=: T....... suction - T evaporator, sat::-. Enter.allowable superheat range fr6'&n`:-. m a npfac'tdr'&'s:'�5 ific6tions (ordse�xange Peal 'and betw'een.30F 26-61� if manufactU�; specifitation'is not available) .7 7 System'.Vassd0f4itt' 51 -superheat A. e W_ j . : -:-bup td 46, allowab e r RE- _t "a g -Fail Ep�e �a ii WN Reg: 212-AO060400A-M25000OIA-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: CalCERTS, Inc - 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page S of S) Site Address: "EnIcc rcement Ag ncy: Permit Number: City 12-1287 52290 Avenida Carranza, La Quinta CA 92253 City of La Quint: I 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 I Sample Group # (if applicable): 366484 El tested/verified dwelling I not-tested/verified dwelling in la System meets all refrigerant charge brild -airftw HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798703321 HERS Rater Company Name: requirements. Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack 8 LaForrtaine Enter Pass or Fail Date Signed: 11/14/2012 I CC2004051 _0 10 ------ -- ---- .... .. . .. a . I ....... .... 17 DiEct. RAU • I certify under penalty of-*p-e-rjurVj: uo&'f� the laws of the State of California, the infon-nation provided on this form is true and correct. • I am the certified HERS rater.Wh6-pifforrned the verification services identified and reported on this certificate (responsible rater). • The installed feature, material,''r6inpohent, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the aopli'�"le requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The Information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -IR) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: icense: Richard C Weaver Sir 967CM2 HERS Provider Data Registry Information Sample Group # (if applicable): 366484 El tested/verified dwelling I not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798703321 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack B LaFontaine Jack 8 LaForrtaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/14/2012 I CC2004051 Reg: 212-AO060400A-M25000OIA-M25A Registration Date/Time: 2012/11/18 15:14:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms . March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page I of 2) Site Address: 52290 Avenida Carranza, La Quinta CA 192253 (System Enforcement AqencV: Permit Number: .......... 0 4.'::-Fix:all actessi6leleaks using.:srilb.'ke- and HERS rater verifv City of La Quinta 12-1287 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 boot5, 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 Leakaae Diaqnostic Test - existinq duct system Select one compliance method from the following four choices. [3 1. Measured leakage less than...lS% of fan flow [3 2. Measured leakage to o6tsid i�sthan 10% of Fan Fjow [3 3...Reduce leakage bY..-6b6k',rid:8 6-J.i-duct smoke and fix all leaks .......... 0 4.'::-Fix:all actessi6leleaks using.:srilb.'ke- and HERS rater verifv Not6�::.(Pne.of�Z,p.ii:�,r,i�,1, 2, or 3 ffiugf�6e�' t4kmpl 9:.Op Determinem. ffiffiSU.�F96--Flow using - SUN, 52'1-1 oo igglsys em ni- ih*od: Size 01? rr -'-e -y: -g-a 'w*' V c t Ans in g 0 MP "M M X V 0 He a*Rq@f-`z*` t iput Cap N g1sys ern i MR W -/0M& . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 tidfi Ai lo eii: a a w% F ....... ..... Actua 'e'a� Pass if Leakage Actual is less than Allowed I] Pass 0 Fail Optidff:2'used 2 Allowed leakage Fatt-Flow*::&��:..�X- 0.10 CFM Actual Leakage to outs i d CFM[ Pass if Leakage Actual is less than Allowed rl Pass Fail Option 3 used then: Initial leakage prior to start of work CFM Final leakage after sealing all accessible leaks using smoke test CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM ((Leakage reduction_/ Initial leakage x 100% 0/b Reduction I Pass if % Reduction >= 60% [3 Pass [3 Fail 4 used then: 4 10ption All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke C1 Pass 0 Fail W R'. Reg: 212-A0060400A-M2100001A-M21A ReTifftr-ation Date/Time: 2012111116 25:09:08 HERS Provider.- CaICERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Ev44rcement Aeeacy* 52290 Avenida Carranza, La Quinta CA 92253 (System 1 Permit Number - 1 City of La Quinta 11) 12-1287 1 0 Outside air (OA) duct§-for:'CetW 1 durin''g'-du -c�t..Ii�akage.:tdsting.,-,CFI..'� , 0A n i quite to meet:-A��9#1 ventilatio' AS,:re: d be cohfigured to the closed po§ld,,,,, �g 0 K*'�:re iste 11 All -s'upp%, Huth. A A- - applie-�ffi-,-Ii`� co 1 _,Q:ct leaKage d abc leaks) weo_ 0 New Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off ducts that utlYlze controlled motorized dampers, that open only when OA I ,AE Standard 62.2, and close when OA ventilation is not required, may during duct leakage testing. -Iffilf6"Iffil miju g klN "'0 0--&1 .... ............. Jjl$ Y§k mpliance 3 K, b M Wx ----ShdA -r Responsible Person's Name: CSLB License: Richard C Weaver Sr 1967982 cc Eg t&'e to se"al UW p -an ra—A 0 Mastic- ac ru .Lt leaks-:at-a::n, �e6nneCtl'bh�:�'�.*..4:'.*.-:.:�::'..:�� f.. . ...... DECLARAT ON STAT ENT�'�.`---'�� ...... - • I certify under penalty o p:erljqr ""�-'.'ffie laws of the State of California, the information provided on this form is true and correct. f y;:u0je • I am the certified HERS rat&:Ao::pV*ot,*hed1 the verification services identified and reported on this certificate (responsible rater). • The installed feature, materia or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies whin'the applicaVre retivnemerks Tn ike?ieTence Ikesitirrikiai Appen6ites RA2 wid RA3 -an6 the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement aqencv. Builder or Installer information as shown on the rnstaffation Cerfifficate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: CSLB License: Richard C Weaver Sr 1967982 HERS Provider Data Registry Information Sample Group # (if applicable): 366484 tested/ver-ifted dwelling not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCl-17987 321 HERS Rater Company Name: Energy Management Services Responsible Rater's Name-. I Rp-spatisibk Ratees, Sigtiature'. lack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 11/14/2012 CC2004051 Reg: 212-AO060400A-M21000DIA-M21A Registration Date/Time: 2012/11/18 15:09:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 NN QAT E ESTABLISHED IN 1918 AS A PUBLIC AGENCY 'O/STRI 9 COACHELLA VALLEY WATER DISTRICT POST OFFICE BOX 1058 - COACHELLA, CALIUOPVI� 92236 -JE4,PIR�E(760) 398-2651 FAX (760) 398-3711 DIRECTORS: OFFICERS: NOV 2 5 RECT JOHN W. McFADDEN, PRESIDENT STEVEN B. ROBBINS, PETER NELSON, VICE PRESIDENT GENERAL MANAGER -CHIEF ENGINEER TELLIS CODEKAS MARK BEUHLER, RUSSELL KITAHARA BUILUfi*� mv4L, -�)^rtTy ASSI GENERAL MANAGER PATRICIA A. LARSON JULIA FERNANDEZ, SECRETARY DAN PARKS, ASST. TO GENERAL MANAGER November 21, 2003 REDWINE AND SHERRILL, ATTORNEYS File: 1112. Steve Yeoman �-_J Dear Mr. Yeoman: Subject: 52-990 Avenida Carranza Account No. 606121,091.0.4 In response to your inquiry, this district does not have available information regarding the completion of actual'ho6k 4-to''our sanitation collection system for the above -referenced property. In researching our records, we found that the subject property has met our sewer requirements. It is the homeowner's responsibility to connect their pipeline to the sewer lateral. If you have any questions please contact Rosie Anacleto, Customer Service Representative, extension 2420. RIA:ra bc: City of La Quinta Post Office Box 1504 !"La Quiriia,-Califomia.92253 Yours very truly, Richard Shonerd Customer Service Supervisor TRUE CONSERVATION USE WATER WISELY COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received From: Q—` f tl I Z Z C (Y/ Address: /5 Account No. Lot(s) Service Address eeter(s) "M E) Service(s)_ 0 Backflow(s) 0 House Lateral(s) 0 Detector Check(s) 0 MeterSurcharge Sanitation Capacity Charge 0 W.S.B.F.C. 0 Temporary Construction Meter 0 Turn on Charge 0 Uncollected Account - Name 0 Inspection Fee - Tract - Fee - 0 Plan Check Fees Water / Sewer - Tract - 0 Bond Payment - A.D. --Bond Assmt. 0 Customer Deposit 0 Other Remarks: 0 COPY to: Cash Check V,oney Order z 2 $ TOTAL WaterServi ce Cashier -.6VWD-438 (11189)