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13-0003 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000003 Property Address: 53940 AVENIDA CARRANZA APN: 774-161-011-14 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 8190 Tu!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CAMPION JEANINE 53940 AVENIDA CARRANZA LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: ESSER AIR CONDITIONING & P.O. BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 r` F Lic. No.: 489046 VOICE (760 7-70 FAX (760) 77 -7011 INSPECTIONS (760) 777-7153 Date: 1/02/13 w U CUIz CITY OF LA QUM FINAKE DEPT. ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with 1 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 Class: C20 License No.: 489046 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ense :tractor: Z 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 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 CASTLEPOINT NTL Policy Number WSLTHPE90140303 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ 1 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 sal rthwith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).: Date: —' _ 3 Applicant: 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 SECU 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 1 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING 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 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 constr n, a hereby authorize representatives of this county tter u n the above-mentioned property for in ection poses. D/ate: /=;g—/; gnature (Applicant or Agent) Application Number . . . . . 13-00000003 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/01/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -----------------------------------------------------------------=---------- Special Notes and Comments HVAC CHANGE -OUT: 4 TON SPLIT HEAT PUMP. 2010 CODES. . ----------------7----------------------------------------------------------- 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 # Permit # Project .Ad&=' 53 J40A City. of La Qurnta Bulwg a Sarety Division P.O. Box 1504,78-495 Caffe Tampico Ia.Quinta, CA 92253 -:(760) 7777012 Building Permit Application and Tracking Sheet CARRA10 A. Owner's Name:.,T,5A I N C A f A. P. Number. Address: 591'<'O Legal Description: Contractor. tS v/ G _ S C City, ST, Zip: r'/1 CA 22.5=3 Telephone: Addres1:366b"5N k s j F_ Project Description: cf AC -Ou City, ST, Zip: ,A7'H 1 C T>' CA LT ?D 9[ Telephone: �9t-0550 ti S L %/ U State Lie. #: City Lic, C Arch., Eng., Designer. Address: City, ST, Zip: Telephone:Construe ion Type:. Occupancy: 31A_1C<L' Project type (circle one): New Add'n Repair Demo Sq. Ft.: # Stories: # its State Lic. #: Name of Contact Person: �� Telephone # of Contact Person: 5 � Estimatod Value of Project: Q APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd 'Rec'd TRACMG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structarai Cates. Reviewed, ready for corrections Plan C & Deposit. . Truss Cates. Called Contact Person Plan Check Balance Titre 24 Calci. Plans picked cep Construction Flood plain ptan Plans resubmitted.. Mechaww Grading plan Z'! Review, ready for corrtWons wut Electrical Subeontactpr List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- r Review, ready for correctionviauc Developer Impact Fee Planning Approval Calw Contact Person A,I.P.P. Pub. Wks. Appr Date of permit -issue School Fees 7-1 Total Permit Fees In Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 1 of a Project Name: Climate Zone # # of Stories Campion, Jeanine 115 1 General Information Site Address: 53940 Avenida Carranza La Ouinta CA 92253 Enforcement Agency: La Guinta, City of Date: 12/31/2012 Building Type 0 Single Family 13 Multi Family Circle the Front Orientation: N, E,(S W, or degrees Conditioned Floor Area (CFA): 1600 Project Type: DAlterations []Envelope Fenestration []Roof ❑HVAC Replacement or Chane Out []Duct Re lacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone—Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A — J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I II I I J ProPosed See Note Standard Values From JA4 Table Ta Assembll a e�MMa Framing a Thickness, � tri S acihv - � � Framed Continuous JA4 J 4Tab1" Cavi tai latio AssemblyAssembl Proposed ID or T'� a � and $i�Z orOthe�r� a oro I um r R val1� �"R Va ue"`" Cell Value U -factor Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 43.13 -40 W# y Assembly y a1 1. 0 C `o Note: For furred assemblies, accounting for cb ftinuous I760on R -value, see p age-JA4-3 and Equ non 4- . For °calculating furred walls use the Mass and � FurringConstruction table belo�w 1. For Tag/ID indicate`the identification ndme thattmatc Q s the building plans 2. Indicate the Assembly Name or type: Roof/Ceilin ;aW.alls, Floors, S1abs,,:Clrawl Space, Doors - nd etc ..7Wicat` a thetFrame pe and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4fQx6, or etc.r: see JA4 for otherpossible frame typelassemblies. 3. Enter the thickness in inches Spacrng been Otheerfor description for mass or framing members enter; or all other assembly such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from Tablel151-B, C or D for each dierelassemblyNae-or-typL 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A I B I C 7 -5 -TE F I G__7_H_T I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 43.13 y Assembly y a1 1. 0 C `o W m N > Final Mass Name orJA4 Table 3Q a Assembly ' Type Numbet Q> U-facto7Thickness' Comment a Registration Number: 312-AO013934A-000000000-0000 Registration Date /Time: 12/31/2012 06:16:39 HERS provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of Project Name: Climate Zone # # of Stories Campion, Jeanine 15 1 Mass and Furring Strips Construction 6091noteg 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. 5.-6 The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column L Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding SOW or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -JR -ALT aft'! + , nieentatio- -0- Fenestratiop' d ] f !] . PsedAt L axtmoum MQ NFRC or Default yp E e vt�n, indow, G1assDoor or'S li t r�-�-� ,�$ I West . � fl2 ,�U-factot� 3 um SHGC�� w° Values } Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception.°'Wherlra dooryis less .than S00% glass, the fenestration area may be the glass area plus a "2 inch frame"+ round t glass. � A m i 2. Enter value from Component Package D Requirements in Table 15](C. - 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to orhave IU factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.Ifapplicable at this stage enter `NFRC" or NFRC Certified windows or are CEC "Default" valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ft' of fenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area (ft) 1 .20 > West Fenestration Area (Required In .05 > CZ's 2, 4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 312-A0013934A-000000000-0000 Registration Date/Time: 12/31/2012 06:16:39 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of 5 Project Name: Climate Zone # # of Stories Campion, Jeanine 115 1 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)Mi,152(b)1Hii, or 152(b)1HUL Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If arty one of the alternatives or exception below is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft Alternatives to §152(b)lHi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrfe-*F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 & of free ventilation area of attic ventilation for every 150 ft of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant baNOW the attic meeting th ui�ements gf §151(f)2; o ,�tieiat _"' ❑ Building has n ducvoI Me ❑ In climate zones 10,1.1, 13-and.1,4R-3 or greater roof deck insulation above vented attic. ,�, Exception to §152(b)1Hiii, Low -slope goof (pitcl <'�2:�-traA Of I P I ❑ Building has no ductsin t e ttic,, Other Exceptions I V ❑ Roofing area covered bylbuilding-integrtatted; photovoltaic panels and solar thermal panels.aree empt from the below Cool Roof criteria. ❑ Roof constructions that have.thermal mass over the roof membrane with attleast 25.1b/f is exem r omethe-below Cool Roof criteria. Note: If no CRRC-1 Mel is available,,tliis!compliance method cannot be used, use the PYrformance Approach to show compliance, otherwise, "Cool Check theapplicable bbox below if Exem t from'�the R�oofm Products Roof' Re uirement:.. Roof Sloe _ CRRC Product ID Number -:<-1411->_'1:12 . Product Weight; < 511/ftp.,> �51b/ft 1,J Product e� �. ,Aged-Sold'r • keR hectanpe" Thema, Emittance SRI, ❑❑ 01 ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 _ . ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council 's Rated Product Directory at www. coolroofs. orgproducts/search.php 2. Indicate the type ofproduct is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pi„ inal – 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRI value by using the SRI- Worksheet at http:lAvww.energy.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -IR To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating 113 Other Registration Number: 312-A0013934A-000000000-0000 Registration Date/Time: 12/31/201206:16:39 HERSprovider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 4 of 5 Project Name: Climate Zone # # of Stories Campion, Jeanine 115 1 HVAC SYSTEMS - HEATING List water heaters and boilers for both omestic hot water (DH>�te hears and hydropic pace heating. dwelling,DHW heaters must be #Individual gas or propane fired, and -may not -exceed 5A,0 gallons. Hot water pipe inssulation from -the DHW heater to the a kitchen(s) and on all underground ; Minimum Duct or Piping Water Type/Fuel Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, T e and Capacity 1�3 AFUE or HSPF Type and Location° R -Value Type Space, Package or H dronic Furnace, 44000 8 HSPF Ducted, SetBack Split System Capacity al Therms' icienc R-Value3 I. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc) HVAC SYSTEMS - COOLING Minimum 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) Efficiency Duct or Piping not allow the installation of a recirculating water heating system for single dwelling units. Configuration Cooling Equipment Type and Ca aci ',2 (SEER/EER or Distribution Insulation COP) Type and Location3 R -Value Thermostat Type (Central, Split, Space, Package or H dronic HeatPump, 48000_ a , _ 15 SEER, Qycted;,, SetBack Split 1. Indicate Cooling Type-(A7C,'1leatpump,jEv p ooling,.etc - J!ka 2. Refer to the HERS Verificatio_n�section on Page 4 of the VR AL7Wbr"0rfor4additional require.me�nts;,and,�cheo apphcable boxes. 3. Indicate Type or Location Ducts,_H drgnic in Ploor _Radiators, etc. WATER HEATING "- ,_ ._ '71 r_'N / /—",\ List water heaters and boilers for both omestic hot water (DH>�te hears and hydropic pace heating. dwelling,DHW heaters must be #Individual gas or propane fired, and -may not -exceed 5A,0 gallons. Hot water pipe inssulation from -the DHW heater to the a kitchen(s) and on all underground ; hot water i es is required in all com onent acka esIn all climate zones Water Type/Fuel Number � IT External Tank Heater Distrib�Ld In Ener for or t :' Insulation Type' Standard, System Capacity al Therms' icienc R-Value3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of §1506). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written "usti cation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation 0 YES 17 NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation [3 YES 13NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Q YES A NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: 312-AO013934A-000000000-0000 Registration Date/Time: 12/31 /2012 06:16:39 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone # # of Stories Campion, Jeanine 115 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection Duct Sealing & Testing HERS verification is required for this measure. © YES 13 NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per § 152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES C3 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1Di. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. C3 EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. 13 YES ®NO YES: In Climate Zonesi2 and 8-4 ys, when!th existing HVA e ui ment is re laced mcluding the replacement of the air at re �r tra r R .*w C ara + ++ rrt. YES. )�an�d¢`'�le uTdoopaao�dens�mg u�mt i�a�spl� stem A�C or�h"e um�g;�c '� or )�ea�tm�g: 1, or the furnace heat exchanger a refrigerant charge measurement shall be verified per J 2(b)1F. Central Fan Integrated (CFI) Ventilation`Syste�and�)a aDraw ;. The ventilation re direments of 150 0. _ 4not a 1 to existin residential homes. Ducted Split Systems -(Air Conditioners an§d'Heat Pumps: Air"flow "'''HERS erifcat o pis required for this measure. 0 YES 13 NO YES: n Clim to Zones 10 through 15, when the existing space conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall'be verified per 15 1Ci°to eetthe re uirements of 151 7B. Documentation Author's Declaration Statement —� / __-1-011` I • I cern that this Certificate of Com liance'doeumentation is accurate,and com tete. Name: Tim Esser Signature: Tim Esser s+r CCC Company: Esser Air Date: '�'�" Conditining 12/31/2012 Address: 36665 bankside Dr,Drive OFC,OFFICE If Applicable [3CEA or 13CEPE (Certification #): City/State/Zip: Cathedral City California 92234 Phone: 760-324-0550 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Tim Esser Signature: Tim Esser Company: Esser Air Conditining Date: 12/31/2012 Address: 36665 Bankside Dr,Drive OFC,OFFICE License: 489046 City/State/Zip: Phone: Cathedral City California 92234 760-324-0550 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registration Number: 312-A0013934A-000000000-0000 Registration Date/Time: 12/31/2012 06:16:39 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 53940 Avenida Carranza La Quinta CA 92253 La Quinta, City of Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: 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 Select one compliance method from the following four choices. 0 Option 1. Measured leakage less than 15% of Fan Airflow. ❑ Option 21�M.21re"df le�a�l` age" toCoutsid'e'1'es�s tha %ofd an Air o'w� ormance WHO Y Y Y W W Wilt 6"01 Y/W W W W o. -fink, a ❑Option 3. lea ag by 67-/.r mo a tah condac sriiok'L Hest t ea�ll �c�ssitile eak . �e �'�1i' U1&U Ed, M.Yii� &--A����1sa on jReduce /....il ❑ Option 4. Fix all accessible leaks using -smoke t st-and. ITERS -rater must. venfj .i 1� NNj ote: (Option 1 us�� attempted beforeutilizing Option 4)-,, Determine nominal using'lone o�the following three calculation methods. Ile A ��of 0 Cooling system method: Si z condens r in Tons 4.0o�z 400 = I 00 J11 FM ❑ Heating system method: 21.7 x..H�eatin Output Caaci ty�CFMkBtuh ❑ Measured system airflow using RA3.3 airflow t`st procedures: CFM Option 1 used then: - Allowed leakage = Fan Airflow 1600.00 x 0.15 = 240.00 CFM I Actual leakage = 160.00 CFM Pass if Actual leakage is less than Allowed leakage 0 Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑ Pass ❑ Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using Smoke Test ❑ Pass ❑ Fail Registration Number: 312-A0013934A-M2114063A-M21A Registration Date/Time: 01/18/201308:46:02 2008 Residential Compliance Forms HERS Provider: CBPCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — ExistingDuct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 53940 Avenida Carranza La Quinta CA 92253 La Quinta, City of 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing, Cfil OA ducts that utilize=controlled motorized dam ers, that open only when OA ventilation is required to meet AS HR%4P andar �rd]F ose wNl� WAIverit l bo s rjot re'��u , rg'ay be co r��figtue'�t�the closed position during duct leakage -testing. c� El All supply and re��reg�ster boots m be, IgIto tie drywall if woke te-_sQ�'sTt CieV( rtco�hance � applies to duct leakage compliance option,3, (leakage reduction by 60 o) and option 4 (fix all accessible leaks) described above. El New duct installations canno4utilize building cavities as plenums 6r platform returns in lieu of ducts. 0 Mastic and draw bands used/'n co bination with 0th backe rudf bber adhesuct ve•dtape to -seal leaks at all new duct connections.._ U DECLARATION STATEMENT L I I • I certify underpenalty of epury, undethe laws,ofthe State -of Cal ,.the information pro vided form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). I 1 • The installed feature, material, component, or manufactured device requiring HERS verification that 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 -6R), 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) Esser Air Conditining Responsible Person's Name: CSLB License: Lydia Garcia 1489046 HERS Provider Data Registry Information Sample Group # (if applicable): tested/verified dwelling ❑ not-tested/verified dwelling 7 in a HERS sample group HERS Rater Information HERS Rater Company Name: MLC Home Performance Responsible Rater's Name Responsible Ratees Signature Tom Bachus Tom Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095794 1/18/2013 Registration Number: 312-A0013934A-M2114063A-M21A Registration Date/Time: 01/18/201308:46:02 HERS Provider.• CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-W-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 53940 Avenida Carranza La Quinta CA 92253 La Quinta, City of Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Note: Submit one Installation Certif cafe 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 Select one compliance method from the following four choices. ❑� Option 1. Measured ed leakage less than 15% of Fan Airflow. y{ ��{y��� /�{�� �My. p/�p/r ,,/� IRy !1 A jle'ClMM. • I� • A R 11 'T' p i ®�. ■ Y gyral Y C V V ❑ Option 2:�Nleaswed�leakage to�outside less Phan o ofL an Aiifl'ow. i Y. W Y Yir Yir� "A" Y W W V Y a ❑ Option 3. ReduceF leak g by 60°�%o +mo a �—andreond& s;rffA esffd%eal all dccessibl'e e ��6 V %,U at t*,V V. �a+,3+0e.va" tion 0 ,---\ .. N1 f ❑ Option 4. Fix all accessible leaks using -smoke �test; and�HERS-rater must verify.. mus Note: (Opti l attempted befog .utilizing Option 4).l Determine nominal Fan Airflow4 using one o9the followinng three calculation methods. El Cooling system method: Size y�yor condenser in Tons 4 K --,x 400 = 160,0 /--(5FM ❑ Heating system method: 213LXP . N H ating Capacity (kBtuhl, ---JCFM Output ( 'CF.M `--� ❑ Measured system airflow using RA3.3 airflow test procedures: Option 1 used then: Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM I Actual leakage= 160 CFM Pass if Actual leakage is less than Allowed leakage E].Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑Pass ❑Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑Pass ❑Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using Smoke Test ❑Pass ❑Fail Registration Number: 312-A0013934A-M2114063A-0000 2008 Residential Compliance Forms Registration Date/Time: 01/18/201308:45:29 HERS Provider: CePCA August 2009 INSTALLATION CERTIFICATE CF -6R -M ECH-2I-HERS Duct Leakage Test — Existing Duct System ffage 2 of 2 Site Address: Enforcement Agency: Permit Number: 53940 Avenida Carranza La Quinta CA 92253 1 La Quinta, City of 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CF1 OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 0 All supply and retuinn duct leakage cocom�pl it 0 New duct<i sn tallations 0 Mastic and draw bands must be usedjrt ombinatiowwithcl&th,backed-rubt)erad duct connections. DECLARAT WSTATEMENT • I certify under penalty of perjury under the.laws of the State of-Califomia, the infer at�or • I am eligible under Division 3 oflthe Bu iness and Professions Code to accept responsibili representative of the person resporisible for construction (responsible person). • I certify that the installed features, materials, components, orimanufactured devices identif conforms to all applicable codes and regulations, adthe•installation is consistent with the enforcement agency. iance — applies to scribed above. son duct tape to seal leaks at all new form is true and correct. i, or anlauthorized this certificate (the installation) and.specificationsApproved by the • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed.copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Esser Air Conditining Responsible Person's Name: Responsible Person's Signature: Lydia Garcia Lydia Garcia CSLB License: Date Signed: Position With Company (Title): 489046 11/18/2013 Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? OYes ONo Registration Number: 312-A0013934A-M2114063A-0000 Registration Date/Time: 01/18/201308:45:29 HERSprovider. CBPCA 2008 Residential Compliance Forms August 2009