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12-0667 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: '12-00000667 - Property Address: 78720 CASTLE PINES DR APN: 770-080-008-8 -25389 Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 21500 Ta�14'4Qgmm Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . I hereby affirm under penalty of perjury that I am licensed oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio Is Code, and my License is in full force and effect. License Class: C20 License No.: 968141 Date: Z Contractor: OVIRE—R-EbUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/12 Owner: KNAPP,DONALD K LEGACY TRU_ 0 �! 4 2012 Contractor: ' CITY OF 1 DCS AIR CONDITIONING QUiN-rA I 72078 CORPORATE WAY, #101 THOUSAND PALMS, CA 92276 (760)343-5562 Lic. No.: 968141 ------------------ WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ZENITH INS Policy Number Z071741501 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become ject to the workers' compensation laws of California, and agree that, if I should become subj to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthw comply with those provisions. (Date: 6114 Applicant: WARNING: FAILURE TO SECURE WORKERS' NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Ouinta, 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 abovetnon is correct. I agree to comply with all city and county ordinances and state laws relating to buildingconand hereby authorize representatives of this county to enter upon the above-mentioned property forinsrposes. Date: Z Signature (Applicant or Agent): Application Number . . . . . 12-00000667 Permit . . . MECHANICAL Additional desc . . Permit Fee 51.00 Plan Check Fee 12.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 ---------------------------------------------------------------------------- Special Notes and Comments (2) HVAC CHANGE OUTS - 13SEER/80AFUE SPLIT SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. " June 14, 2012 1:24:01 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary. Charged Paid Credited Due Permit Fee Total 51.00 .00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 Other Fee Total 1.00 .00 .00 1.00 Grand Total 64.75 .00 .00 64.75 CaICERTS - CF -1R Registration Public Home Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. r Page 1 of 1 I 4': -/7, LESLIE ROGAN logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 78720 CASTLE PINES DRIVE La Quinta, CA 92253 CEC Registration: 212-A0029783A-00000000-0000 CF -1R -ALT -HVAC: CLICK HERE TO DOWNLOAD migned Company: Energy Driven Solutions, Inc. [CLICK HERE] to do another Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us 4 o� k BBB https://www.calcerts.com/public_cflR.cfin?project_id=193013 6/9/2012 CaICERTS - CF -1 R Registration Page 1 of 1 Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us o � � BBB �J https://www.calcerts.com/public_cflR.cfn?project_id=193014 6/9/2012 LESLIE ROGAN logged in [Logout] Public Home [Home] CONGRATULATIONS Secure Home Your CF -IR -ALT -HVAC Registration is complete! About Us You may want to print this page for your records. Training Site Address: 78720 CASTLE PINES DRIVE La Quinta, CA 92253 CEC Registration: 212-A0029784A-00000000-0000 Rater Directory CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Forms Assigned Company: Energy Driven Solutions, Inc. [CLICK HERE] to do another Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us o � � BBB �J https://www.calcerts.com/public_cflR.cfn?project_id=193014 6/9/2012 P.O.City of La Quinta Box 1504 La • .►777-7012 BuildingPerinit Applicadonand TracMng Sheet a I �L 'M XAMIrA AC`il':'4:w�.v5ivi:Y'Y:i.rbr'iY;:crr:"1.^••.>�rr, / �_ WE TAM Project it�W (circle one): New Add'n Alter Repair Demo Telephone.1 1 .. NOT WFUTE BELOW THIS LINE ■ �� Called Contact Person CUTTIrP TT - MT -72 rMT-77Z ■ �� IM17116M, 773 .71. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: City of La Quinta Permit Number: 12-0667 (System 1) ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks 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 d4 '-,7s, a completely new or replacement duct system can also include existing parts of the original duct system 7., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. 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 Diagnostic Test - existing duct system Select one compliance method from the following four choices. ❑ 1. Measured leakage less than 15% of fan flow 132. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Optioj?s,l, 2, or 3 must be attempted,,before.utilizing Option.,9.) Determine.nominal Fan Flow usingone ofV a followingthreee.calculation method; .;� ✓❑ Cooling system method: Size of; condenser in Tons =',x 400 = '--'-'CFM", ✓❑ Heating system method.,217' x ,Output Capacity in Thousandi6fttu/hr = _CFM ✓ ❑ Measured stem.airflaw usingRA3:3 airflow test procedures ,CFM Option 1 used then: 1 Allowed leakage = Fan Flow_ x 0.15 = _ CFM Actual Leakage = _ CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: 2 Allowed leakage = Fan Flow_x 0.10 = `CFM Actual Leakage to outside = _ CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction _ CFM ((Leakage reduction _/ Initial leakage _) x 100% _ % Reduction Pass if % Reduction >= 600/a C3 Pass rl Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke Pass Fail Reg: 212-A0042874A-M2100001A-M21A Registration Date/Time: 2012/09/25 18:16:21 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 2 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: City of La Quinta Permit Number: 12-0667 (System 1) 1968141 HERS Provider Data Registry Information ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI 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. t El All supply and return register boots.�O'Ust be,Tsealed,to the drywall I smoke testis utilized for.Compliance - applieq� duct leakage compliance,option 3 (leakage reductlorrwby 6070) and option 4Y&k all accessible leaks described above: ❑ New d4ct.Installations cannot utilize build10`g cavjtles aµs plenums•or• .platform returns In Ileo of ducts +aw ..,.: :' c[ml..p:,•xf.q'�x •�Fa; .�.'l",nth ,+'Wr+ i.: L� ,. .: ''cf°'",$+..:.; :Y'�i�" : 'ar. •'i;�rt``�•- ❑ Mastic and draw bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks at all new duct connections. DECLARATION STATEMENT I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) 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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: LESLIE ROGAN 1968141 HERS Provider Data Registry Information Sample Group #(If applicable): 340031 tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798680613 HERS Rater Company Name: The Energuy CA LLC. Responsible Rater's Name: Responsible Rater's Signature: William David Painter William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/25/2012 CC20OS784 Reg: 212-A0042874A-M2100001A-M21A Registration Date/Time: 2012/09/25 18:16:21 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 1 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and 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 Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ❑ Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and spAecifications, or is�inslalled by rgethods(specifications approved by-Ehe E�Ce-utive r labeled according to Figure in Section RA3.2.2.2.2. 2 ❑ Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum The:seaso"retire rst rmtnated`withxa stand;ard"mMi plug suitab#e for'connection,to.a 4 ❑ Yes and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the..Evaporatorj il., System Name or Identification/Tag , ,, ' t" r /,, TMeEsensor is factor�r11hst4,lled, or fietd,installed according to manEf cturer's 3 .❑'Yes �iluo' �za spAecifications, or is�inslalled by rgethods(specifications approved by-Ehe E�Ce-utive r S' a eb,w:F The:seaso"retire rst rmtnated`withxa stand;ard"mMi plug suitab#e for'connection,to.a 4 ❑ Yes ❑ No digiti thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 5 ❑Yes ❑__T_No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ✓ ❑ N/A ✓ ❑ Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ 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 ❑ Yes ❑ 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 p 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 ✓ ® N/A ✓ ❑ Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail Reg: 212-A0042874A-M2500001A-M25A Registration Date/Time: 2012/09/25 18:17:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 Whole House Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above S5°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°f or below, the installer must use the Alternate Charge Measurement Procedure. Snare Conditioning Svstems System Name or Identification/Tag System 1 (rs�r�st:::bwre-callbMted monthly) y :�'t -�' ,' iiF 's!ri`� . s . System Location or Area Served Whole House (must be re'.ea4,-icbrated monthly) Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Nominal Cooling Capacity Btu/hr Date of Verification Calibration of Diagnostic instruments Date of Refriggrant'Gauge Calibration. , w =. >. �: ; - .ao'. (rs�r�st:::bwre-callbMted monthly) y :�'t -�' ,' iiF 's!ri`� . s . Ah" Date of Tkiermocouple Calibration �§�� (must be re'.ea4,-icbrated monthly) Supply (evaporator leaving) air dry-bulb Measuree�7em erat res s w,.';. { 'yY q j System Name or:IdenYfication/Tag wtµ, �'' t SysEern i i ✓'`}.sn .af -. :1. 15.. " • v a tet. y :�'t -�' ,' iiF 's!ri`� . s . Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature (Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) D Reg: 212-A0042874A-M2500001A-M25A Registration Date/Time: 2012/09/25 18:17:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms' March 2010 INSTALLATION CERTIFICATE CF-4R-MECM-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: Permit Number: City of La Quinta 12-0667 92253 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate: Actual Temperature Split = Treturn, db ' Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name or Identification/Tag Calculated -Minimum Airflow Requirement, (CFM) 27 r., Measured Airflow 6singXRA33pr6cedures Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag 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 -6°F and +6°F Enter Pass or Fail Reg: 212-A0042874A-M2500001A-M25A Registration Date/Time: 2012/09/25 18:17:51 KERS Provider: Ca10ERTS, 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: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: 9 cY� City of La Quints Permit Number: 12-0667 92253 Calculate: Actual Subcooling = 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 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F �* t Enter Pass or Fail 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 Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and Z60F if manufacturer's specification.is`not available) System passes If actual superheat is,withihthe �* t atlowable superheat range.41.1 ,K9<eEner.Pass_or Fail n 1„�; •h`�'.a�.e ' at01A ix .Ie k7 - `•>,✓`:r'.'1Ya,�t..'z'.:ts::�•ri:r;.- Reg: 212-A0042874A-M2500001A-M25A Registration Date/Time: 2012/09/25 18:17:51 HERS Provider: Ca10ERTS, Inca 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 HERS Provider Data Registry Information Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 HERS Provider Data Registry Information Sample Group # (if applicable): 340031 System meets all refrigerant charge and airflow ® not-tested/verified dwelling in la HERS sample group requirements. HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/25/2012 CC2005784 w^��.r� "'' iS'Y'?*� . £ raw,. £ •"��. �� �`� .��.. �.nrA'ZM�I'�. ".��'Ji� - , '� ��� � :�tMvN���!aa �. 7' .,y�;» 7�' ""Y. DECLARATION STATEMENT. . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable 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 -111) 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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: 1968141. LESLIE ROGAN HERS Provider Data Registry Information Sample Group # (if applicable): 340031 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798680613 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: William David Painter William David Painter Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/25/2012 CC2005784 Reg: 212-A0042874A-M2500001A-M25A Registration Date/Time: 2012/09/25 18:17:51 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: City of La Quinta Permit Number: 12-0667 (System 1) Duct R -value Heating Load (kBtu/hr) Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1, 3 (>=CF -IR value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split Furnace LENNOX SL280UH070 ARI Reference Number2 1 80 AFUE Attic Duct R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Split A/C qtr YX121036Attic S rfiµ 3 Tons AEO uJt�1 end /mak w%1. %Sf 5r�f 4e.. y3q�x5MvuF7'Y "'T''i'i.'. •;-X ., .v x,f,A ' .�`. * �. ����/ '9 ::, . B:.M, 7••r , ? h'. �Y... .—:.a•.. 5� ... ..„ L •:?:" , ,,,:..,,{ties" :,uj.'. pikW!. �.� .tf'A Zvi •% wvarW. Cooling Equipment 1. If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. org/ari/ac. php # 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF -1R is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §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 150-B and includes a vapor retardant or is enclosed. entirely in conditioned space. .R =) Reg: 212-A0042894A-M0400001A-0000 Registration Date/Time: 2012/08/29 20:20:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Efficiency Duct Equip Type (package heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems (SEER and EER) 1, 3 (>=CF -1R value)4 Location (attic, crawl- space, etc.) Duct R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Split A/C qtr YX121036Attic S rfiµ 3 Tons AEO uJt�1 end /mak w%1. %Sf 5r�f 4e.. y3q�x5MvuF7'Y "'T''i'i.'. •;-X ., .v x,f,A ' .�`. * �. ����/ '9 ::, . B:.M, 7••r , ? h'. �Y... .—:.a•.. 5� ... ..„ L •:?:" , ,,,:..,,{ties" :,uj.'. pikW!. �.� .tf'A Zvi •% wvarW. 1. If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. org/ari/ac. php # 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF -1R is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §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 150-B and includes a vapor retardant or is enclosed. entirely in conditioned space. .R =) Reg: 212-A0042894A-M0400001A-0000 Registration Date/Time: 2012/08/29 20:20:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: City of La Quinta Permit Number: 12-0667 (System 1) Position With Company (Title): Ducts and Fans §150(m): Duct and Fans 0 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 shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 1818 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 0 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. 0 B. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 0 Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 0 10 Flexible ducts cannot have porous,inner cores ' t } r c e"ryW Y jt < O DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I 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. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: LESLIE ROGAN LESLIE ROGAN CSLB License: 968141 Date Signed: 5/15/2012 Position With Company (Title): Reg: 212-A0042874A-M0400001A-0000 Registration Date/Time: 2012/08/29 20:20:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: 9 cy: City of La Quinta Permit Number: 12-0667 (System 1) 13 4. Fix all accessible leaks using smoke and HERS rater verify Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those pans 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 Leakaqe Diagnostic Test - existing duct system Select one compliance method from the following four choices. 0 1..Measured leakage less than 15% of fan flow 13 2. Measured leakage to outside less than 10% of Fan Flow i7 3. Reduce leakage by 60% and conduct smoke and fix all leaks 13 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempteo. before utilizing Option. 4.), - Determine nominal Fan Flow using one of the'follow-nig three,calculation,'methods.�s ✓ B Cooling -system method: Size of condenser in Tons ;'3 x 400 ' 1200 •" CFM ,J4 ✓ O Heatir3g system miethod� 21 7 x r Output Capacity in Thousands 'of Btu/hr = CFM .F ^ R ✓ O Measured system• uflow sing RA3 airflo ept..procedures: Option 1 used then: 1 Allowed leakage = Fan Airflow 1200 x 0.15 = 180 CFM Actual Leakage = 141 CFM Pass if Actual Leakage is less than Allowed leakage E3 Pass 0 Fail Option 2 used then: 2 Allowed leakage = Fan Airflow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM Pass if Actual leakage to outside is less than Allowed leakage Pass CLFail 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% 0 Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke p Pass p Fail Reg: 212-A0042874A-M2100001A-0000 Registration Date/Time: 2012/08/29 20:21:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA 92253 Enforcement Agency: City of La Quinta Permit Number: 12-0667 (System 1) Position With Company (Title): 968141 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI 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 ret irn register- oots;;must be;sealesi to the. dry+nrall. If mo Ce testis utilized for`compliance - applies,.,jto duct leakage cofmpl 4.an option 3 (leakage reductl by 604) and opfion 4: all accessible leaks) described above;,J. alts"r3.` �.b: ♦ 4 ri K ' Ahx.., w S' ! -... ,.�, x t. r4 0 New duct Installations an�Iot utliize,bullding cavi les as�plenu s or platform returns. in Ileu�of ducts". . ytA!' a ; z arc .., w 4,. •,. s v, ,v:: ate A . * �+ . C.. a 0 Mastic and draw bands must ; bervused"in combination with cloth backed rubber adhesive duct`tape to seal leaks at all new duct connections DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. o 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 Certilicate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: LESLIE ROGAN LESLIE ROGAN CSLB License: Date Signed: Position With Company (Title): 968141 5/15/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A0042874A-M2100001A-0000 Registration Date/Time: 2012/08/29 20:21:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-2S-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 ❑ 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. 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 Suoolv and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 0 Yes ❑ 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 0 Yes ❑ No 5/16 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. Yes to 1 and 2 is a pass. Enter Pass or Fail ✓ E3 Pass I ✓ ❑ Fail STMS - Sensor on the Evacorator-Coil "`-x System N.Name,Systei3itl or Identifcation/Tag ` � .,� • �= The sensor is factory installed, or field installed according to manufacturer's The -sensor is factory46stelled, ort!7t 0,install'ed according to man'acturer�s 3 .-j;Q Yes ❑ No? specifications, or "Installed by methods/specificafiohs approved'bythe Executive r�,�'' ��•�:. st r� Director. I,js, The s nsor'wire3sterrninated witht'ar�dard•rnini)plug suitable,fo"r''bdnnection'to a 4 [3Yes [3No " digital thermometer: The sensor mini plug is accessible to the in technician and the HERS rater without changing the airflow through the condenser coil and the HERS rater without changing the airflow through the condenser coil 5 ❑ Yes ❑ No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not vi 0 N/A ✓ ❑ Pass ✓ [3 Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ 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 ❑ Yes ❑ 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 1 ❑ Yes ❑ 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 ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail Reg: 212-A0042874A-M2500001A-0000 Registration Date/Time: 2012/08/29 20:24:49 HERS Provider: Ca10ERTS, 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: 78720 CASTLE PINES DRIVE SYS 1; La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 Whole House Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Cnara f nnditinnine Svetems System Name or Identification/Tag System 1 „.,.(mystAbe re lib(%ed monthly) L`" ate.. Rx.KS.• ► System Location. or Area Served Whole House (must be re -calibrated monthly) guy.''".,Fw'�^.ti.•� Outdoor Unit Serial # N/A Outdoor Unit Make LENNOX Outdoor Unit Model .X121036 Nominal Cooling Capacity Btu/hr 36000 Date of Verification 5/15/12 Calibration of olagnostic Instruments Date of Refrigerant Gduge Calibration , x,, ,5/'1/12,. ,,,, i� „.,.(mystAbe re lib(%ed monthly) L`" ate.. Rx.KS.• ► ..._Y.; w.Ns Date of Thermocouple Calibration ?I.. I8/�r1/12 (must be re -calibrated monthly) guy.''".,Fw'�^.ti.•� Supply (evaporator leaving) air dry-bulb "(•tea;-,.' Measured Temoeratur_es ('SSE) :k5:` ar(le or Idety�o System Nntrfica/1a9 ,.'"`SYsfsetn' 1'= •fi' ' a�,,� ' L`" ate.. ? ` ..._Y.; w.Ns Supply (evaporator leaving) air dry-bulb 51 temperature (Tsupply, db) Return (evaporator entering) air dry-bulb 70 temperature (Treturn, db) Return (evaporator entering) air wet -bulb 56 temperature (Treturn, wb) Evaporator saturation temperature 47 (Tevaporator, sat) Condensdr saturation temperature 116 (Tcondensor, sat) Suction line temperature (Tsuction) 63 Liquid Line Temperature (Tliquid) 111 Condenser (entering) air dry-bulb 130 temperature (Tcondenser, db) 2 Reg: 212-A0042874A-M2500001A-0000 Registration Date/Time: 2012/08/29 20:24:49 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: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 Calculate: Actual Temperature Split = Treturn, 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 System 1 Calculate: Actual Temperature Split = Treturn, 19.00 db - Tsupply, db Target Temperature Split from Table RA3.2-3 21.9 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - -2.9 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airtlow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name or IdentificationjTag , x; System 1 .{: - a Calculated; Minimum AaMiow'Requlrement(CFM) . G. -•'sr$". .y; Measured Airflow using RA3.3 procedures`(CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = 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 -5°F and +5°F Enter Pass or Fail Reg: 212-A0042874A-M2500001A-0000 Registration Date/Time: 2012/08/29 20:24:49 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta Permit Number: 12-0667 92253 Calculate: Actual Subcooling = Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = 5.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 8 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between 4.,Q.,<.,,:, ,, ; j. , -3°F and +3°F PASS Enter Pass or Fail PA, SS 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 Identification/Tag System 1 Calculate: Actual Superheat = 16.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use.range 4-25 between 4°F and 25°F if manufacturer's specification ,is riot available)yew 4.,Q.,<.,,:, ,, ; j. , System passes if actual superheat is'Withiri he 3 allowable.superheat range. m;�t ,#g PA, SS ,XEjnteg,`PAss or Fa €; � : 'Ir •.x "•" `„�';+• .+�a°« "`.'.•erW Reg: 212-A0042874A-M2500001A-0000 Registration Date/Time: 2012/08/29 20:24:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: 78720 CASTLE PINES DRIVE SYS 1, La Quinta CA Enforcement Agency: City of La Quinta 1 Permit Number: 12-0667. 92253 CSLB License: 968141 Date Signed: 5/15/2012 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: 968141 Date Signed: 5/15/2012 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fail .- � �xLi"��� ..3t:�`..:.,t.r xn }� ..Y t ...1.�'�gM'e'. ,�* 'by �P�,Mrt .:M I i'r:Y^: �, d:r..: �.. �NrytV F. Responsible Person's Signature: LESLIE ROGAN LESLIE ROGAN CSLB License: 968141 Date Signed: 5/15/2012 Position With Company (Title): Is this installation monitored -by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No I� .,.:!w�"t94,.*,..n ;� .- � �xLi"��� ..3t:�`..:.,t.r xn }� ..Y t ...1.�'�gM'e'. ,�* r...,•'4 ;: y. DECLARATION STATEMENT . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation- is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -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) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: LESLIE ROGAN LESLIE ROGAN CSLB License: 968141 Date Signed: 5/15/2012 Position With Company (Title): Is this installation monitored -by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A0042874A-M2500001A-0000 2008 Residential Compliance Forms Registration Date/Time: 2012/08/29 20:24:49 HERS Provider: CalCERTS, Inc. August 2009 HVAC Field Data Sheet Pg 1 of 2 Client Name ho/VAI D k v4rP Job # 3 31 399 Date S-)5, /Z Address 7,27-1 0 f AS Ph # 19 9- 112 0 Technician(s) Tit .T H ei' � 7.00 Permit # Gauge/Thermocouple Calibration Date 2 pli J Package I Some Ducts Only I All Ducts Only (Circle type of work) 2,�' "';;tr'r•.-,.- - .+;yi `�J *'a'-. - System Location or Area Served - . i•.., +.w 6OX000+S ., .. ,y.;r., - aK....{ Liv,w /4A4'A Heating Equipment Make • x Heating Equipment Model S 12 5& v M o 70. S t 2 0ti v #0-2v ARI Reference Number Heating Equipment AFUE 0,0 PID 6?D '04 Duct Location (attic, crawlspace, etc.) 4 TT Duct R -Value (if ducts were installed) -- — Heating Load — Heating Equipment Output Capacity — — Condenser Make oY Condenser Model X (7./ 0 3 6 X,1 Z/- o 3 6 Size in Tons 3 SEER & EER Cooling Load Cooling Capacity Duct leakage pretest result Duct Leakage Final Result <24CFM/ton to pass (6%) PassjFail PasslFail PassjFail PasslFail Duct Leakage Final Result <60 CFM/ton to pass (15%) / Q) ass '1 e 6 0 PassIFail PasslFail PasslFail Pass using 60% leakage reduction? OPEC( c MASE Pass using smoke and visual inspection? Measured Air Volume from Flow Grid or Hood NEW DUCTS Target: 350 CFM/ton x Condenser Tons CHANGEOUT Target: 300 CFM/ton x condenser Tons Measured air greater than Target? (Y/N) Measured Fan Watt Draw Target: 0.58 watts/measured CFM = Measured Watts less than Target? (Y/N) Copyright © 2011 EDS Energy Driven Solutions, Inc. HVAC Field Data Sheet Pg 2 of 2 Client Name Job # '-3/311 Date Condenser Serial Number 8/2 09 9 812 l PI6 70 Supply air dry bulb temperature /, S3. 0 Return air dry bulb temperature -70-/ 72, + Return air wet bulb temperature Evaporator Saturation Temperature 4 b - 7 4?. $ Condenser Saturation Temperature ZIL3 J01-2 Suction Line Temperature 6 3. Z 3.Z Liquid Line Temperature 111.1 D S 3 Suction Pressure ) 3 4 Liquid Pressure 3 9 3 3 6 3 Actual Airflow Temperature Split Target Temperature Split from Table RA3.2.3 2/.j 2I.5 Passes if difference is ± 3° of Target Temp (Y/N) y Y Actual Subcooling (± 4° of Target to pass) Target Subcooling from Mfr. 4 4 Actual Superheat (3 to 26° to pass) 415, 15•¢ Outside air dry bulb temperature / p S /00 Actual Line Set length (ft) Mfr's Standard Line Set Length (ft) Length Difference = Correction Factor (ounces per foot) Target: Correction Factor x Length Difference System Charged to Target? (Y/N), . ♦ V 9}•• ,M..,,v+a fji(1Xia`y-- ( 1 :+1SL0E?Mt Minimum amps .l+4 l 21.1 t -21.1 Maximum amps 3-5, 35 Breaker size 3,0 30 Compressor amps 1) . 5 2 1. Q Return Static Pressure Supply Static Pressure Supply Air Wet Bulb Temperature 0 * * ALL APPLICABLE BOXES ON THIS FORM MUST BE COMPLETED FOR EACHIOB, NO EXCEPTIONS. * * Copyright © 2011 EDS Energy Driven Solutions, Inc. DUCT TESTING FORM INFORMATION CLIENT NAME: fNncO 14NAs°P ADDRESS: —7j3 -7-2o 1,A5 -rc,e 111 iw ZONE 1 MODEL# Xt Zn3(� SERIAL# , S8/Z�a9/4s MAKE: LF,veox OUTSIDE TEMPERATURE: /OS DISCHARGE PRESSURE: . '35 3 PSI DISCHARGE TEMPERATURE: 4.i DISCHARGE SATURATION:11 S 3 �4) SUCTION PRESSURE: / 4 PSI SUCTION TEMPERATURE: SUCTION SATURATION: 41 -7 RETURN DRY BULB: 49` RETURN WET BULB: SUPPLY DRY BULB: SUPPLY WET BULB: 4 ,B, S MINIMUM AMPS: Z/• / MAXIMUM AMPS: 3 S BREAKER SIZE: '30 AMPS: -/ S- 3 COMPRESSOR AMPS: 11 -IL DUCT TEST FINAL LEAKAGE: f 4 J CFM j; EO/zdoM f JOB# -231 3 "1 MODEL# x( Z / p 36 - a 3d SERIAL# S"/j/Z < o )6-70 MAKE: OUTSIDE TEMPERATURE: /Do DISCHARGE PRESSURE: 34-3 PSI DISCHARGE TEMPERATURE: f a S. 3 3.9 DISCHARGE SATURATION: SUCTION PRESSURE: / 2 7 4 PSI SUCTION TEMPERATURE: G3-2 SUCTION SATURATION: �3 $ RETURN DRY BULB: -'72j RETURN WET BULB: 6's-7 j SUPPLY DRY BULB: 1573, SUPPLY WET BULB: 47-8 MINIMUM AMPS: Z1 MAXIMUM AMPS: 3 S BREAKER SIZE: 3 d AMPS: S 3 COMPRESSOR AMPS: DUCT TEST FINAL LEAKAGE: 46,9 CFM LI v,r(r Ar k