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07-1117 (MECH)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x'07-00001117 ' Property Address: 79389 HORIZON PALMS CIR APN: 604-110-033-69 -19903 Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GARRISON TARNOW 79389 HORIZON CIR LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/16/07 Contractor: Applicant: Architect or Engineer: CAVANAUGH ELECTRIC &tC17_TyqFLAQU1NT,D& 83231 HIGHWAY 111 INDIO, CA 92201 (760)347-3608 Lic. No.: 286936 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. m+tdaense Class: C20 -C10 License No.: 286936 •�= i 1ate4 14 —0 Contractor: - OWNER -BUILDER VECLARATION 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): (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' Lender's Name: Lender's Address: LQPERAIIT ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by.Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 ENDURANCE WC Policy Number WEN0014468-01 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I sh II forthwith comply wit those provisions. Date: 1 X07 Applicant: , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI ES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,`INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La. Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county toenterupon the above-mentioned property for insp tion rposes. IM11'ev IJ Date:Signature (Applicant or Agent): Application Number . . . . . 07-00001117 Permit . . . MECHANICAL . Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . 0 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD .9.00 -------------------------------------------- Special Notes and Comments ------------------------------- REPLACE A/C CONDENSING SECTION Fee summary Charged ------------------------------------- Paid Credited ---------- ---------- Due Permit Fee Total 24.00. .00 .00 24.00 Plan Check Total 6..00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 Bin # G of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# /, \(� y' Project Address:'/79-3619 141b P% ZOh1 A? 2A I a a r /SW A. P. Number: Address: �9_3�9 I rizON zPd2Ai C;yc& Legal Description: City, ST, Zip: L Contractor: Co it,3 P aUG tl EZ eC �>7 C Q17d A -1C Telephone: Address: 9 3 _ ;? 3 / H40>4,81- Project Description: City, ST, Zip: Tna'!O CA. Q. p(o Lace Alc C PpdelVs)n Telephone:,? () — 3v_3661?'gee Y'`D/v, City Lic. #: State Lie. # : .26 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lit. #: ^ Name of Contact Person: ��d C� a y�jrf auGf Construction Type: Occupancy: Project type (circle one): New Add'n . Alter Repair Demo . Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Valueof Proj APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal . Req'd Recd TRACIDNG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan. Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading.plau 2" Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A,I,p,p, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) _ Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft� Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or. 151•C --- (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) ft2 ✓ O Building Type: (check one or more)Single Family Mulrifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: . Floor Construction Type; Slab/Raised Floor (circle one or both). Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER (required in climate zones 2, 4, 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors). Frame Type Cavity (Wood or Insulation Metal) R -Value Assembly U - factor (for wood, Continuous metal frame and Insulation mass R -Value assemblies 1 Joint Appendix IV Reference Roof Radiant Barrier Installed Yes or No Location Comments (attic, garage, typical, etc. i TT c :+ ,. ^—+..4-- T T-fanfnrc can not exceed 1) See Joint Appendix IV in Section lv.z, 1v.3 and 1v.4, which is rnc-vas,a w, U11. .N..�. prescriptive value to show equivalence to R -values. Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) C&IR Proleet Title Garr/sin(I�/�LU" Date 91-13--D'% FENESTRATION PRODUCT'S — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Adriitinnc and Alterations. 1) Skylights are now included in West -facing fenestration area tr ine sicyusllu &UV1 U..Mla w �•� - - - direction when the pitch is less than'1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS r1catuig nyuat,u.V..� Type and Capacity Minimum Efficiency Efficiency AFUE or Orien- tation, N, S, E, Area U -factor Wtal?)-facto? Source' Exterior Shading/Overhangs6' 7 SHGC v1' box if WS -3R is SHGC" Sources included Fenestration Wrype/Pos. (Front, Left, Rear, Right, Skylight) 13 ❑ 1) Skylights are now included in West -facing fenestration area tr ine sicyusllu &UV1 U..Mla w �•� - - - direction when the pitch is less than'1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS r1catuig nyuat,u.V..� Type and Capacity Minimum Efficiency Efficiency AFUE or Distribution Type and Location ducts attic etc. Duct or Piping Thermostat R -Value e Configuration g (split or package) Residential Compliance Forms April 200: CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Wage 3 of CF -IR Pro ect ?Ytle al'' N a P r"' Date 4—IR— ®7 SEALED DUCT'S and TXVs (or Alternative MeasureLl A signed CF -4R Form must be provided to the building department for each home for which the following. are ❑ Sealed Ducts all climate zones(Installer teTimi and certification and HERS rater field veriticauon requlna. ❑ TXVs, readily accessible (climate zones 2 and 8-1S only) (Installer testing and certification and HERS Rater field verification r uired. O Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR Alternative to Sealed Ducts and Refrigerant Charge fIXVs (See Package D Alternative Package Features for Pro'ect Climate Zone in the RM Appendix B Table 1.51-C Footnotes 7-14. OR For additions and.aiterations, duct systems that are not documented to have been.previously ®/ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than .40 linear feet in unconditioned AM= shall meet the requirements of Section 150(m) and duct insulation re uirements of Package D. WATER HEATING SYSTEMS Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per 0 dwelling unit. If the water heater is a storage typo, 50 gallons is the maximum capacity and recirculation system is not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential 13 Manual. No water heating calculations are re uired and the system com lies automatically, Check box if system does not meet criteria of --Standard" system, and does not comply with the Preapproved . ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. [3 units box to verify that a time control is required for a recirculating system pump for a system serving multiple units 1) ror Small gas �tulagv heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input o greater an , Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the hearing source to the kitchen fixtures that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B.- Apri1200: Residential Compliance Forms CERTIFICATE OF COMPLIANCE: RESIDENTIAL age 4 of'5) CF -IR ProiectT}tle Date 4—/.3"D% SPECIAL FEATURES NOT REOUMING HERS VERA'' ICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the �rescn V Liva,iI,, LV . Feature Required Forms if a Itcable CF -1R CF -1R Descri tion ❑ Metal Framed Walls ❑ Radiant Barriers ❑ Exterior Shades WS4R N/A; Attach CRRC Label to ❑ Cool Roof Dedicated Hydronic Heating Forms. Performance Calculation ❑ System Required; Attach Run to Forms. Performance Calculation ❑ Combined Hydronic System Required; Attach Rua to Forms. Performance Calculation ❑ Gas Cooling Required. ❑ Buried Ducts NIA: Indicate on buUding Plans. See Section 5.6.2 Distribution ❑ Kitchen. Insulation Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. Central Water Heating System Performance Calculation and ❑ Serving Multiple -Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms Sea Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 oruse ❑ Solar Water. Heating System Performance Calculation and attach Run to Forms Performance Calculation and ❑ Wood Stove Boiler attach Run to Forms SPECIAL FEATURES REOUHZING HE IARS RATER VERIFICATION t.,4.4PYt" chPete ifnecessarv) Indicate to the HERS Rater which credits are part of this project and Refri erant Charge I CF -6R vart 5 of 12 Thermostatic Expansion Valve CF -6R part 6 of 12 April 2005 Residential Compliance Forms CERTIFICATE OF COMPLIANCE: RESIDENTIAL . (page 5 of s� CF -1.R Data Project Title' 4 — )5-07 COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed regulations comply to with Title 24, parts 1 and 6 of the California Code of Regulations, and the admui implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, requireerficatioorefrigerant toharge and TXVs, insulation installation quality, and building envelope sealing g c certification and field verification by an approved HERS rater. ... i, -A.% nncumentation Author April 2005 Residential Compliance Forms V0/II/LVVV V ( . V I rAA 0007000V00 I I M" JCAnJ JAn V.1 CNU AV Ain INSTALLATION CERTIFICATE ae 3 of 11) CF -6R Slto AddressPermit '71- R -714f .C'irck Number An installation eortifieato Is required to be posted at the building site or made available for all appropriate inspections. (Tho informadon provided on this form is required) After completion of final Inspection, a copy must bo provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(&). HVAC SYSTEMS: Heating Equipment Equip Type k .hent um CBC CertMed Mfr. c Nemand Model Number p of Identical S nems Entalanay (AFt1E. oto.) t LCF-IRvalue Duct Loontion attic etc, punter Piping R-valu Heating Loud Stu&r Heating Capneiry BTAr Go e r P 3� d9.� /3 tic 4.6 3aK 90K Cooling Equipment Equip Type (13](R. heat Um CEC Certified Mfr, Noma end Model umber to of Idont+cal Syftmq Efficiency (scep or aalt) I LCF-IRvalue Duct Location ia.;tO Duct -value Cooling Load h,/hr .Cooling Capaolty Btulhr Go e r P 3� d9.� /3 tic 4.6 3aK 90K 1. > symbol reads greater than or equal to what is indicated on the CF -)R .value. Include both SEER and EER if compliAnce credit for high EER air mriditioneris claimed. ✓ X1 I, the undersigned, vcrify that equipment fisted above Is: 1) Is the Actual equipment Installed, 2) equivalent to or more eflioiont than that speoified in the oartificate of compliance (Fornt CF -lit) submitted for compliance with the Energy Ff'tNency Standards for residential buildings, and 3) equipment that moots or exceeds the appropriate roquirements for manufactured devices (from the Appliance Ftfflclancy Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Ca vah2L4qh PLeC -iC and '+/C Contractor (Co. Name) OR Owner Signature:Date: 4-13-07 Copies to: BUILDING DEPARTMENT, ELEi2S RATER (IF APPLIC M LES) )S U.utlrt: Vwrrrc^ n r Residential Compliance Forms April 2005 OCT 04,2005 08:44 SEARS HOME I._MP 8585869098 Page 4 . vJ/ 15/ a vVv V I . VG r nt% VVVJVVvv VV 0 i INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R i Site Addressralrma rvumocr INSTALLER. COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: a QTcswd at Final .4010 Tested st Rough•In INSTALLRR VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return regiater, and verify that the spaces between thq register boot and the I atcrior finishing wall tun properly scaled. ❑ If the house rough -in duct loakage test was conducted without an air handler installed, inspect the connection points between the air handler and tho'supply and return plenums to verify that the connection points are properly sealf,d. ❑ Inspect all Joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ O DUCT LEAKAGE REDUCTION a... -K..... t . q.IJ .. —.q-- .-rd 'Nnrs PIA -01-- -f- wrr era .runll,mMa In D -4r M anne- Ui Ar'J 2 NEW CONSTRUCTiONt Duct Pressurization Teat Results (CFM ® 23 Pa) Measure Valuesd ;lo `'1 r1,�• p" �i�'r ,•: 1 Enter Tested Leakage Flow in CFM: .pan Flow: Calculated (Nominal: ✓ Cooling V ❑ Heating) or e O Measured 2 if Fan Flow Is Calculated as 400 ofhVton x number of tons or as 21.7 oltn/(kBtu/hr) x Pleating /2000 &r, Thousands of B/hr enter total calculated or measured fan flow in CFM bore: Ca acl BA V11✓ Pass If Leakage PercentagaS 6% for Final or S 4% at Rough -in! 3 100 x(Line # 1 / -(Line # 2 0 Pass 0 -Fail ALTERATIONS: Duct System and/or HVAC Equipment Chan e -Out 4 Enter Tested Leakage Flow In CFM from pre -Tend of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. /24 , Ili!r�;,rlla Enter Tested Leakage Flow in CFM from Final Test of Now Duct System or A.Itarod Duct System for Duct System Alteration and/or E tri mart Chan e -Out 6 Enter Reductlon In Leakage for Altered Duct System Linc # 4 Minus.(Line # 3 —(Only if A Uoablol 7 Enter Tasted Leakage flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System - Pass If Leakage Percentage S 6% for Final orS 4% a+- Rough -in fl0oxr (Line # 5 / Line * 2 ❑ Pass O Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- Out Use one of the follo*inz four Tng or Ve E ation Standards for compliance: ✓ ✓ 9 Pass If Leakage Percentages I Sib [100 x [ 124 (Lino # S) /. "I = (Line # 2)]1 -12. 4• Pass O Fail 10. Pass 1f Leakage to Outside Peroontage S I0% (100 x [(Line # 7) / (Line # 2)]] [3 Pass O Fall I I Pass If Leakage Reduction Percentage it 600A [1 00 x .—_—__(Line # 6) / (Line # 4)]] and Verification by Smoke Tort and Visual Ins ection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Vist+al Inspection .+ '�' •5: ;' ,,. Pass © Fail Pass If Pat of Lines # 9 thmugh # 12 pass 1 : ^I;t ." ;,":"1 "Ms ❑ Fail ka ✓ ❑I, the undersigned, verifj that the above diagnostic test reaalts were perthnned In eonformanoe with the requirements for compliance credit. I, the undcrsigncd, also oertlfy that the newly installed or retrofit Air -Distribution System Ducts. Plenums and Fans comply with Mandatory regairorrnesnts specified in Section 150 (in) of the 2005 8uilding Energy Efficiency standards. Installing Subcontractor (Co. Name) OR Cancral Contractor (Co. Name) OR Owner I C 8V. -)A yUgA Copier tot BUILDING DEPARTMENT, —r3-0—/ RATER (iF APPLICABLE) BUILDING OWNER AT OCCUPANCY ReNdentlal Compliance Forms April 2005 OCT 04,2005 08:45 SEARS HOME I MP 8585869098 Page 5 va/ It cvvv vi.vc ran 0J0J000V00 oCAno on" UICOU ' Al. AIM igjvvo/v It INSTALLATION CEE,rI'II+'ICATE a o 5 of 12 C)F-6R Site Addrosa79— 39?9/-�oreZ Pal -A4 C,,&10' Permit Number ✓ M TFRRMOSTATIC EXPANSION VALVE (TXV) Procedrntsfor f eld vert4vation of thermostatic axpanrion valves are available in)UCM, Appendix R1. ✓ ✓` Access is provided for inspection. The pr000duro shall consist of visual verification that the TXV is Installed on ✓ tl Yes D No the system and installation of the speeifla equipment [� shall be verified. Yea is a Lass I pass I Fatt ✓ REFRIGERANT CHARGE MEASUREMENT Verification fbrRequired Refiigernnt Charge and Adequate Airflow for Split System Space Cooling Systems without Outdoor Unh Serlal # 9469 Loeadon Return (evaporator entering) air dry-bulb tem nature nturn, db Outdoor Unit Make d e Outdoor Unit Model)CH 13^19030oo.0 Cooling Capacity 30 Btu/br ,301 Data of Verification ¢ —'/— 07 Date of Refrigerant Gauge Calibration ¢ — /—A 7 (must be Mocked monthly) Dare ofThermocouple Calibration 4-1-07 (must. becbecked monthly) Procedures f or Determining ROrigerard Che Note; The system should be installed and procedure. Mcasurad Tom erasures acedure (outdoor air dry-I)ulb 5 and gboyah using the Standard Method are availaide In RACM, Appendix RD2.. rged In aoeordancewith the manufooturor's specifications befbro starting this Su ly (evaporator leaving) air dry-bulb temperature (Tsu ly, db) 2 'P Return (evaporator entering) air dry-bulb tem nature nturn, db °P Return (evaporator entcrin air wet -bulb temperature (Treturn, wb) OF Evaporator saturation tomporatt re (Tevaporator, sat) OF Suction line temperature (Tsuetion, db) °F Condenser entcrin ) air dry-bulb temperature Toondenser, db) >u erheat Charge Method Calculations for Refrigerant Char Actual Superheat - Tsuetlon, db — Tevaporasor, sat Target Superheat (from Table RD -2) Actual Superheat — Target Superheat (System passes if between •3 and +S.°F) — 2 OF Temperature Split Method Calculations for Adequate Airflow . tJ''I J__. ,.._ I1.41...., wr../fI t. InIroN .� ,u marrw- .-w....- ......... _ -, ---- -- — - -- - - _ Actual Tcm oraturo Spilt - T return, db Tsupply, db 2 OF Tar et Temperature Split from Table R03) op Actual Tetnporatum Split'Target Temperature Split (System poses if betweon - OF 3°F and t3°F or upon remeasurement If between -3°F and -1001F Residential Compllanas Fortes .4prit 2005 OCT 04,2005 08:46 SEARS HOME I MP 8585869098 Page 6 gyve./'it/LVVV VI.VL I - n/1 OJUVpVOVOG ocnno o.nn utcuv nv nin INSTALLATION CERTIFICATE ' (Page 6 of 12 CF -6X2 Site AddressCircle 79- 369 porizoo/ � y► Permit Number Standard Charge Measuremant Summary: System shall pass both refrigerant charge and adequate' airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and reealoulated. Yes ❑ No System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below S3 7) Note: The system should be installed and chargod In accordance with the manufacttuvr's specifications and installer verification shall bo documented on CF -6K before starting this procedure. If outdoor air dry-bulb Is 55 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Rqf lgerant Charge using the Alternate Method are available in RACM, Appendix RDS. WelRh-In Charging Method for Refrigerant CharAc Actual liquid .line length: (t Manufacturer's Standard liquid line length:. ft Differcnco (Actual — Standard): fc Manufacturer's oorroetion (ounces.per foot) _ x difforcnce In length -__ounces (* — add) (- s remove) I ensured Airflow Method fbr AdecLta Airflow Verification available in R QCM,' elpyandix RD?..G Calculatod Airflow: Cooling Capacity (Btu/hr) X 0.033 ( fin/Btu-hr) - _ CFM Measured Airflow is CFM (Measured airflow mutt be greater d= the calculated airflow). T AItemate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken. both criteria must be remeasured and recalculated. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner q Signature: Date: .4 _ 3 — Copia to: BUILDING DAPARTMX , HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY r- Resldential Compliance Forms 0lpril 2005 OCT 04,2005 08:47 SEARS HOME I MP 8585869098 Page 7