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07-0081 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00000081 Property Address: 54055 AVENIDA -RUBIO APN: 774-201-01573 _-000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 3700 T,d4t 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 LicenseNo.: 770496 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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 e improve for the purpose of sale.). l. 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I amexempt under Sec. , B.&P.C. for this reason Dater -1 1,01 -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 Owner: M/M CHRIS PIPPIN VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/09/07 54055 AVENIDA RUBIO LA QUINTA, CA 92253 D JAN 10 2007 Contractor: ESPINOZA AIR CONDITION/H AT ITYOFLAQU1NTA 43733 TOWNE STREET FINANCE DEPT. INDIO, CA 92201 (760)775-4543 Lic. No.: 770496 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT A 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 Lab Code, hall forthwit comply with those provisions. Date_ '� App licanC WARNING: FAILURE TO SECURE WORKERS' M,ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to builling construction, and hereby authorize representatives -of this ou ty to enter upon the above-mentioned proper.. r in ciion purposes. 1 1 Date:1 / Signature (Applicant or Agent): Application Number . . . . . 07-00000081 Permit MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . 0 Expiration Date 7/08/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00. ---------------------------------------------------------------------------- Special Notes and Comments REPLACEMENT OF AIR HANDLER & CONDENSING UNIT WITH 13 SEER UNIT. Fee summary Charged ------------------------------------- Paid Credited ---------- Due Permit Fee Total 33.00 .00 ---------- .00 33.00 Plan Check Total 8.25 00 .00 8.25 Grand Total 41.25 .00 .00 41.25 LQPERMIT Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I v1 'O Project Address: Sq, p.-5- JG�►i i o Owner's Name: 0^6% + A. P. Number: Address: S - 05S vt Hada �j�o Legal Description: Contractor. E `,�p� Marr+-4—kc-` City,'ST, Zip: `a�10 aloCJ J Telephone: Address: l{ 3 �3��� Project Description: City, ST, Zip: Telephone: D--17$' Lf CSW .j- Gcnc�e,pSN► u�►fi State Lic. # :-0'4 qJ0 City Lic. Arch., Ebgr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 3 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for#4oYrections Plan Check Deposit Truss Calcs. Called Contact Person Plau Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2" Review, ready for corrections/issue Electrical Subcodtactor 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 correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various'trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 `OWNER'S SIG T[Yh /21 UTE 54oN*5 v -4-o, (46 o PROPERTY ADDRES O PERMIT NUMBER(S) 1 Certificate of Compliance Prescriative Method- HVAC -only Alteration CF-1R_AI T Project Ti le: �% 1� '�! r i I(�� t" I ��i Date: 1 %^ / L' I m CaICERTS 2005 Enforcement Agency Use O nIv Proj Address: I 5V s lie et -t Cli ate one: Building Permit # Documentation Author. Telephone: Plan Check Date Company Name: Feld Check Data IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that annly. Check only lanes that anply, Scope terations: 1 Air Handler is to be installed or replaced. Dud suing to be determined. Continue to need line 2 ❑ Furnace Heat exchanger is to be installed or replaced. Dud sealing to be determined. Continue to next line. 3 ❑ oor condensing unit is to be installed or replaced. Dud Sealing and/or TXV(RCA) to be determined. Continue to ne t fine. 4 cooGn or heatingcoil is to be installed or . Dud Seale and/or TXV RCA to be determined. Continue to nerd line 5 ❑ than 40 feet of new or replacement duct are to be installed in Espace. Dud sealing to be determined. ❑ Check here if the willm dud system is also to be new or replaced. Continue to neA line. 6 ❑ If none of limes 1 S are checked. neither Dud Seafing nor TXV(RCA) are required. Go to Section 5. Section 1 - Dud Sealeng (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ i7his system is in Climate Zone 1, 3, 4, S. 6, 7, or 8. No dud sealing is recpAred. Go to Section 2. 8 ❑ This system has less than 40 feet of duds in unconditioned space. No dud sealing is required Go to Section 2. 9 13 This system was previousty seated and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ is dud system is sealed or insulatedwith asbestos. No dud sealing is required. Go to Section 2. Note: If the entire duct system is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of dud seal" and TXV if 12 ❑ In Crimate Zones 10, 13 and 15: An SEER 14 Add EER 12 condenser will be installed with TXV(RCA) D added duct insulation -4 wrap on adsting duds R-8 new ducts in lieu of dud sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE f imace will be installed in lieu of duct seating. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AHM EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE fumace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue, Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ em being altered is a package unit. No TXV RCA is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV CA is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No PMRCA) is required. Go to Section 3. 19 ❑is CA em is in Climate Zone 16 and tine 14 is not checked. No TXV Ris required- Go to Section3. 20 ❑ TXV em is in Climate Zone 16 and line 14 is checked and not line 16. RCA is required. Go to Section 3. 21 is system is in Cremate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is requ ired dGo to Section 3. Sec iory2'HERS Rater verification 22 K" 15 is checked, HERS verification is required for Duct Searing. 23 ❑ Ilf 24 ❑ Ilf line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6 Section 5- Duct R -Values 26 ❑ If moe than 40 feet of dud is being installed or aced, dud R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of dud is being installed or replaced, duct R -value must most or exceed R-0.2 Section 6 - see ne)d page Vorcinn n24MR -- "- - Page 1 of 2 This form can -only be used on projects bung verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: Date: I Q m CaICERTS 2005 IMPORTANT: This CF 1 R -ALT form is only for use when an HV attgration is made to an existing home . Use one form for each system being altered. This is system # I of 1 systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Imtaled egipmad,pumt match typrybmtion and meet or weed effkWndes/R value. 28 /Co nation system o Pad -go unit 29 pfAir Handier OGas fimece. AFUE: CHeetptmp FAU [3fydron1e FAU DOtlter 30 ❑ Heat Entwgw 31 ❑ otmoor cowensiv Uni CLA/C CHeatptmnp bfidency SEER/HSPF: JEER 32 Coolng or heating cod C AIC p O 33 ❑ kocabom Itangth (ft): ire: Alt mantda measures apply to any altered corn See MF -1 R - ALT form. Compliance Statement: This certificate of compliance fists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using dud sealing, verification of refrigerant charge, and TXV require instager besting and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Address: city/State/Z : P Company Name: � P � v � C—`�/t � C✓�� Address: Y3 7 33 I r Phone: City/State/Zp: CA 2-0 Signature: Phone: Signature: Enforcement Agency BuildiDepartment) t/Comments: Name: Title: Department Phone #: Fax #: Signature or Stamp: Required forms: . CFA R -ALT: by anyone. Required at time of permit application. Copies to homeowner, enforcer, ent agency, HERS rater. CF -6R -ALT: by installing contractor. Required to dose permit. Copies to homeowner, enforcement agency, HERS rater. CF14R-ALT: by HERS rater. Required to dose permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sam le group shall not be released until all testing and verification is completed and passed for the entire rour). VPrcinn Mi n -m Page 2 of 2 This forth can only be used on projects being verified by CaICERTS certified raters. www.cakerts.com Installation Cettfcate Prescriptive Method - HVAC -only Alteration ' CF -6R -ALT Project Title: n. 1 Date: O 2005 Ca10ERTS Enforcement Aaency Use Onty Project Address: q Clinfate tone: awmkv Permax Installing Contractor. Telephone: Pan clock Date Company Name: 0 A /A L FWW ra,eac Dace IMPORTANT: This CF -6R forth is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # _ f of _ I systems altered in this house. Copies to: Homeowner. HERS Rater, and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match n and meet or exceed eff sJR-values from CFAR. Equipment T Manufacturer Model Number Efficiency Load" CapacW— Furnace AFUE Heat Exchanger N/A Heat Pump fan coil 6-0Q q A U 0 OOc Hydronic fan coil N/A Other FAU Describe. Package gas/AC AFUE SEER Package heatpump HSPF SEER EER' A/C Condenser SEER Heatpump Condenser /�M � (� &&d6AC, HSPF L �o SEER j'3 Indoor DX coil EER- f+Aronic coil Provide EER if needed for compliance (fine 24 of CFAR-ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. Loads are sensible for cooling. Capacities are sensible at design conditions for cooling and adjusted attitude, downflow, eta) output for heating. .2-fTXV is required by the CF -1 R form (line 23 on CF -1 R -ALT forth), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CFAR ALT) 13 For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealinA by increasing the efficiehcy of the equipment is not an option for entirely new dud systerns. 1, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned; verify that diagnostic test results fisted on this form were performed in conformance with the requiremerits for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards. Signed Instal - Date: Notes: V W1*wu u r itrvo Nage 1 of 2 This form can only be used on projects being verified by Ca10ERTS certified raters. www.calcerts.com Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: Date: (1 © 2005 CaICERTS IMPORTANT: Tis CF -6R forth is only for use when an J -1V -only altetion is made to an existing home Use one form for each system being altered. This is system # 1 of `� systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If dud testing is required per CF -1 R -ALT form) Step 1 - Pre-test Leakage of the system before any alterations. This test is optional and is only used for the 60% reduction option 1 Pre-test leakage: ICFM25 2 Line 1 x 0.4 = et for 60% reduction Step 2- ermine Total System Fan Flay. Use of these methods. Use values for equipment after alterations. 3 -p Cooling: Condenser tonnage: -i tons x 400 CFMAw = CFM 4 Heating: Furnace output Btuh x.0217 CFMBtuh = 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Total system fan flow value to be used: I JCFM may use highest of lines 3, 4, or S. Step 3 - Determine Targets: Ba Total System fan flow pine 7 from above) x 0.06 = FM25 = 6% leakage target (new duct systems) Bb Total System tan flow pine 7 from above) x 0.15 = ZJ C FM25 = 15% leakage target tFM25 9 Total S taro flow ine 7 from above x 0.10 = =10% leakage to outside target Step 4 -Alterations: Must be consistent with the CF -1 R form. 10' ❑ Seal all new connections with approved materials. 11 ❑ No newly constructed portions of the system can have unduded building cavities to convey system air. 12 ❑ If adding or replacing more than 40 feet of dud, insulate new duds per package D for that climate zone Step 5 - Final Leakage ( duct leakage test, for 15% total and 60% reduction) 13 leakage = CFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 4a ❑ If line 13 Is less than line Ba, house passes the 6% leakage requirement, Go to Step 9. 4b If line 13 is less than line house passes the 15% leakage requiriernerit. Go to Step 9. 15 ❑ H line 13 Is less than line 2 house passes the 60:6 reductlon mquirement,continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 144 or 14b, Smoke Test and Visual Inspection of Accessible Dud Sealing is required. Go to Step 8 Step 6 -Leakage to Outside. Similar to a regular dud blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage = I ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 is less than line 9 house passes the 10% leakage to outside requiremerit. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspectim of Accessible Dud Sealing is required. See Step 8. 22 ❑ Install required Label per ACM Appendix RC, Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5- 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged duds ow ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal register boots to surrouncoing material per ACM Appendix RC, Sections RC 4.3.7. HERS V ' t:ation 26 ff If line 14 is checked. 15% leakage to be verified by HERS rater. Sam pling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be Performed by HERS Rater. Sampling is allowed. 28 ❑ if line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ if none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling4,nly if house passes on lines 14,15 or 19. 30 )Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and ratermust sign the three -party agreement 3. All above tests must be comMeted by the installer or their represAtative, not the third party rater. No Sampli - House does not Pass by lines 14, 15 or 19: OR homeowner chooses not to be part of a sample group 31 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed safety by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be performed solely by the third party rater. """ui I Vr r Lrtm Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com