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09-1328 (SFD)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,d4t 4 XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00001328 Property Address: 57551 BARRISTO CIR APN: 762-500-002- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 199592 �Applicant: XArchit t or Engineer: 46 h�i&06W 4�d G--.&,7y'o ----------------- 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. License C ss B '/7 Li�cenysey�No.: 8545699 Date: Za�� Contractor: ,G. ice""' IR"'Y� �-• 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 ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERAIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/13/10 Owner: VILLA SIENNA, LLC 6347 DI VITA WAY CARLSBAD, CA 92009 D: Contractor: SKYE CONSTRUCTION, INC. JAN r 2240 ENCINITAS BLVD, STE D-48 1 2j� ENCINITAS, CA 92024 (760)594-2282 r,.,:, a ".j Lic. No.: 854569 n_zv. _$A --------------- - - - 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 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 .// / /(��3370�0 of the Labor Cde.,}'Is/yh�all forthwith comply with those provisions. -Date:( (J c"t�Wpplicant: l`i T'` U%��LGTlf11Cw��G��e WARNIN . FAILURE TO SECURE WORKERS' COMPENSATION 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 bLAng con tion, and hereby authorize representatives of this c /mt y o enter ruupon the above-mentioned pro ction purposes. Date] �J ��rSignature (Applicant or Agent): Application Number . . . . . 09-00001328 ------ Structure Information 3222 SF SFD ----- Other struct info . . . . . CODE EDITION 2007 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 652.00 PATIO SQ FTG 189.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2899.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 989.50 Plan Check Fee 643.18 Issue Date . . . . Valuation 199592 Expiration Date . . 7/12/10 Qty Unit Charge Per Extension BASE FEE 639.50 100.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 350.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 155.81 Plan Check Fee 36.13 Issue Date . . . . Valuation 0 Expiration Date 7/12/10 Qty Unit Charge Per Extension BASE FEE 15.00 3222.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 112.77 652.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.04 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 129.50 Plan Check Fee 32.38 Issue Date . . . Valuation . . . . 0 Expiration Date 7/12/10 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 LQPERDIIT Application Number . . . . . 09-00001'328 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 186.00 Plan Check Fee 46.50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/10 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1:00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments CONSTRUCT SFD - LOT 2 PLAN 4A, 3222 SF ON EXISTING SLAB PER ENGINEERED PLANS. **PERMIT DOES NOT'INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, SPA, DRIVEWAY APPROACH and BBQ'S** 2007 CODES.. SEE EXPIRED PERMIT 07-697 FOR PREVIOUS INSPECTIONS. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB147.3) 8.00 ENERGY REVIEW FEE 64.32 STRONG MOTION (SMI) - RES 18.11 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 1460.81 .00 .00 1460.81 Plan Check Total 758.19 .00 .00 758.19 Other Fee Total 90.43 .00 .00 90.43 Grand Total 2309.43 .00 .00 2309.43 LQPEILMIT CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Title: Santerra FAU 1 of 2 Date: 5/14/2010 Project Address: 57-551 Barristo Cir Lot #2 La Quinta, CA 92253 Builder Name: Enter tested leakage flow in CFM (@ 25 Pa) Skye Construction Inc Builder or Installer Contact: Telephone: Permit or Plan No. Mac Stead 760-594-2282 3. HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sarnl2led Certifying Signature: \/ Date: Sample House No. x1 5/14/2010 Not Sampled Firm: HERS Provider: I So Cal HERS Raters CHEERS@ Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ ® Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as ✓ checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sampled and tested buildings. ® The installer has provided a copy of CF -6R (Installation Certificate) ® New ducts are fully ducted (i.e. does not use building cavities as plenums or platform returns in lieu of ducts). ® New ducts systems that use cloth backed rubber adhesive tape are also using mastic and draw bands. DUCT LEAKAGE REDUCTION ® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures field verification and diagnostic testing of air distribution systems are available in RACM , Appendix RC 4.3. Duct Diagnostic Leaka a Testing Results NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1. Enter tested leakage flow in CFM (@ 25 Pa) 86 CFM 2 Fan Flow: Calculated (Nominal: ✓® Cooling ✓o Heating) or ✓o Measured Enter Tested Leakage Flow in CFM: 1600 CFM ✓ ✓ 3. Pass if Leakage Percentage < 6% {100 x [86 (line #1) / 1600 (line #2)]) 5.4% ® Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)] (Only if Applicable) 7. Enter Tested Leakage Flow in CFM to Outside (Only if applicable) ✓ ✓ 8 Entire New Duct System — Pass if Leakage Percentage <6% {100 x ((Line #5) / _ (Line #2)]) ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test Verification Standards for compliance: ✓ ✓ 9. Pass if Leakage Percentage < 15% {100 x L_(Line #5) / _(Line #2)]) []Pass ❑ Fail 10. Pass if Leakage to outside Percentage < 10% {1 00 x [(Line #7) /'_(Line #2)]) ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% {1 00 x [_(Line #6) / _(Line #4)]) and Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail 12. Pass if Sealing all Accessible Leaks with Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ` ❑ Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8 CF -4R Project Title: Santerra FAU 1 of 2 Location Date: 5/14/2010 Project Address: Builder Name: 57-551 Barristo Cir La Quinta, CA 92253 Cooling Capacity Skye Construction Inc. Builder or Installer Contact: Telephone: Permit or Plan No. Mac SteadSk a Construction Inc 760-594-2282 ❑ HERS Rater; Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sampled Certifying Signature: / Date: Sample House No. be verified. 5/14/2010 Not Sampled Firm: Yes is a pass HERS Provider: So Cal HERS Raters I CHEERS® Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder/ Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ ® Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ® The installer has provided a copy of CF -6R (Installation Certificate) ✓® THERMOSTATIC EXPANSION VALVE Procedures for verification of thermostatic expansion valve are available in RACM, Appendix R1. ✓❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refrigerant Charge for Split Svstem Space Coolinq Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Access is provided for inspection. The procedure shall Cooling Capacity ✓ ®Yes ❑ No consist of visual verification that the TXV is installed on ® ❑ Date of Thermocouple Calibration (must be checked monthly) the system and installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refrigerant Charge for Split Svstem Space Coolinq Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity BTU/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry bulb is below 55°F rater shall use Alternative Charge Measure Procedure. 'rocedures for Determining Charge using the Standard Method available in RACM. Appendix RD2 ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8 CF -4R Project Title: Santerra FAU 1 of 2 Date: 5/14/2010 Project Address: 57-551 Barristo Cir La Quinta, CA 92253 Builder Name. 2. Sk a Construction Inc. Builder or Installer Contact: Telephone: Permit or Plan No. Mac Steads a Construction Inc 760-594-2282 HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sampled Certifying Signature: / Date: Sample House No. X 5/14/2010 Not Sampled Firm: HERS Provider: I So Cal HERS Raters CHEERS@ Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ N Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ❑ The installer has provided a copy of CF -6R (Installation Certificate) ✓❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available in RA CM, Aendix RE4.1. Method for airflow measurement ✓ ❑ Yes ❑ No Duct design exists on plans ❑ RE 4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE 4.1.2 Diagnostic Fan Flow Using Pressure Matching ❑ RE 4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: Total CFM Rated Tons: cfm/ton ✓ ✓ ❑ Yes ❑ No Measured airflow greater than the criteria in Table RE -2 ❑ ❑ Yes is a pass Pass Fail ✓❑ MAXIMUM COOLING CAPACITY Prnredufes fnr r/atarmininn maximum rnnlinn Inad ranaritv are available in RACM. Aonendix RF -3 1. ✓ 1 ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2. ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3. ✓ ❑ Yes ❑ No Duct leakage reduction credit verified. Cooling capacities of installed systems are = to maximum 4. ✓ ❑ Yes ❑ No cooling capacity indicated on the Performance's CF -1R and RF -3. If the cooling capacities of installed systems are > than 5. ✓ ❑ Yes ❑ No maximum cooling capacity in the CF -1 R, then the electrical input for the installed systems must be = to electrical input in the CF -1 R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ® HIGH EER AIR CONDITIONER Pmredurac fnr uarifiratinn arP availahla in RA(M Annanrlix R1 1. EER Values of installed systems match the CF -1R N Pass ❑ Fail Pass Fail 1. EER Values of installed systems match the CF -1R N Pass ❑ Fail 2. For split system, indoor coil is matched to outdoor coil N Pass ❑ Fail 3. Time Delay Relay Verified (If Required) ❑ Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Title: Santerra FAU 2 of 2 Date: 5/14/2010 Project Address: Builder Name: 57-551 Barristo Cir Lot #2 La Quinta, CA 92253 Skye Construction Inc Builder or Installer Contact: Telephone: Permit or Plan No. Mac Stead 760-594-2282 3. HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sam led Certifying Signature: / Date: Sample House No. 5 5/14/2010 Not Sampled Firm: HERS Provider: So Cal HERS Raters CHEERS® Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ ® Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as ✓ checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sampled and tested buildings. ® The installer has provided a copy of CF -6R (Installation Certificate) ® New ducts are fully ducted (i.e. does not use building cavities as plenums or platform returns in lieu of ducts). ® New ducts systems that use cloth backed rubber adhesive tape are also using mastic and draw bands. DUCT LEAKAGE REDUCTION ® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures field verification and diagnostic testing of air distribution systems are available in RACM , Appendix RC 4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1. Enter tested leakage flow in CFM (@ 25 Pa) 81 CFM 2 Fan Flow: Calculated (Nominal: ✓o Cooling ✓o Heating) or ✓o Measured Enter Tested Leakage Flow in CFM: 1600 CFM ✓ ✓ 3. Pass if Leakage Percentage < 6% {1 00 x [81 (line #1) / 1600 (line #2)1) 5.1% ® Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. - 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)] (Only if Applicable) 7. Enter Tested Leakage Flow in CFM to Outside (Only if applicable) ✓ ✓ 8 Entire New Duct System — Pass if Leakage Percentage <6% {100 x f(Line #5) / _ (Line #2)]) ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test Verification Standards for compliance: ✓ ✓ 9. Pass if Leakage Percentage < 15% {100 x (Line #5) / _(Line #2)]) ❑ Pass ❑ Fail 10. Pass if Leakage to outside Percentage < 10% {100 x [_(Line #7) / _(Line #2)]) ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% {1 00 x L_(Line #6) / _(Line #4)]) and Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail 12. Pass if Sealing all Accessible Leaks with Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8 CF4R Project Title: Santerra FAU 2 of 2 Location Date: 5/14/2010 Project Address: 57-551 Barristo Cir La Quinta. CA 92253 Builder Name: Access is provided for inspection. The procedure shall Cooling Capacity Sky a Construction Inc. Builder or Installer Contact: Telephone: Permit or Plan No. Mac SteadSk a Construction Inc 760-594-2282 ❑ HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sam led Certifying Signature: / , Date: Sample House No. be verified. 5/14/2010 Not Sampled Firm: Yes is a pass HERS Provider: So Cal HERS Raters CHEERSO Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ ID Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ® The installer has provided a copy of CF -6R (Installation Certificate) ✓® THERMOSTATIC EXPANSION VALVE Procedures for verification of thermostatic expansion valve are available in RACM, Appendix R1. ✓❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refriaerant Charae for Split Svstem Saace Cooling Svstems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Access is provided for inspection. The procedure shall Cooling Capacity ✓ ®Yes ❑ No consist of visual verification that the TXV is installed on ® ❑ Date of Thermocouple Calibration (must be checked monthly) the system and installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refriaerant Charae for Split Svstem Saace Cooling Svstems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity BTU/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55°F and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry bulb is below 55°F rater shall use Alternative Charge Measure Procedure. Procedures for Determining Charge using the Standard Method available in RACM. Appendix RD2 ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8 CF -4R Project Title: Santerra FAU 2 of 2 Date: 5/14/2010 Project Address: 57-551 Barristo Cir La Quinta, CA 92253 Builder Name: ❑ No Sk a Construction Inc. Builder or Installer Contact: Telephone: Permit or Plan No. Mac SteadSk a Construction Inc 760-594-2282 Diagnostic Fan Flow Using Pressure Matching HERS Rater: Telephone: Sample Group No. Kevin Rasmussen CCNKR350475 619-251-7982 Not Sampled Certifying Signature: Date: Sample House No. cfm/ton ✓ ✓ 5/14/2010 Not Sampled Firm: HERS Provider: I So Cal HERS Raters CHEERS® Street Address: City / State / Zip 4840 Normandie Place La Mesa CA 91941 Copies to: Builder / Owner, HERS Provider, Building Department (Wet Signature) HERS RATER COMPLIANCE STATEMENT The house was: ✓ N Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ❑ The installer has provided a copy of CF -6R (Installation Certificate) ✓❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diaqnostic testinq of adequate airflow are available in RACM, Appendix RE4.1. ✓❑ MAXIMUM COOLING CAPACITY Procedures for determininq maximum coolinq load capacity are available in RACM, Appendix RF -3 1. Method for airflow measurement Total CFM ✓ ❑ Yes ❑ No Duct design exists on plans ❑ RE 4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE 4.1.2 Diagnostic Fan Flow Using Pressure Matching ❑ RE 4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: Cooling capacities of installed systems are = to maximum 4. Rated Tons: cfm/ton ✓ ✓ ❑ No cooling capacity indicated on the Performance's CF -1R and ❑ Yes ❑ No Measured airflow greater than the criteria in Table RE -2 ❑ ❑ Yes is a pass Pass Fail ✓❑ MAXIMUM COOLING CAPACITY Procedures for determininq maximum coolinq load capacity are available in RACM, Appendix RF -3 1. ✓ I ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2. ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3. ✓ ❑ Yes ❑ No Duct leakage reduction credit verified. Cooling capacities of installed systems are = to maximum 4. ✓ ❑ Yes ❑ No cooling capacity indicated on the Performance's CF -1R and RF -3. If the cooling capacities of installed systems are > than 5. ✓ ❑ Yes ❑ No maximum cooling capacity in the CF -1 R, then the electrical input for the installed systems must be = to electrical input in the CF -1 R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ® HIGH EER AIR CONDITIONER Procedures for verification are available in RACM, Appendix R1. ✓ ✓ ❑ ❑ Pass Fail 1. EER Values of installed systems match the CF -1R N Pass ❑ Fail 2. For split system, indoor coil is matched to outdoor coil N Pass ❑ Fail 3. Time Delay Relay Verified (If Required) ❑ Pass ❑ Fail r. <i INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R t Number 57-551 Barristo Cir La Quinta, CA 92253 Lot #2 Site Address Santerra FAU 1 of 2 Permi INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT THIS BUILDING WAS: ✓x❑ TESTED AT FINAL ✓ ❑ TESTED AT ROUGH -IN INSTALLER VISUAL INSPECTION AT FINAL STAGE 17 Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. © Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ ❑O DUCT LEAKAGE REDUCTION Procedures field verification and diagnostic testing of air distribution systems are available in RACM , Appendix RC 4.3. NEW CONSTRUCTION VIE] I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Duet Pressurization Test Results (CFM @ 25 Pa) MeasuredValues Mac Stead 1. Enter tested leakage flow in CFM (@ 25 Pa) 86 CFM 5/14/2010 2 Fan Flow: Calculated (Nominal: ✓OCooling ✓❑ Heating) or ✓❑ Measured 1600 CFM ✓ ✓ Enter Tested Leakage Flow in CFM: 3. Pass if Leakage Percentage < 6% {100 x [86 (line #1) / 1600 (line #2)1) 5.4% O Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered duct System for Duct System Alteration and/or Equipment Change -Out. 6' Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)] (Only if Applicable) 7. Enter Tested Leakage Flow in CFM to Outside (Only if applicable) ✓ ✓ 8' Entire New Duct System — Pass if Leakage Percentage <6% ❑Pass ❑Fail {100 x [ (Line #5) / _ (Line #2)]) TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test Verification Standards for compliance: 9. Pass if Leakage Percentage < 15% {100 x [_(Line #5) / _(Line #2)]) ❑ Pass ❑ Fail 10. Pass if Leakage to outside Percentage < 10% {100 x L_(Line #7) / _(Line #2)]) ❑ Pass ❑ Fail 11. Pass if Leakage Reduction Percentage > 60% {100 x ((Line #6) / _(Line #4)]) ❑ Pass ❑ Fail and Verification by Smoke test and Visual Inspection 12. Pass if Sealing all Accessible Leaks with Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail VIE] I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Mac Stead Signature: Date: 5/14/2010 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number 57-551 Barristo Cir La Quinta, CA 92253 ✓ IF] THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RA CM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Access is provided for inspection. The procedure Outdoor Unit Make OF ✓ IKI Yes ❑ No shall consist of visual verification that the TXV is Btu/hr ❑ Suction line temperature (Tsuction, db) Date of Refrigerant Gauge Calibration OF installed on the system and installation of the Date of Thermocouple Calibration OF (must be checked monthly) specific equipment shall be verified. Yes is a pass I Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Evaporator saturation temperature (Tevaporator, sat) Btu/hr Date of Verification Suction line temperature (Tsuction, db) Date of Refrigerant Gauge Calibration OF (must be checked monthly) Date of Thermocouple Calibration OF (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above): Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RD2 The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Measured Temperatures Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F OF Measured Temperatures Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F OF INSTALLATION CERTIFICATE (Page 8 of 12) CF -6R Site Address Permit Number 57-551 Barristo Cir La Quinta, CA 92253 ✓ ❑ MINIMUM FAN WATT DRAW Procedures for measuring the air handler watt draw are available in RACM . Appendix RE3.2. ✓ METHOD FOR FAN WATT DRAW MEASUREMENT ❑ RE 3.2.1 Portable Watt Meter Measurement ❑ RE 3.2.2 Utility Revenue Meter Measurement Measured fan watt draw: (enter watts here) Measured Fan Flow (Enter total CFM from airflow verification) Enter results of Watts/CFM 3. ✓ rTE1 Yes ❑ No Calculated fan watt/CFM is equal or is lower than the fan watt/CFM draw documented in CF -1R. Yes is a pass ✓ ❑ MAXIMUM COOLING CAPACITY Procedures for determining maximum cooling load capacity are available in RACM, Appendix RF -3 1. ✓ 1 ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2. ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3. ✓ ❑ Yes ❑ No Duct leakage reduction credit verified. Cooling capacities of installed systems are = to maximum 4. ✓ ❑ Yes ❑ No cooling capacity indicated on the Performance's CF -1 R and RF -3. If the cooling capacities of installed systems are > than 5. ✓ ❑ Yes ❑ No maximum cooling capacity in the CF -1 R, then the electrical input for the installed systems must be = to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ✓ ❑O HIGH EER AIR CONDITIONER Procedures for verification are available in RACM, Appendix R1. Watts CFM Watts/CFM u Pass 1. EER Values of installed systems match the CF -1R ❑ ❑ Pass Fail 1. EER Values of installed systems match the CF -1R YES El Pass ❑ Fail 2. For split system, indoor coil is matched to outdoor coil YES O Pass ❑ Fail 3. Time Delay Relay Verified (If Required) ❑ Pass ❑ Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Skye Construction, Inc. Signature: Date: 5/14/2010 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Santerra FAU 2 of 2 Permit Number 57-551 Barristo Cir La Quinta, CA 92253 Lot #2 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT THIS BUILDING WAS: ✓ OO TESTED AT FINAL ✓ ❑ TESTED AT ROUGH -IN INSTALLER VISUAL INSPECTION AT FINAL STAGE O Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. O Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ ❑O DUCT LEAKAGE REDUCTION Procedures field verification and diagnostic testing of air distribution systems are available in RACM , Appendix RC 4.3. NEW CONSTRUCTION ✓O I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values Mac Stead 1. 1 Enter tested leakage flow in CFM (@ 25 Pa) 81 CFM 5/14/2010 2 Fan Flow: Calculated (Nominal: ✓OCooling ✓❑ Heating) or ✓❑ Measured 1600 CFM ✓ ✓ Enter Tested Leakage Flow in CFM: 3. Pass if Leakage Percentage < 6% {100 x [81 (line #1) / 1600 (line #2)]) 5.1% O Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [(Line #4) Minus (Line #5)] (Only if Applicable) 7. Enter Tested Leakage Flow in CFM to Outside (Only if applicable) ✓ ✓ $ Entire New Duct System — Pass if Leakage Percentage <6% ❑ Pass ❑ Fail {1 00 x L_(Line #5) / _ (Line #2)]) TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test Verification Standards for compliance: 9. Pass if Leakage Percentage < 15% {100 x [(Line #5) / _(Line #2)]) ❑ Pass ❑ Fail 10. Pass if Leakage to outside Percentage < 10% {100 x [_(Line #7) / _(Line #2)]) ❑ Pass ❑ Fail 11. Pass if Leakage Reduction Percentage > 60% {1 00 x [__-(Line #6) / _(Line #4)]) ❑ Pass ❑ Fail and Verification by Smoke test and Visual Inspection 12. Pass if Sealing all Accessible Leaks with Verification by Smoke test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑ Pass ❑ Fail ✓O I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Mac Stead Signature: Date: 5/14/2010 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number 57-551 Barristo Cir La Quinta, CA 92253 ✓ ❑x THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RA CM, Appendix Rl. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Access is provided for inspection. The procedure Outdoor Unit Make OF ✓ ❑x Yes ❑ No shall consist of visual verification that the TXV is Btu/hr ❑ Suction line temperature (Tsuction, db) Date of Refrigerant Gauge Calibration OF installed on the system and installation of the Date of Thermocouple Calibration OF (must be checked monthly) specific equipment shall be verified. Yes is a pass I Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Evaporator saturation temperature (Tevaporator, sat) Btu/hr Date of Verification Suction line temperature (Tsuction, db) Date of Refrigerant Gauge Calibration OF (must be checked monthly) Date of Thermocouple Calibration OF (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above): Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RD2 The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF Measured Temperatures Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F OF Measured Temperatures Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F OF INSTALLATION CERTIFICATE (Page 8 of 12) CF -6R I rSite Address Permit Number 57-551 Barristo Cir La Quinta, CA 92253 V ❑ MINIMUM FAN WATT DRAW Procedures for measurino the air handler watt draw are available in RACM . Appendix RE3.2 ✓ METHOD FOR FAN WATT DRAW MEASUREMENT ❑ RE 3.2.1 Portable Watt Meter Measurement ❑ RE 3.2.2 Utility Revenue Meter Measurement Measured fan watt draw: (enter watts here) Measured Fan Flow (Enter total CFM from airflow verification) Enter results of Watts/CFM 3. ✓ ✓ ❑ Yes ❑ No Calculated fan watt/CFM is equal or is lower than the fan watt/CFM draw documented in CF -1R. Yes is a pass ✓ ❑ MAXIMUM COOLING CAPACITY Procedures for determinin maximum c oling load capacity are available in RACM, Appendix RF -3 1. ✓ 1 ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2. ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3. ✓ ❑ Yes ❑ No Duct leakage reduction credit verified. Cooling capacities of installed systems are = to maximum 4. ✓ ❑ Yes ❑ No cooling capacity indicated on the Performance's CF -1 R and RF -3. If the cooling capacities of installed systems are > than 5. ✓ ❑ Yes ❑ No maximum cooling capacity in the CF -1 R, then the electrical input for the installed systems must be = to electrical input in the CF -1 R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ✓ El HIGH EER AIR CONDITIONER Procedures for verification are available in RACM. Appendix R1. Watts CFM Watts/CFM n Pass 1. EER Values of installed systems match the CF -1R ❑ ❑ Pass Fail 1. EER Values of installed systems match the CF -1R YES O Pass ❑ Fail 2. For split system, indoor coil is matched to outdoor coil YES O Pass ❑ Fail 3. Time Delay Relay Verified (If Required) ❑ Pass ❑ Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Skye Construction, Inc. Signature: Date: 5/14/2010 Certificate of Product Ratings AHRI Certified Reference Number: 3423658 Date: 5/14/2010 Product: Split System: Air -Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: 113AN(A,W)048-E Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Indoor Unit Model Number: ASF*4823A28G+D+V Manufacturer: ALLSTYLE COIL CO., INC. Trade/Brand name: AIRSTAR, THERMALZONE, TFC, MERIDIAN, HAIER Manufacturer responsible for the rating of this system combination is ALLSTYLE COIL CO., INC. Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 46000 10 AER Rating (Cooling): 11.00 SEER Rating (Cooling): __ - _ 13.00 A * following a rating indicates a voluntary rerate of previously published data, unless accompanied with a WAS which indicates an involuntary rerate. r i FootNote 1 - For application ratings, such as 200v, or 208v, ratings refer to manufacturers specifications,'literature, and operating instructions. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.anddirectory.org, TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION J& "IMP Air -Conditioning, A� ■. •' Heating, and The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on Refrigeration Institute "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed below. 2009 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129183376526603870 Certificate of Product Ratings AHRI Certified Reference Number: 3423656 Date: 5/14/2010 Product: Split System: Air -Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: 113AN(A,W)036-E Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Indoor Unit Model Number: ASL"3618A28G+D+V Manufacturer: ALLSTYLE COIL CO., INC. Trade/Brand name: AIRSTAR, THERMALZONE, TFC, MERIDIAN, HAIER Manufacturer responsible for the rating of this system combination is ALLSTYLE COIL CO., INC. Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 33200 EER Rating (Cooling): 11.00 SEER Rating (Cooling): _ 13.00 A ' following a rati nI indicates a voluntary rerate of previously published ublisheddata, unless accompanied with a WAS which indicates an involuntary rerate. _. _ FootNote 1 - For application ratings, such as 200v, or 208v, ratings refer to manufactures specifications, literature, and operating instructions. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) Iitted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.anddirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION w u®' Air -Conditioning, The information for the model cited on this certificate can be verified at www.anddirecto or click on A. �� .' Heating, and ry g, Refrigeration Institute "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed below. 2009 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129183372492151410