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12-0486 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000486 Property Address: 52985 AVENIDA BERMUDAS APN: 773-335-027-13 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 8014 c&ht 4 4 Q" Applicant: Architect or Engineer: �orttAtAfCiR�/l. `YRS -------------- - - - - -' LICENSED C NTRACTOR'S DECLARATION I,hereby affirm under penalty of perjury that I am licen under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe§lonals Code, and my License is in full force and effect. License Class: C20 License No.: 686310 A-te: 3 1 �. Contractor: FI -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 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 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: ALTENBACH ARTHUR S 52985 AVENIDA BERMUDAS LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/03/12 Contractor: p 1 GENERAL AIR CO ONING 31170 RESERVE DR c] THOUSAND PALMS, 227%J (760) 343-7488 Lic. No.: 686310 --------------- - - - 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 ZENITH INS CO Policy Number Z071741501 I certify that, in the performance of the work fo which this permit is issued, I shall not employ any person in any manner so as to become subj t to the workers' compensation laws of California, and agree that, if I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith ply with those provisions. (Date: Applicant: WARNING: FAILURE TO SECURE WORKERS'ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A 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 in ation is correct. I agree to comply with all city and county ordinances and state laws relating to building cons tion, and hereby authorize representatives of this county to enter upon the above-mentioned property for ins tion purposes. mate: 5 3 Signature (Applicant or Agent): Application Number . . . . . 12-00000486 Permit MECHANICAL. Additional desc . . Permit Fee . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 10/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13SEER/7.7HSPF PACKAGED UNIT (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. May 3, 2012 12.:41:22 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee. Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 5298'5'AVENIDA BERMUDAS La Quinta, CA 92253 City of La Quinta I May 2, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ® Package Unit ❑ Furnace ❑ Indoor Coil ❑ AFUE ® SEER 13.0 ❑ COP ® HSPF 7.7 ❑ R 6 (CZ 10-13) Served by system sf ® Setback If not already present, must be ❑ Condensing Unit [I EER ❑ Resistance [1 R 8 (CZ 14-15) 1735 installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (feF split ...,,.«,,ms) NEGH 25 -WEBS replaced CF -4R forms: MECH-21 . Condenser Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS . Indoor Coil and /or CF -4R forms: MECH-21 and (for split systems) 04F!GW 24 . Furnace For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or [13. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The,syste i will not be Ducted•(ie.,Ductless;Mini-Sptit,System)'(AIsb,Exenipt from:Refrigerant'Charge) 112. New HVAC System Required Forms: . Cut in'or Changeout with-. .e CF 6R forms: MECH-04, MECH-20=HERS, and (for split systems) MECH-22=HERS, and new ducts: (all new ducting � all new ,,� w � MECH-25--HERS � � � f ,�,��—�-'' CFk 4R forms: MEQ 2 nd (for split systems) MECfi and MEQ H-251 equipment),_ `r f2, J 4;Ll, ,,! For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage' < 6 percent O 3..New Ddcts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Dud leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent O 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of dud in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Dud leakage < 15 percent ❑ EXCEPTION: Existing duct systems• constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: bcnielle Garcia Company: HARRISON ENTERPRISES INC I Date: May 2, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0022084A-00000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2012/05/02 21:19:55 HERS Provider: Ca10ERTS, Inc. July 2010 efn # 'City Of La Quin- to Building 8t Safety DhAlon P.O. Box 1504, 78.495 Calle Tamplco La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and. Tracking Sleet 'Permit `e$�p Project Address: ej2G1 Ca� �I Q T�`ei►1i s . Own6r sName: Kao enV� pn baah A. P. Number: �, 3 3 3 �J(�2 1 Address: tWg6 1(� d tcpf S Legal Description: City, ST, Zip: 22 Gk Contractor: Addmss:Project Telephone:- Description: NC n City, ST, Zip:'-,. �Umaa P0Y Telephone: State Lic. # : 3 Arch., Engr., Designer: City Lie. C. 3&0 Address: r:fi, ST yip. Telephone:' Tele p State Lic. #: _. ,. .. ._. 4„ o '' ? .. ' : � Construction Type: Occupancy: j ; , as .:" Project type (circle one): New ,Add'n Alter Repair ' Demo " Name of Contact Person: Co Gly esl 6,0cc6s Oyu Sq. Ft.: �jrj # Stories: # Units: Telephone # of Contact Person: -7lo O 3 Y-6 %4 ?4? Estimated Value of Project: t! Submittal Req'd APPLICANT: DO. NOT WRITE. BELOW THIS LINE Rec'•d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person flan Check Balance • Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/Issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading INHOUSE:- ''" Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P, Pub. Wks. Appr. Date of permit Issue Schopl. Fees Total Permit Fees HVAC Field Data Sheet Pg s oft Client NanieAlUgAi4�C� ZONE 1 ZOii1E2 ZDNE3 ZONE4 Job # / ?MS_ Date AddressV�gs6 Heating Equipment Model Tedirddan(s) l r -k Permit # Gauge/Thermocouple Calibration Dat���Lqa Some Ducts Only J AU Ducts Only far de type dwortr) =Q4 . eliiDmdQ ZONE 1 ZOii1E2 ZDNE3 ZONE4 System Location orArea Served Heating Equipment Make Heating Equipment Model RI AReference Number 3 3 Heating EquipmentAFUE pB0 Dud Location (attic, crawlspace, etc.) Dud R Value (if ducts were installed) Q Heating Load Pa"IFal1 PawlFai! P=Wail Pa4w Heating Equipment Output Capacity PaasjFaQ ltalFan pa4fto Condenser Make 4. a i Condenser Model Size in Tons SEER & EER Cooling Load Cooling Capacity pB0 Duct TeAft Duct leakage pretest result Q Dart Leakage Final Result QAC M/toa to pass (6%) Pa"IFal1 PawlFai! P=Wail Pa4w Dud Leekit a Final Result esti aWtonto Pass Cmj Pass using 60% leakage reduction? PaasjFaQ ltalFan pa4fto Pass using smoke and visual inspection? ltfECfl22.or CXZSaowbwWAtrfiraw& ' Pon..t%f►atEDrow Measured Air Volume from Filum Grid or Hood MW DUCTS rarget: 3% CPM/tm x CondamrTow CHAT OZOUT Target 300 CFlrl/tyn x condenser Tons Measured air greater than Target (YIN) Measured Ban Watt Draw Target O.S8 watts/measm-ed CFM = ► . - Measured Watts less than Target? (YIN) Copyright 0 2011 EDS Ener® Drtm SaWfon , hm HVAC Meld Data Sheet Pg 2 of 2 Client Name �&C—A �fy- job # - Date ! 'a2 7 C;L— war 25 Cha ge&Aby/ow Condenser Serial Number Supply air dry bulb temperature ZONE1 ZONB2 ZONE3 ZONE4 Return air dry bulb temperature Return air wet bulb temperature Evaporator Saturation Temperature Condenser Saturation Temperature Suction Line Temperature Liquid Line Temperature Suction Pressure Liquid Presslu'e Actual Airflow Temperature Split Target Temperature Soft from Table RA32-3 Passes ff difference is * 3' of Target Temp (Y/M Al Actual Subcooli ng (t V of Target to pass) Target Subcoollng from Mfr. Actual Superheat (3 to 26° to pass) Outside air dry bulb temperature AMM26-Wefgh-in Chiagb�g below 55° . Actual Lfne Set length (ft) Mfr's Standard Line Set Length (ft) Length Difference = Correction Factor (ounces per foot) Target: Correction Factor a Length Difference System Charged to Target? (Y/N) OtherDaGa Minimum amps Maximum amps Breaker size Compressor amps Return Static Pressure Supply Static Pressure Supply Air Wet Bulb Temperature "ALL APPLICABLEBOUSON TWSPORMMUST RECOMPLETEO FOR BACX j0A NOSXCBP?70AM •' Copyright 0 2011 EDS Baer Drbw sobdom lac alttnba�h CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0486 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks --._ I ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Optionsj, 2, or 3 must be attempted, before, utilizing OptionA.), Determine nominal Fan Flow using one ofithe following three calculation methods. -it ✓ ❑ Cooling system method: Size of condenser in Tons x 400 = CFM ✓ ❑Heating method: 21.7 x Output Capacity in Thousands of Btu/hr = CFM_- system _ Ik` P A % �' J 4 if X Xj t ✓ ❑ Measured, system airflow using RA3.3 airflow test procedures: _ CFM, Option 1 used then:' } i 1 Allowed leakage = Fan Flow x 0.15 = _ CFM Actual Leakage -=, CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then:N, 2 Allowed leakage = Fan Flow x 0.10 = _CFM Actual Leakage to outside,= I CFM : Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage_ = Leakage reduction _ CFM ((Leakage reduction _ / Initial leakage _) x 100% _ % Reduction Pass if % Reduction > 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke Pass Fail Reg: 212-A0022084A-M2100001A-M21A Registration Date/Time: 2012/07/04 12:06:54 ITERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta .-0486 ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage. testing. CFI, OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing ❑ All suppld return register boots must y anbe s&e. d o the drywall if. smoke test_Is utilizedfor compliance - applies'to' duct leakage compliance option 3 (leaktage reduction by 60%.) and option 4(flx allaccessible leaks) escribed above, - Y ❑ New duct mstalfationsRcannot utilize buildiri'g cavities as)plenums,or platform, returns i.n lieu of ducts.;-, ❑ Mastic and draw bands"must be used.in combination with cloth backed rubber adhesive ducetape to seal leaks at all new duct connections DECLARATION STATEMENT, . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 686310 HERS Provider Data Registry Information Sample Group # (if applicable): 320326 ❑ tested/verified dwelling 0 not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798652179 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: Ezequiel Moreno Ezequiel Moreno Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 7/3/2012 CC2005795 Reg: 212-A0022084A-M2100001A-M21A Registration Date/Time: 2012/07/04 12:06:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0486 Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Package A/C Goodman 6P11136DM41 . +�1" 14 SEER 7 12 -EERY Attic ,,6S 5 Tons J / t Cooling Equipment Equip Type (package heat pump) } 1 _ 'CEC Certified Mfr. Name and Model Number. ARI Reference Number2 # of Identical Systems Efficiency (SEER and EER) 1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Package A/C Goodman 6P11136DM41 . +�1" 14 SEER 7 12 -EERY '`Attie ,,6S 5 Tons J / t - y 1. If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory. org/ari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF -1R is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. © §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. © §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). © §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. WO1 0 Reg: 212-A0022084A-M0400001A-0000 Registration Date/Time: 2012/05/25 17:27:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0486 Ducts and Fans §150(m): Duct and Fans 0 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and 2 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the d u cts. 0 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 0 7. Exhaust fan systems have back draft or automatic dampers. 0 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 0 Protection of Insulation.' Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with�a coating thatis water retardant and provides shielding from solar radiation that can cause degradation of the material. 010. Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT I • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 4/24/2012 Reg: 212-A0022084A-M0400001A-0000 Registration Date/Time: 2012/05/25 17:27:51 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System .(Page 1 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0486 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. 0 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4., Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempted before utilizing,Option 4.)_ Determine nominal Fakn'Flow using one°of the following three calculation methods.� r 1 { ✓ 0 Cooling system method: Size of condenser in Tons .1 5 x 400 2000 CFM L li r1 �r ✓ l t ❑ Heating system metfit%: x Output Capa ty in Thousands of�Btu/hr = � CFM ✓❑ Mea'sured_system arflow using'RA3;3 aiiflow test"procedures:: CFiM Option i used then: 1 Allowed leakage = Fan Airflow 2000 x 0.15 = 300 CFM Actual Leakage- 186 CFM Pass if Actual Leakage is less than Allowed leakage M Pass Fail Option 2 used then: 2 Allowed leakage = Fan Airflow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM Pass if Actual leakage to outside is less than Allowed leakage 13 Pass 13 Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM ((Leakage reduction _ / Initial leakage _) x 100% _ % Reduction Pass if % Reduction > 60% ❑ Pass p Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smoke ❑ Pass ❑ Fail 0 Reg: 212-A0022084A-M2100001A-0000 Registration Date/Time: 2012/05/25 17:28:24 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 52985 AVENIDA BERMUDAS, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0486 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. 'L.,__ 13 All suppm ly�and.return register'bootsTmust berseakedtto the drywall if. smoke test is utillzeld oncompliance - applies to' duct leakage copliance option 3 (leakage reduction,by 60%) and option­-41(fix all.accessible leaks) described above.�, � f. -� � Cbz • New duct installations, cannot in cavities as�plenums,jor:platfoJrm returns in lieu of duc/t�s'._" h m Mastic and draw bands must be used In combination with cloth backed rubber adhesive duct tape to seal' leaks at all new duct connections DECLARATION STATEMENT ; • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 4/24/2012 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A0022084A-M2100001A-0000 Registration Date/Time: 2012/05/25 17:28:24 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010