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14-0756 (MECH)to P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000756 Property Address: 54635 AVENIDA' BERMUDAS APN: 774 -285 -017 -ST -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 3600 Appyant: T4ht aF lPQ" Architect or Engineer: / vv BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 P ofessionaIs Code, and my License is in full force and effect. License CI s: 20-C36 :,,License No.: 811885 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).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.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 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/14 Owner: GRIFFIN MARK 54635 AVENIDA BERMUDAS LA QUINTA, CA 92253 ( ffs s Contractor: ""'" ALL DESERT PLUMB HEATING / ,) PO BOX 13056 it �� PALM DESERT, CA 92255 E (760)341-7900 Cf�IQFI„�Qult4TA Lic. No.: 811885 TYO ;AQUI T. 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 0 of the Labor C 1., I hall orthwith c ply with those provisions. spate:/ , ` Applicant: WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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. r 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. <t'. 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 Quints, 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 co ty o dinances and state laws relating to buitdin s uctio , and hereby authorize representatives of this u ty to enter upon the above-mentioned property f inspectio urp es. Date. `Signature (Applicant or Agent): t. LQPERMIT Application Number . . . . . 14-00000756 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/30/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC UNIT CHANGE OUT FURNACE,CONDENSER 809. AFUE,12 EER 14 SEER 4 TON PER 2013 MECHANICAL CODES 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited --------------------------- Due ------------------------------ Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Add s: Enforcement Agency: Date: Permit #: Conditioned Floor Equipment T l List Minimum Efficienc Z Duct insulation requirement Area Thermostat IF Packaged Unit Furnace cc � � ❑ AFUE O� ❑ OP Over 40 ft of ducts added or replaced in unconditioned space p p Served b system Y Y ❑ Setback (If not already * ❑ Indoor Coil ❑SEER .� HSPF _ ❑ R 6 (CZ 10-13) /900 s present, must e ©Condensing Unit ❑EER �-- ❑Resistance ❑ R 8 (CZ 14-15) _ installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; ijmore than one system, use another CF -1 R-ALT-HVACjor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF jortypical 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered co of the CF -1R and•CFfiR shall Aso be on site for final ins ectioe. _❑ 1. HVAC Changeout' Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH=04, MECH-2l-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and'(for split sstems) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and for CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA. -:f 300 CFM/ton(Minimum Air Flow Requirement), TMAH 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 ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: 'MECH 20-, and (for split systerns)MECH-22, and MECH 25 new equipment) 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 113. New Ducts with Replacement Required Forms: • Includes replacing or installing al1 new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF 4R forms: MECH-20 and (for split systems) MECH-25 coil and/or flrnaoe. Not all equipment changed: For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For •Packa ed Units: Duct leak g e <6 percent ❑ 4. New Ducting over 40 feet ' Re uii•ed Forms: a Includes addine or replacing more than 40 CF -6R forms: MECH-04',MECH2I=HERS CF 4R forms: MECH-21 linear feet of duct in unconditioned s ace. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 cen ify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tide 24, Parts 1 and 6 ofthe California Code of Regulations. • Thr 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: Signature: Company: •AA 0_N ' 7 RC &tV) a /G . Date: ddress: C30C (� 22� 1 • Licen r- City/Siatc/Zip: L ( CA el ZZ Phone: 60 o v 2008 Renidettlial Compliance Forms March 2010 Bin # .. City Of La Q C[117 tci • _..__ . _ «,... _... • Building &r Safety Division Permit # P.O. Box 1504,78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: K A. P. Number: Address: r 03 Legal Description: City, ST, Zip: U Contractor:elcphone: (y r Be f Address: - . �n v�C d Project L/�Descriptionq'� :/ City, ST, Zip: l� ^ Csi ' �ZZ�� FPC /- q I -O )L) City, ST, Zip:. 2 Telephone: Construction Type: Occupancy: State Lic. #: >r'w ;;.'="'>'"`:>"' :"~''! type a circleone : New Add'n Alter Repair Demo J ) P Name of Contact Person: Sq. FL: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: UU APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviaved, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan 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 IN If OUSE:- '"' Rcview, ready for corrections/issue Developer Impact Fee -Planning-Approval -OaUtd-Contw-Person -A-UP-.P. Pub. Wks. Appr Date of permit issue i School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC.Alterations• • CF -IR -ALT -HVAC Climate Zones 10 - 15 w - - - -- - Site Address: Enforcement Agency: Date: Permit #: 54-635 Avenida Bermudas La Quinta, CA 92253 City of La Quinta Jun 11, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ® Package Unit ❑ Furnace ❑ AFUE ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ❑ Indoor Coil ® SEER 13.0 ® HSPF 7.7If 13R 8 (CZ 14-15) 1400 sf not already present, must be ❑ Condensing Unit [3EER ❑ Resistance installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -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 -6R forms: MECH-04, MECH-2I-HERS aRa (fer split ...•,.«,.ms) MEGH 25 HERS replaced CF -411 forms: MECH-21 and (feF split systems) 04EG14 LL . Condenser Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (fnr split systems) MEGGH 26 WEBS . Indoor Coil and /or a CF -4R forms: MECH-2I(F^- � aad-�,o�s�Iit . Furnace ,rF.y`s�eaas)-f�4CCI� —p For- Split Systems - Duet leak3ge 4 19 peFeeRti RG, GGA 15 399 GFzP4i4t9R (MiRimum AiF; Maw Reqw'FeweRt), T -MAW 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 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC_System Required Forms: . Cut in or Changeout with new ducts: (all new CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and ducting and all new"' MECH-25-HERS CF -4R forms: MECH-20 and (for split systems) MECH-22,+and MECH-25 equipment) J F I I For Split Systems: Duct leakage < 6 percent; RC, CCA z 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent' I -I .._ ❑ 3. New Ducts 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 -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. S For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 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 duct in unconditioned space. CF -411 forms: MECH-21 For split system or packaged units: Duct 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: Edward Reyes Signature: Edward Reyes Company: ALL DESERT PLUMB HEATING A/C s Date: Jun 11, 2014 Address: P 0 BOX 13056 License: 811885 City/State/Zip: PALM DESERT / CA / 92255 Phone: (760) 341-7900 Reg: 214-A0042578A-000000000-0000' Registration Date/Time: 2014/06/11 19:28:23 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 54-635 Avenida Bermudas, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 14-756 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 Leakaae Diagnostic Test - existina duct system Select one compliance method from the following four choices. N 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'. Fan Flow using one of the following three calculation methods. ✓ ® Cooling system.method: Size of condenser -in Tons 3.5 x 400 = 1400 CFM ✓ ❑ Heating tem method: 21.7 x f tput Capacity In Thousands of Btu/hr = _ CFM ✓ procedures: <` ❑ Measured system airflow using RA3.3 airflow test CFM Option 1 used then: 1 Allowed leakage'= Fan Flow 1400 x 0.15= 210 CFM Actual Leakage = 137 CFM Pass if Leakage Actual is less than Allowed ® Pass ❑ Fail Option 2 used then: 2 Allowed leakage = Fan Flow_ x 0.10 = _ CFM Actual Leakace to outside = CFM _ - Pass if Leakage Actual is less than Allowed ❑ Pass 0 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 test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke ❑ Pass ❑ Fail Reg: 214-A0042596A-M2100001A-M21A Registration Date/Time: 2014/06/11 20:10:30 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 54-635 Avenida Bermudas, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 14-756 ® 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 supply and.retum register boots must be sealed to the drywall if smoke test is utilized for compliance - applies to duct leakage compliance option 3 (leakage reduction by 60%) and option 4 (fix all accessible leaks) described above. ® New duct Installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. ® 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 Californla, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that Is Identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the Installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL DESERT PLUMB HEATING A/C Responsible Person's Name: CSLB License: Edward Reyes 181188S HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798867824 HERS Rater Company Name: Air Experts Air Conditioning Responsible Rater's Name: Responsible Rater's Signature: Paul Van Vlymen Paul Van Vlymen Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 6/10/2014 CC2004367 Reg: 214-A0042596A-M2100001A-M21A Registration Date/Time: 2014/06/11 20:10:30 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: 54-635 Avenida Bermudas, La Quinta CA 92253 (System Enforcement Agency: 9 cY� Permit Number: 1) City of La Quinta 14-756 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 Heat Pump GOODMAN GPH1543M41CA 1 8 HSPF Location 3.5 kBtu Type and EER) (attic, (package ARI # of 1,3 crawl- Cooling Cooling heat pump) CEC Certified Mfr. Name and Model Number Reference Number2 Identical Systems (>=CF -1R value)4 space, etc.) Duct R -value Load (k Btu/hr) Capacity (kBtu/hr) Package GOODMAN 15 SEER Heat Pump GPH1543M41CA , 1 11.7 EER 3.5 Tons Cooling Equipment 1. If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory.orglarilac.php# a Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form. 4. When CF -IR 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 IN §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 RCCA.; ® §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. Reg: 214-A0042596A-M0400001A-0000 Registration Date/Time: 2014/06/11 20:08:45 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Efficiency Duct Equip (SEER Location Type and EER) (attic, (package ARI # of 1,3 crawl- Cooling Cooling heat pump) CEC Certified Mfr. Name and Model Number Reference Number2 Identical Systems (>=CF -1R value)4 space, etc.) Duct R -value Load (k Btu/hr) Capacity (kBtu/hr) Package GOODMAN 15 SEER Heat Pump GPH1543M41CA , 1 11.7 EER 3.5 Tons 1 f 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.orglarilac.php# a Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form. 4. When CF -IR 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 IN §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 RCCA.; ® §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. Reg: 214-A0042596A-M0400001A-0000 Registration Date/Time: 2014/06/11 20:08:45 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 54-635 Avenida Bermudas, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 14-756 Ducts and Fans §150(m): Duct and Fans ❑ 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and ❑ 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 0 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ❑ 7. Exhaust fan systems have back draft or automatic dampers. ❑ 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. b Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ 10. Flexible ducts cannot have porous inner cores. , J 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 manufacti.ired 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 -1R) 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) ALL DESERT PLUMB HEATING A/C Responsible Person's Name: Responsible Person's Signature: Edward Reyes Edward Reyes CSLB License: Date Signed: Position With Company (Title): 811885 6/10/2014 Reg: 214-A0042596A-M0400001A-0000 Registration Date/Time: 2014/06/11 20:08:45 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 e� IN STALLATI ON CERTI FI CATE CF-6R-MECH-21-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 154-635[Avenida[Bermudas, ClLa[Quinta[CAC92253CQSystem [City CdfCdaCQluinta C14-756 1) n Enter [QheMuctMystem [Nam e[OrUdentification/ Tag: [Sy stem 1 EnteritheCDuctCSystemULocation[mr[AreacServed..-Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. U This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. 0 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 Leakaoe Diagnostic Test - existinq duct system Selectmnemompliancemn ethodttrom mhetbollowingdourmhoices. ®m . mAeasuredmeakageWssmhan d5% mfifian Now O12.mAeasured MeakagemoMut sidemessmhan[110%mf[Fan [Flow 0 0 ❑ S.[ReducemeakageMy050%mndCronductismoke®nddixmllmeaks ❑m.( ix[BIImccessiblemeaksmsingmmoke[andmiERSmaterckerify 0 Note: 0Onemf[Options0l,c2®r12mnustcbe[attemptedibefore autilizing0Dption [4.)❑ Determin emomin al cFan iFlowmsingmne mf mhedollowingahreemalculation mnethods. ❑ ✓(M[Coolingmystem anethod: [Sizemfmon den seritrii'ons❑ 3.5 m[400Q ❑ 1400 OCFMO d:121.7mc ✓tfl0leat ingmystemmnett ODutput[CapactydmdhousanrdsmfWWIhr[*o OCFM ✓iOcmeasured [system [Bi rfIowmsing cRA3.3[nirflow mestiprocedures: o oCFMO Option lmsedmhen: 1❑ Allowedmeakagea t$an❑airflow0 1400 m[ID.15a ❑ 210 oCFM Actualmeakagelt ❑ 1 37 oCFM❑ Pass if Actual Leakage is less than Allowed leakage ®[Pass(O[Failo Option lmsedmhen: 20 Allow edmeakageu iFan[Airflowtj_CKdl.10[; oCFM Actual fteakagemomutsidea a [CFMo Pass if Actual leakage to outside is less than Allowed leakage Ei[1PassuFail❑ Option 3msedmhen: Initialmeakage.tpriormo(Btartabfmdork[r-o [CFM Final [teakage[2fterEtealing[all [accessible [ L'eaks[osing[smoke [test C- [ COFM 30 Init ial[teakage[7 ❑[Final[I'eakage0 [T[ICeakage[deductiono CCFM ((Leakagellieduction[ [ACtnitial(I'eakage❑_)G ElOO D: 11 % [Reduction Pass if % Reduction — 60% 0[Passl][Fail❑ Option 411used[then: 40 All MccessibleGeaks1flepairedPusingIsm oke[test.❑iERS[dater[M, ustCverifyCQNo[Sampiing). Pass if all accessible leaks have been repaired using smoke E]EPass[][Fail❑ Reg: 214-A0042596A-M2100001A-0000 Registration Date/Time: 2014/06/11 20:06:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 I NSTALLATI ON CERTI FI CATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address; 154-635[Avenida [Bermudas,m.aLQuintaLCA[g2253CQSystem Enforcement Agency: Permit Number: 1) WityEWEILaEQuinta [I4-756 ®Outside:air'(OA).duct s.for Cent ral.Fan(Integrated:(CFI)lventilat !on isystems,ishall;not;be,sealed/t aped ioff during -duct: leakage.testing..CFI ,OA,ducts,that( utilize;controlled !motorized,dampers,,that!openfon lylwhenlOA ventilation is required to. meet.ASHRAE,Stan dard.62.2,[and [close,when:OAtventilation. is, not. required,. may be configured..to,the closed. posit ion.during:duct) leakage it est ing. 16All,supplyfand!return register'.boots,must.beisealecilto theidrywailiif;smoke,test.is:utilized.fortcompliance —.applies to:duct leakage.complianceLopt!on 3 (leakage reductionlby.60%) andloption 41(fix.alltaccessible leaks); described. above.! ®New duct.ihstallatIon srcannot,utilize,building cavities asfplenums,or.platformlreturns in lieulof.ducts. ®Mastic and draw bands.must:be.used.in.combination'wit h.cloth.backed,rubber.adhesive.duct!tape.toi seal leaks at all.new duct connections DECLARATI ON STATEMENT . I iRertifymnderipenalty®fqDerjury,oundermhellawsMfmhe[$tatemfWalifornia,[the mnformationiprovidedEmn(1hismorm tnsmrue®ndlaorrect. • I ®m[aiigiblemnder®ivisionEll mf[Bhefusinessmnd(Prof essionsoCodemo®cceptmesponsibility(MorMonstruction,®r®n®uthorized representative ®f [the qDerson 13esponsibieIgor monstruction Wresponsible [person) . • IMertify[Bhat0he[lnstalled[teatufeS,®n aterials,mom ponents,Mrim anufacturedRlevicesiDdentifled ®nMills mertificateothe(Installation) conforms lDoMil ®pplicable[lode s®nd(leg ulatIons, ®ndOne Ghstallationclis¢onsistent Ckith10he [plans ®nd[Bpecifications ®p proved®y®he , enforcementfdgency. • ICunderstand (that WHERS[eater13Will [Check [the[installation[to Cverify Ecompliance,[And Uhat[that [if Esu chC@heckingUdentifiesCdlefects,rDcam req uired[to[takemorrective[iction C2tdnyCexpense. GEul nderstand[that [Energy [Commission [and [HERS[provider[tepresentativesCwillGalso . perform CqualityCassuran ce[Checking[bfRnstallations, [including [thosetbpproved Ms[Part Cbf Ga [Sam plelg roup [but [hot Lehecked [by L -a [HERS rater, C2ndRfGhoseGnstallation s[Lail[to¢Meat [theUequirements[bf[such (qualityCassuranceLthecking, [thei1equiredCCorrectiveMction [and '` , add ition al[check ing/ testing CbfWherCnstallationsCinUhatCHERSCSam pleCgroup[will[be[performadEat [My Caxpen se. ❑ • ICdeviewedCaCcopy[bf[the[CertificateCofMom pliance[QCF-1R)(form Eapproved[by (theCenforcemant Cagency [that GdentifiesRheMpecific requirem entsuor[the[installation.EtCCertify[that Ghedequirements[detailedEon [the[CF-1 RCthat[apply [to [the [Installation [bave[beenUnat. • 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. [8[will Len sure[that[all[tnstallation [Certificates[will [Corn e[EromMCHERS[providerCdata registry[LorRn ultiple[brientation[Alternatives,[Andmeginning[OctoberCl,(2010,[tortbli[Low-rise Residential[buildings. Com pany[Name: CQ I nstalling [Subcontract or[brCGeneralCContractor[br[Builder/Owner) ❑ ALL DESERT PLUMB HEATI NG A/ C ResponsibleCPerson's(Name: Responsible[Person's[Signature: Edward Reyes Edward Reyes CSLB[1License: Date[Signed: 16/10/2014 Position LWith[CompanyCQTitle): .811885 IsithisifnstallationiTnonitored[by[aLThird[fParty[Ouality Name [bfLTPQCPCQif®pplicable): Control [Program CQTPQCP)?®pLYes[II>®01No ❑ 0 Reg: 214-A0042596A-M2100001A-0000 Registration Date/Time: 2014/06/11 20:06:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010