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13-0119 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000119 Property Address: 44645 BLAZING STAR TR APN: 604-252-002-22 -24208' Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6800 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT Owner: JOCELYNE MO: I 44645 BLAZING STAR LA QUINTA, CA 92253 BUILDING PERMIT IJCENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty oXhne that c used under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ss nd ro essionaisCe, and my License is in full force and effect. Licensse C ss? C20 LicenseNo.: 874583 Cr. C� 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 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, 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 contractods) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Contractor: ALL ABOUT AIR PO BOX 5936 LA QUINTA, CA 92248 (760)578-7913 Lic. No.: 874583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/05/13 D Q � F0 6 2013 CITY OF LA QUINTA CIIJA CE DEPT— 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 ssued. 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 NORGUARD INS Policy Number ROWC351815 I certify that, in the Zperfore of the work for which this permit is issued, I shall not employ any person in any mao become su j' to the workers' compensation laws of California, and agree that, icomes je tot a workers' compensation provisions of Section 3700 of the Laball fort wit co ply with those provisions. Date: Applicant: WARNING: 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 threy ove information is correct. I agree to comply with all city and ounty ordinances and state laws relating toconstru 'o , a d hereby authorize representatives of this c untyt3enu er upon the above-mentioned prr inspec o puroses. i Dat Sig tura (Applicant or Agent): Application Number . . . . . 13-00000119 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation 0 Expiration Date 8/04/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00. 1.00 16.5000 EA MECH B/C >3-1.5HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments. REPLACE EXISTING 4 TON FURNACE AND CONDENSOR. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . ... BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Permit Fee Total 40.50 Plan Check Total 10.13 Other Fee Total 1.00 Grand Total 51.63 LQPERMIT Paid Credited Due .00 .00 40.50 .00 .00 10.13 .00 .00 1.00 .00 .60 51.63 Bln.� Submittal Address: Crty Of LCI QU(fltd City, ST, Zip: Telephone: &dkgng ac Safety Duston Perrrltf # Project type (code one): New Add'n Alta Repair Demo Name of Coatesx Person: P.O. Box (504;'76.495 Calle Tampkc 1A Q&Ita, CA 92253 -:(760) 777-7012 l Estimated Value of Pfoject: Building Permit Application' and Tracking Sheet Project Adacess .77 G YS Ownces Name:. A. P: Number Address: Legal Dewiption: _n City, ST, Zip: Contractor. / / v Tdephoae: Address: U �/ G( Projea Description: 1' ''� Review; ready for eom"donslissuc Developer impact Fee Planning Approval Telephone M-1 9 j3 Pub. Wb. Appr State Lic. 6: �3 4 1 City Lie 4, Arch- PAU, Designer Submittal Address: City, ST, Zip: Telephone: Construction Type:. Occupancy: State Lii. 9: Project type (code one): New Add'n Alta Repair Demo Name of Coatesx Person: Sq. Ft: S Stories p Units: Tdephoae 9 of Coated Person: Estimated Value of Pfoject: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rev'd TRACIMG PERMIT FES$ Plan Ckockk sabmltted Item Ataouat Plan Seb Slrudafal Cala. Revkrrod, ready for corrections Plan Chock Deposit. 'Itvss Coles. Called Contact Pcesoa Plan Cheek Salanee. Tide 24 Cala. Plant picked up Contraction ' Flood plain plan Plans resubmitted Mabariiral Giad1n; plan 2' .Review, ready for correWon liissae Electrical Sabcoatavw Lkt Called Contact Person Plumbing Groat Deed Pians picked up SAU MO.& Approval Plansresubmitted Grading IN Holz&--- ''� Review; ready for eom"donslissuc Developer impact Fee Planning Approval Called Contact Person A -I -P -P. Pub. Wb. Appr Date of permit Issue Scbool Feu Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 44645 BLAZING STAR La Quinta, CA 92253 City of La Quinta Feb 5, 2013 Duct insulation Conditioned Floor - Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 80% ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 16.0 [3HSPF [I R 8 (CZ 14-15) 1600 sf If not already present, must be H Condensing Unit [I EER [3 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-1R and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For. Paskaged Units- leakage -; 15 -Quet peFe@fk- 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 inaor Changeout with`' new ducts: (all new CF-6R forms. MECH-04, MECH-20' HERS rand (for` split systems) MECH-22-HERS, and ducting and all new MECH=251HERS .� ; CF-4R forms: M0, and (for split s) CH-25 l ECH-2systems) MECH-22, and ME � equipment) _,o Fes. . �/ ./ % 4 �. _. / a a r / 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/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. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 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-4R 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: Roman Diaz Signature: Roman Diaz Company: ALL ABOUT AIR Date: Feb 5, 2013 Address: PO BOX 5936 License: 874583 City/State/Zip: LA QUINTA / CA / 92248 Phone: (760) 578-7913 Reg: 213-A0007729A-000000000-0000 Registration Date/Time: 2013/02/05 18:33:47' HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 INSTALLATIQN CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: City of La Quinta Permit Number: 13-119 1) Duct R -value Heating Load (kBtu/hr) 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) Split Furnace MAYTAG PGC2TA100CVC1 1 80 AFUE Attic R-4.2 g46 100 kl3tu i 3'. ` b). (} fj pj j} Cooling Equipment Equip Type (package heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (SEER and EER) 1,3 (>=CF -1R value)4 Dud Location (attic, crawl- space, etc.) Dud R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) A/Clit SA4B 048KA t1 13 EER` Attf R-4;2 g46 4 Tons i 3'. ` b). (} fj pj j} 1. If project is new construction, see Footnotes to Standards Table 151-B 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 ( i ) 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 ® §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). ® 5150(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. x 4Q�} Eel Reg: 213-A0007729A-M0400001A-0000 Registration Date/Time: 2013/02/07 11:51:01 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFI.CATE CF-611-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-119 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. ® 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. ® 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 porouslinner cores. T77 ME 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 o 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) All About Air Responsible Person's Name: Responsible Person's Signature: Roman Diaz Roman Diaz CSLB License: Date Signed: Position With Company (Title): 874583 2/5/2013 Reg: 213-A0007729A-M0400001A-0000 Registration Date/Time: 2013/02/07 11:51:01 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: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-119 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 Leakaqe Diagnostic Test - existinq 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 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attemptedrbefore_uti,lizifig, 0ption 4.) Determine nominal Fan Flow using one of the'following three calculation.methods., ✓ ®Cooling•system method: Size of con denser in Tons t 4 x 400 = 1600' :CFM; ✓ rCFM He Sting system m hod`. 21.7 x Output Capacity in Thousands of Btu/hr = f let✓ 13 Measured _s-ysteirtlow using:RA3,3 airFlow testprocedures: CFM_• Option i used then:*=- 1 Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM Actual Leakage = 238 CFM Pass if Actual Leakage is less than Allowed leakage 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 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 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 49 Reg: 213-A0007729A-M2100001A-0000 Registration Date/Time: 2013/02/07 11:51:33 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: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-119 ® 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�ry1�►� y y ® All supply and return register=boots,must begsealed to the drywall if, smoke test is utilized for compliance - appliesi`to�duct leakage compliaP.nce option 3 (leakage reduction by 60%) and option-4!(fix allfaccessible leaks) described above. 1. ® New duct installations ccr annot utilize building cavities as plenumNr 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 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 -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. 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) All About Air Responsible Person's Name: Responsible Person's Signature: Roman Diaz Roman Diaz CSLB License: Date Signed: Position With Company (Title): 874583 2/5/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? p Yes [3 No Reg: 213-A0007729A-M2100001A-0000 Registration Date/Time: 2013/02/07 11:51:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-GR-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quinta 13-119 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ® Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fait STMS -. Sensor_on,the Evaporator Coil_ System Name: oir Identification/rag",) t, , System 1 As - 7 - *ti 71 j _ T , 17 l r 3 ❑ Yes D N+o� The sensor is fact orylristalled, or field installed according to manufacturer's specifications, or is installed by metthods/specificattii-o-ns approved by the Executive r.'*.": ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director._ 4 .E {; ,� ,f�� %!p &` The sensor wire is terminated with.a standard mini plug suitable for connection to a7 4 p Yes No digital thermomet&.-The,senso�.mini plug,is accessible to the installing techgicia'n ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow t1irough the condenser coil' 5 1 ❑ Yes 1 ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not V ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes 1 ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail K 4J Reg: 213-A0007729A-M2500001A-0000 Registration Date/Time: 2013/02/07 11:57:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HER! Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5' Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 _7City of La Quinta 13-119 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag System 1 (must be re -calibrated monthly) Date of Ther ocouple�Calibration77 - Y 1'/15/3013 System Location or Area Served Whole House r / ! ! i '. Outdoor Unit Serial # PSD120606900 4 Outdoor Unit Make MAYTAG Outdoor Unit Model PSA4BF048KA Nominal Cooling Capacity Btu/hr 46000 Date of Verification 2/5/2013 Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration 1/15/2013 (must be re -calibrated monthly) Date of Ther ocouple�Calibration77 - Y 1'/15/3013 (must be re -calibrated monthly) r / ! ! i '. pleasured Temperatures'(,- F) I l I c .. f -aze7 1. �1 -tel" 1 � L \ S System Name or Identification/Tag- System'1 «r - d., a ' 1 Supply (evaporator leaving) -air dry-bulb B5 :'—~-_' 4 temperature (Tsupply, db) Return (evaporator entering) air dry-bulb �� temperature (Treturn, db) Return (evaporator entering) air wet -bulb 59.8 temperature p ( Treturn, wb) Evaporator saturation temperature 41.5 (Tevaporator, sat) Condensor saturation temperature 91.6 (Tcondensor, sat) Suction line temperature (Tsuction) 54 Liquid Line Temperature (Tliquid) 83 Condenser (entering) air dry-bulb 80 temperature (Tcondenser, db) 0A Reg: 213-A0007729A-M2500001A-0000 Registration Date/Time: 2013/02/07 11:57:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-.6R-MECH-2S-HER5 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of S, Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 1 City of La Quinta 13-119 Minimum Airflow Reauirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 Calculate: Actual Temperature Split = Treturn, 22.00 db - Tsupply, db Target Temperature Split from Table RA3.2-3 21.5 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - 0.5 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -100°F Enter Pass or Faill Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System Name='or Identification/Tag ^� System 1- rG j Y Calculated Minimum Airflow Requirement (CFM) Measured Airflow;us ng "3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fail. Reg: 213-A0007729A-M2500001A-0000 Registration Date/Time: 2013/02/07 11:57:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Fors August 2009 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) SiteAddress: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quinta 13-119 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = 8.6 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 10 Calculate difference: -1.4 Actual Subcooling - Target Subcooling = System passes if difference is between -3°F and +3°F PASS IVI? r7y Enter Pass or Fail 1' ; ,/ f Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Superheat = 12.5 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's specification is not available) System passes:if-actual'superheat is-within.:the' allowable superheat range PASS IVI? r7y .,Enter Pass or Fai 1' ; ,/ f 11) Reg: 213-A0007729A-M2500001A-0000 Registration Date/Time: 2013/02/07 11:57:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site ddress: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quinta 13-119 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: Date Signed: Position With Com an P Y (Title): System meets all refrigerant charge and airflow 2/5/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): requirements. PASS Enter Pass or Fail 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 -111) 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) All About Air Responsible Person's Name: Responsible Person's Signature.: Roman Diaz Roman Diaz CSLB License: Date Signed: Position With Com an P Y (Title): 874583 2/5/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 213-A0007729A-M2500001A-0000 Registration Date/Time: 2013/02/07 11:57:33 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 FEB -07-2013 THU 02:35 PM `i • nusscu SIGM mcaua 9702 West Tonto Street sigrIer PO Box 920 » Tolleson. AZ 85353 Phone: (623) 388 - 5900 'CA Phone: (794) 578.5900 Wba/esale distributors Phoenix • Las Vegas • Albuquerque • Tucson • EI Peso • Gilbert Tempe • Yuma • Boise • Cetifomle Bill To ALL ABOUT AIR 49210, PLUMA GRIS PLACE COAGHELLA, CA92236 P. 001 Quote Quote Number: SOOPMD13000033 Quote Date., 02/07/2013 Customer: 100658500 Validity Date: Reference: 3,4,5 TON QUOTE . -----�nsp to ALL ABOUT AIR 49219 PLUMA GRIS PLACE COACHELLA, CA92236 Item Description Order Quantity Net Price - Tax let Amount - Tax II PH3GPAA36000 PHP 13S 3T 208-3 1 EA 1 ,842.00 1,842.00 PH3C PAA48000 HEAT PUMP PKG 230/3PH R410A 1 EA 2.065.00 2.066-00 'PH3 PAA60000 PAYNE $TON SHP R410 1 EA 2.245.00 2,245.00 MSMPIOS ADJUSTABLE R00FCURB SM 1 EA 204.00 204.00 MSM i 1DL ADJUSTABLE ROOFCURB LG 2 EA 213.00 426.00 Total: 7,324.56 USD Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-119 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. " Dud Leakaae Diagnostic Test - existina dud system Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow 0 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 9ptiQnsj, 2, or 3 must be attempted�before,utilizing Option,4.),. Determine nominal F6ri Flow using one of-the'following three calculation methods.f: 4-4r *6 Y N z .I" �! d ✓®Cooling system methpody�e�Size condenser in Tonsi 4- x 400=j1600>`CFM✓l7 kFM rxof Heating system method21.7 x Output Capa]{city in Tho/usa]nydsof, Btu/hr = _` { Jf ije ✓ ❑ as re airflow using RA3:3 airflow test,procedures;J_ CFM. ,,� +_ 1 ,7 Option 1 used then: • — - 1 Allowed leakage = Fan Flow 1600 x 0.15 = 240 CFM Actual Leakage = 238 CFM Pass if Leakage Actual is less than Allowed M Pass Fail Option 2 used then: 2 Allowed leakage = Fan Flow x 0.10 = _ CFM Actual Leakage to outside = `CFM Pass if Leakage Actual is less than Allowed 0 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 E3 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: 213-A0007729A-M2100001A-M21A Registration Date/Time: 2013/02/08 14:08:43 HERS 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: 44645 BLAZING STAR, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 13-119 ® 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 suppiy�and return register boots must be sealed to the drywall if,s�moke test is utilazed focompliance — applies'to duct leakage.compliance:option 3 (leakage reduction by 60%) and:option 4 (fix all accessible leaks) described above:*`/ 11 1'' 1.n; a ® New duct installations cannot utlllze'building cavities asfplenum&r platform returns, n lieu of ducts.ico ® 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 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 -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL ABOUT AIR Responsible Person's Name: CSLB License: Roman Diaz 1874583 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798729476 HERS Rater Company Name: ALDCOAir Responsible Rater's Name: Responsible Rater's Signature: Rafael Aldaz Rafael Aldaz Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/5/2013 CC2004690 Reg: 213-A0007729A-M2100001A-M21A Registration Date/Time: 2013/02/08 14:08:43 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quinta 13-119 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 IN Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS - Sensor,om_the,Evaporator Coil ,,,,.....��, ,. .60who._.. System Narrie or Identification/Tag- / /*�. System 1 J="• � ( s-; V 3 I [3 Yes 5 }p No:, • The sensor is factory installed, or}field installed according to manufacturer's. specifications, or jsiinstalled by methods%specificaboris approved bytheExecutive ❑ Yes ❑ No .,A Director.± 4 '41, Yes �j � p No. ., The sensor wire is,terminated with a standard mini plug suitable for connection .to a� ❑ digital'thermometer.�The`senso-r:mini plug'is atcessible to the,installing<fechriician 4 The sensor wire is terminated with a standard mini plug suitable for connection to a and the HERS rater without changing the airflow through the condenser coil 5 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the and the HERS rater without changing the airflow through the condenser coil saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail Q 0 7 Reg: 213-A0007729A-M2500001A-M25A Registration Date/Time: 2013/02/08 14:12:58 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 1 City of La Quinta 13-119 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditionino Svstems System Name or Identification/Tag System 1 (must be re -calibrated monthly) r-._--� �.� ..•..4i�yn: _. Date of ThermocoupleA Calibration 02/01/2013 " tj System Location or Area Served Whole House �� fj Outdoor Unit Serial # PSD120606900 Outdoor Unit Make MAYTAG Outdoor Unit Model PSA4BF048KA Nominal Cooling Capacity Btu/hr 46000 Date of Verification 02/05/2013 caooration or maonostic instruments Date of Refrigerant Gauge Calibration ..JIOA.wti_ � 02/01/2013 '.wTf+w.. ,., rv...•...-_+..-•-..vim-+-� �-•-srrs•e;--.. F (must be re -calibrated monthly) r-._--� �.� ..•..4i�yn: _. Date of ThermocoupleA Calibration 02/01/2013 " tj I (must be! re -calibrated monthly) Measured Temperatures Uff) 1/4 +- i =.`-_Wd J I---( • J ! N -•','E. 9 or fication/Tag System Name Identi Syste m 1 r r �•..` �� fj Supply (evaporator leaving)'air dry-bulb 55. ' temperature (Tsupply, db) Return (evaporator entering) air dry-bulb �� temperature (Treturn, db) Return (evaporator entering) air wet -bulb 59.8 temperature (Treturn, wb) Evaporator saturation temperature 41.5 (Tevaporator, sat) Condensor saturation temperature 91.6 (Tcondensor, sat) Suction line temperature (Tsuction) 54 Liquid Line Temperature (Tliquid) 83 Condenser (entering) air dry-bulb 80 temperature (Tcondenser, db) s Reg: 213-A0007729A-M2500001A-M25A Registration Date/Time: 2013/02/08 14:12:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFI.CATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quinta 13-119 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System i Calculate: Actual Temperature Split = Treturn, 22.00 db - Tsupply, db Target Temperature Split from Table RA3.2-3 21.5 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - 0.5 Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and PASS -100°F Enter Pass or Faill Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) System a e o Identifcation/Tag , f i j� Calculated Minimum AirFl6'rRequi ement.(CFM) Measured `Airflow ;gsing.RA3.3.procedures,(CFM),E; Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice -metering device systems System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail I' 0 D Reg: 213-A0007729A-M2500001A-M25A Registration Date/Time: 2013/02/08 14:12:58 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 1 City of La Quinta 13-119 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = 8.6 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 10 Calculate difference: -1.4 Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +40F PASS r� Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Superheat = 12.5 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 4-25 between 3°F and 26°F if manufacturer's specification is not available) System passes,if actual superheat is-withi,n,the allowable superheat range/� �' PASS r� „� Enter Pass or Fail' Reg: 213-A0007729A-M2500001A-M25A Registration Date/Time: 2013/02/08 14:12:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) 11= Site Address: Enforcement Agency: Permit Number: 44645 BLAZING STAR, La Quinta CA 92253 City of La Quint a 13-119 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 1874583 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verifed dwelling in la HERS sample group requirements. PASS ALDCOAir Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Rafael Aldaz Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/5/2013 CC2004690 t ! t r '''+ `17�a 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 -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 -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL ABOUT AIR Responsible Person's Name: CSLB License: Roman Diaz 1874583 HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwelling ❑ not-tested/verifed dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798729476 HERS Rater Company Name: ALDCOAir Responsible Rater's Name: Responsible Rater's Signature: Rafael Aldaz Rafael Aldaz Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/5/2013 CC2004690 Reg: 213-A0007729A-142500001A-M25A Registration Date/Time: 2013/02/08 14:12:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010