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12-0765 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 4T2�i:0-0-0'007;6;5= Property Address: 79085 CALLE BRISA APN: 649-450-029- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8100 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KING BILL G 79085 CALLE BRISA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/10/12 Architect or Engineer: Contractor: U ESSER AIR CONDITIONING & T JUL 0 10'1 U P.O. BOX 1636 CATHEDRAL CITY, CA 92235 C�n'OF F1N4 EO (760) 324-0550 /Applicant: r` plIII Lic. No.: 489046 j ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ' Section 7000) of Division 3 of the B ine s and Pro essionals Code, a icense is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided L' nse Cass: o.: 489046 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 1+ Date: 1 40�irXontra.tor:, issued. 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CASTLEPOINT NTL Policy Number WSLTHPE90140302 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I become subject to the workers' compensation provisions of Section 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 byj 3700 of the Lab Code, sha ' h comply with those provisions. Iv /`/ any applicant for a permit -subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: . ate: plicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: wp Lender's Address: t LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information�co.to comply with all city and county ordinances and state laws relating to ildin onstruction, representatives of this co my o enter upon the above-mentioned pr perty in r Date: I� I Signature (Applicant or Agent): Application Number . . . . . 12-00000765 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/06/13 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 >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW 3 TON 16 SEER A/C & HEATING SYSTEM IN EXISTING LOCATION. 2010 CODES. -------------------- ------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total .10.13 .00 .00 10.13. Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT n wn 7 City of La Quinta Building8iSafety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0( wner's Name: '131 LL- t�l J Cf Project Address: -1 0'6 A 5A- A. P. Number: Address: c,2 '6 SA - Legal Legal Description: City, ST, Zip: j-5 Contractor: 6-5,5E;: 3e, c- j elephone: ' . . . . . . . hi C- IMM P, 3>0- -3 Address: Project Description: /,I City, ST, Zip: A - IL /1,i-41lo1e, Telephone: 7Ga 3 PT, 0 f ....... ......... ......... . .......... . . . . ..... 5 ................. State Lic.4: LT-rw-t6 City Lic. Arch., Engr., Designer: Address: City, ST, Zip: ............................... -�ontruction Type: Telephone: ........ Occupancy: ........... . .. .................... ... ........... .. .. . ............. ...... . State Lic. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: T# —Stories: # Units: Telephone # of Contact Person: 12"E'stimated Value of Project: 0 v• c'v' APPLICANT: DO NOT WRITE BELOW THIS LINE ff Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, readv for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. 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 HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ot al Permit Fees Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 1 of 5 Project Name: T1C5ima' le Zone # # of Stories King, Bill 1 General Information Site Address: 79085 Calle Risa La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 7/10/2012 Building Type El Single Family O Multi Family Circle the Front Orientation: NQ S, W, or degrees Conditioned Floor Area (CFA): 1200 Project Type: ❑� Alterations ❑ Envelope []Fenestration []Roof ❑HVAC R� Values Replacement or Chane Out []Duct Re lacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the mandatory minimum insulation value per §1 50for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A -J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C I D E F G I If I I J Proposed See N01e Standard Values From JA4 Table Framing ,a Thickness _ Tag/ Assembly i sine"fgMatdfia-] Sp ca ing, 1 ��U- JA41Table`� Framed Continuous %�Cavity Insulation JA4 Proposed Assembly Assembly ID' or Tt er aiid S�ie2 y or Ot ei�� ` facYor4 Nuu b'ers� l`Rv�alue R� Values Cell Values U -facto? Oft'fr A ^6 a AW hft r N O a U w c r c v Note: Forfurred assemblies, dcc g for Coori inuous � 4latiyn R -value, see Page-JA4-3 and Equ tidn`4, �or`calculatin� Is use the Mass and FurringConstruction table below. i 1. For Tog/1D indicateltheidentification name that) matches the building plans. _} Ils, 2. Indicate the Assembly Name or type: Roof/Ceili g, W Floors, S1abs,,C awl Space, Donors and' etc hdicat Fram'Xype and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4;'2x6, or etc..: see JA4 for other possible frame type,assembli' es 3. Enter the thickness for in inches Spacing between framing members '1'6"or- 24 -"OC Other description mass or enter or for all other assembly such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... r •-� 4. Based on the Climate Zone; enter the Standard U factor frau-Table 151-B, C or D for each different assembly:Name-or-type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A I B I C I D I E F G H I J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6 4.3.7 Joint Appendix Table 4.3.13 r N O a U w c r c v :Dr 0. o FT g U ;, > Fi nal Mass Nameoly JA4 Table v ;, K ' o > Assembll ThidvY� T Number' ¢ > a > U -facto Comment Registration Number: 423.B11233:: 8.111111111.1111 Registration DateTme: 18(2103123!24;52;52 HERSProvider: DCQDB 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of 5 Project Name: Climate Zone # # of Stories King, Bill 115 1 ass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column L Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50ft2 or less of window area —Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50ft7* of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF- IR -ALT � Orientation ow � % all w N r r "►'t� � ea- � � � �,.�54 Fenestration°•Ty_pe1.. Frame { (North jEast, 1 ropsedAre� M itnum Ma�ctmtun NFRC or Default Window, Glass_DoororSkylight) _—, ,South, West ,,ft) „U -,U 3 S,HGC e4 Value 5 �--'' k ---- 1 1. Fenestration area is the area of total glazed product (i. e. glass plus frdme). Exception:''When a doors less than -50% glass, thefenestration area may be the glass area plus a "2 inch frame taround the glass. 2. Enter value from Component Package D Requirements in Table 151 is 3. Actual fenestration products installed and as indicated in CF` 6R-EN,V Form shall be equivalent to or have a(3wer U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. t 1 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1fapplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ft2 of fenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area ftz .20 >_ West Fenestration Area (Required In .05 > CZ's 2,4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 312-A0012299A-000000000-0000 RegistrationDate/Time: 07/10/201213:41:41 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescri tive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 4 of 5 Project Name: Climate Zone # # of Stories King, Bill 15 1 HVAC SYSTEMS - HEATING List water heaters azul boilersfor both domestic hot water; (DHW) heaters and hydronic space heating. Individual dwelling,DHW heaters must be gas or propane fired, and -may -not -exceed 50 gallons Rot water pipe ii-r�sulation from the D1 -1W heater_to the kitchens) and on all underground Minimum Duct or Piping Heater Type/Fuel Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity' 2.3 AFUE or HSPF Location R -Value Type Space, Package or H dronic Furnace, 44000 -Typeand 80 AFUE Ducted, SetBack Split I System Capacity (gal) . The Efficiency R -Value 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §I51(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -1 R -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEERIEER or Distribution Insulation Thermostat (Central, Split, Type and Ca aci i,2 COP) Type and Location R -Value Type Space, Package or H dronic AirConditioner, 36000 a 16 SEER I W%,Ducted;;, "Mo,, SetBack Split urturnia zuiv im � rq�yi"Gid 1. Indicate Cooling Type -(NC, -Heat pump,7Evap: Cooling, etc) - q 1 t� + Ix" 'V" +u aF* h q ±e ate' ^ 0, *t, 2. Refer to the HERSrVerificat�ion�sectionbo Page 4 oQUh F JR AL_"T{Form ff addttibnal requirements�a q_chee applicable boxes. 3. Indicate T e or Location Duc1s,.H dronic in Floor -Radiators, etc) I I I V " V \11*�' _N WATER HEATING" List water heaters azul boilersfor both domestic hot water; (DHW) heaters and hydronic space heating. Individual dwelling,DHW heaters must be gas or propane fired, and -may -not -exceed 50 gallons Rot water pipe ii-r�sulation from the D1 -1W heater_to the kitchens) and on all underground hot water i es is required in all com onent acka es -in all climate zones Heater Type/Fuel Type Energy External Tank Water Distribution z Number In T� acF for or Insulation 3 T(Standard,Recirculatin Type' I System Capacity (gal) . The Efficiency R -Value 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti ication and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151( 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation 17 YES ONO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation 0 YES 13NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation [3 YES 0 NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: 312-A0012299A-000000000-0000 Registration Date/Time: 07/10/2012 13:41:41 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of 5 Project Name: Climate Zone # # of Stories King, Bill 115 1 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000.t , whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §I52(b)1Hi, 1S2(b)IHii, or 1 S2(b)1Hiti. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: Ifany one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. ❑ Cool hoofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2.12) ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2•°FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 fl? of free ventilation area of attic ventilation for every 150 f? of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier the attic meeting the,requirements of §151(f)2;Perform4all ❑ Building has no�duc sf --in tlkw ii M i u i l d i n 4 M ; � .0 w rn �1V r_greater roof deck insulation al5ove.vented attic ❑ In climate zones 10 U.13-and,144 R-3 or greater Exception to §152(b)l'Hiii, Low -slope ro (pitc <"2 12)n.Cto'AQ � I lo i o ❑ Building has no ducts in the attic. of Pp_ l Other Exceptions'w1 11 Roofing area covered by building -integrated; photovol aic panels and solar thermal panels -are exempt from the below Cool Roof criteria. ❑ Roof constructions that have -thermal mass over the roof membrane with atyleast 25 Ib/fi is exem t- omrthe•below-Cool Roof criteria. Note: If no CRRC-1 lhbel is available„this compliance m6thod cannot be used, use the Performance Approach to show conipliance, otherwise, Check the applicable box below if Exem t froAthe Roofing Products "Cool Roof' Rte uirement:_jr-• _/1'_� �1 Roof Slope Product Weight,' Producfn Aged -Solar Thermal CRRC Product ID Number —<_-2-42-->_2:-I-21< 5K/ft2,> 51b%ftZ' �TYW Reflectance1.4 Emi14ance SRIS ❑ ❑ ❑� ❑ ❑k t ❑ ❑ ❑, ❑ 04 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.orgproducts/search.nhD 2. indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(piniliat — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at hht ://www.enerey ca.eovliitle24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: Lecommended ❑ Aluminum -Pigmented Asphalt Roof Coating 113Cement-Based Roof Coating ❑ Other Registration Number: 312-A0012299A-000000000-0000 Registration Date/Time: 07/10/2012 13:41:41 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of Project Name: Climate Zone # # of Stories King, Bill 115 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -41? Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. © YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per § 152(b) ] Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per § 152(b)1 Di. ❑ YES [3 NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §I52(b)IE. C3 EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. YES 0 NO ES: In Climate Zones;2 and 8-]•5, when;the,existing HVAC a uipment is replaced including the replacement of the air q wth ap �r�a" P hr �+ w r. H ^ .mow. r Mi r ## .+[.sr +.� w. �d� U �td�oo�r �eonndens�g un�tt�owa�s�pl�t sy�sfem A/�Go�e�t pq.p,�`�olring or h�eWt(n�g;�l, or the furnace heat =exchan er) a rAi erant charge measurement'slwhMMl 'be verified r 152(b)l F. Central Fan Integrated (CF n•Vyentilation"LSystem]and�Fan Wa Draw, '0�� �' R. 4� on The ventilation requirements of §150 0 _do not apply to existing residential homes. Ducted Split Systems -4Air Conditioners anWHeat Pumps: Airflow ''HERS verificat o •is required for this measure. E3 YES 13 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is re laced, the airflow and fan watt draw shall'be verified per 1�52(b)l -i t meet ;the re uirements of § 151(f)7B. Documentation Author's Declaration Statement `�` **__� % _1 1' I • I certify that this Certificate of Com liance'documentartion is accurate,and coin lete. Name: Tim Esser Signature: Tim Esser 111 n Company: p y' Esser Air Conditining -- Die' 7/10/2012 Address: 36665 bankside Dr,Drive OFC,OFFICE If Applicable 13 CEA or [3CEPE (Certification #): City/State/Zip: Cathedral City California 92234 Phone: 760-324-0550 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Tim Esser Signature: Tim Esser Company: p y: Esser Air Conditining Date: 7/10/2012 Address: 36665 bankside Dr,Drive OFC,OFFICE License: 489046 City/State/Zip: Cathedral City California 92234 Phone: 760-324-0550 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: 312-A0012299A-000000000-0000 Registration Date/Time: 07/10/2012 13:41:41 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009