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13-0699 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 13-00000699 45755 CAMINO VISTA 604-440-023-23 -27519 MECHANICAL LOW DENSITY RESIDENTIAL 5000 Architect or Engineer: 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 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. LicenseClass: C20 LicenseNo.: 489046 Dat�i '!' l Contrac� ��b^ ',. - C t.Z OWNER -BUILDER DECLARATION I heLeby 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 ISec. 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work -for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: I,QPERA1IT Owner: ROBERT THOMAS LA QUINTA, CA 92253 ( Contractor: ESSER AIR CONDITIONING & P.O. BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Lic. No.: 489046 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/04/13 eu JUN 04 2013D 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. A�W--I;ave 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 CASTLEPOINT NTL Policy Number WSLTHPE90140303 _ 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 �i 3700 of the Labor Code, I shall forthwith comply with `those provisions. � Date: b' +01 Applica ,),.�-, t� J0 RTN1�� IeAINING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propert �nspection purposes. Date 0 Signature (Applicant,or Agent) la Application Number Permit . Additional desc Permit Fee Issue Date Expiration Date . . . . 13-00000699 MECHANICAL 2013 71.50 12/01/13 Plat Check Fee . . .00 Valuation . . . . 0 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 CHANGE OUT (1) 5 TON/15SEER [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO GBE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. . ----------7----------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERn11T Charged Paid 71.50 .00 .00 .00 139.23 .00 210.73 .00 Credited Due .00 71.50 .00 .00 .00 139.23 .00 210.73 Bin. #City Of La Quinta Building gr Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Pennit Application'and Tracking Sheet Permit # Project Address: yS 7�S C4�f�' o ` Owntx'sName:. �b-/%d- Mol A. P. Number. Address: . Legal Description: City, ST, Zip: Contractor t f $er t r C �ivr. �N Telephone: Address:'3 4(0(0 f 841A,1. .t D/. ProjeetDescripdon: City, sT. zip: rf4ax Vit. 92 z 3 v S -r6.. 5 /, tr s foe" Telephone: 1&0 -3 2 vrf (a. State Lic. 4: Y9110" City Lie, M Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. M Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: •m 77m &ser Sq. Ft--. # Stories: # Units: Telephone # of Contact Person: AP -7 G d TZ !;-C- C) Estimated Value of Ptojee ,g S,twv APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMCr FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. Truss Cala. Called Contact Person Plan Cheek Balance. Title 24 Cabs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechaiilcal Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S M 1 H.O.A. Approval Plans resubmitted Grading M HOUSE:- ''' Review; ready for correctionslissue Developer Impact Fee Ptanning Approval Called Contact Person Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees Prescri five Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 1 of 5 Project Name: Climate Zone # # of Stories Mr. Thomas 115 1 General Information Site Address: 45755 Camino Vista La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 6/4/2013 Building Type El Single Family ❑ Multi Family Circle the Front Orientation: N,Q S, W, or degrees Conditioned Floor Area (CEA): 2100 Project Type: E]Alterations ❑Envelope [I Fenestration [I Roof [I HVAC / ( l oft rn6ro-^^6A%,r*^ 1`i�� eft ft A%n+fin� iA#;.rrkti Replacement or Change Out ❑ Duct Replacement ❑ 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 §150 for 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 7 C D E F G I H I I J Proposed see Note Standard Values From JA4 Table T Framing Thickness Framed Continuous JA4 Proposed Assembl�Name �M��ate�►a`Yl; S�acin", U Jrrk4�,,,,e `Cat%' . - Ios-i lat"ronj Assembly Assembly r4 aRl lWUor pOtlie IDS Tey, e acid S' o falcto Nur r�-' R valde" " Value° Cell Value' U-factor9 - / ( l oft rn6ro-^^6A%,r*^ 1`i�� eft ft A%n+fin� iA#;.rrkti Walls From Reference u ut rU 1WW Ww u %V wkii `wea#u%a 0 444Wry a Joint Appendix Table 4.3.5 4.3.6 43.7 { t1 Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation'4-1. For °calculating furred walls use the Mass and Furring Construction table below'' 1. For Tag//D indicate'the identification name thaimatches the building plans. —�. -- 2. Indicate the Assembly Name or type: Roof/Ceiling, ,Walls, Floors, Slabs, . Crawl Space, Dom,- nb d elt Clndica e the Frain e'type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4ie2x6, or etc... see JA4 for other possible frame typeyasseinn-blies. 3. Enter the thickness for mass in inches or Spacing between framing members "enter 16='or--24=0C or O1herFfo� other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from.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 Ufactor 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 B C 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 43.7 Joint Appendix Table 4.3.13 b H Assembly o > 3 Final Mass Name or JA4 Table a Assemby''U-factorThicknessi Type' Number ,x Comment Registration Number: 313-AO015543A-000000000-0000 Registration Date/Time: 06/04/2013 10:08:58 HERS provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations a e 2 of 5 Project Name: Climate Zone ## of Stories Mr. Thomas 115 il Mass 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 firred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix J44. The equation is the inverse of Column added to Column 1. 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 Din Table 151-C. ❑ Adding more than 50ft7of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package Din Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF- IR -ALT ■ • N1.41"enao ■ "�1 0 ft* �, ,ni i +'t1 d'"�t ft Fenestration tType�and, lrratne� r (1L`d h,�East,� ; �ropsedArea mu 3 , unum NFRC or Default (Window, Glass Door or Skylight) r--- ,:South, West) .ft) „U -factor SHHGC� ■ Value 1. Fenestration area is the area of total glazed prodtrY(i.e. glass plus frame). Exception :"`Wheri a do—oris less than �50% glass, the fenestration area may be the glass area plus a 'T inch frame Naround the glass. 2. Enter value from Component Package D Requirements m Table 151-C. 3. Actual fenestration products installed and as indicated in CFF! -6R -ENV Form shall be equivalent to or have Lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. L—J 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1fopplicable 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 Areal Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area 20 ft 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: 313-A0015543A-000000000-0000 Registration Date/Time: 06/04/2013 10:08:58 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of5) Project Name: Climate Zone # # of Stories Mr. Thomas 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,/12, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1Hi, 152(b)IHii, or 152(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any 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 Roofs 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-*F/3tu 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 If of flee ventilation area of attic ventilation for every 150 112 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 barn rrin the attic meeettiing the rtegepgwre en' �qf §§ 1y51(02;(_0 ry� ❑ Building has no duc sf' i ul welt�� ' or d>�1 l'y+t! IJ! v IJ U SII I! o 11 � a n ❑ In climate zones 10, 11,=13-and,1, R-3 &or_gr eater roof deck insulation aWve vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitc%t <' 11 11 11 � Assoc9 a ❑ Building has no ducts jn`the attic. _ Other Exceptions ❑ Roofing area cw yered byVbuilding-integrated; photovoltaic panels and solar thermal panels=exempt from the below Cool Roof criteria ❑ Roof constructions that have -thermal mass over the roof membrane with at; least 25 lb/1 is exem t•from-the below -Cool Roof criteria Note: If no CRRC-1 labels available,.tliis?compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box"beloW iTExem t froAthe Roofin Products "Cool Roof' Rle uirement:__j,__/__ Roof Slope Product Weight~ Prod ct` ged-Solar 3,4 ` Thermal CRRC Product ID Number < 51b%ftpP- >__SI I __T eZ -Reflectance Emiltance SRI ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.orQ/aroducts/searchphp 2. Indicate the type ofproduct 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(piwtia1 — 0.2) to obtain a calculated aged value. Where pis 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 hl62:/hvww.enerjzv.cagov/title24/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 recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating T Cement -Based Roof Coating 113 Other Registration Number: 313-A0015543A-000000000-0000 Registration Date/Time: 06/04/2013 10:08:58 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 4 of 5 Project Name: Climate Zone # # of Stories Mr. Thomas 15 1 HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwellin'g.DHW heaters must be =underground gas or propane fired, and may not exceed 0 gallons Hol water pipe insulation from th DHW heater to the kitchen(s) all underground Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity',,' AFUE or HSPF Type and Location R -Value Type Space, Package or H dronic Furnace, AFUE Ducted, NonSetBack Split System Capacity (gal) ,Terffciency -Value 3Ty 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 §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -/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 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc) Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Ca aci �-2 COP) Type and Location R -Value Type Space, Package or H dronic AirConditioner �. 15 SEER P Ducted„ �,� NonSetBack Split tuaif irnua �Ouuuuun j retauu-maju-Mia 1. Indicate Cooling Type,(A/C,-Heatpump,{E`vap` ooling, etc) 0 �t 1 t d .. iii" 1 f �"° l�'s"��"!, P *m-- L1 -.:- t� ^ � `i I�►14f 1� :A'rF PA% 2. Refer to the HERSAPerificatio Page T nal and.check_ap hcable boxes. Asection on of thI .]R= Form for ad4di require2ne�nts 3. Indicate Type or Location -(Ducts, -Hdronic in Ftloor,-Radiators, etc. WATER HEATING \ List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwellin'g.DHW heaters must be =underground gas or propane fired, and may not exceed 0 gallons Hol water pipe insulation from th DHW heater to the kitchen(s) all underground hot water pipes is required in all com onent acka es -in all climate zones. �� abut Number -`vTan)t� Energy External Tank Water Heater Type/Fuel Di on Type In acF for or Insulation (Standard, Recirculatin )z System Capacity (gal) ,Terffciency -Value 3Ty t� ............ 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 tcation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 (02 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 13 YES ONO YES: Slab edea insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES O 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. 313-A0015543A-000000000-0000 Registration Date/Time: 06/04/2013 10:08:58 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone # # of Stories Mr. Thomas 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 -4R 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. 0 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)1Dii and the newly installed ducts are to be insulated per §151(010. ❑ 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. 0 YES 0 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 fiunace heat exchanger) the ducts are to be sealed per § 152(b)1 E. 0 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. 0 YES 0 NO NES: IniClimate Zones,2 and 8-15, when,the existing HVA,r- e ui ment is replaced (including the replacement of the air bandler�ou"t"`oc�'r concleris ni g mit ofplit system A� G or'xh`eat pump,cooli g o heatingil, or the furnace heat �u rd w re !� L__ b l o w V Q*u I carr iw U Ia-, 60 V �r Q r� exchanger) a refrigerant charge measurement shall'be verified per I;52(b)IF. Central Fan Integrated (CFI)*V�entilatiori S stem" anil�LAQ_kJa i ila ll t IN 1Y Y.,x ',0 - The ventilation reuirements of §150(0)_do not apply to existing residential homes. Ducted Split Systems -tAir Conditioners and{Heat Pumpsc Airflow `'HERS verificat onais required for this measure. YES NO YES: U Climate Zones 10 through 15, when the existing space-conditioni a g syst (HVAC equipment and ducting) is re laced, the airflow and' watt draw shall be verified er152(b)1C-i to meet,there uirements of 151(07B. Documentation Author's Declaration Statem net • I certify that this Certificate of Com liance%documenStion is accurate _and`coT2 tete. Name:Tim Esser 1 Sagnatwe. Tim Esser I Comp any: Esser Air Conditining ---` -" - - Die' 6/4/2013 Address: 36665 bankside Dr,Drive OFC,OFFICE If Applicable 13CEA or UCEPE (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 rmitlication. Name: Tim Esser Signature: Tim Esser Company: Esser Air Conditining Date: 6/4/2013 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: 313-A0015543A-000000000-0000 Registration Date/Time: 06/04/2013 10:08:58 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009