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0308-038 (BLCK)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class/ Exp. Date 786919 B Hic //;/. %%% � r 1,100/2L pate i` t It -2 )Signature of Contractor '//%.! � j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by;_Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier 3'CXF8 FUND Policy No. 229,.03.0013325 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 3700 of the Labor Code', I shall forthy'ith comply with those proovi'sione Date: VXX ��i..ApplicantZ, Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for #'-permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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;lland State laws relating to the building construction, and hereby authOHZBe reXsentatives of this City to enter upon the above-mentioned property fou�r i �peetl n purposes. / Signature (Owner/Agent) dr,, r Date y:ri': BUILDING PERMIT PERMIT" DATE VALUATION LOT 03084Y39 TRACT 081W120C $5,4W.00 JOB SITE ,+' APN ADDRESS 52-612 C.41 --KI I.LA Ci3URr - OWNER CONTRACTOR / DESIGNER / EN (NEER MCK moRRow PA.DL GOL Dk rd CONnRWJ(T .0X, INC. PALM DEMN CA 92260 (760,N,776-4215 CE10 57187 USE OF PERMIT GENnAL B`MLD7NG 218 L,I� 6' HLOC3KWALI.g CITY 'S'I'I9NDA:fti•J 6 FT, WALL 218.00 LF n-nMATED COST OF coli5imu4:vd off PEPIVIIET ITT -C S C.119UIARY 0914 li'RI.IGT1011 F"&??-- 101-000-418.000 V1100 FAUG' 05 200311 CITY OF LA CUINTA FINANCE DEPT. 0 5.450.00 SUB-T%W. Al , COMMUC117CIII AbTD PLAN C.FiFAX $81.00 3232 PRE -PAM 3t` .9 $O,OD RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION I DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts 1 Forms & Footings Ducts f Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. 1 Framing Compressor 1 Insulation Vents Fireplace P.L. a Grills Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines 1 Party Wall Firewall 1 Exterior Lath Drywall - Int. Lath I 1 1 Final Final BLOCKWALL APPROVALS steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric I Underground Plbg. Test , Final - % H Gas Piping PLUMBING APPROVALS Gas Test Electric Final i I Waste Lines Heater Final Water Piping Plumbing Final . Plumbing Top Out Equipment Enclosure Shower Pans OX for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping i Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final . Utility Notice (Perm) COMMENTS: 102) /2 (/a A2ewet_ wt, . _ F� r ' /[ �� G W l L vt I i I ESPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED �Oy ❑ REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY 0 POST TENSIONED 0 ASPHALT ❑ REINFORCED MASONRY RETE ❑ FIRE PROOFING ❑(P [OTHER ��� LW JOB LOCATION„ ' I i 1 //tV1 ` REPORT SEQUENCE N0. TYPEOFO�TURE �A PERMIT NO. DA DAY OF WEEK MATERIAL DESCRIPTION -� �_ _ Q_ 1 �C H'X"') ARCHITECT© ^ l/o 'Ho Pr INSPECTOR ` HRS. CHARGED ^ g FGA cam, ENGINEER 1\ K, ASSISTANTS HRS. CHARGED DATE INSPECTION GENEL - ^ CONTRACTOR PA V ` f-7vLvJ fij CONTRACTOR W(4 L T pp �S 0 3S 6 -LC- 6S l w @� P� S Q�Lv, t 4� � ( /-7 ” '�1-f d— ZT14C� 1 g�E' t Gt4Tt �cv�\ c)-( UOJr _ {M•o wt e � 5 �'e N SN -j CP la -j�ot.."� Ng:� L�LJp 3� ! �� c.� • ��e 3 G — mo'SOO P LL) e t__14 t W G Cfj wt, ,IL-6�� �� S M 4 F L fNt (A :So.3 J-p0-tkes P,4 a:n+-Sy S �- u o f COPY SENT TO CLIENT O CONTINUED OMT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV " S N UR OF REGISTERED I PECTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. DA OF R PORT REGISTER NUMBER r a C. SS FARIMCUMN NEW Hein lie: Job UM: �V10 RQ 6U) Rem Job No. . s� C �`�S fta Me: P MT4-'7o CJS U 19 a t A c r ' RA& -Ai, *Materials and weldments conform to plans and specifications and RISC, and AWS Dl.l wooer■���m������ NMI 111 ImImmimIm IMHU111111111111111 NMI MEN MEOCkIN1111011111 Mims MEN NMI MEFMI NMI 111 =11111111EN111111 NMI 111 *Materials and weldments conform to plans and specifications and RISC, and AWS Dl.l REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION` r ,n f ` ` µ` �r`n ., REPORT SEOVENCE NO. TYPE OF STRUCTURE, MD T 'yr sl PERMIT NO. O'ZD DATE b -2q-oZ DAY OF WEEK MATERIAL DESCRIPTION ARCHITECT INSPECTOR 9-, >- Z> HRS. CHARGED ENGINEER 6 I StAKMADEH ASSISTANTS HRS. CHARGED INSPECTION DATE,,1_CONTRACTOR GENERAL ' SUB w �� CONTRACTOR P, ` 'ttv 'P"e-pL em S' ' o D e t)eo( -j) a --5 P 5`( uE 6LL,w,p `. COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE ❑ PAGE l OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED I PECTOR 10 - L -f -b I- a4p 1111-'M4 DATE OF REPORT REGISTER NUMBFR SPECIAL INSPECTION SERVICE REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION CAV)W e 1 j 'jt ` ` . N�� 1`I LA Lt REPORT SEQUENCE NO. ERMIT N0. ,e^ � TYPE OF STRUCTURE � � 1 1 • DATE ^ ^ DAV OF WEEK MATERIAL DESCRIPTION � � � ARC�;C o� k KC c 6 C_INSPECTOR c 1VV� n J.7 , NRS. CHARGED ENGINE n„ � ASSISTANTS MRS. CHARGED INSPECTION GENERAL �� e r i" C CONTRACTOR i DATE CONTRACTOR V �lcJ A`Q� hon PG9- P v ` A -LA, 0 � � lit, l✓ � \1( 13 ZATMa 5t etAC,TU70 ONL--, ( OT - DQ, InZ�S'— END NOT - (A 6r co Q e -S 0 w�u (A COPY SENT TO CLIENT 0 CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M1% KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED ECTOR It— 7--(Y& III1320-N DATE OF REPORT REGISTER NUMBER QPM DES F'�l RECEIVED . NOV 2 5 2002 • REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER REINFORCED MASONRY O FIRE PROOFING JOB LOCATION ^ ( �1 s A tQ-r lam'\ ` REPORT SEQUENCE N0. TYPE OF STRUCTUREG _ Qyp C `1 ni PERMIT NO. O'LD b 03 DATE 2 ib -"at OZ- DAY OF WEEK MATERIAL MATERIoAI &Rppe�ESCRIPTION V«� ARCHITECT oc �/or/ - RSSOc, ��;> INSPECTOR HRS. CHARGED ENGINEER � QH l` ASSISTANTS HRS. CHARGED DATE EGTION GENERAL SUB CONTRACTOR &L'D .� ) OZO T / CONTRACTOR t0-�1-a2. he>OSE " I va—� P, M cAi `-f qDR E7p—tpq - t�l��i-- iM EK( 2 -GUM tit 0b0 t.21 i) PST 6iD - �: MOIL M �aNM Noe�`-b Z>PtGlr-- ��l,l✓ 'P4&S� LrO 16TUEFlOe-ri-I 040 HE V I( 66 u FPAAC-,�-- lu-3t-p 0----5 01,-k r LV5T i0 bar IQr c*3dZ O (r- G-kLxn�kms, d u+cWS FLACZQ 'films 2 y " -rb T "e OL/-- 4:7Vp&k 6a w;�-'e 0,00 5rP-uc-TSID 00107 8Er- OF 3 L -,A- AJ02TRe- Te&7- d 1lu`N VG -RS REQQ �- ,�,,� COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE ❑ PAGE 1 OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M`% KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. _ v ITT�uva_� SIGNATURE OF REGISTERE)INSPECTOR DATE OF REPORT REGISTER NUMBFR 4oN�OV DESECEIVED 2 5 2002 REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. alm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ ❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER ❑ REINFORCED MASONRY ❑ FIRE PROOFING JOB LOCATION Olt (' 6At4' I V► i L.'L'A LA 0 utwt1y rA REPORT SEQUENCE NO. TYPE OF STRUCTURE tomm I MORRotD 2jes ( fi ion PERMIT NO. 1120 •- 03 DATE Ib- 1,9 -Dl - DAY OF WEEK MATERIAL DESCRIPTION ZXB I GP. ARCHITECT ©CNOA RgSoe, INSPECTOR �I`17� MRS. CHARGED ENGINEER o�IC ssoC . I�� �h�- ii ASSISTANTS MRS. CHARGED INSPECTION GENECONTRACTOR DtA 6T/ CONTRACTOR L SUB �O 6-k IR -r DATE P iu� O 5 i u yes As .2 le-l'R T ` 9lam. (;L NICT15 Y RTi e[c. `o kv-t-/S n r\j,6t3T-Gip-, es !y. l , 5901-c 1 u R \16Eh L, Co e-c,s tlW 86 PUALEID i (X t4 2 l/q I Z Ll 51c4 " a 5 CA8 (,AP 8AR5 a GPf D U -C ON D . At, \1E bAC. i`l0'C6 : 6'4X[ E Ll -W-5 ARFbpre wirg til • . 7 .a Cm f3eT0 Lo ri`DA( Wt -::- PIA b3 5 � f� =2 ' " U, 6 i,6 -6h16- EfO L5o T— ,a po 6t'ry o(-[ ,'. p �: N ri e : FCR C15D -2--z&4 e96-;bogF— 1Eo F -t Z Tb I Qrt- e opt#CS6 (� EATE�p e, -r 8 i�► ! `Ck&NA"T-Iq Pva Fol?, alp - ID v- k L-3 X C� atJ ukl� '` 3p` a Pzl0Qp4 090V FN D Pt,Atll goLATL4 wN-� AutLa- 1-t s' " N'30 IFA5'rT.) S !lQ A t - C�T2uc- TWU OF °� E�A� �:to� r✓ COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE OP p — lo---� OF I I ( j CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF M`% KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. t t A SIGNATURE OF REGISTERED SPECTOR .0 -- o -z— --t7c-&a [111 I DATE OF REPORT REGISTER NUMBER REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ POST TENSIONED CONCRETE REINFORCED MASONRY ❑ STRUCT. STEEL ASSEMBLY ❑ ASPHALT ❑ FIRE PROOFING ❑ ❑ OTHER J08 LOCATION �/� .. �� /p ,� ^ /�� q najk/r (N/.00..L�1.• REPORT SEQUENCE N0. TYPE OF STRUCTUREG EWD N6 �g R�° DCOOMS PERMIT ®lob -0 3ct DATE `-to -63 DAY OF WEEK MATERIAL DESCRIPTION_,] d{C r ARCHITECT ,n rr ��. INS�jECT Y�l �� HRS. CHARGED ENGINEER A, �`{� ASSISTANTS HRS. CHARGED INSPECTION GENERAL �' GATE ' CONTRACTOR SUB Q /�/) /� T- M �686N I k CONTRACTOR MWT- /" AA V/SG' 0 lu45® — NOT- -R6Qw P-Ev-_._ �. . ,v 1' 1 A R4 6A/",' ® ,All oek COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i p( 7�kv cjl�o_� SIGNATURE OF REGISTER INSPECT`OOR DATE OF REPORT REGISTER NUMBER ,5�2 FROM FAX NO. :760-346-2549 Jan. 16 2003 07:15AM P1 FEIRO ENGINEERING, ine. Em me1105/l 9Tr c1 L►F�4�4 41 r625 EcieWc Street, Suite C-1 P.O. Box 12980 Palm Desert, GSA. 92255 (760) 34(►W15 (760) 346-2548 Fax www1ciro.aet January 16, 2003 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R A�/7T o 3 Project Title Date Project Address Builder Name Builder Contact Telephone Certifying Signature Firm: Street Address: Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip: HERS RATER COMPLIANCE STATEMENT The house was: -9 Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform reti►ms in lieu of ducts) J0 Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, ribber adhesive duct tape to seal leaks at duct connections. .0 MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM ZY If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ , 7 Check Box for Pass or Fail (Pass% or less) ❑ Pass Fail la THERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has-been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow = Yes ibr both 1 and 2 is a Pass Compliance Forms August 2001 X ❑ Pass Fail ❑ ❑. Pass Fall A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R —Z1or�J & s) dyeL p - �A-710 3 Project Title Date T S—;? -6 � Z A 011 LCL C -L 1-1�61Z&4 (_!ter! v c l , c�✓► Project Address Builder Name Builder Contact , / _ , I ^ A Telephone Plan Number Finn: Street Address: Copies to: Builder, HERS Provider Sample Group Number Sample House Number HERS Provider: City/State/Zip: ti�ir� o E'feC jf� HERS RATE COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -611 (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ,fit MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT • ) Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cf m/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = -3 Check Box for Pass or Fail (Pass=6% or less) 0 ❑ Pass Fail 4% THERMOSTATIC EXPANSION VALVE (TXV) Jb Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R Measured Fan Flow = Yes fbr both 1 and 2 is a Pass Pass Fail ❑ ❑. Pass Fall Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R a� L,O a 3 Project TitleDate � / Project Address Builder Name Builder Contact , I . , ,, A Telephone Plan Number Rater , Certifying Signature Firm: 1 StreetAddress: Copies to: Builder, HERS Provider Sample Group Number Sample House Number HERS Provider: City/State/Zip:1�i� HERS RATER COMPLIANCE STATEMENT The house was: 3$ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with a diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, tubber adhesive duct tape to seal leaks at duct connections. J MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = ' Check Box for Pass or Fail (Pass --6% or less) ❑ Pass Fail *THERMOSTATIC EXPANSION VALVE (TXV) [� Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR. DUCT DESIGN COMPLIANCE CREDIT I ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -IR and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has-been verified. If no TXV, verified fan flow matches design from CF -1R ( } Measured Fan Flow = Yes fbr both 1 and 2 is a Pass Compliance Forms August 2001 Pass Fail ❑ ❑. Pass Fail A-16 f } CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -4R ar-/-144 p�Pr/��P,0L'P �/?D 3 Project Title Date 1°° // Project Address Builder Name Builder Contact , II _ , , /, , Telephone Ie., Certifying Signature Firm: Street Address: Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip:ti/ir-r HERS RATER COMPLIANCE STATEMENT The house was: V Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verificatio. y I certify that the houses identified on this form comply with a diagnostic tested compliance requirements as checked on this form. .14 The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. AV MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM _7T If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = �. Check Box for Pass or Fail (Pass% or less) ❑ Pass Fail 9THERMOSTATIC EXPANSION VALVE (TXV) ILI Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT l ❑ Yes [] No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -IR and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has-been verified. If no TXV, verified fan flow matches design from CF -1R Measured Fan Flow = Yes for both 1 and 2 is a Pass Compliance Forms August 2001 kr. ❑ Pass Fail ❑ ❑. Pass Fail A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R 1(-?IA710 3 Date Project Address Builder Name Builder Contact , / _ _ , I ^ A Telephone Rater Signature Firm: Street Address: Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip:� o QSe.�� ���Z&1Z0 HERS RATER COMPLIANCE STATEMENT The house was: A Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification? I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. J43 The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and dmwbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MUGMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 23 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cf n/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ Check Box for Pass or Fail (Pass% or less) THERMOSTATIC EXPANSION VALVE (TXV) Pass ❑ Fail #Yes ❑ No " Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R ( } Measured Fan Flow = Yes fbr both 1 and 2 is a Pass Pass Fail Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R Ai2y-rr -1 �� s, � e -?1"1. a 3 Project Title Date s�. - 6 1z- CAL)I I c& ct� �Czkd�� Project Address Builder Name Builder Contact , / . _ , / ^ A Telephone Rater =1 Certifying Signature O Date Firm: Street Address: Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip: Z% s, e t?5e�./T����G�/) HERS RATER COMPLIANCE STATEMENT The house was: P� Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the houses identified on this form comply wittffie diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM - If fan flow is calculated as 400cfin/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = Check Box for Pass or Fail (Pass -6% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has-been verified. If no TXV, verified fan flow matches design from CF -1R. ( Measured Fan Flow = Yes fbr both 1 and 2 is a Pass Pass Fail ❑ ❑. Pass Fail Compliance Forms August 2001 A-16 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page i of 7) CF4R I-Rdr-ru14-1 Pe:5 , &aL pglf a 3 Project Title Date Project Address Builder Name Builder Contact , / _ , / ,, A Telephone Plan Number Rater Y lephoge Sample Group Number Signature .1�1 Date . Sample House Number Firm: l Street Address: Copies to: Builder, HERS Provider HERS Provider: City/State/Zip: l Ile, o e1e HERS RATE COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = �. Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail �I THERMOSTATIC EXPANSION VALVE MM Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -IR and design on plan. 2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R { Measured Fan Flow = Yes fbr both 1 and 2 is a Pass t ❑ Pass Fail ❑- ❑. Pass Fall Compliance Forms August 2001 A-16 • •f CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF4R —It%llo,-mM.1 pe � �,f �L� 0 3 Project Title Date �} S -S-;?-- 6 /J— �� I! lel. C'l`-_ f�o��°°���P.�, 4Ijtive- w Project Address Builder Name Builder Contact , / . _ , I r A Telephone Rater Certifying Signature O Date Firm: Street Address: ����z�Cc-(�C"ltC. Copies to: Builder, HERS Provider Plan Number Sample Group Number Sample House Number HERS Provider: City/State/Zip: o e je� C� HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -6R (Installation Certificate. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT �• l Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) 1 Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM _-3_ If fan flow is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = �. Check Box for Pass or Fail (Pass% or less) ❑ PIs Fail THERMOSTATIC EXPANSION VALVE (TXV) Yes ❑ No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ Yes is a pass Is Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1 • ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R { / Measured Fan Flow = ❑' ❑. Yes fbr both 1 and 2 is a Pass Pass Fall Compliance Forms August 2001 A-16 10 CHEERS Project Registry € Page 1 of 2 Califoinla Welcome back, Michael Willeford My Account I Sign Out Rating:I� `� ,.i ;.:.i_.�. ��`ti;!�_lT it?�,�:• Projects Builders Support _� ;. Enter System Test > I Lot 1: Morrow Residence (La Quinta ) Lot: Address: Status: Additional Information: 1 52-612 Cahuilla Ct. Approved Sample Group: 0000001. La Quinta CA, 92253 Update Lot Information Tests for Lot 1 Tested By Test Title Date Pass / Fail Initial / Retest Tested / Sampled System Info 1. Michael Willeford Tested Duct Leakage Sep. 09, 2003 Pass Initial Test Tested 1 of 8 2. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test Tested 1 of 8: 3. Michael Willeford Tested Duct Leakage Sep. 09;.2003 Pass Initial Test Tested 2`of 8 4. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test Tested 2 of 8 5. Michael Willeford Tested Duct Leakage Sep. 09, 2003 Pass Initial Test Tested 3 of 8 6. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test Tested - 3 of 8 7. Michael Willeford Tested Duct Leakage Sep. 09, 2003 Pass Initial Test Tested 4 of 8 8. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test . * Tested 4 of 8 9. Michael Willeford Tested Duct Leakage Sep. 09, 2003 Pass Initial Test Tested 5 of 8 10. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test Tested 5 of 8 11. Michael Willeford Tested Duct Leakage Sep. 09, 2003 Pass Initial Test Tested 6 of 8 12. Michael Willeford Thermostatic Expansion Valve Sep. 09, 2003 Pass Initial Test Tested 6 of 8 http://www.cheersregistry.org/navigator.php?PNav=site&f=Q&C SID=62514 10/22/2003 CHEERS Project Registry 13. Michael Willeford Initial Test 14. Michael Willeford Initial Test 15. Michael Willeford Initial Test 16.: Michael Willeford Initial Test Page 2 of 2 Tested Duct Leakage Sep. 09, 2003 Pass Tested 7 of 8 Thermostatic Expansion Valve Sep. 09, 2003 Pass Tested 7 of 8 Tested Duct Leakage Sep. 09, 2003 Pass Tested 8 of 8 Thermostatic Expansion Valve Sep. 09, 2003 Pass Tested .8 of 8 © 1997 - 2003, California Home Energy Efficiency Rating System Back,to Top http:/%www.cheersrcgistiy.orWnavigator.php?PNav=site&f=Q&CSID=62514 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: I Michael Willeford E Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow ResidenceDate: 2003-09-09 Model/Plan #:Morrow Residence 8 of 8 Tested Duct (F) Tested r Approved as part of a sample Leakage Ri Pass Test Leakage Flow in CFM 136 Duct Leakage Testing Method: r 400 cfm/ton x number of tons Q 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) r Climate zones 8-15: 0.07 x Floor Area Q Climate zones 1-7 & 16: 0.05 x Floor Area r Fan flow if measured in the field Leakage Percentage (100`Test Leakage/Fan Flow) 13.0 Thermostatic (F Tested G Approved as part of a sample Expansion Valve R Pass Add Test >> http://www.cheersregistry.org/adminltests.php?f=A&NoNav=1&PLID=6395 &CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: Michael Willeford � _ Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow Residence Date: 2003-09-09 Model/Plan #:Morrow Residence 7 of 8 Tested Duct r Tested C Approved as part of a sample Leakage Pass Test Leakage Flow in CFM 40 Duct Leakage Testing Method: r 400 cfm/ton x number of tons C; 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) r Climate zones 8-15: 0.07 x Floor Area r Climate zones 1-7 & 16: 0.05 x Floor Area C, Fan flow if measured in the field Leakage Percentage (100"Test Leakage/Fan Flow) 13.3 Thermostatic r Tested r Approved as part of a sample Expansion Valve E Pass Add Test >> http://www.cheersregistry.orgladminitests.php?f--A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: I Michael Willeford IF, - Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow Residence Date: 2003-09-09 Model/Plan #:Morrow Residence 6 of 8 Tested Duct G Tested r Approved as part of a sample Leakage F-1 Pass Test Leakage Flow in CFM 172 I Duct Leakage Testing Method: r 400 cfm/ton x number of tons , 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) C Climate zones 8-15: 0.07 x Floor Area C Climate zones 1-7 & 16: 0.05 x Floor Area G Fan flow if measured in the field Leakage Percentage (100*Test Leakage/Fan Flow) 14.5 s Thermostatic r Tested C) Approved as part of a sample Expansion Valve E Pass Add Test http://www.cheersregistiy.orgladminitests.php?f'--A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater:11 Michael Willefordl= Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow Residence Date: 2003-09-09 Model/Plan #:Morrow Residence 5 of 8 Tested Duct r Tested 0 Approved as part of a sample Leakage rPass Test Leakage Flow in CFM 165�- Duct Leakage Testing Method: r 400 cfm/ton x number of tons r 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) r Climate zones 8-15: 0.07 x Floor Area 0 Climate zones 1-7 & 16: 0.05 x Floor Area r. Fan flow if measured in the field Leakage Percentage (100"Test Leakage/Fan Flow)4.0 =v Thermostatic O Tested r Approved as part of a sample Expansion Valve f?` Pass Add Test >> http://www.cheersregistry.orgladminitests.php?f--A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - C6NMW263496 Override Rater: I Michael Willeford 4-, Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow Residence Date: 2003-09-09 Model/Plan #:Morrow Residence 4 of 8 Tested Duct r Tested (7) Approved as part of a sample Leakage F-' Pass Test Leakage Flow in CFM 178 �qA Duct Leakage Testing Method: r 400 cfm/ton x number of tons C,, 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) C Climate zones 8-15: 0.07 x Floor Area ; Climate zones 1-7 & 16: 0.05 x Floor Area C; Fan flow if measured in the field Leakage Percentage (100"Test Leakage/Fan Flow) 13.9 Thermostatic r Tested C< Approved as part of a sample Expansion Valve f Pass Add Test >> http;//wwy.cheersregistry.orgladminitests.php?f--A&NoNav=1 &PLID=6395&CSID=625 CHEERS Field Verification- Inspection Torm Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: I Michael Willeford s[-rl this option only if you are entering this test for someone else. This element has been pre -selected to you: Leave it as -is if you are entering yourown-test. Project: Morrow ResidenceM Date: ?003-09-09 Model/Plan #:Morrow Residence 3 of 8 Tested Duct C', Tested 0 Approved as part of a sample -Leakage FF .. Pass Test Leakage Flow in CFM 189a Duct Leakage Testing Method: ( .400. cfm/tonx number of ,tons C 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) C Climate zones 8-15: 0.07 x Floor Area r Climate zones 1-7 & 16: 0.05 x Floor Area r Fan flow if measured in the field Leakage Percentage (100*Test Leakage/Fan Flow) 144 Thermostatic CoTested G Approved 'as part of a sample Expansion Valve FT Pass Add Test » http://www.cheersregistry.orgladminitests.php?f'--A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: Michael Willeford L Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow Residence Date: 2003-09-09 Model/Plan #:Morrow Residence 2 of 8 Tested Duct r, Tested r Approved as part of a sample Leakage F�_! Pass Test Leakage Flow in CFM 186 Duct Leakage Testing Method: r 400 cfm/ton x number of tons C 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) C Climate zones 8-15: 0.07 x Floor Area (7 Climate zones 1-7 & 16: 0.05 x Floor Area C Fan flow if measured in the field Leakage Percentage (100*Test Leakage/Fan Flow) 14.3 Thermostatic (: Tested r Approved as part of a sample Expansion Valve EF Pass i Add Test >> http://www.cheersregistry.org/admin/tests.php?f--A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003 CHEERS Field Verification Inspection Form Page 1 of 1 Builder: Golden Construction Rater: Michael Willeford - CCNMW263496 Override Rater: I Michael Willeford Fl- Use this option only if you are entering this test for someone else. This element has been pre -selected to you. Leave it as -is if you are entering your own test. Project: Morrow ResidenceE Date: 2003-09-09 Model/Plan #:Morrow Residence 1 of 8 Tested Duct t) Tested r Approved as part of a sample Leakage F Pass Test Leakage Flow in CFM 174 Duct Leakage Testing Method: r 400 cfm/ton x number of tons 0 21.7 cfm x (Heating Capacity in Thousands of output BTUs/hr) C Climate zones 8-15: 0.07 x Floor Area r Climate zones 1-7 & 16: 0.05 x Floor Area C, Fan flow if measured in the field Leakage Percentage (100*Test Leakage/Fan Flow) 13.7 Thermostatic r Expansion Valve Tested r Approved as part of a sample EE Pass Add Test >> http://www.cheersregistry.orgladminitests.php?f=A&NoNav=1 &PLID=6395&CSID=625 ... 10/22/2003