07-1838 (MECH)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00001838
Property Address:
55801 CONGRESSIONAL
APN:
775-241-053- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2000
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 -C10 License No.: 286936
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds'or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) 1, 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:
Lender's Address:
LQPER11fIT
Owner:
JEFF PAIGE
55-801 CONGRESSIONAL
LA QUINTA, CA 92253
Contractor:
CAVANAUGH ELECTRIC &
83231 HIGHWAY 111
INDIO, CA 92201
(760)347-3608
Lic. No.: 286936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/25/07
D � �
JUN 252007
I -
CiTV OF LA QUINTA'
FINANCE C)l�c1aV
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier ENDURANCE WC Policy Number WEN0014468-01
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 forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. l.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 property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . 07-00001838
Permit MECHANICAL
Additional desc ...
Permit Fee . . . . 42.00
Plan Check Fee
10.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 12/22/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 9.0000 EA MECH
APPL
REP/ALT/ADD
9.00
1.00 9.0000 EA MECH
B/C
<=3HP/100K BTU
9.00
--------------------------------------------------.--------------------------
Special Notes and Comments
HVAC SYSTEM CHANGE OUT - 13 SEER/2005
ENERGY. THIS PERMIT DOES NOT INCLUDE
DUCTS, DUCTS TO REMAIN. June 25,
2007
10:26:32 AM AORTEGA
Fee summary Charged
--------------------
Paid
Credited
--------------------
Due
-----------------
Permit Fee Total 42.00
.00 .00
42.00
Plan Check Total 10.50
.00 .00
10.50
Grand Total 52.50
.00 .00
52.50
LQPERAIIT-
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
01 10 1000
Project ddress: 55 — Sol
Owner's Name:. Je FF' Pd� g
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: Ca✓;�na h F LQ c +Pei G f A101A/tom
Telephone:
Address: —;731
Project Description:
City, ST, Zip: jn '�11 p �'%�
ro oh AIC 64 )'7)
Telephone: 1-17 f 3g7 36Qs
3 fob
State Lie. #
City Lic. #: 32
Arch., Engr., Designer.-
esigner:Address:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: �Dd �a yo/70//47`L
Construction Type: Occupancy:
Project type (circle one): New Add'n . Alter Repair Demo
Sq. Ft : #Stories: # Units:
Telephone # of Contact Person: 7D — 5-1767-
Estimated Value of Project: 2 000 =�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Plan Check Deposit
Amount
Structural Calcs.
Reviewed, ready for corrections
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy 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
Total Permit Fees
V ❑ Alternative Component Package Method: (check one) C D - D (Alternative
Packaee C and PackaPe D choices require HERS rater field v is on-addto�t fdialtm&ticEWMMsT&F-I k Dave 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7 4
BUILDING & SAFETY DEPT.
GENERAL INFORMATION APPROVED
Total Conditioned Floor Area (CFA) fe 01Vo
Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 15
FOR C NSTR.UCTIO
6 4W
PUFir- l -
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) ft'
✓ C]: Building Type: (check one or more) Single Family Multifamily Addition Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number. of Stories: Number of Dwelling Units:
Floor Construction Type, Slab/Raised Floor: (circle one or both).
Front Orientation: North / South / East / West /All Orientations (input front orientation in degrees from True North
and circle one).
V ❑ RADIANT BARRIER (required in climate zones 2.4, •8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors).
Frame
Type Cavity
(Wood or Insulation
Metal) R -Value
Assembly U -
factor (for wood,
Continuous metal frame and
Insulation mass
R -Value assemblies 1
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location
Comments.
(attic, garage,
typical, etc.
1) See Joint Appendix IV in Section IV.2, IV.3 and TVA, which is the- basis for the U -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -IR
Project Me —Ter4- Pa/a-e� Date 6 -.)-p7
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION WJMVfUM ALLOWED AREA WORKSHEET WS -4R —must be included for New
Construction, Additions and Alterations.
Fenestration
jjlTypelPos,
(Front, Left,
Rear, Right,
Skylight)
Orien-
tation,
N, S, E,
W'(ft)-factory
Area
ac*' -.
U -factor
Source SHGC"
SHGC
Sources
Exterior
Shading/Ov erhangsb•'
v" box if WS -3R is
included
13
13
13
13
13
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any
direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
S) Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -31K to calculate Exterior Shading
devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
tumace heat pump, boiler, etc.
Minimum
Efficiency
AFUE or HSPF
Distribution
Type and Location . Duct or Piping Thermostat Configuration
ducts attic etc. R -Value Type(split orpackage)
ac*' -.
Cooling Equipment
Type and Capacity Minimum
(A/C, heat pump, evap. Efficiency Duct Location Duct Thermostat
coolie SEER or EER attic etc. R -Value Type
Configuration
(split or package)
PA -0. Ac 4, a -IAL
ac*' -.
Residential Compliance Forms April 200'
I CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) ' CF -1R I
Date rel'- �2 67
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF4R Form must be provided to the building department for each home for which the following. are
required.
❑
Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verificationrequired.)
C3
TXVs, readily accessible (climate zones 2 and 8-15 only)
Standby'
Loss %
(Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer. testing and certification and HERS Rater field
Insulation
verification required.)
1 ❑ 1 Alternative to Sealed Ducts and Refrigerant Charge fIXVs (See Package D Alterhative Package Features for
Proiect Climate Zone in the RM AnDendix B Table 1.51-C. Footnotes 7-14.
For additions and.alterations, duct systems that are not documented to have been -previously
sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than .40 linear feet in unconditioned
spaces shall meet the re uirements of Section 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Systems serving single dwelling units
Water Heater Distribution Number
Type/Fuel e Type in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
C3
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
not allowed.
C3
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Insulation
Manual. No water beating calculations are required, and the system complies automatically..
gallons) Efficiency Loss (%)
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
❑
Alternative Water Heating table: In this case, the Performance Method must be used and must be included in the
submittal.
(3Check
box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Systems serving single dwelling units
Water Heater Distribution Number
Type/Fuel e Type in System
Rated
Input'
(kW or
Bftift(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficient
Standby'
Loss %
Tank
External
Insulation
R -Value
Water Heater Distribution Number (kW or
Capacity Thermal Standby'
Insulation
Tae Tvne in System Bcu/hr)
gallons) Efficiency Loss (%)
R -Value
units
Rated
Enemy
Tank
Inputt
Tank Factor or
External
Water Heater Distribution Number (kW or
Capacity Thermal Standby'
Insulation
Tae Tvne in System Bcu/hr)
gallons) Efficiency Loss (%)
R -Value
1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and
heat pump water heaters, 'list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulationt (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2
B.
Residential Compliance Forms 'April 200:
SPECIAL FEATURES NOT REOUIIUNG HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
»rescri»tive method_
✓
I Feature
Re ulred Forms if applicable) Description
❑
Metal Framed Walls
CF -IR
❑
Radiant Barriers
CF -1R
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydropic Heating
Performance Calculation
system
Required;.Attach Run to Forms.
13Combined
Hydropic System
Performance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
NIA; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
S stems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
Serving Multi le Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -IR
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms .
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler771
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
add extra sheets it necess Indicate to the ITERS Rater which credits aro part of this project and need ventication.
✓
Feature Required Forms ifs llcable Description
❑
Duct Sealing CF -6R part 4 of 12
❑
Refrigerant Charge CF -6R part 5 of 12
I
❑
Thermostatic Expansion Valve CF -6R part 6 of 12
Residential Compliance Forms 4pril 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL . (Page 5 of 5) . CF -1R I
Project Title Date
fe- )cC F17/9e
COWLUNCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title
24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall design responsibility. The
undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge
and TXVs, insulation installation quality, and building envelope sealing require installer testing and
certification and field verification by an approved HERS rater.
Designer or Owner(per Business and Professions Code Documentation Author
Name:
"�FF
Name:
Rod C'a v�nauq�
Title/Firm:
1'719/)4e e&m-ei
Title/Firm:
C�7Va/7»V h E LeC /,-/,c a,)d A/G
Address:
Address:
a Qu%ri �d, CfF,
znGlia, cA 9 X 01
Telephone: ,
Telephone: D ^ 5ZI7-- 34909
License #:
(Signature) (date) 1
(signature) (date)
Enforcement Agency
Residential Compliance Forms April 2005
y0/I1/LVUV Vt.VI rAA 030300OV00 ,cAn4 JAR V.1COU nt. nen W vv+ivi
W.
12
INSTALLATION CERTMCATE lZage 3 of I2) CF -6R
Site Addross Permit Number
55- Bol
T -
An installation certificate is required to be posted at the building site or made avallable.for all appropriate inspections. (The
Information provided on this form is required) After completion of final Inspection, a copy must be, provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(x).
HVAC SYSTEMS:
Heatltlg Equoment
ienay
CSC CertMe4 Mfr, p of Edlca Duct Duct or Hating Heating
S1uip Type Namc jtnd Model Identioai (AFM CO.) Location Piping Load Capacity
(Pkg. heat um Number S term2CF•IAvalue epic etc, R -value Stu/hr MrAr)
r
Cooling Egalpment
CEC Cersified Mfr.
@t7ulp Type Name end Modal
heat utII tier
q of E iclsnoy I
Identical (8HER or 68R)
3 ms ba-IRvalue
Duct
Location fluiK
to -value
Cooling
Load
tu/hr
Cooling
Capacity
Am4w
Pfl .��c Ca/'r er
a�6o
/
,qic 4, l
36K
3KK
1. a symbol reads graaler than or equal to what is indicated on the CF -IR value.
Include both SEER and EER If compliance credit for high EER air conditioner• is claimed.
V tial 1, the undersigned, verify that equipment listed above Is: 1) Is the actual equipment Installed, 2) equivalent to or
CKmora efitolant than that spsoifrnd in the oortifloam of cornplleace (Fornt CF -1 Il) submitted for compliance with the
Energy Ffflclency Stdndard[ for resideatial buildings, and 3) equipment that moots or oxeeads the appropriate
requiraments for manufutured devices (from the Appliance F 7clancy Regulations or Part 6), where applicable.
uistsuing buocommetor I,L;o. Name) uK veneral
Contractor (Co. Name) OR Owner C' a Va n au9l� Freer an�/�4,�
Signatwe:Date: 6
Copies to: BUILDING DEPARTMENT, RATER (IF APPLICABLE) BUILDING: OWNER AT OCCUPANCY
Restdantlal Compliance Forms April 2005
OCT 04,2005 08:44 SEARS HOME I MP 8585869098 Page 4
V,7/ 1 1/ 4V V V V I. VL r nn VJVJVVVVVV
V
/12
0 -
INSTALLATION CERTIFICATE e 4 of 12 CF -
She Address Permit Number
S5- �®/ Cir e55io�L .
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
INSTALLER COMPLIANCE STATEMENT
The building was: / ®'Posted at Final ---'13 Tested st Rough•In
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
O Remove at least one supply and one return register, and verify that the spaces batween thq register boot and the interior
finishing wall ars properly sealed.
Cl If the house rough -in duct leakage test was conducted without an air handler installed, inspect the oonneation pointe
between the air handler and tho supply and return plenums to verity that the cottttection points are properly sealed.
O Inspect all Joints to ensure that no cloth backed rubber adheslva duct tape Is used
O DUCT LEAKAGE REDUCTION
compliance credit. I, the undersigned, alio earthy that the newsy installed or retrofit Air-13.1stributlon System Ducts, Plenums and
Pans comply with Mandatory requirements specified its Section 150 (m) of the 2005 Building Energy Efficiency standards.
Installing Subaontmetor (Co. Mune) OR C)eneral
Contractor (Co. Name) OR Owner C a?v.Ritaaq/' d A I C
Signet=: -<2X71 I Date: /— — 9,9.—
Copies
,9
Copts tet BUILDING 09PARTMENT, MRS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPA cy
Residewfal Compliance Forms April 2005
OCT 04,2005 08:45 SEARS HOME I MP 8585869098 Page 5
vo/11/,Fvvv vi.vL rnn oJou000voo 4cnno on" ulCpV + KV n1R VVu/VIr
INSTALLATION CERTMCATE (Page S of 1
Site Address Permit Number
55- 80/ mar r� ss i anbzL
✓ M THSRMOSTAT[C EXPANBION VALVE ONIV)
Procedww for field vera loadon of thermcaa lc espawfon valvas are available In JUCM, Appendix RI.
�. Access is provided fpr inspection. The procedure shall
consist of visual verification that the TXV Is lnstatlect an
✓ Yes ❑ No the system and installation of the speolflo equipment
shall be verified.
Yes is a pass I pass -1 Fail I
✓ ❑ 1WRFG$RANT CHARGE M$ASUREMENT
Verification ibrRequlrod Reflgerattt Charge and Adequate Airflow for Split System Space Cooling Systems without
Mermostatic Expansion Valves
Outdoor Unh Serial #
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling capaoiJ Stu/hr
Data of Verification
Dass of Refrigerant Gauge Calibration (must be checked monthly)
Date of Thermocouple Calibration (mutt be checked monthly)
Procedures for Derermintng Rgjrtgerant Charge using the Standard Merhod are availanle In RRCM, Appendix RD1.
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procod um
Measured Temperatures
Supply evaporator leaving) air dry-bulb tem oscura (Tsu ly, db)
°p
Return ave rotor entering) sir dry-bulb tem rR turn, db
OF
Return (evaporator entarin air wet -bulb temperature (Treturn, wb
OF
Evaporator saturadoa temperature (Tevaporator, sat)
OF
Suction line tem omture (Tsuetion, db)
°F
Condenser(ent ) air dry-bulb tem srsturs oondenser, db)
OF
Actual Superheat - Tsuodon, db -- Tovaporator, sat "r
Target Superheat (from Table RD -2)
Actual Superheat — Taget Su rheat (System passes If between -3 and *5.1F) OF
Temperature Split Method Calculations fbr Adequate Airnow
C.-iif ".fL..4 J• —f 1I A.4. --f. 1&07 VI Apadif If
Actual Tcm oratuto Split d T return, db Tsupply, db
°F
Tar et Temperature Split(from Table R03)
°P
Actual Temperature Split Target Temperature Split (System passes if between •
OF
3 °F and +3'P or, u n remeastirament If between -3°F and -100'P
Retldendal Compl/anas Forms .4pr111005
OCT 04,2005 08:46 SEARS HOME I MP 8585869098 Page 6
VJ/ 11/�-VVV I. VL fnA OJ00000VOG JGnno Jnn OLCuV nV nLn Wd vv•I
YNSITAUATYON CERTMCATE (Page 6 of 12 • CF�6X2
Site AddressPermit Number
55— 00/ ' 6 o . re Ssi otiaL
Standard Charge Measurement Summary:
System shall pass both raf}igerant charge and adequate' airflow calculation eriterla from the same
i measurements. If corrective actions were taken, both criteria must be remeasured and recalculated.
0 Yes 10 No System Passes
• �+ �i �w...w� ����w �r��rw�.w i�w*ems
Alternate .Charge Measurement Procedure (outdoor air dry-bulb below 55 °F)
Note: The system should bo installed sad chargod In aeeordaaee with the manufacturer's speelficatlons and installer
verification shall bo documented on CF -6R before starting this procedure. if outdorir air dry-bulb Is SS OF or above, installer
shall use the Standard Charge Measuro Procedure;
Procedures for Determining Aefrigerant Cha
Wei h -In Cher ing Method for Refrigerant C
Actual liquid line length:
Maauftcturer's Standard liquid line length:
DUYeroneo (Actual - Standard):
Manufacturer's oorraction (ounces.per foot)
using the Alternate Method are aVlsllable in RACM, Appendix RDS.
x difference in length = _ounoes
(+ - add) (- - remove)
Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (aftffltu-hr) _ CFM
must be greater
Altomate Charge Measurement Summary:
System shall pass both rofilgerant charge and adequate airflow calculation criteria from the same moasurements. If
corroadva actions were taken both critaris must be remeasured and recalculated.
r I O Yes 1 ❑ No I Sygem Passes
installing Subcontractor (Co. Name) OR General �1
Contractor (Co. Name) OR Owner �aYahaClcj� �e c7 tie and /4-/G
Signature: �m� int 1o/ Date: .� _ 2 2 _ D %
Copies to: BUILDING
RATER (11F APPLICABLE) 9UILDING OWNER AT OCCUPANCY
Res/ entlal Compliance Forms ,ipril 2SS
OCT 04,2005 08:47 SEARS HOME I MP 8585869098 Page 7