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04-8237 (SFD)504 :.LE TAMPICO CALIFORNIA 92253 APN: Application description Property Zoning Application valuation BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION.REQUESTS ,(760) 777-7153 . . . 04-00008237 Date 2/22/05 4 3"1'1"0©R�- EL ORO 609 -380 -997 -13 -293233 - DWELLING -.SINGLE FAMILY DETACHED . . . LOW DENSITY RESIDENTIAL . . . 188445 Owner Contractor ------------------------ PONDEROSA HOMES II, LLC ------------------------ PONDEROSA HOMES II, INC. 6671 OWENS DRIVE 6671 OWENS DRIVE PLEASANTON CA 94588 PLEASANTON CA 94588 (760) 318-7710 WCC: TANNER INSUR WC: 15671603 10/01/05 CSLB: 752884 08/31/06 CCC: B -------------------------- Structure Information -=----------------------- .Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 448.00 PATIO SQ FTG 387.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3051.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 951.00 Plan Check Fee 154.54 Issue Date . . . . Valuation' 188445 Qty Unit Charge Per Extension BASE FEE 639.50 89.00 3.5000 THOU BLDG 100,001-500,000 `. 311.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 90.00 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Qty . Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C '<=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 et^, 0 P.O. Box 1504VOICE (760) 777-7012 T4hf 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Oil - ga 3 7 Date: 3 30.03' Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: D V. 5ta�ss ic. No.: C lotF Sb3 BUILDING PERMIT DECLARATIONS 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. -% 5Z w�4 License Class ,cense No. ate 3-30-17 5 ntractor rp" -J Zpr .o S A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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 contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . BA P.C. for this reason Date Owner. WORKERS' 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 in ce carrier and policynumber are arn,r �� Atj11 P_R— olicyNumber 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. ,,<te *2_--3 O-flS :,plicant V0 b,1 p4.tL.OSA 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. 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.). Lenders Name Lender's Address K 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 repres tatives of this county to enter upon the above-mentioned property for inspection purposes. XateS'30-0_5 ignature (Applicant or Agent): A -W Application Number . . . . . 04-00008237 Page 2 Date 2/22/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 130.75 Plan Check Fee.. 8.17 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3051.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY' 106.79 448.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.96 ----------------------------------------------------------- Permit . . . . . . ---------------- PLUMBING Additional desc . . Permit Fee . . . . 190.50 Plan Check Fee 11.91 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000.EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 . ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 13,3051 SF. PLAN 2BXR-OPTION BEDROOM 5/BATH 4(+213 SF)W/2 CAR GARAGE (GARAGE 448 SF). PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE,OF SAME PLAN TYPE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3 Application Number . . . . . 04-00008237 Date 2/22/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.45 DIF FIRE PROTECTION -RES 97.'00 GRADING PLAN CHECK FEE .00 'DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.84 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1377.25 Plan Check Total 180.25 Other Fee Total 2439.29 Grand Total 3996.79 Paid j Credited ---------- ---------- Due 1377.25 180.25 2439.29 3996.79 43-110 Corte -De[ Oro. f 13 04-8237 Site Address Lot # Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) 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(b). HVAC SYSTEMS: Heating Equipment Equip. Type (pkg., heat pump) CEC Certifited MrfName & Model Number It of Identical Systems Efficiency (AFUE, etc.) 2 CF -1R value Duct Location (attic, etc.) Duct or Piping R -value Heating Load (Btu/hu) Heating Capacity (Btu/hr) Comfortrnaker NBF075F16G1 2 80% Attic 4.2 Type Name & Model Number Point -of -Use) 75,000 CoolingEquipment or Btu/hr) (gallons) . (EF, RE) Loss (%) R -value American FG62-50T40-3NV Circulating Pump Timer Equip. CEC Certified Compessor It of Efficiency Duct Cooling Cooling Type (pkg., Unit MrfName and Identical (SEER, etc.) Location Duct Load Capacity heat pump) Model Number Systems >_ CF-lR value (attic, etc.) R -value (Btr/hr) (Btu/hr) Comfortmaker NAC242AKA5 2 12 Attic 4.2 42,000 I, the undersigned, verify that equipment listed above my signature (1) is actual equipment installed; (2) is equivalent to more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. WATER•HEATING SYSTEMS: Distribution IfRecir- 0of - Rated Tank Effi- External Heater CEC Certified Mfr Type (Std. culation, Identical Input (kW Volume ciency I Standby 1 Insulation Type Name & Model Number Point -of -Use) ControtType Systems or Btu/hr) (gallons) . (EF, RE) Loss (%) R -value American FG62-50T40-3NV Circulating Pump Timer One 40,000 BTU 50 .62 N/A N/A For small gas storage (rated input < 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters rated input> 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency, Standby Loss and Rated Input. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Subchapter 2, Section 111. 1, the undersigned, verify that equipment listed above my signature (l) is actual equipment installed; (2) is equivalent to more efficient than that specified in the certificate of compliance (Forni CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the equipment meets ur exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. C/� A(r. tit —0"_' PONDEROSA HOMES I1, INC. Signature, Date OWNER COPY TO: Building Department/Building Owner at Occupany S MOSAIC AT ESPLANADE INSTALLATION CERTIFICATE ALL PLANS CF -6R FENESTRATION/GLAZING: Manufactured Operator Products Labelled Site Buildt Products Total Type (e,g,,, U -value is # of Default Quantity Square Comments/ Manufacturer/Brand Name raced, slider) CF -1R Value 2 Panes U -Value 2 (Optional) Feet Special Features (GROUP LIKE PRODUCTS) 1. Milgard 1110H Operable SI. .59 ----- --- -------- 2. Milgard 1510 Operable Sh. .60 -- -- ----- ---___ 3. Milgard 710 Fixed Windows .43 - ----- 4. Milgard 450 Sliding GIs dr. .58 5. 6. 7. 8. 9. 10.- I L. 12. 13. 14. 15..- _ hOffilled U -value must be less than or equal to value from CF -1 R. Alternatively, installed weighted average U -value for the total fenestration area is less than or equal to value from CF -1 R. I, the undersigned, verify that the festration/glazing listed above my signature (1) is the actual fenestration product installed; (2) is equivalent to or more efficient than the specified in the certificate of compliance. (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #s (if applicable) COPY TO: Building Department Building Owner at Occupancy Signature, Date PONDEROSA HOMES II, INC. OWNER CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF- ----------- =_________________________________________ Project Title.......... Plan 2 /Plan 2 w/br5 Date..03/12/03 13:40: Project Address........ Esplanade Mosaic ******* ------------------- La Quinta *v6.01* Documentation Author... Sam Maimone ******* Building Permit Heritage Energy Group 15375 Barranca Pkwy, Suite F-101 Plan Check / Date Irvine,'CA 92618 949-789-7221 Field Check/ Date Climate Zone. ..... 15 ------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -22208M21 Wth-CTZ15S92 Program -FORM CF -1R User#-MP0940 User -Heritage Energy Group Run- ---------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 2838 sf / 3039 sf Building Type .............. Single Family Detached Construction Type .. New Building Front Orientation. Cardinal - N,E,S,W Number of Dwelling Units... 1 Number of Stories.. ...... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 18.6 % of floor area Average Glazing U -factor... 0.58 Btu/hr-sf-F Average Glazing SHGC....... 0.39 Average Ceiling Height..... 10 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type ------- Type R -value R -value R -value U -factor Location/Comments --- ------- S1abEdge -------- None --------------- R-0 R-n/a ------- ------------------------ F2=0.760 S1abEdge None R-0 R-n/a F2=0.510 Wall Wood R-13 R-n/a R-13 0.088 RoofRadiant Wood R-30 R-n/a R-30 0.035 Door Wood R-0 R-n/a R-0 0.330 FENESTRATION Over - Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading Fins Location/Comments ---------------- Wind Back ----- ------ ------ (S) 115.0 0.600 0.360 -------- Standard ----- ------------------------ Yes metal framed low -e Door Back (S) 112.0 0.580 0.350 Standard Yes metal framed low -e Wind Right (W) 76.0 0.600 0.360 Standard Yes metal framed low -e Door Right (W) 24.0 0.550 0.650 Standard Yes non metal framed clr Wind Right (W) 8.0 0.600 0.360 Standard None metal framed low -e Wind Front (N) 45.0 0.600 0.360 Standard None metal framed low -e Wind Left (E) 30.0 0.600 0.360 Standard None metal framed low -e Wind Left (E) 24.0 0.430 0.350 Standard None metal framed low -e Wind Left (E) 55.0 0.600 0.366 Standard Yes metal framed low -e Door Left (E) 40.0 0.550 0.650 Standard Yes non metal framed clr ADD W/BR5: Wind Front (N) 37.5 0.600 0.360 Standard None metal framed low -e SLAB SURFACES ------------- Area Slab Type ---------------- (sf) ------ Standard Slab 1443 Standard Slab 1395 M CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF - Project Title.......... Plan 2 / Plan 2 w/br5 Date..03/12/03 13:40:38 HVAC SYSTEMS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermost Type Efficiency Airflow Location R -value Leakage D Type ------------ ------------ ------- ----------- ------------- ------ -------- Furnace 0.800 AFUE n/a Attic R-4.2 Yes No Setback ACSplitTXV 12.00 SEER Yes Attic R-4.2 Yes No Setback Living rooms: Minimum Heating Load: 28,197 Btuh Cooling Load: 26,986(Sensible),32,383(Total) Bedrooms: Minimum Heating Load: 28,108 Btuh Cooling Load: 28,146(Sensible),33,775(Total) beds w/br5: Minimum Heating Load: 30,975 Btuh Cooling Load: 31,610(Sensible),37,932(Total) Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizi safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Th individual is required to provide Form CF -6R, an Installation Certificate, which must be posted at the building site prior to issuance of the occupancy permit. The CF -6R is not required for permit submittal. Itis intended to insure installation of equipment that meets the efficiency requirements of th compliance documentation. DUCT TESTING DETAILS -------------------- Duct Measured Supply Leakage Target Duct Surface Area Equipment Type (% fan CFM/CFM25) (ft2) ---------------- ------------------------- ----------------- Furnace / ACSplitTXV 6% / 60.6 n/a Furnace / ACSplitTXV 6% / 58.6 n/a WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulatic Tank Type Heater Type Distribution Type System Factor (gal) R -value - ---------------------------------------- -------------- ------ ---------- Storage Gas Recirc/TimeTemp 1 0.60 50 R- n/a Rheem Water Heater # RHG PR050-40 (N) (or equal) *All piping used to recirculate hot water must be insulated with R-4 insulati or equivalent. This includes any recirculating piping located in concrete Ulabs or underground. A timer must be permanently installed to regulate pump operation. Timer setting must permit the pump to be cycled for at least eight hours per day. lieu of a timer and temperature control. An automatic thermostatic control must be 'installed to cycle the pump on and off in response to the temperature of the water returning to the water heater through the recirculation piping. Minimum differential or "Deadband" of the control shall not be less than 20 degrees F. SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------- ----------------------- This building incorporates a Radiant Barrier. The radiant barrier must have an emissivity less than or equal to 0.05, must be installed to cover the roof trusses, rafters, gable end walls and other vertical attic surfaces, and must meet attic ventilation.criteria. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF - Project Title.......... Plan 2 Date..03/12/03 13:40:. This building incorporates Tested Duct Leakage. This building incorporates either Tested Refrigerant Charge and Airflow (RCA) or a Thermostatic Expansion Valve (TXV) on the specified air conditioning system(s). HERS REQUIRED VERIFICATION -------------------------- *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -6R installation certificate. *** This building incorporates Tested Duct Leakage. Target CFM leakage values measured at 25 pascals are shown in DUCT TESTING DETAILS above or may be calculated as documented on the CF -6R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary for Tested Duct Leakage. This building incorporates either Tested Refrigerant Charge and Airflow (RCA) .or a Thermostatic Expansion Valve (TXV) on the specified air conditioning system(s). If a cooling system is not installed, then HERS verification is not necessary for the RCA or TXV. REMARKS V;r HERS RATER COMPLIANCE -STATEMENT eT-24 Compliance Crede was Taken for Tight Ducts x T-24 Compliance Credit was Taken for TXV TXV VarlHed Yes The house was: Nx Tested ! Verfled Approved as a part of sample, but was not tested x The installer has provided a copy of CF -6R Air Distritit ion System is Fully Ducted (shestmetal, ductboard or flex duty x Where cloth backed rubber adhesive dud tape Is inslalted. mastic and drawband9 are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at the eonneelions. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct leakage) CFA: CFA Leek Max Tested Leak System Indicate the maximum allowable Dud Leakage and the calculation used 0.7 x Floor Area x (0.08) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate $ones 1 through 7 & 16 x 400 x (Cooling Capacity In Nominal Tons) x (0.08) 217 x (Heating Cepeal ,in Thousands of Output BTU per hour) x Measured.Fan Flow X.06 uct Pressurization Test Re9u 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass System © of L-4 j Indicate the maximum a ale Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 16 x •00 x (Cooling Capacity in Nominal Tons) x (0.08) fan Row 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x(0-06) Measured Fan Flow[[ x .06 utt Prmuritebon Test Resu3� PA) 100 x Test Leakage/ tan flow - % Leakage o Check Sox for Pass or Fail (Pass = 8% or Less) Pass x Ie Systemof Indicate them um allowable Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) fw Climate Zone 6 through 15 0.5 x Floor Area x (0.06) for Climate Zones i through 7 & 16 cm 0 x (Cooling Capacity in Nominal Tons) x (0.08) fan flow .7 x (Haab Capaek in Thousands of Output BTU per hour) x (0.06) ssurization Test Restinu PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fall (Pest, = 69b Or L ) P899 ek Raters Co0jing Signature Date F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.tds 1/412006 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R PROJECT INFORMATION Climate Zone: 15 Project Title: Mosaic ® Esplanade Project Address: Le Quinta Builder Name: Ponderose Homes Voice 9 : 925-480-8900 Builder Contact: Jeff NYgren Voice # Project ID #: 29323 Sample Group III: Phase: 10 Lot #: 13 Plan!!: 2 Address:M _ 0De1'Oro �' 10'Q HERS IN _Ga HERS Rater. Scott Johnson Jayme Carden Certification #: CCNSJ614037 CCNJC615157 HERS Firm; Action Now Voice 0: 949.631-2274 Address: 2575 Westminster Avenue, Costa Mesa, CA 92627 HERS Provider: CHEERS Voice #: 800-424-3377 HERS Address: 9400 Topange Canyon B:vd_, Chatsworth, CA 91311 HERS RATER COMPLIANCE -STATEMENT eT-24 Compliance Crede was Taken for Tight Ducts x T-24 Compliance Credit was Taken for TXV TXV VarlHed Yes The house was: Nx Tested ! Verfled Approved as a part of sample, but was not tested x The installer has provided a copy of CF -6R Air Distritit ion System is Fully Ducted (shestmetal, ductboard or flex duty x Where cloth backed rubber adhesive dud tape Is inslalted. mastic and drawband9 are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at the eonneelions. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct leakage) CFA: CFA Leek Max Tested Leak System Indicate the maximum allowable Dud Leakage and the calculation used 0.7 x Floor Area x (0.08) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate $ones 1 through 7 & 16 x 400 x (Cooling Capacity In Nominal Tons) x (0.08) 217 x (Heating Cepeal ,in Thousands of Output BTU per hour) x Measured.Fan Flow X.06 uct Pressurization Test Re9u 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% or Less) Pass System © of L-4 j Indicate the maximum a ale Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 & 16 x •00 x (Cooling Capacity in Nominal Tons) x (0.08) fan Row 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x(0-06) Measured Fan Flow[[ x .06 utt Prmuritebon Test Resu3� PA) 100 x Test Leakage/ tan flow - % Leakage o Check Sox for Pass or Fail (Pass = 8% or Less) Pass x Ie Systemof Indicate them um allowable Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) fw Climate Zone 6 through 15 0.5 x Floor Area x (0.06) for Climate Zones i through 7 & 16 cm 0 x (Cooling Capacity in Nominal Tons) x (0.08) fan flow .7 x (Haab Capaek in Thousands of Output BTU per hour) x (0.06) ssurization Test Restinu PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fall (Pest, = 69b Or L ) P899 ek Raters Co0jing Signature Date F2001-02 (4-02) Action Now T-24CF4RTD&TXVmacro.tds 1/412006 11'110 1 ALLATION CEF" 'IFICATE CF -6R I Site Address Permit Number, ` COMPLIANCE INSTALLER T _ C STATEMENT FOR DUCT LEAKAGE Co ies to: Builder HERS Rater, Building Owner at Occupancy and Buildin4 De artment INSTALLER COMPI. CE STATEMENT The building was: v'ested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. C3 if the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the.air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ✓ C] DUCT LEAKAGE REDUCTION Procedures forJleld verification and diagnostic testing of air distribution system are available In RACM. Annendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) I Enter Tested Leakage Flow in CFM: oe Measured ✓ ❑ were performed in installe or retrofit Sectio 150 (m) of I. the undersigned, verify that the above diagnostic test results with the requirements for compliance credit, I, the undersigned, also certify that the newly ion System Ducts, Plenums and Fans comply with Mandatory requirements specified in SignAt�re - _(/ DJle ` —sq � Installing Subcontractor (Co. Name) OR h �l 11 romwwl rnntractnr (Cn_ wamel Residential Compliance Forms March 2005 Fan How: Calculated (Nominal: ✓ R Cooling ✓??�t► eating or + u measurea If Fan is 2 Flow Calculated as 400 cf n/ton x num�fer-�6f tons or as 21.7 cfnV(k$tu/hr) x Heating �O Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leak. a Percentages 6% for kinal or S 4% at Rough -in: ❑ Pass ❑ Fail 100 x Line # 1 / LliflAine # 2 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM: Pan Flow: Calculated (Nominal: ✓Cooling ✓� O Heating) or v/O Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21,7 efm/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: f r 00 , ✓ 3 cl or 5 4% at Rough -in: Pass if Le a Percentages 6Mine 2 O Pass O Fail l00 x Line # l! # 2 J NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured .,: . Values I Enter Tested Leakage Flow in CFM: Fan Flow. Calculated (Nominal: ✓ 13 Cooling ✓ 0 Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBnvly) x Heating Capacity in Thousands of Btu/A enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentages 6% for Final or:; 4% at Rough -in: ❑ Pass O Fail f l00 x f (Line # III (Line # 21.11 ✓ ❑ were performed in installe or retrofit Sectio 150 (m) of I. the undersigned, verify that the above diagnostic test results with the requirements for compliance credit, I, the undersigned, also certify that the newly ion System Ducts, Plenums and Fans comply with Mandatory requirements specified in SignAt�re - _(/ DJle ` —sq � Installing Subcontractor (Co. Name) OR h �l 11 romwwl rnntractnr (Cn_ wamel Residential Compliance Forms March 2005 INSTALLATI®N CEI. FICATE CF -6R LOT # PLAN, Site Address /�3— `� V Cor- , O Permit Number An instal lation certificate is required to be posted at the building site or made available 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(a). HVAC SYSTEMS: Heating Equipment Equip Type k . heat um CEC Certified Mir, Name and Modd Number q of tdcniiml S starts Efficiency� (AFUE, cm) ZCF-IR value Duct Location anic Bic. Duct or Piping R-value HCating Load Btulhr Heating Capacity Btuihr) FURNACE N10045N 1 80% ATTIC 1 N�4. NA 2- 1 12-0 G R42 Cooling Equipment Equip Type q p yp (Pkg. heat um C[:CCenifiedM&. name and Model tuber Sof Identical $ sterna Efrlciency (SEER or EER t ) ZCF•Ilk value Duct Location attic ett. Duct R -value Cooling Load Btuihr Cooling Capacity 8tu1ht A/C IC2.44& 1 12.0 ATTIC 1 N�4. NA 2- 1 12-0 G R42 1. ? symbol reads greater than or equal to what is indicated on the CF -JR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. 1, the undersigned, verithat equipment listed above is- 1) is the actual equipment installed, 2) equivalent to or more efficient than that s fi d in the iftcate of compliance (Form CF -1R) submitted for compliance with the Energy Efcie Standards or sides 'Vlbieitdings, and 3) equipment that meets or exceeds the appropriate requirements for atttt devic ( m Anee Efficiency Regulations or Part 6), where applicable. CU COPY TO: Building Department I -MRS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms ALLIANCE MECHANICAL CORP, Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner I 0 March 2005 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 43-110 CORTE DEL ORO, LOT 13, PHASE 10, LA.QUINTA, CA CEILINGS: TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BAITS MANUFACTURER: Certainteed THICKNESS' R-13 GENERAL ONTRACTO NDEROSA HOMES II, INC. LICENSE 07-f-2- 597 BY: TITLE: ;OFrih��117 Ole '72 PAR,W0"CHM0.BU LDING PRODUCTS A MASCO Company LICENSE # 221517 BY: C� �C�G< '.1 < `''~TITLE: ACCOUNT REPRESENTIVE DATE: a