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13-0006 (MECH)Ta�/ 5 ��i��7 {I1 �j /w� ^� / VOICE (760) 777-701,2 FAX (760) 777-7011 BUILDING & SAFETY'DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: LOWRY SALLY 48265 PASO TIEMPO LA QUINTA, CA 922 Date: 1/04/13 im JAN o4 2013 Nu Contractor: Applicant: Architect or Engineer: ONE HOUR A/C & HT CIS �F �'"11TA 3030 MYERS STREET FINAPICEDEPT. +' w RIVERSIDE, CA 92503 (951)276-9744 ..>> Lic. No.: 878533 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 License No.: 878533 Date: 1——���ntractor: 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 ($500).: (_) 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 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.). I—) 1 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: LQPERMIT 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 and policy number are: Carrier INS CO OF WEST Policy Number WVE502266100 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. {Sate: 1-�I-i�/cpplicant:: 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 ($100,0001. 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. Eachpersonupon whose behalf this application is made, each person at whose request and for' whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. .2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above. information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of jhis countytoenter upon the above-mentioned property for ins ction purposes. Coate: �'�`ignatwe (Applicant or Agent): P.O. BOX 1504 78-495 CALLE TAMPICO LA. QUINTA, CALIFORNIA 92253 1. w Application Number: J3-_00000006 Property Address: 48265 PASO-TIEMPO LN APN: 646 -360 -008 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4260 Ta�/ 5 ��i��7 {I1 �j /w� ^� / VOICE (760) 777-701,2 FAX (760) 777-7011 BUILDING & SAFETY'DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: LOWRY SALLY 48265 PASO TIEMPO LA QUINTA, CA 922 Date: 1/04/13 im JAN o4 2013 Nu Contractor: Applicant: Architect or Engineer: ONE HOUR A/C & HT CIS �F �'"11TA 3030 MYERS STREET FINAPICEDEPT. +' w RIVERSIDE, CA 92503 (951)276-9744 ..>> Lic. No.: 878533 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 License No.: 878533 Date: 1——���ntractor: 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 ($500).: (_) 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 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.). I—) 1 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: LQPERMIT 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 and policy number are: Carrier INS CO OF WEST Policy Number WVE502266100 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. {Sate: 1-�I-i�/cpplicant:: 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 ($100,0001. 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. Eachpersonupon whose behalf this application is made, each person at whose request and for' whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. .2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above. information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of jhis countytoenter upon the above-mentioned property for ins ction purposes. Coate: �'�`ignatwe (Applicant or Agent): _ • Application Number .. . . . 13-00000006 • Permit. MECHANICAL. ; Additional desc . Permit Fee . . . 24.00 Plan Check Fee 6.00 - Issue Date ` Valuation. . . . . 0 Expiration Date •7/03/13 Qty Unit Charge, Per " Extension BASE FEE 15.00 b 1.00 9.0000 FA FCH. iw FUPIVACE '�11001C 5.00 ------------`---------------------------------------- `s Special Notes and Comments ------ ---------- HVAC CHANGE -OUT: REPLACE FURNACE IN GARAGE. 2010 CODES. -------------------------------_-------------------- -- Other Fees . . . . . .. BLDG STDS ADMIN -(SBI 473) 1.00 Fee summary Charged PaidCredited Due ` Permit Fee Total 24'.00 .00 ..00' 24.00 Plan Check Total' 6.00' .00 .00 y 6.00 Other Fee Total 1.00 .00 .00 1.00 ` Grand Total 31.00 .00 .00 31.00 r LQPERMIT - Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC' Climate Zones 10 to 15 Site Address: 48265 Paso Tiempo Ln La Quinta Enforcement Agency: City W Min. Date: 1-2-13 Permit#: Conditioned Floor Equipment T e' List Minimum Efficiency 2 Duct insulation requirement Area Thermostat L] Packaged Unit Furnace AFUE80'i Q COP Over 40 ft of ducts added or ®x Setback Indoor Coil DEER (- HSPF Resistance re laced in unconditioned space ❑ R 6 (CZ 10-13) Served by system 100 sf (/fnot already present, must be [-' Condensing Unit EER ! R 8 (CZ 14-15) installed) 0 Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R-ALT-HVACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS • All HVAC Equipment replaced CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: © 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or Q 2. Duct systems with less than 40 linear feet in unconditioned space, or E]3. Existing ducts stems are constructed, insulated or sealed with asbestos E]2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 0 3. New Ducts with/or without Replacement Required Forms: • includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent -ff4. New Ducting over 40 feet Required Forms: • includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. For split s stem or packaged units: Duct leakage < 15 percent C EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans andspecifications submitted to the enforcement agency for approval with the permit application. Name:,Jane Recktenwald Signature: Company: Dial One Date: 1-2-2013 Address: 3030 Myers License: 878533 City/State/Zip: Riverside, CA 92503 Phone: 951-276-9744 7OnR IJo ;do vt:nl F.'n Adfn h 711111 V Bin .# Of Lc7 Qutnta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico . La.Quinta, CA 92253- (760) 777-7012 Building Permit Application* and Tracking Sheep Permit # t!/ Project Address:O;l.is Owner's Name:. A. P. Number. �� , O ^ Address: a '_ so RL. Ln Legal Description: Contractor. oxx e. --City,ST, Zip: " Telephone: '1�0 (¢�—�ap 111 ,`:M���N; Address:✓' O Project Description: , City, ST, Zip: a, O 1,^ Tele hone:[ I City Lic. #; State Lic. # : $ "t Arch., Engr., Designer. N Address: City., ST, Zip: Telephone:�5 State Lie. #:'' ' -,'�.:<,w�%(y;;%� Name of Contact Person: . Construction Type:. Occuparry: Project type (circle one): New Add'n Aber Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project co APPLICANT: DO NOT WRITE BELOW THIS LINE q Submittal Req'd Rec'd TRACKING PEEhIfP FEES Plan Sets Plan Check submitted Item Amount" Structural Cales. Reviewed, ready for corrections Plan Check Depos.t. . Truss Calcs. Called Contact Person Plan Check Balan:e Title 24 Ca.W. Plans picked up Construction Flood plain plan Plans resubmitted. _ Mechanical Grading plan r' Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr ' Date of permit Is School Fees Total Permit Fecs Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age I of 5 Project Name: Climate Zone # # of Stories Sally Lowry 115 1 General Information Site Address: 48265 Paso Tiemp Ln La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 12/27/2012 Building Type El Single Family O Multi Family Circle the Front Orientation:®, E, S, W, or degrees Conditioned Floor Area (CFA): 2000 Project Type: ❑Q Alterations []Envelope ❑Fenestration ❑Roof ❑HVAC - Values From JA4 Replacement or Chane Out ❑ Duct Replacement [' Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions t Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity, alone— Alterations that involve the opening of the framed cavity ofa wall, ceiling, orflor must install the ` mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory irsulation value in Column H. ❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A —J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table be -.0w. A B C D E F G H I J Proposed s,,Ioie Standard - Values From JA4 Table r Framing ,y Thickness, Tag/ Assembly Name. Ivlatenaly �+" Spacing, U- Framed Continuous JA4ATableJ- a Cavityl liisulatibri JA4 Assembly Proposed Assembly IDS ' or T e�andSize2 or-0ther3•I fa tour" Numbe>� ' `Rvalue" R= Va! e' Cell Value U -factor' N . i>I"' '.S i •�ai€a ,-. rile, �'� ;� " �� ril 'ii if,;ll.�N''tst � �., �1""�.s�'"y�''+9f ; �+ RAW►" k� M! Aii s Assembly j O c 8.2. F o .` F- o ,� 2 N > v Fiaal ; - Note: For furred assemblies,'accounnng for Continuous Insid6tion R -value, see Page JA4-3 and Equation `4-1. For`calculating furrad walls use the Mass and Furring Construction table belo 'r 1. For Tag/ID indicatmethatimatches the building plane` 4 e the identification na :` 1 n + ;.—.4 'w 2. Indicate Assembly Name Roof/Ceihng,;Walls FFloors the or type: Slabs, Crawl Space, Doors anOicate the!. rame type and Size: For a F —Z = •,.# 04 Wood, Metal, Metal Buildings, Mass, enter 2x4 12x6, or etc St`see JA4- for other possible frame type.asseniblies f 0 �:i yam' s"-- Ir i'' g' ,.may' 'iti. ;; -'r >�' 3. Enter the thickness for mass in inches or Spacing between framing members enter 16- or 24 OC; or Otherefor all xher assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from able 51-B, C or D for each different assembly -Name -or -type: 5. Enter the Table number that closely resembles the proposed assembly 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U -factor in Column J. - 9. The Proposed Assembly Ufactor, Column J, must be equal to or less than the Standard U factor in Column E to c"ply. i Furring Strips Construction Table for Mass Walls Onl A B C D I E F I G H I J I K L M Proposed Properties of Masonry and Concrete ; Added Interior or Exterior Insulation ' Walls From Reference in Furring Space from Reference Joint A ppendix Table 4.3.5, 4.3.6 4.3.7 Joint Appendix Table 4.3.13 N v p r fl ( t0 > U� s Assembly j O c 8.2. F o .` F- o ,� 2 N > v Fiaal ; - Mass Name or 2 JA4 Table - g H E E o > M > Assembly r Thickness' Type Number'¢ > x c ¢ > U-faetorb'' Comment Registration Number: 312-A0013907A-000000000-0000 Registration Date/Time: 12/27/2012 10:06:34 HERS Provider.• CBPCA 2008 Residential Compliance Forms August 2009 ♦ r. � � � .fid .. r Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of 5 Project Name: Climate Zone 0 # of Stories Sally Lowry 115 1 Mass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. , 4. The Calculated R - Value is the R -value of the furred out section of the assembly. 5-6 The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column D added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of C?mponent Package D in f ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value regvirements of Component Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of 5 Project Name: Climate Zone 0 # of Stories Sally Lowry 115 1 Mass and Furring Strips Construction(footnotes) 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. , 4. The Calculated R - Value is the R -value of the furred out section of the assembly. 5-6 The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column D added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of C?mponent Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. - ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value regvirements of Component Package D in Table 151-C. ❑ Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Valre and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation.* Fenestrahoo .4 �ype and#F,rame (N_orth, East, ?', P�opsedArea Ma�cimuma Maxon?m NFRC or Default - (Window, Glass.DoororS li ht ; ::: iSputh, West : ' ..ftz QU-factoi�� 3 . SHGC,2, , 4 Values f y {�. aye fir..... , 7• # �#: Ut 1L li i �r l i -it ) Allowed Existing • , ,,��> p• �p fir:. y$/ ,,, 1. # All yaed % of 1. Fenestration area is the area of total g1 produ`ct'(i.e.'glass plus fraKe—).� Exception'When a door•is less than,50 yo glas"s, the fenestration area may be the glass area plus a "2 inch frame' around the gass. l *_'�t "`sic.= 2. Enter value from Component Package D Requirements m Table IS/C. r ,�•• 3. Actual fenestration products installed and as indicated in CF 6R ENV Form shall be equivalent to or have a lower, U factor and/or a lower SHGC than that CF ALT Form. �,.• value specified on the -IR 4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading. , 5.Ifapplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" values ound in Table ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50f? offenestration is added) A B C D E F r G Allowed Existing Fenestration Total Ara CFA of Entire % of Fenestration Area Fenestration Allowed - Proposed Areal Dwelling CFA Area Removed' Area Added A x B' -D + C Total Fenestration Area 20 > West Fenestration Area • (Required In .05 >_ CZ's2,4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facingfenestration in both Area columns below. 4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number.. 312-A0013907A-000000000-0000 Registration Date/Time: 12/27/2012 10:06:34 HERS Provider:- CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of 5 Project Name: Climate Zone # # of Stories Sally Lowry , . 115 1 ROOFING PRODUCTS (COOL ROOFS) §151(t)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more thaa 1,000ft, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)IHii, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirement:: for roofing products in §118(1) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ftz. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr-fi2•°FBtu or at least a 3/4 inch air -space is added to the roof dec)t - over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to § 151(x)10; or ❑ In climate zones 10, 12 and 13, with 1 112 of flee ventilation area of attic ventilation for every 150 fl:2 of attic floor area; and - where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or - ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(x)2; or 1:1 Building has noducts`�iu�tlie attic ;o i ❑ In climate zones 10 X11 13 and.1-4 R-3 orgreate r roof deck insulation above vented attic .' Exception to §152(b)1Hiii Low slope roofY itch <"2 12y �y ❑ Building has no ducts in ttic" �. _ Other Exceptions ❑ Roofing area covered by building=integrated photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑ Roof constructions thatl ave=thermal mass over the roof membrane with agleast 25, lb/ftf is exern t°friom. the below •pool Roof criteria. Note: If no CRRC-I 1`abe1 is available ,this compliance method`cannot be used, -use the Performance Approach to show compliance, otherwise. - Check the applicableb'belo if Exempt frogthe R*bofin4 Products "Cool Roof ' Re q uirem ent: ; Roof Slope `r Product Weight 4� ro `P oducl Aged -Solar Tfieimal CRRC Product ID Numbers 2.12 > 2 12 < 51b%ft34>:51 W/ e - r`Reflectance3 4rk 4.` Emittance SRI d 4.. ❑ ❑ ❑ ❑ ❑4 A' ❑ ❑ ❑ ❑ ❑ 4 Y' ❑ ❑ ❑ ❑ 04 , 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at wiviv.coolroofs.ot--- producis/search.ph 2. Indicate the type of product is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance ralue from the same directory and use the equation (0.2+0.7(piniliat – 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. . 5. Calculate the SRi value by using the SRI- Worksheet at http:/hvivtiv.ene .ca..eov/title24/and enter the resulting value in the SRI Cdumn above and attach acopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other " Registration Number: 312-AO013907A-000000000-0000 Registration Date/Time: 12/27/2012 10:06:34 HERS Prouder: CBPCA • 2008 Residential Compliance Forms August 2009 _ —Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 4 of 5 Project Name: Climate Zone # # of Stories Sally Lowry 115 1' HVAC SYSTEMS - HEATING List water heaters axid boilers for both domestic hot watergg (DHW) heaters and hydropic space heating Individual dwslling.DHW heaters must be gas or propane fired and may-notiexceed 50 gallons, Hot water pipe insulation from the DHW heater to the, kitchen(] and on all underground z. Minimum Water Heater Type/Fuel : Duct or Piping . Configuration Heating Equipment , Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity 1,2,3' AFUE or HSPF Type and Location R -Value Type Package or H dronic Furnace, 80000 80 AFUE Ducted, f.The'rm'EF f enc _Space, SetBack Split. 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -1 R -ALT Form for additional requirements and check of plicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) ' HVAC SYSTEMS - COOLING Minimum 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements o 150 ' .' Efficiency Duct or Piping Configuration Cooling Equipment '- (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Ca aci ',2 COP) Type and Location3 R -Value Type Space, Package or H dronic ` -:fiar •.. 5�:.t � --gyp g 1. Indicate Cooling Type (AYC, Hedtpump jEvap'91Cooling etc 2. Refer HERS4Verrfi Page to the ation section on 4 of�the CFwIR ALTIForm�for�addtuonal requirements and.check appkcable.bozes. 3. Indicate Type on Location (Due s,.H 'dronic in Floor, Radiator's, etcr) Y WATER HEATINGV .. ,.. ` f'" List water heaters axid boilers for both domestic hot watergg (DHW) heaters and hydropic space heating Individual dwslling.DHW heaters must be gas or propane fired and may-notiexceed 50 gallons, Hot water pipe insulation from the DHW heater to the, kitchen(] and on all underground z. hot water pipes is required in all com onent cka es -in all clifnate zones` _. :-:..'�T' ` Water Heater Type/Fuel : Distribution Type t " `a q°I°` "aNumbei"In ' Tank • y �Eriergy Factor or External Tank Insulation t 0 2 Type (Standard, Recirculating)2 [' S stem Capacity (gal) f.The'rm'EF f enc R-Value3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) - 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and i es shall be insulated to meet the requirements o 150 ' .' SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti tcation and documentation and special verification. ; NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 2 does not apply to roof alterations. Slab Edge (Perimeter) Insulation 0 YES ONO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation O YES 13 NO YES: Slab edge insulation -required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES 0 NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required urder component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass use the Performance Approach. Registration Number: 312-A0013907A-000000000-0000 Registration Date/Time: -12/27/2012 10:06:34 HERSPro-ider: CBPCA '2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone# # of Stories Sally Lowry 15 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Meast res specified in this - checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final ins ection. Duct Sealing & Testing HERS verification is required for this measure. 0 YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned ' space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ 'EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or'sealed with asbestos. ❑ YES 0 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. - ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the relacement of the air handler, 'outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA=. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. 13 YES El NO YES: In Climate and 8-8 l,5, when�the existingAC�e�quipmentt is replacceed(incclluding tie replacement of the air ,/��}�handler' ouidoor.condensmgiumt of40W -latspht system A%C, orFhheat-pummp, c bollmg,onheaz�Aftmatt'n�g, 1, or the furnace heat : ,..exchaner) a refn erant charge measuremenrsh'all,be verifiedper ,152(b)1 F %dx. i f /tel' �rYf4 "29 .A6' -`•sem. Central Fan Inte rated CFI Ventilation S stem;and an Watt Draw' meg., y-, �e 'a' l'1�! The ventilation requirements of h50 o :d'olnot a I to extsUn residential homes. Ducted Split Systems - Air Conditioners an{d{Heat Pumps Airflow �'4'HERS errfca o •is required for thz measure. 0 YES 13 N® YES:.In Climate Zones 10 through 15, when the existing space -'conditioning system (HVAC equ�ment and ducting) is _ `' re lac d the airflow andiefan watt dra v shallfbe verified er 1'52(b)ICi-t6'Tft et•the re"-direriients of 151(f)7B. Documentation Author's Declaration Statement :r. #° 4 . `' • I certify that this Certificate of Com "liance documentation is a'ccurate_and coin tete: Name: Ruth Debrick Signature: , o Ruth Debrick g : Company: Venvest Ballard/One Hour Air 12/27/2C'12 Address: 3030 Myers St,Street If Applicable ❑CEA or MCEPE (Certification 0): City/State/Zip: Riverside California 92503 Phone: 951-217-2753 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: 12/27/2012 Address: License: 878533 City/State/Zip: Phone: r } For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: 312-A0013907A-000000000-0000 Registration Date/Time: 12/27/2012 10:06:34 HERSPro?ider.• CBPCA " 2008 Residential Compliance Forms y - _ _ t August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans Pae 1 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 La Quinta, City of 13-6 Space Conditioning Systems Heating Equipment Cooling Eq uipmen . _ t Ou'l `11* Equip Type (package heat um n ,� r� ,, CEC Certified Mfr. Name and Model Number' �e q rITDuct ARI Reference . (�q'Number', - # of r� Identical ; Systems' 1 Location (attic crawl space etcr',� Cooling Eq uipmen . _ t Ou'l `11* Equip Type (package heat um n ,� r� ,, CEC Certified Mfr. Name and Model Number' �e q rITDuct ARI Reference . (�q'Number', - # of r� Identical ; Systems' Effici (SEER and EER) 3' ., (>_CF-1`R:,r `value 4� Location (attic crawl space etcr',� ` a Duct� Rvalue� } :9Cooling IN Load f` tAr) t t Cooling Capacity (Btu/hr Duct M ` Efficiency Location - Equip (AFUE, (attic, Type ARI # of etc.)I, a crawl- Heating Heating (package- CEC Certified Mfr. Name Reference Identical (>_CF -1R space, Duct Load Capacity heat um and Model Number Number 2 Systems value 4 etc.) R -value Btu/hr Btu/hr Fumace Amana AM H80805CX h 1 80 Home 64000 80000 .*,� �: �. ��' P[�.d�• R9i Pfi+3i, a31h ' qT•A. RA :� � t i iMNt.'..$1�1 ' ./j 4 �i � flly 7��iS d, WBIMSi,@i. sE 9t�6K.',ili4-v 41 ' • '�{ T M1 r If 1@ ` I1 ?r,4�iM Aa l 111 11 It W`. i ' •�`,.' �tIR' .5.. .T YA - Cooling Eq uipmen . _ t Ou'l `11* Equip Type (package heat um n ,� r� ,, CEC Certified Mfr. Name and Model Number' �e q rITDuct ARI Reference . (�q'Number', - # of r� Identical ; Systems' Effici (SEER and EER) 3' ., (>_CF-1`R:,r `value 4� Location (attic crawl space etcr',� ` a Duct� Rvalue� } :9Cooling IN Load f` tAr) t t Cooling Capacity (Btu/hr M ` JjiFEEE�� t. ijproject is new construction, see Pootnotes to 34andards fable 151-B and "fable 151-Cfor duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at http:Avivlv.aridireytory.org/ari/ac.php# 3. Listed efficiency on this page must be greater than or equal (>_) to the value shown on the CF -1 R form. 4. When CF -11? is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ❑� §110-§113: HVAC equipment is certified by the California Energy Commission. �✓ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or RCCA. . ❑� §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). . • _ §1500)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines me?ts minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned mace. 2008 Residential Compliance Forms ".August 2009 f , 4.,• tel. INSTALLATION CERTIFICATE CF-6R-MECH-04 S ace Conditioning Systems, Ducts and Fans (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 La Quinta, City of 13-6 Ducts and Fans § 150(m): Duct and Fans ✓❑ , 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums we insulated to a t minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL ' 81 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and ❑✓ I. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to ' cause reductions in the cross-sectional area of the ducts. ❑✓ 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back'rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ✓❑ 7. Exhaust fan systems have back draft or automatic dampers. _ 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operatedrddampers a • X01 1r i ❑✓ 9. Protection -of Insulation:.Insulati6in shall be protected from damage, including that due to sunlight, moisture, equipment m maintenance a d wind Cellular fo m utsi lation sha 1',be�otect df above or '"�a nte"d w h a eoatin that is ' -+ r ^fir' a+ M'w �t .w;� e.^'t�w' �a ; s� u.; p reu 4ie lis !u, g water retardant,: nd p vides shielding from solar radiation.that can cause degradation of the mate71al' " _ ❑ 10. Flexible ducts cannot have porous inner cores. t a ,9 t y ya s n DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, :)r an authorized ,. representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifica_ions approved by the ' enforcement agency. • 1 reviewed a copy of the Certificate of Compliance (CF -1 R) form approved by the enforcement agency that id--ntifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: Responsible Person's Signature: Ruth Debrick Ruth Debrick CSLB License: Date Signed: Position With Company (Title): 878533 11/7/2013 owner { 2008 Residential Compliance Forms " ;; August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Pern-it Number: 48265 Paso Tiempo Ln La Quinta CA 92253 ILILa Quinta, City of 11 3-E Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwelC.ngs to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existin€ parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. r For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test — existing ducts stem Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. ❑- rf'wOption Measuredekoutsideessta+t0%,of�FAage tor%? vra ua�:, .a ❑ Option 3 Reduce leakage by-/ or more,.(andredi duct7smoke'test to'3§eal/a a"c e—ssible'leaks ,.n. 1014, ❑ Option 4 Fix all accessible leaks using-sinoke test, and HERS rater must3verify. Note: (Option,l must be attempted before_.utilizing Option 4) '. Determine nominal Fan Airflow using one of the following three calculation methods _ ❑ Cooling system method: Size of condenser in Tons • z 400 J`�CFM c El Heating system method: 21.71x-64100—.' ° IKeating Output Ca achy (kBtuh);,r '388.80 ,. CFlyj ' i Measured system airflow using RA3.3 airflow test procedures: CFM a �% CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Pern-it Number: 48265 Paso Tiempo Ln La Quinta CA 92253 ILILa Quinta, City of 11 3-E Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwelC.ngs to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existin€ parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. r For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test — existing ducts stem Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. ❑- rf'wOption Measuredekoutsideessta+t0%,of�FAage tor%? vra ua�:, .a ❑ Option 3 Reduce leakage by-/ or more,.(andredi duct7smoke'test to'3§eal/a a"c e—ssible'leaks ,.n. 1014, ❑ Option 4 Fix all accessible leaks using-sinoke test, and HERS rater must3verify. Note: (Option,l must be attempted before_.utilizing Option 4) '. Determine nominal Fan Airflow using one of the following three calculation methods _ ❑ Cooling system method: Size of condenser in Tons • z 400 J`�CFM c El Heating system method: 21.71x-64100—.' ° IKeating Output Ca achy (kBtuh);,r '388.80 ,. CFlyj ' ❑ Measured system airflow using RA3.3 airflow test procedures: CFM a �% Option 1 used then: - Allowed leakage = Fan Airflow 1388.00 x 0.15 = 208.20 CFM 1 ' . Actual leakage= 165.00 CFM " Pass if Actual leakage is less than Allowed leakage El Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM ` Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail Option 3 used then: • Initial leakage prior to start of work= CFM s Final leakage after sealing all accessible leaks using smoke test = CFM 3 _ Initial leakageFinal leakage ='Leakage reduction CFM •� , - (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑ Pass ❑ Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). , 4 Pass if all accessible leaks have been sealed using Smoke Test ❑ Pass ❑ Fail Registration Number: 312-A0013907A-M2113890A-M21A Registration Date/Time: 01/07/2013 11:59:33 HERS Drovider. CBPCA ` 2008 Residential Compliance Forms - August 2009 r CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 iLaQuinta,Cityof 13-6 O Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taoed off during duct leakage testing.CII OSA ducts that,uutillze.co�ntrolled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard162r2 "an`d�closeehCQjj1ventilat�on is not required,may be configure to e closed position during duct leakageltesting- -� � I r R f `i let p ` k f+ lE�"ti'F l a "e11P°� 4M l ( a IN 121 All supply and return gtster boots must�be sealeddto the,drywallstf smoke testis uE tihzed for�corrohance applies to duct leakage compliance optioni3 (leakage -'.reduction by 60%) and' option 4 _(fix all accessible leaks) &scribed above. ' El New duct installations cannot utilize building cavities as plenums or platform returns in lieu of dixts. IZI Mastic and draw -ba ids must be us -&in combination with cloth backed rubber adh'enssive duct tape 3o=seal leaks at all new 1. duct. connections, _DECLARATION STATEMENT -. s, ,,� u ' F ` a ,� � •,. • I cern under penalty of er u� { certify p ty p ry =under the laws.of the State of Cal fornia,the'infion provided on thi form is true and correct. • I am the certified HERS rater who performed the venficati nAservices identified and reporter on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verifica itit on tha issiidentified on this certificate (the installation) complies with the applicable requirementsin Reference Residential Appendices RA2 andJRA3 -and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agEicy. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and subri�itted by the person(s) ` responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance CF -1 R) approved by, the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Venvest Ballard/One Hour Air Responsible Person's Name: CSLB License: Ruth Debrick 1878533" HERS Provider Data Registry Information Sample Group #/ (if applicable): 0 tested/verified dwelling ❑ nct-tested/verified dwelling , in a HRS sample group HERS Rater Information HERS Rater Company Name: Athens Air Inc. Responsible Rater's Name Responsible Rater's Signature Andrew Pulos Andrew Pulos -' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095886 +. 1/7/2013 - Registration Number: 312-A0013907A-M2113890A-M21A Registration Date/Time: 01/07/2013 11:59:33 HERSProvider: CBPCA 2008 Residential Compliance Forms 4: August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 La Quinta, City of 13-6 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space - . conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existingparts of the original duct system (e.g., register boots, air handler, coil, plenums, etc) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " f Duct Leakage Diagnostic Test — Existing Duct System Select one compliance method from the following four choices. 4 Op ` gaw. aI, io.�p ❑ tion 2 Measured leaks a to outside less thanisl0 /o of Fgan1'Atrflow ' VI/'`1iiW uU Slt!' d pn .%du 1 .K' \,�•w +d b! �.+ .. - ❑ Option 3 Reduce leakage by ormyo._rye;�anydfcyonductsmoke=t`estttosyeal all accessible lleiaks - INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 La Quinta, City of 13-6 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Home Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space - . conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existingparts of the original duct system (e.g., register boots, air handler, coil, plenums, etc) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct System. " f Duct Leakage Diagnostic Test — Existing Duct System Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. Op ` gaw. aI, io.�p ❑ tion 2 Measured leaks a to outside less thanisl0 /o of Fgan1'Atrflow ' VI/'`1iiW uU Slt!' d pn .%du 1 .K' \,�•w +d b! �.+ .. - ❑ Option 3 Reduce leakage by ormyo._rye;�anydfcyonductsmoke=t`estttosyeal all accessible lleiaks - gg60% ❑ Option 4 Fix all accessible leaks usmg-smoke test and HERS rater must�venfy.., ` Note (Opt on 1 must be attempted' before. utilizing• Option 4) Determine nominal Fan Airflow`using bne o the following three calculation methods.., ❑ Cooling system method. Size of condenser'iii, Tons ==m x 400.. - �CF1vI ❑ Heating system method: 21.7x64} :.,Heating Output Cap ity (kB ut h)13Bs•s ,,CFM �. ❑ Measured system airflow using RA3.3 airflow test CFM +t "'. procedures: = f' Option 1 used then: ' Allowed leakage = Fan Airflow 1386 x 0.15 = 208.2 CFM 1 Actual leakage= 165 • CFM ' Pass if Actual leakage is less than Allowed Leaka a 0 Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑Pass ❑Fail Option 3 used then: Initial leakage prior to start of work= CFM y Final leakage after sealing all accessible leaks using smoke test = CFM 3 �. . Initial leakage - Final leakage = Leakage reduction CFM. f (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑Pass ❑Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using Smoke Test ❑Pass ❑Fail y Registration Number: 312-AO013907A-M211389OA-0000 Registration Date/Time: 01/07/2013 11:58:07 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-11JERS Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 48265 Paso Tiempo Ln La Quinta CA 92253 La Quinta, City of 113-6 - 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/tEped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. All supply and}} eftirn_L 'gister}boots muuss`tlbe'j sealed toy(tlie a 1)if�smoke test is utilized=for cofitp iance — applies to 4 +IF yn °1 Rt Rt •' , R u41,r+ �t N 0 * '? p w , �, - "'�4d °" C•1 i1 t4 'If 51 °8 s' duct leakage comp-Bh e�option 3:(leakage reduction by 60W) and option 4 (fix all accessible leaks) described above. 121 t►+ >rr pla,�p New duct?jnstallations cannot utilize bwdulg cavities penulms ot>orm returns'm`ilieu1oitdcts 0 Mastic and draw bands must be usedKin combination with'clothxliacked rubber adhesive duct tape to seal leaks at all new duct connections.t'r r ' DECLARATION -STATEMENT". r : I certify under penalty of pei7ury; under the -laws of the'State of -California a information v ded on Mus form is,true and correct. • I am'eligible under Division 3 of the Business and P ofessio ns Code to accept responsibility for construction,or an authorized representative of the person responsible for construction (resp onsible person k. z, • I certify that the installed features, materials, components or manufactured devices identifie&on this certificate (the -installation) conforms to all applicable codes and regulations, andttlie ins allation is consistent with the plan °and.specifi• ahons approved by the enforcement agency. , • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS providen representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but jot checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the requirec corrective action and • additional checking/testing of other installations in that HERS sample group will be performed at my expense. •' I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made avOlable with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner.) r Responsible Person's Name: Responsible Person's Signature: Ruth-Debrick• Ruth Debrick 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/tEped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. All supply and}} eftirn_L 'gister}boots muuss`tlbe'j sealed toy(tlie a 1)if�smoke test is utilized=for cofitp iance — applies to 4 +IF yn °1 Rt Rt •' , R u41,r+ �t N 0 * '? p w , �, - "'�4d °" C•1 i1 t4 'If 51 °8 s' duct leakage comp-Bh e�option 3:(leakage reduction by 60W) and option 4 (fix all accessible leaks) described above. 121 t►+ >rr pla,�p New duct?jnstallations cannot utilize bwdulg cavities penulms ot>orm returns'm`ilieu1oitdcts 0 Mastic and draw bands must be usedKin combination with'clothxliacked rubber adhesive duct tape to seal leaks at all new duct connections.t'r r ' DECLARATION -STATEMENT". r : I certify under penalty of pei7ury; under the -laws of the'State of -California a information v ded on Mus form is,true and correct. • I am'eligible under Division 3 of the Business and P ofessio ns Code to accept responsibility for construction,or an authorized representative of the person responsible for construction (resp onsible person k. z, • I certify that the installed features, materials, components or manufactured devices identifie&on this certificate (the -installation) conforms to all applicable codes and regulations, andttlie ins allation is consistent with the plan °and.specifi• ahons approved by the enforcement agency. , • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS providen representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but jot checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the requirec corrective action and • additional checking/testing of other installations in that HERS sample group will be performed at my expense. •' I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made avOlable with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner.) Venvest Ballard/One Hour Air Responsible Person's Name: Responsible Person's Signature: Ruth-Debrick• Ruth Debrick CSLB License: Date Signed: Position With Company (Title): 878533 11/7/2013 , Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑Yes ONo , Registration Number: 312-A0013907A-M2113890A-0000 Registration DatelTime: 01/07/201311:58:07 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009