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0307-197 (SFD)LICENSED CONTRACTOR DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is iri full force and effect. License # Lic. Class Exp: Date 692734 13 MIC Date Signature of ContractordP�" is OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, RI Isin?ss R Prnfassionals f odo), ( ), .I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business &. Professionals Code). () I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section •3700 of the Labor Code, for. the performance of the work for which this permit is issued. ( ) I have and will` maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier CT_hTk Fi.l'131"a Policy No. 0441-02-0.014,19 (This section need not be completed if the permit valuation is.for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of th Labor. Code, I shall forthwith comply with those ��sions.✓'.� Date: �>^•• �'— e):t ApplicantC1�1!!do .n .•� Warning:: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application, 1. Each person upon whose behalf this application is made & each person t'" whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon, the: above- mentioned property for ins ection purposes. Signature (Owner/Agent) ate%2 BUILDING PERMIT PERMIT# . - ,- W07-197 , DATE '^ VALUATION LOT 1 0419,431 o� TRACT ,. -,30651 JOB SITE ADDRESS .' . -617 QUA-UR:Y R N .t�0,01_ APN _002 OWNER CONTRACTOR / DESIGNER / EN (NEER 4 Qpk%R.R.Y RA.,kl LTX C & 13- COAI 1811RUCI I iON . I QI.7mmy LAS LA, Q1. I A 0A 92253 UJ'5LAW) CA 91786 82»9965 (MI. # 3539 USE OF PEHMI I- SwCf7sl.1>+1on"Dw"w ia'a VD. 4097 SQ, FT. IWi 587'.SQ0Y. GAARA04 11.8 TR,1>"i IAS P". IT ,D00 NOT INCLUDE BLOCK WAL w, POOL, OR .VAI SEPARATE PERMIT: YDR DRIVEWAY kt ''PUBLIC `NOW, E.�aq. 2001 CODES • F CUSTOM CaNS3'R.I,1C'l']d: N 087,00 SFS , POiiCHOPATIO , -718,00 S0' L1:ARAGEIC.4#RPORl' i 1 7i1{A'I � (s'�'D ," �3 +lam'C5Z'7S.i'R 7C'1"Q41tT L 1391Mk,I1) I=EMS4I!""0.' SVKHAIRY CONSTRUCTION FE,E 101-0,00418-000 $1,4W,90 PLAN CHECK FEE iCll'-000-439-318 �f,116.St5 MECHANICAL ARL 101.000-423 •-000 $18:2.00 !~jLF .:TPJCA t, FEW, ' 101v000 -420 -WO V29.'7r P.LUMk1R40 FEF' 101-000-419-000 V424,25 qTRCFidaDMOTION RESID 1031-000-241-0300 X33,99 41tADWO EE 10..1-0100.4.23.000 Sum ART 1'N PUBLIC PIACJ?S RF.i;)'ii: 270--000.445.000 YEE DZPO tIT ZC1�t)AQ-239r31.�3-�I,000.tlO 0,T3_ rcrr4,L C;ow. 'T'Rb'C'.TTooA= PIAN C1MCK - $6,1.34.91 LESS k'"RE-;'A1D'Fk"R.S 411000100 o a a VTAL f XS DUE NOW $5,1349 FY1 . DEC 0 9 2003 CITY OF LA QUINTA .;•-^ REC g •BY 1 % DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVAIt Set Backs Underground Ducts Forms & Footings 7ZZ24 Ducts Slab Grade &1117 Return Air Steel Combustion Air Roof Deck J 164'Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Dryvrall - !pj. Lath / 011 `' tt- Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Sewer Connection %�� _ Pool Cover Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) pa�uintQ. - " QUINTA ��yy�(''�I - A DEPARTMENT F`yOF DLII �J LUVJ7'� - 12 ' p., R QUEST LINE CITY OF LA QUINT- 777-7 53 FINANCE DEPT. Owner QUARRY RANCH, LLC Contractor C & G CONSTRUCTION Permit Number 0307-197 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 58-617 QUARRY RANCH ROAD . SFD- 4087 SQ.FT. LIV, 587 SQ.FT. GARAGE, 718 TRELLIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL OR SP :. TYPE OF INSPECTION DATE INSP. ; TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING - !. FOOTINGS / STEEL CONCRETE SAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNE ROOF NAIL/ PRE -ROOF �7 l OKAY TO WRAP % FRAMING COMBINATION ROUGH ELECTRIC t ROUGH PLUMBING ROUGH MECHANICAL l INSULATION S COVER NO WORK UNTIL ABOVE SIGNED --- INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION 0 SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL ; BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS j PRE-GUNITE / SETBACKS - U/G PLUMBING _ U/G GAS U/G ELECTRICAL ; PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS - TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Lot # No. Street S.F. Lot #, No. Street S.F. Unit 1 8 58617 Quarry Ranch Road 4087 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 , Unit 5Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 4,087 S.F. or $8,746.18 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Mike Reed Check No. 408277788 Name on the check Telephone 909-816-7634 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sohn Gilvrey ` Payment Recd $8,746.18 OveLlUnder Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period irnwhich you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whiciever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting CERTIFICATE OF COMPLIANCE Desert Sands Unified School District �J�1FI�sc o 47950 Dune Palms Road � Q BERMUDA UDUNES r Date 12/8/03 La Quinta CA 92253 f 040 RANCHO MIRAGE d k�A INDIAN WELLS No. 25247 (760) 771-8515 11?t� PALM DESERT LA QUINTA ��' �QINDIO y� O Owner Quarry Ranch, LLC APN # 766-060=002 Address 1 Quarry Lane Jurisdiction La Quinta City La Quinta Zip 92253 Permit # 0307-197 Tract # 30651 Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot #, No. Street S.F. Unit 1 8 58617 Quarry Ranch Road 4087 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 , Unit 5Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.14 X 4,087 S.F. or $8,746.18 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Bank of America - Mike Reed Check No. 408277788 Name on the check Telephone 909-816-7634 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sohn Gilvrey ` Payment Recd $8,746.18 OveLlUnder Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period irnwhich you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whiciever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting Engineering Incorporated 1981 20th Anniversary 2001 Consulting Electrical Engineers .19031 Highway 18 Ste200 72330 CaMon Lane Appte Valley, CA 92307 Palm Desert, CA 92260 Phone: (760)242-3369 Phone: (760)773-W19 Fax: (760)-242-1092 Fax: (760) 242-1092 dj-tamjoe(4,)charter.net dream joe@,aoLcom 'TITLE 24, JANUARY 2001 ENERGY EFFICIENCY STANDARDS FOR LOW RISE RESIDENTIAL BUILDINGS QUARRY VILLA LACOB (30 DEGREES) 4,087 S &10/25i2aw- 'Energy Budgets for this building were determined using the CALRES VERSION -1.4 certified by the California Energy Commission. The Calres analysis'aftached was conducted using tables from the Residential Manual for Compliance With thei Energy Efficiency Standards (for Low Rise Residential Buildings) JUNE 2001, certified by the California Energy Commission.' HOUSE COMPLIES ***REFERENCE C -2R PAGE 1*** I hereby certify that the California Energy Commission Conservation Division regilati6ns establishing Energy Efficiency,Standards for Residential Buildings, Title -24, Part 6, have been reviewed and the design submitted substantially complies with these regulations. Joseph M. Nolan Electrical Eng ATTACHMENTS; #1 - C -2R #2 - CF -1 R #3 - MF -11 R Mandatory Measures Checklist: Residential #4 - CF -6R Installation Certificate #5 - FHA FORM J Heating and Cooling Calculations #6- Calculation WqAsheet-' BUILDING & SAIFETY DEPT. FOR C0Nj!,,`.*,-. 1--j'1710N D)NTE� Sg �Gf7 ��Qy 6�ANCtF K:\msoffice\WINWORDITITLE24-COVERSkTITLE24.docTITLE24-RESIDENTI-AL PAGE -1 eft 2-A" ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Proposed Design Space Heating 5.23 .I Space Cooling COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: ---------------------- QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 25 -Oct -03 Project Address: Total QUARRY VILA LACOB 4087 Azm --- LA QUINTA, CA 92253 Gns --- Type ---- Building Title: QUARRY VILLA LACOB 4087 SQ. FT.Building Permit # Document Author: DREAM ENGINEERING INC, (760)773-4478 3 30 Telephone No Plan Check./ Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 15 90 No W19.2x6.16 Unconditioned ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Proposed Design Space Heating 5.23 3.77 Space Cooling 41.20 42.06 Water Heating 6.97 7.38 -------- -------- Complies Total 53.40 53.20 Yes GENERAL INFORMATION. Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value: Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditiooned Volume: 4087 ft2 1210" ft -in SFD Single Family Detached 30 deg (North) 18.3% 0.34 0.34 1.00 1 Slab on grade 1 49044 ft BUILDING ZONE INFORMATION Floor V•�nt Zone Area Volume Thermostat Height Name (ft2) (ft3) ' Type Type (ft) ------------ ------- -------- ------ ---------- HOUSE. " 4087 49044 Conditioned CEC_Standard .2.1011 OPAQUE SURFACES Surface Area U- Insl Total Tru Slr Construction Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm --- T1t --- Gns --- Type ---- Location/Comments Zone = HOUSE Door 24.0 0.330 0 3 30 90 No DOOR Unconditioned Wall 735.0 0.065 19 15 30 90 No W19.2x6.16 Unconditioned Wall 901.2' 0.065 19 15 120 90 No. W19:2x6.16 Unconditioned Wall 403.9 0.065 19 15 210 90 No W19.2x6.16 Unconditioned Wall 867.2 0.065 19 15 300 90 No W19.2x6.16 Unconditioned Ceiling 4087.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 4087.0 -- 0 --. -- 180 No Slabl40C Graie 11 COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 25 -Oct -03 PERIMETER LOSSES Perimeter Length F2 Insul Type .(ft) Factor R-val Zone = HOUSE Exposed 49510" 0.507 -- Exposed 17810 0.756, 0 Insul Depth (in) Location/Comments --------------------------------------- -- Unconditioned 16 Outside FENESTRATION SURFACES Fenestration Exterior Shade Over - Fenestration Area --------------- Tru -=--------------- hang Name Type (ft2) U -factor SHGC Azm Tilt Type SF -GC' /Fins Zone = HOUSE FRONT_GLAZ Window 106.0 0.34 0.33 30 90 BugScrn 0.76 None LEFT 0.35 - 0.35 120 90 BugScrn 0_76 None _GLAZWindow'156.2 BACK_GLAZ Window 304.1 0.34 .0.34 210 90 BugScrn 0.76 None RIGHT GLAZ Window 182.0 0.34 0.34 300 90 BugScrn 0.76 None OVERHANGS Fenestration ---------------------=---- Length Height Left Right Name Width Height 'H' 'V' Extension Extension None FINS Left Fin Rig -it Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ -- --- ------ ----- ------ ------ ---- — None THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- -------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ ------------------- None N 'COMPUTER METHOD'SUMMARY Page 3 C -2R Project Title: QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 25 -Oct -03' HVAC SYSTEMS Refrigerant Minimum Charge and Equipment buct Location System Name System Type Airflow TXV Efficiency and R-value ------------------------------------------------------------------------ Zone = HOUSE GasFurn.80 Furnace N/A 0.80 AFUE Attic R-4.2 AC UNITS Air cond. - central split No 12.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage, ' Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM' CEC 100%R4.2 1103 No n/a 2861 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume ,System Name Type , Heater Name Heater Type Htrs Factor ;gal) Standard,Gas Standard StandardGas Storage gas 1 0.62 65 Standard Gas Standard StandardGas Storage gas 1 0.62 65 ` SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------- StandardGas -- No No Standard Gas-- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (•kBtuh) Loss, R -value (Btuh) StandardGas 78% -- 108.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name., Type Number run (ft) .diam (in) thck ;in) R -value None . COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: QUARRY VILLA LACOB.4087 SQ. FT. Run: 044 25 -Oct -03 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. J CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R - ------------------------------------------------------------------------------- Project Title: QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 25 -Oct -03 Project Address: Type/Orientation QUARRY VILLA LACOB 4087 SFD LA QUINTA, CA 92253. Building Front Orientation: 30 deg Building Title: QUARRY VILLA LACOB 4087 SQ. FT Building Permit # Document Author: DREAM ENGINEERING INC, (760)773-4478 Window South 304.1 Telephone: Average Fenestration U-Value:0.34 Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check./ Date Climate Zone: 15 Number of Stories: GENERAL INFORMATION Conditioned Floor Area: 4087 ft2 Nane BugScrn Average Ceiling Height: 1210" ft -in Type/Orientation (ft2) Building Type: SFD Single Family Detached Building Front Orientation: 30 deg (North) Window East 156.2 Glazing Area, % of Floor Area: 18.3% Window South 304.1 0.34 Average Fenestration U-Value:0.34 Window West 182.0 0.34 0.35 Average Fenestration SHGC: 0.34 Number of Stories: 1 Number of Dwelling Units: 1.00 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION Cavity Sheathing Component Insul Insul Total Assembly Type R -value R -value R -value -------- U -value -------- Location/Comments ------------------------------- 0 -- 3.03 0.330 Unconditioned Door Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Wall 19 0 15.38 0.065 Unconditioned Ceiling 38 0 41.67 0.024 Attic Floor 0 0 3.38 0.295 Grade Slab Perimeter 0 0 0 0.507 Uncondit=oned Slab Perimeter 0 0 0 0.756 Outside FLOOR TYPES AND AREAS Construction Type Area (ft2) ------------------------------- Slab 4087 Conditioned? Exterior Condi-:.ions/Descripti ------------ ------------------------- Yes Grade FENESTRATION None BugScrn Nane BugScrn Area Fenestration Fenestration Type/Orientation (ft2) U -factor SHGC Window North 106.0 0.34 0.34 Window East 156.2 0.35 0.36 Window South 304.1 0.34 0.35 Window West 182.0 0.34 0.35 Exterior Overhang Shading and Fins BugScrn None BugScrn Nane BugScrn None BugScrn None CERTIFICATE OF•COMPLIANCE: Residential 7 Page 2 CF -1R Project Title: QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 ..25 -Oct -03, - THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments None HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency. Airflow TXV and R -value ------------------- ------------------- ------ ------ Furnace 0.80 AFUE N/A Attic R-4.2 Air cond. - central split 12.00 SEER No Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual"D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------- -------------- CEC 100%R4.2 -1103 No, n/a 2861 WATER HEATING SYSTEMS Distrib Water Water # of Energy volume System Name Type Heater Name Heater- ------ Type Htrs Factor (gal) Standard Gas Standard StandardGas Storage gas 1 0.62 65 Standard Gas Standard StandardGas Storage gas 1 0.62 65 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings 'Wood stove Wood stove - System Name fraction boiler? boiler pump? Standard Gas -- No No Standard -Gas.. ', -- No No SPECIAL WATER HEATER/BOILER DETAILS r Rated Pilot Water Recovery Input Standby Tank._ Ligh- Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh, StandardGas 78% -- 108.00 -- -- -- r , CERTIFICATE OF.COMPLIANCE: Residential Page 3 CF -1R Project Title: QUARRY VILLA LACOB 4087 SQ. FT. Run: 044 25 -Oct -03 ------------------------- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in)' R -value None SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, .of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER DOCUMENTATION AUTHOR MARSH & ASSOCIATES DREAM ENGINEERING INC, (P60)773-4478 MARSH & ASSOCIATES 720.266.2582 ZFO EMDateCENT AG CY (//I Name: Title: Agency: Telephone: Signed Date ignecT# L /aVA Date Engineering Incorporated 1981 20th1981 20th Anniversa�2001 Consulting Electrical Engineers t 19031 WghwAY IN: -;-200 Appjy y�n.,t,; CA 92307 72330 CmWon Cute - Pulm MSS A, CA 92260 . ' ph...- (760) 242-3369 Fax: (760)242-1(M 1'h6Be: ( i uiij 773=4.170 _ _ Fax: (761)242-1(M dmmnJoern?cha"er.net dreomJ001?eoLeom FORM J EQUIPMENT LOADS 25 BTU/SQ FT DREAM ENGINEERING INC. 19031 HIGHWAY 18 - SUITE 200 PROJECT: 4087 SQ FT APPLE VALLEY, CALIFORNIA (760)242-3369/F1092 1 LACOB VILLA CA HTM HTM 'AREA/ BTU BTU NUMBER OF FLOORS 4280 LA QUINTA CLG HTG LENGTF CLG -HTG EXPOSEFOOTPR WALL (SQ FT) 357 METER (FT) 4087 GROSS EXPOSED WALLS 38 314 0 11838 BUILDING DIMENSIONS (SQ FT) 12.0 ' FIXED WINDOWS 39 261 0 10124 CEILING HEIGHT.(FT) NORTH\EAST SLIDING WINDOWS NORTH 25 105.77 122 3054 DIRECTION FACING LA QUINTA WINDOWS & GLASS DOORS: EAST 86 182.37 79 6795.72 5104.8 LOCATION SUMMER DESIGN OUTDOOR - 78 113 SOUTH 45 304.27 113 86 154.50 260 22387.52 WINTER DESIGN OUTDOOR - 68 26 N/A WEST 0 48 0 0 0 UBC 50% OCCUPANCY SKY LIGHTS OPAQUE DOORS 38 25 120 4560 3000 DISCLAIMER: BUILDING HEAT LOSS &RESULTING MAXIMUM HEATING NET EXPOSED WALL R19 1.9 2.0 4280 8133 8561 1.THE 3433 EQUIPMENT OUTPUT CALCULATIONS IN THIS REPORT MEET THE AVE CEILINGS R38 1.49 0.8 4087 6106 0 CRITERIA OF TITLE 24. THIS MAXIMUM MAY BE EXCEEDED CEILINGS ( 0 0 10095 WHEN THE FURNACE IN THE SELECTED PRODUCT LINE MUST BE FLOOR (SLAB PERIMETER) 0 28.3 357 0 LARGER TO MEET COOLING LOAD AIR FLOW REQUIREMENTS. FLOOR) FLOOR (RAISED47051 0 0 0 2.THE BUILDING SENSIBLE HEAT GAIN CALCULATED IN THIS OSS SUBTOTAL BTUH LOSS 7058 REPORT MEETS THE CRITERIA OF TITLE 24 AND MAY BE DUCT BTUH LOSS 54108 USED BY THE MECHANICAL CONTRACTOR IN EQUIPMENT HEATING: TOTAL BUTH LOSS SELECTION AND SYSTEM DESIGN. THE ARI STANDARD 210 PEOPLE 8 APPLIANCES 1200 RATED CAPACITY OF THE EQUIPMENT SELECTED MAY NEED AIN SENSIBLE BTU G AIN 57341 TO BE HIGHER THAN THAT STATED IN THE CALCULATIONS DUCT BTU GAIN 8601 BECAUSE THE DESIGN CONDITIONS FOR THE LOCATION ARE SUM OF SENSIBLE AND DUCT GAINS 65942 DIFFERENT FROM THE TEST CONDITIONS USED IN THE RATINGS. COOLING: TOTAL BTUH GAIN (TOTAL X 1.3) 81768 100701 BTU HEATING OUTPUT, MINIMUM REQUIRED HTG UNIT SIZING = BTUH LOSS X 1.3 + 10 X AREA = 104174 BTU COOLING SENSIBLE, MINIMUM REQUIRED CLG UNIT SIZING = BTUH GAIN X 1.15 = Calculation Work Sheet - LACOB %RL1A 033 0.34 154.50 L 0.35 0.36 1304.27 1 0.34 1 U35 t -f,'" HIM Perheler 356.70 ORIENTATION - ALL 4 MARSH TOTAL 746.91 o42,, Engineering Incorporated GaMe Perimeter 4,687.0 HEIGHT 120 SKYLIGHTS 1981 20th Anniversary 2001 Slav Area 4.x•6 CODE W H AREA u ac CODE w Consulting Electrical Englneers Glaring 748.91 969.0 _ foot �4D' 3emmu LAW ave. ceiling hetgtd 120 53.5 LEFT 97.60 1.171.2 .%pra. 7bflq, CA 911417 paba73830 C�qV60 0108 ' BACK BM75 M.. (76%242 -3369 (1"773.N7B _ 016A - UNOOND (15.6) Fw (760) 212.10'12 Fu: (740)14241192 1,171.2 016B-UNOOND dtmmJo'Sd�aTrP.aM 41RiCJ+r�1dlOd1 FRONT 4280.4 LEFT BACK RIGHT GLAZING GLAZING GLAZING 0298 GLAZING AREA u sc CODE AREA u w OODE AREA u sc 030 CODE AREA 4.00 u 0.33 so 0.34 C2 12.75 0.33 0.34 A 11.00 0.33 0.34 A 11.00 0.33 0.33 0,34 0.34 B C3 16.50 0.38 0.39 C2 12.75 0.33 0.34 11.00 0.33 0.34 B B 4.00 4.00 0.33 0.34 03 16.50 0.38 0.39 01 2200 0.35 0.39 Al 11.00 0.33 0.34 C tg,50 0.34 0.35 C 16.50 Q34 0.35 D1 22.00 0.38 0.38 0.39 039 1 B 4.00 0.33 0.34 C 16.50 0.34 0.35 C 1650 1650 0.34 0.34 0.35 0.35 01 01 2200 22.00 0.38 0.39 8 400 0.39 0.34 C1 16.50 0.34 0.34 0.39 0.35 C Ot 22.00 0.38 0.39 E 12.00 0.33' 0.34 B 4.00 0.33 0.30 D 2200 1.77 0.33 0.34 Dt 2200 0.38 0.39 E 1200 0.33 0.34 B 4.00 0.33 0.38 0.34 0.39 H E 12.00 0.33 0.34 E 12.00 0.33 0.34 Cl G 16.50 tt 0290 6.75 0.33 034 E 1200 0.33 0.34 F 9.00 0.93 M33 0.34 0.34 H 77 '0.33 0.34 029A 6.75 0.33 a34 F H 9.00 1.77 0,33 0.34 K 87.10 0.34 0.34 008 6.75' 0.33 0.34 6.75 0.33 0.34 8 �MB 13.50 0.33 0.34 8 13.50 0.33 034 0108' 13.50 0.33 0.34 =los 13,50 0.33 0.340298 13.50 0.33 0.34 029813.50 0,33 0.30 19.50 0.33 0.34 0298 13.50 0.33 0.34 030 6.75 0.33 0.34 030 6.79 433 0.94 DREAM 105.77 033 0.34 154.50 L 0.35 0.36 1304.27 1 0.34 1 U35 t DREAM TOTAL 74691 MARSH TOTAL 746.91 HEIGHT 120 SKYLIGHTS WA LL AREA CODE W H AREA u ac CODE w H AREA FRONS 80.75 969.0 _ 008 53.5 LEFT 97.60 1.171.2 0108 54.0 BACK BM75 90.0 _ 016A - UNOOND (15.6) RIGHT 97.60 1,171.2 016B-UNOOND (5.3) 4280.4 022A 0298 030 U54, TOTAL TOTAL i i.: MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1.1'2) MF -LR Note: Lowrise. residential buildings subject u) circ: Standard; must coffiniu tl1CSC illea51lt'05 regardless ofitbe oullipliatcc approach used. [tents marked wide an asterisk (1) may be superseded by nacre stringent compliance requirements listed on the Certificate of Contphance. When this checklist is incorporated into the permit tloeumetlts. the features noted shall be eonsicered by all p:u'tie:::Is minintun component performance spee itic:nitins for die mandatory Ineasur" whedler they are sho-%vu elsewhere in the documents or nn this checklist only. 111811-Lleti011s: C_heCk or initial applicable boxes when complered or enter NiA if not applicable. ' DESCRIPTION DESIGNER ENFORCEMI NT — --- -- QLLII(�ula 1'_R1'l'lU�e 1�'iCHSLLI'C5: *. � I50(a): 64inuuuw R-19 ceiling ulsulntion. X §l5(1(b): I_oo;r till insulation 111a1lllfaCtULCI i labeled lt-VaILIC. " §1J;0(c): Muvannn 1013 wall insulation in u'\>,Nd tiamWd walls oraqui�a lcnt U-Pnctor in metal frame walls . {docs [lot apply tO exterior mass— § 150(LI): 1\tallllllllil It -1 s raised floor asutanoll in f illnCd floors. §150(l) : Slab edge iusulalion - water aiiiorpnotl tale Ito greater than 0.31!,,, waler vapor llallTlnlssi OR Ta(C no treater ilt:al 2.0 hernyinch. § 11 S: Itl>ulation spccitied or installed nxets Insulation quality ;enndnrds. Indicaw type and tbinl. I § 116-17: FCIICSU'3Ii0U'P1'OdtiC(c- Exterior Doors, and LttiluutiolVtisfilu'auun ConullJs I . Doors and WindgwS 11CMCen conditioned and ultconditioned spaces designed m limit air Ieal.agc. I Fenestration protlucls (except litld-hlhricarecq have label with certified U -Factor, certified Solar bleat Main Coefficient (SHGC1, and intiltrution certilicauan. 3. l xicri,r tutors shit witldow's R'eailieisn'ipped; all jirds laid perici unions caulked and sealed. Vapor bureie.rs nluldatory Ili Cliunaie'Lones 14 anonly. d l6 ro § 15()(1): Special intilinttion barrier' inslallCd to cony)ly Willi. § 15 1 rtlt:cls C'oliltnission quality standards. § 15(lle): luslalluuun;ol' PirCpluCcs. Decorative Gas Appliances anti Gis Log, L Masonry gild factory -built fireplaces hacc: t a. l loscable metal clr glass ,lour * h. thltiide air intake will damper and Control c. Floc daull)ff and control 2. No contolunus htnrliug gas pilot lights allowed. ,ace Conditioning, Water Heating and Plumbing Systerl"Measures: — § 110-§ 113: IiVAC,equg)mtatt, WatCr heater. showerheads and faucers ctltil'ird by the Cumntis,ion. 15(ItJll: 1lealim! aild:or coaling load, talCulatCtl illC accurdancWith A"IIRAli. S1v1Al h A or Al'.CA. § 15(ki): Setback dteonosiat on all applicable Iicatin- and/or ciooling sYsteun6. § I50( -j): 13111C and talk tnstllatloll 1. Sturlge cu, \va[tr hCtutrs rated wtth all lt1CCLy bac'tor tQ i than U.� (Iltll$L I1C tXCCCIlaII\".VlaP1]Cd\Slip Inslilalloll halving .al IlliC111Cd II1Cn'lllal ielaSWnee of It -1 i or+crcatcI% I-irst i 1CCt lit pipes clOSCSt It) willCl' IleIlel lank, IIOt-LCCLrCLll+tin_ systtaus, iusuLa[ed (R-4 or greater) i. Back-up links for solar systc.nl, unfired storage hulks, or other indINCL hot water talks have P.-1? exlClunl insulation or lL 16 Cnnnb1LICd internal/external insulation. 4. All hw'ted or CxposCd IllptIM itlslllated in recircldattng sections of hot watcr systctn�- 5. Cooling systaln piping below 55" F insulated. fl. Piping ulsulatc,l between IICaLIIIL sUlal:C :and indirect [lot )lat_r [link_ — —_---- --- — - — --- -- -- ---...--------- - --- -. _..... August 2001 ... --- — A-5 Compliance Forms 9 NIANDATORY MEASURES CHECKLIST: REi SIDENTIAL (Pale -'oft) MU -IR Note: Lotvr is,: residential building; subjccl to the Standard., aunt t:onntin these measures regardless of Elle Compliance approach u:eJ. Items marked \With an asterisk (") may be superseded by n'Inre stringent compliance requirements listed on the•Certificatc (if Compliance.When this aheCklist is itteorpotared into the permit documents, the features noted shall be constrered hV all parlles as minimlun ComponellE perfornratice speeiticauorts for the nwud:lrory measures whether they are shown elserkhcre in the duCuulent.; or on this chcc,klisr. 0111Y h}$IrLICliORS: C'helck oi- iuirial applicable boxes when completed or cnterNiA if not. applicable.- - -- _111.1..-...._ .._.._..---....._.........._._......._.._._...-'------- DESCRIPTION ENFOI:CEivl}:N-1 — .......... ..-..--.._-.._....---------------'-.--- ....._. _ - --- .....-.-_._._1111....-11.___11.-------- ace Cuuditioning, NV_atel- Heating and_Plumbiug Systcnr Measw es: (continued) 150(nl): Ducts anti Fan, 1.. 11 Jura., WILL I?lenums installed, seated tmd insulated to nlcet the tequireuleul oC du 1998 CD1C lection; 601- 603. 601. and Standard 6=3; ducts Insulated tit ti tlntlununl msl Jlcd level of R-4.2 or unclosed entirely in cnndtuon.:d ;pace; opellings shall he scaled with nnisnC, lape. aerllstll sealalu, or odier duet -closure system that nlccls the applicable tuluunnaun of UL 1 S 1, UL IS I f.. or UL 1, l l3. 11 llusuc or uqt.: is used to s::al opcnirrs greater than LA inch, LII. Cnnlhinnuu❑ of mastic and either mesh or dLIC shall lx• a d. their Building cavilie, shall not tie used liar conveyut_ cotldiLiurled au'. Joleli atld seams of duct systen'u and their cnnlponettts shall not be sealed 1, illi cloth back rubber adhesive duct wpcs unless snch tope is used tit conlhilnuun \111{ tnaslic and drawhands. . Ihuldut, caviuCs, suppulr plattiltills for air handler, dull plenums dCtiue or Cousu'un d will[ nruerials other than sealed Shea[ metal. duct hoard nr Ilc,ible duct shall not he used for conveying conditioned air. Buil fill_ cavities and ,uppnn platforms Lila), contain duns. Ducts installed in cavities and snpfirm platlorun' shall tint be compressed to calve redutaions ill dtc cross-os,area of the ducts. . laiuu and seams of dna astems and thou' Cotnpintcnts shall not he scaled with cloth hack rubber adhesive JllCL tapes unkss each tape is a din conihivatiou leaf[ elastic and tlruwhantis. a. E-xhaust (illi Systems have back drift of autollinfic datllpCt's. �. C;rnvity ventilating systems sclvin, conditione.t spax have either auuv»atic iu' readily axCssible. manually operated damper. h. Projectlell of ln.'sulatl,llt_ lilsldallon shall he prolecwd from dtlllla,e, mdudul that dun tit sunlight, nu.isun'c, e.luipnlCnL mainienuuc,., and wind but not limited To [he tollowin_: Insulation exposed til weather shill[ he stumble for nuttloor SCI-VICC e.g.. proteCICd by aluntinunl. MICCL metal. paillied canvas. Ill* plasitc Cover•. Cellular foam insulation shall be pro[Cned as allove or painted with a coaun, that is wafer rCLardallt'and provides slueldulg from solar radiation [hat can cause— grudation of the Material. 114, Pani and Ipll Heatut_ 5y,tcutS and t.yutpnicut. L Sy,tc tit 1, cen ifted with 7S';u thermal1' eltiC ielIC, on-aff switch, wrathrtprnot operating in,tnletlons, n0 rkxu u: resi t'allce heatin_ and no pilot beta. '. SystCni is iustailed boob: a. At IC;I., of pope hCttrceu liber anti heats fou' luuu'C solar hcauu�. h. Cover for }tutdoor pools or outdtxn' spas. :. Poul ,-tell has dircCtioual inlcu and a CiradaLion pump bale switch. - 11 ` Ga:: tired central furnaces. pool heaters, spa IICUCr or buusellold cooking, aypliaucas have no .e ,111,1.,.., n'. „_rlecn [cul cookiiwt ziml nc•.cs tcithLlnt < 150 B § I I � (1): CLxlt J ,00f nr•!tcrral andel spceihCJ Cl'llla'La l.iehting i�9casures: -`---- - -'--------.. _ _1111—_------------------- -------------'--__.._..-'----__---------------------- 1 i0(k)1 Luminaires,..... Cor general lightin_ in kitchens shall halve lumps with un citicacy of 40 luLIMIS/ cal[ nr ;rcut,:r for gMeral liehtin, in kitchuls. This,encral lightiul; shall be cnnrrolled by a s,c•itcll on a readily aCCCsslhle IlghLing comr„l paael ,it'all ellll'1117Ce LO flit kitchen. §150(02-: R,Atllis With a sho vcr u bathtub must have either ill Icast enc lumivairC ,with innlps with au el9icacy of 40 I{unensavat[ or greater swiLChCd al the euu'ance ill the room or one of the allernatil•es Ln this rCyulretlle LlL allowed ill 5150(k11.: dolt[ incandesccuL rel•CS,td CCiling, lizuu'e, are 1C (insulation cover) -- -'-' - --- - ----' - =-- ------ — - - 'August 2001 A-6 Compliance !Forms i (Pape 1 of 13) CF -6R INSTALLATION CERTIFICATE Site Address Permit Number An installation cerfitictue is required to be.posted at the building site or made available for all appropriarc inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of tiltal inspection, a copy trust be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Fleatin., Equipment Equip. :. of Fit teicncy Duct Duct or 1leatii� I Icuung Type q,kg. CEC.Certitied Mir Name Identical (AFUki. ctc:l' Location Piping Load Capacity heat Punto) _ w 1 Iv1 + 1el l\mnbel stems 1>('F- I K +•+lull (attic etc.) R -value 1 Bu0111 i Boahr) Cauling Equipment F.gmp. CF.0 Certified Compress. r n1' 1:ftinencv Duct Cooling Coola)g Type wk -g- knit 1`•lft Name ruld Identical (SHER, etc.)' Location Duct Lotti Capacir. 11e23t 111.1o1a) Mod l number w,tuns I>C F Ili valuel )attic etc) I -Value (Bnuhrl I BuJlu'l 1. > reads greater than or equal u>. 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) ecpuivalcnt to of nwre efficient than that specified in the certificate of compliance (form CF -1R) submitted for compliance with rhe Ener.,r Eflicien�i• Stanciarcls for residential buildings, and �) equipment that meets or exceeds the appropriate requirements for manufat nu'cd devotes (tiom the .4ppli.1,7c' C//iciency Re�,,ithaions or Part 6), where applicable. Signature, Date )i'ATER HEATING SYSTEMS: lnstallin.- Subcontractor (Co. Name) OR General Contractor (Co. Nance) OE Owner 1)1isvibu11011 1CRecir• Rol Rated- Tank Eft, t{rtemal I )eater C EC Certified Mli T)jw (S[d, culmiun, lilentical 1111)11[ (kW volume ciellei standby' Insulatiuu y_E Nung $ Model numh •r Poin[ of -lose) C w[rnl'Cypc Systems or Btu/11r) (gallons) (EF. FF) Loss ("s,I it -value' ? For small gas storage (cited input of less [Ilan or equal to 75-UOtI Bit0n ). electric resistance and heat pump vat& heater., list Enet;gy factor. For large gas storage water heaters (ratctk input of greater' than 75.000 Buuhr), list Recovery Efficiency- Standby Loss imd. Rated Input. Fbr iustaot+uteous gas water heaters, lis[ Recovery Elliciency and Itutcd hqua. Z. R-12 l'\A'nlal insulation is inaadatnt-y It),' storage water heaters with an energy CaClor of Icss than 0.59. Faucets & Shower Heads: All filuccts and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Swion I 11. 1, the undersigmed, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) cquivalcnt to or more efficient than that specified in the certificate of compliance (Forin CF -1R) submitted for compliance with the E•nergv L.I icienct• Stanclards for residential buildings; and 3) equipment that meets or exceeds the appropriate reyuirettlenrs for manufactured devices (front rhe Appliance E%liciencl Regulations or Part 6), where applicable. Signature, Date COPT TO: Building Department HERS Provider (if applicable) Building Owner at O.a:upancV Installing Subcontractor (Co. Name),OR Geneial Contractor (Co. Name) OR Owner — -- ---- - —----... - ... - -- '- - - - - _._..-..- ----- A-23 Compliance Forms August 2001 INSTALLATION CERTIFICATE (.Page 3 of 13) CF -6R Site Address DUCT LEAKAGE AND DESIGN DIAGNOSTICS 0 DUCT 1_1'.AKAGE'RLD.uc,rtON I.Cs., rlZati011'rCit RCSUITS (CF1\4 '25- PA) Permit Number Test Leakage (CFM) Fail Flow If Fail Flow is Calculated as 400 effil/ton x litilliber of tons, or as 21.7 x Heating Capacity in Thousands of BtLl."111', enter calculated value here if fall tIONN' is measured, enter measured value here Leaka�c Fraction --'I'esr Leaka.oci(Me.asured or Calculated Fail Flow) Pass if leakage fraction= 0.06 Pass Fail ❑ For ACROSOLTYPE SEALANTS ON1_N'__,rlje 1,0110vving diagnostic testing was cornpleted: J)Jlct J:all PTCSSILI-ization at. rough --in measured leakage (CFIV[) CHECK AFTFR FINISH ING WALL ❑ Yes ❑ No El Pressure pan test or House pressurization test El N'c s C1 No D Visual Inspection ()fDuct CaIIIICCiioilS Pass Fail ❑ THERMOSTATIC EXPANSION VALVE (A -XV) ❑ Yes 0 No Thermostatic Expansion Value.is installed and Access is provided foi- inspection Yes is a Pass pass Fail ❑ DUCT DESIGN 1. 0 Yes 0 No RCCA Manual D Dcsi0-ri calculations have been completed, Duct Design is on the plans and duct installation 11-LITC11CS Pl',111S. is installedor Fail Row has been verified. If no T -X"\!, El Yes 0 No verified fail flow matches design *oni CF -IR. Nicasured Fan Flow Yes for both I and 2 is a Pass Pass Fail ❑ 1, the ulldqrsijllei.1, verify that the above diagnOSliC Test results and the work I performed associat--Li with the lest(s) is in conforlilance Nvith the require'lle"S fo, cojnpiia,,e credit. it. ('rhe builder shall provide the HERS provid,.r a copy of the ('17-6R signed by the builder employees or sub-coni-ractors certifying that diagnostic testing and installation ni-yet the requirements for Compliance credit.] -Sicinature, Date Installing Subcontractor (Co. Name) OR Performctl General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building O%Vllei-,it OCCUpallCy Compliance Forms August 2001 A-25 INSTALLATION CERTIFICATE (Page 4 of 13) -CF-6R Site Address Permit Number REFRIGERANT CHARGE AND AIRFLOW MEASUREMENT Verification for Kequired Refrigerant Cliart,C aild AdeL[Liatt: Airflow for Split System Space Cooling Syste-Ils Without Thermostatic Expansion Valves Outdoor Unir Serial 4 'Outdoor Unit Male Outdoor I.Init Model Cooling Capacity Date of Verification Date of Refrigerant Gauge CalibrallOn Date of Thermocouple Calibration Btu/hr (must be checked monthly) iniust be checked monthly) Stand Cilient (outdoor air drY-I)IIII) 55 OF and above): Note: The system should be installed and charged in accordance with the maitufaCtIlITT's specifications before starling this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (-Fsiippl),, db) OF Retum (evaporator erilerilic) air dry-bulb teiriperal(II-C (TreTlatli. db) OF -1111b rCMPCrUtLIrC (Tet r Return (evaporator entel-ilh') air wet -bulb r u ii, \\,b) OF Evaporator sall.ffatiOn temperature (Tevaporator, sat) OF Suction line temperature (TSLICti011, db) OF Condenser (entering) air dry-bulb temperature (Tcondcriser, db) OF Superheat Charge Method C"AlcillatiOns for 1Refi-iperant Chary 0 OF Actual Superheat =TSLICtiOn, db —Tevaporawr, sar OF 'Target Superheat (from fable 1) O Actual Superheat -.- Target Superheat F (System passes if between -5 and I TeniperaTIII-C Split Method Calculations for Adequate Airflo\v OF Actual Temperature Split =,r i-eiiii-ii. db - 'rSUpply, db OF Tar,ict Ternpeninire,Split (front 'Fable 2) OF ACILILII Ternperanire Split -'Caret TemperatureSplit (SYSLCIII Passes if bct\,,-ceil -.')'F and -i 3"F or, upon, remeasurement, ifbetwecil +3'F and -25°F) Sralikkird C11,11-ge and Airflow Nle . asurement SLIIIIIIIZII*y SysEem shall pass b . oth refrigerant charge and adequate airflo-w. calculation criteria fi-cra the same measurements. If corrective actions vere taken, both criteria. must be reineasured and i,ecalculared System*Passes yes ----- ----- - A-26 Compliance Forms August 2001 INSTALLATION CERTIFICATE (Page 5 of 13) CF -SSR Permit Number Site Address Alternate Charge and Airtlow Measurerucat (outdonr air dry-bulb below55 "F): NVci,*h-,hCharging Method for Refrigerant Charcc Aclltal liquid lice length: _ - Alanufacturers S andard liquid tine length: _—ft. Difference (Actual Srau.iard): ft. Manufacturers correction (ounces per -foot) ._._. x difference in length =ounces ( r -- add) (- = remove) Afeasur'ed Airflow l\4ethod for Adequate Airtlow criterion: Cooling Capacity 0.032 CFM Mca ured Airflow is CFM anti passes since it is greater than the criterion. Altcnuite Charge and Airflow Measurcmeut SUltllrlar\': . Sysrcm du3rgc shall be eonecred zutd it shall also pass measured adequate airt7ow criterion. . Sv;tem Passes —_--- - yes or tO Compliance Forms AugUst 2001 CF -6R ' INSTALLATION CERTIFICATE (Page 6 of 13) Permit Nwnbel• Site Address Table K -l: Target Superheat (Suction I_:ine Temperature - F;"`�apurator Saturati_-on Temperature -- Tap ___-- - - Return Air Wet -Bulb temperature (°P) -- �� 17h I c 58 I 59 60 161 G2 !,s i o� i u """ , S� c.ITSZ I 53 54 f 55 SG 7 ,• 7?.! 24.G �fi.2 27.7 29.4 131.U' 32A 3z.8 i 35.1 ! 36� ! 37.i i_ 5: ! g.K 1 1(t.l i t1.5 : 12.7 t4_2� !cam i.! IK.' i; 1213 22.7 %a.2 257 273 ! 27.9 1 30.5:31.7 33.2 34.6 , 35.9 +7.2 j 3K.5 39.E 4 LU 41.7 43.(1 44.2 i SG 1 K.G i 9.9 I I? 12.G 14.f.) , 15.4 i I G.8 I7._ , I J - 25 ; 12G.7 i 28.3 1 79 4 131.3 132.6 ! 34.0 1353 ' 4G.1 37> 3K.7 10.0 41.3 42.5 ' 43.7 15.1 ' 1G.5 17.9 119.4 ' 20.7 ! 2.3 ! ='•8 z7 -3 5 i 34.5 I . q2 I 43.3 I 5 i $..3 19.G i 11.0 12,3 13.7 ; I ... 24.7 126.3 j 27.8 29.3 130.7 i ._.I I _3.- 343 ' 1i.G ; 1f,.9 138.3:39.5 40.K _. I 28.7 130. i 31.5 ; 32.9 y 24.3 125.7 j 27.2 31.(t 32.4..j 133.7 i 3�.1 36.4 3'.8 I ?9.1 4U.4 41.2 i 42.4 57 ; 7.9 9.3 1 10.6 112.0 13.4 ? 14.} Ih.2 17.6 j 19.0 1 20.4 ( 21.y I �� 23.K 25.2 26.6 i 28.1 ! .9.6 �, i 134.(, 9 313 i 38.6 i 39.9 13 14= a u� /,5 ! 8.9 I0 2 1 LG 13.11 14.9 ! 15.8 I %.2 I IH.G ! 2U.(t j 21.4 j 2..42 U r 24.i ; 26.1 77.5 ! 29.0 .0.c I zl R j 32.7 134.! i ?5 4 39.4 I GO 7.O I 9 8 11.2 I?.h 114.1; ; 15.4 I6 8 ! 8.2 119.6 ; 21 q -- 4 74.2 i "t5.5 27.(t ;X.4 29. ) 61 6.S 7.9 9.3 IU.7 12.1 i 13.5 14.9 16.5 1 % 7 1 19.1 20.5 l 71 4 22.8 I ! ' 0 0 1 z (i i 3q.9 b..i { 37.7 i 3ci.(I 40.3 i 41.h I 1 I i '.; X23. I'. G2. 16A 7.4 18.8 , 10.2 1 1.7 ' 3.1 114.5 15.9 117. j 18.7 ,-U.I 177 3 ! 6 25.0 j 2G.4 27.8 29. 'U 13_._ : �. _ 24.4 ; 25.8 127.3 27.7 30.2 1 31.6 ' 1-V0 :34.9 35.8 , t ? i 3f,.S 39.ci ; 411 i G3 53 ! G.8 ! K.3 j 9.7 I I.I ! 12.6 i4.0 15.4 i i6. j I .i ; 19.0 20.4 121.7 23.1 31.1 11% c 1 9 35.3. 9.4 '. 411.K ! ! i u ; 10.6 ; !2.0 ' 13.5 14.J ! ! c. 2 ! ; ;•8 25.2 ; 2G.7 2K.2 j 29.7 ' - =' i' z4.9 36.3 37.6 'y.0 ! 40.; 64 1 6.1 1 7.G .. 2c 3 ( �U,?'4 I5. ) !.1 j I K.5 1 J.9 I ._ .22.5 ! - 27.6 J.I 0 6 3_. 11.5 ; 12.9 14.3 ; 27 r r 7 24.6 26.1 :kf {! S ii_ ; 5.4 7.0 18.5 i0.0 , 3f1.1 31.5 i j.3.0 34.4 I371 9^;10.8'' ti!,15.2j16.6�1K.17 19.3 20.i1 A�' i I2i.1,28.6, 33.91 yI38.1;39.?i 35.3 ; 3G.' ji 66 j I c 7.1 8.7 ' 1(11 !, ' 1.7 13.2 14,6 I6.0 1 17,4 1 13.g 't(1.1 21., j 22.7 1 �7 c I ,c O i h.5 1 28.0 ; 2y , '1U.(S ! O l j.4 34.9 i 3G : j ?7,7 ; 9.1 ` 67 i 12fi.(1 . 27.5 . -JA . ! $.7 i G7 o jl 70.; 21.5 ,! 229 i 24.4 .1 I '3A i ,4 35.9 ,i.3 ? - ! IG.3 8.(I 9.5j?l.iI12.6 14.0i!5.. ,6.$Ii7.2 19.> 2(181 !' 1,cg1?7.0:2b5'3U.5 5! i 5 5 7.7 H.k ! i0.4 11.9 ; 13.4 114.8 i 16.3 ; i7.6 I: fi i9.7 i 30.9 , 22.3 _..9 _ <<, ;! U z,.5 ;4.0 :25.4 56.9. 12- 2! I S.7 17.(1 I K.4 r q 23.0 t ).- T i b.q 9. 1 "/ i 2..3 ?=..4 S i r i j5.0 36.:, ,!.9 c 6.! i B.I 7 I! 2 I .,' 13.61 150 1ha I".f 14. i20..>12t ! ' 4 125.0 21.4 ;:9.0 3( I3 -'i; _! 7 I � % G i ?.3 I S.9 IU.S 12.i i) 115.8 17.2 i I8.? : 19.7 i 21.2:2 .K 2' . c 1 ,.i _4.h 36.0 i .7.1 i I i I ,"..$ ; 25.4 26.9 28.5 i ?0.0 I... :2.G ! 34.1 35.6 137.i G.4 i 8.1 9.t; i 1i.4 12.9 s 11.4 i 1 _ I j = = 72 I 1 I ! , 23.2 �4.ri j 2GA i'28.0 295 - I.I , .,� ( 35.2 5.G 7.3 9JI 10.7 121 13.i 1151 IG.G ;7.5; 19.2 20.6 73 ! - _ I G.5 R,2 19.9 1 1.5 li.l 114.5 15.9 j i 73 i l B.h , 0.(1 ; _ 1.6 c i 27.5 1 29.1 30.4 13 .� 33.7 _} _J 1 21.1 22.7 i 24.3 25.) ! !4 _ I I j i - ! 5.6 7.4 i 91 10.8 12.4 j 13.9 I .3 16.7 ' 1K.0 ; 19,4 ' �- 5 25.4 • ?7.0 ! 28.h 311.1 31.7 ; 33.3 34.R j 3ti.3 75 i _ -i --�- 6.6 8.4 10.1 i 1 1.7 1 13.2 14.7 16.1 i /.4 I K.y 0.1 7 ( 76.5 128.1 29.7 13 i.3 ! 32.8 34.4 136.0 i - ! 7 q ;4O ,5.6 1 ` ! 24A 2G.(t 27.6 291 1 3U.9 13_. j ! 7�, ( I I ! 1 5 7.: j 93 i 1 I .(1 12.5 14.0 ' 15.4 i ! 6.8 18.3 20.0 21.6 23.2 q 9 3.3.G 2 I ? 6., 13.5 1102 `11.7 13.41 14.71 16.21 17.7 , 194 2i.I 12�'� 1 2^ T i55' 77.1 28.8 ,U4 3_.0 135. 7 20.5.2_.. , .,.. "... ! - I ,. 5.9I7.7i9.5 1I.I 12.7I14.2I15.6!17.1 18.8 79 ! I I 6.9 8.7 ) 0.4 12.0 13.5 I SA I I b.h I K.3 20.D 21.7 23.3 25.0 j 2G.7 27.3 '9.9 31.2 32.8 34.4 1 1.3 12.9 14.3 116.0 11.7 19.4 21.1 77 K 24.5 j 26.2 27) 9.5 i 3! •_ 7.9 i 6.0 7.9 9.7 2 I -0 2 25.7 27.4 29.1 130.7 32.4 34.0 I I 25.2 2l� 9 125.6 30.3 32.0 33.7 3.3 KI I 1 5.2 7.! 89 I .') 12.2 13.1 15.4 17.2 17.9 0.1 2_.3 4.0 I 87 6.3 8.2 9.9 1 I.6 13.1 114.9 16.6 17.-1 19.1 121.7 2 3.a29.9 ! 5 7.4 9.2 10.9 )2.5 la3 16.1 11.7 19.G 71,7 22.h 24.3 26.0 27.7 29.5 31.2 i 32.9 83 I _ I - 5._ 84 2 23,1 23.7 25.fi 27.3 79.1 30.3 32.6 G.4 K.5 10.3 11.9 13.7 15.5 17.3 19.0 K5 5.7 7.$ 9.{� 11.3 13.2 15.0 I(i.7I 18.5 0.3 i 5.0 7O 89 10.6 12.6 14.4 1c,7I17.5�19.312LlI Z.9 24.7'26.12K? CF -6R INSTALLATI®N CERTIFICATE (Page 7 of 13) y -Permit Number Site Address Table K-1: Target Super Cal Evaporator Saturation Temperature) (continued) eat (Suction Line Temperature - -- Rc- l -w' -n ,A- irI I -N-V-O- T-BIIuSl_Ab_ T1j e1 1m76G..p5R2 cr1-1aIi i_9k)5w..5_k.77__'8 - r II1 (*F) °f) 70 ___ IG1b>9 .7iU_...G 1lI1:4�II I1R2iL5...6 �11'9.4... 1I 17_254 66 .1. 1 1 31,2.U2qFi.`...602 1 i4 5 t9 I O (l '4 5 55 S6 5 8.1 1 . 141 . . 121 166.1 767 285 7.319.2 21.1 . 26.3 ?1.7 '4k Ik.7 J.6 22- :7 Z7, 1!30 4.9 .IG3 . ' 9 12.5 14.4 3 21 6 ,.6 4 1 0 12.0 1 13.9 1 9 i 94 c6 11.4 13A!!5 19.2 12. 27 4.7 26,!29. aUfU.795 10.9T2.9!4.r T2.i 7.0 122.3 74.3 26?9.3 3 17.9 i9I12104 124 14.q 16A 6.4 k.4 v.3 6U I y7 Jo41 2. 1. 13. . 17 64 .5 19 2 f 25. .c ! ! 9.3 11 13A !• 9P . . ^?I .25.3 27.3 g.} IU.9.! '1 207 17.7.09 C- r 10.4 12.4 14.5 16.6 6. k. 24 I01 ! 2 2U.3 22.4 124.5 2G 7 119 . .5. 26.3I t 19.9 2.1 ' 02 126. 0I)., 717(3 110 1 15.2 .3.41; 5 ' 21.3 22c104 ..7 k' 10 i0.5 122 !4.4 16.G119:1 i.9 10.0 IU6 kA 20.6 2"22 5.2 7.4 9.5 1-.9 1 107 U:20.224. ,7I ! !I_1 ; iI 'i I i 1 Ii y 22.1 24.47.6 19.9 10.9 !3.1 1 17.2;19.5 21.8 24.1 i .5.9 k.1 I0.4 1 . 110 12 - 2 15.4 i 7.6 1 9.9 ! 12.2 14.1 W 19.8 1 i 16.R 19.1 1.5 2:,•S 1 1 1 1 I I ! I i_ 17.2 95 4. j 221.1 ti.5 l 1.8 1 j ; . . ! . 118 4 20.85 !i 23 1 3 18.!20.6.719.0114 1112 22.9' 'I! 114 Compliance Forms August 2001 A-29 INSTALLATION CERTIFICATE (Page 8 of 13) CF -6R Permit Number Site Address 'Table K-2: I I 'arget Temperature Split (Return 1)ry-Bulh - Supply Dry -Bulb) 51 52 53 54 f 55 KUM 11 Hu rr 59 60 61 cl- u rr,u,-. - --T 62 i 63 66 66 --3 T47 3 )7 77 F-. i6.5 15. 1 '572 �44 � I - 6 70 71 67 68 1 - 12. 8 151 .9 11 .0 10-01 9.() �7 72 7---' 3 1 74 7.9 6915 7 ) 75 -"(5(I 4.5 3.2 -10.9 T?0.7,20.620.420.1!!9.9119.5 70-'[-5 19.1 1 �J7 18.2 17.7 17.2 1 �..3 17.7 15.7 15.0 14.2 (0). 4' 7 1 �5() 17.1 - f2.5 11.5 10.6. 9.5 8 .5 7.4 6.2 5.0 -/1 !12i.4.213 21.1 20.9 I 20.7;20.4120.1 IT 11 9- 1 - 14./ � 10.1 13.9! ]1.0 1".1 9 7.9 6.S .0 .6 4.3 -12 i 21.9 121.8 21.1: 2 1 '12 2 1 2 20 9 120 6 202 19.S 19.3 1 S. 17.6 17.0 16.3 15.51 6.9 :1 16.1 1 - ! 14.4 3.6 1 2.6 i 11.7 10.6 9.( 1.5 3 i 6.]!4.8! 6,1 --/3 2. 5 ' 2 2 22.2 122.0 9 23.0 2 22.8 22.6 21 21.5 21.2 22.3 i 22.0, 12 1.7 1 20.8 203 9 P.4 18.8 21.3 20.9120.4 1 19.91 19.3 1 21.0! 20.4 19.9 18.2 17.5. -5.3 18.1 7.4 16.6 15.8 1 �,. - 19.3 19.6 17.9 17.2 16.4 1-5.0! 14.1 �3.2 2. 2 i 11.22 I I I 15.51 14.? 13.71 1 2. / ; 11.7 10.1 9.0 7. S' 10 7 1 9. 5 8.4 6 .6 5.4 /.2 5;9 23 3 23.1 2 3 S 23. 12 2 22.9 122.6! 22.2 2 21.9 21.4 22.0 2 1.5 21.0 20.4 119.8 19.2 18.5 17.7 16.9 -T Fill 1-4 1 L2 101. 1 :1 8.9- 7.7 6.5 71-7- 4 23 1 22.R 3 4 , 22.4 21.5 Q 1.01 20.4 19.71 19.01 18.3 1 17.5 16. 6 15.7 0 3. 12.8 11 J 10.6! 9.5 8.3 7.0 -17 24.6'i 24.4 124.2 24. , 3 3 24.0!i 23.7 23.3 (� 24 2' 1 9 24 23.9 r4l 24.5 i 14.2 22.9 2.3.5 23.1 22.6 22. i 21-5 2 .9 1 1 j 8.8 i 18.0 20.2- .1 19.5 5. 1 1-2 16.5 4 14.4 13.4 12.3 11.2 10.0 1 10.6 8.8 7.6 9.4 8.1 - /913.41, - -24A 24.9 22.61 24.0123.6 1 23.1 .22.1 2 i.4 20. 20.1 19.3 19.5 - 17.7: W� 15.9 14.91 13. 9 11-81 1 !.1 . 9.9 8.7 1 5 0 24.6! 24.212.35.7 23.21 22.6 22 19.1 18.."5 17.4 16.4 15.5 14.4 12 125,0 1 25.1 24.7 24.2 23.7 23.1 2-1 21.9 16.0 15. '-),9: 1 11.7 10.4 2 9.7 i 81 ,25.2 24.8 24.2 23.7 : 2 11.7 21.01. 23.1 22.4 20.2 19.31 1 8.5 17.5 16.6: i 5.5 14.5 1 3.4 1 12 7 �.O 10.3 '?5324.8 24 9- 23.6123.0122.3 i 21.5120.7, 1 9.9 19.0' 18.1 i7.1 i 6.1 �( 15.0! 3.' .5 PS4 !'� 25.9 2 53, 24.8 24.21 23.5122.8 22.1 12 0, 20.4 19.5 1 18.6 176,1 6 15 61 4.4 - I J Compliance Forms August 2001 A-30 INSTALLATION CERTIFICATE (Page 9 of 13) CF--6R Site Address Permit Number DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS ❑ -DUCT IN CONDITIONED SPACE 0 Y e ' s ❑ No Duct in conditioned space criteria matches CF-1R ❑ ❑ Yes is a Pass Pass Fail ❑ REDUCED DUCT SURFACE AREA Measured duct exterior surface area in the following unconditioned duct locations (square feet). Attics Crawlspaces Basements Other (e.g., garages, etc.) ❑ 1"es ❑ No Duct surface area matches CF-1 R? ❑ ❑ Yes is E Pass Pass Fail ❑ 1, the undersigned, verify Iliac the duct surface area and duct location; claimed for duct surface areareductions and duct location improvements beyond those covered by default assumptions match those on the plans. [The builder shall provide. the HERS provider a copy of the CF-611 sinned by the builder employees or sub-contractors certifyinc that diagnostic testinc and installation meet the requirements for compiiancc credit. Tests— Siitnavure, Date Performed COPT TO: Buildin Deparrment HERS Provider (if applicable) Building Owiler at Occupancy Installing Subcontractor (Cc Name) QR General Contractor (Co. Nacre) Compliance Forms August 2001 A-31 y ' INSTALLATION CERTIFICATE (Page 10 of 13) CF -6R Site Address Permit Number , BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ❑ ENVELOPE SEALING INFILTRATION REDUCTION Diagnostic Testing Results Building Envelope. Leakage. (CFM Cc', 50 Pa) as measured by Rater 1. El E] Is measured envelope leakage less than or equal to the required level from Yes No CF -IR? 2. ❑ ❑ Is Mechanical Ventilation shown as required on the CF -1R? Yes No 2a. ❑ If Mechanical Ventilation is required on file CF -1R (Yes in line 2), has it Yes No been installed? 2b. ❑ ❑ Check this box yes if mechanical ventilation is required (Yes in line 2) Yes No and ventilation fan watts are no greater than shown on CF -1 R. Measured Watts 3. ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No g -neater than the CFM (r; 50 values shown for an SLA of 1.5 on CF -1R - (If this box is checked no, mechanical ventilation is required.) 4. ❑ ❑ Check this box yes if measured building infiltration (CFM L 50 Pa) is less than the CF1V1 @L 50 values shown for an SLA of 1.5 on CF -1R, Yes No mechanical ventilation is installed and house pressure is greater than minus 5 Pascal with all exhaust fans operating. ❑ ❑ Pass if: Pass Fail d. Yes in line 1 and line 3, or c. Yes in line 1 and line', 2a, and 2b, or t. Yes in line 1 and Yes in line 4. Otherwise tail. ❑ 1, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic rest results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the. CF -611 signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requireirnents for compliance credit.] Test Performed Signature Date Testing Subcontractor (Co. Name) OR General Contractor (Co. Name) COPY TO: Building Departtment HERS Provider (if applicable) Building (Tvner at Occupancy Compliance Forms August 2001 A-32 INSTALLATION CERTIFICATE (f'age 11 of 13) CF -6R Site Address Permit Number rhe followingis an explanation of many of the input values rc�luil'Cd on this firm: HVAC SyS rr_ s, Heating Eeluipment Type naist be one of the follo\-•iug:F _ Funtace: Gas (including t_icluctied hen'Oli:um Gases) or oil -tired central furnace & space heater Boiler: Gas or 6l -fired boiler PckeHeatl until: Pacl.ag d central hear lxunp _ SplitHeatPurrtp: Roon-dlearPump L.gPkgHcatPuntp: Electric: Com binedFlydro: Split central heat pump .Room heat pump Large packaged heat puny, (> 65,000 l3nt;'hr output) — Electric resistance heating (fixed HSPF = 1.413); radiant electric resistance (fixed HSPF .:- =.55) Reference \vater heater undo water heating systems below CLC Certified Manufacturer Name & Model Number from applicable Commission approved appliance. directory_ . # ol- Identical Systems is for those systems with the same efficiency, duct location, duct R -value and cap, city. Efficiency tiotn applicable Commission certified appliance directory. Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none. Duct (or Piping) R -Value froilt Directory of Certified lnsulatiatt Alarerials and/or manufacruTer's data. Heating/Cooling Load refer to Commission approved load calculation procedure. Conunission certified appliance directory. Note: location elevations over Heating/Cooling Capacity front the applicable 2,000 ft above sea level require a derating Of Output capacity (refer to manufacturer's literature). *RCfcr to Energy Commission puuttcarton - - --- --- ....... ---- A-33 —._._._.....------------------- ._ _._...__--------- - Compliance Forms August 2001 INSTALLATION CERTIFICATE (Page 12 of 13) CF -6R Site Address Permit Number. The following is an explanation of nka[IN: OCOIC illpUl "'AUCS i -CL Uil'Cd on this forill: WATER Ri,--vrING sN's*mNis Q.-- P,fa, t" ....... I Standard: Standard -- Supply pressure based system, no - pumps Pipe Insulation: 'Pipe Insulation oil all _i/4 -inch pipes POU,'FIWR: Point of Use,'Hot Water Recovery System Recirc/ NoCoatrol: Recirculation loop with no coraTols Recirc,"rinieri Recirculation loop with a tirrier Recirc/renip: Recirculation loop ,vitll temperature control RecircIITiine—`Tealp:' Recirculation loop with a iiiiier and reaiperature control Recirc/Derriand: I P,,ecirculation loop %vith demand coiart-A NA!qtcl- Healer T-N:QC Wilidows, slilillo glass doors, French doors, skylights, garden wit-dows-.and —Information Needed .-uly door with more than one square foot of glass Operator Type: Ener""', Factor Recovery Fffl iejicv Standby Loss R-ated—L-1111)El Storage Cka.N, Oil or Electric Yes No No No Heat Pump Yes No No No lnstaiitaneous Gas No Yes No No InqtalitallCOLIs Electric Yes No No No Large Stora,,e Gas No Yes Yes Yes Indirect Clas (Boiler) :No Ycs (AVU E) No s FEN ESTRATION/GLAZING Fenestration: Wilidows, slilillo glass doors, French doors, skylights, garden wit-dows-.and .-uly door with more than one square foot of glass Operator Type: Slider, hinged, fixed U -Factor: Installed U -Factor [TiUst be less than or equal to value from CF -IR OR TYISWICCI \VQ.iqllICdaVCI-aIIc U -1 --'actor for the total `fenestration ares is less than or equal to value froill CF- I R SFIGC: Lnstalled SIIGC must be less Than or equal to value from CF -1 R OR C ra equal to Installed xveialited SIIGC for the total fen st tion area is less than of less 0, equal t) value CrOM CF -IR OR An Interior shading device, overhang, or exterior shading device is installed consistent With the CF-- I R Shading Device: Include: when the building complied using anexterior shading de. :ice: woven SILIISCI-CCII, lOUVCrCd SMISCI-Cell, low sun angle sunscreen, roll -down awning, roll -down blinds or sIais (do lot list bscreencrecii), or all overhang (i(include de. th in I feC0 Compliance Forms August 2001 A-34 INSTALLATION CERTIFICATE (Page 13 of 13) CF -6R Permit Number Site Address The following is kilt explanation of nt:my of the input values rcLluired on the Diagnostic portion of this tc}rm (page 3 of h): 'T'YPF: OF CREDIT Refer to Rc .identical dlunuul Chapters 4 and 5 for more details: Reduced Duct Surface Area: Calculated as the outside area of the duct. Areas must. be measured and verified by a HEW.' rater. Improved Duct Location: Supply duct located in other than attic, as verified by location of registers (does not require HERS rarer verification). — Catastrophic Leakage: Pressure pan test readings musr be less than 1.5 Pascal at a house pressure of �� Pascal. CXV: Access cover required to facilitate verification. Infiltration Reduction: Infiltration is measured without mechanical ventilation operating. Mechanical ventilation is required for very right house constl-lrcti0i when credits for infiltration reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1.5. 'Che compliance documentation (CF -1R) will coxtain the measured CFM target value front a blower door test at 50 Pascal pressure difference that represents this SLA of 1.5. Mechanical ventitatioc is also required if the builder chooses to design the building to use mecunical ventilation and claims a credit for infiltration below an SLA of 3.). The compliance documentation (CF -1R) will contain the measured CFM roger value that represents this 3.0 SLA. If the builder claims credit ina design far infiltration reduction that is at an SLA of 3.0 or higher, and the actual measured SLA is 1.5 or Lreater, then mechanical ventilation is nc�t required. If the SI.A in this case were below 1.5, then mitigation (such as tnechanic:al ventilation) would be required. -. A-35 �. --- --- ------------_ _- -----------.._..------ --- ------ August 2001 Compliance Forms