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12-1122 (MECH)P.O. BOX 1504 4 f��VIN 78-495 CALLE TAMPICO , LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT • 'r BUILDING PERMIT Application Number: X12=0"0001122 Property Address: 50035 CALLE ROSARITA APN: 658-250-038- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7250 Owner: THOMAS ROGER 50035 CALLE ROSARITA LA QUINTA, CA 92253 /57>_,_:3 VOICE (7r r -7b1 FAX (760) - INSPECTIONS (760) 777-7153 Contractor: D Date: 9/24/12 Applicant: Architect or Engineer: GENERAL AIR CONDITIONING 2 4 2012 I 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 CITY OF LA QUINTA Lic . No.: 686310 FINANCE DEPT. LICENSED CO RACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am lice__ under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 o the Business and Profes als Code, and my License is in full force and effect.. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 Lice a No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: C1 Z4 ( Z Contractor: 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 _9AZ,UIUDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZENITH INS CO Policy umber Z071741501 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the rk for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the ect to the workers' compensation laws of California, person in any manner so as to beIsLj'ect permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should becomo the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall fcoply with those provisions. 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).: Date: q 24 Z Applicant: (_ 1 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 WARNING: FAILURE TO SECURE WOR ' C PENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 cessatio f work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information c rrect. I agree to comply with all city and county ordinances and state laws relating to building construction, aid ereby authorize representatives of this county to aenter upon the above-mentioned property for inspection pu es. Date: / / � TSignature (Applicant or Agent): Application Number 12-00001122 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 31.50 Plan Check Fee 7.88 Issue Date Valuation . . . . 0 Expiration Date 3/23/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments INSTALL NEW 5 TON CONDENSER OUTSIDE. 2010 CODES. -------------------_-------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN.(SB1473) 1.00 Fee summary Charged Paid Credited 'Due Permit Fee Total 31.50 .00 .00 31.50 Plan Check Total 7.88 .00 .00 7.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 40.38 .00 .00 40.38 Simplified Prescriptive Certificate of Compliance: -2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 50035 CALLE ROSARITA La Quinta, CA 92253 City of La Quinta Sep 24, 2012' Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat p Package Unit p Furnace p Indoor Coil p AFUE ® SEER 13.0 p COP p HSPF R 6 (CZ 10-13) ve b Served by system ® Setback If not already present, must b e H Condensing Unit p EER p Resistance p R g CZ 14 -IS ) 19ve installed) p Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for 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 -1R and CF -6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF -411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: E3 1. Duct system was documented,to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems with less than 40 linear feet in unconditioned space, or p 3. Existing duct systems are constructed, insulated or sealed with asbestos E3 4. The system will not be Ducted (ie' uctless Mini-Split.System),(Also-ExemptYfrom(Refrigerant-Charge) O 2. New HVAC System Required Forms: •'Cut in{or Changeout with° new ducts: (all new4-_",- ` p y t €� CF 6R forms: MECH-04, MECH-20-HERS, anti fors lits stems) MECH=22-HERS and -. ducting and all newMECH-251HER5 CF 4R forms:'MECH-20, and (for split systems) MECH-22, and'MECH-25 ��.-� equipment)lal , i __ r -f ■� For Split Systems: Duct leakage < 6 percent;, RC, CCA >_ 350_CFM/ton; FWD,,TMAH; SIMS, and either HSPP or PSPP For Packaged Units: Duct leakage < 6 percent - . - I ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 0 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -61k forms: MECH-04, MECH-2I-HERS . linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent p EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I 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 and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC Date: Sep 24, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276. Phone: (760) 343-7488. Reg: 212-A0052958A-00000000-0000 Registration Date/Time: 2012/09/24 12:00:59 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' July 2010 Bin.# C(/ Of La Quin B klog ar Safety Division P.Q. Box 1504,78-495 Calle Tampico La.QLdnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet ` Permit # ProjectAddress: Chi Cq 1/ x �Lr I Owner's Name:. D (� ' A. P. Number. 5 D 3� . Address: Legal Description: Contractor. City, ST, Zip: Telephone: Address: Project Description: H V L G u fiQ City, ST, Zip: :. CO G P.I'1S�iN Ut51 Telephone: State Lic. #: City Lic. #: Arch, Engr., Designer. Address: City,, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Construction Type: Occipancy: Project We (circle one): New Add'n Alter Repair Demo Sq. Ft :Z 2 # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project -;D. Q 0 APPLICANT: DO NOT WRITE BELOW THIS UNE 0 Submittal Reed Recd TRACKING PERMU FEES Plan Sets Plan Cheek submitted Item Amonat Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check balance. Tide 24 Calci. Plans picked up Constructioc Flood plain plan Pians resubmlaM.' . Mechanical Grading plan 2i0 Review, ready for correction0iissue Electrical Subeontactor List Called Contact Person Plwnbing Grant Deed Plans picked up SAWL H.O.A. Approval Plans resubmitted Grading 1N HOUSE:- ''a Review; ready for corrections/issue Developer kupact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 50035 CALLE ROSARITA, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1122 Enter.the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House 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 dw_el'ings to space conditioning systems and duct systems. Duct Leakage Diagnostic Test - existing duct system ' Select one compliance method from the following four choices. ❑ 1. Measured leakage less than 15% of fan flow , [32. Measured leakage to outside less than 10% of Fan Flow ' ❑ 3. Reduce leakage by+60% and conduct smoke and fix all leaks - - ''.I ❑ 4. -Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options, 1, 2, or 3 must be attempted, before -.utilizing Option 4.),,,, DetermineRnominal,Fan Flow using'one,of.,the;following three calculation methods.0" r`�a ✓ [3 Cooling system method Size ofycondenser in Tons ' x"400'= CFM :.,' r� ✓ ❑ Heating system method 21 7x s Output Capacity,m Thousands of Btu/hr _ CFM t ' IL �y %0'[3 Measured, system airflow usingARA3,3 airfloWtest procedures:'' CFM , Option 1 used then: "* fy,-r .cam, ,T :.1• 1 Allowed leakage = Fan Flow : • x 0 15 = _ CFM Actual Leakage = _ CFM *_ _4Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: +` 2 Allowed leakage = Fan Flow x 0.10 =_ CFM ' Actual Leakage to outside =77 "CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 3 used then: Initial leakage prior to start of work = CFM ' Final leakage after sealing all accessible leaks using smoke test = _ CFM ,3 Initial leakage _ - Final leakage _ = Leakage reduction_ CFM ((Leakage reduction _/ Initial -leakage_) x 100% _ % Reduction - Pass if % Reduction >= 60% 13 Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke ❑ Pass ❑ Fail Reg: 212-A0052958A-M2100001A-M21A Registration Date/Time: 2012/10/10 01:10:48 HERS Pro—ider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 e N CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: 50035 CALLE ROSARITA,,La Quinta CA 92253 (System Enforcement Agency: City of La Quinta, Permit Number: 12-1122 1) 686310 HERS Provider Data Registry Information ' -FF y 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed taped 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. ` l ❑All supply, and:return'register boots must tiei.seale�the drywali if,smoke test is utilized for compliance — applies'to duct leakage compliance option 3 (leakage'reduction by 60%) and option 47(fix ai ll accessible leaks) described above • M1 R 'r5. .P -'...•+,far• ❑ New du�tct';iin.,,s/taallla�tiorls cannot utilize buildirig,cavibes asiplenums or•platform returns In.lieu of,�du�c`ts dT �y "�ey-` ?s"''i '+•s'p,s.X ; :..`.""r+.!. •7�� ''t^-: i!-."?.``a(r - ❑ Mastic and draw bands must be used,in,combination with cloth backed:rubber.' adhesive duct tape to seal leaks at all new duct connections: °,• DECLARATION STATEMENT4, . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsi.�le rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified " on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) , responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the I a enforcement agency. _ Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: • :SLB License: ' Danielle Garcia • 686310 HERS Provider Data Registry Information ' -FF Sample Group # (if applicable): 353614 ❑tested/verified dwelling , ' not-tested/verified dwelling in a HERS sample group HERS Rater Information ' CaICERTS Certificate # CC1-1798694078 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: + Ezequiel Moreno Ezequiel Moreno Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/9/2012 CC2005795 +: Reg: 212-A0052958A-M2100001A-M21A -Registration Date/Time: 2012/10/10 01:10:48 HERS Prov_der: CalCERTS, Inc. 2008 Residential Compliance Forms 1 March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 50035 CALLE ROSARITA, La Quinta CA 92253 City of La Quinta 12-1122 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compl.'ance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID `s utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new cr replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Suuoly and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ❑ Yes ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ❑ Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Faill ✓ ❑ Pass ✓ ❑Fail STMS - Sensor_on=the Evaporator Coil �_, . #--.- System Name or Identification/Tag i - %' I r i ','I l' t , i" _ The sensor is factory installed, or>field installed according to manufacfurer's 3 A❑ Yes ❑ No specifications, or is installed by methods/specifications approved by,thE Executive Director. •' .n, - ;+. F The sensor wire is terminated with a standard mini plug suitable for connection to ar 4 p Yes ❑ No digital thermometer. The sensor mini. plug is accessible to the installine,technician and the HERS rater without changing the airflow through the condense- coil 5 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indica:ion of the . saturation temperature of the coil. Yes to 3; 4, and 5 is a pass. Enter N/A if STMS are not ✓ ❑ N/A ✓ ❑ Pass✓ [3Fail- applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufactarer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. s to 6, 7, and 8 is a pass. Enter N/A if STMS are not [applicable. ,i ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail Reg: 212-A0052958A-M2500001A-M25A Registration Date/Time: 2012/10/10 01:13:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) 1' • Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. o, • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedc re. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. • . ' Space Conditioning Systems System Name or Identification/Tag System '1 ' A .. Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) 1' • Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. o, • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedc re. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. • . ' Space Conditioning Systems System Name or Identification/Tag System '1 (must be re -calibrated monthly) Date of Thermocouple; Calibration .f « • to= System Location 'or'Area Served Whole House rte' ,. t-. -•1 •>� 9". �, J +� Outdoor Unit'Serial # • »'� P .,"� ` "" Outdoor Unit Make C. Return (evaporator entering) air dry-bulb Outdoor Unit Model . Nominal Cooling Capacity Btu/hr r r Date of Verification z: Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration,l; r (must be re -calibrated monthly) Date of Thermocouple; Calibration .f « • to= ;(must be re ca librate~j'monthly) rte' ,. t-. -•1 Measured,Temperatures !F) System Name or Identification/Tag System 1 ti . W + « i R r rte' ,. t-. -•1 •>� 9". �, J +� Supply (evaporator leaving)' air dry-bulb • »'� P .,"� ` "" temperature (Tsupplyr db)i is C. Return (evaporator entering) air dry-bulb temperature,(Treturn; db) ; • ; Return (evaporator entering) air wet -bulb temperature (Treturn, wb) S r Evaporator saturation temperature' , (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) •. Liquid Line Temperature (Tliquid) - ? Condenser (entering) air dry-bulb r temperature (Tcondenser, db) " , Reg .212-A0052958A-M2500001A'-M25A Registration Date/Time: 2012/10/10 01:13:14'. HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms t. -March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 50035 CALLE ROSARITA,'La Quinta CA 92253 City of La Quint a 12-1122 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Calculate:. Actual Temperature Split = Treturn, db - ; Tsupply, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - I . Target Temperature Split.= Passes if difference is between• -40F and +4°F or, _ ; upon remeasurement, if between -4°F and -100°F Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the taVe below. Calculated Minimum Airflow Requirement (CFM) ='Nominal Cooling Capacity (ton) X 300 (dm/ton) - S stem Name or Identification Ta ro a 77 Calculated Minimum Airflow,Requirement (CFM) t` 4m. r f. >t s fi Measured Airflow us in .3 roceduSresCF M '�:1�RA3� ( �tf+ Y�ia F. �:• a/3 Passes if measured airflow is greater.than or. equal ;? .� n st `•, �, ;°*�"` to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is require] to be used for fixed orifice metering device systems System Name or Identiflcation/Tag •; Calculate: Actual Superheat = ; Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: I Actual Superheat - Target Superheat = System passes if difference is between -6°F and ; +6°F Enter Pass or Fail �- •ti a .i , •• - •, Reg: 212-A0052958A-M2500001A-M25A RegistrationDate/Time: 2012/10/10 01:13:14 HERS Prov=der: CalCERTS, Inc. 2008 -Residential Compliance Forms �' +- March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of S) Site Address: Enforcement Agency: Permit Number: 50035 CALLE ROSARITA, La Quinta CA 92253 City of La Quinta 12-1122 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Subcooling Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling = System passes if difference is between - -4°F and +4°F .. Enter Pass or Fail I .q ' Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate:Actual Superheat = Tsuction.--Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 260F if manufacturers specification is not available) System passes;if actual superheat is within theFfi allowable superheat range .. ? r Pa or -Fail I .q �K r.Ent .ems . _ .,�'►r. 1 a �,� :F ..w•• ,tet • � �.�' w .4- � > .w � -- `� F �� r,:'� i ✓ to � Y4� a � R •,.. a ,�' aA.� �� �Srl,�, . .N, lam a: w f t ` ?A Reg: 212-A0052958A-M2500001A-M25A yRegistration Date/Time: 2012/10/10 01:13:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance„Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 50035 CALLE ROSARITA, La Quinta CA 92253 City of La Quint a 12-1122 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 353614 System meets all refrigerant charge and airflow , a HERS sample grojp requirements.' HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: - `Enter Pass or Fail Ezequiel Moreno Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/9/2012 , CC200579S k IfTIT, ! yy'I i s:n7r °ina r, i 7'x: a I`n r �, �„���y +T„a. �-. ..h •� ;`. .. , DECLARATION STATEMENTS S- • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -SR) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) appr3ved by the enforcement agency. i Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 353614 ❑ tested/verified dwelling ® not-tested/verified dwelling in a HERS sample grojp HERS Rater Information CaICERTS Certificate # CC1-1798694078 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: Ezequiel Moreno Ezequiel Moreno Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 10/9/2012 , CC200579S Reg:'212-A0052958A-M2500001A-M25A Registration`Date/Time: 2012/10/10 01:13:14 'HERS Proaider: CalCERTS,- Inc. 2008 Residential Compliance Forms March 2010 s -r y Reg:'212-A0052958A-M2500001A-M25A Registration`Date/Time: 2012/10/10 01:13:14 'HERS Proaider: CalCERTS,- Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 50035 CALLE.ROSARITA, La Quinta CA 92253 (System Enforcement Agency: City of La Quinta Permit Number: 12-1122 1) Duct R -value Heating Load (kBtu/hr) Space Conditioning Systems Heatina Eauinment Equip ,Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1. 3 (>=CF-iR value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split .Furnace GMC N/A 1 80 AFUE 'Attic R-8 Typeand �`' EER) (attic, (package' ' ARI # of 1, 3 crawl- Cooling Cooling heat CEC Certified Mfr. Name Reference Identical (>=CF -1R space, Duct Load Capacity pump) and Model Number`' . Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split", ' a`3' .. GMC ,1; ; v r� ": `1� + 1 • Cnnlinn Enuinment 1. lr projecr is new consErucrion, see 1-00MOre5 W Jra"UdFU5 IaUIC 1J1 -D a11U IdUIC 171-1- IUI UUu l.cnuly amcl nauvC compliance. _ - 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -11? form. . 4. When CF -1R is reference it is also applicable to the CF -1R, 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 ACCA. ® §150(i): -Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). ® §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in . conditioned space. Reg: 212-A0052958A-M0400001A-0000 Registration Date/Time: 2012/09/28 15:15:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 r Efficiency Duct Equip ,. ; k,. (SEER Location Typeand �`' EER) (attic, (package' ' ARI # of 1, 3 crawl- Cooling Cooling heat CEC Certified Mfr. Name Reference Identical (>=CF -1R space, Duct Load Capacity pump) and Model Number`' . Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split", ' a`3' .. GMC ,1; ; v r� ": `1� + 1 • A/C, • VSX130481."" fir. 4 Tons .. ,/yam l+ � . t. ' 3�[T .w�♦ ,ar r:'. • i � M''F $4 r_n�•� w I�`+` �#S is F'• s'sift 1. lr projecr is new consErucrion, see 1-00MOre5 W Jra"UdFU5 IaUIC 1J1 -D a11U IdUIC 171-1- IUI UUu l.cnuly amcl nauvC compliance. _ - 2. ARI Reference Number can be found by entering the equipment model number at http://www. aridirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -11? form. . 4. When CF -1R is reference it is also applicable to the CF -1R, 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 ACCA. ® §150(i): -Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). ® §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in . conditioned space. Reg: 212-A0052958A-M0400001A-0000 Registration Date/Time: 2012/09/28 15:15:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 r INSTALLATION CERTIFICATE CF-611-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 50035 CALLE ROSARITA, La Quinta CA 92253 (System City of La Quinta 12-1122 1) , Ducts and Fans ' §150(m): Duct and Fans M 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet they requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a 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 1818 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 ® 1. 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 avities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. M 2D. Joints and seams of duct systems and their components shall not,be sealed with cloth )ack 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 operated dampers. , ® Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, ' moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is`water retardant and provides shielding from solar radiation tha_ can cause degradation of the material: ;,.. . ® 10. Fleyxlrble,ducts cannot have porous,inner cores wo' z4 ,� 1-f � r' F l;'.Y l� � �• � q.''`�' 11 .wit. �u ' h � 'Y' �1`T [ -t.'.^e, • �1.; Yrs r �,t, s µ c !.i y., �.:v •�,4',. s'!�.'_ . 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. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorzed 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 specifications approved by the enforcement agency. I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that Identifies 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 erevides to the building owner at occuoancv. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 9/26/2012 r . Reg: 212-A0052958A-M0400001A-0000 Registration Date/Time: 2012/09/28 15:15:21 HERS Pro-ider: CalCERTS, Inc. 2008.Residential Compliance Forms - August 2009 ' t r . Reg: 212-A0052958A-M0400001A-0000 Registration Date/Time: 2012/09/28 15:15:21 HERS Pro-ider: CalCERTS, Inc. 2008.Residential Compliance Forms - August 2009 INSTALLATION CERTIFICATE CF-6R-MECH=21-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 50035 CALLE ROSARITA, La Quinta CA 92253 (System Enforcement Agency: Permit Number: • Note: (One of Options 1, 2 or 3 must be attempted, before utilizing Option4.) __ _ ___•,;. City of La Quinta 12-1122 1) ✓ ❑ Heating system method: 21 7 x 1a Output Capacity in Thousands of Btu/hr = _ CFM ✓❑Measured est procedur s: CFM - "�-_ �w *�I Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House 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 space conditioning systems and duct systems. ` s t to Note: lFor existing dwellings, a completely new or replacement duct system can also include exist'ng parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are a--cessible 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. " TDuct Leakage Diagnostic Test - existing duct system 13 Select one compliance method from the following four choices.. - ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow 03. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempted, before utilizing Option4.) __ _ ___•,;. r � ' '3 -;%s +ice''", .. ::.4 it ✓ ❑ Heating system method: 21 7 x 1a Output Capacity in Thousands of Btu/hr = _ CFM ✓❑Measured est procedur s: CFM - "�-_ �w *�I r' t Option fused then:,-,,) ",L - Select one compliance method from the following four choices.. - ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow 03. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempted, before utilizing Option4.) __ _ ___•,;. Determine nominal Fan Flow using one of,the following three calculation methods.,t;` ✓ ® Cooling `system method: Size of condenser in Tons }4' z 400= f :1600 `CFM '3 -;%s +ice''", .. ::.4 it ✓ ❑ Heating system method: 21 7 x 1a Output Capacity in Thousands of Btu/hr = _ CFM ✓❑Measured est procedur s: CFM - "�-_ �w *�I -system airflow using.RA3 3 airflow _ .i ,;"•+`," , ; Option fused then:,-,,) ",L 1 Allowed leakage ' Fan Airflow- + x 0:15 _' CFM `y Actual Leakage = CFM _ r ; ' Pass if Actual Leakage is less than Allowed leakage Pass Fail „ Option -2 used then:,_ , 2, Allowed leakage = Fan Airflow_ x 0.10 = _ CFM ActuaVLeakage 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 = 1220 CFM Final leakage after sealing all accessible leaks using smoke test = 450 CFM 3 Initial leakage 1220 - Final leakage' 450 = Leakage reduction 770 CFM ((Leakage reduction 770 / Initial leakage 1220 1 x 100% _ - 63.11 % Reduction Pass if % Reduction >= 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). ' - Pass if all accessible leaks have been repaired using smoke � Pass Fail' Reg: 212-A0052958A-M2100001A-0000 Registration'Date/Time: 2.012/09/28 15:16:11 HERS Prcvider: CalCERTS, Inc. '2008 Residential Compliance Forms March 2010 , INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 50035 CALLE ROSARITA, La Quinta CA 92253 (System Enforcement Agency: Permit Number: Danielle Garcia City of La Quinta 12-1122 1) 686310 9/26/2012 4 • ', •L ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealedVtaped 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 supplyand;return register boots must be,sealed to the drywall -if smoke test is utilized for,c�mpliance - applies tp,duct leakage compliance option 3'(leakage Yeduction by 60%)'-e6d option`4 (fix ail a'i"-cessible leaks) described above • �� ' ��." `� •tT �.:7". ® New duct,installations.cannot utilize buildirlg.cavlties asjplenums!or platform returns in'lieu of Juis54,"R,,F. �,',�1! , ® Mastic and draw binds, must be' usedJn•combination:with°cloth backed •rubber adhesive duct tape to seal A ` leaks -at all new duct connections,- "', y ick a , R ... +. �'C• ,'. r - 'q ~ - . - - 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. e I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorzed 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 specifications apprcved by the y ' enforcement agency. s - . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies d afects, I am = t required to take corrective action at my expense. I understand that Energy Commission and HERS provider representati-es will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required 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 -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. 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) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia ; _ Danielle Garcia CSLB License:, Date Signed: position With Company (Title): 686310 9/26/2012 4 Is this installation monitored by a Third Party. Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No . Reg:.212-A0052958A-M2100001A-0000 Registration-Date/Time: 2012/09/28 15:16:11 'HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms '' March 2010 r 4 ' • - System Location or Area Served • ` T 1 Yes Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compiance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. ' As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additiona. form(s) for any additional systems in the -dwelling as•applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors,(STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new cr replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System i System Location or Area Served • ` Whole House 1 Yes 13 No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and r _IN labeled according to Figure in Section RA3.2.2.2.2. t ®Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum .2 and the HERS; rater without 6a6ging the airflow through the condensef coil` .1 and labeled according to Figure in Section RA3.2.2.2.2. Yes to land 2 is a pass. -' ,:: Enter Pass'or Faill ✓ ® Pass ✓ ❑Fail STMS`- Sensor,on the Evaporator.Coil �; ., _.• ,,._ .__s System Name or Identification/Tag*) ,�, � _ . System 17 7T : ? ' `",, '!•o- ` - i g.-? i,v Vii,. 3 ❑ Yes + ° ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or is'installed by methods/specifications approved by the Executive ❑ Yes ?'lot`, r Director. i it , • �►y it :, �; Yes qw. No The sensor wire is terminated with a standard mini plug suitable for connection o a digital thermometer: The;sensor,mini plug is accessible to the instalhng-technicianii, 4 ❑ ❑ �' and the HERS; rater without 6a6ging the airflow through the condensef coil` 5 ❑ Yes 1 ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3; 4.j and•5 is a pass. Enter N/A if STMS are not ® N/A ✓ . ❑ Pass / ❑ Fail applicablLOtherwise enter Pass or.`Fail ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not • STMS - Sensor on the Condenser.Coil System Name or Identification/Tag System 1 7777 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the: Executive. Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7e ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condense: coil 8 13Y S ❑ No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ® N/A ✓ [3 Pass ✓ [3 Fail applicable. Otherwise enter Pass or Fail c Reg: 212-A0052958A-M2500001A-0000 Registration Date/Time: 2012/09/28 15:18:56 HERS Provider: CalCERTS, Inc.• 2008 Residential Compliance Forms - nf. _ August 2009 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) , Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference.Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this proced.ire. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. _ Space Conditioning Systems, - System Name or Identification/Tag System 1 I. y� r Date of Thermocouple Calibration 9%1/12 a + System Location or.Area Served Whole House '� Outdoor Unit Serial #, '-'r 1208733233 �•t-.. n �� .. � v�••s^` r?,�.��rf"'tf '' ��� Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) , Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference.Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this proced.ire. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. _ Space Conditioning Systems, - System Name or Identification/Tag System 1 (must be re -calibrated monthly) y� r Date of Thermocouple Calibration 9%1/12 a + System Location or.Area Served Whole House '� Outdoor Unit Serial #, '-'r 1208733233 �•t-.. n �� .. � v�••s^` r?,�.��rf"'tf '' ��� Outdoor Unit Make -GMC Outdoor Unit Model VSX13O481 , Nominal Cooling CapacityBtu/hr. 48000 Date of Verification 9/26/12 Calibration of Diagnostic Instruments ' . • Date of Refrigerant Gauge Calibration., Y 9/1/12 (must be re -calibrated monthly) y� r Date of Thermocouple Calibration 9%1/12 a + (must be r6 -ca librate'd monthly) '� Measured, Tern peratures ;(,OF)' > - l �� r-• is - � x ,.� ,`+ "".' •.+^.t System Name or Identification/Tag y System 14 a .+�' it Supply, (evaporator leaving) Reg: 212-A0052958A-M2500001A-0000 Registration_ Date/Time: 2012/09/28 15:18:56 HERS Provider: CalCERTS, Inc.' -. 2008 Residential Compliance Forms - August 2009 '� air dry-bulb , ,` temperature (TsuPPIY, db) 1 ` , h •^ � �.�-`� i s ��� ,63-,* �•t-.. n �� .. � v�••s^` r?,�.��rf"'tf '' ��� Return (evaporator entering) air dry=bulb 86 temperature,(Tretur6, db) Return (evaporator entering) air wet -bulb 70 ' temperature (Treturn, wb) -� Evaporator saturation temperature,.' 52 (Tevaporator, sat) Condensor saturation temperature 126 (Tcondensor, sat) Suction line temperature (Tsuction) 69 Liquid Line Temperature (Tliquid) 112 Condenser (entering) air dry-bulb 105 temperature (Tcondenser, db) Reg: 212-A0052958A-M2500001A-0000 Registration_ Date/Time: 2012/09/28 15:18:56 HERS Provider: CalCERTS, Inc.' -. 2008 Residential Compliance Forms - August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification- Standard Measurement Procedure (Page 3 of 5) Site Address: I Enforcement Agency:Permit Numbe-: 50035 CALLE ROSARITA, La Quinta CA 92253 ' City of La Quinta 1,12-1122 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System i ' Calculate: Actual Temperature Split = Treturn, 23.00 db - Tsuppldb �- ` Target Temperature Split from Table_ RA3.2-3 Z3 _ using Treturn, wb and Treturn; db Calculate difference: Actual Temperature Split - 0 a Target Temperature Split = • . Passes if difference is between -3°F and +3°F or,, upon remeasurement, if between -3°F and PASS -100°F -Enter Pass or Fail Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airfbw is measured,`the-value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/tor_) System Name o Ide tification/Tag +�K ��4yy d yste i F r N f e -- ,'4,JF.� r,\ •';t 1 .t� 'SJ.r<t �...wo, Calculated MFF__inimum Airffllow`Requirement (CFM) w� ,tit•' z ` �: k /' 'S- S ri.f ? air YaE �F'.•Y ',e] t. {' f +i� P _va ti�r.x .Je...c.9F%-.' `l1J- Measured Airflow using RA3.3 procedures (CFM) ". is nA Passes if measured airflow is greater than or' equal to the calculated minimum airflow. , requirement A - `� x EntL-r`Pass or Fail ` Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used. for fixed orifice metering device systems System Name or Identification/Tag ! System 1' Calculate: Actual Superheat =: i Tsuction - Tevaporator, sat ` Target Superheat from Table RA3.2-2 using i' Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +50F. ' . . Enter Pass or Fail >'' .. a .., ,_•• .. _ Reg: 212-A0052958A-M2500001A-0000• Registration Date/Time: 2012/09/28 15:18:56 HERS Prov der: CalCERTS, Inc-.,, 2008 Residential Compliance Forms August -2009' i i i' >'' .. a .., ,_•• .. _ Reg: 212-A0052958A-M2500001A-0000• Registration Date/Time: 2012/09/28 15:18:56 HERS Prov der: CalCERTS, Inc-.,, 2008 Residential Compliance Forms August -2009' INSTALLATION CERTIFICATE CF-6R-MECH;-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 50035 CALLE'ROSARITA, La.Quinta CA 92253 City of La Quinta 12-1122 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is requirec to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. ♦ System 1 Calculate: Actual Subcooling = r 14.0 INSTALLATION CERTIFICATE CF-6R-MECH;-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 50035 CALLE'ROSARITA, La.Quinta CA 92253 City of La Quinta 12-1122 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is requirec to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = r 14.0 Tcondenser, sat - Tliquid ` Target Subcooling specified by manufacturer 12.5 Calculate difference: 1.5 Actual Subcooling - Target Subcooling = , T System passes if difference is between -3°F and +3°F PASS - Enter Pass or Fail }�' `' i Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag _ System 1 Calculate: Actual Superheat = 17.0 Tsuction - Tevaporator, sat `4" ` Enter allowable superheat range from. manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's - T specification is not available). ¢ ' System passes*Jf actual' superheat is within,thet r' SPAS allowable superheat range ,, f F, }�' `' Enter Pass or,Fai 1 :..� `� � ••..c ,,.5 r, rA r�i ' +�" 5 �^n.:..z t.,ros"' C•`"•r' .� �'.. r`,s i..:' .•� ..➢ Reg: 212-A0052958A-M2500001A-0000 Registration Date/Time: 2012/09/28 15:18:56- HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECK-25-HER! tefrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5; Site Address: Enforcement Agency: Permit Numbe-: 50035 CALLE ROSARITA, La Quinta CA 92253 City of La Quinta 12-1122 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable_), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: Date Signed: Position With Company (Title): System meets all refrigerant charge and airflow 9/26/2012 Is this installation monitored•by a Third Party Quality Name of TPQCP (if applicable): requirements. - PASS Enter Pass or Fail r �..5' � �, },. r ,}.'+ FIS. r�i �'- a W x�k r,• �Y-` ti 4;1 '* 2�L+ ;;(� ,� 't,?+R� r. + � ,!^ - � Y,. �. r root' �• r DECLARATION STATEMENT V. . I certify under penalty of perjury; under the laws of the State of California, the information provided on this form is true aid correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or 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 instcllation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications 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 detects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked b1✓ a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. o I reviewed a copy of the Certificate of Compliance (CF -IR) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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. 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) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 9/26/2012 Is this installation monitored•by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212=A0052958A-M2500001A-0000 Registration Date/Time: 2012/09/28 15:18:56 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 GENERAL yt�k iMr Air h M4 "g, Dear Homeowner, We want to thank you again for your patronage and loyalty to our company. It is now time to schedule an Air Conditioning inspection with your City. It is important to have this done as soon as possible to get the permit closed. Enclosed in this packet is your permit card and the required forms needed by 1he inspector to close your permit. At the end of this letter, you will find the inspection office phone numbers for your city. Please contact them in order to schedule your inspection. In addition, please find below the type of equipment we installed at your residence. ❑ Roof -top Package Unit/Condenser* ❑ Water Heater ❑ Split System Other:0PAdOW4 ❑ Split System horizontal or upflow in the attic* Requires ladder nspector arrives, he•may need a ladder to access your equipment. If you dc. not have an appropriate ladder, General A/C will provide one for you. If.you require us to deliver a ladder, please contact us as soon as you have an inspection date and we will deliver one beforehand. After your inspection is complete and your permit has been closed, please call our sales office and let us know so that we may note it in your file. Thank you for your cooperation and please do not hesitate to call us at (760) 343-7488 if you have any questions. Sincerely, The General's Sales Department Enclosed: Copies of form CF -411 for your records. Please give the Inspection Card (and CF forms, if so requested) to the city inspector. To schedule your inspection. please call: City of Cathedral City: (760) 770-0340 City of Coachella: (760) 398-3502 City.of Desert Hot Springs: (760) 329-6411 X244 City of Indian Wells: (760) 346-2489 City of Indio: (760)391-4001 City of La Quinta: (760) 777-7000 City of Palm Desert: (760) 776-6420 City. of Palm Springs: (760) 323-8243 City of Rancho Mirage: (760) 324-4411 County of Riverside: (951) 955-1800 Town of Yucca Valley: (760) 365-1339 CaICERTS - CF -1 R Registration Page 1 of 1 Public Home Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners Job Placement Resources News To register for our monthly newsletter, please click here. Danielle Gacia logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 150035 CALLE ROSARITA La Quinta, CA 92253 C_EC Registration:; 212-A0052958A-00000000-0000 ............... .. .. . ...... ........... .._ ._....... __.____... _.......__.__.. _.._ ___._.....__ _._.... _ CF- 1R-ALT-HVAC:CLICK HERE TO DOWNLOAD ..__.._.__..--.-............. ....-----..__._._ ----...._... Assigned Company:;HARRISON ENTERPRISES INC ----------------- Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. CalCERTS Rater ID: OR My Rater Quick Select: --Select From List O Every CaICERTS rater has a license number. If you need to rind the rater by name [Click HERE] to search our directory. SEND CF -1 R TO HERS RATER [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us �cc�cw.fln c, BUSrH65f https://www.calcerts.com/public_cflR.cfin?project_id=216239 9/24/2012 HVAC Field Data Sheet Pg 1 of 2 Client Name ?-Iw ",q do ��c� Job # /?"0 o V 9- Date F- Z r - /Z Address 51`2 S 61" /'- z- •eo:f est ' In . Ph # Tetbnidan(s) o��- �_ , _1� �' Permit # Gaup/Thermocouple Calibration Date Split Package I Some Duct's 0* 1 All Duds Only (fit"ofwwk) AMP -04.. E�Datu ZONE 1 ZONE ZONE3 Z0194 System Location "Area Served ffa r� Heating Equipment Make e� Heating Equipment Model o✓Gh ARI Reference Number N �` Heating F,qulpmentAFQE g70 Dud Location (auric, crawlspaee, etc-) Duct R Value of duds were installed) Heating Load Heating Equipment Output Capadty Condenser Make /1/1 6-7 wt C Condenser Model V5,"- 13,p' -/'F I Size in Tons ? SEER & EER Cooling Land Cooling Capacity 1 t -Z0&21 DuctTestw Duct leakage pretest result 1 Zo Dod Lie Roal Resalt W Pan (6%)�� � ° Dart Leakage Final Rw* s60 OWwnwra ps%) dim �� "ran Pass using 60% leakage reduction? � Pass using smoke and visual inspection? lff8'Q122 dr—j of ZS 'Qw i;gO Ab*w& 'Fan wafto mw . Measured Air Volume from Flow Grid or Hood NEW DUCTS Target 350 CFM/ton a Condenser?ons CIB[MG iTf TwWt: 300 CPM/tan z condenser Tons Measured air greater than Target (YM Measured Pan Watt Draw Target O.S8 watts/measured CFM = Measured Watts less than Target (YM CgVrW®Zoic EDS Ena®Drlven S0hdwM tna HVAC Field Data Sheet Pg 2 of 2 Client Name job # Date MECff ZS Q[mge & AfrJtaw ZONE 1 ZONBZ ZONB 3 ZOAB 4 Condenser Serial Number /26 S???z3 Supply air dry bulb temperature G3 Return air dry bulb temperatnm 8'6 Return air wet bulb temperature -2o Evaporator Saturation Temperawre 5 Condenser Sataratfon Temperature Qf. Suction Une Temperature 41 Liquid Line Temperature CL ?- Suction Pressure Liquid Pressure Actual Airflow Temperature Split Target Temperature Split from Table RA32-3 Z Passes if dffawce is t 3' of Target Temp (Y/N) Actual Subcooling (t C of Target to pass) Target Subcooling from Mfr. — S Actual Superheat (3 to 26- to pass) % Outside air dry bulb temperature 2 MEQ;26 "We gh-1p ChmgbW below Sr. Actual Une Set length (ft) Mfr's Standard Line Set LengBr 9t) Length Difference = Correction Factor (Dances per hoot) Target: Correction Factor x Length Difference System Charged to Target? (Y/N) otherDaw Minimum amps SL Maximum amps Breaker size Compressor amps Return Static Pressure �( _ Supply Static Pressure Supply Air Wet Bulb Temperature •• ALL APMCABLEBOXESON TMFORMMUST BBCOMPLETBD FOR PAW JOB NO BXCBPUONS. + • copyrf& 0 2011 WS EaeW Driven sotatlam. tae. DUCT TESTING FORM INFORMATION Client name: ZONE 1-Mode Serial# Make:. Outside Temp: Discharge Pressure: 7 PSI Discharge Temp: l 2-4 % _ �o -15- Actual Temp: 112 l Suction pressure: PSI Suction temp: Actual temp: / Return Air: Supply air: 63 Wet bulb: Dry bulb: / Minimum amps: �6 Maximum amps:-jo Breaker size: Amps: Compressor amps: ` line set length: ft. Duct test final leakage: -T"00CFM CFM Number: Motor ps: Watts: ` t Job# ZONEZ-Model# Serial# Make: Outside Temp: Discharge Pressure: PSI Discharge Temp: Actual Temp: Suction pressure: PSI Suction temp: Actual temp: Return air: Supply air: Wet bulb: Dry bulb: Minimum amps: Maximum amps: Breaker size: Amps: Compressor amps: Line set length: ft. Duct test final leakage: Number: Motor amps: Watts: