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06-0852 (AR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:6-00.0.00852 Property Address: C-48751 SAN DIMAS 'ST APN: 646-130-002- Application description: ADDITION - RESIDENTIAL rD Property Zoning: LOW DENSITY RESIDENTIAL �I Application valuation: 348698 rJ Applicant: ' Architect or Engineer: OCT 202006 cITYo� cA Qu oiler A. _ _ Lic. No.: --------------- ----------------- LICENSED CONTRACTOR'S DECLARATION .I hereby affirm under penalty of perjury. that I am licensed under provisions of Cptpter 9 (commencing with Section 7000) of Division 3 of the Business an Professionals ode, and myJefEensa is in full force and effect. Licenser Class: B nse No.:,40 90 Date:/a, Contractor � / � - /• OWNER LDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec: 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which.this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: JEAN STEPHENSON 48-751 SAN DIMAS LA QUINTA, CA 92253 I� Fontractor: .DiIRK CONSTRUCTION INC, MIKE 72677 BEAVERTAIL STREET ALM DESERT, CA 92260 (760) 346-1820 Lic. No.: 521890 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/20/06 --7--------------------------------------------I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier CALIF STATE Policy Number 1090480-2006 1 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' compe savon laws of California, and agree that, if I should be ct to the workers' comp do revisions of Section 3700 of the Labor Code, all f 'th tom ith thos ovi . s. Date:/G� _6G Applicant• WARNING: FAILURE T CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or.following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. gree comply with all city and county ordinances and state laws relating to building co truction, and heree representatives of this county to e0ter upon the above-mentioned prope r i cti pos Date: /��` G Signature (Applicant orWent): Application Number . . . . . 06-00000852 Permit . . . PLUMBING Additional desc ., Permit Fee . . . . 231.75 Plan Check Fee.... 57.94 Issue Date Valuation 0 Expiration Date 4/18/07 Qty Unit Charge Per. Extension BASE FEE 15.00 S 14.00 6.0000 EA PLB FIXTURE 84.00 7.00 6.0000 EA PLB ROOF DRAIN 42.00 1.00 45.0000 EA PLB SEPTIC 45.00 3.00 7.5000 EA PLB WATER HEATER/.VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee 90.00 Plan Check Fee 22.50 Issue Date . . . 6/16/06 Valuation 0 - Expiration Date 4/17/07 Qty Unit Charge Per Extension' BASE FEE 15.00 . ' 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50' Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . 6/16/06. Valuation 0 Expiration Date 4/17/07 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . ELECT - ADD/ALT/REM Additional desc.. Permit Fee. 171.29 Plan Check Fee 42.82 Issue Date . . . . 6/16/06 Valuation 0 Expiration Date 4/17/07 Qty Unit Charge Per Extension LQPERMIT Application Number 06-00000852' Permit ELECT - ADD/ALT/REM Qty Unit Charge Per Extension" BASE FEE 15.00 4079.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 142.77 676.00 .0200 ELEC GARAGE -OR NON-RESIDENTIAL 13.52 --------------------------------------------------- Permit BUILDING PERMIT Additional desc". Permit Fee . . . . 1511.00 Plan Check Fee 982.15 Issue Date 6/16/06 Valuation 348698 Expiration Date 4/11/07 Qty Unit Charge Per Extension BASE FEE 639.50 249.00 3.5000 THOU .BLDG 100,001-500,000 871.50 ---------------- Special Notes and Comments DEMO AND REBUILD HOUSE 40.79 SQ. FT. June 14, 2006 9:08:32 AM jjohnson. OLD HOUES 2738 SQ.,FT. ADDITION 1341 SQ. FT.PARTIAL SLAB AND 5 WALLS LEFT STANDING. October 20,•2006'7:14:02 AM erandall plumbing permit not previously issued with main permit -- - ----------------------------------------- Other Fees . . . . . . . . .. ENERGY REVIEW FEE 98.22 STRONG MOTION (SMI) - RES 34.86 Fee summary Charged Paid Credited Due ------ ---------- ---------- ---------- ---------- Permit Fee Total 2019.04 1787.29 .00 231.75 Plan Check Total 1105.41 1047.47 .00 57.94 Other Fee Total 133.08 133.08 .00 .00 Grand Total 3257.53 2967.84. .00 289:69 LQPERMIT P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:. Property Address: APN: Application description Property Zoning: Application valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00000852 48751 SAN DIMAS ST 646 -130 -002 - ADDITION - RESIDENTIAL LOW DENSITY RESIDENTIAL 348698 Architect or Engineer: Lic. No.:--------------- -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION , I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ommencing with Section 7000) of Division 3 of the Business and Professionals Code, nd my Licens m full force and effect. License Class: B Lice o.: 521 ate: (" tractor: OWNER -BUILD D CLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for,the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: . (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the • improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of .proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.).. (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERDIIT Owner: JEAN STEPHENSON 48-751 SAN DIMAS LA QUINTA, CA 92253 Contractor: KIRK CONSTRUCTION INC, MI 72677 BEAVERTAIL STREET PALM DESERT, CA 9.2260 (760)346-1820 Lic. No.: 521890 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/06 JUN 16 2006 ------------------ 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 wdrkers' compensation insurance carrier and policy number are: Carrier STATE .FLTND Policy Number 1090480-2006 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' compen -ion laws of California, and agree that, if I should bei subject to thorkers' compen on visions of Section .. 3700 of the Labor Coded shat foctEtwith cor>f�W with those i� WARNING: FAIEURE'y0'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I•agreeco_p th ' all city and county ordinances and state laws relating to building ction, and her y auth a reps atives of this count e�n/ter upon the above-mentioned proper or ins 'on pur as. Da �'T Signat re(Applicant or Agen Application Number 06-00000852 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1511.00 Plan Check Fee 982.15 Issue'Date . . . . ,Valuation 348698 Expiration Date 12/11/06 Qty Unit Charge' Per, Extension BASE FEE 639.50 249.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 871.50 Permit ELECT.- ADD/ALT/REM Additional desc . Permit Fee 171.29 Plan Check Fee 42.82 Issue Date . . Valuation 0 Expiration Date 12/11/06 Qty. Unit Charge Per : Extension BASE FEE 15.00 .4079.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 142.77 676.00 `.0200 ELEC GARAGE OR NON-RESIDENTIAL 13.52 Permit GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/06 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit ... . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date Valuation . . . . 0 Expiration Date 12/11/06 Qty Unit Charge Per Extension. BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ----------------------------------------------------------------------------- Special Notes.and Comments DEMO AND REBUILD HOUSE 4079 SQ. FT. LQPERDIIT ' Application Number . . . . . 06-00000852 Special Notes and Comments June 14,_.2006 9:08:32 AM jjohnson. OLD HOUES 2738 SQ. FT. ADDITION 1341 SQ. FT:PARTIAL SLAB AND 5 WALLS LEFT STANDING. ------------------------------------------------------------------ Other Fees . . . . . . . ENERGY REVIEW FEE 98.22 STRONG MOTION (SMI) - RES 34.86 Fee summary Charged Paid Credited Due Permit Fee•Total 1787.29 .00 .00 1787.29 Plan Check Total 1047.47 :00 .00 1047.47 Other Fee Total 133..08 .00 .00 133.08 Grand Total 2967.84 .00 00 2967.84 LQPERMIT Architecture, Interiors, Space and Land Planning, and Structural Design Principle: Charles D. Garland, Architect Associate: Efrain Cardenas, Engineer In Training 30 August 2006 The City of La Quinta . Department of Building and Safety 78.495 Calle Tampico La Quinta, CA 92253 Project Single Family Residence for. Jean Stephenson �48-751 San Dimas j e La Quinta, California Regarding: Structural Observation • t To Whom It May Concern, I am a licensed Architect in the State of California and the structural design professional of record for the noted projects structural system. On 30 August 2006,1 visited the noted project site to perform code mandated structural observations prior to City's final framing inspection. Minor shear transfer detailing, drag strapping, nailing and connection discrepancies were pointed out to the general contractor which were ammended duing my visit Other than these minor descrepancies, I found the structure to be in substantial conformance with the structural design intent of the structural construction documents of record. I hereby state therefore, that the project is ready to wrap. If you have any further questions regarding this project please do not hesitate in contacting me. Since C,�S�EREp'q�Cyi�. . G'g9 F�'J► No. C11991 0 10/31/2007 Charles D. Garland EXP DATE Architect 74-854 Velie Way, Suite 5,- Palm Desert, CA 92260 Phone: (760) 340-3528/Facsimile (760) 340-3728 JHA ENGINEERING, ,INCORPORATED CIVIL ENG INE- ERING DESIGN • LAND PLANNING, • SURV13YING I NVIRON ME,N.T'AL SERVICIsS June 26, 2006 City of La Quinta 78-495 Calle Tampico La Quinta, CA. 92253-1504 Building Department ATTN: Building Inspection Supervisor RE: Lot 33 — Tract No. La Quinta Golf Estates No. 1 MB 37/96 Site Address: x48751 San Dimas Street La Quinta, Ca. Builder: Mike Kirk Construction Gentlemen, This shall serve as a pad certification letter stating that the grading for said lot has been done for the above mentioned property. Afield inspection has been done and shows that the pad elevation has been graded as noted, Elevations Existing Finish Floor Elevation 100.30 As-Built Pad Elevation 99.80 As-Built Form Elevation 100.30 These elevations fall within the standards for grading practice and tolerances.' Sincerely, �oFtiSSION,�� co (Zhn;H. Hacker R.C.E. 1461431 /07 JHH/agv/063449 q/SOF CNV 41921 BEACON HILL • SUITE_ A • PALNI DESERT, CA. 92211 (760) 779-0657 FAX (760) 779-51'.43 CHARLES D. GARLAND ARCHITECT Architecture, Interiors, Space and Land Planning, and Structural Design Principle: Charles D. Garland, Architect Associate: Efrain Cardenas, Engineer in Training 22 May 2006 The City of La Quinta Department of Building and Safety 78.495 Calle Tampico La Quinta, CA 92253 Project: Single Family Residence for: Jean Stephenson 48-751 San Dimas La Quinta, California Regarding: Structural Certification and Clarification To Whom It May Concern, I am a licensed Architect in the State of California and the licensed design professional of the noted project's structural system. The project is being resubmitted with changes to the foundation plan. The entire side of the existing building that includes the new master bedroom was found, during demolision to be comprised of various odd additions and original footings that contained no reinforcing or were cracked and structurally unsound. Therefore the Foundation was revised to show the entire master bedroom wing as new foundation work. I hereby state therefore, that the project still conforms to the structural design intent of the structural design calculations and is ready for back checking. If you have any further questions regarding this project please do not hesitate in contacting me. Sinc rely, Charles D. Garland Architect,>; 1 ; 74-854 Velie Way, Suite 5 o Palm Desert, CA 92260 o Phone: (760) 340-3528/Facsimile (760) 340-3728 t J N TITLE 24 REPORT Title 24 Report for: Stephenson Residence 48-751 San Dimas La Quinta, CA " Project Designer: Report Prepared By: Joan D. Hacker Insu-form, Inc. 41-921 Beacon Hill, Suite A Palm Desert, CA 92211 (760)1779 CITY OF LA QUINTA' BUILDING & SAFETY DEPT. APPROVE® M, FOR CONSTRUCTION Job.Nu Date: 4/3/2006 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards._ This program developed by EnergySoft, LLC - www.energyroft.com. EnergyPro 4.0 by EnergySoft Job Number: User Number: 2655 , Certificate Of Compliance: Residential (Part 1 of 3) CF -1 R Stanhancnn Residence 4,079 ft2.. Existing Floor Area: 0 ft 4/3/2006 Date Project Title Dimas I 4,079 ft2 Average Ceiling Height: 10.0 ft 48-75q_San a-Quinta Project Address 1.00 Number of Stories: 1 Building Permit # Ins Inc (760) 779-0657 -form Documentation Author Telephone Plan Check/Date FrlergyPro CompliNtice Method -- 15 Climate Zone Field Check/Date Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 1.16 1.75 -0.58 Space Cooling 54.87 54.72 0.15 'Fans 8.24 8.05 0.18 :Domestic Hot Water 6.29 3.54 2.76 Pumps 0.00 0.00 0.00 Totals 70.57 68.06 2.51 Percent better than Standard: 3.6% Building Type: [X-] Single Family ❑ Multi Family Building Front Orientation: Fuel Type: Fenestration: ❑ Addition EX -1 Existing + Add/Alt (East) 90 deg Natural Gas Area: 814 ft 2 Avg. U: 0.57 Ratio: 20.0% Avg. SHGC: 0.41, Total Conditioned Floor Area: 4,079 ft2.. Existing Floor Area: 0 ft Raised Floor Area: 0 ft Slab on Grade Area: 4,079 ft2 Average Ceiling Height: 10.0 ft Number of Dwelling Units: 1.00 Number of Stories: 1 BUILDING ZONE INFORMATION # of Zone Name Floor Area Volume Units Zone Type OPAQUE SURFACES Insulation Act. Gains Condition Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Wall Wnnd 307 0 074 R-19 R-0 0 W SO noor None 48 0 500 None R_0 0 _q0 q Wall Wood 36 0 074 R_19 R-0 0 135 9Q Wall Wand 467 n074 R_19 R_00 1 A Wall Wood 47 0 074 R_19 R-0 0 995 gQ Wall Wood 166 0 074 R_19 R-0 0 270 90 Wall Wnnd 666 n n74 R-19 R-0 0 n gn n nnr Nnne 94 n SOn Nnna R-0 0 n nn Roof Wood 4079 0.025 R_38 R-0.0 0 0 Y IN ® IN ® ®❑New ® ® ® a ❑ ❑ ❑❑❑ F-1 F-1 F-1 F F-1 F F-1 ❑❑ ❑❑❑❑ / N ❑ ❑ ❑ ON, ❑New ❑New ❑New ❑❑New ❑ ❑ F-1 F-1 F] ❑ F-1 ❑ F-1 Status New New New Thermostat Vent Type Hgt. Area Sethack n/a JA IV Reference Location / Comments 09 -AS Living 7nne 98-A4 Living 7nne 09 -AS Livini lone n9 -AS Living 7nne 09-A5 living Zone 09 -AS Living 7nne ng -A.5 Living 7nne 78_A4 Living 7nne 01 -AIS Living7one Run Initiation Time: 04/03/06 14:14:28 Run Code: 1144098868 EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Paae:3 of 12 Certificate Of Compliance: Residential (Part 2 of 3) CF -1 R Stephenson Residence 4/3/2006 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area U -Factor' SHGCZ Azm. Tilt Stat. Glazing Type Comments _1_ Window Front(Fast) 28-0 Q 57 N1-1 38 Mr, AQ Q0_ New Per. SOI ARRAN 60 (2) Clear I iving Zone 2 Window Front (East) 84.0 0.570 NI -1 0_38 COG 90 90 New PPG SOLARBAN 60 (22) Clear Living Zone 3 Window Front (East) 12.0 0.570 NI -1 0_38 COG 90 90 New PPG SOLARBAN 60 (2) Clear Living Zone 4 Window Front (East) 12.0 0.570 NI -1 0_38 COG 90 90 New PPG SOLARBAN 60 (2) Clear Living Zone 5 Window Front (East) 9.0 0.570 NI -1 0_38 COG 90 90 New PPG SOLARBAN 60 (22) Clear Living Zone 6 Window Front (Southeast) 24.0 0.570 NI -10.38 COG 135 90 New PPG SOLARBAN 60 (2) Clear Living Zone Z Window Left (South) 15.0 0.570 NI -1 _Q. $ COG _180 90 New PPG SOLARBAN 60 (2) Clear Living Zone 8 Window Left (South) 48.0 0.570 NI -1 0_38 COG 180 90 New PPG SOLARBAN 60 (2) Clear Living Zone 3 Window Left (,South) 10.7 0-57 NI -14M BOG -180 -90 New -PPG SOLARBAN 60 (2) Clear Living Zone 1Q Window Left (South) 10.7 0.570 NI -1 0.38 BOG 180 90 New PPG SOLARBAN 60 (2) Clear Living Zone " Window Left (South) 14.0 0.570 NI -10.38 COG 180 90 New PPG SOLARBAN 60 (2) Clear Living Zone 12 Window Left (Southwest) 29.3 0.570 NI -1 0_38 COG 225 90 New PPG SOLARBAN 60 (2) Clear Living Zone 1a Window Left (Southwest) 24.0 0.570 NI -1 _0-3$ rQG -225_ _,qQ New PPG SOLARBAN 60 (2) Clear Living Zone 14 Window Rear (West) 64.0 0.570 NI -1 0_38 COG 270 90 New PPG SOLARBAN 60 (2) Clear Living Zone 15 Window Rear (West) 10.7 0.570 NI -1 0_38 COG 270 90 New PPG SOLARBAN 60 (2) Clear Living Zone 16 Window Rear (West) 235.0 0.570 NI -1 0_38 COG 270 90 New PPG SOLARBAN 60 (2) Clear Living Zone 17 Window Rear (West) 24.0 0.570 NI -1 0_38 rc)r; 270 90 New PPG SOLARBAN 60 (2) Clear Living Zone 18 Window Right (North) 64.0 0.570 NI -1 0_38 COG 0 90 New PPG SOLARBAN 60 (2) Clear Living Zone 19 Window Right (North) 16.0 0-57 NI -1 _QM COG 0 90 New PPG SOLARBAN 60 (2) Clear Living Zone 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA. REA. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 2.0 2.4 2.5 0.1 2.5 2.5 2 Bug Screen 0.76 2.0 4.4 2.5 0.1 2.5 2.5 3 Bug Screen 0.76 2.0 6.0 2.5 0.1 2.5 2.5 4 Bug Screen 0.76 2.0 2.0 2.5 0.1 2.5 2.5 5 Bug Screen 0.76 3.0 3.0 2.5 0.1 2.5 2.5 6 Bug Screen 0.76 4.0 6.0 2.5 0.1 2.5 2.5 7 Bug Screen 0.76 5.0 3.0 2.5 0.1 2.5 2.5 8 Bug Screen 0.76 8.0 6.0 2.5 0.1 2.5 2.5 9 Bug Screen 0.76 4.0 2.8 2.5 0.1 2.5 2.5 10 Bug Screen 0.76 4.0 2.8 2.5 0.1 2.5 2.5 11 Bug Screen 0.76 6.0 1.2 2.5 0.1 2.5 2.5 12 Bug Screen 0.76 6.5 4.5 2.5 0.1 2.5 2.5 13 Bug Screen 0.76 4.0 6.0 2.5 0.1 2.5 2.5 _ 14 Bug Screen 0.76 8.0 8.0 2.5 0.1 2.5 2.5 15 Bug Screen 0.76 4.0 2.8 2.5 0.1 2.5 2.5 _ 16 Bug Screen 0.76 10.0 23.5 2.5 0.1 2.5 2.5 17 Bug Screen 0.76 6.0 4.0 2.5 0.1 2.5 2.5 18 Bug Screen 0.76 8.0 8.0 2.5 0.1 2.5 2.5 _ 19 Bug Screen 0.76 2.0 8.0 2.5 0.1 2.5 2.5 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 42 None No Insulation 26-A1 New Living Zone Slab Perimeter 18 None No Insulation 26-A1 New Living Zone Run Initiation Time: 04/03/06 14:14:28 Run Code: 1144098868 EnergyPro 4.0 by Energysoft User Number: 2655 Job Number: PageA of 12 Certificate Of Compliance: Residential (Part 2 of 3) CF -1 R Stephenson Residence 4/3/2006 Project Title Date FENESTRATION SURFACES True Cond. Location/ # Type Area LI -Factor' SHGCZ Azm. Tilt Stat. Glazing Type Comments 20. Window Right (North) 64.0 _0 57 NI -1 X38 COG Q _9R New PPG ¢nLARBAN 60 (9) .I ar I iving lone 21 Window Right (North) 16.0 0.570 NI -1 0_38 COG 0 90 New PPG SOLARBAN 60 (2) Clear Living Zone 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 11613. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA. Dist. Len. Hgt. Dist. Len. Hgt. 20 Bug Screen 0.76 8.0 8.0 2.5 0.1 2.5 2.5 21 Bug Screen 0.76 2.0 8.0 2.5 0.1 2.5 2.5 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments Run Initiation Time: 04/03/06 14:14:28 Run Code: 1144098868 EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Page:5 of 12 Insulation PERIMETER LOSSES Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Run Initiation Time: 04/03/06 14:14:28 Run Code: 1144098868 EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Page:5 of 12 Certificate Of Compliance: Residential (Part 3 of 3) CF -1 R Stephenson Residence 4/3/2006 Project Title Date HVAC SYSTEMS Heating Minimum Cooling Minimum Condition Thermostat Location Type Eff Type Eff Status Type Livinq Zone Central Furnace 80% AFUE Split Air Conditioner 12.0 SEER New Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? Living Zone Ducted Ducted Attic 4.2 New Yes Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS • Rated' Tank ° Energy Standbyl Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE 1 (%) Ext. Bosch W400 Large Gas Point of Use 3 117,000 1. New 0.79 0.00% 0.0 Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: G Title/Firm: Address: 'YC- 12c 'ikj a -Lo E fi v Telephone: - Lic. #: G' / (signat (date) Enforcement Agency Name: Title/Firm: Address: Telephone: Documentation Author Name: Joan D. Hacker Title/Firm: I nsu-form. Inc. Address: 41-921 Beacon Hill, Suite A Palm Desert, CA 92211 Telephone: (760) 779-0657 (signs u (date) (signature/stamp) (date) Certificate Of Compliance: Residential (Addendum) CF -1 R Stephenson Residence 4/3/2006 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement nry ilafarmince fha artoeuacv nf the iustification. and may refect a building or design that otherwise complies based on the idequacy of the special justification and documentation submitted. Plan I Field The Roof ••R-38 Roof Attic" includes credit for a Radiant Barrier installed per Section 3.3.3 of the Residential Manual. HERS Required Verification Items in this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- approvea Ht:Kb proviaer using tate approvea testing anwor venncation memoas ana must De reporiea on ine cr-411 installation certificate. Plan Field The HVAC System "Living Zone" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF - 4R. This building has credit for Insulation Quality Installation. A certified HERS rater must visually verify the installation of all Insulation. F .. s Run Initiation Time: 04/03/06 4:14.28 . Run Code: 1144098868 EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Paae:7 of 12 Mandatory Measures Summary:- Residential (Page 1 of 2) MF -1 R NOTE: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercedes the items marked with and asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not applicable. N/A DESIGNER ENFORCE - MENT Building Envelope Measures ❑ ❑X ❑ �§ 150(a): Minimum R-19 in wood ceiling insulation or equivalent LI -factor in metal frame ceiling. ❑ FX1 ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: 0 ❑ ❑ i§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent LI -factor in metal frame walls (does not El Q El apply to exterior mass walls). *§ 150(d): Minimum R-13 raised Floor insulation in framed Floors or equivalent U -factor. 0 El El § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas togs. 1. Masonry and factory -built fireplaces have: a. closable metal or glass door covering the entire opening of the firebox ❑ R ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑X ❑ 2. No continuous burning gas pilot lights allowed. ❑ ER ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. § 150(0: Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ❑ ❑X ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor El El permeance rate no greater than 2.0 perm/inch. ❑X ❑ ❑ § 118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include ❑ ❑X ❑ CF -6R Form: ❑X ❑ ❑ § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiiltration Controls. Page:8 of 12 1. *Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑X ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ' 0 ❑ Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑X ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑X ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): Water system pipe and tank insulation and cooling systems line insulation. k 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ❑ ❑X ❑ having an installed thermal resistance of R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ ❑X ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire ❑ ❑X ❑ length of recirculating sections of hot water pipes shall be insulated to Table 1508. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑X ❑ indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑X ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑X ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑X ❑ ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑X ❑ ❑ EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number, Page:8 of 12 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (7 below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. NIA DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ X❑ ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum installed level of § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system electric and have an output frequency no less than 20 kHz. § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements luminaire has factory installed HID ballast. X❑ § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. or tape shall be used. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑ X❑ ❑ OR are controlled by an occupant sensor(s) ceritfied to comply with Section 119(d). 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than ❑ X❑ ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ X❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Page:9 of 12 reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ X❑ ❑ duct tapes unless such tape is used in combination with mastic and draw bands. ❑ © ❑ 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ ® ❑ dampers. 6. 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 that can cause degradation of the material. ❑ ® ❑ 7. Flexible ducts cannot have porous inner cores. § 114: Pool and Spa Heating Systems and Equipment ' 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ Q ❑ heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. ❑ ® ❑ b. Cover for outdoor pools or outdoor spas. ❑ X❑ ❑ 3. Pool system has directional inlets and a circulation pump time switch. ❑ X❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ ® ❑ burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) § 118 (i): Cool Roof material meets specified criteriaX❑ ❑ ❑ Lighting Measures ❑ § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ❑ X❑ ❑ luminaire has factory installed HID ballast. X❑ § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ X❑ ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑ X❑ ❑ OR are controlled by an occupant sensor(s) ceritfied to comply with Section 119(d). ❑ § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 fl) OR are controlled by a dimmer switch OR are ❑ X❑ ❑ controlled by an occupant sensor that complies with Section i 19(d) that does not turn on automatically or have an always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ X❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ ❑X ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. X❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more X❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Page:9 of 12 Residential Kitchen Lighting Worksheet WS -5R Stephenson Residence 4/3/2006 Project Title Date At least 50% of the total rated wattage of permanently installed luminaires in kitchens must be in luminaires that are high efficacy luminaires as defined in Table 150-0. Luminaires that are not high efficacy must be switched separately. Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens. High Efficacy Luminaire Type High Efficacy? Watts Quantity Watts Other Watts (1) 38w Compact Fluorescent 2D Elec Yes XI No F 37.0 x 12 = 444 or Yes No x + = or Yes No x = or Yes No x = or Yes Nox = or Yes No x = or Yes No x = or Yes No x = or Yes No x = or Yes No x� = or Yes No x = or Yes No x = or Yes No x or Yes No x = or Yes No x = or Yes No x - or Yes No x = or Yes No x' = or Yes No x = or Yes No x = or t Total A: 444 B: 0 EnergyPro 4.0 by Energysoft User Number: 2655 Job Number: Page: 10 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME Stephenson Residence DATE 4/3/2006 SYSTEM NAME FLOOR AREA 4,079 Living Zone I CFM Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK I COIL HTG. PEAK CFM ISensiblel Latent I CFM I Sensible 2,957 51,577 4,572 1,167 47,972 0 5,348 4,428 0 0 0 0 0 0 0 0 0 5,348 4,428 62 273 ---74572 56 828 BDP CO. 563AN048-A 66,329 20,872 Total Adjusted System Output 66,329 20,872 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK I Aug 2 pm 140,000 140,000 Jan 12 am HEATING SYSTEM PSYCHROMETRICS (Airstream Temaeratures at Time of Heating Peak) I 26.0°F 68.7°F 68.7°F IM 109.90F Outside Air 0 cfm Supply Fan Heating Coil 3190 cfm 68.7 °F Supply Air Ducts 108.6 OF ROOMS 70.0 OF Return Air Ducts I (COOLING SYSTEM PSYCHROMETRICS (Airstream Temaeratures at Time of Coolina Peak) I 11.0/77.6°F , _ 79.6/66.0°79.6/66.0°FN 60.0/58.9°F Outside Air 0 cfm "`'� Supply Fan Cooling Coil 3190 cfm 79.6/66.0°F Return Air Ducts Supply Air Ducts 61.6 / 59.5 of 51.8% R.H. ROOMS 78.0/65.5°F EnergyPro 4.0 by EnergySoft User Number: 2655 Job Number: Page:11 of 12 (ROOM LOAD SUMMARY I PROJECT NAME Stephenson Residence DATE 4/3/2006 SYSTEM NAME Living Zone FLOOR AREA 4,079 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM I SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE LivingLiving Zone 1 2,9571 51,577 4,572 2,957 51,577 4,572 1,167 47,972 PAGE TOTAL 1 2,957 51,577 4,572 1,167 47,972 TOTAL . 2,957 51,577 4,572 1,167 47,972 EnergyPro By EnergySoft User Number: User Job Number: Page: 12 of 12 P&*t** * If q ?,S- ( �&) -b tILri--y -5>,. INSTALLATION CER IFICATE (Page 3 of 12 CF j Site Address 48751 SAN- DIMAS, LA QUINTA ermt Number An Installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required). After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (AFUE, etc.)' >_ CF -1R value Duct Location (attic, etc. Duct or Piping R -Value Heating Load Btu/hr Heating Capacity (Btu/hr SPLIT SYSTEM YORK LY8S100C20UH11C 2 80% ATTIC 4.2 R-6 100,000 Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (SEER or EER)l (> CF -1R value Duct Location (attic, etc.) Duct R -Value Cooling Load (Btu/hr) Cooling Capacity (Btu/hr SPLIT SYSTEM YORK H3REO60SO6B 2 14 SEER ATTIC R-6 60,000 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓❑ I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential building, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6,) where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner PAUL'S AIR CONDITIONING & HEATING Signature: Date: 3/26/07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential,Compliance Forms April 2005 In INSTALLATION CERTIFICATE (Page 4 of 12 CF -6R Site Address .UNI 17 1 Permit Number , 48751 SAN DIMAS, LA QUINTA . INSTALLER COMPLANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return registers, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used 0 New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑DUCT LEAKAGE REDUCTION Procedures for Feld verifira/inn and diaunnctir focfino of air dic/rihufinn cucfomc aro ovaitahto ;n RAd-&f dnnondiv R! d ? NEW CONSTRUCTION: PAUL'S AIR CONDITIONING & HEATING n Duct Pressurization Test Results (CFM @ 25 Pa) Measured ;," f Values . _ Y 1 Enter Tested Leakage Flow in CFM: 83 Fan Flow: Calculated (Normal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr output, enter total calculated or measured fan flow in CFM here: 2000 ✓ ✓ Pass if Leakage Percentage< 6% for Final or:5 4% at Rough -in ❑ Pass ❑ Fail 3 [100 x 83 (Line # 1) / 2000 (Line # 2)]] 4.1% ALTERNATIONS: Duct System and/or HVAC Equipment Chan a -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct System Alterations and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM from Final Test of New System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System (Line # 4) Minus (Line # 5)] — (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System — Pass if Leakage Percentage:S 6% for Final ❑ Pass ❑ Fail [100 x [— (Line # 5) / (Line # 2)]] TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: ✓ ✓ 9 Pass if Leakage Percentage:5 15% [100 x L_ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [100 x (Line # 6) / (Line # 4)]] ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection_` ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 Pass 7"< ❑ Pass ❑ Fail ✓ El I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner PAUL'S AIR CONDITIONING & HEATING n Signature: Date: 3/26/07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY INSTALLATION CERTIFICATE (Page 4 of 12 CF -6R Site Address ermrt Number - 48751 SAN DIMAS, LA QUINTA INSTALLER COMPLANCE STATEMENT FOR DUCT LEAKAGE - INSTALLER COMPLIANCE STATEMENT The building was: ✓ ❑Tested at Final ✓ ❑Tested at Rough -in . INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return registers, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed; inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑DUCT LEAKAGE REDUCTION Procedures fnr field verifira/inn and diapnwir leclinp of air dic/rihutinn cvchasnc ara availahlo in RArM Annandir Rrd 2 NEW CONSTRUCTION: + PAUL'S AIR CONDITIONING & HEATING Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: r 112 Fan Flow: Calculated (Normal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfin/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr output, enter total calculated or measured fan flow in CFM here: 2000 ✓ ✓ Pass if Leakage Percentage< 6% for Final or < 4% at Rough -in ❑ Pass ❑ Fail 3 [100 x 112 (Line # 1) / 2000 (Line # 2)]] 5.6% ALTERNATIONS: Duct System and/or HVAC Equipment Chan a -Out - :, i ? 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct System Alterations and/or Equipment Chan e -Out. 5 Enter Tested Leakage Flow in CFM.from Final Test of New System or Altered Ducti System for Duct System Alteration and/or Equipment Chan e -Out. 6 Enter Reduction in Leakage for Altered Duct System• _,,, (Line # 4) Minus (Line # 5)] — (Only if Applicable). A: 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System — Pass if Leakage Percentage < 6% for Final❑Pass - ❑Fail [100 x [_ (Line # 5 / (Line # 2)11 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: ✓ ✓ 9 Pass if Leakage Percentage < 15% [100 x L_ (Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x L_ (Line'# 7) / (Line # 2)]] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [100 x L— (Line # 6) / (Line #'4)]] . ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection �'�`�.. '^.µF. El Pass ❑Fail Pass if One of Lines # 9 through # 12 Pass �, ^ a s ;, ❑ Pass ❑ Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. - Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner PAUL'S AIR CONDITIONING & HEATING Signature: Date: 3/26/07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING.OWNER AT OCCUPANCY CERTIFICATE OF FIELD VERIFICATION & ]DIAGNOSTIC TESTING (Page I of 8) CF -4R Project Address j� Builder Name Builder Contact /411kC Telephone �;Y�� ���' i�� Plan Number HERS Rater �Telephone L� s�N S�,o ��-Z7 � y Sample Grou Number Values, Com liance Method Prescri ti Climate Zone Date Certifying Signature, /07 Sample House Number Firm J� HERS Provider Street Address:y 30'e- Q'6 3oX � g 3 G-1-City/Stale/Z ` L G� 5— Copies to: BUILDER, ITERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ O Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic .testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. ❑ The installer has provided a copy of CF -6R (Installation Certificate). , ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. r ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for f eld verification and diagnostic testing of air distribution systems. -are available in RACM, Appendix RC4.3. 'Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured5=' L Values, r I Enter Tested Leakage Flow in CFM: Z pa 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling v1`0 Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM:U e/ V/ 3 Pass if Leakage Percentage <_.6% [ 100 x [ I —_(Line # 1) / ✓d (Line # 2)]] SG Aa-Trass 0 Fail ALTERATIONS: Duct System and/or HVAC Equipment Chan a-OutON'er 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to ��€ s ... . Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Systemrt' for Duct System Alteration and/or Equipment Chan e -Out. i a'M 63 Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus(Line # 5)] (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) V/ V/ 8 Entire New Duct System - Pass if Leakage Percentage <_ 6% ❑Pass ❑Fail 100 x (Line # 5) / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage _< 15% [100 x L_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >_ 60% [100 x [_(Line # 6) / (Line # 4)]] ❑pass ❑Fail and Verification b Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection rtw6yfi;zT ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 passt �[Y�'�i�� R€'il'ii. °ice ./, `i _ "sa„`' Pass ❑ Fail Residential Compliance Forms April 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8)',,. CF -4R Project Address (g7Si Sqn)� 4 i Z�, Builder Name i JCC�+rvl� �Oi.ibG7�UI� Builder Contact Telephone Plan Number �� s HERS Rater //�� � >> Telephone Sample Group Number Values Compliance Method Presc ' e - Climate Zone Certifying Signature Date �ZG/o7 Sample House Number Firm//�, A, A,Se'r HERS Provider- rovider. Street Address: " �A4� 3ay3 City/S to/Zip: ��fi�w� ��- • �u� s `:optes to: BUILDER, HERS PROVIDER AND BUILD1NU DEPARTMENT ITERS RATER COMPLIANCE STATEMENT p The house was: ✓ 0 Tested ✓ ❑ Approved as part of sample testing, -but was not tested As the HERS rater providing diagnostic .testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked v' on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. . ❑ The installer has provided a copy of CF -6R (Installation Certificate). ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. 'Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) - Measured, r Values e I Enter Tested Leakage Flow in CFM:j 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓,❑ Measured Enter Total Fan Flow in CFM: `` Y �U • ✓ ✓ 3 Pass if Leakage Percentage <_.6% [ 100 x LFS(Line # 1) / (Line # 2)]] Nrl�ass 0 Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out WIN= Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change-Out.- hange-Out. -5 Enter Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chan e -Out.. -• .vim { Enter Reduction in Leakage for Altered Duct System L_(Line # 4) Minus (Line # 5)] t b. 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) :, ✓ ✓ 8 Entire New Duct System - Pass if Leakage Percentage <_.6% - ❑ Pass ❑ Fail 100 x Line # 5) / Line # 2 TEST. OR. VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out; . ✓ ; ✓ Use one of the following four Test or Verification Standards for compliance: ; 9 Pass if Leakage Percentage <_ 15% [100 x _(Line # 5)'/' h = (Line # 2)]] ' . ❑Pass ❑Fail 10 Pass if Leakage to Outside Percentage S 10% [100 x L! (Line # 7) /' (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction- Percentage >_ 60% [100 x f (Line•# 6)•/ (Line # 4)]] ❑pass ❑Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection— -0 Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass {art ; _ ass ❑Fail Residential Compliance Forms ,` `, April 2005, CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address/,p c 7) %O ) SGM )��� ) t i^%0 5 la"I" fA Builder Name •/''ll ky 4, ��, �jr� `�✓GrG iO✓� Builder Contact 14? /14e Telephone A; Plan Number HERS Rater dx',�,s;�, Telephone �,� �yf� Z 7Z/ I/ Sample Group Number Access is provided for inspection. The procedure shall consist of Compliance Method (Prescri tive Date of Verification Climate Zone Certifying Signature �Date G/o Sample House Number Firm ❑ HERS Provider Street Address: A l X y 3 City/ tate/Zip: City/ 1 64, cg -_12Z3 5 - Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with thediagnostic tested compliance requirements as checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate). ✓ THERMOSTATIC EXPANSION VALVE (TXV) r Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RL ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Btu/hr Date of Verification ✓ es ❑ No visual verification that the TXV is installed on the system and Date of Thermocouple Calibration ❑ (must be checked monthly) installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 OF and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 °F rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2 ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms Apri12005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pace 5 of 8) CF -4R Project Address Builder Name O IZ f Builder Contac[ Telephone Plan Number HERS Rater Telephone Sample Group Number CertifyinKjSignature Date Sample House Number Firm: !/��Gy,/ �'^G� IP/�fj�� 5�"�, - HERS Provider. vfA-tfi$ Street Address: A 13u% 3OC9 3 City/State/Zip: 40 f 1'`'ok, � C4 �IIL3s Copies to: Builder, HERS Provider and Building Department HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ ❑ The installer has provided a copy of CF -61Z (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures or eld verification and diagnostic testing of adequate airflow are available in RACM, Appendix RE4.1. Method For Airflow Measurement ❑ Yes ❑ No Duct design exists on plans ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: cfm/ton `� ❑Yes ❑ No Measured airflow is greater than the criteria in Table RE -2 ❑ ❑ Yes is a pass Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY PrncedurPc fnr dntermininp maYitnum rnnlinp Innd rnnnrity nrp nvnilnhlp in RAC'M Annpndir RF? 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑Yes ❑ No Cooling capacities of installed systems are <_ to maximum cooling capacityindicated on the Performance's CFA R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -IR, then the electrical input for the installed systems must be:5 to electrical input in the CFAR. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a s ✓ HIGH EER AIR CONDITIONER Proredurp.c fnr_verificntinn arp nvnilnhlp in RA('M Annpndir RI I ✓ s ❑ No EER values of installed systems match the CF -IR 2 ✓ es ❑ No Fors lits stem, indoor coil is matched to outdoor coil 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required) Yes to I and 2; and 3 (If Required) is a pass ✓ ✓ Pass Fail Residential Compliance Forms March 2005