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07-1046 (MECH)IV P.O. BOX 1504. , 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number:0T00001� 04 .; Property Address: 4.880-1 SAN PEDRO ST .APN: 646 -140 -017 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 ceiiy�, 4 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 -C10 license No.: 286936 Dat�:SleT Cgnt�raotor:'� iT OWNER -BUILDER DECLABATION 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: LQPERMIT Owner: ANATHAN CAROL 48801 SAN PEDRO ST LA QUINTA, CA 92253 Contractor: CAVANAUGH ELE 83231 HIGHWAY INDIO, CA 9220 '(760)347-3608 Lic. No.: 286936 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . AIR CO D� APR C 2007 � CITY 9F" L-A, QUINIA FINANCI! Wt. . Date: 4/05/07 ---------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty.of perjury one of the following declarations: _ I have and will maintain a certificate of consent to'self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ENDURANCE WC . Policy Number WEN0014468-01 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forlhwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEFKGE 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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property fforiiiii apec ti.io/n/�lpurposes. � Dat D ( Signatures pli or -Agent): ZI /s( G�3'�'fJ[� cr. LQPERMIT Application Number . . . . . 07-00001046 Permit . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 3.75 Issue Date . . . . Valuation 0 Expiration Date 10/02/07 'Qty Unit Charge •Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ------------------------------------------ Special Notes and Comments ---------------- REPLACE FURNACE & A/C COIL. Fee summary Charged Paid Credited Due ---- ---------- Permit Fee Total 33.00 --7 ----- .00 ---------- .00 33.00 Plan Check Total 3.75 .00 .00 3.75 Grand Total 36.75 .00 .00 36.75 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 Project Address: 4 g_ g p 1 S Pedro Owner's Name:. A. P. Number: Address: 4 9 5aAf f e ol%o . Legal Description: Contractor: V ��07li �( eC�/'�G City, ST, Zip: _a Telephoner Address:. Project Description: City, ST, Zip: L� C/� . -/� /- ' oaCe �Rnd Telephone: _ 34 _ State Lic. # : City Lic. #: c Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Name of Contact Person: Cil CID. Project type (circle one): New Add'n . Alter Repair Demo . Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: — -3608 Estimated Value of Project: Al 500 r APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan' Check Balance Energy Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading. plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees h I CERTIFICATE OF COMPLIANCE: RESIDENTIAL Project Title Date C'�raL ala fdl aN 4 - 4 - 07 Project Address L•a Qt�ir�f�- C/f. 9253 . Documentation Author Telephone ca�an�ugh �lfnc 760 Compliance Method (Prescriptive) Climate Zone /5 1 of CF -1R ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) _ Package C and Package D choices reyu re HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 8 Average Ceiling Height: R Maximum Allowed West Facing Fenestration Products Per Table 151-B or. 151-C ---- (5% X CFA) Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) fe ✓0 Building Type: (check one or more)Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type; Slab/Raised Floor: (circle one or both). Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑RADIANT BARRIER (required in climate zones 2 4 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors), Frame Type (Wood or Metal Assembly U- factor (for wood, Cavity Continuous metal frame and Insulation Insulation mass R -Value R -Value assemblies Joint Appendix IV Reference Roof Radiant Barrier Installed Yes or No Location Comments. (attic, garage, typica,l etc. 4 L.....:- o A,,. T T_fa(itnr criterion. U -factors can not exceed 1) See Joint Appenaix 1 v m accuvia I..',, + • •1 - • - •, .. - — --- - prescriptive value to show equivalence to R -values. Residential Compliance Forms April 2005 5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -IR Date 4-4-0% FENESTRATION PRODUCT'S — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration Exterior W ypemos. Orien- Shading/Overhangs6'' (Front, Left, tation, Area U -factor SHGC v' box if WS -3R is Rear, Right, N, S, E, ,,.2. _._s e,,,.r, A�- SHGC^ Source included W1 -1 J 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west .or tilted in any direction when'the pitch is less than 'l:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity Cooling Equipment Type and Capacity Minimum (A/C, heat pump, evap. Efficiency (SEER or EE Residential Compliance Forms and Location Duct or Piping Thermostat I R -Value Type Duct Location I Duct I Thermostat !attic. etc-) R -Value Type Configuration (sPlit or Package) Configuration vlit or packag April 200: CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of _ 4 +C� -IR SEALED DU: "I'S and TXys or Airernau.o A'4 --- I A signed CF -4R Form must be provided to the building department for each home for which the following. are reguired. O Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification require( TXVs, readily accessible (elirriato zones 2 and 8-15 only) taller testin and certification and HERS Rater field verification require d. Refrigerant Charge (climate zones 2 and 8-1S only) (Installer testing and certification and HERS Rater field OR Altemative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Pro'ect Climate ,Zone in the RMA endix B Table 1.51-C Footnotes 7-14. OR For additions and.alterations, duct systems that are not documented to have been.previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than .40 linear feet in unconditioned spaces shall meet the reuirements of Section 150(m) and duct insulation re uirements of Package D. WATER HEATING SYSTEMS Check box if system meets criteria of a "Standard" system. Stansystem is one gas-fired fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. Table 5-4 in Chapter 5 in the Residential Check box when using Preapproved Altemative Water Heating table, 13 Manual. No water heating calculations are r uired and the s stem complies automatically.. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved . 0 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ntrol is required for a recirculating system pump for a system serving multiple Check box to verify that a time co units Cvstems servine single dwelling units E er Tank Water HeaterI Distribution I Number Tvne in SYsten d Water Heater I Distribution I Number n Rated T, In u l Tank Factor or External p (kw or Capacity Thermal Standby' Insulation _ ._......e� F.fficienev Loss (%) R -Value Ener � Tank Rated Factoror External Input Tank Thermal Standby' Insulation (kW or Capacity trfr,�iP„ry Lnss (%1 R -Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulatiori (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % inches ofied by Section 150 (j) 2 A or 150 (j) 2 r greater in diameter shall be thermally insulated as speci B. April 200. Residential Compliance Forms CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of -5) CF -IR Proiect 77de a ry A114-iW SPECIAL FEATURES NOT REOUMI NG HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the _aL�J prescn nve mcu►vu. Required Forms if applicable) Descri tion ✓ Feature ❑ Metal Framed Walls Radiant Barriers Exterior Shades CF -1R CF -1R WS -4R N%A; Attach CRRC Label to ❑ ❑ ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation 13 S Required;. Attach Run to Forms. stem Performance Calculation ❑ Combined Hydronic System Required; Attach Run to Foy, Performance Calculation ❑ Gas Cooling Required. Buried Ducts N/A- Indicate on buildin plans. ❑ See Section 5.6.2 Distribution ❑ Kitchen Pipe Insulation 'Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. Central Water Heating System Performance Calculation and ❑ Serving Multiple Dwellings attach Run to Forms. CF -1R E3 Large Water Heater Heater See Table 5-13 or use, ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms Soo Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Performance Calculation and O Wood Stove Boiler I attach Run to Forms April 2005 Residential Compliance Forms RESIDENTIAL .. a e'5 of 5) CF -IR CERTIFICATE OF.COMPLIANCE: Date Project Title a� 4 -- �� `COMPLIANCE STATEMENT ' { This certificate of compliance lists the building features and specifications needed to comply with Title Th '¢ Parts l and 6 of the, California Code of Regulations, and the administrative regulatioils to implement bility. The them. This certificate has been signed by the du t deli with duct sealmoverall e3v�erificationlof refrigerant charge' undersigned recognizes.that compliance using_ J�, g and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. a , Desi ner or Owner (per Business and Professions Code Documentation Author " Name: �a� Name: /7D� �a6�al'12%L CaroL hnGf /� - Title/F= Title/Firm' r'• ' Dune Address: r Address:. La Quira a Telephone: -760"0_54 - --3 Telephone: License #:.�,�9-'S� 4-4-07 - (date) (si�ature) 'F (signature). VO/ II/LVVV Vf.VI rAn 070760tlV00 JtAno JM V-itOW nin y(J vv•r, v 15 M-4 INSTALLATION CERTIFICATE Tage 3 of 12) CF -6R Site Addross Permit Number 4R- 90I 5a1v An installation cetti8cate Is required to be posted at the building site or made avallable for all appropriate inspoctions. ('Ibo lnformadon provided on this form is required) After completion of final inspection, a copy must bo provided to the building departatent (upon request) and the building ownerat occupancy, per Section 10-1033(&). HVAC SYSTEMS: HdathV Equipment Equip Type k . hoot urn CSC Certmce Mb. Namc and Model Number # of [dontiad $ stama snialenoy I Imo' + 010 l 2CF-11% alua Duct l &cation attic etc, �uet'o[ piping R -vela Heating Lund BLuAhr Heating Capacity 8vAr Fmace '`� 1 ®°Yb MI is Rqt, cJOK '70K 090 0000 Cooling Equipment Equip Type (gicit.heat um Nam*md Modol Number Idondcal Sydems Efficiency (a rift ,, ea) bCF-IRvalue Duct Location (Wk. Sm.) Duct -value Cooling Load tu/hr Cooling Capcoky 8tulhr 1, a symbol reads graater than or equal to what I1 Indicated on lite CF -!R saltie, Include both SEER and EER If compliance credit for high EER air conditioner is claimed. V 91l, the undersigned, verify that equipment listed above Is: 1) Is the actual equipment installed, 2) equivalent to or more efficient than that spseified in the oertifioato of oompllance (Fornt CF -1 IQ submitted for compliance with the Energy F#Iclenq S(andarda for residential buildings, and 3) equipment that moats or exoeads the appropriate requirements fbr manufactured devices (from the Appliance FOCIaney Ragtrlations or Pan 6), where epplicabla. Contractor (Co. Narna) OR Owner Signature: Copies to: BUILDING DEPARTMENT, Date: 4— 4-07' RATER (IF APPLICABLE) BU[LDIN(: OWNER AT OCCUPANCY Residanital Compliance Forms Apr111005 OCT 04,2005 08:44' SEARS HOME I MP 8585869098 Page 4 VV/�1 IJ 4VVV VI.VL rnA VJVJVVVVVV Vr••.•v v.... V�rw.. ••" "�" w �' n F� INSTALLATION CERTIFICATE (Page 4 of 12 MR L She Address 901 5344 Rff llh> L a Oai/7T/t Permit Number INSTALLER COMPLIANCE STATEMENT FORDUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ I0 Tooted at Final r © Tested at Rough -in INSTAL61 IR VISUAL INSPECTION AT FINAL CONSTRUCTION ETAOE: O Remove at least one supply and one return register, and verify that the spaces between thq register boot and the Interior tlnishing wall are properly scaled. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handier and tho supply and return plenums to vat* that the concoction points aro properly sealod. ❑ Inspect all Joints to ensure that no cloth backed rubber adhesive duct tape is used V'C3 DUCT LEAKAGE REDUCTION A. n.ra ...tfr., HAM and dfQvrresAr letting ofatr dtutrlbudon systemtr are available in RACM. Anoendix RC4.3 NEW t:ONBTRUCT10Nt DuctPressurization Teat Results (CPM ® 25 Pei Measured Values I Enter Tested Leakage Flow in CFM: 1: "' S' `' V., y .Pan Flow: Caloulated (Nominal: ✓ OTCoolie$ V 0 Ideating) or ✓ O Measured 2 If Fan Flow Is Calculated as 400 ofhVton x number of tons or &J.21.7 ofin/(kBtu/hr) x Hosting Ca acI In Thousands of Htu/hr, enter total calculated or measured fan flow in CFM here: ' ✓ ✓ 3 Pass If Leakage PercantagoS 6% for Final or 5 4% at Rough -in: 100x ine# 1 / Ino#2 11 0 Pass ET Fail ALTERATIONS., Duct System and/or HVAC Equipment Cha s -Out 4 Enter Tested Leakage Flow in CFM from pro -Test ofEzisting Duct System Prior to Duct System Altoratfon and/or Equipment Chango-Out. s Enter Tested Leakago Flow in CFM from Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chan a -Out. � �4 6 Enter Reduction In Leakage for Altered Duct System Linc 0 4 Minus fLing # 3 –(Only If A Ilcable) 7 finer Testod Leakage flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 1000 Entire New Duct System - Pass if Leakage Percentage S 6er6 for Final orS 4% or Rough -in x Line # S I Line # 2 Pass 0 Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System nod/or HVAC Equipment Cbange. Out Use one of the following f ur Test or Ver fi ation Standards for com Bance: ✓ 9 Pass If Leakage Percantage s 1 S% [ 100 x [ _d,gL4_(Llne # 5) / _ f 6Gn (Lice # 2)11 / / . 5 ' ` . Pass O Fall 10. Peas If Leakage to Outside Percentage 5 10% (100 x I Line # 7) / (Litre # 2)J] O.Pass O Fall Pass If Leakage Reduction Percentage t 60% (100 x L _(Lino # 6)/ (Line # 4)]] 11 and Verlflcation by Smoke Test and Visual Ins action U Pass 0 Fall 12 Pass if Sealing of all Accessible Leaks and Vcrlflcation.h Smoke Test and Vlsuil Inspection z Pass ❑ Fall Pass If One- of Lines # 9 tbrou # 12 pXsz : ti;a ° ;•'°O.Wass C] Fall ✓ ❑1, the undersigned, verify that the above diagnostic test results were perfbrmed In coeormanoo with the requirements for compliance ctmdit. I, the undersigned, also owdfy that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements speoUled in Section 150 (m) of the 2005 Building Energy Efficiency standards. installing Suboontraotor (Co. Rama) General Contractor (Co. Name) OR Owner Signature:rod Date: 4-4 n'07 Copies toi BUILDING DEPARTMENT, ff& RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Fbrmr April 2005 OCT 04,2005 08:45 SEARS HOME I MP 8585869098 Page 5 vaicVVV VI.Vt rAA oaoaooavao At, AIM IQJVVti/V I r ✓ 13 TFMRMOS'1" ATIC EXPANSION VALVE (INV) Proce&vv for field verocation Qjthermostadc axpanrion valves are avallobla In JUCU Appendix RJ. ✓ ✓ Access is provided for inspection. The procoduro shall �/ consist of visual verification that the TXV Is lnst 0Cton ✓ Ue Yes D No the system and installation of the specula equipment ❑ ❑ shall be verified. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification )brRequired Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Outdoor Unit Serial # Location Ouldobr Unit Make Outdoor Unit Model Cooling Capaei l3ttu/bt Data of Verifteation Date of Refrigerant Gan o Calibration (must be checked monthly) Date of Thermocouple Calibration (must be cbecked monthly) OCnn� onn vi[:au ' Pr"edura for Determining Re frigerarrt 09 Note; The system should be installed and procedure. Measured Temperatures using the Standard Method are avadal)k In )U CM, Appendix RD2. reed in accordance with the manufacturer's specifications before starting this Supply (evaporator leaving) air dry-bulb tem omture (Tsu ly, db) °p Return (evaporator antering) air dry-bulb temperature turn, db °F Return (evapo*r enterin) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat)ap Suot on line temperature (Tsuction, db) Condenser (entadno) air dry-bulb tem etatura Toondenser, db) °P >u erheat Cher a Method Calculations for Refrigerant Charge Actual Superheat - Tsuodon, db — Tevaporator, sat Target Superheat (from Table IID -2) ap OF Actual Superhow — Tar et Superheat (System passes If between -3 and *3.°F) Temperarure Split Method Caloule4ons for Adequate Alrilow �a,. .�.. rrr merrroa alGundalurJ W r,w /rcY�JV . -•-- -- - - - - - Actual Tcm orature Split - T return, db Tsupply, db °F Target Temperature Split from Table RD3) °p Actual Temperature Split Target Temperature Split (System pasises if between - OF 3°F and +3'R or, u on remeasurement If between -30F and -1001F Residential Compllanoa Forms .aprll 2005 OCT 04,2005 08:46 SEARS HOME I MP 8585869098 Page 6 _ Jrnnq onn VLCVV t nN nAn �V S/ 1 1/ LV VV V 1 V& I' /1 /N OJ V:lV VU VJV )TiSTAY�iATYON CERTIFICATE a e 6 of '12 � CF -6R Site AddressPermit Number dr4.7 �?u - / S )PC� LiAJ, i Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate alrflow calculation criteria from the same j measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ❑ Yes ❑ NO__T System Msses... -] Alternate .Charge Measurement Procedure (outdoor air dry-bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufamirer's specifications and installer verification shall bo documented on CF -6R before starting this procedure. if outdoor air dry-bulb is 55 OF or above, installer shall use the Stsadard Charge Measure Procedure: Procedures for Determining Refrigerant Charge wring the Alternate Method are avallable in RACM, Appendix RDS. Actual liquid line length: Manufacturer's Standard liquid line ie Differenco (Actual — Standard): Manufacturer's Correction (ounces per x difference In length =! _ounces (+ - add) (- a remove) I ft ft h reasured Airflow Method for Adequate Airflow Verification avallabla in RRCM, APPcndix RD2..6 _ Calculated 'Airflow: Cooling Capacity .(Btu/hr) X 0.033 (ofmMiu-hr) _ _ CFM Measured Airflow is CFM (Measured alrflow must be greater than the calculated alrtloW). Altomate Charge Measurement Summary: System shall pas; both rofiigeritht charge and adequate airflow calculation criteria from the same measurements. If ­—hm aminne wnra taken_ both criteria must be remeasured and recalculated. ___ Installing Subcontractor (Co. Mame) OR General C,aYaraugA etc _1ric- AG z -1 Contractor (Co. Name) OR Owner �! 311anaturo: D..>ri /a., rnan/ir, .. Date: Copies to: BUILDING DEP HERS RATER (IIr APPLICABLE) BUILDING OWNER AT OCCOPANCY Residential Compliance Forms . ipril 2005 OCT 04,2005 08:47 SEARS HOME I MP 8585869098 Page 7