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07-0044 (SFD)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 07-00000044 r 54900 SECRETARIAT DR 767-320-999-246 -32879 - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 307247 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine and Professionals ode, and my License is in full force and effect. License Class: i ense No.: 701039 te:qoLl ntractor: OWN)R-BUILDER DECLARATION I hereby affirm under penalty of per j rJet am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, BusinProfessions 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 I, as owner of the property, or my employees with wages as their sole compensation; will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). , (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.l. ( 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: LQPFRMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/05/07 Owner: GRIFFIN RANCH, LLC 47-120 DUNE PALMS ROAD, STE. C LA QUI(T��, CA 9f�'253 II II Contractor" I FFB 0 9 280 TRANSWES IOUSING, INC. 9968 IBERTCS9TR'EETA, SAND G0T('.E_1t0— .C3� 1D� EaPT _ (858)653-3003 Lic. No.: 701039 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 STATE FUND Policy Number 1648813-2006 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' compensation laws of California, and agree that, if I should ecome subject to the rkers' compensation provisions of Section 700 of the. Labor Code, I all forthwith co with those provisions. e.icam: WARNING: FAILURE TO SECURE W(RKE COMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIONE 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 orrect. 1 agree to comply with all city and county ordinances and state laws relating to buil construction, an ereby authorize representatives of this c ty t/Ieenter upon the above-mentioned propertfo 'nspection p ses. Si 6twe or Agent): Application Number . . . . . 07-00000044 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1367.50 Plan Check Fee 888.88• Issue Date . . . Valuation 307247 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 639.50 208.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 728.00' PermitMECHANICAL Additional desc . Permit Fee 139.00 Plan Check Fee 34.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/04/07 Qty _ Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/1 0K BTU 36.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 193.30 Plan Check Fee 48.33 Issue Date . . . . Valuation 0 Expiration Date . 7/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 4681.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 163.84 723.00 -----------------------------------7----------------------"------------------ .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.46 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 203.25 Plan Check Fee 50.81 Issue Date . . Valuation 0 Expiration Date 7/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE 132.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 .LQPERA11T Application Number . . . . . 07-00000044 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension, 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00. Issue Date Valuation 0 • Expiration Date 7/04/07 Qty Unit Charge ^er Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 245, PLAN 4DR, 4,681 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 268.11 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 88.89 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 30.72 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 1918.05 .00 .00 1918.05 Plan Check Total 1022.77 ..00 .00 1022.77 Other Fee Total 4083.72 .00 .00 4083.72 Grand Total 7024.54 .00 .00 7024:54 LQPERn9IT ' ' ' 12/14/2007 07:53 9516818245 WESTERN INSULATION 'PAGE 15/18 ll !I _ II WESTERN INSULATION L.P. ;i I� 3190 CORNERSTONE DRIVE I� ;I MMA LOMA, CA 91752 (951) 360-3127 FAX (951) 681-8245 II I{ ,I !I - ii CF6R INSULATION CERTIFICATE THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24; STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: TRACT/PHASE: 32879 CAMPANIA @ GRIFFIN RANCH - PHASE 1 it LOT 246 ii SITE ADDRESS: 64-900 SECRETARIAT DRIVE - LA QUINTA, CA !� CEILINGS: BLOWN INSULATION I MANUFACTURER' GREENFIBER THICKNESS: 10.3" R- VALUE: R-38 I� CEILINGS: BATTS MANUFACTURER: KNAUF THICKNESS: 12" R- VALUE: R-38 i� jl EXTERIOR WALLS: BATTS MANUFACTURER: KNAUF THICKNESS: 61/4' R- VALUE: R-19 GABLE ENDS:_ BATTS MANUFACTURER: KNAUF THICKNESS: 3'A" R —VALUE: R-11 ! OPT - CASITA: BATTS II MANUFACTURER; KNAUF THICKNESS: 12" R - VALUE: R-38 KNAUF THICKNESS: 6X" R - VALUE' R-19 ;I GENERAL CONTRACTOR: TRANSWEST HOUSING, INC. BY: TITLE: :I DATE: !� INSULATION CONTRACTOR: WESTERN INSULATION, L.P. LICENSE NUMBER: 794484 BY: TITLE: PRODUCTION MANAGER DATE: December 13, 2007 .i i • ,I ii ii • • AA CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page lAof 8) CF -4R 0Project Address "�"'17,Zy OD S cQ£1rA �rAT Builder Name I ✓ZANS Builder Contact�76e Telephone 34. V-5 Plan Number HERS Rater` n Tele hone -J AuitD /V�tYso.•� ��Z r3'S� Sample GroupNumber Values Com liance Method (Pre cri ive Climate Zone t5 Certifying Signat IZ/I,,, / Date r Sample House NumberA _- 6%As-r F'i�m (_oAG Wnt�t Ata.ty 1p .1 a �.�Ser.e-'t�wA� HERS Provider e:Ae T'S Street Address: (we 1 &-.&-r4eA=. �o..Q� City/State/Zi �Rr�a�►S,,wr,,-s 0!? -47 R-Zzw Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT ' HERS RATER COMPLIANCE STATEMENT The house was: ✓ X 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)- KNew systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in ombination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ "INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Piocedures, for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: -j S.{};L Duct Pressurization Test Results (CFM 25 Pa) Measured t Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 Enter Total Fan Flow in CFM: /GoD 3 Pass if Leakage Percentage <_ 6% [ 100 x L_(Line # 1) / (Line # 2)]] 412 )MPass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 3 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 001 s 4 Duct System Alteration and/or Equipment Change -Out. wz Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sys 5 for Duct System Alteration and/or Equipment Change- ut. Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)] 6 (Only if Applicable) 3` 7 Enter Tested Leakage Flow in CFM to Outsid if A e) V V 8 Entire New Duct System - Pass if Leakage P centa _ % ❑ Pass ❑ Fail 100 x Line # 5 / Line TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out Use one of the following four Test or rication Standards Wcom lance: 9 Pass if Leakage Percenta 5% [J 00 x _(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage tside Percentage 5 10% [100 x _(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if age Reduction Percentage >_ 60% [100 x # 6) / (Line # 4)]] _(Line I l ❑ Pass ❑ Fail erification by Smoke Test and Visual Inspection ass 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 " ❑Pass ❑Fail Residential Compliance Forms April 2005 • L� • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING n TING(Page 1kof 8) CF -4R er -t Address -1'r 241s 5 Builder Contact - (..aP44 HERS Rater Com liance Method Pre O ive Certifying Signatr�-� ry1 :t AT Telephone .0 5e- Z3 1 rr2AN 5 CV ` r S.�c Plan Number Li Tele hone r3S� Sample GroupNumber I Measured s } Climate Zone L5 Date Sample House Number IA Lo,.rrraac.. HERS Provider A,. &nLiS Street Address. ;FT5-m �31Ae e..+¢� 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 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). (Cc�)Kombination ew systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ iNIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT P ocedures,for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. n„�r n;a nnctir I .eaknge Testing Results 5 3 S�tSLF NEW CONSTRUCTION: Measured s } Duct Pressurization Test Results (CFM @ 25 Pa) Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2� ✓ ✓ 2 Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage <_ 6% [ 100 x L_(Line # 1) / (Line # 2)]] y/ meq% Nass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to r 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sys 5 for Duct System Alteration and/or Equipment Chan e- ut. + a r Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)] ' (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outsi rj if A e) ✓ ✓ Entire New Duct System - Pass if Leakage P cent _ % ❑ Pass ❑ Fail 8 100 x Line # 5 / Line TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out ✓ ✓ Use one of the followin four Test or fication Standards com lance: Pass if Leakage Percents 5% [100 x _(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 9 Pass if Leakage tside Percentage<_ 10% [100 x L_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if age Reduction Percentage >_ 60% [100 x _(Line # 6) / (Line # 4)]] ❑ Pass ❑ Fail 11 erification by Smoke Test and Visual Inspection ass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection F w r ;° ❑Pass ❑Fail Pass if One of Lines # 9 throw h # 12 ass li ;- "'` ❑Pass ❑ Fail Residential Compliance Forms April 2005 • • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Pro ec Address �0 PUP �4 OD SEcK.�rwei�rr�Q . Builder Name rt.�►n+s t�k'-s'r � �.►� Builder Contact--ae-3P,a $Di '��3lephone Plan Number V HERS Rater �iRv 1 D _ ! �G��a �a Telephone /V 2'�Z t35:5- SS Sam le GroupNumber to Com liance Method Prescri 've Compliance Climate Zone t$ Certifying Signature mpq /Oit Date Sample House Number � R� �'''S- A�tferc.&A HERS�rovider 4Aj� Street Address: Y4 5-f / Z%AcKs 7-0 tS7�o..r2�' City/State/Zip: n .��► ., s c �_Z 7-zn� Copies to: BUILDER, HERS 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 a diagnostic tested compliance requirements as checked on this form. ✓ ,The installer has provided a copy of CF -6R (Installation Certificate). ✓THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermost xpansion Valves , tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity r Date of Verification Date of Refrigerant Gauge Calibration (mu e c eked monthly) Date of Thermocouple Calibration (must be checked monthly) Note: The system should bei ed and charged in accordance with the manufacturer's specifications and installer verification shall be docipffted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative C ge Measure Procedure Procedures Wilffetermining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. ✓ es ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge doo measurement documented. Residential Compliance Forms April 2005 O N I�t.t S STre.N. S Tom �w1 ��/.e+� ✓ ✓ Access is provided for inspection. The procedure shall consist of ✓ Yes ❑ No visual verification that the TXV is installed on the system and ❑ 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 Thermost xpansion Valves , tdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity r Date of Verification Date of Refrigerant Gauge Calibration (mu e c eked monthly) Date of Thermocouple Calibration (must be checked monthly) Note: The system should bei ed and charged in accordance with the manufacturer's specifications and installer verification shall be docipffted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative C ge Measure Procedure Procedures Wilffetermining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. ✓ es ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge doo measurement documented. Residential Compliance Forms April 2005 • • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R Pro ect Address {.o # 2y� 54400 SeceE-.aa�ar Buil er Name 1/1ANs I,.S�-terser Builder Contact ybd Telephone �al3 c v►-Q�/� �i0r - 3GZ Plan Number y HERSRaterAJI��a AVO Telephone Sample GrouNumber 1A, ✓ Certifying Signature Date IZr/alar Sample House Number 1A -eve-JTr140t_ Firm _ 4Atelet�c,/b itez �O�Stct�ANT3 HHERSR r�o�v�ider C /�AL►�-�z--31 Street Address:%JCity/State/Zip: 85"x% �(qc-rea,uE Copies to: HUILUEK, HL' KJ rKVvIVLK AINI) t$UILVINI-, ur rAKI ]VIL'IN I HERS RATER COMPLIANCE STATEMENT The house was: ✓ PpTested ✓ ❑ 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 -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate air ow are available in RACM, Appe RE4.1. Method For Airflow Measurement `" ❑ Yes ❑ No 7 RE4.1.1 7 RE4.1.2 RE4.1.3 Duct design exists on plans Diagnostic Fan Flow Using Diagnostic Fan Flow Using Diagnostic Fan Flow Using Capture Hood m Pressure MI Grid Measure) OFd Airflow: Rated Tons: `/ ❑ Yes ❑ No Measured airflow is grjter n the gLteria in Table RE -2 ❑ Yes is a pass Pass ✓ ❑ MAXIMUM COOLING CAPAC Procedures for determining maximum coo . load caoacity are available in RACM Annendix RF? 1 ✓ ❑ Yes ❑ No uate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ N efrigerant charge or TXV 3 ✓ ❑ Yes o. Duct leakage reduction credit verified 4 ✓ ❑ ❑ No Cooling capacities of installed systems are:5 to maximum cooling ca acity indicated on the Performance's CF -IR and RF -3. 5 If the cooling capacities of installed systems are > than maximum ❑ Yes ❑ No cooling capacity in the CF -1 R, then the electrical input for the installed systems must be _5 to electrical input in the CF -I R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass Total CFM cfm/ton Fail Pass I Fail ✓)IP HIGH EER AIR CONDITIONER Procedures or verification are available in RACM, Appendix RI. I ✓NOVes ❑ No EER values of installed systems match the CF -1 R 2 ✓QMes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓PVYes ❑ No Time Delay Relay Verified (if Required) ❑ Yes to 1 and 2; and 3 If Required) is a pass Pass Fail Residential Compliance Forms April 2005