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07-2252 (MECH)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002252 Property Address: 76890 AVENIDA FERNANDO APN: 658-240-024- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4000 Applicant: T4'yl 4 4 Q" Architect or Engineer: t) ( A - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class:C)^20-C10 LicenseNo.: 286936 Date: r —01 /1,actor. &40 OWNER -BUILDER 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 anyapplicant 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.). 1 _ I 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: LQPERN11T Owner: RODEN ROBERT 76890 AVENIDA FERNANDO LA QUINTA, CA 92253 Contractor: CAVANAUGH ELECTRIC & AIR 83231 HIGHWAY 111 INDIO, CA 92201 (760)347-3608 Lic. No.: 286936 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 V Date: 8/07/07 arl�y F ..w F11l9 i4 � UllasB' 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/sshhafll forthwith comply with those provisions. ate:cant: WARNING: FAILURE TO 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 agree to comply with all city and count rdinances and state laws relating to building construction, and hereby authorize, representatives of this co y t/)e�n/iter upon the above-mentioned pro/pee/r/S/ fforr in s ect oses,, Q,44 �v r Si ture (Applicant or Agent):� `v!/� Application Number. . . . . . 07-00002252 Permit MECHANICAL Additional desc . Permit Fee 51.00 Plan Check Fee 12.75 •Issue Date Valuation . . . . 0 Expiration Date 2/03/08 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 - -------------------------------------- Special Notes and Comments ------------------------ -------- ----- REPLACE 2 5 TON ROOFTOP AIR CONDITIONING AND HEATING UNITS Fee summary 'Charged -- - - - - - - - - - - - - - ------ - - - - ---- Paid Credited -- - - - - ------ _- - - ---- Due -- - ---- Permit Fee Total 51.00 .00 .00 - 51.00 Plan Check Total .12.75 .00 .00 12.75 Grand'Total 63.75 .00 00 63.75 c LQPERMIT I Bi" # 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 .# „G A-,• o� -'/ Project Address: 76 -•.- 0 90 fi!/e . Ferhanc% Owner's Name: B06 Roden/ A. P. Number: Address: �6 — �9� 1/� • �E'i/')anciQ Legal Description: Contractor: Ca UaH2G{ rl -ZeC f r1C' City, ST, Zip: Telephone: ] — m Address: S 3 =� / /-���/, / / Project Description: City, ST, Zip: Z nQ�/ o C� 9�aol �e La Com.. ' 2 5- y^/ rooAk Telephone: 76o —5qrl=3608/� /' COyIG7G7� Dy1 c�h a�l�7 State Lic. # : a06.934 city- tic.. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: s ,� ® Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: mo Estimated Value of Project: S 4- 660 -- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMTT 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 Cates. Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading,plan 2nd 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:- ''d 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 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page i of 4) CF -IR Poh Rz)de/x1 9-3-07 Project Title Date 76 - R96 Ave, �Pry� ��G% L a Qaa;V � � Project Address13uildin Permit #a v�yla�/ !-: �L� 'z-frl� g Documentation Author TelephonePlan Check / Date S Field Check /Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use only ✓ O Alternative Component Package Method: (check one) C D' D (Alternative) Package C and Package D choices require 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) ft2 Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA)' ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) g O 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, Frame Roof, Floor, Type Slab Edge, (Wood Doors) or Metal) Cavity Insulation . R -Value Assembly U - factor (for Joint Continuous wood, metal Appendix Insulation frame and mass IV R -Value assemblies t Reference Roof Radiani Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and 1VA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATK OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R Rob _RaG%,l1 9-5-07 Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -411 —must be included for New Construction, Additions and Alterations: Fenestration #/Type/Pos. (Front, Left, Orien- Rear, Right, tation, Area Skylight) NSE Wt(ft) Exterior Shading/Overhangs b' U -factor SHGC ✓ box if WS -3R is U-factor2 Source SHGC4 Sources included Distribution Type and Location Duct or Piping Thermostat Configuration ducts attic etc. R -Value Type, (split or package) c a e ❑ ❑ El El 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 1:12. 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 I I6A, 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 furnace heat wn • boiler etc. Minimum Efficiency AFLJE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration ducts attic etc. R -Value Type, (split or package) c a e Cooling 9quipment Minimum Type and Capacity Efficiency Duct Location Duct Thermostat A/C heat pump, eve . coolie SEER or EER attic etc. R -Value Type Configuration (split or package) '.4i c a e Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR ,Qob R e- 3-6-)7 Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must be provided to the building department for each home for which the following. are reauired. ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 1( 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 sOaces shall rneet therequiretnents of Section 1-50(m) and duct Itisulation requirements of Package D. WATER HEATING SYSTEMS Rated Enemy Input, Tank Factor or Distribution Number (kW or Capacity Thermal Type in System Bm/hr) (gaeons Efficiency ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) 0 Refrigerant Charge (climate zones 2 and 8-15 oddly) (Installer testing and certification and HERS Rater field verification required.) ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 1( 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 sOaces shall rneet therequiretnents of Section 1-50(m) and duct Itisulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Rated Enemy Input, Tank Factor or Distribution Number (kW or Capacity Thermal Type in System Bm/hr) (gaeons Efficiency Tank External Standby Insulation Loss % R -Value Check box if system meets criteria of a "Standard" system. Standard system is one gas-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. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this•case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Rated Enemy Input, Tank Factor or Distribution Number (kW or Capacity Thermal Type in System Bm/hr) (gaeons Efficiency Tank External Standby Insulation Loss % R -Value Enemy Factor orExternal Thermal Efficiency Tank Standby'Insulation Loss % R -Value System serving multiple dwelling units Water Heater Distribution Type Type Rated Input' Number (kW or in System Btu/hr(gall Tank Capacity ons Enemy Factor orExternal Thermal Efficiency Tank Standby'Insulation Loss % 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 BhVhr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/ inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R Project Title Date SPECIAL. FEATURES NOT REOMING 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 nrescrintive method.. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. Hydronic Heating Performance Calculation FODedicated System Required; Attach Run to Forms. Combined Hydronic System Performance Calculation Required; Attach Run to Forms. Performance Calculation ❑ Gas Cooling Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. El Non-NAECA Large Water CF -1R 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 See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Performance Calculation and ❑ Wood Stove Boiler attach Run to Forms SPECIAL FEATURES REOURUNG HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Forms if applicable) Description Duct SealingCF-6R art 4 of 12 ❑ E❑ Refrigerant Charge CF -6R art 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE 17tn - R190 AVB, --eri9arlaD / /4 .0 L-1 IWAA Site Address 3 of 12) CF -6R Permit 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 i (A'UE. etc.) (2CF-IR value Duct Location attic etc. Duct or Piping R -value Heating Load Btu/fv Heating Capacity BwAu C ays-«r .4&1 Cooling Equipment Equip Type .(pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (SEER or EER) 2CF-1R value) Duct Location attic etc. Duct R -value Cooling Load tw?v Cooling Capacity Btu/hr C ays-«r .4&1 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 Eficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE Site Address 4 of 12) CF -6R Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was: ✓ OTested at Final ✓ Nested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: 17 Remove at least one supply and one return register, 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 handier 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 ✓ ❑ DUCT LEAKAGE REDUCTION Procedures /or field verificatinn and diagnostic testing of air distribution systems are available In RACM. ADDendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM Qa 25 Pa) Measured Values I Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ Cl Measured If Fan Flow is Calculated as 400 cf Vton x number of tons or as 21.7 c&n/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: coo ✓ ✓ 3 Pass if Leakage Percentages 6% for Final or:9 4% at Rough -in: 100 x ine # 1 / ine # 2 ❑Pass Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct Alteration and/or Equipment Change -Out. 43-7System 5 Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct S stem for Duct System Alteration and/or Equipment Chan a -Out. 6 Enter Reduction in Leakage for Altered Duct System f ine # 4 Minus ine # 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:5 6% for Final or:5 4% at Rough -in f 100 x Line # S / Line # 2 ❑ Pass ❑ Fail "PEST 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 [ _,__��(Line # 5) / 0,010 (Line # 2)]]2 Z ❑ Pass ®'Fail 10 Pass if Leakage to Outside Percentage 5 10% [100 x [(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage z 60% [100 x r_(Line # 6) / (Line # 4)]] and Verification by Smoke Test and Visual Inspection ❑ pass ❑ Fail ] 2 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection O Pass ❑ Fail Pass If One of Lines # 9 through # 12 pass ❑ Pass ail ✓ ❑ 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, Si tore Date Installing Subcontractor (Co. Name) OR Z 11"11 /MLPI L a 13 &7 General Contractor (Co. Name) 0,3V,3Y0,UCb C1 eC�rl� Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE Site Address (Page 5 of 12) CF -6R Permit Number ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) Ptoeedures for field verifieation of thermostatic expansion valves are available in RACM,, Appendix RI. ✓ ✓ Access is provided for inspection. The procedure shall OF ,� consist of visual verification that the TXV is installed on ✓ a Yes ❑ No the system and installation of the specific equipment E✓ ❑ shall be verified. OF Yds is a pass I Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without TFArninc'ta'fir Pvnancinii Vakli-i Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btuft Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55T and above): Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temneratures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry=bulb temperature (Tretum, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF u erheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF Temperature Split Method Calculations for Adequate Airflow .Split Methnd Cnlrulatinn is not necessnry ifAdeauate Air/Inw credit is taken Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - OF 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE -- 990 Site Address 6 of 12) CF -6R Permit Number Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ ❑ Yes ❑ No I System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 °F) 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 55 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3. Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: ft Manufacturer's Standard liquid line length: ft Difference (Actual — Standard): I 1 ft Manufacturer's correction (ounces per foot) x difference in length = ounces (+ = add) (- = remove) Aeasured Airflow Method for Adequate Airflow Verification available in RACM,, Appendix RD2.6 Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfin/Btu-hr) = CFM Measured Airflow is CFM (Measured airflow must be greater than the calculated airflow). Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken both criteria must be remeasured and recalculated. v'0 Yes 1 O No IS stem Passes px� CGCG' %IC Cir`` - 3 - 0 Signature, Date ! COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Cjv1?�►�ug1� Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Residential Compliance Forms March 2005