12-1343 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: . -12-1000013;f3
Property Address: 76925 AVENIDA FERNANDO
APN: 658-240-029- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
.Application valuation: 7200
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner: -
TIMOTHY MCGREE
76925 AVENIDA FERNANDO
LA QUINTA, CA 92253
Contractor:
L/J
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/13/12
Dov 13 2012 D
Applicant: Architect or Engineer: ALL SEASONS A/C, PLMBG & HTGQJrj Oa
73605 DINAR SHORE DR, �IIN�'
PALM DESERT, CA 92261 CE®EpT
(760)568-2663
Lic. No.: 827420
-------=-----------------------------------------------------------------------------------------
UCENS NTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a Ii n d under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a rofession ode, and my License is,in full force and effect.
License Class: C20 C36 ' e e No.: 827420 _
ate: 4 or:
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 Icommencing 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 (5500).:
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 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: J
Lender's Address: r
LQPERA1IT
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.
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 NORGUARD INS P N ber ALWC124752
_ I certify that; in the performance of e� rk/for which this permit is issued, I shall not employ any
person in any manner so as t ec 'Subject to the workers' compensation laws of California,
and agree that, if I should b o ub)e to the work ' compensation provisions of Section
3700 of the Labor Cod ort it with those visions.
Ffate: � a
WARNING: FAILURt 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 n and void if work is not commenced
within 180 days from date of issuance of s*permit,cessationation of work for 180 days will subject
permit to cancellation.I certify that I have read this application and state that tfls correct. I agree to comply with all
city and county ordinances and state laws relating to bund ereby authorize representatives
of this c/ounty to ent%e�r upon the bove-mentioned propeur es.
Dat ! `/ ) ig re (Applicant or Agent
Application Number . . . 12-00001343
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 40.50
Plan Check Fee
10.13
Issue Date . . . .
Valuation . . . .
0
Expiration Date 5/12/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1:00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT: INSTALL PACKAGE
UNIT ON
ROOF. 2010 CODES.
-
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
---------------------------
Paid Credited
----------
Due
----------
Permit Fee Total 40.50
----------
.00 .00
40.50
Plan Check Total 10.13
.00 .00
10.13
Other Fee Total 1.00
.00 .00
1.00
Grand Total - .. 51.63
.00 .00
51.63
LQPEPAIIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
76925 Avenida Fernando La Quinta, CA 92253
City of La Quinta I
Nov 12, 2012
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
® Package Unit
❑ Furnace
® AFUE 78%
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
❑ Indoor Coil
® SEER 13.0
❑ HSPF
❑ R 8 (CZ 14-15)
1200 sf
If not already present, must be
[3 Condensing Unit
[3 EER
❑ Resistance
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111
and CF -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -6R forms: MECH-04, MECH-2I-HERS
replaced
CF -4R forms: MECH-21
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (f9F split systems) MEGN 25 HERS
. Indoor Coil and /or
CF -4R forms: MECH-21
. Furnace
For Packaged Unitse Duct leakage < 15 percent
Exempted from duct leakage testing if:
131. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
[3 4. The system will not be Ducted'(ie Ductless Mini -Split -System) (Also Exempt fromiRefrigerantCharge)
❑ 2. New HVAC System Required Forms: ``
. Cut in'or Changeout with CF -6R forms: MECH-04, MECH-207HERS #end (for split systems) MECH-22-HERS and
new ducts: -(all new/f sf MECH=25HERS
ducting `
and all new CF, -4R forms: MECH-20; and (for split systems) MECH-22, and MECH-25
equipment)
_. -r` A< r r
For Split systems: Duct leakage < 6 percent; RC, CCA >_ 3.50 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3 -New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet Required Forms:
• Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space. CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: David Beale Signature: David Beale
Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: Nov 12, 2012
Address: 73605 DINAH SHORE DR STE 1310M License: 827420
City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663
Reg: 212-A0063758A-000000000-0000 Registration Date/Time: 2012/11/12 19:40:26 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
11/8/12 1F��
allseasonsps.com Mail -All Seasons Air Conditioning, Plumbing & Heating Proposal
/1 L :5�"ri3
O
u Cwnrar,gnuYrm �Me�na
All Seasons Air Conditioning, Plumbing & Heating Proposal
Tim McGree <mcgree@chapman.com>
To: Shantel Cain <shantel@allseasonsps.com>
Cc: Tim McGree <mcgree@chapman.com>
Signed copy enclosed.
"The A113easons Man can l"
� P VJV/YVV-�V YY�.IYVYIVV � y ya/IAJIa�n,y�,V, �C
Proposal & Acceptance
November 8, 2012
Timothy McGrce
769225 Avenida Fernando
La Quinta, CA 92253
Thu, Nov 8, 2012 at 3:24 PM
Bid to install a new 3 -ton 14 SEER gas packaged unit. .
We will remove and recycle existing equipment.
We will set the equipment and high efficiency air filter, tying into the existing duct work and
refrigeration lines.
We will install (2) new internet-capable digital thermostats.
We will pull the necessary permits and perform a duct test and refrigeration verification test.
This bid includes the charge for the crane. .
This bid includes a one year labor warranty and a ten year parts and compressor warranty. It will also
include a one year maintenance agreement.
Complete installed price $7,200
(2) Internet -capable thermostats $842
Deposit received -$2,000
Total balance due =$6,042
All work to be done in a clean audpirpfessional manner.
NOTICE TO OWNER: Contractors are.required by law to be licensed and regulated by the contractors' state license board. Any questions concerning a contractor may
be referred to the registrar ofthe board whose address is Contractors' State License Board, 9835 Goethe Rd, Sacramento, CA 95827. All material is guaranteed to be as
specked. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra
cost will, be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent upon.strikes, accidents or
delays beyond our control. Owner is to carry fire, tomado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.
ACCEPTANCE OF'PROPOSAL-The above prices, specifications and conditions are satisfactory and are,hereby accepted. You authorized to do the work as specified.
Payment will be made as outlined above. NOTE: This proposal may be withdrawn by All Seasons Air Conditioning, Heating and Plumbing, ifnot accepted within
30days..
Authorized Signature: Glenn Smith Date: 11.8.2012
Date of acceptance: _ I'�, i?✓' Signature: NV C
https://mail.goog le.com/mail/u/0/?ui=2&ik=fo9b91 c49a&viev=pt&search=inbox&msg=l 3ae25711 f78177f
1/2
Bin #
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and ;racking Sheet
Permit # M
�� ✓
Project Address:
S
Owner's Name)')') OT Yl
A. P. Number:
Address:76
Legal Description:
City, ST, .-lab ulnlk�_
Contractor:
0
�n
V � s
Tele h ne
P 0
Address: -NoeI Di �ii��,��55V (UR(_ T-V �� >1��)
Project Description:fi
City, ST, Zip: �� � f VY1
1�,,�"�"�-
CA q /I Z2- I B
-
Telephone:Aa
VA
.......................................................
State Lic. # zo
City Lic. #: 31
Arch., Engn, Designer:
Address:
City, ST, Zip:
Telephone:
................:....................................:
U traction Type: Occupancy:
Slate Lic. #:
Project type (circle one):: New A 'n Alter Re air Demoo
Name of Contact Person:
Sq. Ft.:
# Stories:,,r�,�l
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 07)
APPLICANT: DO NOT WRITE BELOW THIS LINE
tt
Submittal
Req'd
Ree'd TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"'. Review, ready for corrections/issue
Electrical
Subcontactor hist
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee.
Planning Approval
Called Contact Person
Pub. Wks" Appr
Date of permit issue
School Fees
Total Permit Fees
1" Choice HERS Rating
Roy Eads, CEPE CalCerts #CC2005559
HVAC COMPLIANCE DOCUMENTS
SYSTEM #1- MBDRM/GBDRM/LAUNDRY
Test Date: ° 11/19/2012
Job Info-
TIMOTHY McGREE
76925 AVENIDA FERNANDO
LA QUINTA, CA 92253
312-543-1009
Installation Contractor:
All Seasons Air Conditioning Plumbing &
Heating, Inc.
73605 Dinah Shore Drive, Suite 1310-M
Palm Desert, CA 92211
760.568.2663
BLDG PERMIT # 12-1343 11/13/2012
CITY OF LA QUINTA
HERS Rater:
Roy Eads, CEPE
CalCerts #CC2005559
760.641.2447
Eads.Roy@Gmail.com
Forms Included:
CF -IR -ALT -HVAC Simplified Prescriptive Certificate of Compliance:
2008 Residential HVAC Alterations
CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans
CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Ducts
CF-4R-MECH-21 Duct Leakage Test - Existing Ducts
❑ Homeowner Copy A Building Official Copy ❑ Installer Copy
1st Choice HERS Rating Tel: 760.641.2447 Email: Eads.Roy@Gmaii.com
1" Choice HERS Rating
CalCerts #CC2005559
Roy Eads, CEPE
760.641.2447
CF -IR -ALT -HVAC
Simplified Prescriptive Certificate of Compliance:
2008 Residential HVAC Alterations
1st Choice HERS Rating Tel: 760.641.2447 Email: Eads.Roy@Gmaii.com
•
C�
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
76925 Avenida Fernando La Quinta, CA 92253
City of La Quinta
Nov 12, 2012
Duct insulation
Conditioned Floor
Equipment Typei
List Minimum Efficiency2
requirement
Area
Thermostat
® Package Unit
❑ Furnace
® AFUE 78%
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
❑ Indoor Coil
® SEER 13.0
❑ HSPF
0R 8 (CZ 14-15)
1200 sf
If not already present, must be
[3 Condensing Unit
p EER
E3Resistance
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R
and CF -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
.All HVAC Equipment
CF -6R forms: MECH-04, MECH-2I-HERS
replaced
CF -411 forms: MECH-21 and (fGF Split systems) ME/H 2-
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS
. Indoor Coil and /or
CF -4R forms: MECH-21 ,-a «S- Split SySte!PRS) NEGH 2
. Furnace
For Packaged Units: Duct leaka6e;<..15 percent
Exempted from duct leakage testing>if:.
E3 1. D"uct:systern was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2;'Duct systems with less than:40 linear feet in unconditioned space, or
03. Existing duct systems are Eoristructed, insulated or sealed with asbestos
❑ 4.'Thsysterriyill not be Dined(ieDucNessi`+nir�StiitSysterrtfror RefrtgeranC Carge)
112. Ne
'N. �3
,.c'Yrila
.Cut In r C#i.angeout with
r
y't>; sj:'..S:iY%N s 'u: Yf,3:Y. :v..,.. .. ..
�, a h. -•
,
F6R farms CH -04, MEirHpYHERS�vanor split systems) MECFi=22-HERS;.a�td:..:.:::: : :::~"':'
new dr�ets::(all new
:�, �;t:
:..;,:....
ductirrg.and-all new;::<:;,_
v
::..a.
�t, .-.. ��<.... :.� =� �i:s;.=;::�: ::;r:s:.y .:=dal:; "���•c5��• " . .:�?>' : ,a
:.._:-'':'..:;_.:. �5�...:<.. ` - : r -:' ��,:.�t:::_ .•
�MECH-;2D.; aad�(�fdr split sysL�ms�ivlECH Z2a��t MECH 25:; •�.: ��:- a:
e
,�:
For Split Systeir5 Duclfeakage`:<�6
percent, fExCCA > 30 LFM/ton-i VJD; 7MAFf, 5Ft I8, and either.•FiSPF`or"P5PP.
For Packaged"Unitss:'Duct
_..
leakage:;<;6percent'
❑ 3...New.Dutis`riv.ith/or withoatiz�:.
Required Forms:
Replaceeiient
. Includes replacing or installing all new
ducting and/or outdoor condensing: unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or fu'rnace':No or some
CF -4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
. I certify that this Certificate of Compliance documentation is accurate and complete.
. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of
Compliance.
. I certify that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: David Beale Signature: David Beale
Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: Nov 12, 2012
Address: 73605 DINAH SHORE DR STE 1310M License: 827420
City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663
Reg: 212-A0063758A-000000000-0000 Registration Date/Time: 2012/11/12 19:40:26 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
1" Choice -HERS Rating
Ca.ICerts #CC2005559
Roy Eads, CEPS
760.641.2447
CF -6R -M ECH-04
Space Conditioning Systems, Ducts and Fans
CF-6R-MECH-2I-HERS
Duct Leakage Test- Existing
1.st Choice HERS Rating Tel: 760.64..2447 Email: Eads.Roy@Gmail.com
INSTALLATION CERTIFICATE CF-6R-MECH-0
Space Conditioning Systems, Ducts and Fans (Page i of 2)
Site Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement Agency:
Permit Number:
1)
City of La Quinta
12-1343
Space Conditioning Systems
Heating Equipment
Equip
Type
(package-
heat pump)
CEC Certified Mfr. Name
and Model Number
ARI
Reference
Number2
# of
Identical
Systems
Efficiency
(AFUE,
etc.)1, 3
(>=CF -1R
value)4
Duct
Location
(attic,
crawl-
space,
etc.)
Duct
R -value
Heating
Load
(kBtu/hr)
Heating
Capacity
(kBtu/hr)
Package
Furnace
CARRIER
48VLNA3606030
1
.80 AFUE
Attic
R-2.1
48 kBtu
Type :'..:;;.:
.....
and EER)
(attic,
ARI
# of
1, 3
crawl
Cooling
Cooling
heat
pump)
CEC'Certified Mfr: Nirrie`:;
and Model Number':::::':::
Reference
Number2
Identical
Systems
(>=CF -1R
value)4
space,
etc.)
Duct
R -value
Load
(kBtu/hr)
Capacity
(kBtu/hr)
Package.:14.0`:5
A/C:
.:.: `br
..., CARRIER
4'BVLNA3606030
<......:. ... .v..:...
-
. _ ,�:z:'r
- - :.fC':Srv,'.
lf2 0. ER, -
T`
3 Tons
Qj'�.i','��,,.��•��'.�
� a. y...�.:�.:;:?'i.
S'h'ame..: .. .'''_yS_q
�5
y (�.'
'.,F
Cooling Equipment
1. If project is new construction,. sere: Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative
compliance.
2. ARI Reference Number ran 'be" found by entering the equipment model number at
h ttp : // w w w. a ri d i re do ry. o rg/a ri/a c: p h p #
3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form.
4. When CF -IR is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
® §110-§113: HVAC equipment is certified by the California Energy Commission.
® §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA.
® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of
§112(c).
® §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets
minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in
conditioned space.
Reg: 212-AD063758B-M0400001A-0000 Registration Date/Time: 2012/11/19 17:00:03 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
Efficiency
Duct
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(SEER
Location
Type :'..:;;.:
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and EER)
(attic,
ARI
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Cooling
Cooling
heat
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CEC'Certified Mfr: Nirrie`:;
and Model Number':::::':::
Reference
Number2
Identical
Systems
(>=CF -1R
value)4
space,
etc.)
Duct
R -value
Load
(kBtu/hr)
Capacity
(kBtu/hr)
Package.:14.0`:5
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4'BVLNA3606030
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1. If project is new construction,. sere: Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative
compliance.
2. ARI Reference Number ran 'be" found by entering the equipment model number at
h ttp : // w w w. a ri d i re do ry. o rg/a ri/a c: p h p #
3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -IR form.
4. When CF -IR is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
® §110-§113: HVAC equipment is certified by the California Energy Commission.
® §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA.
® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of
§112(c).
® §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets
minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in
conditioned space.
Reg: 212-AD063758B-M0400001A-0000 Registration Date/Time: 2012/11/19 17:00:03 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-GR-MECH-O
Space Conditioning Systems, Ducts and Fans (Page 2 of 2)
Site Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement
Permit Number:
1)
ntaAge
City of La Quinta
12-1343
Ducts and Fans
§150(m): Duct and Fans
® 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the
requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air
ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in
conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets
the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the
requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination
of mastic and either mesh or tape shall be used; and
® 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with
materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying
conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities
and'support platforms shall not be compressed to cause reductions in the cross-sectional area of the
ducts.
® 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back
rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands.
® 7. Exhaust fan systems.have back draft or automatic dampers.
® 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers;::.:.
IN Protection of Insulationw'fnsulation 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 thatis.water retardant and provides shielding from solar radiation that can cause
:degradation bf the material:=:::.
SAO. Flexibl.gjducts cannot Piave porous: inner,4Lores,Y��;IS
W.
n :> '...
... ..... i,.,_. _..._... ..�'r.._.__.�:,.,.,-:... :_.. ;:.�. 'r>;��. _.:;. y•3�snr;;'.��.�s:�=.'=c:i':�[�r��r�*;.. ..__.>.:a4^ai:=;.":'.',.....
D
. I certify`uniJer penalty of `perjury; undi'r fhe laws of the State of California, the information provided on this form is true and correct.
. I am eligible under Dlvision'1of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsi151e:for construction (responsible person).
. I certify that the installed features;: materials, components, or manufactured devices Identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
. I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that Identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
. I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the
building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I
understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder
provides to the building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC
Responsible Person's Name:
Responsible Person's Signature:
Shantel Cain
Shontel Coin
CSLB License:
Date Signed:
Position With Company (Title):
827420
11/14/2012
Reg: 212-A0063758B-M0400001A-0000 Registration Date/Time: 2012/11/19 17:00:03 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forma August 2009
• 0
INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS
Duct Leakage Test — Existing Duct System (Page i of 2)
Site Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement Agency:
Permit Number:
1�
City of La Quints
12-1343
Enter the Duct System Name or Identification/Tag: System -1 -
Enter the Duct System Location or Area Served: MBDRM/GBDRM/LAUNDRY
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
IThis installation certificate is required for compliance for alterations and additions in existing dwellings to I
space conditioning systems and duct systems.
Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of
the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible
and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling,
use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. "
Duct Leakaqe Diagnostic Test - existing duct system
select one compliance method from the following four choices.
® 1. Measured leakage less than.IS% of fan flow
❑ 2, Measured leakage to outside less than 10% of Fan Flow
❑ 3, Reduce leakage by 6'0% and rdnduct smoke and fix all leaks
❑ 4...Fix'all accessible leaks using smoke and HERS rater verify
Note{One of Options 1, 2 or 3 must6e attempted ,before.utilizin O tion.4......
Determine oriiinal Fan .Flow using tine of� 'e�followtny three calctilation��rtethodsti
✓ ® Coolingein rttetfiod: Srze ofd{o d e'r iri"T'' F z X00:= ?OD�
i� Lyh:: ...;
- ,
5�...'.:.�::'
S'.:::: rpt .o i.;Y..�' ?y�?::.i.: 2 ls..'..
E3HeatEn.g Capatitn<7hcsusand;.oft[r/fir'=.:'zFM ::': '.._.,.,,,,_;-.....,_::•,
ystem metho.dr.'7c>... _Output
�n
._ �'.:�. ':'a.S.F�'!'. .mak. ���
t #� ....::�w. $'.. ::s„' �:�'".`.::... ,F.•
:A- is :..., ..r.'.':
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e> ; :;:tom:: �i.2:�;!;:::':n..
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❑ t
Sed s rr�•-aj � p -RA rfI o es �-
.. n.. .rf.9r .� . •� r•a ... -. ..... .n. .. � �. :.-.. :?•rr.:S,:.. �:.c_.'...�r.-�.'.c .1.< ... .. G�: .7•. �:�. t�. ��.._�..�..e...
.
.; s
O tion. - ed;then:...........:............:.-:,_�_...::.>.:..:..:.:..:............._. .._.:-.,:-:::::: �.
:.,...>_.....
1
.........-........._.'
Allowed leaks9 a = Fan x 0115 =' IL CFM
Actual Leakag:e,.=:-' 168 CFM:;;;::':-.
Pass if Actual Leakage is less than Allowed leakage
W Pass Fail
Option -2 used then::::.......
2
Allowed leakage = Fari?Airflow:_x 0.10 = _CFM
Actual Leakage to outside -==M
..Pass if Actual leakage to outside is less than Allowed leakage
Pass Fail
Option 3 used then:
Initial leakage prior to start of work = CFM
Final leakage after sealing all accessible leaks using smoke test = _ CFM
3
Initial leakage _ - Final leakage _ = Leakage reduction CFM
((Leakage reduction _/ Initial leakage _) x 100% _ %Reduction
Pass if % Reduction >= 60%
n Pass r3 Fail
Option 4 -used "then:
4
All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling).
Pass if all accessible leaks have been repaired using smoke
Pass Fail
Reg: 212-A0063758B-M2100001A-0000 Registration Date/Time: 2012/11/19 17:01:12 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forma March 2010
• 0
INSTALLATION (CERTIFICATE CF-6R-MECH-2I-HERS
Duct Leakage Test - Existing Duct System (Page 2 of 2)
Site Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement Agency:
Permit Number:
i)
City of La Quinta
12-1343
IN Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing. CFI f3A ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to meet.ASH.RAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed positigri.:during duct leakage testing.
® All sirppky4ar cYretQf.n:register
- applles�to2u'tt leakage comp
leaks) clesU fled above:.:.: `.
® New i`nstallatlonns� can'ivbt
® Mastic an ', i baritls''Fr1` 1st
leaks at. all. new. U. connectior
. b1i.' *�-f r-;;compIiance
m x all accessible
{a ........
_.,c.,�:-,:: Irn�c�a:nF;-fl:ia cfi��ra:�_�r,;.•r.�:: �:... �..
DECLARATION STATEMENT rw'f
. I certify under penalty of perjury,'under the laws of the State of California, the information provided on this form is true and correct.
. I am eligible under Division 3 of:the Business and Professions Code to accept responsibility for construction, or an authoraed
representative of the person resji6ns161e for construction (responsible person).
. I certify that the installed features; "materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
. I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am
required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also
perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS
rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and
additional checking/testing of other installations in that HERS sample group will be performed at my expense.
. I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific -
requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the Installation have been met.
. I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the
building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I
understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder
provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data
registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
ALL SEASONS AIR CONDITIONING PLUMBING 8: HEATING INC
Responsible Person's Name:
Responsible Person's Signature:
Shantel Cain
Shantel Cain
CSLB License:
Date Signed:
Position With Company (Title):
827420
11/14/2012
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? E3 Yes ❑ No
Reg: 212-A006375813-M2100001A-0000 Registration Date/Time: 2012/11/19 17:01:12 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2010
1" Choice HERS Rating
CalCerts #CC2005559
Roy Eads, CEPS
760.641.2447
CFAR-M ECH-21
Duct Leakage Test - Existing
1st Choice HERS Rating Tei: 760.641.2447 Email: Eads.Roy@Gmaii.com
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21
Duct Leakage Test — Existing Duct System _ (Page 1 of 2)
Site. Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement :
Permit Number:
i�
City of La Quintants
12-1343
Enter the Duct System Name or Identification/Tag: System 1
Enter the Duct System Location or Area Served: MBDRM/GBDRM/LAUNDRY
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This installation certificate is required for compliance for alterations and additions in existing dwellings to
space conditioning systems and duct systems.
Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of
the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible
and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling,
use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System."
Duct Leakaae Diaanostic Test - existina duct system
Select one compliance method from the following four choices.
1@'1. Measured leakage less than 4 1%'& fan flow
2. Measured leakage to outside Tess than 10% of Fan Flow
3,.Reduce leakage by.60%and`canducksmoke and fix.- III' leaks
4..'Fix all accessible leaks using smoke and HERS rater verify
Note:':('One of Options J, 2, or 3 must'lie: attempt eds befpre
Determine.no:knln:al Fn:;Faow usingohe of thes£ollowir :-.t re cfetlliitiortlnethods.., , =:;
. x•. y ':. /. ... .::.:. 3�'2>c:x: '' :Y�`::::
r'so:':;:p`:•:
✓ ®Cool grsystem method.: Size ofco d`etY�ser in Tors z3>:'x�400 — >200 CfM :
.: c'
✓OHea[m ;system methoon21.J�x�_+OuiputCapae� n7housand ofBttf/hr.= CEM
. ...
a
3o.?aitflo�+u
✓ ❑ H' Measuredsysterg airflowgnsi s�e(� f2A3 testxprocedures _, FM:� ;r . x�
-�F�.M2#.-._._.".R.P..+F+'N.^Y-_sari. <r.....a"nsfw,r-.:'<?.."....._ C ..d!£%�%�t:�.Sx�S•...::.' E'•BhL. -.._ �[L%�'"?�ii.
.. .
•S,aS :.
-
1
6.
Allowed leakage.= Fan Flow :::1200` .' x 0:15'- 180 CFM
Actual,Le.a!<age-.. .168 CFM;=;>"r:::.
Pass if Leakage Actual is less than Allowed
Pass Fail
Option 2 used then:::-...
2
Allowed leakage = Farrrr:Flow ::;ix 0.10 = _ CFM
Actual Leakage to outside:.= ::=:'CFM
Pass if Leakage Actual is less than Allrl
Pass Fail
Option 3 used then:
Initial leakage prior to start of work = CFM
Final leakage after sealing all accessible_ leaks using smoke test = CFM
3
Initial leakage _ - f=inal leakage _ - Leakage reduction � � - CFM
((Leakage reduction _/ Initial leakage x 100% _ 0/h Reduction
Pass if % Reduction >= 60%
Pass 0 Fail
Option 4 used then:
4
All accessible leaks repaired using smoke test. HERS rater must verify (No sampling).
Pass if all accessible leaks have been repaired using smoke
U
Pass a Fail
Reg: 212-A0063758B-M2100001A-M21A Registration Date/Time: 2012/11/19 17:02:37 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forma March 2010
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF -4R -ME -CH --21
Duct Leakage Test - Existing Duct System (Page 2 of 2)
Site Address:
76925 Avenida Fernando, La Quinta CA 92253 (System
Enforcement
Permit Number:
1)
ntaAge
City of La Quinta
12-1343
® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct. leakage. testing. CFI<QA ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to meet ASH:RAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed posiij :during duct leakage testing.
GIN
® All suppgy�and re -Ufh register bbtsgr�nust bels sled to'ttae dry a1f rfs oke to , 5 tltikzed fbr compliance
- applies�to` Lct leakage cpmplrarace olstton 3 (Ieaki �ge:reductio by 0',
1-0 andzoption M -k all accessible.
leaks) diRMe above ,y Y ' �� .:
... „>a .::: a
n
.1: � .� -:
® New duct:instaltaii:ans cannot tilzez.buildin'4:ca t Fes as,.pleu�l ,O platfor ,ettirrls in heu of-::dt cts; ": "'
® Mastic arTd draW.. bands"must:' .."sed in=combarratiar�:>wfth_cloth backett'rubb'er:adhesfveatUct'tape to seal
leaks.at.all new- duct connectioiis>
DECLARATION STATEMENT<':'.:
. I certify under penalty of perjury, una r:the laws of the State of California, the information provided on this form is true and correct.
. I am the certified HERS rater wiio..perforined the verification services identified and reported on this certificate (responsible rater).
. The installed feature, material, c'omp'bhent, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificates) of Compliance (CF -111) approved by the local enforcement agency.
. The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s)
responsible for the'installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF -611)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC
Responsible Person's Name:
CSLB License:
David Beale
1827420
HERS Provider -Data Registry Information
Sample Group # (if applicable): N/A ® tested/verified dwelling
ed/verified dwelling in
FaHEOTRSsample
group
HERS Rater Information CalCERTS Certificate # CC1-1798707542
HERS Rater Company Name:
1st Choice HERS Rating
Responsible Rater's Name:
Responsible Rater's Signature:
Roy. Eads
Roy, Eads
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 11/19/2012
CC2005559
Reg: 212-A0063758B-M2100001A-M21A Registration Date/Time: 2012/11/19 17:02:37 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2010