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13-0650 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000650 Property Address: 53848 AVENIDA JUAREZ APN: 774-151-006-19 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 14176 �•�• r i_l ,� Lri eta �r BUILDING & SAFETY DEPARTMENT ;11 IT Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ap9licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business rofes�' aIs Code, d my License is in full force and effect. License Class: C10 C16 C2 � 6jcen .457554 11 -OWNER-OUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of. Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 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.). (_) 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: I.QPERAI IT Owner: RICK MARQUEZ 53848 AVENIDA JUAREZ LA QUINTA, CA 92253 ( Contractor: PREFERRED PLUMBING HTG A/C P.O. BOX 5120 PALM SPRINGS, CA 92263 (760)322-3173 Lic. No.: 457554 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/22/13 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _Issued. c. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor v Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier EVEREST NATL Policy Number 7600006445131 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 ecome subject to the workers' compensation laws of California, and agree that, if I should b e subjec a rs' compensation provisions of Section 3700 of the Labor Code, all forth h co t se provisio s. =/7CDate: r Applicant: WARNING: FAILURE TO SE URE WOR / RS' COMPE SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ND 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 staApropertr rmation is correct. I ree to comply with all city and county ordinances and state laws relatction, reb ut rize representatives of this county -to enter upon the above-mentionion urpos sDate: Signature (Applicant or Ag,4 Application Number . . . . . 13-00000650 Permit . . . . . . MECHANICAL 2013 Additional desc . Permit Fee 107.25 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/18/13 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00!* 35.7500 EA MECH.CONDENSER/COMP 35.75 1.00 35.7500 EA MECH OTHER EQUIP = 35.75 --------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT (1) 4 TON 16SEER/80AFUE (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPCTION. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 83.41 Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 107.25 .00 .00 107.25 Plan Check Total .00 .00 .00 _ .00 Other Fee Total 174.98_ .00 .00 174.98 Grand Total 282.23 .00 .00 282.23 Bin # City Of La Q'inta Building U Safety DIV* islon P.O. Box 1504, 78-495 Calle Tampico Permitfl . La Qulnta, CA 92253 - (760) 777-7012 � Building yys^,-r Permit Application and Tracking Sheet Fya Amount Project Ad Owner's Name. A. P. Numbei _ Address: .5.38W 4V O ;f't!/9Rdz LegaDq4czpJiop City, ST, zip: /.A QIJiA/T �/9 o?a S3 alpl Contr ooiereC`A�Conditioning dba :.: pz.e•feff.e..ci.>.P.lunibin • Heatin &A'i i Tele hone: p Project Description: Address: {' City; SZpP'i3:'kzns;';>1?:x.:•r. s; :':CA;, 9 2 2 6 lFA a Telephoned 3;2=73. Con itruction Flood plain plap. :. Plans. resubmitted State Lie: #:; .=.:;4;x:7;5`5;4` City Lic. Arch,; E�igr.:Designer::.; Address: ici Telephone; .::. :AE State.Lip:#::' Name of:oiet:PeFso Telephonef;of;CQitact itetson: M"SSE ConstriuetioaType: Occupancy: Projecttype (circle one): New Add'n Alter Repair Demo Sq. Ft.; # Stories: #Units: Estimaied Value of Project: -714 , APPLICANT: DO NOT WRITE BELOW THIS LINE g'd Recd TRACKING ° PE#tN1YT FEES P1an,Sets . `' ' ' : Plan Checkgditltted Ite Amount Struetpral'Cales. • ' Reviewed, ready for corrections Plai Check Deposit T1rds Calce..... • .:. • Called Contact Person Plar Check Balance E�peigy Cates.: Plans Picked up Con itruction Flood plain plap. :. Plans. resubmitted mic innical Gradtag,plan'"':•.. 2°d Review, ready fo�'correctloas/isaue Ele rical ,Subeoiitactor.List Called Contact Person Plu bing Grant Deed . Plans picked up S.M I. H.U.A.. Approvil Plans resubmitted Gra ing II�I,HOUSE:-' ' " ''d Review, ready for corrections/issue De toper Impact Fee Plenniag Apprbyal. Called Contact Person A.I..P. :,Pub. Wks. Appr ' Date of permit issue B0001 Fees Tot Permit Fees... , Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF-1R-ALT-]JVAC Climate Zones 10 to 15 S' a dress: D .--� 10A-�� Enfgceme A enc :� Date- Permit #: ��. :JConditi Equipment T e� List Minimum Efficiency, Duct insulation requirement ed Floor Area Thermostat ❑ Packaged Unit umace �AFUE�� ❑ Cpp Over 40 ft of ducts added or replaced in unconditioned space Served by etback door Coil Condensing SEER j ❑ HSPF _ ❑ R 6 (CZ 10-13) system sf (If not already 6e Unit )$ EER 7, ❑ Resistance present, must ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC fbr 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 si. 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 replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser. Coil and/or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA 2:300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if. ❑ 1. Duct system was documented to have been previously sealed andconfirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos 0 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS neweguipment CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 0 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensirig unit and/or indoor CF -411 forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH 'For Packaged Units: Duct leakage < 6 percent 0 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -611 forms: MECH-04, MECH-2I -HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems 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. • 1 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 Cgrtificate on this of Complia/conrm to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. The design features identified on this Certificate of Compliance are consistent with the inform on documented on othle compliance forms, seats, calculations, Llans andspecifications submitted to the enforcement agency for a22roval with pfi4 permi;AWation.- Name: Te F7r--^L 0 F_M 15 Signature: Company:p�C.rr /+ Date: Address: 2, License: j 1 T —T rC7i/State/Z'P*PAL_AA_7� J _ N% S �- � 7:10 3 Phone: ' 0 ,. ZZ .jac esidential. S ingle family residence 0 Multi -family resjdefice. 0 Condominium 0 Other: Name of Community: Lb(ati . o -'-O * ,new.'u f nit on/in structure: Izo 0�-b e Lind screened parapet d4prite from lot line: Components ft- to be: 0 installed mp nen eplaced: "like for like or upgrade? k, A Condenser ze (tonne g6)i' . AFAU Air Handler SEER ... Evaporative Coil ER:'.': 0 Package- unit - PGE or HP 0 Other: CF.rlR.;A.Form: `Pr6je ct valuation: 1q ,1�. �� ..7 Date Permit Needed at Jobsite: Other Informatiori: CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 13-650 Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: 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. " nurt I.P.nknoP ninannetir TPC+— PYICtina finet evetam Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. ❑ Option 2:. Cj're'd;lea�ltage�ta�q` sside,less t �n I10°o ofd an-Arrfl(d`T1 rManC1ft ❑ Option 3. Reduce 1� eak g 'by60°� o Trio e�apd�`conducfsmoke°test'torsealaall accessible leaks' � M`� " ''ti'�w` u ti 1t � kb � C.'4r�'' L .tr ltai V u Oyu U Uf 1 ❑ Option i. Fix all accessible leaks usmg•smoke test,:and HERS -rater must -verify - must A Note: (Option 1 befog .utilizing Option 4) be ttempt Determine nominal Fan Airflo W using bne of the following thr6e calculation methods. ❑ Cooling system method: Sizeof condenser in Tons 4.00—,x400 1600.00Jam' ❑ Heating system method: 21.7x, ��`� H'eating Output Capacity ( ��— JCFM ❑ Measured system airflow using RA3.3 airflow test procedures: CFM,, `--� Option 1 used then: i---= -- Allowed leakage = Fan Airflow 1600.00 x 0.15 = 240.00 CFM I Actual leakage = 217.00 CFM Pass if Actual leakage is less than Allowed leakage El Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM 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% ❑ Pass ❑ 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 sealed using Smoke Test ❑ Pass ❑ Fail Registration Number: 313-A0015868A-M2116544A-M21A Registration Date/Time: 06/25/2013 20:56:07 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 s CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 113-650 I] Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing CF� OA.ducts that utilize -controlled motorized dampers, that open only when OA ventilation is required to �! 1 rlS1 y ,Iti s Iiri 1�4�z"k� C-�d Y, '�` R r+ jam^* meet ASHRAMS �t�n'd d 2.2,ImaTid, c ose,wlien OA ve hlaUo,_�ts nit requrre�l, y ibe �o�nfig 'tt ed tc the closed position during duct leakage testingo, N d El All su I 'wand return register boots mu be e la Orr the l if m ke tes s uhf 'ze' or o rri ce applies to PP y g p �, w tVt � P r .z PP duct leakage compliance optiont3 (leakage reduction by 60%) and option 4fix all accessible leaks) described above. El New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. f IZI Mastic and draw`bands must be used(in combination with cloth backed rub adhesive duct tape to seal leaks at all new duct connectio s___ __`` I �� DECLARATION STATEMENT r -� i • I certify under penalty of penury, under the lawsof'the State -of California the information provided,on-this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this -certificate (responsible rater). l � t • The installed feature, material, component, 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 Certificate(s) of Compliance (CF -IR) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1 R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Preferred Plumbing and Air Conditioning Responsible Person's Name: CSLB License: Patti o'toole 1457554 HERS Provider Data Registry Information Sample Group # (if applicable): 91 tested/verified dwelling 0 not-tested/verified dwelling 313-0144 in a HERS sample group HERS Rater Information HERS Rater Company Name: John Henry's HERS Responsible Rater's Name Responsible Rater's Signature John D Henry John Henry Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095756 6/25/2013 Registration Number: 313-A0015868A-M2116544A-M21A Registration Date/Time: 06125/201320:56:07 HERS Provider.• CBPCA 2008 Residential Compliance Forms August 2009 (E ' CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: Permit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 13-650 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verif cation for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documentedfor compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag Trane System Location or Area Served House .� 6 1 ,es I , , Ifl A ❑No � i0�• r,� 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and �labeledyaccoiding��to Figure ;ifjSFectionPtA3M 272.2..2 ,ft 2 104WC1GU Q DYesr^ A U %' U i1 " ❑No if Y � xt " � �a IM Yom' "� M w kl Yi ��#' Y" MI ' 1"100.1 10 4i.R:' :9 finch (8 mm� acc"�sslhole downstream ofevaporattve�coil :the supply plenum and ilaabeled Faccordngzto�Figuce itn4Sectioni R32 222^ fi Yes to 1 and'2 is a pass'',___ -1 Enter Pass or Fail ✓ Ej Pass 7 ❑ Fail STMS - Sensor on the Evaporator Coil ✓ / System Nameor Identifieatioon/Ta g cane .� 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive The`sensor is factory installed, or field installed according'to manufacturer's 3 ❑Yes ❑No specifications,,or is installed by methods/spectfications'appr vo ed by the Executive The sensor wire is terminated with a standard mini plug suitable for connection to a -Director:- - ��" --- -` ` r:* :a, . , ( �_ _) i ❑Yes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and The sensor wire is terminated with a standard mini plug suitabfe for connection to a 4 ❑Yes ❑No digital thermometer. --The sensor mini plug is accessible -to the`installing technician and ❑Yes ❑No measures the saturation temperature of the coil within 1.3 degrees F the HERS rater without changing the airflow through the condenser coil 5 ❑Yes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail ✓ p N/A ✓ ❑Pass 0' ❑Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag Trane The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 'The 8 ❑Yes ❑No measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail ✓ El N/A ✓ ❑ Pass ✓ ❑ Fail Registration Number: 313-Ao015868A-M2516543A-M25A 2008 Residential Compliance Forms Registration Date/Time: 06/25/2013 20:54:27 HERS Provider: CaaCA Augusl 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: Enforcement Agency:Permit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 13-650 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55 °F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documentedfor compliance using this form. Attach an additional forms) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • /f outdoor air dry-bulb is 55 °F or below, the installer must use the Alternate Charge Measurement Procedure. Snare Cnnditinnina Svstems System Name or Identification/Tag Trane (must be re -calibrated monthly) System Location or Area Served House 6/3/2013 ) � ust be re -calibrated monthly) Outdoor Unit Serial # 13073NCDF4 Supply (evaporator leaving) air dry-bulb L_ _ Outdoor Unit Make Trane temperature (Tsu 1 , db) 56.00 Outdoor Unit Model 4TTB4048E1000BA Return (evaporator entering) air dry-bulb Nominal Cooling Capacity Btu/hr ,• U t. Ap p 4800,E 00 n 19, �. ,�, temperature (Tretorn, db) .� eGia ri ix utU I� Date of Verification-_ k u k� I 6 10/2013 uy u ri II: J / N Iu Liu wk_VtWh4�uu Calibration of Diavnostir-lfnstrnments-�_ Date of Refrigerant Gauge Calibration6/3/2013 Trane (must be re -calibrated monthly) Date of Thermocouple Calibration Cl 6/3/2013 ) � ust be re -calibrated monthly) Measured Temperatures (°F1 i\ System Name or Identification/Tag Trane I Supply (evaporator leaving) air dry-bulb L_ _ temperature (Tsu 1 , db) 56.00 Return (evaporator entering) air dry-bulb temperature (Tretorn, db) 73.00 Return (evaporator entering) air wet -bulb temperature (Treturn, wb) 62.00 Evaporator saturation temperature (Teva orator, sat) 51.00 Condensor saturation temperature (Tcondensor, sat) 112.00 Suction line temperature (Tsuction) 67.00 Liquid Line Temperature (Tiiquid) 102.00 Condenser (entering) air dry-bulb tem temperature T P ( condenser db) 98.00 Registration Number: 313-A0015868A-M2516543A-M25A 2008 Residential Compliance Forms Registration Date/Time: 06/25/201320:54:27 HERSProvider: CaPCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5 Site Address: Enforcement Agency: Permit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 13-650 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag Trane Calculate: Actual Temperature Split = 17.00 Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Tretum, wb and Tretum, db 18.20 Calculate difference: Actual Temperature _1.20 Split — Target Temperature Split = Passes if difference is between -4°F and +4°F or upon remeasurement, if between -4°F and -10 Fa l � lt-' fterds +°r lFai Pass � y + '� + gy iI lE ►J ld i1 Note: Temperatur S i Method�Calculatio isrn t necessary f°'actual Cooling o.il�Airf%rs verif.0 using one of the airflow measurementpr-ocedures spec f ednRef er n eRes denitalA pe°n`dixRA337f tatua'lcooltng c�oitlarf ow is measured, the value must be equal to orlgr-eater than.the Calculated MinimumAirfow Requirement in the table below. � G 'Nominal Calculated um Air w Requirem nt (CFM) _ Cooling apacitys(ton) X_300 (cfm/ton) o Vane System Name o Identific /T' Y g ,• . -.. Calculated Minimum Airflow _� ter,. � s'�'+-%-;;s'..:.�w�' Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag Trane Calculate: Actual Superheat = Tsuction — Teva orator sat Target Superheat from Table RA3.2-2 using Tret m wb and Tcondenser, db Calculate difference: Actual Superheat — Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Registration Number: 313-AO015868A-M2516543A-M25A 2008 Residential Compliance Forms Registration Dale/Time: 06/25/2013 20:54:27 HERS Provider: CePCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: Enforcement Agency: FPermit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 13-650 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Trane p t� KbonmiCa Calculate: Actual Subcooling = q; -_v 6J Tcondenser, sat — Tli uid 10.00 Target Subcooling specified by ''• ``��` manufacturer 10.00 Calculate difference: Actual Subcooling — Target Subcooling = 0.00 System passes if difference is between the allowable superheat range Pass -4°F and +4°F Enter Pass or Fail pass Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Narri'VoyFlde ti ftcation/ .agi (�o`z I' l 71 a 1t1 lt3 Tranh " L� � p t� KbonmiCa Calculate: _� q; -_v 6J T T evoraoSuperheat s._` ?1Q Enter allowable superheat -range from manufacturer's specifications (orjuse range ''• ``��` � between 3°F and 26°F if manufacturer's -" " 3.00-26.00 _ s ecificatio not available) System passes if -actual superheat is within the allowable superheat range Pass Enter Pass or Fail Registration Number: 313-AO015668A-M2516543A-M25A 2008 Residential Compliance Forms Registration Date/Time: 06/25/201320:54:27 HERS Provider: caacA August 2009 v01 G CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5 Site Address: Enforcement Agency: —Temit Number: 53848 Avenida Juarez La Quinta CA 92264 La Quinta, City of 650 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag Trane 457554 HERS Provider Data Registry Information Sample Group # (if applicable): System meets all refrigerant charge and Pass 313-0144 in a HERS sample group airflow requirements. Enter Pass or Fail HERS Rater Company Name: John Henry's HERS Responsible Rater's Name Responsible Rater's Signature dWn DECLARATION STATEMENT 0 0 # • I certify under penalty of perjury, underjth laws of£the State of California,the informat6on provided on this form is true and correct. • I am the certified HERS rater who performed the verificatio) services identified d reimported on this i�ficate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 a d RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1 R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1 R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Preferred Plumbing and Air Conditioning Responsible Person's Name: CSLB License: Patti o'toole 457554 HERS Provider Data Registry Information Sample Group # (if applicable): m tested/verified dwelling O not-tested/verified dwelling 313-0144 in a HERS sample group HERS Rater Information HERS Rater Company Name: John Henry's HERS Responsible Rater's Name Responsible Rater's Signature John D Henry John Henry Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095756 6/25/2013 Registration Number: 313-Aa015869A-M2516543A-M25A 2008 Residential Compliance Forms Registration Date/Time: 06/25/2013 20:54:27 HERS Provider: caFCA August 2009