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12-1288 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tav144*Qg&& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -ti Application Number: --12-00001288 Property Address: 154700 AVENIDA JUAREZ APN: 774-263-010-15 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 1200 Applicant: -------------- I hereby affirm under penalty of perjury Section 7000) of Division 3 of the Busi Licen;e Class: _ C20 -C38 Architect or Engineer: pla ONTR TOR'S DECLARATION nder provisions of Chapter 9 (commencing with als Code, and my License is in full force and effect. icense No�: 826714 ii. DECDER CLARATION , 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).: 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 contractors) licensed pursuant to the Contractors' State License Law.). 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: POP LQPERMIT Owner: CHARLES MORGAN 54700 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: BEST IN THE WEST 255 N. EL CIELO, 140-125 PALM SPRINGS, CA 92262 (760)343-1002 Lic. No.: 826714 VOICE (76 777-7 2 FAX (760) - 011 INSPECTIONS (760) 777-7153 Date: 10/29/12 P Q Foc 2 v 2012 CITY OF LA QUINTA FINANCE DEPT. 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 V issued. I'LL have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which th' it is issued: My workers' compensation insurance carrier and policy number are: Carrier GUARD INS GRP Policy Nu er BEWC3 7354 I certify that, in the performance of the wor or w ' ermit is issued, I shall not employ any } person in any manner so as to become UN to th ork rs' compensation laws of California, and agree that, if I should become su t rs' ompensation provisions of Section 3700 of the Labor Code, I shall fort it pl t th a provisions. nt: WARNING: FAILU T WORKERS' C M 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 issuanceoem ion of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state ths correct. I agree to comply with all city andcounty ordinances and state laws relating tod hereby authorize representatives of this county to enter upon the above-mentioned proses. Da re (Applicant or Agent): Application Number . . . . . 12-00001288 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00, 9.0000 EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: REPLACE 5 TON AIR HANDLER IN ATTIC. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 24.00 .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT • 1.. k Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54700 Avenida Juarez La Quinta, CA 92253 City of La Quinta Oct 29, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ❑ Indoor Coil fl AFUE ❑ SEER ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system Z Setback If not already present, must be [3 Condensing Unit [3 EER ❑ Resistance [3 R g (CZ 14-15) 2000 sf 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 -411 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 -61R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment " CF -611 forms: MECH-04, MECH-2I-HERS and. (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or .Indoor Coil and /or CF -6R forms: MECH-04, 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 <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage'testirfg`if:. :: Duct:system`.wasdocumente, *to have been previously sealed and confirmed through HERS verification, or 1:2: Duct systems with less .th5h 40 linear feet in unconditioned space, or p'3:: Existing duct systems are:coristructed, insulated or sealed with asbestos [);4::The ysterrl will not be DticfeiJ:`(ie _:Ductless Mtnt SplEt System) (Aso Exerr pGfromRefkrig eyCharge) - 2. Nsw_H:VaC>S rte m :;^, _ . . Requi `'ss - 'ran >�'� �. _ _ 13 ... • Cut insOfsCH:6n eout wl h3'i�.r�%.,. �g � r: ducts "ersr �� ,�; +.;. ..•. =(tar t.:..�,r...._ .: .•rt,,_ _�;: ?.%.:>`'.,...:y .�" �:>.,.. :�X :_.....................:........ �-SRfos7�i5�9stEC4i-04 MEG'F�'3;3�1ERS may.:€ r ` . �`�, v '� '` 7i sptst"systesj MECiz23 HERS �hd new :;(all new z ductin .r d. a n .w ...,_ II e y r ' .... : .:. .... . . . ". �:...-..;...:.....:.. ��... ..�._..:::: =�°�` :. � -., •S. . _=:. 4 h bg° e u :. i meet: CF-4Rfvrms MECH-2� n zM;' si ems . EG - 3 • --":ar .,.. ' r :It':5 2, '.xa �3':>�.. #f-2 hd t1# GH a . R..' For Split'Systems ��cYleakage < 6 pei c rft RC; CCAS>x35S%CFM%tbr; FWbi.R,_T MS, anG a{they HSPP oPPSPP. ' For 9 Packa ed:Uriits:'Duct leaka a<6;` ercent::?":.:':::.:"::::.'::::..:::...". ." -:.. g.:>.Y.:,.::... . ❑.3: PLew:;uctrtith/or without=== . Required Forms: . Includes -replacing or i69talling-:alt`ii:ew ducting and/or outdoor -con fensirn;i' iunit Cf -6A forms: 44EC"-004, MECii-20-"E-RS, anti tfoT split systems) MECH-25-HERS and/or indoor coil and/or furnace=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 unWs: Duct teakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) a, 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: Richard C Weaver Sr Signature: Richard C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Oct 29, 2012 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 212-A0060396A-000000000_-0000 Registration Date/Time: 2012/10/29 13:30:58 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms - July 2010 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .#d `ot 12' Project Address: ;s EJ742 Ale— Owner's Name:=),,;e &J57 A. P. Number: c9 Address: 17 Legal Description: City, ST, Zip: �, 9 / Contractor: �� ?— /v �l'i �Sv I°� Telephone- `� . . ^•.__ Project Description: Address:;Z55�a �G A -z, City, ST, Zip, , -P x Telephone: , C 3 %O ()-Z f `�M State Lic. #:!J4i2g!2Jg_ City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: • . ' ,. ' �; Conduction Type: Occupancy: State Lic. #: Project hPa (circle.one): New- Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person:? Estimated Value of Project: 2�-� APPLICANT: DO NOT WRITE BELOW THIS UNE t! Submittal Req'd Recd TRACKING PERhM FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2"d Review, ready for corrections/issue Electrical v. Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees V t. INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1288 Space Conditioning Systems Heatina Eouinment 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) Split Heat Pump Bryant FB4CNF060 3890034 1 7.7 HSPF Attic R-4.2 40.6 58.0 kBtu .:: and EER) (attic, (package..'ARI # of 1,3 crawl- Cooling Cooling .heat CEC Certified Mfr,Name:::':: Reference Identical (>=CF -1R space, Duct Load Capacity pump) and Model Number ::: Nurnberg Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Heat Pu ;,Er.<.... R'H-A6manSplit a 0001 ._. Si E ..55 N^` _, all ,nu,c 1Ja-L. iui aucc cening airernavve compliance. 2. ARI Reference Number can ba"'fo bid by entering the equipment model number at http://www.aridirectory.orglaril4c.,php# 3. Listed efficiency on this page must be greater than or equal (?) to the value shown on the CF -ZR form. 4. When CF -ZR is reference it is also applicable to the CF -ZR, CF -IR -AA or CF -ZR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. H §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. H §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 1507-B and includes a vapor retardant or is enclosed entirely in conditioned space. Reg: 111-A0060396A-M0400001A-0000 Registration Date/Time: 2013/01/29 14:35:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Efficiency Duct Equip ..(SEER Location .:: and EER) (attic, (package..'ARI # of 1,3 crawl- Cooling Cooling .heat CEC Certified Mfr,Name:::':: Reference Identical (>=CF -1R space, Duct Load Capacity pump) and Model Number ::: Nurnberg Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Heat Pu ;,Er.<.... R'H-A6manSplit a 0001 ._. Si E ..55 N^` .,. 43,:: ,°A. Yr`":` 59.0 kBtu ... .,.rev,. s:r ...... .:..<- .,i ..... ....... ........�: :.. .... .. .. ... .,kms>.- .�fi-..,�, .. ...: ...: .:. �j C< -.i a....n ..:. 'tet . ..:-.J .- ..:..... .. ..... ! .. .. .... .. �. � . :..}. '.�y� I rfI1Yl11Prf /C f �1 / nn Civ / ii n L-----i__>� _, all ,nu,c 1Ja-L. iui aucc cening airernavve compliance. 2. ARI Reference Number can ba"'fo bid by entering the equipment model number at http://www.aridirectory.orglaril4c.,php# 3. Listed efficiency on this page must be greater than or equal (?) to the value shown on the CF -ZR form. 4. When CF -ZR is reference it is also applicable to the CF -ZR, CF -IR -AA or CF -ZR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ® §110-§113: HVAC equipment is certified by the California Energy Commission. H §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. H §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 1507-B and includes a vapor retardant or is enclosed entirely in conditioned space. Reg: 111-A0060396A-M0400001A-0000 Registration Date/Time: 2013/01/29 14:35:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6111-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1288 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 1818 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. M 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::::'. ® Protection of Insulation;':�risulation shall be protected from damage, including that due to sunlight, .....moisture, equipment maid.trice, and wind. Cellular foam insulation shall be protected as above or ...painted with -a: -.coating thatl- ::-"water retardant and provides shielding from solar radiation that can cause degradation of the material::: ®.:':10. Flexib:le«ducts can not..have: poravus::inner,:,go:�} res..; _ _ =ki>`- ^>'F`.'s:3ic-�3C`�x' - %.lEc: .... ,p ir:#:".:Lys :YS',<•\';-4y::'^.�" Responsible Person's Name: �"�:' �.QF.^i' ..-yyro%�;`.::.. Wendy Stewart CSLB License: Date Signed: 967982 110/16/2012 Position With Company (Title): .{;.,.�v. 1>'K . 3-i; . . . . <'� .';c�$<5";}_.,.. y.`4 .:. ca:i('a.;✓. <`. 39>^ $ 'e:::t: = e;,5cl�<<::':�.".j�'.Sx•-�.?.-:.:.-i.:.: :.>�`vhr s ^3i�';S•v,:. .orf:%o:i�:.<. r..• c�L,�.;. rN.GF.4''•:'L '-6+�-. ✓ : s ��//�y3.'::xj?'ic�a2u. ''<sw �y..+.i^<zs�r�r�.^...G> °.�T'.: :3�3.?;: v��•'�Y" ..'.r.�6.'n�s<:: �:::.,a.. �.>�:�: ...... - va... .... .:...: .��... ., ....... .ter........ <..-f\c�,.'.,w.-. �C .. .�. °Gi4RATIaN STTE . I certify under genaltp ofjiiyrjury; under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Divisibn.3:;of the Bit Ness and Professions Code to accept responsibility for construction, or an authorized representative of the person Yesponsibiefor construction (responsible person). . I certify that the installed feat ures;:.rii�ierials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and4:' ulations, 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 -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. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date Signed: 967982 110/16/2012 Position With Company (Title): Reg: 212-A0060396A-M0400001A-0000 Registration Date/Time: 2013/01/29 14:35:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE . CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1288 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House 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 - existino duct system Select one compliance method from the following four choices. ® 1. Measured leakage less than.15% of fan flow ` 13 2. Measured leakage to outside li`se fhan 10% of Fan Flow 3. Reduce leakage by.60%' and.co i:tluct smoke and fix all leaks 4.:.Fix. "all aCces'sible leaks using srztgke and HERS rater verify Note-(.0ne of Options 1, 2 or 3 must'be::'atterrl.pled before.utilizing.Option.•4,.). Determine rfgr>atnal Fin ! iow using `o(te of ihte failowrrxt# three" calcrxlatian'lethuds ✓ ® Coollrrt3;s;:stem metkiod: Size a 3i`ond.E Ytse1 in Tons` -`x:4& —_ 0- a , I t=;':: W 01 . . r...,:: �.. >. :> _ .: :..,..,....., >... �. J .. ?:•', c>_a, .rM•_. `.ii'-'.S[.i:[_ fav v<�f'.' ❑ Heat�ngsystem meilad.:_.:7x Output CapacJty ousands vf�SiuJhr = :CF:.iN' ti 4� ... .. v. -. ......G ..•..-.:!rc...-.a... .,: Y.�cl... .:a - -,i r. ._._. oma[:::::,..::.:.:: :�.}� _ (� - 0 Me - .[�....: K Optid dt e .:..:..:.. -.:. .:_..::.. :..:.,-.::•.->>..:.::.:::::: ' 1 Allowed'leakage:= Fan Aisflornt Actual Lea. = 159 CFM;?:' :-::' ....::::.:..... Pass if Actual Leakage is less than Allowed leakage Pass Fail Optibei'`2 used . 2 Allowed leakage = Fari Airflovus€��x 0.10 =_CFM 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 = 3 _CFM Initial leakage _ - Final leakage _ = Leakage reductionCFM ((Leakage reduction _/ Initial leakage _) x 100% _ %Reduction Pass if % Reduction >= 600/6 Pass n 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 Ll Fail Reg: 212-A0060396A-M2100001A-0000 Registration Date/Time: 2013/01/29 14:36:30 HERS Provider: CalCERTS, Inc - 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-GR-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1288 ® Outside air (OA) ducts'for Cet:al Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during-ductleakage -testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ni ventilatios'required to meet'ASfIRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed positi6hduring duct leakage testing. ....:..... .....:...::.. • .... .... ®All' S 1' nd.rekur b s rn st �e�ealetln stt_ r> PP,.Y�...,::.;...::. .<.:_... • ..: <_-.,�:...:. .:: <y:.:;;.,_.,�._::::..::...::,-...h,:�:<...:::....:Y:N:�:-.:. - , il�zed<;fal�.eompliance - applies duct leakage.com liarace o .t}an 3 aea:>a e reductl `:;°::. s:.,. . :. PP f .,,..._ , ;. Pp. art by /o) andpt�on �#flx all accessible leaks)de- crNb "I 5 ed above: } AN a%N>- ® New TIP ze<.bulldln:a._cAu#��'ps ac<:rila�t�axric=nr:-�ttlaf-ftsrm7ratxirn�:�:n�li'istii'�nac>iE'vrtic:��'t'°'' �'�""'.. , . .:.. ,.i .. ... :-7.. .... -...n ., ..... .:5 ...::-tea• ® Mastic'and:;dr:.;aw bat�ds'must:e used f cornbfnatrart;.:wt€txc#otback�ti.;cubber dhesru tluct:Yape fo seal leaks at all.riew duct connections:';::.= :::::..:, ....:..:.::...:::....:.:.....:. DECCARATI01'd STATEMENT: :::=?=`�`:: . I certify under penally of perjury; undei:ffie laws of the State of California, the information provided on this form is true and correct, . I am eligible under Division 3'of.the &sfness and Professions Code to accept responsibility for construction, or an authorized representative of the person resp ns i6for 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 -1R) 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. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beainnino October 1. 201nfor all Inw-rice raciriantW hitilriinnc Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: 967982 rDate signed: 10/16/2012 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes ❑ No Reg: 212-A0060396A-M2100001A-0000 Registration Date/Time: 2013/01/29 14:36:30 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 Note: If installation of a Charge Indicator Display (CID) is utilized 'as an alternative to refrigerant charge verification 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 documented for compliance using this form. Attach an additional form(s) 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 Suooly and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 19 Yes ❑ No...-: 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ®Yes ®No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to. 1. and 2 is a pass. Enter Pass or Fail ✓ ® Pass ✓ ❑ Fail STMS .'Sensor ofiAhe Evaeorator°.:Goil: System..Na[)ae=ortI:detSEification/Ta 3 G Yes CC oto 3 etre sensor is fattorz#nstalled, or faii stalled accoYdrng to mKrufacttit'er's specifications, or is installed by methods/specifications approved by the Executive yp pecrfrcations, orisirrstalled by mel fi�dspetifcaL�oh approved by the Executive ." Director. ter.:..:. „ .,..... . .:...... . L w?C. 4::x_s The sensor wire is terminated with a standard mini plug suitable for connection to a _t.,:,a ,.. £ The:;ensar wire istetmrnated.w[th a sia'"dard rt3in to sifrtalile':fonconnectron to a \ 4 [Ye.:>.' .� <yr,°-CI?14o,:n;<,, .... . :;:3,'• _ ....c. .,.\max:: di.git!>tierorxketeCrtieensar�rrnf lu�] rsaccessrbfe:to:ttien5taitin; techni aan:;. and the HERS rater without changing the airflow through the condenser coil .. ,_.. :.......:,> �:?' -a>.� ��: �a`i itt= ' :>e>'.H-}2.5�ra�teY;:. h .:.:. . ..:.. :....�:: , ...... :. ; .. ,... ......;...:.:'...•_:-�..,:.:.:::u!7��a�}ttrcj..the a1i'#lowa�hroUgh the:condehser coif 5 .' p Yes .•..7-. [l No kie: seiisor*measures the saturation temperature of the coil within 1.3 degrees F Yes to 3; 4; at�di5:;isi'a;pass. Enter N/A -;if STMS are not _T applicable. Otherwise enter Pass or Fail®N/A applia afiaee.iJtFieiv}fse:ertter Pass oi'ail ' ✓ ®N/A ✓ ❑Pass ✓ [I Fail STMS - Sensor on the Con eraser Goil System Name or Identification/Tag:-:: System 1 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 8 [3Yes [3No The sensor 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 ✓ (3 Pass ✓ Fail applicable. Otherwise enter Pass or Fail®N/A Reg: 212-A0060396A-M2500001A-0000 Registration Date/Time: 2013/01/29 14:39:41 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 k. INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253, City of La Quinta 12-1288 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 documented for compliance using this form. Attach an additional form(s) 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. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate'Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag System 1 (must be re -calibrated monthly) ...�' ter..... Date of Thei gcauple a6bration r'::;: -- «.::::..:...... ..: - ;•,:;::. '.>,. ;,::, <::.... :: >:= <= :' 1�f':.01 :=�012� ;>::.. fy4r . System Location'or Area Served Whole House z.;�'�;:,:.:;t:`.t:-:.'-:=2i1' t'�..'�`s,:-^. �4w"_�. ?v.'<H< Outdoor Unit Serial # 9009092187 1 f< Outdoor Unit Make Amana Outdoor Unit Model ERHF600013 Nominal Cooling Capacity Btu/hr:.:.':.'..: 59000 Date of Verification 10/16/2012 %.0m1u90uae91'u1 wmwnuscec ansxrumenrs Date:bf Refrigerant Gauge Calibration;:'. 10/01/2012 (must be re -calibrated monthly) ...�' ter..... Date of Thei gcauple a6bration r'::;: -- «.::::..:...... ..: - ;•,:;::. '.>,. ;,::, <::.... :: >:= <= :' 1�f':.01 :=�012� ;>::.. fy4r . tstnbe::r z, eEtaa�iirate:d. monthly) �,;.�'•r;' max,._ z.;�'�;:,:.:;t:`.t:-:.'-:=2i1' t'�..'�`s,:-^. �4w"_�. ?v.'<H< System i�latr`e: or I denti :iciti _ ..... .i�r ' . d` ..... _' . ,s :.tea .. ' .: std .,. ;,, xaii:. - Su eva: .....< . .. y.. t I a _atr PP Y. lk - .'R=' Y< _ f< tem ,...::.:........:..:.::: P su p P Y. db - Return,{evaporate:entering) air dry. -bulb tem peratre :::'`=`''::<?:: c; :. �.:. return.,,.db) . 77.0 Return'('eVaporator entering) air wet;=.bulb temperature (Treturn, wb).`" 64.0 Evaporator saturation temperature ::::.'. (Tevaporator, sat) 41.0 Condensor saturation temperature (Tcondensor, sat) 113.0 Suction line temperature (Tsuction) 48.0 Liquid Line Temperature (Tiiquid) 100.0 Condenser (entering) air dry-bulb temperature (Tcondenser, db) 90.0 4`S= =Y i L r: Reg: 212-A0060396A-M2500001A-0000 Registration Date/Time: 2013/01/29 14:39:41 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 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 System 1 Calculate: Actual Temperature Split = Treturn, db - Tsupply, db 19.00. Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db 19.0 Calculate difference: Actual Temperature Split - Actual Superheat - Target Superheat = 0 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F PASS Enter Pass or Fail Note: Temperature Split Method.Calcirlation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must.be equal;ta or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimurim Airflow Requerement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) r•>{3:e:'ar...Idgnt S stem .Najcation a - R. ".:..,..: _ .. .•: Zvi ..\ Calculated Mr:imum Ai o :CFM n rfl. w:R� - .�C:-... . �:y��-r. ... � ... :uttn:etxts �'T.!+.... may. �......,. /- ..:. i..<:.::.: w.. 9 T• .lyd. ..:Y-�,•�,+..::. ..Y.,, ...L .: 'i1a .> - Measurtflow us . iz� Ln.. . .:::,,... ... Passes if me'akiif a ... itfilow s ..:. i......... e d ' greatet` ot^. <� , :., -:;>.:: -::::,;,.> ::.:...;.:;:<-.:> ::.. ::: -:' .. _.:;::.. ,... ......... . _thah.: _..:::•; :, equal to the .calcutated.minimum airrr. ow.. req.iiiretients:;'`>[ Ent t :Pass or Fail Superheat Charge Method Calci lations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device sib: erns System Name or Identification/Tag' System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F , Enter Pass or Fail J Reg: 212-A0060396A-M2500001A-0000 Registration Date/Time: 2013/01/29'14:39:41 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HER: tefrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5' Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 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 System 1 , Calculate: Actual Subcooling = 13.0 - Tcondenser, sat - Tliquid 7.0 Target Subcooling specified by manufacturer 12.0 Calculate difference: 1 Actual Subcooling - Target Subcooling 4-25 System passes if difference is between -3°F and +3°F 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 Name or. Identification/Tag .. System 1 Calculate: Actual Superheat =. Tsuction -Tevaporator, sat.: 7.0 Enter allowable superheat range manufacturer's specifications (or u4,ia'hge between 4°F and 2SOF if manufactiliei s 4-25 specification is not available) S stem. asses~jfi;actu su erheat is, sE.. ,. ,._ .... .... ..,.. , _, ..........,� allowi ble.. ...:. _ .... - �F U Reg: 212-A0060396A-M2500001A-0000 Registration Date/Time: 2013/01/29 14:39:41 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 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 System 1 CSLB License: 967982 Date Signed: 10/16/2012 Position With Company (Title): System meets all refrigerant charge and airflow {dame of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes ❑ No requirements. . PASS Enter Pass or Fail DEC .Ii •Ia re .Ic co 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 reoistry for multiDle orientation alternatives. and heninninn nrtnhar t 71711 n fnr all Inw_rim—iri—ti,l Lnil li .� Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Best in the West Air Conditioning & Heating Inc Responsible Person's Name:. Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: 967982 Date Signed: 10/16/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality {dame of TPQCP (if applicable): Control Program (TPQCP)? 0 Yes ❑ No Reg: 212-A0060396A-M2500001A-0000 Registration Date/Time: 2013/01/29 14:39:41 HERS Provider: CalCERTS, Inc_ 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-1288 nter the Duct System Name or Identification/Tag: System 1 anter the Duct System Location or Area Served: Whole House tote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the 'welling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. ii 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 Leakage Diagnostic Test = existing duct system Select one compliance,method from the following four choices. 1. Measured leakage less than -15% of fan flow i7 2. Measured leakage to outside less than 100/6,of Fan Flow 3,..Reduce leakage by:600/6 and conduct smoke and fix all leaks 0 4:::Fiz all accessibl'e'leaks using sr alae and HERS rater verify Note:';:(dne of.O.gtiu-,nxs. 1,,2, or 3 must.be::atte.(n.pted;before: Determine:r# #n'a :.:.:<:.: bm i Fan. Flow using oane:::nftY,re>€o owa - 11 r�.:;tht�e;:.calctslatio.-me ."o�ls�� ✓r= ❑ Coo i;tE ;` ,stem method.. Size o: rvconEen5er in Tons 5 . 4 fx - nix'- ,,..,.:i;- �/ � ::::.,' >5:� ;: ,.... c. r. -::e .....:=..mom,.. ....,,.: 0 Heatiirlt� system method:�21 �x:.,�><:-_putput CapanC�:�»Ft�ousan�iJhr — '::z> vCFM'..• . � .> ,;' : > ,.:.... .,.... .r....-..... .-..s..:, ro. a 7 vY>' ` -•a ff Us�n-:=RA3.3:-:a .�, ;-,. .:: -. Rr 9.. ...:... .... .. optidii n: 3-: 1 Allowed leakage =Fan Fiow _C<0'15 `_' ` CFM` Actual CFM Pass if Leakage Actual is less than Allowed Pass Fail Option. -2 used then`.::-.::. 2 Allowed leakage = Fahii 16w:x.'0.10 =_CFM Actual Leakage to outsiti'e::=' < CFM Pass if Leakage Actual is less than Allowed Pass El 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% _ 0/b 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 repaired using smoke Pass Fail Reg: 212-A0060396A-M2100001A-M21A Registration Date/Time: 2013_/01/29 17:44:52 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address:' 54700 Avenida Juarez, La Quinta CA 92253 (System Enforcement Agency: Permit Number: i) City of La Quinta 12-1288 • ❑ Outside air (OA) ducts for Central. Fan Integrated (CFI),ventilation systems, shall not be sealed/taped off during:duct'teak.age:tesUng: CFI ducts that utilize controlled motorized dampers, that open only when OA ventilation is'required to meet'A5.t :RAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed posititin: during duct leakage testing. ........ .::' ...:'.. .,�:: ....:.::�::... �:1..: :.:ir: ❑ All supplyd?>retfirn':reglster foots mist;>be sea}ed tD ttfe dry�ualkaisrnoke testas r�tr#izesl fort compliance ,... - applies to duct leakagecomplrace option 3 (leag_.rgdtictlolLbyeJo) end>o�tion.4: {€x.all accessible... '... leaks d.e'scrlbed above:. M`+i�` •'fit:: '�•' :'C:;i� ..�.. - • S. f-+ C:y<• ❑New c#f ct InstalFa ions cannot utlif :=bulidln ;:cavttres..as:ple ums o> pl tforn3 ret�rns�n'k >of:dueta r..,.,. _t ❑ Mastic an et: draw_:bands. :musto Se -;fn co Y�trla orl::w th:;c#oto: backed::rubber-'>adhesive ct: et'tape Eo seal leaks -'at all..riew: duct con nections;:;:>:';::. > ..........:. . DECLA6tATILOW ATENIENT • I certify under penalty of peifju.ry,.uride` `the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater Whop'&forined the verification services identified and reported on this certificate (responsible rater), . The Installed feature, material, corriponent, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residentiai Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of,Compliance (CF-lR) approved by the local enforcement agency. • The information reported"ori 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) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: CSLB License: Richard C Weaver Sr 967982 HERS Provider Data Registry Information Sample Group # (if applicable): 329601 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798703316 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Jack'B LaFontaine Jock B LaForrtaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/28/2013 CC2004051 Reg: 212-A0060396A-M2100001A-M21A Registration Date/Time: 2013/01/29 17:44:52 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page i of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 1 City of La Quinta 112-1288 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification 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 documented for compliance using this form. Attach an additional form(s) 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 Supplv and Return Plenums of Air Handler System Name or Identification/Tag System 1 System Location or Area Served Whole House 1 ❑ Yes5/16 ❑ No.:.`: .:::. inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ❑ Yes ❑ No..::;5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes.to'i..and.2 is a pass. Enter Pass or Faill ✓ ❑ Pass ✓ ❑Fail STMS`d:Sens®r;on:the: Evaporator Coil::> ..........:.: . Sstem .Na :.e;.or:::ddentNcat o .:::::.>:....... ..:: .,.-:.-..>�;•.'- _ - - >.s. �.::..:... eh, or �s faciory_cnstalled or fse d ir�st�Iled. accard}n` :t .::.inan'.iifacturer's . � ':��i.:r 3a'es'o ❑ No ..'..: .. r �?:�-:•+::` ur ; ,..:1 spec/fitatrons, or is t�sill �y rzetlas/speerfca.#ats approvedy the Executive.::;: s.c:. terAF :. ......-...... ..c. , .....�•,. - __.......: � . .... .. .. ,.:l:n 0 Yes k «�f<4�fiesensor X., - a'r..e. is�tert3iinat�d::wt�h� st�`(sd�r..'d:rn�n1 tu�''.su't�b a iot�c hn ct� [�flo<;>.-:;i itatherrriarrreteG.Te sense mitre ptr�s aeessble Eo' Ehe(i�statCEr}g #ecMnican ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the , cfrai�grn:3the:a>r€tow'ah' ough fhe'co:n.derrser coil 5 .' '.,..'.❑ Yes;z` ;... ❑ No When attached to a digital thermometer, the sensor provides an indication of the ✓ ® N/A ✓ (3Pass = ;i saturation temperature of the coil. Yes ta::3 ;4::=aiid:5lsa°pass. Enter NtAsif STMS are not erwise enter::Pass, applicabl' ."Othor aif ✓ [I N/A ✓ ❑Pass ✓ ❑Fail STMS - Sensor on the CondenserlCoil System Name or Identification/Tag I System 1 The sensor is factory installed, or field installed according to manufacturer's 6 E3 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 0 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 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ (3Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail Reg: 212-A0060396A-M2500001A-M25A Registration Date/Time: 2013/01/29 17:48:57 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: . Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 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 documented for compliance using this form. Attach an additional form(s) 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. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure, Space Conditioning Svstems System Name or Identification/Tag System 1 .yam .r,;y,:. (must be re -calibrated monthly) System Location or Area Served Whole House V S 5 ova"orat` a Outdoor Unit Serial # :<::.• . ........:::....'.;.:;.:;. �..........<,, .... ;...^..:::: '., ice::.: v •.;`,. .:;[: :>>::'• �. d testi=be'.:re=caV rated' month! Outdoor Unit Make . Outdoor Unit Model temp eratCixe Nominal Cooling Capacity Btu/hr .".":.'... . Return (evaporator entering) air wet bulb Date of Verification temperature (Treturn, wb) vael NlaLuW11-%Je {J1aM[9WbL1C sa1scaurceen[5 Date::of Refrigerant Gauge Calibration:; ... , . .yam .r,;y,:. (must be re -calibrated monthly) v r. V S 5 ova"orat` a ll.:. Date ofThermocoti �e..Calibration p.._,,.:... :<::.• . ........:::....'.;.:;.:;. �..........<,, .... ;...^..:::: '., ice::.: v •.;`,. .:;[: :>>::'• �. d testi=be'.:re=caV rated' month! . temp eratCixe I•IGa JNI G{i„I:;GIIla1C1 alNQi:J'.l': T;�;-'•_�;,i�::5'.:�+r`,; �r_'.�• System {Uairt:or Identl�Kcqtton/Ta .yam .r,;y,:. v r. V S 5 ova"orat` a ;:a .m temperature: �:::..:..:............ ,..., :,...:.,,.-..,.:.:..':.:..:: Return.(evapoKatzve'.e ring) air dry 5ulb temp eratCixe System {Uairt:or Identl�Kcqtton/Ta V S 5 ova"orat` a ;:a .m temperature: �:::..:..:............ ,..., :,...:.,,.-..,.:.:..':.:..:: Return.(evapoKatzve'.e ring) air dry 5ulb temp eratCixe Return (evaporator entering) air wet bulb temperature (Treturn, wb) Evaporator saturation temperature?::`::' (Tevaporator, sat) " Condensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondensor, db) Reg: 212-A0060396A-M2500001A-M25A Registration Date/Time: 2013/01/29 17:48:57 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 :NSTALLATION CERTIFICATE CF-4R-MECH-2! tefrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5' Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 Minimum Airflow Reauirement 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 Calculate: Actual Temperature Split = Treturn, db -. Tsupply,db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = , Passes if difference is between -40F and +4°F or, upon remeasurement, if between -40F and -100'F Enter Pass or Fail Note: Temperature Split Method. Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures -specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be egtiai. ti i or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated EMiniitivum Airflow Rel.'. ement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) 5 sterri:Nam =az!Id.afication Ta :.:g' f..: rtr..... ._ .. _.....^ ^ ..'Gro NW Calculated.: , tnimum Airflo uir.meYit .a.�.H% n. E`f Sca ....�:;��: � .�;n.:. �. ,. •:3X:5......,. :_. .:. .'..^...... �,Cri%.'.... � ... S 6?'-,<•.C:� �:>'.. y 4. CMeas R33dw u in Yoce �^..::.... _.... ....... _,,,....... .,......,..,:,.;,.., ...�,.,.,::-> ^ ... _ ...... ..:....^.. ..._.-:...-...,........... .. .4.a^ -(,rte.:... a..:,r.........G .:'.i:':": Passe f m65sa�etl...a1xfl6ani.is:. keater.;�ha�l:;o�~:� gal.......: <;::.:.::..... __:<.:;:.::.:,._.<;:::::.;.;•:::��.�;:::. to the.calculateti`irriniriium airflow:redui:r..ement::::.::' :':'• _;•. •.' ' ' "' Eroter;.:Pass or Fail SuperlieatCharge Method Calcdltations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice meteringdevice.systiems System Name or IdentificatiohIT- ::' Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +60F Enter Pass or Fail 0 Reg: 212-A0060396A-M2500001A-M25A Registration Date/Time: 2013/01/29 17:48:57 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quint, 12-1288 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 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F •:•i _ Enter Pass or Fail ...::::. ce: i •SY � ' r' I- 'f 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 Name or Identification/Tag . . Calculate: Actual Superheat.= "....:cz:.;:.. Tsuction - Tevaporator, sat. Enter. allowable superheat range frarki.. manufacturer's specifications (or us :" ge between 3°F and 26°F if manufactuGer.'s :... specification is not.available) ::=:;;::......... S e st m. as es..tf c �i s ..x t .a.t.:su erheat rswathi •:•i _ a owab ea e.�e II I � r at g ...::::. ce: i •SY � ' r' I- 'f nteK.::Pa s.or Faol x...,t ..... .$:. .;:., ...,,::. v;. .. aa S Reg: 212-A0060396A-M2500001A-M25A Registration Date/Time: 2013/01/29 17:48:57 HERS Provider: CalCERTS, Inc - 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 54700 Avenida Juarez, La Quinta CA 92253 City of La Quinta 12-1288 Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 F967992 �•fi`rs ^` 'tij''i System meets all refrigerant charge and airflow ® not-tested/verified dwelling in la e?�$I �1 HERS sample group requirements. HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail Jack B LaFontaine 'S. Date Signed: 1/28/2013 CC2004051 F. . •Fs= s.` C x . - .,. ........... .....:. ........ �... .:. ,,.,. .., ... ".: ._. >.: ......::. ::rte '.;�;;:':.�: DECARpi7%ON STiektEMEIVT ' `:.`.`. • I certify under penalty of -perjury, un,etthe laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater:in!ho performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material; com& ient, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the appifcable requirements In Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) 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 -1R) approved by the enforcement agencv. Builder or Installer information as shown on the Installation Certificate (CF -61111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: ire Richard C Weaver Sr F967992 �•fi`rs ^` 'tij''i a. ® not-tested/verified dwelling in la e?�$I �1 HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798703316 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: S^' Jack B LaFontaine 'S. Date Signed: 1/28/2013 F. . •Fs= s.` C x . - .,. ........... .....:. ........ �... .:. ,,.,. .., ... ".: ._. >.: ......::. ::rte '.;�;;:':.�: DECARpi7%ON STiektEMEIVT ' `:.`.`. • I certify under penalty of -perjury, un,etthe laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater:in!ho performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material; com& ient, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the appifcable requirements In Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) 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 -1R) approved by the enforcement agencv. Builder or Installer information as shown on the Installation Certificate (CF -61111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST AIR CONDITIONING & HEATING INC Responsible Person's Name: License: Richard C Weaver Sr F967992 HERS Provider Data Registry Information Sample Group # (if applicable): 329601 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798703316 HERS Rater Company Name: Energy Management Services Responsible Rater's Name: Responsible Rater's Signature: Sack B LaFontaine Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/28/2013 CC2004051 Reg: 212-A0060396A-M2500001A-M25A Registration Date/Time: 2013/01/29 17:48:57 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010