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06-2232 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �4 Application Number: ` 06-00002232 Property Address: 50970 NECTAREO APN: 772 -010 -008 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15033 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------------- --------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with .Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Licens/eClass: C20 �(��License�No.: 374937 Date:4-1-� Contractor.., - WtX.�L�J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 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 i 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.). (_) 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: - LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/01/06 Owner: SHARON PALMER 50970 NECTAREO LA QUINTA, CA 92253 n D a JUN 12006 Contractor: V PALM DESERT AIR CONDITIONI G CFNOF 42081 BEACON HILL QIIINTA PALM DESERT, CA 92211 , (760)346-0677 Lic. No.: 374937 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1795546-2006 I certify that, in the performance of the work for which this permit is issued, I shall not employ any ,person in any manner so as to become subject to the workers' compensation laws of California, • and agree that, if I should become subject to the workers' compensation provisions of Section ( ' 3700 of the Labor Code, I shall forthwith comply with those provisions. ._.Dater+ \—L4 / Applicant: WARNING: FAILURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. . 1. Each person upon whose behalf this application is made, each person at whose'request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend', indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application end state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspe ti p oses. Date: � — 1_O Signature (Applicant or Agent): Application Number . . . . . 06-00002232 Permit MECHANICAL Additional desc . Permit Fee . . . . 51.00 Plan Check Fee 12.75 Issue Date' Valuation . . . . 0 Expiration Date 11/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH APPL REP/ALT/ADD .18.00 - ---------------------------------------------- Special Notes and Comments REPLACE 5.0 TON AND 2.0 TON (BOTH UNITS 14 SEER)• SYSTEMS. Fee summary Charged Paid Credited Due Permit Fee Total 51.00 .00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 Grand Total 63.75 .00 .00 63.75 LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project T04/ ate: © CaICERTS 2005 Enforcement Agency Use nl PrdJect Address: JZ� . y Climate Zone: 3J Building Permit a Documentation Aut r: Telephone: 7(O7,7 Plan Check Date Comp y me: _ Field Check Date IMPORTANT: This CF -IR -ALT f is only for use when an HVAC -only al ration is made to an existing home Use one form for each s stem been altered. This is s stem # / of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ® A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 2 A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ lif none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AbQEER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Aye EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 At2 EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 JR INone of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system beino altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 t This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Secti 3 - HERS Rater verification 22 If line 15 is checked, HERS verification Is required for Duct Sealing. 23 '1!�- Ilf line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ Ilf line 12,13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ Ilf lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 If more than 40 feet of duct is beinginstalled or replaced, duct R -value must meet or exceed Package D requirements. 27 If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF=1 R -ALT Project Title: Date: ©CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only al ration is made to an existing home Use one form for each system being altered. This is system #--Z of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efficencies/R-values. 28 Configuration: Wplit system ❑ Package Unit 29 ❑ Air Handler as furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 fid; Heat Exchan er 31 F Outdoor Condensiry Unit W7C ❑Heatpump fficien SEER/HSPF: JEER if re d : 32 Cooling or heating coil C ❑Heat um ❑H dronic 33 ❑ Ducts Location: Length (ft):JR-value: All mandatory measures apply to anv altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized A ent Documentation Author e: kAddr Nam ss: Compan a City/State/Zip: Address: Phone: City/Sta ip: Phone: Signature: Signdt 2 Enforcement Agency Buildin Department) Notes/Co ents: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. %ie... ;..., nq 4n nc 'w" " "� Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com .Z Bin # Qty of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application an Tracking She Permit # Z Project Address: -9 2 Owner's Name: A. P. Number: Address:,O9 Legal Description: City, ST, Zip Contractor :G<:. Tele hone• <�:�:�.<�:ri:A€;:�:;•»::;,v ..;::�:. Address: O Project Description: J i0 City, ST, Zip: � State Lic. # : City Lic. #; Arch., Engr., Designer: oeAr Address: City, ST, Zip: Telephone: :.w�J;.'•<.i:;:(;.;;:::;.::;.i:;:i;:: R:::w•':i'.r State Lic. #: r {'•:•. ' %::r<:«r;;>:>:;<:g#:>s:> Name of Contact Person: / Construction Type: Occupancy: yP Project type circle one New Add'nC to Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Perso >3y e 7 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Ca10ERTS - Certificate rage i oz 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 811 CF -4R 50970 Nectareo - La 4uinta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 06-00002232 Contractor Coma Telephone Permit Number Paul Van VI= 60-777-1724 36323 HERS RaterTelephone Sample Group Number June 7 2006 CC14-1798376901 cerMing Signat6re Date Certificate Number Firm: Air Experts Air Conditioning HERS ProvIder:Ca10ERT$ Street Address: PO Box 94 City/State/Zip:La Qulnta / CA / 92247 Copies to: Homeowner HERS Provider and Building Department This CF -411 has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS® is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -61% (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed rubber adhesive dud tape to seal leaks at dud connections. ....r..,.. nnunl fsMf C rarnTT! MMINIMUM REQUIREMENTS FOR uua.r LCNnrw� .«.��.�•-�•- � -- — --- NEW CONSTRUCTION Measured Duct Pressurization Test Results (CFM C@ 25 Pa) Values N/A 1 2 Fan Flow: Calculated (Nominal '-,% Cooling '�-% Heating) or,.-,, Measured Not Tested Enter Total Fan Flow In CFM: N/A N/A 3 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Dud Not Tested 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Dud System for Not Tested 5 Dud System Alteration and/or Equipment Change -Out Enter Reduction in Leakage for Altered Dud System Not Tested 6 [Line 4 - Line 5] - (Only If Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Not Tested 8 Entire New Duct System - Pass if Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC TEST Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: El Fall 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )J: Not Tested Pass 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑Pass EJ Fall Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ Pass ❑ Fall 11 and Verification by Smoke Test and Visual Inspection ❑ ❑ Fail 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass Pass if One of Lines #9 through #12 pass 12 Pass ❑ Fail Ca10ERTS - Certificate Page 8 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 82 CF -4R 50970 Nectareo - La QuInta, CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name /.License No. 06-00002232 Contractor Contact Telephone Permit Number i Paul Van Vlymen760-777-1724 36323 HERS Rater Telephone Sample Group Number June 7 2006 CC14-1798376901 4�_jCertUying Signature( Date Certificate Number Firm; Air Experts Air Conditioning HERS Provider:Ca10ERTS Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaiCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identifled on this form compiles with the di a nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -611 Installation Certificate). Lv-ITHERMOSTATIC EXPANSION VALVE TXV : Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. HVAC System TXV 0 Pass ❑ Fail CaICERTS - Certificate rage _-) of 14 CERTIFICATE OF FIELD VERIFICATION alk DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 50970 Nectareo - La Quinta, CA 92253 Palm Desert A/C - Heating / 374937 Project AddreSS Contractor Name j Ucense No. 06-00002232 Contractor CDntacr V Telephone Permit Number Paul Van VI me 760-777-1724 36323 HERS Rater Telephone Sample Group Number June 7 2006 CC14-1798376900 Certifying Signatu Orate Certlticate Number Firm: Air Experts Air Conditioning HERS Provider:CalCERTS Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this forth complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape Is used before a CF -411 may be released on every tested building. Thb HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. u r.■ Cin nnnr A CA If At%_C ocno irT'TnM rnU01 TANCF rapnTT! NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal Q -e Cooling Heating) or(" Measured Enter Total Fan Flow in CFM: Not Tested 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. Not Tested 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. Not Tested 6 Enter Reduction in Leakage for Altered Duct System (Une 4 - Line 5] - (Only If Applicable) Not Tested 7 Enter Tested Leakage Flow In CFM to Outside (Only If Applicable) Not Tested 8 Entire New Duct System - Pass If Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 fl: Not Tested —1 Pass EJ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )J: Not Tested Q Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested ❑ pass ❑ Fall li Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection Not Tested El Pass El Fall 12 Pass If Seating of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines #9 through #12 pass 0 Pass ❑Fall Ca10ERTS - Certificate Page 6 of 14 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R 50970 Nectareo - uinta CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contractor Name IjJcense No. - 06-00002232 Contractor CO ct 'Telephone Permit Number Paul Van Myten 760-777-1724 36323 HERS Rater Telephone Sample Group Number June 7 2006 CC14-1798376900 Certifying Sig tutV Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider:CalCERTS Street Address: PO Box 94 City/State/Zip:La Quanta / CA / 92247 Copies to: Homeowner HERS Provider and Buliding Department This CF -411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS0 is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the di a nostic tested compliance requirements as checked on this form. , The installer has provided a copy of the CF -6R Installation Certificate). HERMOSTATIC EXPANSION VALVE (TXV): Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be Verified. HVAC System TXV Pass ❑ Fall Ca10ERTS - Certificate rage .s or i,+ CERTIFICATE OF FIELD VERIFICATION aL DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 50970 Nectareo - La Uinta CA 92253 Palm Desert A/C - Heating / 374937 Project Address Contactor Name / License No. 06-00002232 Contractor Con Telephone Permit Number Paul Van VI en 60-777-1724 36323 �HERSIR!ter Telephone Sample Group Number June 7,2006 CC14-1798376898 fying Sig Date Certificate Number HERS Provider:Ca10ERTS Firm: Air Experts Air Conditioning City/State/Zip:la Qutnta / CA / 92247 Street Address: PO Box 94 Copies to: Homeowner HERS Provider and Building Department This CF -411 has been registered with the CaICERTs@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested © Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape Is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections. -ncv%Tr. MMINIMUM RE UIREMENT5 Fors UUL,I LCArwVC NEW CONSTRUCTION Measured Duct Pressurization Test Results (CFM @ 25 Pa) Values N/A 1 2 Fan Flow: Calculated (Nominal '+'% Cooling ' _ ' Heating) or'••: ; Measured Not Tested Enter Total Fan Flow in CFM: N/A N/A 3 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -611: Pre -Test of Existing Duct System Prior to Duct Not Tested 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Not Tested 5 Dud System Alteration and/or Equipment Change -Out. Enter Reduction In Leakage for Altered Dud System Not Tested 6 [Une 4 - Line 5] - (Only If Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) Not Tested 8 Entire New Dud System- Pass if Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 )]: Not Tested ❑ Pass ❑ Fail STANDARDS: For Altered Duct System and/or HVAC TEST OR VERIFICATION Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: El Fall 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: Not Tested Pass 10 Pass If Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Not Tested Pass El Fall Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection ❑ El Fall 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass Pass if One of Lines #9 through #12 pass m Pass 0 Fall Ca10ERTS - Certificate rage 4 of v+ i CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING (Page 3-4 of 81 CF -41K , Firm: Air Experts Air Conditioning Street Address: PO Box 94 Palm Desert A/C - Heating / 374937 Contractor Name / Ucense No. 06-00002232 permit Number 36323 Sample Group Number CC14-1798376898 Certificate Number HERS Provider:Ca10ERTS City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner HERS Provider and Building Department This CF -411 has been registered with the CalCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS® is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT - - The house was ❑ Tested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the di a nostic tested compliance requirements as checked on this form. The installer hasp a copy of the CF -6R (Installation Certificate). Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified. r Pass ❑ Fall HVAC System PALM DESERT t AIR CONDITIONING & HEATING CO. Lie. #374937 Service ChZkMPVQns of the Oesert 42-081 Beacon Hill • Palm Desert, California 92211 • Office: 760.346.0677 • Fax: 760.346.5200 . Website: www. Palm DesertAC.Com • Email: Info@PalmDesertAC.Com Dear Homeowner: IMPORTANT INFORMATION: Enclosed are two copies of your Duct Leakage Results Certificate. Please keep one of the copies for your records and the original copy will go to the city inspector. You will need to call the city to make arrangements for them to come out to your home to perform the final inspection. We appreciate your business. Sincerely, Palm Desert Air Conditioning and Heating Company