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11-0464 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000464 Property Address: 78151 CRIMSON CT APN: 604-024-016- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1600 Applicant: W,4,,FC� Architect oir Engineer: Il •t 4 XP. " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of peri t licensed under provisions of Chapter 9 (commencing with - Section 7000) of Division 3 of the u ' es ofessionals Code, and my License is in full force and effect. Licens ss 0-C38 License No.: 826714 CDat Contracto l_ 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).: (_) 1,•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 1, 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 Owner: STEWART LINDA 78151 CRIMSON LA QUINTA, CA (760)343-1002 COURT 92253 Contractor: BEST IN THE WEST 255 N. EL CIELO, PALM SPRINGS, CA (760)343-1002 Lic. No.: 826714 1. 9 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/05/11 ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 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 performanceofthe 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 1932774-2010 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 t subject to the workers' compensation laws of California, and agree that, if I should om subject to the workers' compensation provisions of Section 3`700 of the Labor Co , s ith comply with those provisions. Date ^ / Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under orofollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state tha&ae tion is correct.I agree to comply with all city and county ordinancesand state laws relating ton, and hereby authorize representatives of this county to enter upon the above-mentioned pr purposes. Date��-�l Signature (Applicant or Ag Application Number . . . . 11 -00000464 - Permit . ... MECHANICAL Additional desc . . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/01/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE A/C CONDENSER 13 SEER 2.5 TON HP 2010 CODES. --------------------------------------------------------------7------------- 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF-IR-ALT-HVAC Alterations Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 78151 Crimson Ct La Quinta, CA 92253 City of La Quinta May 5, 2011 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace [I AFUE ❑ COP ❑ R 6 (CZ 10-13) Served by system Setback ❑ Indoor Coil ® SEER 13.0 2 HSPF 7.7 E] R 8 (CZ 1415) 1000 sf If not already present, © Condensing Unit E]EER [j Resistance must be 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 an site fax final insgedtian and a copy given to the homeawner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111 and CF-6R shall also be on site for final inspection. 0 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 CF-4R forms: MECH-21 and (for split systems) MECH-25 .Furnace For Split Systems: Duct.leakage <'15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage"<:.15 percent Exempted from:duct leagage testing. if . Q:1, Duct system was documented to have been previously sealed and confirmed through HERS verification, or :2.-Duct systems with less thar40 linear feet in unconditioned space, or 3: Existin -duct=s Stems are _coristructeii itasulat2:d-or-fsealed.witWa-sb:estos _ .. El2. New:.HdAC �:_... q � sms�::::-" •.:;:-:..x _,�; �. Systemffifl,... ,� ,. •' ::... :,_ .Cut in:or�Chan eouts,-s.,� _ `=:'� - ,,; .> ..:...::::...:....:`: :......:..::.:::::. CF 6R}formsNlCH-04, MECH 2{? HERS, forsplit.systetrs� MECH-,22 HERS, ancY�x ;; with new ducts al lG new ducttng3all MEGH 25 Hl�RS ,�:::: c :.M :�_. Vii; !`'� �•:.,; new-equipm.ent CF-�lRaforms MEG 2b rtd for it ste s MECH 2 ti a S S Z�MECH>2S r� "mak nc'. !; Y:::> .:. .. ..._ism;.:.::�x-.._...._...:...:::._..>_ ._ For Split Systems:: Duct leakage < 5:percenG �'RC; CCA > 350 CFM/tan, FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged,.11nits;:Duct leakag' < -percent ❑ 3::'New`:fluctis`:with`/.or without :-. Required Forms: Replacement . Includes replacing or tnstalling aii ::. new ducting and/or outdoor.:::-.:::i:::`:: ' condensing unit and/or indoor.ebil CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS 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 CF-bR forms: KKi i-ti4, M'Ff_"-214iE1kS than 40 linear feet of duct in CF-411 forms: MECH-21 unconditioned space. ' For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) . I certify that this Certificate of Compliance documentation is accurate and complete. . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. . I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. . The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Wendy Stewart Signature: Wendy Stewart Company: BEST IN THE WEST Date: May 5, 2011 Address: 1188 ADOBE WAY License: 826714 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 322-0202 Reg: 211-A0021851A-00000000-0000 Registration Date/Time: '2011/05/05 12:35:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 N 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 # Project Address: e -7k_,, 44Owner's Name: 2110 P"r 77/zhff&7— A. P. Number: Address: 'F/Sl UJ 90-� Legal Description: Contractor: 7— /L) .5—; �.Sv' 416, City, ST, Zip: 4 ,Q. grq, q zz Telephone: % Address:25YA). -gL Oj— era Project Description: City, ST, Zip: ) /t/ S t sv- > q2 uv Z C�i✓ Telephone:�p 2. 1 b eo P1/0 State Lic. #: City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: t Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo —T—#Units: Sq. Ft.: # Stories: Telephone # of Contact Person: �© 3 3 % o O 2-- / Oa Estimated Value of Project: 16,00- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT 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" 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 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 78151 Crimson Ct, La Quinta CA 92253 (System lj IcNtvofLzquinta 2011-00000271 Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split Furnace Bryant 313IAV060110 3664586 1 0.80 AFUE Attic R-4.2 33.6 48.0 kBtu (package ARI # of 1,3 crawl- Cooling Cooling heat CFC.:Cert ed Mfr: Name::::: Reference Identical (>=CF -IR space, Duct Load Capacity pump) and Model Number:,----:_ i. Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split Bryant 16.0 SEER A/C .;? 1 < ::'1 - :.0 55 Tons ...: ........... .: ....�,..:.. �..............:. Cooling Equipment 1. If project is new construction, set Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number c'n be found by entering the equipment model number at h ttp: //www. aridirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF -1R is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM Pi §110-§113: HVAC equipment is certified by the California Energy Commission. 9 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 2 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 2 §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. ' Reg: 211-A0021851A-M0400001A-0000 Registration Date/Time: 2011/05/17 18:42:03 HERS Provider: CalCBRTS, Inc. 2008 Residential Compliance Forms August 2009 " Effick-ncy &Uct Equip (SEER Location Type and EER) (attic, (package ARI # of 1,3 crawl- Cooling Cooling heat CFC.:Cert ed Mfr: Name::::: Reference Identical (>=CF -IR space, Duct Load Capacity pump) and Model Number:,----:_ i. Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) Split Bryant 16.0 SEER A/C .;? 1 < ::'1 - :.0 55 Tons ...: ........... .: ....�,..:.. �..............:. g. Y. rte. `�0 - .oy'i h 1. If project is new construction, set Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number c'n be found by entering the equipment model number at h ttp: //www. aridirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R form. 4. When CF -1R is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM Pi §110-§113: HVAC equipment is certified by the California Energy Commission. 9 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 2 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 2 §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. ' Reg: 211-A0021851A-M0400001A-0000 Registration Date/Time: 2011/05/17 18:42:03 HERS Provider: CalCBRTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 78151 Crimson Ct, La Quinta CR 92253 (System 1 ) 1 City of La Quinta 2011-00000271 Ducts and Fans §150(m): Duct and Fans M 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. L 7. Exhaust fan systems have back draft or automatic dampers. Rte+ 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers:. M Protection of Insulation:iiisulation shall be protected from damage, including that due to sunlight, moisture, equipment maini' :nance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that'rs: water retardant and provides shielding from solar radiation that can cause degradation of.the Chi 10. Flexible ducts cannot Bove porous inner cores. ._.i':i.. ;yf�:�, °.�`�.h's�:'_ :. .. ... y,... .. ... :.:'x.....:... .. 4. _ ON 1. i. ..._.. .. t•..h ... ... ...- Y __.. ;.. .: `.._ _t .._-:�:�•\:- - - •s . vs.. .3r. .: ...'•2i:.'::: :i. . ' Yom. �..:.:...., :.,.�..-�w... <�'..� �:•:......,. _ ,� .�:. .fit ��-. .� >,�::: �`=' : �. ....: D E C LAIR ATION;;STAT E M E N T . I certifyufir7er{ieriatfy:of:perjury; under -.:the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Divisiori:3 of the E�6sfiiess and Professions Code to accept responsibility for construction, or an authorized representative of the perso'h4esponsi6le:for construction (responsible person). . I certify that the installed features, rlitefials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes'and.`regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I reviewed a copy of the Certificate of Compliance (CF -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 IrtstaBatron Certificate shah 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 Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date Signed: 15/4/2011 Position With Company (Title): 826714 Reg: 211-A0021851A-M0400001A-0000 Registration Date/Time: 2011/05/17 18:42:03 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: Enforcement Agency: Permit Number: 78151 Crimson Ct, La Quinta CA 92253 (System 1) 1 City of La Quinti 2011-00000271 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 boats, air handler, cull, 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 E] 2. Measured leakage to outside less than 100/6 of Fan Flow n 3. Reduce leakage by 600/oand conduct smoke and fix all leaks F1 4. Fix:all-.accessible leaks using smoke and HERS rater verify Note .(One of Options 1, 2 or 3 must ti attempted before utJJi2ing Option 4.) Determine nominal,Fan.Flow using ohe=of the.follou+ging,tlhree`ealculationaeethods, ..........-; J w Coohn 3 stem method: Size o�Feoneikse�'tn Tons x 400 2 CFNi:; >:. - :;-';•-: Kvy: rNl` yL El Heat[n: s st m method 2i7<.uf ut Ca aci ►rt thousads1of`.Bt� `r' : n 7: qy t'.\::'.�:_ ':`�' '-:Jwi ..N `G.vi'� v,. ✓" xy5%.!i ':Wi 0; ..tea x�"-•:`'^."7� r• .if..:::' A'i« ter., ..- :r .;tx .. , n .,, :. :.. '. ;....,:.,:, ..,.2.:-.:.:ham+s"-.'".:' •�<?€<...'�>irk:.:-:..::::<.�.-::;_.;�=';r_.��'.'`.;`>;::_.A;:��...-.� ❑ Measured s stem.airflow=:u5i.n "::RA �3<ahrflow test= nCedures: .tWFM= ::,:._ :.:::: a � �,-,,:.;,F=;;:=;u ss�_... ,> _;;•;:;:.;:.,::;...,:. ... .... ....:: ...w. ..::...: s'?' — G. ..<�%'=�;54:C..^Svc c •:>`L''�:� ,.:q;.2:: x;�K=sem .:R::.v ....:: ... .Y-. •v :_..- :. :.\✓y C:+ - e.._-<fan.A7rtlow=:,,;:2000.��_fc�fS.::I5;–..,..:300->:;��l:M:>:;,•::::.;:`::x:�>.;..:; ice... .: :. .. IAIPIwed:.aeaka. Actual Leakage'='� CFM,- :�>..r::-:::': ; ; -- :::::;:::..::........... Pass if Actual Leakage is less than Allowed leakage Pass Fail Op tiaff.-2:;used;.th'en: Allowed:leakage"='.Fari AirfloWi— x 0.10 = 2 _CFM Actual Leakage to outside =CFM Pass ifi Actual leakage to outside is less Than Allowed leakage Ei Pass Ei 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% _ "/o Reduction Pass if % Reduction > 60% [] Pass n Fail Option 4 used then: 4 N1 accessible leaks stpaimd using smthce test. YUG sa4Wr ny*st VeV*f ("V SamP%irg). Pass if all accessible leaks have been repaired using smoke 0 Pass 0 Fail 0 Reg: 211-A0021851A-M2100001A-0000 Registration Date/Time: 2011/05/17 18:43:18 HERS Provider: Ca10ERTS, Inc. 2008 Residential!Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 78151 Crimson Ct, La Quinta C�4 92253 (System f J lcftyofLaQufnta 2011-00000271 R Outside air (OA) ducts for Ceh-*tn during duct leakage testing. CFI d ventilation -is. required to meet ASt be configured to the closed posif.. 1 9 All supply .and return register 6- - applies tv'Zbb' k leakage compli" leaks) de,sceib:etl above. 0 New d d-C.-Iristallati I Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off k ducts that utilize controlled motorized dampers, that open only when OA RAE Standard 62.2, and close when OA ventilation is not required, may i during duct leakage testing. st�be,;seale�d,ta#he dr}!incalhfsmoke<testis; tilized;'for:;compliance on 3 eaka e recloctaoli�l7y 5'0°l0) `ahc optlom (fix alit"accessible sis G- F . , ilding caSti. fb'M& platful fi t-eturns in;lreu'of ducts �� Fj Mastic arl&drrrtcrst=b e:us�tt: tri �oFrtbfrra�i� va�fr c�vr tsacfcea€ r�ber adhasrtre �ttrct�ta�;e to.s�eafy ;.. :. leaks at all'ne:w'.'d€rct:.connections:�..;_:.:::=�:_<;--:-...,.._,:-.:�:>.<::;.„...,.:....:-:: DECLARATION'STATEMENT . I certify under penalty-of:jierjury; Unde'Kthe laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsftile: for construction (responsible person). . I certify that the installed features; iriaterials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and: regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense- . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that ail Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST Responsible Person's Name: I Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date Signed: Position With Company (Title): 826714 5/4/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? []Yes ❑No Reg: 211-A0021851A-M2100001A-0000 Registration Date/Time: 2011/05/17 18:43:18 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: 78151 Crimson Ct, La Quinta CA 92253 City of La Quinta 2011-00000271 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 (J 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 R, Yes ❑ Noj,and 5/16 inch tbmm) accesshole dvo mVeam of evaporative coilin the supply plenum labeled according to Figure in Section RA3.2.2.2.2. Yes to.l..and 2 is a pass. Enter Pass or Fail -.2 Pass ✓ ❑ Fail STMS:- Sensor.op,the Evaporator coil.:. ------- ...... .... ......_ System ame..... or.<:I de .ati n Ta _�.�: � sem sEnsiir is fectory installed,"or feid rnftalied according to r>iariu..acturer's.... 3 � j Yes ❑ No speEaf}cations, or i� ttyst lted by rr)g� ie¢sl %-ifiicata4�ls;a prove�by( the Exgcutive :My++;u.t. .;9. ....:_%::ti:2:.:: ::�:�' - ''arv4 Y1� ::i,'w"� rte,. �:%.��;c; �iT�j�tl5or w#1"E 1': terta'11nat?Jd-wF���� S1and3rd mtl�[�711IL�:5111t,bIE ff5� COtin2CtL01t tb a 4 Xe�,sND �.'y digiti therr3iort}eter Theensor[ixt pTxts accessible to the irastallii%g techriician ❑ No . :<;;::; ;:::- :; :..,:. .: , <"":r:"?- ':::<=; ;a__n.:d: tt ki:Ef25:.rater::vua hoUh;:cExat� �Yt the altflow;.tFi'r:.ou h the aonden`ser'con ..........: ..... 5 ❑Yes. p...... ❑ No 'die: sensor measures the saturation temperature of the coif within 1.3 degrees F g Yes to. 3r;-4;;arid �:is a:.pass. Enter NIXif STMS are not -7✓ 8 N/A d ❑Pass %0, ❑Fail applical le Otfierwise:enter Pass 6(.',�a'il. ,/ N/A ✓ Pass F✓ []Failapplicable. STMS - Sensor on the CondE nseer: Cod System Name or Identification/Tag I 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 ❑Yes ❑ No IThe 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 7 ,/ N/A ✓ Pass F✓ []Failapplicable. Otherwise enter Pass or Fail Reg: 211-A0021851A-M2500001A-0000 Registration Date/Time: 2011/05/17 18:46:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 78151 Crimson Ct, to Quinta CA 92253 C%kf of to qu I 2011-00000271 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 manufacturers 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 5/1/2011 ¢3 (must be re -calibrated monthly) System Location or Area Served Whole House :. ..2.,:.._ ........ �R�. �.. .. .a -mac ..: _. �� :€}"-.^: �... .aY; �. '.:....::....... 1 r. z_�:::. '.2�:k _ �iaxsti:b>:x ".cal'ilirafed: Outdoor Unit Serial # 4410E12379 ,_5. :2OS1._,r , .r - Outdoor Unit Make Bryant Outdoor Unit Model 116BNA060-A Nominal Cooling Capacity Btu/hr..,..'. 55,000 Date of Verification 5/4/2011 Calibration of Diagnostic Instruments Date bf Refrigerant Gauge Calibratioi::r:;:: as . a: :. 5/1/2011 ¢3 (must be re -calibrated monthly) �c. Date of Th errnacou Ie :calibration -+,Z....� ..✓ter. fir..:;;;:[: , ' <° :. ..2.,:.._ ........ �R�. �.. .. .a -mac ..: _. �� :€}"-.^: �... .aY; �. '.:....::....... 1 r. z_�:::. '.2�:k _ �iaxsti:b>:x ".cal'ilirafed: Su I eva orator eavin: :alr,..d bul-.�--•�. ,_5. :2OS1._,r , .r - .,,monthly) .............. . y^a ti�E :. a .. System N me or Id nttficaU.on �< s as . a: :. :NFw r-•�^y. ¢3 q5'f': .:.. .. ..�:. ....r .�� . ... . » .:..,.. V .. _-�..-... ._.e �^..-.....,. ,v�F....l.. n..... .. -r✓ .r. ":.. .. .moi .... :.: n.. .:.. .. ...x,.., ...>.......... ...J�'. :. ..2.,:.._ ........ �R�. �.. .. .:yr^. 9.,,,Si.�., iY:: '.�'u.,. Su I eva orator eavin: :alr,..d bul-.�--•�. -��>�.• - ....:� tem erature T'::-': .. :-� •.: ,:::.-;.,... Return (evaporator entering) air dry., i ...::.:... tem.peratitr : ) return, :db 78.0 Return (evaporator entering) air wet: -bulb temperature (Treturn, wb)':: 58.0 Evaporator saturation temperaturd; :::'. (Tevaporator, sat) 36.6 Condensor saturation temperature (Tcondensor, sat) 100.8 Suction line temperature (Tsuction) 57.1 Liquid Line Temperature (Tfiquid) 97-6 Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 211-A0021851A-M2500001A-0000 Registration Date/Time: 2011/05/17 18:46:54 HERS Provider: CalCERTS, 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: 78151 Crimson Ct, La Quinta CA 92253 City of La Quints 2011-00000271 Minimum Airflow Requirement Temperature Split ldlethod Calculations for determming Minimum Kunow 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 = Tretum, db - Tsupply, db 25.0 Target Temperature Split from Table RA3.2-3 using 7return, wb and Treturn, db 23.1 Calculate difference: Actual Temperature Split - Target Temperature Split = 1.9 Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -100°F Enter Pass or Fai 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 equA.'M or greater than the Calculated Minimum Airflow Requirement in the table below. Cakulated Minimum Airttaw Regie remerrt (CFA!) = Naminai Coaling Capacity (ton) X 300 (cfm/ton) _.. .... _ S stem:Name:o�.:ideniifFcation a '::�9�+.ti:`::'. N,i%-te" i.:i ..l�e<l:: c:`� Calculated`Miomum Airflo'w:Re•:�iremen:tK-�FM iti�K.•G..y =2'iGr ^/Y _ : `� . <:. e^�K,;?8: `•�rav:....... Al'�G. . _ s3,,:•; �,. ry�..;. Measuredy'Arrf ow.= soh :--.< 3.3.>. :oce re->•- I .u. RA � .r du. s CFM. ~:`y-.:_�w:a. "�K>`:'; ... .. .. ::. .: F. _.. .._:. .. .. ,.... la..-.•s_.everar..--.;.-_.,:::^'�?-Y�,'EJ:� �:a. �. .:.�:.•. =.:z rst:.r :::�e.. � c.•i Passes if measured airflow equal to the calculated minimum airf(iiti`: - requi Entej;Pass or Fai Superheat Charge Method:Calcii.litions for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Taondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fai Reg: 211-A0021851A-M2500001A-0000 Registration Date/Time: 2011/05/17 18:46:54 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 78151 Crimson Ct, La Quinta CA 92253 City of La Quinta 2011-00000271 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 = 9.0 Tcondenser, sat - Tliquid 20.Q Target Subcooling specified by manufacturer 9.2 Calculate difference: -0.2 Actual Subcooling - Target Subcooling = System passes if difference is between -3°F and +3°F PASS .a. 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, sate 20.Q Enter allowable superheat range frofn manufacturer's specifications (or usei;range 4-25 between 4*F and 2SOF if manufactuhger's. specification is not available) System asses-if=actolsu erheat i4githin .a. «ti sp.Erh:eat range __ .� ::.,/SS allowable. '"`�"Zr— =:= a: Reg: 211-A0021851A-M2500001A-0000 Registration Date/Time: 2011/05/17 18:46:54 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: 78151 Crimson Ct, La Quinta CA 92253 City, of La Quirtta 2011-000002711 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 talo cac%aKrex&%j ducicvg system oWatiwx. If mcreUtive. actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 CSLB License: Date Signed: Position With Company (Title): System meets all refrigerant charge and airflow 5/4/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): requirements. PASS Enter Pass or Fail «-ri��' : •xs�tc� cam`+' •a<.�?:.::. y rs :',✓?' . sv",'+y'-_e=:at:'d'.!,2%:�:,:::y\ :::?., og� Ay. � l�yi sd>: { : 0- 0... R . . . 3G .:. u'�' . .. • _.ace.::'. _ y .<.,.. .s.;_.�y.; .. :...".: "•_==5:' '-a;'.: �+S?i4 .,.,':Y.}'�'�i ,u :.:3 `:: .^tG' Jti�...•a, a'--•c,:va Yin. rb xS-.-�' L2-^u`_l"a aYi.. �r,�'. {s: �._'::.. ...... �._..--:G3-ci..._V.' ,...:.::•.::.. s�,.Yy... ....x :: � _ �4+Y.�'.. %��!.�u, A.. '.:vii ..::' ....:.:....: R DECL.ARATi1Df4STATP_ ENT. • I certify'under penalty of'per)ury, under:the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 6fF the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features::materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the insla&tian 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 ITERS sample group will be pertomied at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date Signed: Position With Company (Title): 826714 5/4/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? C] Yes [3 No Reg: 211-A0021851A-M2500001A-0000 Registration Date/Time: 2011/05/17 18:46:54 HERS Provider: CalCERTS, Inc - 2008 Residential Compliance Forms August 2009