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07-1849 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tittil 4 4 Q" Application Number: 07-00001849 t Property Address: 54460 TANGLEWOOD . APN: 775-051-048-' - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17800 Applicant: Architect or Engineer: .BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:, BILL GOW 54-460 TANGLEWOOD LA QUINTA, CA. 92253 (760)771-0561 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/25/07 Contractor: PALM DESERT AIR CONDIPf��JUN 42081 BEACON HILL PALM DESERT, CA 92211' ` (760),346-0677. 2 5 2007 _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of.Chapter 9 (commencing with, i ' Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 .Li enseNo.: 374937 1 �/ t Date: ' �s-�% Contractor• 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 (5500).: ' 1 _.I 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 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 Lic. No,.: 374937 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 issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for tho poi1ar66.566 ar Lhu w I, ru, rvliiul, illi pe -di is lasued. rely vvuikeia' wuipeneadun. insurance carrier and policy number are: - Carrier STATE FUND Policy Number 1795546-2007 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 wo kers' compensation provisions of Section 3700 of. the Labor Code, I shagf rthwithcomply th 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 Quints, 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 isnot 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 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 ction purposes. Date:b.� Signature (Applicant or Agent); � /. G v Application Number 07. -00001849 - Permit MECHANICAL Additional desc . Permit Fee . . . . 55.50 Plan Check Fee 13.88 Issue Date . . Valuation 0 . Expiration Date 12/22/07 Qty" Unit Charge Per Extension BASE FEE 15.00 2-00 9.0000 EA MECH FURNACE <=100K 18.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT- 4.50 ' 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 -- - - - - - -- - - Special Notes and Comments REPLACE (2) HVHC SYSTEMS., Fee summary, Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total, 55.50 00 .00 55.50 Plan Check Total 13.88 .00 .00 13.88 Grand Total 69.38 00 00 69:38 I- � Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Pro' t Title: Date: © CaICERTS 2005 Enforcement Age -577 se on r01e ` ddr ss: / /7l Cllmat�� Building Permit # Doc tation thor: Telephon (,d f '77/• 656/ Plan Check Date o n Jame- � � � L n Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use whkD4n HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that apply. Check only linea that apply. Scope of Alterations: 1 0�0 n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 BO A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3!t'P An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 44F 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 fflt @ duct system is also to be new or replaced. Continue to next line. 6 ❑ If 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. Not 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 fumace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AM EER 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 AMU 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 AN11 EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 1ir None 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 being 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 s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 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. Se,Aion 3 - HERS Rater verification 22If line 15 is checked, HERS verification Is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 2W ❑ If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment 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 r If more than 40 feet of duct is beinginstalled or replaced, duct R -value must meet or exceed Package D requirements. 27 4 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 ' e: • 'IMPORTANT: Date: / � � O � , ©CaICERTS 2005 This CF -1R -ALT form is only for use when an HVAC my alt ation is made to an existing home Use one form for each system beingaltered. This is system # of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match tyWl cation and meet or exceed efriGencles/R-vaws. 28 ConfigurationSplit system O Package Unit 29 ❑ Air Handler as furnace, AFUE: OHeaipump FAU OHydronic FAU. OOther 30 %? Heat Exchanger 31 iGP Outdoor Condensing Unit C OHeatpump kfficiency SEER/HSPF: EER d d : 3�D Cool' or heat' coil C OHeat um OH tunic 3 ❑ Duds oast on: Length (R): R -value: All mandatory measures apply to any 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 Agent Documentation Author Name: Name: Address: Company Name: PALM DESERT AIR CONDITIONING COMPANY City/State/Zip: _ Address: PALM DESERT, CA 92211di1O7 (760) 346 -OW Phone: City/State/Zip: Phone: Signature: Signature: Enforcement Agency (Building Department) Notes/Com ent : Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CFAR-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 sam le group shall not be released until all testing and verification is completed and pass ed for the entire group. vc1swn vo-nu-vo This form can only be used on projects being verified by CaICERTS certified raters. Page 2 of 2 www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Pro' t Title: Date: n / ,0 '2 © CaICERTS 2005 Enforcement Agency se Only ,r(ojec ddr ss: C� r' `� Climate Zone: /L,5-- Building Permit # Doc ta#+on thor: Telephon '. gyp% 77/. 5.61 Plan Check Date Pm n ae: n� Field Check Date IMPORTANT: This CF -1R -ALT form is only for use whqa4n HVAC -only alt ration is made to an existing home Use one form for each system being altered. This is system # of 02systems 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�5 A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3l1 n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4/b:' 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 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin(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 -411 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 AUQ EER 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 AM 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 ANQ 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 None 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 being altered is a packaae 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 This system is in Climate Zone 2 or B-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go to Section 3. Se tion 3 - HERS Rater verification 22 If line 15 is checked, HERS verification Is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 2 O If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26If more than 40 feet of duct is being installed 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 I Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT ProjectRe: 2 O � D;1d ©CaICERTS 2005 IMPORTANT: This CF -IR -ALT form is only for use when an HVA -only allAration is made to an existing home Use one form for each system being altered. This is system # 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 efriciencies/R-values. 2$ Configuratan,�? Split system ❑Package Unil 29 11 A's Handler as furnace, AFUE:;PC ❑Heatpump FAU ❑Hydropic FAU ❑Other 30 %P Heat Exchanger 31 tCP Outdoor Condensim Unit C ❑Heatpump kfriclency SEER/HSPF: EER if re d : 3 Cooli or heatirg coil , [31-leatpump OHydronic 3b ❑ Duds ILocatbn: Length (ft): R -value: All mandatory measures apply to any 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 Agent Documentation Authiar Name: Name: Address: Company Name: PALM DESERT AIR CONDITIONING COMPANY City/State/Zip: Address: 42091 tit -AWN HILL PALM DESERT, CA 922115107 (760) 346.0677 Phone: City/State/Zip: Phone: Signature: Signature: Enforcement Agency (Building Department) Notes/Com ent : 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. Vulwull VJ-IV-Vo This form can only be used on projects being verified by CaICERTS certified raters. Page 2 of 2 www.calcerts.com Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��9 Project Address: ��p0 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip PALM DESERT AIR CONDITIONING coMPWR77. Contractor: 42081 BEACON HILL Tele hone: ) �% • D� P }:.}}}}::<::.:<•r;:•:;,•.>};>r;.:;>:<,:;«.;>, . s;:` >€ >::r<:<<: z'•.:: PALM CA Address: - 60 DESERT,48.0877 Project Description: r,2 City, ST, Zip: Telephone: R. State Lic. # : City Lic. #, Arch., Engr., Designer: N Address: City., ST, Zip: Telephone: '>>'<':.%:::.<.<: '• <>>< r::::g:s:ruvzr;<;. State Lic. #: Name of Contact Person: Construction Type: Project type (circle one): New Add' Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of ProjectW - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2w° 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 CaICERTS - Certificate w . I r agc i v . - CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 54460 Tanglewood - Living Room unit - La Quinta, CA 92253 Palm Desert A/C - Heating 1374937 Project Address Contractor Name / License No. 07-1849 Contractor Cont Telephone Permit Number Paul Van Vly en—A/ 760-777-1724 72349 HERS RaterTelephone Sample Group Number 4y-� ]uly 27, 2007 CC14-1798412937 Certifying Signatu Date Certificate Number Firm: r Experts Air Conditioning HERS Provider:Ca10ERTS, Inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner HERS Provider and Building Department *s CF -4R has been registered with the CaICERTSO registry in accordance with the Title 24 &Title 20 of the CCR. is an 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 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 CF4R 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 -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 dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Measured Duct Pressurization Test Results (CFM @ 25 Pa) Values N/A 1 Fan Flow: Calculated (Nominal '.. Cooling . . ' Heating) or'._: Measured Not Tested 2 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 Duct System Prior to Not Tested 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Row in CFM: final Test of New Duct System or Altered Duct System Not Tested 5 for Duct System Alteration and/or Equipment Change -Out. Enter Reduction in Leakage for Altered Duct 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 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 the following four Test or Verification Equipment Change -Out, use one of Standards for compliance: ff--; ;I 0 Fail Not Tested 9 Pass if Leakage Percentage <= 15% [ 100 x (Line 5 / Line Z )]: u Pass El Ell Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x Line 7 /Line 2 ()]: Not Tested Pass Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] Not Tested U Pass E]Fail 11 and Verification by Smoke Test and Visual Inspection El Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑Fail Pass if One of Lines #9 through #12 pass {—� Pass 8/6/2007 https://www.calcerts.com/cerfificate_pfint.cfm?lots=0,72348,723 51,723 57,723 55,72347,72... i T .CaiCERTS - Certificate • R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -411 54460 Tanglewood - Living Room Unit - La Quinta, CA 92253 palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. 07-1849 Contractor Conta Telephone Permit Number Paul Van V m n 760-777-1724 72349 Telephone sample Group Number HERS Rater ' July 27, 2007 CC14-1798412937 Certifying signat Date Certificate Number Firm: Air Experts Air Conditioning HERS Provider.CaICERTS inc. Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner HERS Provider and Buildin De rtment This CF -411 has been registered with the CaICERTSO 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 GTested R Approved a8 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 dia nostic tested compliance requirements as checked on this form. The installer has provided a copy of the CF -6R (Installation Certificate).,, 1�. 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 L Fail r 8/6/2007 https://www.calcerts.com/certificate_print.cfm?l ots=0,72348,723 51,723 57,723 5 5,72347, 72... t -1 Ca10ERTS - Certificate L "E,%' J Vl L -i CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 54460 Tanglewood - Bedroom Unit - La Quinta, CA 92253 Palm Desert A/C - Heating 1374937 Project Address Contractor Name / License Ab. 07-1849 Contractor tact Telephone Permit Number Paul VaTlli 760-777-1724 72349 HERS Ra Telephone Samplle Group Number 3utY 27, 2007 CC14-1798412939 Certifying atura Date CerWkate Number Firm: Air Egmrts Air Conditioning HERS Provider:CaICERTS, Inc. Street Address: PO Banc 94 Gty/StatejZp:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registeredwith the CaICE:RTSO registry in accordance with the Title 24 & rate 20 of the CCR. CaICERTSO is an approved HERS provider by the Califomia Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was Ml Tested i__!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 -4R may be released on every tested building. The 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. VL , The installer has provided a copy of the CF -6R (Installation Certificate). v� New Distribution system is fully ducted (i.e., does not use building cavities as plenums cr platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed; mastic and drawbands are csed in corrt;ination with cloth backed, rubber adhesive duct tape to seat leaks atduct connections. V,MyN%vUM REQUIREMENTS FOR DUCT LF-AKp.GE REVUCTi0Np �y NEW CONISTRUCTiON 1•ttti,e �?x;.x„x: r.alnPrtc c;-lm!certifieate i i•leas� •e^ l � Duci Pressur:zador. : e.a fcE5al2-. �t;`•'-7 <�-+ : � ' a3 i = `(Nominal - Fan Flow: Calculated.. Cociing Heating) :.r i•leasured 120o Enter Total Fan Flow in Cr"T" .: 11 1A ��,�-_ �..,� �, ,ice wrs�Inr RVAC equipment Change -Out f AL S ERA iii IN S7• 3J iia a.s J�3i F � _ . _. Enter Tested Leakage Flow in CFM from CF iiR: pr -Tui c-11E:<i�..�r ' �',,.=._... Dri^r to _ r__ t uct--ystem H!Lt'l diiVra Cr!v(v i �Enter'T ted Leakages Flow in Ci M: Final TriSi of - `te,., r:?!`_e. o i f)p.rt System i0f U3Ct s,siCt YiiCrGiiDia n :A!- ` • r-��.�SP_rltrt- ___1__ 1Enter Redudion in Leakage for Altered Duct SYs:e- 6 `r Applicable)- 51 ry Linc_ 4 - Line ;!" jErter Tested Leakage Flow in CFM to outside (oc!!y If Appiica : e, •:- pact cystem -pass if Leakage Percentage x ( Line 5 ; LITP Z tSJ rass itJLia 9t _ _ _ —_ -.. — _ a ia..�_M rAeah �-m �. CF•®R6 and!Cir HVAC - AC i ___-::-:: _ _ f Yv • 21'P:. —2— A— _:.' G _.6✓4 f'^.�lGa + l •r nc4 i;fr if ®rFt�f_!7PYlfll� -_ Fd 1 l3 i. �L: _:i 3�-i u. -°w.•°:.: i.r :.-..-:-?`� - _ US= .,-.'v va+ ...: _ ."9ia9is Ci C::.::: 2.2 a.._iar yTi �.:.—• _ _ .. - .. _. �` spas>:f Lealcage Percentage <= iSiio 100 xi a,.- L. - ...._:_- "--- , nn ., r ! :..� r t it Z 11: IO 1pass if Leakage to OAside r�..z;;ta; ._ :.^.^_ _.: ._ ,. ;-:, . _..e — � Pass 'Fail j� __.. :r=: `arc := b�:,i� iij rJ .. _':oc v i -rie 4 I1 1ra5S if Leakage Y.:. �LC.._.`. . _. ra.�._ i Y855 .. .. .li Verification vW ;p�c..�. lardVer. S.:moke Test and i= ;n _ tlo --- — -.� ,. 1, 3 V r4i-1by smoke es[ aftU Visual iZ 1Pass if Sealing of ail Accessible Leaks and = i. i.-tien Class if One of Limes #9 iiiriaugh #12 Fz ss� 6 ro " �uSS Fzii 1)rint.cfm?lots=0.72348,72351:72357,72355,72347,72... 8/6/2007 Ca1CFRTS - Certificate ate CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIIC TESTING (Page 3-4 of 8) CF -4R 54460 Tanglewood - Bedroom Unit - La Ouinta, CA 92253 Palm Desert A/C - Heating 1374937 Project Address Contractor Name / License No. 07-1849 tContractor C act Telephone Permit Number aulVa VI men 760-777-1724 72349 HERS Rate Telephone Sample Group Number �i Ady 27, 2007 CC14-1798412939 Certifying Sign re Date . Certificate Number , Firm: Air Experts Air Conditioning HERS Provider:CalCERTS, Inc. 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 CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. Ca ICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was L Tested LApproved 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. idl The installer has provided a copy of the CF -611 (Installation Certificate). _ HERMOSTATIC EXPANSION VALVE : Access is provided for inspection. The procedure shall consist of visual verification that the T)(V is Installed on the system and installation of the specific equipment shall be verified. HVAC System TXV _ R Pass ❑ Fail 8/6/2007 https://www.calcerts.com/certificate_print.cfm?lots=0,72348, 723 51,723 5.7,723 5 5,72347,72...