08-1685 (MECH)P.O. BOX 1504 ^'
787495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00001685 Owner:
Property Address: 5"5"3-21 TANGLEWOOD MARY KAY DELANEY
APN: 775-152-015- - 55321 TNAGLEWOOD
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (714)33.4-1790
Application valuation: 5663
Contractor:
Applicant: Architect or Engi eer:DESERT AIR CONDITIONING,
Al 590 WILLIAMS ROAD
PALM SPRINGS, CA 92264
(760)323-3383
Lic- No.: 276586'
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/08/08
INC.
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busin s and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C20 -C43 is a o.: 276586 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
J /issued.
Date: / " Contractor: - _ 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
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 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 thathe or she did not build or
improve for the purpose of sale.).
(_ I 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.).
(_ 1 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
insurance carrier and policy number are:
Carrier INS CO OF WEST Policy Number WSD216397401
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 ome subject to the workers' compensation provisions of Section
3�70�0 of the Labor Code, sh I forthwith comp) ith tftse,4rovisions. "
Date: -1J'i/ ]i�/131C�J
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 (5100,000). 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. 1
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 c - truction, and hereby authorize representatives
of this cou y to enter upon the above-mentioned propettl�te ection purposes. ^
Dat - ignature (Applicant or Agent): (//
LQPERMIT
Application Number 08-00001685
Permit MECHANICAL
1
Additional desc .
Permit Fee 33.00
Plan Check Fee..
8.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date ••4/06/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
.1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
---------------------------------------------------
Special Notes and Comments
-------------------------
REMOVE & REPLACE FUNACE, COIL &
CONDENSER LIKE FOR LIKE (3) TON 14
SEER
UNIT.
Fee summary Charged
'Paid Credited
Due
Permit Fee Total 33.00
.00 .00
33.00
Plan Check Total 8.25
.00 .00
8.25
Grand Total 41.25
.00 .00
41.25
r
—.1, vwiy &V, LVVV V, I. r-IVI 1
I 8 p,02
Certificate of Compliance Prescrintiva Mathnr•f . WX/At--P%m1%, el&-.-&*.-- AM AI T
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m CaICERTS 2005
IMPORTANT: This CF-1R=ALT form Is only for use when An WAGConly alteration Is made to An existing home
Use one form for each system being altered. This is system # I of systems altered in this house.
Section 6 - Minlmum Requlrem nts for Equipment to be Installed/Altered.
Instalhd equome tmt match t)paAccetlon and most or exceed sf klomise1R-vahres.
28 COnn euon: m ant C Pedro a unn
25 ❑ Air Handier 0-e nrrnace, Arue: meatptenp lOAu Myttronk MAU Cother `
30 ❑ Meet EKchenger
31 ❑
32 13
attelgorconderning time AA Heal tun tp a �,
Cooling or heath cog C Moat ten M ronlc IEER
33 ❑
Duds ocetlon Un h (A): R value:
All
Compliance MM—Ment: maindato measures apply to any altered component. See MF -1-R-- ALT fomtt.
This ceMfrcate of compllAnee lists the building features and specifrcationa needed to comply with Title 24, Porta lend 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 Ment
Documentation Author
Name;
fn &(q6 eV
Name:
Todd Shaw
Varess:
Companyame:
Desert Air Conditioning
Fress;
66 t �—� C_A a�
lhone:
.
590 Williams Road
-7 i -- 3 9
Ci /State/Zlp:
Palm Springs CA 92262
Phone;.
760.323.3383
Signature:
Signature;
Enforcement Acianc (Full n attnent
Notes/Corments:
Name:
Title!
Deperbnent:
Phone #;
Fax N.
Signature or Stamp:
Requiredforms!
CF.1 R -ALT: by anyone- Required at time of permit application. Copies to home owner, enforcement agency, HERS rater.
CF611-ALT: by Installing contractor. Required to close permit. Copies to hone owner, enforcement agency, HERS rater.
CF -4R -ALT, by HERS rater. Required to dose permit. Coples 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,
version M-10-06
rayv c V1 A
This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com
fII
I
Certificate of Compliance
Ij
1
i
I'
1V
Preer+rir4'ivn 1KA-61k- 1' LJ\ZAP+ --I..
Proje e: `
1 G tfj
Project Address;
Date:
Climate Zone;
® Ca10ERTS 2005
acemenen se
Building Permit
Documentation Author:
Todd Shaw
Telephone:
323.3383
Plan Check Date
Company Name.
Desert Air Conditioning
Field Check Date
IMPORTANT: This CF -1 R -ALT form Is only for use when an HVAC -only alta atlon Is made to an existing home
Use one form for each systern-beina altered. This is system # of systems altered in this house.
Check all lines that Annly rhaek only lines that snnly.
Stype of Alterations:
1 ❑
r Handier Is to be Installed or replaced. Duct sealing to be determined. Continue to nextIlne.
2 r1VTnwo
Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line.
3outdoor
condensing; unit is to be installed or replaced. Duct Sealing and/a TXV(RCA) to be determined. Continue to next fine,
4 2
sco_ihg or heating canis to be installed or r laced, Duct Sealing and'QrTAWRCA)tobedetormined, Continmetonext line,
5 ❑
6 ❑
ale than 40 fed of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined.
❑ Cheek here M the entke, duet sysItern is also to be new or replaced. Continue ton ext line.
If none of lines 1-5 are checked. neither Duct Sealing nal TXV RCA are required. Go to Section 5
Section 1 - DLICt 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 wlconditioned space, No duct sealing is required. Go to Section Z
9 ❑
This system was previously sealed and tested, and was cerKed by a HERS rater.
No duct sealing is required. Attach previous CF -4R form. Go to Section 2.
10 ❑
rhIs ducts stem Is sealed or Insulated with asbestos. No duct sealing Is required. Go to Seetlon 2.
Note: If the entire ducts stem is to Ile new or replaced, Lines 11-14 do not apply.
11 ❑ In Climate Zones 2 •12 and J 8: An 0.92 AFUE furnace will be installed In rieu of duct sealing (andXV applicable).
12 ❑ In Climate Zones 10,13 and 10: An SEEPt 14 AbW H[R 12 condenser will be Installed with TXV(RCA)
D added duct insulation (R-4 wrap on e"ing duds. nem ducts) ih lieu of dud sealing. Go to Section 2.
-R-8
13 ❑ In Climate Zones 0. 10.11. 13.14. or 15: An SEER 14 8M EER 12 condenser will be installed with TXV(RCA)
D a 0.92 AFUE Nmaee will be Inetolied In lieu of duet soling. Go to Seetien 2.
14 ❑ In Climate Zones Z 0. 11. 12.14 or 16: An SEER 14 8M EER 12 condenser will be installed with TXV(RCA)
an 0.82 AFUE furnace will be Installed with Increased duct Insulation In lieu of duct sealing. Go to Section 2.
15 ane of lines 7.14 above are checked. Duct Seaflno Is Required Continue.
Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked. otherwise aot to Section 3
16 ❑ The system beino altered is a pack-acle unit. No TXV RCAI 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 ❑ hle s etn Is In Climate Zone 1 3. 4 3 8 or 7. No TXV RCA Is r ulred. Go to Seetlon 3.
10. ❑ rhissysternialn Climate Zone '18 and Ilne 14 Is net checked. NoTXV(RCA)IsrequIred. Go to Section 3.
20 ❑ cin is in Climate Zone 16 and line 14 is checked ancl not line 16, V is r u)red G9to$ectiQn3.
21 his systen Is In Climate Zone 2 or 8-15 and line 11, 18 or 17 Is not checked. TXV(RCA) Is required. Go to Secdon 3.
Sectio 3-- HERS Rater verification
22 ei it14215 Is chemec. M ERS vertficatlon Is re ' Ired for Duct Sealing,
23
I} line 12, 13, 14.20 or 21 are checked and not line 18 or 17. HERS verification Is required for TXV(RCA).
24 ❑
If line 12, 13 or'14 are checked. HERS verification Is required for 12 EER.
Section 4 - E ui ment Efficiencies
25 If lines 11,12, 13, 14 or 17 are checked• upgraded equipment efficiencies are required List In Section f,
Section 5- Duet R -Values
26 ❑
If morn than 40 4a -t of cfuqtiaboinq installed Qrropl9qw. duot R-valuo moat m KI; or wwaad Pooka sal D r wr onto,
27 ❑ Ilf
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 a e
Version 03 10 08
This form can only be used on projects being verified by CaICERTS certified raters,
i
Page 1 of 2
www.calcerts.com
P.01
�Qm WMIr &.,d, Awv 0;"1,2 rrvt 1 9
II
Int Iltl
s a a on Certificate Prescriptive Method -HVAC-only Alteration CF -6R -ALT
Project Title; Date;
! �J 0 2005 CaICERTS
Project Addre Climate Zone; suawr Psnnit T
I' T _ ? z I �
Gt/1 ,, i 15
�i In Suing Contractor: D
Todd Shaw
Company Name:
{ Desert Air Conditioning
i
IMPORTANT: This CF -6R form is—on ly for use when an
Use one form for each System being altered. This la cyst
Furnace
i Heat Exchanger
I'
Hew Pump fen Coll
i, Mydronlc tan coli
E
other FAu
Describe
Package gasrAC
Package heatpump
A/C Condenser \ oc
N
323.3383
Check Data
Check Date
alters on is made to an existing home
of Systems altered In this horse.
-Provide EER if needed for compliance (line 24 of CF -1 R -ALT), Installer must provide adequate documentation to verify EER.
In some cases the Specific furnace may need to be verified In order to achieve a Specific EER.
In some cases a time delay relay and/or TXV may need to ve verified In order to achieve a specific EER.
t " Loads are sensible for cooling.
Capacities are sensible at design conditions for cooling and adjustedattitude, downflow, etc. ou ut for heating.
XV:
@ If TXV is required by the CF -1 R form (line 23 on CF -IR -ALT form), it has been installed and access has been provided for
visual verification by HERS rater, Sampling is allowed for TXV verification.
Entirely New Duct system: (Line 6 of CF 1R ALT)
❑For Entirely now dud systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct
'I
seallmi by IncreasIllp the efficlen 4 of the equipment Is not an option for entirelx new duct 'tems.
e undersigned, venly that the equipment t e Above -I s, ) me aculai equipment n n thehome: ) equa o or more gMc e
y han required by the Cernncate of Compliance (CF; -1R -ALT Form); and 3) equipment that meets or exceeds the appropriate
requirements for manufactured device lance Efficiency standards), where applicable.
I, the undersigned, verify that diagn is test sults listed on this form were performed in conformance with the requirements for
compliance and that the newly i Iled or r ofitted me apical system components conform with the Mandatory requirements
± ecifie on 15 , f the 005 riding Energy fficiencyStandsrds.
This form can only be used on projects being verified by Ca10ERTS certified raters, www.caieerte.com
JEFF SHAWL
a •� '�-,�• U
UC, SHAW " � P h z� T
YBRYAN
BRSHAW'
> , w u DESERT Y
r t , _ .CONDITIONING.'INCj� . ��,t '•�, SSQ �'
- r 590 WILLIAMS' ROAD— PALM SPRINGSY CA 92264 { - t F 4
a, 4 (760)• 323-3383 FAX (760),323-8983 e 9 a
} TN di"
S
License. N,&:276586 ..
4 Purchas" e! Order .and Conditional Sales Contract
r September 27;2068' '�
..
r�Gp y
Mary Kay Delaney `1
55.-321Tanglewood
La Qumta; CA 92253
-PROPOSED AIR CONDITIONING: AND` HEATING U1VIT`REPLACEMENT
Workto include:' '
• City,permit and -title 14 paperwork (duct testing)
Install new furnace, coil and condensing unit
Seal furnaces
• Installation of new- furnace and coil
Connect new.units to ductwork; gas piping, electrical, and refrigerant lines
• Install new thermostat
• Start units and check operation
Option # 1 variable speed drive two.stage furuace.with a 14"SEER air conditioning unit
1--- York model #. PV8Al2L060 80% AFUE furnace
1 -=-. ADP model # PT3636 evaporative coil
York model'# YCIF36 3 ton 14. SEER -condensing -unit
Installed' price $5,663.00
y: Option .# 2 standard drive single a furnace with;a 14 SEER air conditioning unit
1' - - Y k mo 1 #'T 060Al2 8 /o AFmace a.. V
m el #•PT363 rative coil
u-
-York odel # YCJ .36 3 ton.14 SEER co 'd ens] J." int :. r
' -Installed.price $4,914:00.
One year labor warranty; five year parts warranty from York, .ten year York compressor warranty
and a twenty .year york:heat exchanger warranty.( warranties exclude labor after the first year).
Payment Schedule: payment in full upon completion, financing available ipori request.
Note: The variable speed furnace does not change the efficiency of'the YCJF36
condensing unit: It is 14 SEEA-mith or without.tt ewariable speed motor;The
` variable speed furnace -is also quieter.
- f7
• s riyf'y `k`$ts . �• ,sit 'si�,�` ,. �;,� ,� b'"t: y r � 2 ,.
• - .rr._ ..-...:��....-i.l....i�iliiria�tt.r}:.L........t:...s:.il...-.;.+:•.
B,n #
City of La -Quinta
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
LL LS
Project Address:
Owner's Name: , '
to, Q0
A. P. Number:
Address:
Legal Description:
City, ST, Zip: ta u
Contractor: Des e ( T7n C
Telephone: 7/ - f
10 -MIM -N-1422;
Address: I Si" I / 1`ay S )2j
-Project Description: re ja C
City, ST, Zip:
c n e, O i I Q t1 J -en r
Telephone:7&o
�
I � 4�>— Liu - t .
State Lic. # : %��-
City Lic. #:
) (r ---4c
Arch., Engr., Designer:
Address:
I
City, ST; Zip:
Telephone:
*
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n .'Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories: '
#Units: ,
Telephone # of Contact Person:
Estimated Value of Project:
'APPLICANT: DO NOT WRITE BELOW THIS LINE .
N
Submittal
Req'd
Recd
TRACKING .
PERMITTEES ,
Plan Sets
4
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
7±�
iu
Flood plain plan
'
Plans resubmitted
Mechanical.
Grading plan
2 k Rcview, ready for corrections/issue
Electrical
:
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.OlA. Approval
Plans kres ubmitted
Grading
IN HOUSE:-
j
'^' Re ew,', ready for corrections/issue
M
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub! Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
f
antic„
17 08 10:41a Air Solutions
Measured
Values
p.4
1
C;a1C:LRTS
ragr V1 lY
1200
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8)
CF -4111
55-321 Tanglewood - La Quinta, CA 92253
Desert Air Conditioning / 276586
N/A
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
Project Address
Contractor Name / License No.
Desert Air Conditioning
760.323.3383 08-1685
5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
Contractor Contact
Telephone Permit Number
for Duct System Alteration and/or Equipment Change -Out.
Walter Nellis ic.
760-275-4919 114171
HERS Rater i"
Telephone Sample Group Number
7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable)
December 8, 2008 CC14-1798454748
8 1 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line S / Line 2 )]:
Certifying Signature
Date CerN/kate Number
Equipment Change -Out, use one of the following four Test or Verification
Firm: Air Solutions of the Desert
HERS Provider:CalCERTS, Inc.
9
Street Address: 41-800 Washington St 0-105.229 City/State/Zip: Bermuda Dunes /
CA / 92203
Conies 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 R Tested ❑Approved as part of sample testing, but was not tested.
As the HERS rater providing diagnostic testing and field verification, I certlfy 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.
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.
71A._1'JTM11M RFnt]TREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT:
NEW CONSTRUCTION
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
N/A
2 Fan Flow: Calculated (Nominal'.'.. Cooling'••_) Heating) or'-.•_-: Measured
1200
Enter Total Fan Flow in CFM:
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.
5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
92
for Duct System Alteration and/or Equipment Change -Out.
6 Enter Reduction in Leakage for Altered Duct System
[Line 4 - Line 5] - (Only if Applicable)
7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable)
8 1 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line S / Line 2 )]:
❑ Pass ❑ Fail
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 )]:
7.67%
0 Pass ❑ Fail
10
Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]:
❑ Pass ❑ Fall
11
Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )]
❑Pass Fall
and Verification by Smoke Test and Visual Inspection
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One of Lines #9 through #12 pass
0 Pass ❑ Fall
https://www.calcerts.r-om/certificate_print.cfm?lots=0,114169,114166,114167,114170,11... 12/17/2008
D .c:;S17 08 10:41a Air Solutions p.5
( al{jrK1J ragc t vJL I,
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R
55-321 Tanglewood - La Quinta, CA 92253 Desert Air Conditioning / 276586
Project Address Contractor Name/ License No.
Desert 'Air Conditioning 760.323.3383 08-1685
Contractor Contact Telephone Permit Number
Walter Nellis �' 760-275-4919 114171
HERS Rater - Telephone Sample Group Number
December 8, 2008 CC14-1798454748
Certifying signature Date Certificate Number
Firm: Air Solutions of the Desert HERS Provider:Ca10ERTS� Inc.
Street Address: 41-800 Washington St B-105.229 City/State/ZIp:Bermuda Dunes / CA / 92203
Copies to: Homeowner, HERS Provider and Building Department
This CF -4R has been registered with the CalCERTS@ registry in accordance with the Title 24 & Title 20 of the CCR.
CalCERTS@ is an approved HERS provider by the California Energy Commission.
HERS RATER COMPLIANCE STATEMENT
The house was R Tested DApproved 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
dAP nostic tested compliance requirements as checked on this form.
b!]THERMOSTATIC 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 Fail
https://www.calcerts.coni/certificate_print.cfm?lots=0,114169;114166,114167,114170,11... 12/17/2008
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