12-0337 (SFD)4 P.O. BOX 1504 f VOICE (760) 777-7012
78-495 CALLE TAMPICO f FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
k BUILDING PERMIT
} Date: 7/19/12
Application Number: 12-00000337 Owner:
Property Address: 53728 VIA BELLAGIO COASTAL REAL ESTATE
APN: 772-510-060- - - C/O ROB CAPETZ
Application description: DWELLING - SINGLE FAMILY DETACHED PO" BOX 1144
Property Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253 A 1
Application valuation: 395980 D - 1'
Contractor: 3{p 2 3 2��2
Applicant: Architect or Engineer: SUN VISTA DEVELOPMENT COR a41�
P.O. BOX 1144 -
(7 QUINTA, 22 92247 C1FINANCEDEPT.A -
(760) 771-4722 FIW4NCEOEPT.
Lic. No.: 744091
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseV10
Class:
13 1 License No.: 744091
14*11 Date:I 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 ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation,'will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ )� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
--—————————————————————————————————————————————
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0000179-2011
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
�S2sL�37700 of the LabooCode/I�1 fo with 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 or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 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 thiscountyto enter upon the above-mentioned prope for in pection purposes.
Date:/ �Z Signature (Applicant or Agent):
Application Number . . . 12-00000337
------ Structure Informat"ion 4,474SF DWELLING/VB/RES-3/CLASS-A/13D -----
` Other struct info . .
. . . CODE EDITION
2010
# BEDROOMS
3.00
FIRE SPRINKLERS
13D
GARAGE SQ FTG
824.00
PATIO SQ FTG
701.00
NUMBER OF UNITS
1.00
-----------------------------------------
1ST FLOOR SQUARE FOOTAGE.
-----------------------------------
4474.00
Permit . . .
BUILDING PERMIT
Additional desc..
Permit Fee . .
1675.50 Plan Check Fee
1089.08
Issue Date . . .
Valuation . .
. . 395980
Expiration Date
.1/15/13
Qty Unit Charge
Per
Extension
BASE FEE
639.50
296.00 3.5000
------------------------------
THOU BLDG 100,001-500,000
----------------------------------------------
1036.00
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
180.70 Plan Check Fee
.. 45.18
Issue Date
Valuation . .
. . 0
Expiration Date
1/15/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4474.00 .0300'
ELEC NEW RES - MULTI FAMILY
134.22
824.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL 16.48
1.00 15.0000
----------------------------
EA ELEC TEMPORARY POWER POLE
------------------------------------------------
15.00.
Permit. . .
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
1/15/13
Qty Unit Charge
Per
Extension
----------------------------------------'------------------------------------
BASE FEE
15.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee"
157.50 Plan Check Fee
39.38
LQPERMIT
o.
Application Number
. . . . 12-00000337
Permit . . . MECHANICAL
Issue Date
Valuation
0
Expiration Date
1/15/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
1.00 16.5000
EA MECH B/C .>3-15HP/.>100K-500KBTU
16.50
8.00 6.5000
EA MECH VENT FAN
52.00
1.00 6.5000.EA
----------------------------------------------------------------------------
MECH EXHAUST HOOD
6.50
Permit
PLUMBING
Additional desc
'
Permit Fee
249.00 Plan Check Fee
62.25
Issue Date . . . .
Valuation
0
Expiration Date.,.
1/15/13
Qty Unit Charge
Per
'.Extension
BASE FEE
15.00
28.00 6.0000
-FA PLB FIXTURE
168.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.00 3..0000
EA PLB WATER INST/ALT/REP
3.00.
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
8.00 .7500
EA PLB GAS PIPE >=5
6.00 ,
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
4,474SF DWELLING/VB/RES-3/CLASS A/13D
[ENGINEERED]'THIS PERMIT DOES NOT
INCLUDE BLOCK WALLS,
POOL, SPA, WATER
FEATURES OF FIREPITS.
2010 CALIFORNIA
BUILDING CODES.
July 19, 2012 2:57:52
PM AORTEGA
----------------------------------------------------------------------------
Other Fees
. . . . ART IN PUBLIC PLACES -RES.
489.95
BLDG STDS ADMIN (SB1473)
16..00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00'-
95.00'ENERGY
ENERGYREVIEW FEE
108.91
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
15.00
DIF LIBRARIES.- RES
355.00
MULTI -SPECIES (MSHCP) FEE
1254.00
LQPERMUT
Application Number
12.-00000337
Other Fees
. . .
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
39.60 :.
DIF STREET MAINT FAC -RES
67.00
DIF.TRANSPORTATION - RES
1930.00
- Fee summary
Charged
Paid Credited
Due
Permit Fee Total
22.77.70
.00 .00
2'277.70
Plan Check Total
1235.89
750.00 .00
485.89
Other Fee Total
6398.46
.00 .00
6398..46
Grand Total
9912:05
750.00 .00
9162.05
LQPERMIT
�- ,Certificate,of Occupancy
This Certificate is issued pursuant to the requirements. of Chapter 1 Section R110 of the
California Residential :Code, , certifying that, at the, time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use. x
_ BUILDING ADDRESS: 53-728 VIA BELLAGIO
' . Use classification: SINGLE FAMILY DWELLING Building Permit No.: 12-0337
'Occupancy Group: R-3 Type of Construction: VB Land Use Zone: RL
Code Edition: 2010. Sprinkler Installed: YES Sprinkler Required: YES
Owner of Building: COSTAL REAL ESTATE INV
Address: PO BOX 1144 r
` .. City, ST, ZIP: LA QUINTA, CA 92253
By: AJ ORTEGA ,
Building Official Date:,.. APRIL 17, 2013
POST IN A CONSPICUOUS PLACE
Building
Address .t� J 7
Owner
!rd
Titif 4 4 a"
P.O. BOX 1504
78-495 CALLE TAMPICO
LAQUINTA, CALIFORNIA 92253
/ Ez -4 / .wive;
%y
Tel.
71
),C✓GID r0/19P_n7
Aoore
. 0 . 3.x //!Ii
/��•h _. 1(740) 77/-q7ZI
Mate LIC. ulty
& Classif. '7 ql f Q aj' Lic. #
Arch., Engr.,HD4
Designer
Address T I.
/&P6 N• e'&z9s7
Lic. # G _47 & q 0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm thit I arg licensed under pr isions of Chapter 9 (commencing with Section
7000) of Divisio of e ' ss s Code, and my license is ' full fo a and
12
effect.
SIGNATURE orDATE
OWNER- BUILDER DEC TION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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 live hundred dollars ($500).
❑ 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
33�
APPLICATION ONLY
BUILDING: TYPE CONST -5A/2 OCC. GRP
A.P. Number -7 -7 7 /7 / 7
Legal Description 4%Lg;-2 I Ayew oe
Project Description Z 940 0/i/
Sq. Ft.,/ -/14-7 No. No. Dw.
Size I Stories Units
NewGJ--- Add ❑ Alter ❑ Repair ❑ Demolition ❑
s->., 4,P
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
rfSO
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading 11U1r____40L_t1
Driveway Enc. In
Infrastructure ILI
- —
11111
fillff
I I I L, Q 2n12 1.
CITY OF iA
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
YELLOW = APPLICANT PINK = FINANCE
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name:
Owner's Name:
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVELONEAMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Costal Real Estate Investment, LLC
Project Address: 53728 Via Bellagio, La Quinta, CA 92253
Project Description: Single Family
APN: 777 170 017
Type of Development:
Commercial
Total Square Feet of Building Area: 4474
Date: July 23, 2012
Phone No. (760) 771-4722
Lot #'s:
Industrial
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE`BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft. 4474
Amount per Sq.Ft. $3.20
Amount Collected $14316.80
Building Permit Application Completed: Yes/No
By: Elsa F. Esqueda, Director of Facilities and Maintenance
Certificate issued by: Marcela Valdez, Construction Analyst Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STIATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a writte otice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposit n of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice sh I serve to
advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted.
of :;r;1Yil;liali.i7 1'i11'?li itpilat'.-;ii ..5-itNlj
11/2010
RECORDING REQUESTED BY:
New Century Title Company - Riverside Title
ORDER NO.: 2364323
ESCROW NO.: 33060120-SVO
AND WHEN RECORDED MAIL TO:
Robert Capetz
r`
Coastal Real Estate
PO Box 1144
La Quinta, CA 92253
1 L82 s O -to —e&0
DOC # 2006-0251936
04/07/2006 08:00A Fee:7.00
Page l,of 1 Doc T Tax Paid
Recorded in'Official Records
County of Riverside
Larry W..Ward
Assessor, County Clerk & Recorder
11111111111111111111111111111111111111111 Ilil
M
S
uPAGE
SIZE
DA
PCOR
NOCOR
SMF
MISC.
I
I.
a
-_M4—.A
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COPY
LONG
REFUND
NCHG
EXAM
GRANT DEED
THE UNDERSIGNED GRANTOR(S) DECLARE(S) that documentary transfer tax is $673.75 (County) $.00 (City)
( X.) computed on full value of property conveyed, or
( ) computed on full value less liens or encumbrances remaining at time of sale
( X ) City of La Quinta
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael W. Tuvell and Tracy
M. Tuvell, husband and wife as community property
hereby GRANT(S) to Coastal Real Estate, Investments, Inc. , A California Corporation
the following described real property in the City of La Quinta, County of Riverside, State of California:
Mq
PARCEL NO. 1:
LOT 329 (THE "LOT") OF AMENDED TRACT NO. 29894-2 AS SHOWN ON A SUBDIVISION MAP (THE "MAP")
RECORDED ON DECEMBER 12, 2002, IN BOOK 327, PAGES 56 TO 88, INCLUSIVE, OF MAPS, IN THE OFFICE
OF THE RIVERSIDE COUNTY RECORDER.
PARCEL NO. 2:
NONEXCLUSIVE EASEMENTS FOR ACCESS, INGRESS, EGRESS, DRAINAGE, MAINTENANCE, REPAIRS AND
FOR OTHER PURPOSES, ALL AS DESCRIBED IN THE DECLARATION.
and commonly known as: 53728 Via Bellagio, La Quinta, CA 92253
Dated: March 3, 20
Michael W. Tuvell Tracy M. Tuve I
STATE OF Q_f�,
COUNTY OF I (�
ON \f �+—� �J d JL Gln BEFORE me
ere insurt name ana tite ot V o icer
personally appeared VA, ��,
personally known to me (or proved to me on the basis of satisfactory evidence) to be the perso (s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of wLi.,a,5�i_acted, executed the instrument.
WITNESS my hand and official seal. SVAN OOSTING JCOMM. # 1597928SI nature vI^ �T NOTARY PUB LIC•CALIf0RNIA
g V ��RIVERSIDE COUNTYY COMM. EX►. JULY 29, 2009'°
JUNA 8'2012 (This area for official notary seal)
Grant Deed — Individual (290) 12-05AIL TAX STATEMENTS AS DIRECTED ABOVE
B _.
_;;
HIDEAWAY
OWNERS ASSOCIATION
BY:
May 15,-,2012
Mr. Rob Capetz
Sun Vista Dev_
78080 Calle Amigo, Suite 201
La Quinta, CA 92253
RE: - Sun Vista/Lot 329 oat 53728 Via Bellagio
Final Design Review
Dear Mr. Capetz:
JUL 0 2 2012
The Hideaway Design Review Committee (DRC) reviewed and approved your Final Working
Drawing Submittal for Lot 329 subject to the following stipulations being addressed prior to your
request for Setback Observation:
1. A three-foot wide planter is required between the property line wall and the golf cart
path.
2. The trash area appears to be too far back and inconvenient, across stepping stones; for
pick-up service.
3. The planting in the southeast rear yard does not have a smooth transition with the existing
neighbors lawn_ Please revise.'
4. The Schinus molle in the southwest/front yard is too large of a tree to be planted 6' from
the house. The committee recommends using a smaller tree or relocating the proposed
tree.
5. Please specify the ground cover under the planting in front and rear yard areas. If
decomposed granite is being used please specify a color and size.
6. LED lighting is permitted as long as the lighting guidelines are met. The lamps should be
warm white and the light should blend with the neighboring incandescent lighting.
7. -Please provide the gate (steel/wood) specifications and colors for review and approval.
8. The door and window details, as proposed, do not appear, to meet the full recessing
requirements. However, if the non -recessed stucco surround is painted to match the
window frame color it will be deemed acceptable at the final walk through.
9. Key note 8.4 describes the Garage door as sectional cedar ("see door schedule");
however, the garage doors do not appear to be included on the schedule for review.
10. Please verify that code allows the gas meter to be located directly under the main
electrical panel. If any changes are necessary please resubmit to the DRC for approval.
11. The pool is shown 6' off the side yard property line. The fire pit was moved out of the
active use area; however, the pool was not modified.
Please contact Brook Marshall at BrookLdc.rr.com or by phone at (760) 219-8057 with any
questions or to schedule your Pre Construction Meeting at the lot prior to an; work commencing
and/or any signage or temporary construction facilities being brought on site. Your Building
Permit, Insurance Requirements and Lonstmctjon - Deposit are due at the time of the Pre
Construction Meeting.
Sincerely,
Hideaway Desig" Review Committee
cc: Jim Deford, Gustavo Magana, DRC File 80955 Avenue 52
La Quinta, CA 92253
P: 760 393-5210
F: 760 398-5788
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 9/25/2009
Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO NOT
submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed
below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant.
Date: Developer:, J v mo -kt velo a r. -Ie
Tract No.:2Tract Name: Lot No.(s):
Address(s): – -7 a LA -EXOT5 a Phone Number: 2—
V
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
r-
❖ CUSTOM HOMES: PKUVIUt I 1 tMJ iF[ RFs, *+, #1,-) a fri oU-w.. ®�����D
❖ TRACT HOMES: PROVIDE ITEMS #11,12, #3 & #5 BELOW
❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS 411. #2 #3, #5 & #7 BELOW
❖ WALLS SIGNS OTHER: PROVIDE ITEM #6 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation fob' aGnI %aximum
allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (withi�1d%% t�t9 date).
If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation
Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils
Engineer. Recently rough graded residential developments which have a previously approved geotechnical
certification are exempt from this requirement.
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan &
agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan.
PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans
& are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s)
for pad elevation verification. AO flood zone developments will require an approved flood plain development plan.
6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations.
7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW
approved building construction projects require either a WQMP or a completed WQMP exemption form.
Approved maps/plans may be viewed at the following link: htti)://www.la--quinta.org/PlanCheck/m search.aspx
I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently
complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings,
the above project may be released for building permit issuance.
This section completed by City staff.
Recommended by: Date: l f r l I Z--
Public Works Distribution: ( Green Sheet to Building & Safety RECENED
( ) Green Sheet to Planning Department Jul' 08702
Declined for approval for reason(s) as follow(s), please correct and resubmit:
T:\checklists - Forms & Applications\Forns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc
PUBLIC WORKS
Development Services
City of La Quinta - PM10 Fugitive Dust Control Project Information
n...•..a-4.,. ,m chftt--n DMin Anraamant t<l arrp/lot or Infill Proiect)
V \/117 L1 MV�IV11
Project Information
1 ■•i•Vv • -- --- - -
Project Contractor: Svh l/rS
Project Phase
Project Name: 4-,
heck one)
Z %n r -
Project Tract/Lot Numbers: 9 LI-
Construction
Demolition
Project Street Address: .� 3 _728
Total Acres in Active
Construction (<1 acre per
Lot): a ��
6 / •
Anticipated Start Date: /p //Z Antici _pated Completion Date, =) -r/->
PM10 Contact
Information
Please note: Dust control is required 24 hours a day, 7 days a week, regardless of
construction status. Person listed below is responsible for dust control during business.and
non -business hours.
Name:
�a> /
Title:
7s -o
Company Name:
Mailing Address:
0 `r
City, State, ZIP Code:
Primary Phone M
760 7-7/— Y-7 z 2 -
Fax M
Fax#:
760 —7 -1—yq'z2
24 Hour Emergency
Phone#:
-60 -7 7 S' -. 9 7 3
Cell Phone M
Email Address:
/ �/ a� �-+ v/s - i✓ . �1
PM10 CertificateM.
V /0 —
The above stated property owner (or authorized representative):
❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD
Rules 403, 403.1, 401, 402, 201, 203 and PERP;
❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan.
❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the
period of project performance, regardless of project size or status;
❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall
be in continuous compliance with all requirements of the approved dust control plan;
4 -Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust
control plan are necessary;'
❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes;
❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control
Dlan or anv City/County initiated abatement activities.
Signature 6f--Kroperty Ownqw6rAuthorized Representative
TAChecklists - Forms & Applications\Forrns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc
s/y%
Z --
Date
Plan Submittal
Job Site
Owner's Ni
Number, Street, or PO
City, State, Postal C
Owner's Phone Nun
Owner's E -Mail Addi
Project Manager's Na
Project Managers Phone Num
Project Managers E-mail Addr
Building Permit Number:
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
6/11/2012
53728 Via Bellagio
Coaster Real Estate Investments
52970 Del Gato
La Quinta, Ca 92253
Bill Leddy
760-275-9734
billCZDsunyistadev.com
Builder/ Contracto Sun Vista Development
Number, Street or PO Bot PO Box 1144
City, Stale, Postal CodJ' La Quinta, CA 92247
Project Square Footagi 4,500
City Approval By
Date of City Approval
Tons -
(!
Materials To Be Discarded:
Plaster
0.90 Recyclable
Product
Tons
Tile (floor)
Trash
8.55
Not recyclable
Asphalt
0.00
Recyclable
Brick/Block
0.00
Recyclable
Cardboard
1.49
Recyclable
Commingled
0.00
Recyclable
Concrete[A0.00
Recyclable
DrywallRecyclable
Donated / Reuse*Recyclable
*Describe Items
k
R � JL
JUN 2 g 2012
BY:
Product
Tons -
Masonry (broken)
0.00 Recyclable
Plaster
0.90 Recyclable
Scrap Metal
0.00 Recyclable
Tile (floor)
0.77 Recyclable
Tile (root]
0.00 Recyclable
Wood
11.25 Recyclable
Landscape Debris
0,00 Recyclable
Totals: Recycle Trash Projected Diversion:
15A F 8.61 63.7%
1 understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. 1 hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsite waste is diverted
from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials'
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the property owner(s) and shall remain their property throughout the construction and/or demolition
project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still issued in the
name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered
to. The property owner(s) and general contractor shall be kept informed or the diversion progress through bi-monthly reports. If
self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer station.
Owner / Developer / Project Manager / Superintendant Date
Riverside County Fire Department Fire Protection Planning Section
Riverside Office: 2300 Market St., Ste. 150; Riverside, CA 92501 Ph. (951) 955.4777 Fax (951) 955.4886
Murrieta Office: 39493 Los Alamos Rd., Ste A, Murrieta; CA 92563 Ph. (951) 600.6160 Fax (951) 600.6164
Palm Desert Office: 77.933 Las Montafias Rd., # 201 Palm Desert, CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072
Fire Department Clearance/Release
Date: 1
To: L 6V 9 ay a L If1 ;�
Fax:
Tract/Parcel Map #:
Permit/Lot #:ta(—
r
Job Site Address: - 7A ; V i ll Rj l da i 0
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For 'i
Building Plan Check Fees Paid.
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
11
T ,
If you should have any questions, please contact the appropriate Riverside County Fire Protection
Planning office for further assistance.
Aut izing Signature For Release
Print Name
Form C - Revised 3/18/2013
r
.7 -780 San Jacinto Dr Ste. E2; Rancho Mirage; Ca: 92270 ph, (760) 834.-8860 faz (760) 834-8861
Letter of Transmittal
To:
City of La Quinta Today's Date:
7-10-12
78-495 Calle Tampico City Due Date:
7-9-12
La Quinta, CA 92253 Project Address: 53-728 Via Bellagio
Attn:
Kay Plan Check #:
12-337
Submittal: ❑ 15l
❑ 4 t
❑ 2nd
❑ 5 t
r
® 3`d
❑ Other:
We are forwarding: ® By Messenger ❑ By Mail (Fed Ex or UPS)
❑ Your Pickup
Includes: # Of Descriptions: Includes: # Of
Descriptions:
Copies:
Copies:
❑
Structural Plans
® 1
Revised Struct. Plans
❑
Structural Calculations
® 1
Revised Struct. Calcs
❑
Truss Calcs w/Ltr.
® 2
Revised Truss w/Ltr.
❑
Soils Report Update
❑
Revised Soils Report
❑
Structural P/C Comments
❑
Approved Structural Plans
®
1 Redlined Structural Plans
❑
Approved. Structural Calcs
❑
Redlined Structural Calcs
❑
Approved Truss Calcs
®
1 Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
Structural content is approvable.
Structural Plan Review Time =1.25 Hrs.
This Material Sent for:
❑ Your Files ® Per Your Request
❑ Your Review ❑ Approval
❑ Checking ❑ At the request of:
Other: ❑
By: John W. Thompson
Rancho Mirage Office: ® (760) 834-8860
Other: ❑
�F��IVED
�Y:
JUL .1 0 2012
Summit. Structural Engineering
PO BOX 2618
902 Baycolt Way
McCall, ID 83638
(208) 634=8148
Fax (208) 634-6395
June 6, 2012
A.C. Houston Lumber Company
83-.490 Indio Blvd.
Indio, CA 92201
Attn: Truss. Designers (Glen & Tyler)
Subject: Roof Truss Shop Drawings and Calculations
Hideaway, Lot 329
53-728 Via Bellagio
La Quinta, CA
nTMTod Tn
JUN 062012 TI
Dear Truss. Designers (.Glen Merkel & Tyler), By
The roof truss drawings by Houston Lumber Company for the subject project were
received by our office on June 6, 201,2, and is approved. The submittal has been
reviewed for general conformance to the design, concept of the project structural plans.
The fabrication processes, techniques of construction, dimensions; and quantities are not
a part of this review. Since the shop drawings were reviewed only fo.r general
conformance with the structural plans, unless variations from the structural ,plans have
been clearly indicated, we may not have fisted. them.. Our review of these drawings does
not relieve the truss engineer and the framing contractor from complying. with the
structural plans.
Yours truly.,
'SUMMIT STRUCTURAL ENGINEERING'/
Benjamin Herbst, P.E.
BH
c:\2012jobfiles\SV-399\399_truss2.doc
Residential, Commercial, Industrial, Land Development
tel.
Sladden Engineering
45090 Golf Center Parkway, Suite.F, Indio. CA 92201 (760) 863-0713 Fax (760) 8634947
6782 Stanton Avenue, Suite A, Buena Park. CA 90621 (714) 523-0952 Fax (114) 523-1369
450 Egan Avcnuc, Beaumont, CA 92223 (951) 845-7743 F'ax (951) 845-8863
800 E. Florida Avenue. Hemet. CA 92543 (951) 766-8777 Fax (951) 766.8778
June 4, 2012
Sun Vista Development Corporation
P. O. Box 1144
La Quinta, California 92253
Project: Proposed Custom Residence
53-728 Via Bellagio
The Hideaway
La Quinta, California
Subject: Geotechnical Update
Project No. 54412086
12-06-138
Ref: Geotechnical Update prepared by Sladden Engineering dated October 26, 2009; Project
No. 544-09165, Report No. 09-10-258
Geotechnical Engineering Report prepared by Earth Systems Southwest (ESSW) dated
September 22,2000; File No. 07117-10, Report No. 00-09-772
Report of Testing and Observation During Rough Grading prepared by .ESS dated
August 28,2002; File No. 07117-11, Report No. 01.-07-718
Report of Testing and Observation During Rough Grading prepared by Sladden
Engineering dated October 12, 2003 Project No. 544-2199 Report No. 03-1.0-647
As requested, we have reviewed the above referenced geotechnical reports as they relate to the
design and construction of the proposed custom residence. The project site is located at 53-728
Via Bellagio within the Hideaway Golf Club development in the City of La Quinta, California. it
is our understanding that the proposed residence will be a relatively lightweight wood -frame
structure supported by conventional shallow spread footings and concrete slabs on grade.
The subject lot was previously graded during the rough grading of the Hideaway project site and
was subsequently regraded. The rough grading included over -excavation of the native surface
soil along with the placement of engineered fill soil to construct the building pads. The regrading
included processing the surface soil along with minor cuts and fills to construct the individual
building pads to the current configurations. Some additional over -excavation was performed in
areas where the building envelopes were reconfigured. The most recent site grading is
summarized in the referenced Report of Testing and Observations During Rough Grading
prepared by Sladden Engineering along with the compaction test results.
The referenced reports include recommendations pertaining to the construction of residential
structure foundations. Based upon our review of the referenced reports, it is our opinion that the
structural values included in the referenced grading report prepared by Sladden Engineering
remain applicable for the design and construction of the proposed residential structure
foundations.
June 4., 2012 -2- Project No. 544-12086
12-06-139
Because the lot has been previously rough graded, the remedial grading required at this time
should be minimal provided that the building falls within the previously assumed building
envelope. The building area should be cleared of surface vegetation, scarified and moisture
conditioned prior to precise grading. The exposed surface should be compacted to a minimum of
90 percent relative compaction is attained prior to fill placement. Any fill material should be
placed in thin lifts at near optimum moisture content and compacted to at least 90 percent
relative compaction.
The allowable bearing pressures recommended in the referenced grading report prepared by
Sladden Engineering remain applicable. Conventional shallow spread footings should be
bottomed into properly compacted fill material a minimum of 12 inches below lowest adjacent
grade. Continuous footings should be at least 12 inches wide and isolated pad footings should be
at least 2 feet wide. Continuous footings and isolated pad footings should be designed utilizing
allowable bearing pressures of 1500 psf and 2000 psf, respectively. Allowable increases of 300 psf
for each additional 1 foot of width and 300 psf for each additional 6 inches of depth may be
utilized if desired. The maximum allowable bearing pressure should be 3000 psf. The
recommended allowable bearing pressures may be increased by one-third for wind and seismic
loading.
Lateral forces may be resisted by friction along the base of the foundations and passive resistance
along the sides of the footings. A. friction coefficient of 0.50 times the normal dead load forces is
recommended for use in design. Passive resistance may be estimated using an equivalent fluid
weight of 300 pcf. If used in combination with the passive resistance, the frictional resistance
should be reduced by one third to 0.33 times the normal dead load forces.
The bearing soil is non -expansive and falls within the "very" low" expansion category in
accordance with 2007 California Building Code (COC) classification criteria. Slab thickness and
reinforcement should be determined by the structural engineer, we recommend a minimum floor
slab thickness of 4.0 inches. All slab reinforcement should be supported on concrete chairs to
ensure that reinforcement is placed at slab mid -height.
Slabs with moisture sensitive surfaces should be underlain with a moisture vapor retarder
consisting of a polyvinyl chloride membrane such as 10 -mil Visqueen, or equivalent. All laps
within the membrane should be sealed and at least 2 inches of clean sand should be placed over
the membrane to promote uniform curing of the concrete. To reduce the potential for punctures,
the membrane should be placed on a pad surface that has been graded smooth without any sharp
protrusions. If a smooth surface can not be achieved by grading, consideration should be given to
placing a 1 -inch thick leveling course of sand across the pad surface prior to placement of the
membrane.
Based on our field observations and understanding of local geologic conditions, the soil profile
type judged applicable to this site is SD, generally described as stiff soil. The following presents
additional coefficients and factors relevant to seismic mitigation for new construction based upon
the 2010 California Building Code (CBC).
Sladden Engineering
June 4, 2012 -3- Project No. 5441.2086
12-06-138
The seismic design category for a structure may be determined in accordance with Section 1613
of the 2010 CBC or ASCE7. According to the 2010 CBC, Site Class D may be used to estimate
design seismic loading for the proposed structures. The,2010 CBC Seismic Design Parameters are
summarized below.
Occupancy Category (Table 1604.5); Ti
Site Class (Table 1613.5.2); D
Ss (Figure 1613.5.1):1.508
St (Figure 1613.5.1): O.60g
Fa (Table 1613.5.3(1)):1.0
Fv (Table 1613.5.3(2)):1.5
Sms (Equation 16-36 (Fa X Ss)): 1.50g
Smi (Equation 16-371Fv X Sit): 0.90g
SDs (Equation 16-3812/3 X Sms1): 1.00g
SDI (Equation 16-3912/3 X Sm11): 0.60g
Seismic Design Category: D
In addition, we have sampled the surface soil on the subject lot to determine the soluble sulfate
content as it relates to selecting appropriate concrete mix designs. Testing indicates that the site
soil is potentially corrosive with respect to concrete. The testing indicated soluble sulfate content
of 1750 ppm (0.175 percent) that corresponds with the "moderate" exposure category in
accordance with ACI 318-08, Table 3. in accordance with Table 3, special sulfate related concrete
mix designs will be required for concrete in contact with the native soil. Concrete should include
a minimum concrete compression strength of 4000 psi and a minimum water -cement ratio of 0.50..
If you have questions regarding this letter or the referenced reports, please contact the
undersigned.
Respectfully, submitted,
SLADDEN ENGINEERI
No, C 45389
Brett L. Anderson � 2 �
Principal Engineer tea_ nwN� a
SER/gl
Copies; 4/Sun Vista Development Corporation
Stadden Engineering
*.Sladden.Engineering
8782 Stanton Avv., Suite A, Buena Park, CA vutlCi (714) 323-0962 Fax (Y74) 5j:;7-1Jtl5
45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863-0847
450 Egan Avenue, Beaumont, CA 92223 (951) 845.7743 Fax (951) 8454863
Date: June 1, 2012
Account No.: 544-12086
Customer: Sun Vista Development
Location: The Hideaway, 53-728 Via Bellagio, La Quinta
Analytical Report
Sulfate Series
Soluble Sulfates
per CA 417
PPM
1750
Soluble Chloride
per CA 422
PPM
750
Sulfate 544-12086 060112 (2).doc
TAOLI: 19-A-2—REQUIREMENTS FOR SPECIAL EXPOSURE COMMONS
MINIMUM
MAXIMUM
NOnMAL-WEIGHT AND
WATE"EMENTt110uS
UGHTWFIGErr
MATCRIALS' RATIO, BY
AGGREGATg rONCnETE
tixf'OSURE: CONDITION
WEICHT.NORMAL-WEIGHT
AGGREGATE CONCRETE
psi
x 0,00689 for MPS
Concrete intended to houe low pemteabiiity when
Cxposed to water
0.50
4.000
Concrcle exposed to freezing and thawing Ina moist
"
condition or to deicing chcntrcals
0.45
For corrosion protection for reinforced concrete
4,500
exposed to chlorides from deicing chemicals, salts or
brackish water, or spray from thesC sources
0.40
T
5,000
TABLE 19-A-3—REQUIREMENTS FOR CONCRETE
EXPOSED TO SULFATE -CONTAINING SOLUTIONS
NORMAL-WEGM
L1EK—i yEIGIfT
AGGREGATE
AGGREGATE
CONCRETE
`
WATER-SOLUBLE_
Maximum Water-
Cementluou■
f', Normal.
Yfelphtand
SULFATE
Materw�Ratio, by
Ughtwelyht
^l1LFATF
IN $OIL
Pf5CCE NTAGE BY
SULFATE (SO4) IN
Norm Il IOM
te
Ccncmte psit o
WEIGIfr .
WATER, ppm
MMENT TYPE
AggregateEXPOSURE
Co nerote
x O.OMO for Mpe
Negligible
0.00-0.10
0.150
ModerateZ
U.10-0.20150-!
St>0
II, CP(MS). IS
a-50.
4,000
(MS)
Severe
0,20-2.00
1.500-10,000
V
0.45
4,500
ry severe
PV
Over 2,OQ
Over 10,000
V plus
0145
4,500
_
..__
po7z0lan3
IA Iowu water{ementitious materials ratio or higher strert0
may be rOquirC4 for low permeability
agwateairrit cortobion of embedded items or freezing and thawing (TaVlr, 19 A_2l,
ZSear,
or for protection
31'o7.7gllut drathas been determined by L-zt or service record to improve sulfate resistance when used incuncrete ear-
taitringTypc V cement,
2,264
INSTALLATION CERTIFICATE CF-611-MECH-20-HER:
Duct Leakage Test – Completely New or Replacement Duct System (Page.1 of 2'
Site Address: � - __ It - - - � Enforcement Agency: Permit Number:
53728'Via,Bellagio, La:Quinta CA,92253.(NO system) City of La Quinta 1
Enter the Duct System Name or Identification/Tag: NOT TESTED
:nter the Duct System Location or Area Served: NOT TESTED
Vote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
1welling.
Phis certificate is required for compliance for completely new duct systems installed in new dwelling
:onstruction, and also for completely new or replacement duct systems in existing dwellings. For existing
1wellings, a completely new or replacement duct system can also include existing parts of the original duct
;ystem (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be
;ealed.
Duct Leakaae Diagnostic Test - comnletely new nr renlacpmpnt duct cvetpm
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance
credit for verified low leakage ducts in conditioned space is shown in the special features section of the
Allowed
CF -1R, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4),
Leakage
and 25 CFM must be entered for Allowed Leakage.
(CFM)
Allowed leakage calculation = (select one calculation method from this section). Use 6% (leakage
factor = 0.06) for calculations if tested. at "final" or 4% (leakage factor = 0.04) if tested at "rough."
When utilizing Low Leakage Air Handle,(LLAH) credit, the allowed duct leakage may be specified by the
CF-iR to be less than 6%, in which case the user-specified leakage rate must be used in the
calculations below. -F& example, if the user-specified leakage (specified as a percentage of fan airflow)
is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below.
3 '
® Cooling system method: .` .g. ,
..,.
Nominal epacity,of'condenser in Tons 5" x 400,x leakage facttorr� 120 CFM
1, `
❑ Heating system method
21.7 x 'I Outpput Capacity inThousandsof Btu/hr x leakage factor= CFM—
'method,
Q Measured airflow (RA3.3):
Enter measured fan flow in CFM here x leakage factor =' CFM
Enter value for "Actual leakage (CFM) in the right column, from measurement using applicable duct
Actual
leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
Leakage
(CFM)
List Actual Leakage from duct leakage test(CFM)
100
Pass if Actual Leakage is equal to or less than Allowed Leakage M Pass M Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a
smoke test should be performed to verify that the excess leakage is coming only from a pre-existing
furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS
rater must verify the installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke 0 Pass O Fail
Reg: 212-N0014316F-M2000001A-0000 Registration Date/Time: 2013/04/14 17:57:10 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6111-MECH-20-HERS
Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (NO system) I City of La Quinta 1
Compliance Method
This dwelling was: (select one of the following two choices):
N Tested at Final
p Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below)
Visual Inspection at Final Construction Stage (if applicable)
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following
procedure must be performed:
E3 For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
E3 If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
p Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to.meet'ASHRAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed position during duct leakage testing.
- I,
® All supply and- urn register boots must be sealed to the drywall
M New duct installations cannot utilize, building �cavities as,,plenums,or„platform Ereturns in lieu,of ducts.
® Mastic and draw bands must be used in,combination with. Cloth backed,` rubber adhesive duct tape. to seal
leaks at?duct connections - -
DECLARATION STATEMENT I..
• I certify under penalty of pe'dury, under the 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 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 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 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)
KERMIT ALAN LARBY
Responsible Person's Name:
Responsible Person's Signature:
Kermit Larby
Kermit Larby
CSLB License:
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? p Yes ' p No
Reg: 212-N0014316F-M2000001A-0000 Registration Date/Time: 2013/04/14 17:57:10 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-23-HERS
Verification of High EER Equipment (Page 1 of 1)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Verification of High EER Equipment
Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4.
For dwelling units with multiple systems, the procedures must be applied to each system separately. 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.
1
System Name or Identification/Tag
System 1
System 2
System 3
NOT
CSLB License: -
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
TESTED
2
System Location or Area Served
Greatroom
Bedrooms
Kitchen
No
system
3
Certified EER Rating of the installed
12.8
12.8
12.8
12.5
equipment (Btu/Watt-hr)
4
Make and Model Number of the
DAY AND NIGHT
DAY AND NIGHT
DAY AND NIGHT
DDD
installed Outdoor Unit
NXA660GKA100
NXA642GKA100
NXA648GKA100
DDD
5
Make and Model Number of the
ASPEN
ASPEN
ASPEN
DDD
installed Inside Coil
ACC60241SL128
ACC482414SL128
ACC4824175L128
DDD
6
Make and Model Number of the
DAY AND NIGHT
DAY AND NIGHT
DAY AND NIGHT
DDD
installed Furnace or Air Handler.
NSMSLO701412
N8MSLO7014412A2
NSMSLO70171412A2
DDD
7 Minimum Equipment EER required for 12.5 12.5 12.5 12.5
compliance as reported on the CF -1R
® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance
credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure.
® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be
verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure.
If the Certified;EER Rating in row 3 is
equal to or greater than the required
8
minimum EER in row 7, the unit
PASS
PASS
PASS
PASS
complies.,,,r�,.
If,the unit complies ente Pas
�
�r""� ,
DECLARATION STATEMENT I
. I certify under penalty of perjury, under the 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 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 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 fall to meet the requirements of such quality assurance checking, the required corrective action and
additional checking/testing of other installations in that HERS sample group will be performed at my expense.
• I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific
requirements for the Installation. I certify that the requirements detailed on the CF -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)
KERMIT ALAN LARBY
Responsible Person's Name:
Responsible Person's Signature:
Kermit Larby
Kermit Lamy
CSLB License: -
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? Q Yes . (3 No
Reg: 212-N0014316F-M2300002A-0000 Registration Date/Time: 2013/04/14 18:17:34 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-2S-HERS
Refrigerant Charge Verification.- Standard Measurement Procedure (Page 1 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
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 speci>=led in Reference Residential Appendix RA3.2. If refrigerant charge
verification is required for compliance, TMAH are also required for compliance, unless the TMAH Compliance
Option is chosen.
STMS are only required for completely new or replacement space -conditioning systems that utilize
prescriptive compliance method.
TMAH - Access Holes in SuDDly and Return Plenums of Air Handler
System Name or Identification/Tag
System 1
System 2
System 3
DDD
System Location or Area Served
Greatroom
Bedrooms
Kitchen
NOT TESTED
5/16 inch,(8 mm) access hole:,
',
upstream of'evaporative coil in '
❑Yes
®Yes
®Yes
❑Yes
1
the return plenum and labeled >.
according�todFigure in Section
[3 No
❑ No
❑ No
❑ No
Return side of the ductrsystemr
is located entpelwithin
" ®Yes
". [3 Yes <f
❑ Yes
®,Yes
la
conditioned s alarid return
airflow temperat n6to�b6( )
❑No
❑No,�..�
;
❑No.
�`~
❑No
�`
measure-d6t"the return grille,
n h
'_ $.
rtT ,,
_ .�'
-
5/16 inch (8•mm)'access'hole
+®
2
downstream.of evaporative'coil', :'
in'the`supply plenum and z .
®Yes
®Yes
Yes
®Yes
labeled according'to Figure in '=
No
❑ No
❑ No
,
❑ No
Section RA3.2.22.2:,
The TMAH Compliance Option should be checked only if it is physically impossible to drill the TMAH as
required by Section RA3.22:2.2. LUsing this Compliance Option requires the HVAC installer to annotate on
the HERS Provider's data registry an explanation as to why the TMAH cannot be installed on the system,
and photographs of the equipment on which the TMAH cannot be installed. Use of this Compliance Option
also requires minimum airflow verification through the direct measurement of airflow per RA3.3
For more information see http://www.enerav.ca.goy/totle24/2008standards/special case appliance/
TMAH Compliance Option
❑
❑
❑
❑
Yes to 1 and 2, or Yes to la and 2,
or checking the TMAH Compliance
® Pass
® Pass
® Pass
® Pass
Option, is a pass.
❑ Fail
❑ Fail
❑ Fail
❑ Fail
Enter Pass or Fail
Reg: 212-N0014316F-M2500003A-0000 Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: Ca10ERTS' Inc.
2008 Residential Compliance Forms March 2013
A
INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification - Standard Measurement Procedure I (Page 2 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
STMS - Sensor on the Evaporator Coil
System Name or
Identification/Tag
System 1
System 2
System 3
DDD .
3
The sensor is factory installed, or field installed according to manufacturer's specifications,'or is installed
by methods/specifications approved by the Executive Director. ,•'' .
❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer.
4
The sensor mini plug is accessible to the installing technician and the HERS rater without changing the
airflow through the condenser coil
❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes O No
5 IThe sensor,measures the saturation temperature of the coil within 1.3 degrees F
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ,❑ No
Yes to 3, 4, and 5isa
3
pass.
Enter N/A if STMS are not
® N/A
® N/A
® N/A
® N/A
applicable.
❑ pass
❑ Pass
❑ Pass
0 Pass
Otherwise enter Pass or
❑ Fail
❑ Fail
❑ Fail
❑ Fail
Fail e
'
1•
a ,
STMS - Sensor on the Condenser. Coil•
System Name orSystem„1
Identification/Tag-,.r.
,,-,r
System,2
r_. -+�. �S.:R „�—"r�''_�---x^''.:
System.3...
DDD
.
6
is factory installed,,'orifield:install'ed�,'according;to,manufactu'rer's'specifications, oris installed
IThe'sefisor
by methods/specifications,approved by the Ezecutive,Director. , a ;' , ,_, •; �. --= .
x N.�) ,❑,Yes,0 No 4 ❑Yes .❑;No•r, 13Ye's .13 NoS l7zYes lZ;No�'„
The sensor w-;re,is -;atedxwith a standard`mini plug;su`itable;f&:connectionto a digital thermometer 4'
7
,
The sensorrmmi-plug. is accessible,t ,th"e installing technician`and,the;HERS 'rater,without changm`gfthe'
airflow:through,the.condenser coil
1 ,❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
8 The -sensor measures the saturation temperature of the coil within 1.3 degrees F
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No •
❑ Yes ❑ No
Yes to 6, 7, and 8isa
3
pass.
Enter N/A if STMS are not '
❑ N/A
❑ N/A
❑ N/A
❑ N/A
applicable.
p pass
❑Pass
❑Pass
❑Pass
Otherwise enter Pass or
❑ Fail
❑ Fail
❑ Fail
❑ Fail •
Fail
Reg: 212-N0014316F-M2500003A-0000 Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2013
r
1
INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification- Standard Measurement Procedure (Page 3 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Standard Charge Measurement Procedure (for use if outdoor air dry-bulb temperature is 55°F or
above)
t
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 y
this form. Attach an additional form(s) for any additional systems in the dwelling as applicable.
- The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
• The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test.
• If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement
Procedure (Weigh -In Charging Method)..If the Weigh -In Method is used, the dwelling cannot be included in a sample
group for HERS verification compliance.)
Space Conditioninq Svstems
System Name or Identification/Tag
System 1
System 2
System 3
DDD
System Location or Area Served
Greatroom
Bedrooms
Kitchen
NOT TESTED
Outdoor Unit Serial # {
E12330709S
E123205959
NXA648GKA100
DDD
Outdoor Unit Make -
',
DAY AND
DAY AND
DAY AND
DDD
dry-bulb temperature (Treturn db)
NIGHT
NIGHT
NIGHT
94
Outdoor Unit -Model"
NXA660GKA100
NXA642GKA100
NXA648GKA100
DDD
a t..
47
39
43
47
Nominal Cool ing�Capacity
5 Tons
a�
3.5 Tons
- z'
4 Tons
,.'
5 Tons
Condenser (entering) air dry-bulb
78
"�a rte«
78
..
Date of Verification
X4/4%2013
4/4/2013
4/4/2013 t�
1/4/,4/2013 ..
A
�.
Calibration of Diagnostic Instruments #:j
Date of Refrigerant,Gauger •ppe. : r "� '+,�
/
Meas ured`Temperatures (OF).
System Name or Identificatio (fag
4/.1/2013
(must be re calibrated monthly)
Calibration
DDD ,
Supply (evaporator leaving) air dry-bulb
Date of Thermocouple Calibration
4/1/2013
(must be re -calibrated monthly)
/
Meas ured`Temperatures (OF).
System Name or Identificatio (fag
System 1
System 2
System 3
DDD ,
Supply (evaporator leaving) air dry-bulb
temperature (Tsu I db)
33
35
37
33
Return (evaporator entering) air
dry-bulb temperature (Treturn db)
94
96
84
94
Return (evaporator entering) air
wet -bulb temperature (Treturn wb)
Evaporator saturation temperature
33
35
37
33
(Teva orator sat)
Condensor saturation temperature
94
96
84
94
(Tcondensor, sat)
Suction line temperature (Tsuction)
47
39
43
47
Liquid Line Temperature (Tliquid)
85
86
78
85
Condenser (entering) air dry-bulb
78
88
78
78
temperature (Tcondenser, db)
Reg: 212-N0014316F-M2500003A-0000 'Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms March 2013
t
INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Minimum Airflow Requirement '
Temperature Split Method `Calculations for determining Minimum Airflow Requirement.for
Refrigerant Charge Verification. The temperature split method is specified in Reference Residential
Appendix RA3.2.
System Name or Identification/Tag
System 1
System 2
System 3
DDD
Calculate: Actual Temperature Split =
Treturn db - Tsupply, db
Target Temperature Split from Table
RA3.2-3 using Treturn, wb and
Treturn db
Calculate difference: Actual
Temperature Split - Target
Temperature Split =
Passes if difference is between -3°F
and +3°F or, upon remeasurement, if
between -3°F and-1000F,a „- .'
Enter Pass or Fail
Note:7Temperature.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, kthe value must be equal to or greater than the Calculated Minimum Airflow
Requirement ihhhe table below. _` x.
t . W x4
CalculaJJted'MinimumAo_i4 Requirement (CFM) Nominal, Cooling Capacity (ton) X 3065., '.
(cfm/ton):`,.`.
System Name or, Identification/Tag ,
System 1 •
System 2
-System 3,
DDD
Calculated 'Minimum Airflow s
Requirement,(.CFM).-
1500 -
1400
1200
100
=4, ,
Measured Airflow using.RA33.`
procedures (CFM) i,y t. _.
1709
1512
1245
100
Measurement Method
Flow Hood
Flow Hood
Flow Hood
Flow Hood
Passes if measured airflow is greater
than or equal to the calculated
minimum airflow requirement.
PASS
PASS
PASS'
PASS
Enter Pass or Fail
Reg: 212-N0014316F-M2500003A-0000 'Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: Ca10ERTS, Inc.
'2008 Residential Compliance Forms March 2013
r
INSTALLATION CERTIFICATE CF-6R-MECH-2S-HERS
Refrigerant Charge Verification -.Standard Measurement Procedure (Page S of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta - 1
Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is
required to be used for fixed orifice metering device systems
System Name or Identification/Tag
System 1
System 2
System 3
DDD
Calculate: Actual Superheat =
9.0
10.0
6.0
9.0
Tsuction - Teva orator sat
9
9
9
9
Target Superheat from Table RA3.2-2
using Treturn wb and Tcondenser' db
0'
1._
3
0
Calculate difference:
Actual Superheat - Target Superheat =
PASS
:�,,,.�
. PASS
A
'.PASS
PASS
System passes if difference is between
s,.
.
.,,;...
-5°F and +5°F
r. #
x sf
Enter Pass or Fail
,
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-
A. Ir
System 1
System 2
System.3
DDD
Calculate: Actual Subcooling =
Tcondenser, sat - Tli uid
9.0
10.0
6.0
9.0
Target'Subcooling;specified by
9
9
9
9
manufacturer
Calculate difference:
Actual Subcooling-- Target Subcooling,,
0'
1._
3
0
manufacturer's specifications (or use
asses if difference is,6etween .
-3°+3°F r:t{ `"
Sy22,d
PASS
:�,,,.�
. PASS
A
'.PASS
PASS
(.: Enfer,Paiss or Fail,
s,.
.
.,,;...
available)
r. #
x sf
MeteringDevice Calculations'for Refrigerant Charge Verification:,:This'.procedure is required to be .
used for thermostatic expansion valve (TXV)`end electronic expansion valve (EXV) systems.
System,Name or, Identification/,Tag`�
System 1
System 2
System 3
DDD
Calculate: Actual Superheat =
14.0
4.0
6.0
14.0
Tsuction - Teva orator sat`, J
Enter allowable superheat range from
manufacturer's specifications (or use
range between 4°F and 25°F if
4-25
4-25
4-25
4-25
manufacturer's specification is not
available)
System passes if actual superheat is
,
within the allowable superheat range
PASS
PASS
PASS
PASS
Enter Pass or Fail
Reg: 212-N0014316F-M2500003A-0000 Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2013
i
•INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS
Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Standard Charge Measurement Summary:
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum
cooling coil airflow criteria based on measurements taken concurrently during system operation. If
corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated.
System Name or Identification/Tag
System 1
System -2
System 3
DDD
System meets all refrigerant charge
Name of TPQCP (if applicable):,
Control Program (TPQCP)? 0 Yes • O No
and airflow requirements.
PASS'
PASS
PASS
PASS
Enter Pass or, Fail
8 Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the
return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement
Procedure. The signature of the Responsible Person in the declaration statement below certifies this
requirement has been met for all applicable system verifications reported on this certificate.
DECLARATION STATEMENT
. I certify under penalty of perjury, under the 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 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 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.tiut not checked fby a HERS rater, and"if those installationsEfail`to meeE`the,jrequirements of such
quality,. assurance checking, the required c'orrecti've action and additional"checking/testmg�of other installations in that
HERS sample group will be performed'at'my expense -; r w -, "4-i. .
. I reviewed a copy of t Certificate of Compliance (CF-1R).form approved`by the enforce_ ment agency.that identifies the"1
specific re66irements4f6F the instaliation L.certify that the,requir`ements detailed on "the CF -1R that apply to they _ f
installation,havebeen�met.',j�/p;`, `r, / j1,, .'� j{ }��+
. I will ensure,that a completed, signed;' ' - this Installation Certificate shall,be posted;gor made available
with`the"building permit(s)"issued'forAhe building, and made availabbi 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
beginninq October -1, 2010, for all low-rise residential buildinas.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY ,,-�%;_ I L
Responsible Person's Name: 794_ ;,
Responsible Person's Signature:
Kermit Larby
Kermit Larby
CSLB License:
382403
Date Signed,:
4/4/2013'
Position With Company (Title):
Is this installation monitored by -a Third Party Quality
Name of TPQCP (if applicable):,
Control Program (TPQCP)? 0 Yes • O No
0
Reg: 212-N0014316F-M2500003A-0000 Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2013
h
0
Reg: 212-N0014316F-M2500003A-0000 Registration Date/Time: 2013/04/14 18:19:37 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms March 2013
INSTALLATION CERTIFICATE : CF-6R-MECH-20-HERS
Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 1) 1 City of La Quinta 1
Enter the Duct System Name or Identification/Tag: System 1
Enter the Duct System Location or Area Served: Greatroom
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling
construction, and also for completely new or replacement duct systems in existing dwellings. For existing
dwellings, a completely new or replacement duct system can also include existing parts of the original duct
system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be
sealed.
Duct Leakage Diagnostic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance
credit for verified low leakage ducts in conditioned space is shown in the special features section of the
Allowed
CF -111, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4),
Leakage
and 25 CFM must be entered for,Allowed Leakage.
(CFM)
Allowed leakage calculation -(select one calculation method from this section). Use 6% (leakage
factor = 0.06) for calculations if tested at "final" or 4% (leakage factor = 0.04) if tested at "rough."
When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the
CF-.1R•to'be,less than36%, in which'dase the user-specified leakage rate must be used in the
calculations below.`For example, if the user-specified leakage (specified as a percentage of fan airflow)
is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below.
r.
":_ -
® Cooling system method:
Nominal capacityof c6ndenser in Tons 5'x 400 x leakage factor�1y20 CFM _ �°" F. ' Y
t
�
[3 Heating system method t ""
21.7 x Output ,Capacity fin Thousands of Btu/hr x leakagei.�factor= � CFM
❑ Measured airflow method.,(RA3 3)
Enter measured fan flow:in CFM here°}h x leakage factor 1 CFM
Enter value for Ac al.leakage (CFM) inAhe right column, from measurement using applicable duct
Actual
leaks a press test rocedure".from Reference Residential A
9 p Appendix RA3.1(CFM @ 25 Pa).
Leakage
tip
(CFM)
4a; 1 List Actual Leakage from duct leakage test(CFM)
72
Pass if Actual Leakage is equal to or less than Allowed Leakage ® Pass ❑ Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a
smoke test should be performed to verify that the excess leakage is coming only from a pre-existing
furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS
rater must verify the installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail
Reg: 212-N0014316F-M2000004A-0000 Registration Date/Time: 2013/04/14 18:01:22 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS
Duct Leakage Test – Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 1) 1 City of La Quinta 1
Compliance Method
This dwelling was: (select one of the following two choices):
® Tested at Final
p Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below)
Visual Inspection at Final Construction Stage (if applicable)
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following
procedure must be performed:
p For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
p If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing:'CFI OA ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to.meet'ASHRAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed position, during duct leakage testing.
® All supply and return reg ister}'boots must be sealed to the drywall
® New duct installations cannot utilize.building cavities.as,plenums.or„platform .returns -in liie~u,of ducts.
® Mastic:and draw bands must be used in combination-wlth.Cloth backed, rubber adhesive duct tape to seal
leaks at�duct connectionsI — iN
W. —
= �P I . -
DECLARATION STATEMENT
• I certify under penalty of perjury, under the 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 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 installation is consistent with the plans and specifications approved by the
enforcement agency.
• I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am
required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also '
perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS
rater, and if those installations fail to. meet the requirements of such quality assurance checking, the required corrective action and
additional checking/testing of other installations in that HERS sample group will be performed at my expense. -
. I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the
building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I
understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder
provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data
registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
Responsible Person's Signature:
Kermit Larby
Kermit Larby
CSLB License:
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? 0 Yes p No
Reg: 212-N0014316F-M2000004A-0000 Registration Date/Time: 2013/04/14 18:01:22 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS
Duct Leakage Test —,Completely New or Replacement Duct System: (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 2) 1 City of La Quinta 1
Enter the Duct System Name or Identification/Tag: System 2
Enter the Duct System Location or Area Served: Bedrooms
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling
construction, and also for completely new or replacement duct systems in existing dwellings. For existing
dwellings, a completely new or replacement duct system can also include existing parts of the original duct
system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be
sealed.
Duct Leakage Diagnostic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance
credit for verified low leakage ducts in conditioned space is shown in the special features section of the
Allowed ,
CF -111, the leakage to outside test method must be used to verify dud leakage (refer to RA3.1.4.3.4),
Leakage
and 25 CFM must be entered for. Allowed Leakage.
(CFM) ;
Allowed leakage calculation = (select one calculation method from this section). Use 6% (leakage
factor = 0.06) for calculations if tested at."final" or 4% (leakage factor = 0.04) if tested at "rough."
When utilizing Low Leakage Air Handler(LLAH) credit, the allowed duct leakage may be specified by the
CF-iR,to be,less than 6%, in which'case the user-specified leakage rate must be used in the
calculations below:"For example, if the user-specified leakage (specified as a percentage of fan airflow)
is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below.
® Cooling system method: r c a
Nominal capacity;of condenser in Tons 3 5 x 400 xyeakage factor 8� M.
k
❑ Heating system metho •, r
21.7 x I Output Capacity in Thousands oyf�Btu/hr x leakage factor, = -- CFM" " ""
I "' �"
j4
S'
❑ Measured.airflow method'(RA3 3); , a .
Enter,measured fan flow in CFM here '- x leakage.factor= ' CFM'
Enter,value for'Actual leakage (CFM) in'. -the right column, from measurement using applicable dud '
Actual
leakage pressurizotiom test proced6re fr6m Reference Residential Appendix RA3.1(CFM @ 25 Pa).
Leakage
(CFM)
_ List Actual Leakage from duct leakage test(CFM)
51
Pass if Actual Leakage is equalto or less than Allowed Leakage M Pass 13 Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a
smoke test should be performed to verify that the excess leakage is coming only from a pre-existing
furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS
rater must verify the installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail
Reg: 212-N0014316F-M2000005A-0000 Registration Date/Time: 2013/04/14 18:11:34 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS
Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 2) City of La Quinta 1
Compliance Method
This dwelling was: (select one of the following two choices):
® Tested at Final
❑ Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below)
visual Inspection at Final Construction Stage (if applicable)
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following
procedure must be performed:
p For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
E3 If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing: CFI OA ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to,meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed position during duct leakage testing,
® All supply and•return register boots must be sealed to the drywall
® New duct installations cannot utilize.building cavities asrplenums•or�platform.returns in heu,of ducts.
® Mastic -and draw bands must be used in combination twlth Cloth backed, rubber adhesive duct tape.to seal
leaksa0&ct connections;~']
V t
DECLARATION STATEMENT,
I certify under penalty of.pedury, under the 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 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 installation is consistent with the plans and specifications approved by the
enforcement agency.
• I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am
required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also
perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS
rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and
additional checking/testing of other installations in that HERS sample group will be performed at my expense.
• I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific
requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the
building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I
understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder
provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data
registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
Responsible Person's Signature:
Kermit Larby
Kermit Lorby
CSLB License:
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? p Yes E3 No
Reg: 212-N0014316F-M2000005A-0000 Registration Date/Time: 2013/04/14 18:11:34 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms t August 2009
INSTALLATION CERTIFICATE CF-6R-MECH=20-HERS
Duct Leakage Test — Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 3) City of La Quinta 1
Enter the Duct System Name or Identification/Tag: System 3
Enter the Duct System Location or Area Served: Kitchen
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling
construction, and also for completely new or replacement duct systems in existing dwellings. For existing
dwellings, a completely new or replacement duct system can also include existing parts of the original duct
system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be
sealed.
Duct Leakage Diagnostic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below:
Verified Low Leakage Ducts in Conditioned Space All
Reg: 212-N0014316F-M2000006A-0000 Registration Date/Time: 2013/04/14 18:16:02 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms - August 2009
LDCS) Compliance Credit. If compliance
credit for verified low leakage ducts in conditioned space is shown in the special features section of the
Allowed
CF -111, the leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4),
Leakage
and 25 CFM must be entered for: Allowed Leakage.
(CFM)
Allowed leakage calculation ,.= (select.one calculation method from this section). Use 6% (leakage
factor = 0.06) for calculations if tested at "final' or 4% (leakage factor = 0.04) if tested at "rough."
When utilizing Low Leakage Air Handler.(LLAH) credit, the allowed duct leakage may be specified by the
CF-iR,to be.less than 615/6, in which case the user-specified leakage rate must be used in the
calculations below. For example, if the user-specified leakage (specified as a percentage of favi airflow)
is reported on the CF -1R as 3%, then. use aleakage factor of 0.03 in the calculations below.
0 Cooling system method: n��
Nominalapacity of condenser in Ton+s x 400 x leakage factor �6 CFM r r *
3 �,•
[3Heating system method�� ', L\y�r r
i.
21.7 x 1 Output Capaciryty in Thousands of Btu/hr x leakage factor = CFM
0 Measured airflow method`(RA3 3):, R; •�:..T
Enter,measured.fan floWin CFM -here- '' x leakage"factor = = CFM
Enter -Actual leakage (CFM) in'the right column, from measurement duct
Actual
,value foe using applicable
leakage pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
Leakage
(CFM)
``•4� List Actual Leakage from duct leakage test(CFM)
56
Pass if Actual Leakage is equal to, or less than Allowed Leakage M Pass 0 Fail
For complete replacement of duct:systems only, if the 6 percent leakage rate criteria cannot be met, a
smoke test should be performed to verify that the excess leakage is coming only from a pre-existing
furnace cabinet (air handler cabinet), and not from other accessible portions of the duct system. A HERS
rater must verify the installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler)'are sealed using smoke 0 Pass 0 Fail
Reg: 212-N0014316F-M2000006A-0000 Registration Date/Time: 2013/04/14 18:16:02 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms - August 2009
INSTALLATION CERTIFICATE CF-6R-MECH-20-HERS
Duct Leakage Test — Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 3) 1 City of La Quinta 1
Compliance Method
This dwelling was: (select one of the following two choices):
® Tested at Final
E3 Tested at Rough -in (requires installer to complete the visual inspection at final construction stage described below)
Visual Inspection at Final Construction Stage (if applicable)
After installing the interior finishing wall and verifying that the above rough -in tests was completed, the following
procedure must be performed: `
E3 For all supply and return registers, verify that the spaces between the register boot and the interior finishing wall are
properly sealed.
Q If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used.
® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off
during duct leakage testing./CFI OA ducts that utilize controlled motorized dampers, that open only when OA
ventilation is required to.meeCASHRAE Standard 62.2, and close when OA ventilation is not required, may
be configured to the closed position during duct leakage testing.
® All supply d'return register". boots must be sealed to the drywall
® New duct installations cannot utlllze.bullding: cavities as,"plenums,or„platform,returns in heu,of ducts.
installations I ; �,, ,�,�, , � + ;
® Mastic,and'draw bands must be used in combin atlon,with.Cloth backed, rubber.adhesive duct tape"to seal
leaks atduct connections:'
r
DECLARATION STATEMENT
• I certify under penalty of perjury, under the 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 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 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 -1R that apply to the installation have been met.
• I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the
building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I
understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder
provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data
registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
Responsible Person's Signature:
Kermit Larby
Kermit Larby
CSLB License:
382403
Date Signed:
4/4/2013
Position With Company (Title):
Is this installation monitored by a Third Party Quality
Name of TPQCP (if applicable):
Control Program (TPQCP)? p Yes ❑ No
Reg: 212-N0014316F-M2000006A=0000 Registration Date/Time: 2013/04/14 18:16:02 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
',53728, Via Bellagio, La Quinta CA. 92253;(System.1)-r City of La Quinta. 1
Enter the Duct System Name or Identification/Tag: System 1
Enter the Duct System Location or Area Served: Greatroom
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new dud systems installed in new dwelling construction, and also
for completely new or replacement dud systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g.; register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leakage Diagnostic Test - completely new or replacement duct system
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for
Allowed
verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the
Leakage
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
(CFM)
be entered for Allowed Leakage.
Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handier (LLAH) credit, the allowed duct leakage may be
specified by the CF -1R to be -fess than`.6%, in which case the user-specified leakage rate must be used in the
calculations below. For, example, if the user-specified leakage (specified as a percentage of fan airflow) is
reported on the CF -1R as 3%, then',use'aleakage factor of 0.03 in the calculations below.
® Cooling system method:;
Nominal capacity of condenser in Tons 5 x4 M 00 x leakage factor 120 CFM
�
❑Heating system method:
21.7 x i Output Ca aci "rin Thousands of Btu hrx T,�
P P tY / leakage factor .•CFM
❑ Measured airflow'Imethod (RA3 3): .
Enter measured ,fan'flow'in CFMkhere 'x ` ' - CFM'.:.-
leakagefactor^
Enter value for Actual leakage (CFM) in the right column;``from measurement usingapplicable duct leaka a
PP g
Actual
pressurization -test procedure fromReference Residential Appendix RA3.1(CFM @ 25 Pa).
Leakage
(CFM)
( List Actual Leakage from duct leakage test(CFM)
72
Pass if Actual Leakage -is less than.Allowed Leakage ® Pass Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify, that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from' otheraccessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑Fail
,
Reg: 212-N0014316F-M2000004A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 1) City of La Quinta 1
Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
eakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close When OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
® All supply and return register b ots .must be sealed to the drywall
® New duct installations cannot utilize, building cavities as plenums or platform returns in lieu of ducts.
�-++- fi.
®duMastic anddraw bands must be .used m coinbmaEion w�Efi;Cloth backed,.rubber adhesive duct tape to seal leaks at
ct connections:
DECLARATION STATEMENTS,
• ,, '� ..,,_;,, � �---•rte-"
• I certify under peenilty of perjuryunder the laws of the:State of CaliYornia;'the information provided on this form is true and correct
- - d s 1 n Yr r r
• I am the certified HERS rater.who performed the verification services identified and reported on this certificate (responsible rater)€;
• The installed feature; material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation)' complies with the applicable requirements in'Refem6ce Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s)'of Compliance (CF -111) approved by the local enforcement agency.
• The information reported •on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the
enforcement agency. V
Builder or Installer information as shown on the Installation Certificate (CF -6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LAR13Y
Responsible Person's Name:
CSLB License: ,.
Kermit Larby
1382403
HERS Provider Data Registry Information
Sample Group * (if applicable): N/A ` '
® tested/verified dwelling
Onot-tested/verified dwelling in
a HERS sample group
HERS Rater Information Ca10ERTS Certificate # CCl-1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Responsible Rater's Signature:
Tom Bachus
Tom Buchus
Responsible Rater's Certification Number w/ this HERS Provider:
-
Date Signed: 4/6/2013
CC20OS932
Reg: 212-N0014316F-M2000004A-M20A Registration Date/Time: 2013/04/14 18:22:46 'HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 2) 1 City of La Quinta 1
Enter the Duct System Name or Identification/Tag: System 2
Enter the Duct System Location or Area Served: Bedrooms
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leaka a Dia noetic Test - COMDletely new or replacement ducts stem
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit.'If compliance credit for
verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the
Allowed
Leakage
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
be entered for Allowed Leakage.
(CFM)
Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be
specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the
calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is
reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below.
® Cooling systemmethod:
Nominal capacity condenser in To s 3.5 -._x 400 x leakage factor = 4 CFM
p ty of
❑Heating system method: i�' ),CFM,
r/
21.7 x 'i Output Capacity in Thousands of Btu/hr x leakage factor -
❑ measured 'airFlowmeth"od (RA3:3):
Enter measuredifZ flow in'CFMihere x` - CFM
leakage factor«...
`Actual
Enter value for Actual leakage'(CFM) in the right column, from mea urement using applicable duct leakage
Leakage
pressurization -test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
..
(CFM)
List Actual Leakage from duct leakage test(CFM)
51
Pass if Actual Leakage'is less than Allowed Leakage ® Pass ❑ Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify:that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail
Reg: 212-N0014316F-M2000005A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-2
Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 2) 1 City of La Quinta 1
r
A
eOutside air (OA) ducts for.Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
eakage testing. CFI OA ducks that'utiliie controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close when -OA ventilation is not required, may be configured to the closed position
during duct leakage testing.,
® All supply and return register boots must be sealed to the drywall
® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. ;
Mastic
and Ydraw bands must be .used in .combmation with,Cloth,backed,+rubber�adhesrve duet tape to seal leaks at
uct connectio`ns r, �` y'
DECLARATION STATEMENT
*. .r
. I certify under penalty of pibury�und_er the laws of the'State of California; the inf rmation provided on"this forms true andr�orr,
. I am the certified. HERS rater,who performed tFie+verification services identified and rep ortetl on this certifeate:(responsible rater)
. The'instelled feature,'material;'component; or manufactured device requiring HERS^verification that is identified on this certificate (the
installation) cornplies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s)'of Compliance (CF -i R) approved by the local enforcement agency.
. The -information rep8rted.on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the
enforcement aaencv. ' '", f -
Builder or Installer information as shown on the Installation Certificate (CF -611)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name: ----TC-SLB
License:
Kermit Larby
1382403
HERS Provider Data Registry Information
Sample Group * (if applicable): N/A®
tested/verified dwelling
❑ not-tested/verified dwelling in
la
HERS sample group
HERS Rater Information CalCERTS Certificate # CCi-1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Responsible Rater's Signature:
Tom Bachus
Tom Bachus
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 4/6/2013
CC20OS932
Reg: 212-N0014316F-M2000005A-M20A Registration Date/Time: 2013/04/14,18:22:46 1HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 3) 1 City of La Quinta 1
Enter the Duct System Name or Identification/Tag: System 3
Enter the Duct System Location or Area Served: Kitchen
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
Duct Leaka a Diagnostic Test - completely new or replacement ducts stem
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for
Allowed
verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the
Leakage
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
(CFM)
be entered for Allowed Leakage.
Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be
specified by the CF -111 to be less than 6%, in which case the user-specified leakage rate must be used in the
calculations below. For example, if;,the user-specified leakage (specified as a percentage of fan airflow) is
reported on the CF -1R as 3%, theniuse aleakage factor of 0.03 in the calculations below.
® Cooling system method: '
Nominal capacity of condenser in Tons -4 x 400 x leakage factor = 96 CFM
y
❑ Heating
system method: � �• �, �/ �.,,,,;,�
21.7 x ./ Output Capacity,in Thousands of.etu/hr x /eakagelffactor Z CFK �
r t
❑ Measured airFlow)med
�
r
(RA3lI.f3/):
f -
x
Enter measured -fan flow'in CFMChere leakage factor,T CFM`
-::
Enter value for'Actual leakage'(CFM) in the right column, from measurement using applicable duct leakage
"
Actual
Leakage(CFM)
pressurization, ocedure from Reference Residential
pressu` - p Appendix RA3.1(CFM @ 25 Pa).
' List Actual Leakage from duct leakage test(CFM)
56
Pass if Actual Leakage is less than Allowed Leakage ®Pass ❑Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify -that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the
installation (No sampling allowed). `
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑Fail
Reg: 2127N0014316F-M2000006A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms - August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (System 3) 1 City of La Quinta 1
Outside air (OA) ducts for,Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
Te—akage testing, CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to
meet ASHRAE Standard 62.2, and close.when OA ventilation is not required, may be configured to the closed position
during duct leakage testing.
® All supply and return register boots must be sealed to the drywall
® New duct installations cannot utilize building cavities as plenums or platform returns In lieu of ducts.
® Mastic and=draw bands must be used in combination with Clothibacked *rubber adhesive duct tape to sei31 leaks at "
duct connections x {: i f3 e - t `
DECLARATION ST-ATEMENTb
• I certify under penalty of p=qury;vnder the laws of the State of. California; the information provided on this form is true and correct
• I am the ceitified.HERS rat& who performed the Verification services identified and reported on this certificate (responsible rater.) `
• The installed feature, material,'"component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation)'complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Ce_rtificate(s)'of Compliance (CF -1R) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s)
responsible for.the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the
enforcement agency. ` ` _y
Builder or Installer information as shown on the Installation Certificate (CF -6R)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
CSLB License:
Kermit Larby
382403
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A
® tested/verified dwelling
la
Un ot-tested/ve rifled dwelling in
HERS sample group
HERS Rater Information CalICERTS Certificate # CCI -1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Responsible Rater's Signature:
Tom Bachus
Tom Bachus
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 4/6/2013
CC2005932
Reg: 212-N0014316F-M2000006A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20
Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2)
Site Address: Enforcement Agency: Permit Number:.
53728 Via Bellagio, La Quinta CA 92253 (NO s)stem) City of La Quinta 1
Enter the Duct System Name or Identification/Tag: NOT TESTED
Enter the Duct System Location or Area Served: No system
Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the
dwelling.
This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also
for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or
replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,
plenums, etc.) if those parts are accessible and they can be sealed.
rlurt 1 aalrnno rfinnnnctii- Tort - �nennletely Haul nr ln..h.eMeMt .L.wt � .�teM
Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the
VLLDCS criteria or one of the three calculated leakage rates described below.
Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for
Allowed
verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the
Leakage
leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must
(CFM)
be entered for Allowed Leakage.
Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor =
0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be
specified by the CF -1R to be,lessthan 6%, in which case the user-specified leakage rate must be used in the
calculations below. For example, iftheuser-specified leakage (specified as a percentage of fan airflow) is
reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below.
® Cooling system method:
Nominal capacity_of condenser in Tons 5 x 400.x leakagefactor 120 CFM
r"
❑ Heating system method:" '� a ti
21.7 x Output Capacity n Thousands.of Btu/hr x leaks a "factor - CFM.; i ""
"""'•�
❑ MeasuredFairflow?method (RAM ): ,� ,`
Enter measured,fa.n flow�in�CFM'h -
x.le"a'kfa a factor.= CFM,.
g
Enter value for Actual leakage (CFM) in the right columni from measurement using applicable duct leakage
Actual
pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa).
Leakage
(CFM)
List Actual Leakage from duct leakage test(CFM)
100
Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail
For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke
test should be performed to verify, that the excess leakage is coming only from a pre-existing furnace cabinet
(air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the
installation (No sampling allowed).
List Actual Leakage from smoke test(CFM)
Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑ Fail
Reg: 212-N0014316F-M2000001A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20
Duct Leakage Test - Completely New•or Replacement Duct System (Page 2 of 2)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 (NO system) City of La Quinta 1
21
Outside air (OA) ducts fo�,Central'F,an Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct
eakage testing. CFI OA ducts that '.utilize controlled motorized dampers, thatopen only.when OA ventilation is required to
meet ASHRAE Standard 62.2, and close. when OA ventilation is not required, may be configured to the closed position
during ductleakage testing. ti
® All supply and return register boots must be sealed to the drywall
® New duct installations cannot utilize PZ I building cavities as plenums or platform returns in lieu of ducts.
® Mastic andrdraw bands must be,used m combination with Cloth backed; rubber adhesive duct tape•t'-o peal teaks at
duct connections
DECLARATION STATEMENT S >
. I certify under penalty of perjuryunder the laws of the State of. Cahforoia;.the information provided on this form is true and correct
r •. i J ate, .a Rv.—=ter r f
. I am the certified. HERS rater,who performed the verification services identified and repoited-on this certificate: (re'sponsible rater,)
. The installed feature, material,'component, or manufactured device requiring HERS verification that is identified on this certificate the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s)-of Compliance (CF -1R). approved by the local enforcement agency.
. The information reported on applicable sections of the Installation Certiflcate(s) (CF -611), signed and submitted by the person(s)
responsible for,the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the
enforcement agency. 1,11 1
Builder or Installer information'as'shown on the Installation Certificate (CF -611)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
CSLB License:
Kermit Larby
1382403
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A
® tested/verified dwelling
❑ not-tested/verified dwelling in
la
HERS sample group
HERS Rater Information Ca10ERTS Certificate # CC1-1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Responsible Rater's Signature:
Tom Bachus
Tom Bachus
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 4/6/2013
CC20OS932
Reg: 212-N0014316F-M2000001A-M20A Registration Date/Time: 2013/04/14 18:22:46 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23
Verification of High EER Equipment (Page 1 of 1)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Verification of High EER Equipment
Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling
units with multiple systems, the procedures must be applied to each system separately. 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.
1
System Name or Identification/Tag
System 1
System 2 .
System 3
NO
® tested/verified dwelling JffaHEORS
t-tested/verified dwelling in
sample group
HERS Rater Information CaICERTS Certificate # CCi-1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Tom Bachus
system
2
System Location or Area Served
Greatroom
Bedrooms
Kitchen
No system
3
Certified EER Rating of the installed
equipment (Btu/Watt-hr)
12.8
12.8
12.8
12.8
NO
4
Make and Model Number of the
DAY AND NIGHT
DAY AND NIGHT
DAY AND NIGHT
SYSTEM
installed Outdoor Unit
NXA660GKA100
NXA648GKA100
NXA648GKA100
NOT
TESTED
5
Make and Model Number of the
ASPEN
ASPEN
ASPEN
DDD
installed Inside Coil
ACC6014SL128
ACC48145LI28
ACC4814SL128
DDD
6
Make and Model Number of the
DAY AND NIGHT
DAY AND NIGHT
DAY AND NIGHT
DDD
installed Furnace or Air Handler.
NSMSL0701412A2
NSMSL0701412A2
NSMSL0701412A2
DDD
7 Minimum Equipment EER required for 12.5 12.S 12.5 12.5
compliance as reported on the CF -4R
❑ When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance
credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure.
® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be
verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure.
If the Certified EER Rating in row13 is:.
equal to or greater than the required
8
minimum EERin ow'J, the unit+
complies `P Ir
PASS ~'-- aw
PASS
f PA55
PASS
If the unit complies enter. Pa
�-i b� ... .. r� - -...-r• ... ._ �vw �� %�!`i!� ss`�.rJ[;,�������'�x�h w�.+,,`x.
DECLARATION STATEMENT..
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct.
• I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater).
• The Installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the
installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified
on the Certificate(s) of Compliance (CF -IR) approved by the local enforcement agency.
• The information reported on applicable sections of the Installation Certificate(s) (CF -611), signed and submitted by the person(s)
responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the
enforcement agency.
Builder or Installer information as shown on the Installation Certificate (CF -611)
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
KERMIT ALAN LARBY
Responsible Person's Name:
Kermit Larby
CSLB License:
1382403
HERS Provider Data Registry Information
Sample Group # (if applicable): N/A
® tested/verified dwelling JffaHEORS
t-tested/verified dwelling in
sample group
HERS Rater Information CaICERTS Certificate # CCi-1798746109
HERS Rater Company Name:
MLC Building Performance
Responsible Rater's Name:
Tom Bachus
Responsible Rater's Signature:
Tom Bachus •
Responsible Rater's Certification Number w/ this HERS Provider:
Date Signed: 4/6/2013'
Reg: 212-N0014316F-M2300002A-M23A Registration Date/Time: 2013/04/14 18:27:32 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms August 2009
CC2005932
4S
J�J�i��fA'.. z�^"`. 5 f..�,.r 1f � 4 " tt 14��� • 'l d 'S+ { _:
t
Reg: 212-N0014316F-M2300002A-M23A Registration Date/Time: 2013/04/14 18:27:32 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms August 2009
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 11 1
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) I ,
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, unless the TMAH Compliance
Option is chosen.
STMS are only required for completely new or replacement space -conditioning systems that utilize
prescriptive compliance method.
TMAH - Access Holes in Supply and Return Plenums of Air Handler
System Name or Identification/Tag
i
System 2
System 3
1
System Location or Area Served
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 11 1
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) I ,
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, unless the TMAH Compliance
Option is chosen.
STMS are only required for completely new or replacement space -conditioning systems that utilize
prescriptive compliance method.
TMAH - Access Holes in Supply and Return Plenums of Air Handler
System Name or Identification/Tag
System 1
System 2
System 3
1
System Location or Area Served
Greatroom
Bedrooms
Kitchen
No system'
5/16•inch; (8.mm) access hole!"
1
upstream of evaporative coil in
the return plenum and labeled
®Yes
®Yes
®Yes
®Yes
according caFigure in Section
RA3.2.2.2.2.
❑ No
❑.No
:.
❑ No
T-�:
❑ No
Return side of the ducttsystem
is located entirely within,tj
a
`
_.
1a
,/
conditioned space and4eturn
airflow temperature to,be'
❑Yes
No
❑.Ye
s..
} ❑?No--
❑ Yes„'+
❑
,' , ❑Yes
µ❑aN
measuredlat the return
;grille._
5/16 inch (8 mm) access -hole
=
.r
2
downstream -of -evaporative coil °°
in'the supply plenum and .
® Yes
® Yes
® Yes
13 Yes
'
labeled according,to Figure.in
❑ No
13 No
13 No
❑ No
Section RA3.2.2.2.2 • tp°
The TMAH Compliance Option should be checked only if the HERS Rater is able to confirm that it was
physically impossible for the -HVAC Installer to drill the TMAH as required by Section RA3.2.2.2.2. Using this
Compliance Option requires the"HVAC installer to annotate on the HERS Provider's data registry an
explanation as to why the TMAH cannot be installed on the system, and photographs of the equipment on
which the'TMAH cannot be installed: Use of this Compliance Option also requires minimum airflow
verification through the direct measurement of airflow per RA3.3. For more information see
httg://www.enerov.ca.gov/totle24/2008standards/special case aooliance/
TMAH Compliance Option
❑
❑
❑ ❑
Yes to 1 and 2, or Yes to 1a and 2,
or checking the TMAH Compliance
® Pass
® Pass
® Pass ® Pass
Option, is a pass.
❑ Fail
❑ Fail
❑ Fail ❑ Fail
Enter Pass or Fail
i
. � t
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 -HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms February 2013
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 -HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms February 2013
r
System i
e
System 3
1
• a
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1 1
STMS - Sensor on the Evaporator Coil
System Name or
Identification/Tag '
System i
System 2
System 3
1
3
The sensor is factory installed, or field installed according to manufacturer's specifications, or is installed
4, .
by methods/specifications approved by the Executive Director.
❑ Yes ❑ No 1 ❑ Yes ❑ No ❑ Yes ❑ No ® Yes ❑ No
6
The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer.
4
The sensor mini plug is accessible to the installing technician and the HERS rater without changing the
airflow through the condenser coil
- 13 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No •® Yes ❑ No
5
When attached to a digital thermometer, the sensor provides an indication of the saturation temperature
7
of the coil.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
Yes to 3, 4, and 5 is a
of the coil. 5, `
`❑ Yes ❑ No
❑ Yes ❑ No
pass.
Enter N/A if STMS are not
® N/A
® N/A
® N/A
❑ N/A
applicable. a
❑
Pass
❑Pass
❑Pass
®Pass
Otherwise enter Pass or '�'::
'
❑ Fail
❑ Fail
❑ Fail
❑ Fail
Fail
® Pass
Otherwise enter Pass or
❑ Fail
❑ Fail
STMS - Sensor on the Condensers Coil
System Nam dr ; .
+^ '°moi
System 1..
, `..`
System12System
Identification/Tag
4, .
.1
6
The sensor:is factoryjii stalled; or field installedfaccording to manufacturer's specifications„oras installed
by methods/specifications a} r6ve&b the Executive",Director.,
- '„ , � ❑Yes'❑ Nod , ❑ s'![]'Nor7O Yes ❑ No jt '' ®YeSr J Noel,(`
sensor!wire'is terminated;with.a:standardz mini. plug., suitable for�connection,to`aodigital;thermometer
7
IThe
The sensor mini>plug is -accessible to'the.installing;;techni¢ian`'and the:HERS•rater without•changing the
airflow thr. ugh.the condenser coil;.-
oil: -J❑
JOYes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ® Yes ❑ No
8
When attached to a digital thermometer, the sensor provides an indication of the saturation temperature
of the coil. 5, `
`❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
Yes to 6, 7, and 8 is a
pass.
Enter N/A if STMS are not
❑ N/A
❑ N/A
❑ N/A
❑ N/A
applicable.
❑ Pass
❑ Pass
❑ Pass
® Pass
Otherwise enter Pass or
❑ Fail
❑ Fail
❑ Fail .
❑ Fail
Fail
Reg: 212-N0014316F-M2500003A-M25A 'Registration Date/Time: 2013/04/14 18:37:58 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms February 2013
s
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification --Standard Measurement Procedure (Page 3 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1 1
Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F)
Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in
Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using
this form. Attach an additional form(s) for any additional systems in the dwelling as applicable.
• The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure. ,
• The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test.
• If outdoor air dry-bulb temperature is less than 55°F, the installer must use the RA3.2.3 Alternate Charge Measurement
Procedure (Weigh -In Charging Method). If the Weigh -In Method is used, the dwelling cannot be included in a sample
group for HERS verification compliance.) ,
Sdace Conditionina Svstems
System Name or
Identification/Tag
System 1
System 2
System 3
i
System Location or Area Served
Greatroom
Bedrooms
Kitchen
No system
Outdoor Unit Serial #
E1233070195
E123205959
E12337195
NONE
Outdoor Unit Make �
DAY AND
NIGHT
DAY AND
NIGHT
DAY AND NIGHT
NOT TESTED
Outdoor-U.nit4Model/
NXA660GKAIOO
NXA642GKA100
N8MSL0701412A2
NO
Nominal Cooling Capacity #
5 Tons
3.5 Tons
4 Tons
5 Tons
Date of Verification
'` 4/6/2013
4'/6/2yy013
417
4/6/2013
Return (evaporator, entering) air
y/6/2013
• -wltoo
�' k
Calibration of Di$agnostic•Instruments
Date of Itefrigerant`Gauge
Calibration
, g
4/1/2013 "", .r ''�
(must be re=calibrated monthly)
Date of Thermocouple
Calibration
4/1/2013
(must be re -calibrated monthly)
Measured Temperatures(:°F)
System Name or
Identification/Tag
System 1
System 2.
System 3
1
Supply (evaporator leaving) air
dry-bulb temperature (Tsupply,
db)
'
Return (evaporator entering) air
'
dry-bulb temperature (Treturn,
db)
Return (evaporator, entering) air
wet -bulb temperature (Treturn,
wb)
Evaporator saturation
temperature (Teva orator sat)
33
35
37
33
Condensor saturation
temperature (Tcondensor, sat)
94
96
84
94
Suction line temperature
(Tsuction)
47
39
44
47
Liquid Line Temperature
(Tli uid)
85
86
76
85
Condenser (entering) air
dry-bulb temperature
78
78
78
78
(Tcondenser, db)
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms February 2013
mgzSmG4316F-mg#Q3A-m2 Registration nte/Tie 2013/04/14 18:37:58 HERS Provider: clC22,Inc.
2008 Residential Compliance km, - February 2013
INSTALLATION CERTIFICATE CF-411-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1 1
Minimum Airflow Requirement
Temperature Split Method Calculations for determining Minimum Airflow Requirement for
Refrigerant Charge Verification. The temperature split method is specified in Reference Residential
Appendix RA3.2.
System Name or Identification/Tag
Calculate: Actual Temperature Split =
Treturn db - Tsupply, db
Target Temperature Split from Table
RA3.2-3 using Treturn, wb and
Treturn db
Calculate difference: Actual
Temperature Split - Target
Temperature Split =
Passes if difference is between -4°F
and +4°F or, upon remeasurement, if '
between -46F and -1000F:.'
'
Enter Pass or Fail
Note: Temperature`Split Method. Calculation is not necessary if actual Cooling Coil Airflow is verified using
one of the airflow measuremene procedures specified in Reference Residential Appendix RA3.3. If actual
cooling coil airflow is measured, the value must be equal to or greater than, the Calculated
Minimum A'irf/ow,Requirement m the tali%retie%w. R',;[ ,
CalculatedYMinimum
Airflow Requirement (CFM) = Nominal Cooling Capacity_ (ton) X 300
(cfm/ton)`
System Name or Identification/Tag-
System 1'
System" 2'
Systeffi 3`
1
Calculated Minimum -Airflow
Requirement (CFM), -7
1500
1100
1200
100
Measured Airflow using•RA3.3'
procedures (CFM) > " , f. ,
1709
1156
1245
100
Measurement Method
Flow Hood
Flow Hood
Flow Hood
Flow Hood
Passes if measured airflow is greater
than or equal to the calculated
minimum airflow requirement.
PASS
PASS
PASS
PASS
Enter Pass or Fail
0
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms February 2013
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 6)
Site Address: Enforcement Agency:Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta 1
Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is
required to be used for fixed orifice metering device systems
System Name or Identification/Tag
System 1
System 2
System 3
1
Calculate: Actual Superheat =
9.0
10.0
8.0
9.0
Tsuction - Teva orator sat
9
9
9
9
Target Superheat from Table RA3.2-2 using
0
1
,
0
Treturn wb and Tcondenser, db {
'
Calculate difference:
PASS S ;:`
PASS`»-�» :.
r "PASS.
PASS
Actual Superheat - Target Superheat =
14
System passes if difference is between -6°F
and +6°F
Enter Pass or Fail
PASS
PASS
PASS
PASS
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
System 2
System 3
1
Calculate: Actual Subcooling. =1V
Tcondenser -.sat ' Tli `
quid
9.0
10.0
8.0
9.0
Target Subcooling specified by '' • '
manufacturer
9
9
9
9
Calculate difference -f -.,�-
Actual Subcooling -Target Subcooling
0
1
,
0
manufacturer's specifications (or use
'
System passes if difference�is�"between.
-4°F an 4°
PASS S ;:`
PASS`»-�» :.
r "PASS.
PASS
En ter.Pags�,.Fail,
14
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
System 2
System 3 -
1
Calculate: Actual Superheat`=;
14.0
4.0
7.0
14.0
Tsuction - Teva orator sat
Enter allowable superheat range from
,
manufacturer's specifications (or use
'
range between 3°F and 26°F if
3-26
3-26
3-26
3-26
manufacturer's specification is not
available)
System passes if actual superheat is
within the allowable superheat range
PASS
PASS
PASS
PASS
Enter Pass or Fail
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms February 2013
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58. HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms February 2013
INSTALLATION CERTIFICATE CF-4R-MECH-25
Refrigerant Charge Verification - Standard Measurement Procedure (Page 6 of 6)
Site Address: Enforcement Agency: Permit Number:
53728 Via Bellagio, La Quinta CA 92253 City of La Quinta Tl
Standard Charge Measurement Summary:
System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum
cooling coil airflow criteria based on measurements taken concurrently during system operation. If
corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated.
System Name or Identification/Tag
1
System 2
System 3
1
System meets all refrigerant charge -
❑ not-tested/verified dwelling
lin
.1 :
a HERS sample group
and airflow requirements. -
PASS
PASS
PASS
PASS
Enter Pass or Fail
Robert Bachus
.
Date Signed: 4/6/2013
CC2005695
® Residential Appendix RA3.2.2 requires that if the outdoor temperature is between 55°F and 65°F the
return air dry bulb temperature shall be maintained above 70°F during the Standard Charge Measurement
Procedure. The signature of the Responsible Person in the declaration statement below certifies this
requirement has been met for all applicable system verifications reported on this certificate.
DECLARATION STATEMENT
. I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is
true and correct. t '
. I am the certified HERS rater who -performed the verification services identified and reported on this certificate
(responsible rater).
. The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this
certificate (the installation) corriplies.with the applicable requirements in Reference Residential Appendices RA2 and
RA3'and the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the local enforcement
agency.
. The information reported on applicable: sections of the Installation Certificate(s) (CF -611), signed and submitted by the
person(s) responsible for the installation- conforms -to the -,requirements specified -ion the=Certificates) of, Compliance
(CF-1R),approved�`by the enforcementxagency. {� f` C� "�f x
Builderjor Installer,informationas" shown 'ondthe`InstallationXCertificate (CF-R) r-=
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) v
f ..
KERMIT'ALAN LARBY'.._ .. "?,/ �. y ."�.}
Responsblerrs
,Peon's Name -T. "
+^
CSLB License: ,r k_
"�
Kermit Larby ° '"` - y "
382403 _
HERS Provider Data Registry Information
' #
Sample:Gro'up;�#:(if;applicable): 'N/A
tested/verified dwelling
❑ not-tested/verified dwelling
lin
.1 :
a HERS sample group
HERS Rater Information!:" CalCERTS Certificate # CC1-1798746109
HERS Rater Company Name:".., -
MLC Building Performance"';,"''
Responsible Rater's Name:
Responsible Rater's Signature:
Robert Bachus
Robert Bachus
Responsible Rater's Certification Number w/ this HERS
Provider:
Date Signed: 4/6/2013
CC2005695
-tCewti f"nMi`
Reg: 212-N0014316F-M2500003A-M25A Registration Date/Time: 2013/04/14 18:37:58 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance•Forms February 2013
!i
A '
d'Electronically Filed by Tim Scott and Authenticated at CalCERTS.cOm - 7/20/2012
Electronically Signed at CalCERTS.com by David W Helton (Helton, Deford & Associates) 7/20/2012
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
New Residence
Building Type , m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration 17/20/2012
Date -
Project Address
53-728 Via Bellagio, The Hideaway La Qt
California Energy Climate Zone
CA Climate Zone 15
Total Cond. Floor Area
4,450
Addition
n/a
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures -- If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
IZI Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION Area Special 12• X31
Construction Type Cavity Feature rt 2 of 5 Status
Roof Wood Framed Attic R-38 4,4 V ridu New
Wall Wood Framed R-21 3, 7 8 Ul INew
Door Opaque Door None 4BUILDINC3 & SAFETY DE New
Slab Unheated Slab -on -Grade None 4,4 0 per"k UP 0New
01
DATE BY
FENESTRATION '`` U- Exterior
Orientation- .Area Factor 'SHGC Overhang Sidefins Shades Status
Right (S) 69.2 V 0.390 0.36 none none Bug Screen New
Right (S) _ 132.0 :L 0.550. 0.39.. none.y. none._ �...Bug,Screen New
�
-- -,,, - - + _ s "r•--: a Ert ",. r: 4'en 4 �,: .'fir'
Rear ==,'s 96.00.390 0.365 0 _,� �. _ none « ;. 1'6ug Sceen ;w
.:
New
' .:. t as )k'.a- - ;
Left (N) , 52.6. j 0.390 0.36 `4 none none - `} 'Bug Screen, , r "'New
Front £e)' 90.87b7"A,0.i9dQ!36pnone none
Rear E, ;. 24.0 X0.390 0.36 none rv' none: tau ?Screen New;
�
( 1 _. 9r
r ,, �. r, -� � v.. . Ra � r -�:a ,�,. 4 ,•,,ter _ ',
Right (S) '' �'` `" `'100.0 ' f 0.550. ^.0 39 .--,none � �- - F' none' - -Bug Screen
New
Front (I49,�-�" ""�_ 76.0 r 0.950 0.49 none none Bug Screen
New
'\-_100.0 _ ',':y0.550 0.39 4.0 none Bug Screen
New
Rear (E) 185.0 0.550 0.39 • 15.0 none Bug Screen
New
Right (S) 1200 yv :' . 0.550 0.39 15.0 none Bug Screen
New
HVAC SYSTEMS - -
Ot . Heating • • I Min. Eff Cooling Min. Eff Thermostat Status
1 Split Heat Pump 8.10 HSPF Split Heat Pump 15.0 SEER Setback
New
• 1 Split Heat Pump 8.50 HSPF Split Heat Pump 15.0 SEER Setback
New
2 Split Heat Pump 8.10 HSPF Split Heat Pump 14.5 SEER Setback New
HVAC DISTRIBUTION Duct
Location Heating Cooling Duct Location R -Value Status
HVAC 1 Ducted Ducted Attic, Ceiling Ins, vented 4.2
New
HVAC 2 Ducted Ducted Attic, Ceiling Ins, vented 4.2
New
HVAC 3 & 4 Ducted Ducted Attic, Ceiling Ins, vented 4.2 .
New
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
2 Small Gas 75 0.65 All Pipes Ins
New
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID:
Pae 1 of 6
Reg: 212-N0014316F-000000000-0000 Registration Date/Time: 2012/03/22 14:29:23 HERS Provider: CalCERTS, Inc
fi Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 7/20/2012 '
Electronicallv Siqned at Ca10ERTS.com by David w Helton (Helton, Deford & Associates) 7/20/2012
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project NameType
Building ® Single Family ❑ Addition Alone
Date
New Residence
❑ Multi Family ❑ Existing+ Addition/Alteration
7/20/2012
SPECIAL FEATURES INSPECTION CHECKLIST ' ;
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verification to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The HVAC System HVAC 1 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix R43.3 must be met.
HIGH MASS Design - Verify Thermal Mass: 733:0 ft2 Covered Slab Floor, 3.500" thick at Zone 1 Master Suite
HIGH MASS Design - Verify Thermal Mass: 368.0 ft2 Exposed Slab Floor, 3.500" thick at Zone 1 Master Suite
The HVAC System HVAC 2 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met.
HIGH MASS Design - Verify Thermal Mass: 295.0 ft' Covered Slab Floor, 3.500" thick at Bedroom 3
HIGH MASS Design - Verify Thermal Mass: 68.0 ft2 Exposed Slab Floor, 3.500" thick at Bedroom 3
HIGH MASS Design - Verify Thermal Mass: 287.0 ft' Covered Slab Floor, 3.500" thick at Guest Suite
HIGH MASS Design - Verify Thermal Mass: 249.0 ft' Exposed Slab Floor, 3.500" thick at Guest Suite
The HVAC System HVAC 3 &:4 must serve only Living Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met.
HIGH; MASS Design - Verify Thermal !Mass: 408.0 ft2 Covered Slab Floor, 3.500" thick at Living Zone
HIGH MASS Design - Verify Thermal Mass Z042.0 ft' Exposed Slab Floor, 3.500" thick at Living Zone
c
The Roof R-36`Rddf(R 38.2x14.16) includes credit for a,Radiant Barney that is Contiiiuous mbe`hng eligitiildyrand installation criteria as specified in
Residential'A' endix RA4:2.2. � '�- F �+ 3 " ;t
/d
HERSREQUIRED1/ERIFICATION`�'
require -field testing, nd/or verification by,a certi ied'HERS Rater.IThe inspectorxmust receive a
_.
oomslin1his�sect(on
ed CF:4R form for'eacfi ofxthe measures'listed'tielowfor finaj to be` iven:'` '
The Cooling System Carrier 4 T HeatPump'ihcludes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAc'system HVAC 1 iricorporates HERS Verified Refrigerant Charge ora Charge Indicator Display.
The HVAC System HVAC 1 incorporates *HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified crit6ha _"
The Cooling System Carrier 3.5T Heat Pump includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAC System HVAC 2 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System HVAC 2 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
The Cooling System Carrier 415 T Heat Pumps includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of
the correct Condenser.
The HVAC System HVAC 3 & 4 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System HVAC 3 & 4 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
y , .
EnemyPro 5.1 by EnemySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID: Page 2 of 6
Reg: 212-N0014316F-000000000-0000 Registration Date/Time: 2012/03/22 14:29:23 'HERS Provider: Ca10ERTS, inc
r' Electronically Filed by Tim Scott and Authenticated at.Ca10ERTS.com,- 7/2012012
Electronically Signed at CalCERTS:com by David W Helton (Helton, Deford & Associates) 7/20/2012
PERFORMANCE CERTIFICATE: Residential .Part 3 of 5 CF-1RJ
Project NameBuilding
Type m Single Family ❑ Addition Alone
Date
New Residence
❑ Multi Family O Existing+ Addition/Alteration
1,112012012
ANNUAL ENERGY USE SUMMARY
Standard -t Proposed Margin
TDV . kBtu/ft2- r ; .
Space.Heating 3.86:' 4.04 -0.18
Space Cooling 54:15,: 49.18 4.9i
Fans 10.53 14.23 -3.70
Domestic Hot Water t3.20 8.82 -0.63
Pumps 0;00 0.00. 0.00
Totals, 76.75' 76.27 0.47
Percent Better Than Standard:. ' 0.6 %
BUILDING COMPLIES - HERS VERIFICATION REQUIRED
Fenestration
Building front Orientation: (w) 270 deg Ext. Walls/Roof Wall Area Area -
Number of Dwelling Units: •1.00 (w1: 1,566. 161
Fuel Available at Site: Natural Gas (N) 8so 153
Raised Floor Area: 0 (E) 1,001 - 305
Slab on.Grade Area: '4;450. (S) . 1,451, 421
Average Ceiling Height-,.,,." ":':x.", 11.5 Roof4,450 0
Fenestration Average U -Factor: 0.53 TOTAL: 1,046
Avera a SHGC=i; 0.39 - Fenestration/CFA Ratio: 23.5
REMARKS4 i .
-4:. C,11 Nlk-
7.
M
STATEMENTOF COMPLIANCE
This certificate ofcompliance lists the building features and specifications needed
r•
to comply with Title 24 Part6"1'tfie Administrative Regulations and Part 6 the
Efficiency'Standards.of'the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author • . f
Company Scott Design and Title 24, Inc,
720/2012
Address 77-085 Michigan Drive Name Tim Scott
Cit /Statetb -Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent -with -the other compliance forms and worksheets, with the -specifications, and
With any.other calculations submitted with this permit application; "and recognizes that compliance using duct design.,
duct sealing, verification of refrigerant charge, insulation installation quality,'and building envelope sealing require
installer testing 'and,certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company He/ton,'DeFord & Associates
Address - 1261 N. Big Spring Street Name Jim Deford: •.
City/State/Zip Anaheim, Ca 92807 Phone. (909) 957-4550- Signed License # Date..
Ene Pro 5.1 b Ene Soff User Number. 6712 RunCoile: 2012-07-20710:25:42 /D: Pa e 3 of 6
Reg: 212-N001'4316F.-000000000-0000'' Registration Date/Time: 2012/03/,22 14,:29:23 .•HERS'Provider: CalCERTS, inc
K Electronically Filed by Tim Scott and Authenticated at CalCERTS.com - 7/20/2012
Electronicallv Sicrned at CalCERTS.com by David W Helton (Helton, Deford & Associates) 7/20/2012
CERTIFICATE OF COMPLIANCE: Residential (Part 4 of 5) CF -1 R
Project Name
New Residence
Building Type m Single Family 11Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
OPAQUE SURFACE DETAILS
Surface U- Insulation Joint Appendix
Type Area Factor Cavity Exterior Frame Interior Frame_ Azm Tilt Status 4 Location/Comments
Roof
1,101 0.026 R-38
270 0 New 4.2.1-A9
Zone 1 Master Suite
Wall
443 0.069 0-21
180 90 New 4.3.1-A6
Zone 1 Master Suite
Wall
76 0.069 R-21
270 90 New 4.3.1-A6
Zone 1 Master Suite
Door
24 0.500 None
270 90 New 4.5.1-A4
Zone 1 Master Suite
Wall
216 0.069 R-21
0 90 New 4.3.1-A6
Zone 1 Master Suite
Wall
198 0.069 R-21
90 90 New 4.3.1-A6
Zone 1 Master Suite
Slab
733 0.730 None
0 180 New 4.4.7-A 1
Zone 1 Master Suite
Slab
368 0.730 None
0 180 New 4.4.7-A1
Zone 1 Master Suite
Roof
363 0.026 R-38
270 0 New 4.2.1-A9
Zone 2 Bdrm 31Guest
Wall
204 0.069 R-21
180 90 New 4.3.1-A6
Zone 2 Bdrm 31Guest
Wall
139 0.069 R-21
0 90 New 4.3.1-A6
Zone 2 Bdrrn YGuest
Wall •
451 0.069 R-21
96 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest ,
Slab
295 0.730 None
0 180 New 4.4.7-A1
Zone 2 Bdrm 3/Guest
Slab
68 0.730None
- 0 180 New 4.4.7-A1
Zone 2 Bdrm YGuest
Roof
536 0.026 R-38
270 0 New 14.2.1-A9
lZone 2 Bdrm YGuest
Wall
193 0.069 R-21
180 96 New 4.3.1-A6
Zone 2 Bdrm YGuest
FENESTRATION SURFACE DETAILS
ID
T e Area :'.• U -Factor SHGC
Azm Status GlazingType
Location/Comments
1 .
Wndow 13.8 ' ` 0.390 NFRC .0.36 NFRC _ 180 New Double non-metal tinted
Zone 1 Master Suite
-2,._ Window 13.8 0.390 NFRC 0.36 NFRC 180 New Double non-metal tinted
Zone 1 Master Suite
'3
Wndow "` = ' 24.0 0.390 NFRC . 0.36 NFRC 180 New Double non-metal tinted
Zone 1 Master Suite
4,.
Window 3.8 0.390 NFRC 0.36 NFRC 180 New Double non-metal tinted
Zone 1 Master Suite
5 4 Window - X132.0 0.550 NFRC- . >0:39 NFRC ..... 180 New _ .Pocket Doors,_..
_ Zone 1 Master Suite
6 •
Window.,., _-%24.0 0.390 NFRC ;r+` ;.? 0.36' :NFRC ; x)90 Ne)* Double non-metal tinted fA 'A, Zone 1 Master Suite
7
Window' 48,0 0,390 ,NFR.0 1 p<� 0:36 'NFRC <90 New,5 7 , Double'no`n-metal tinted fl ;. Zone. !.Master Suite
8
_,.
Window- 24.0_° `x,;0.390 NFRC " `; 0.36 NFRC :;..4ik90 NewIV.* Double non-metal tinted.. \ Zoned Master Suite
9
Window 13.8 10.390 NFRC P ." 0.36 NFRC ft. 10 ,New -, Double non-metal tinted,�_N
RQ Zone'., Bdrm 3/_Guesttti,
10
Window. $_-)36.o,'),.0.390 NFRC %1 ,' 0.36' NFRC if 0 New;.4 ? Doubie"non-metal tinted I
'4, Zone 2 Bdrni 31Guest"^
11 .
1Mnd6w49►,'i.,13.8 ,4,0:390 NFRC h y x0.36 "NFRC. ) X180 NewDouble non-metaltinted il'k-ADi Zone;28drm13/Guest
12'
Window �* 119:5 ^-0.390 NFRC `. = $ a 0.36 NFRC I:. "::_ 270 New e,. 'Double non=metal tinted •
Zone 2 Bdrm 3/Guest
13
Window 19.5 0.390 1 NFRC `0.36 NFRC 270 New Double non-metal tinted
Zone 2 Bdrm 3/Guest
44-
Window " 49.0 0.390 NFRC 0.36 NFRC 0 New Double non-metal tinted
Zone 2 Bdrm YGuest
15 Window" 3:8 0.390 NFRC 0.36 NFRC 0 New Double non-metal tinted
Zone 2 Bdrm YGuest
16
Window 24.0 t 0.390 NFRC 0.36 NFRC 901 New Double non-metal tinted
Zone 2 Bdrm YGuest
(1) LI -Factor Type: • - '1,116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: ` 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS '
ID
Window
Exterior Shade T e SHGC H t Wd
Ove hang Left Fin
Len H t LExt REM Dist Len
Right Fin
H t Dist Len H t
1
Bug Screen 0.76
2
Bug Screen 0.76
3
Bug Screen 0.76
4
Bug Screen 0.76
5
Bug Screen 0.76
6
Bug Screen 0.76 8.0 3.0
5.0 0.1 5.0 5.0
7
Bug Screen 0.76 8.01 6.0 5.0 6.1 5.0 5.6
8
Bug Screen 0.76 8.01 3.0 5.0 0.1 5.0 5.0
9
Bug Screen 0.76
10
Bug Screen 0.76
11
*Bug Screen 0.76
12
Bug Screen 0.76
13
Bug Screen 0.76
14
Bug Screen 0.76
15
Bug Screen 0.761 1
16
Bug Screen 0.76
EneravPro
5.1 bv EnerqvSoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 4 of 6
Reg: 212-N0014316F-000000000-0000 ' Registration Date/Time: 2012/03/22 14:29:23 HERS Provider: Ca10ERTS, Inc
Electronically Filed by Tim Scott and Authenticated at Ca10ERTS.com - 7/20/2012
Electronically Signed at CalCERTS.com by David W Helton (Helton, Deford & Associates) 7/20/2012
CERTIFICATE OF COMPLIANCE: • Residential (Part 4 of 5) CF -1 R
Project Name
New Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
1712012012
OPAQUE SURFACE DETAILS
Surface U- Insulation Joint Appendix
Tvpe Area Factor I Cavitv I Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Wall
292 0.069 R-21
270 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Wall
194 0.069 R-21
0 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Wall
26 0.069 R-21
90 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Slab
287 0.730 None
0 180 New 4.4.7-A1
Zone 2 Bdrm 3/Guest
Slab
249 0.730 None
0 180 New 4.4.7-A1
Zone 2 Bdrm 3/Guest
Roof
2,450 0.026 R-38
270 0 New 4.2.1-A9
Zone 3 Great/Game/Kitch
Wall
70 0.069 R-21
180 90 New 4.3.1-A6
Zone 3 Great(Game/Kitch
Wall
491 0.069 R-21
270 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
128 0.069 R-21
340 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
516 0.069 R-21
270 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
(Nall
2221 0.069 R-21
70 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
2051 0.069 R-21
90 90 New 4.3.1-A6
Zone 3 Great(Game/Kitch
Wall
120 0.069 R-21
160 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Slab
408 0.730 None
0 180 New 4.4.7-A1
Zone 3 GreaUGame/Kitch
Slab
2,042 0.730 None
0 180 New 4.4.7-A1
Zone 3 Great/Game/Kitch
FENESTRATION SURFACEDETAILS
ID
Type Area ..--.L1-Factor' SHGC
Azm Status Glazing Type
Location/Comments
17
Window 100.0 0.550 NFRC 0.39 NFRC
180 New Patio Doors
Zone 3 Great/Gameo%tchen/Di
18.-. Window 18.0 0.390 NFRC 0.36 NFRC
270 New Double non-metal tinted
Zone 3 Great/Game/Kitchen/DI
:19
Window" 22.0 0.950 NFRC 0.49 NFRC
270 New Entry Door
Zone 3 Great/Game/Kitchen/Di
20
Window 32.0 0.950 NFRC 0.49 NFRC
270 New Entry Door
Zone 3 Great/Game/Kitchen/Di
21Window .,. .22.0 0.950 NFRC .� :.0,49. NFRC__:_
:_ _:.d 27.0 New .Entry,Qoor ...__ _
,�,�-,. Zone 3 Great/Game/Kitchen/Di
22
Wipdow':: ' _'.100.0 0.550 °NFRC, O K;� 0.39 NFRC
` �- 340 New '= 1 Pocket Doors E,. + :�i Vit, 1%, Zone 3 GreaUGame/Kitchen/Di
23
Window ". 122.5 0,390 'NFRC I .0:36 'NFRC s ;270 'Newt -' Double no'n-metal tinted' _ Zone :3.Greaf/Game/Kitchen/Di
24
Window ° 11,3' m 0.390; NFRC = , x'` 0.36 NFRC `i 4'270
Newer Double non-metal tinted,'_
Zone 3 Great/Game/Kitchen/Di
25
Window 18570 0.550 NFRC _: € + 0.39 NFRC;
:90 ,New ; Pocket Doors,-,' ' 1 Zone 3 GreabGame/Kitchen/Di
26
Wndow :df,;120.0; D 0.550, NFRC I. P '' . 0..39' NF, RCAF
:: X160 'Newer i.: � Pocketrpoors `t °" : A)
Zone.3 Gr6WGy�ame/10tchen/Di
(1) U -Factor Type: -1,16-A = Default Table from Standards, NFRC =Labeled Value
2 SHGC Type: rA 16-B ='Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Window Ove hanq Left Fin Ri ht Fin
Exterior Shade Type SHGC H t Wd 'Len Hat LExt REM Dist Len Hat Dist Len H t
17
Bug Screen 0.76
18
Bug Screen 0.76
19
Bug Screen 0.76
20
IBug Screen 0.76
21
Bug Screen 0.76
22
Bug Screen 0.76 10.0 10.0
4.0 0.1 4.0 4.0
23
Bug Screen 0.76
24
Bug Screen 0.76
25
Bug Screen 0.76 10.0 18.5
15.0 0.1 '15.0 15.0
26
Bug Screen 0.76 10.0 12.0
15.0 0.1 15.0 15.0
EnemyPro
5.1 by EnemySoft User Number: 6712 RunCode: 2012-07-20T10:25:42 ID:
Page 5 of 6
Reg: 212-N0014316F-000000000-0000 Registration Date/Time: 2012/03/22 14:29:23 HERS Provider: Ca10ERTS, inc
,d Electronically Filed by.Tim Scott and Authenticated at CalCERTS.com = 7/20/2012
Electronically Signed at Ca10ERTS.cbm by David W Helton (Helton, Deford & Associates) 7/20/2012
CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5 CF -1 R
Project Name
New Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existin Altered Removed Volume Year Built
HVAC 1 Zone 1 Master Suite
1,101 11,561
HVAC 2 Bedroom 3
363 3,521
Guest Suite
536 6,164
HVAC 3 & 4 Living Zone
2,450 30,135
Totals 4,450 0 0 0
HVAC SYSTEMS
--ZfSystem Name. Qt ' 'Heatin Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
--.ti:..
HVAC 1 "'�^�"' 1 Split Heat Pump
8.10'HSPF Split Heat Pump 15.0 SEER Setback New
HVAC 2 1 ;J S'Iit,Heat Pump
8.50 HSPF Split Heat Pump 15.0'SEER Setback New
HVAC. 3 & 4y� :. 2 .:W ,S lit Heat'P. um 8:10'HSP..,F S lifrNeat Pom 1'4;5 SEER Setback New
HVAC DI,STRIBUTIO,N a t :
_ "" .. ' �E a t 1 �
,r ,w Duct ``pucts?s,
ii System Name. :- z ..,Heatin _.::= Coolin .. ::...�. °Duct.Location . R. Value Tested? Status
HVAC 1 Ducted f1:;
Ducted Attic, Ceiling Ins, vented 4.2 l71 New
HVAC 2'`` :,.;XDucted
Ducted Attic, Ceiling Ins, vented 4.2 m . New
HVAC 3 & 4 Ducted
Ducted Attic, Ceiling Ins, vented 4.2 New
WATER HEATING SYSTEMS=
'
S stem Name
Qty.
Type
'•
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy
Factor
or RE
Standby
Loss or
Pilot
Ext.
Tank
Insul. R-
Value
Status
Bradford -White 75 Gal
2
Small Gas
All Pipes Ins
65,000
75
0.65
n/a
n/a
New
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING '
Control
Hot Water Piping Length
ft
o
m
v y
a
System Name
Pipe
Length
Pipe
Diameter
Insul.
Thick.
Qty. HP
Plenum Outside Buried
01
1
EnemyPro 5.1 by EnerqySoft User Number 6712
Runcode: 2012-07-20710:25:42 ID: Page 6 of 6
Reg: 212-N0014316F-000000000-0000 Registration Date/Time: 2012/03/22 14:29:23 HERS Provider: Ca10ERTS, Inc
BUILDING ENERGY ANALYSIS REPORT
PROJECT:
New Residence
53-728 Via Bellagio, The Hideaway
La Quinta, CA 92253
Project Designer:.
Helton, DeFord & Associates
,1261 N. Big Spring Street
Anaheim, Ca 92807
• (909) 957-4550
Report Prepared by:
Tim Scott
Scott Design and Title 24, Inc,
77-085 Michigan Drive
Palm Desert, Ca 92211
(760) 200-4780
Owl
CITY RFOUINTA
• BUILDING & SAFETY DEPT.
Job Number: APPROVED.
FOR CONSTRUCTION
Date:
DATES �O ?�e12 BY�
7/20/2012
The EnergyPro computer.program has been used to perform the calculations summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards.
This program developed by EnergySoft, LLC — www.energysoft.com.
{
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-07-20710:25:42 0:
Adik
TABLE OF CONTENTS
Cover Page 1
Table of Contents 2
Form CF -1 R Certificate of Compliance 3
Form MF -1 R Mandatory Measures Summary 9
HVAC System Heating and Cooling Loads Summary 12
Room Load Summary 15
Room Heating Peak Loads 18
Room Cooling Peak Loads 22
EnergyPro 5.1 by EnergySoft Job Number: ID: User Number: 6712
•
0
•
PERFORMANCE CERTIFICATE: Residential Part 1 of 5
CF -1 R
Project Name
New Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
Project Address
53-728 Via Bellagio, The Hideaway La Qi
California Energy Climate Zone
CA Climate Zone 15
I Total Cond. Floor Area
4,450
Addition
n/a
# of Stories
1
FIELD INSPECTION ENERGY CHECKLIST
❑ Yes ❑ No HERS Measures 7 If Yes, A CF -4R must be provided per Part 2 of 5 of this form.
❑ Yes ❑ No Special Features -- If Yes, see Part 2 of 5 of this form for details.
INSULATION
Construction Type
Area Special
Cavity Features see Part 2 of 5 Status
Roof Wood Framed Attic R-38 4,450 Radiant Barrier New
Wall Wood Framed R-21 3,778 New
Door Opaque Door None 24 New
Slab Unheated Slab -on -Grade None 4,450 Perim = 436' New
FENESTRATION U- Exterior
Orientation Area Factor SHGC Overhang Sidefins Shades Status
Right (S) 69.2 0.390
0.36 none none Bug Screen New
Right (S) 132.0 0.550
0.39 none none Bug Screen New
Rear (E) 96.0 • 0.390
0.36 5.0 none Bug Screen New
Left (N) 52.6 0.390
0.36 none none Bug Screen New
Front (lM 90.8 0.390
0.36 none none Bug Screen
New
Rear (E) 24.0 0.390
0.36 none none Bug Screen
New
Right (S) 100.0 0.550
0.39 none none Bug Screen
New
Front (w) 76.0 0.950
0.49 none none Bug Screen
New
Left (N) 100.0 0.550
0.39 4.0 none Bug Screen
New
Rear (E) 185.0 0.550
0.39 15.0 none Bug Screen
New
Right (S) 120.0 0.550
0.39 15.0 none Bug Screen
New
HVAC SYSTEMS
Ot . Heating Min. Eff
Cooling Min. Eff Thermostat Status
1 Split Heat Pump 8.10 HSPF
Split Heat Pump 15.0 SEER Setback
New
1 Split Heat Pump 8.50 HSPF
Split Heat Pump 15.0 SEER Setback
New
2 Split Heat Pump 8.10 HSPF
Split Heat Pump 14.5 SEER Setback
New
HVAC DISTRIBUTION
Location Heating
Duct
Cooling Duct Location R -Value Status
HVAC 1 Ducted
Ducted Attic, Ceiling Ins, vented 4.2
New
HVAC 2 Ducted
Ducted Attic, Ceiling Ins, vented 4.2
New
HVAC 3 & 4 Ducted
Ducted Attic, Ceiling Ins, vented 4.2
New
WATER HEATING
Ot . Type Gallons Min. Eff Distribution Status
2 Small Gas 75
0.65 All Pipes Ins
New
Ener Pro 5.1 by EnergySoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 3 of 26
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•
•
PERFORMANCE CERTIFICATE: Residential Part 2 of 5 CF -1 R
Project Name
New Residence
Building Type ® Single Family ❑ Addition Alone
1 ❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
SPECIAL FEATURES INSPECTION CHECKLIST
The enforcement agency should pay special attention to the items specified in this checklist. These items require special written
justification and documentation, and special verificatioh to be used with the performance approach. The enforcement agency
determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of
the special justification and documentation submitted.
The HVAC System HVAC 1 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow re uirements and fan watt draw requirements in Residential A endix RA3.3 must be met.
u-3
HIGH MASS Design - Verify Thermal Mass: 0 ft2 Covered Slab Floor, 3.500" thick at Zone 1 Master Suite
HIGH MASS Design - Verify Thermal Mass: 368.0 ft2 Exposed Slab Floor, 3.500" thick at Zone 1 Master Suite
The HVAC System HVAC 2 must serve only Sleeping Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met.
HIGH MASS Design - Verify Thermal Mass: 295.0 ft2 Covered Slab Floor, 3.500" thick at Bedroom 3
HIGH MASS Design - Verify Thermal Mass: 68.0 ft2 Exposed Slab Floor, 3.500" thick at Bedroom 3
HIGH MASS Design - Verify Thermal Mass: 287.0 ft2 Covered Slab Floor, 3.500" thick at Guest Suite
HIGH MASS Design - Verify Thermal Mass: 249.0 ft2 Exposed Slab Floor, 3.500" thick at Guest Suite
The HVAC System HVAC 3 & 4 must serve only Living Areas. The non -closable area between zones cannot exceed 40 sf and each zone must have a
separate thermostat. In addition the air flow requirements and fan watt draw requirements in Residential Appendix RA3.3 must be met.
HIGH MASS Design - Verify Thermal Mass: 408.0 ft2 Covered Slab Floor, 3.500" thick at Living Zone
HIGH MASS Design - Verify Thermal Mass: 2,042.0 ft2 Exposed Slab Floor, 3.500" thick at Living Zone
The Roof R-38 Roof(R.38.2x 14.16) includes credit for a Radiant Barrier that is Continuous meeting eligibility and installation criteria as specified in
Residential Appendix RA4.2.2.
HERS REQUIRED VERIFICATION
Items in this section require field testing and/or verification by a certified HERS Rater. The inspector must receive a
completed CF -4R form for each of the measures listed below for final to be given.
The Cooling System Carrier 4 T Heat Pump includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAC System HVAC 1 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System HVAC 1 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
The Cooling System Carrier 3.5T Heat Pump includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of the
correct Condenser.
The HVAC System HVAC 2 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System HVAC 2 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
The Cooling System Carrier 4/5 T Heat Pumps includes credit for a 12.5 EER Condenser. A certified HERS rater must field verify the installation of
the correct Condenser.
The HVAC System HVAC 3 & 4 incorporates HERS Verified Refrigerant Charge or a Charge Indicator Display.
The HVAC System HVAC 3 & 4 incorporates HERS verified Duct Leakage. HERS field verification and diagnostic testing is required to verify that duct
leakage meets the specified criteria.
EnemyPro 5.1 by EnemySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID: Page 4 of 26
C]
•
•
PERFORMANCE CERTIFICATE: Residential (Part 3 of 5) CF -1 R
Project Name
Building Type m Single Family 13 Addition Alone
Date
New Residence
❑ Multi Family ❑ Existing+ Addition/Alteration
1712012012
ANNUAL ENERGY USE SUMMARY
Standard Proposed Margin
TDV kBtu/ft2- r
Space Heating 3.86 4.04 -0.18
Space Cooling 54.15 49.18 4.97
Fans 10.53 14.23 -3.70
Domestic Hot Water 8.20 8.82 -0.63
Pumps 0.00 0.00 0.00
Totals 76.75 76.27 0.47
Percent Better Than Standard: 0.6%
BUILDING COMPLIES - HERS VERIFICATION REQUIRED
Fenestration
Building Front Orientation: (w) 270 deg Ext. Walls/Roof Wall Area Area
Number of Dwelling Units: 1.00 (w) 1,566 167
Fuel Available at Site: Natural Gas (N) 830 153
Raised Floor Area: 0 (E) 1,001 305
Slab on Grade Area: 4,450 (S) 1,451 421
Average Ceiling Height: 11.5 Roof 4,450 0
Fenestration Average U -Factor: 0.53 TOTAL: 1,046
Average SHGC: 0.39 Fenestration/CFA Ratio: 23.5 %.
REMARKS
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and specifications needed
to comply with Title 24, Parts 1 the Administrative .Regulations and Part 6 the
Efficiency Standards of the California Code of Regulations.
The documentation author hereby certifies that the documentation is accurate and complete.
Documentation Author w %�
Company Scott Design and Title 24, Inc, ►/v
2012012
Address 77-085 Michigan Drive Name Tim Scott
City/State/ZipCitytState/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Signed Date
The individual with overall design responsibility hereby certifies that the proposed building design represented in this set
of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and
with any other calculations submitted with this permit application, and recognizes that compliance using duct design,
duct sealing, verification of refrigerant charge, insulation installation quality, and building envelope sealing require
installer testing and certification and field verification by an approved HERS rater.
Designer or Owner (per Business & Professions Code)
Company Helton, DeFord & Associates
Address 1261 N. Big Spring Street Name Jim Deford
City/State/Zip Anaheim, Ca 92807 Phone (909) 957-4550 Signed License # Date
EnerqvPro 5.1 by EnerqySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID: Pa e 5 of 26
•
•
•
CERTIFICATE OF COMPLIANCE: Residential
Part 4 of 5 CF -1 R
Project Name
New Residence
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
OPAQUE SURFACE DETAILS
Surface U- Insulation Joint Appendix
Type Area Factor Cavity Exterior Frame Interior Frame Azm Tilt I Status 4 Location/Comments
Roof
11,101 ' 0.026 R-38
270
'0 1 New 4.2.1-A9
Zone 1 Master Suite
Wall
443
0.069 R-21 a
180
90 New 4.3.1-A6
Zone 1 Master Suite
Wall
76
0.069 R-21
270
90 New 4.3.1-A6
Zone 1 Master Suite
Door
24
0.500 None
270
90 New 4.5.1-A4
Zone 1 Master Suite
Wall
216
0.069 R-21
'0
90 New 4.3.1-A6
Zone 1 Master Suite
Wall
198
0.069.R-21
90
90 New 4.3.1-A6
Zone 1 Master Suite
Slab
733
0.730 1 None
0
180 New 4.4.7-A1
Zone 1 Master Suite
Slab
'368
0.730 None
0
180 New 4.4.7-A1
Zone 1 Master Suite
Roof
363
0.026 R-38
270
0 New . 4.2.1-A9
Zone 2 Bdrm 3/Guest
Wall
204
0.069 R-21
180
90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Wall
139
0.069 R-21
0
90 New 4.3.1-A6
Zone2 Bdrm 3/Guest
Wall
45
0.069 R-21
90
90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Slab
295
0.730 None
0
180 New 4.4.7-A1
Zone 2 Bdrm 3/Guest
Slab
68
0.730 None
0
180 New 4.4.7-A 1
Zone 2 Bdrm 3/Guest
Roof
536
0.026 R-38
270
0 New 14.2.1-A9
Zone 2 Bdrm 3/Guest
Wall
193
0.069 R-21
180
90 New 14.3.1-A6
Zone 2 Bdrm 3/Guest
FENESTRATION SURFACE DETAILS
ID
Type Area U -Factor
SHGC4, Azm Status
Glazing Type
Location/Comments
1
Window
13.8 0.390 1 NFRC
0.36 NFRC 180 New
Double non-metal tinted
Zone 1 Master Suite
2
Window
13.8 0.390 NFRC
0.36 NFRC 180 New
Double non-metal tinted
Zone 1 Master Suite
3
Window .
24.0 0.390 NFRC _
• 0.36 NFRC 180 New
Double non-metal tinted
Zone 1 Master Suite
4
Window
3.8 0.390 NFRC
0.36 NFRC 180 New
Double non-metal tinted
Zone 1 Master Suite
Window
132.0. 0.550 NFRC
0.39 NFRC 180 New
Pocket Doors
Zone 1 Master Suite
-5.
6
Window
24.0 0.390 NFRC
0.36 NFRC 90 New
Double non-metal tinted ,
Zone 1 Master Suite
7,
Window
48.0 0.390 NFRC
0.36 NFRC 90 New
I Double non-metal tinted
Zone 1 Master Suite
8
Window
24.0 0.390 NFRC
0.36 NFRC 90 New
Double non-metal tinted
Zone 1 Master Suite
9
Window
3.8 0.390 NFRC
0.36 NFRC 0 New
Double non-metal tinted.
Zone 2 Bdrm 3/Guest
10
Window
36.0 0.390 j NFRC
0.36 NFRC 0 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
11
Window
13.8 0.390 NFRC
0.36 NFRC 180 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
12
Window
19.5 0.390 NFRC
0.36 NFRC 270 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
13
Window
19.5 0.390 NFRC
0.36 NFRC 270 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
14
Window
9.0 0.390 NFRC
0.36 NFRC 0 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
15
Window
3.8 0.390 NFRC
0.36 NFRC 0 New
Double non-metal tinted
Zone 2 Bdrm 3/Guest
16
Window
24.0 0.390 NFRC
0.36 NFRC 90 New
I Double non-metal tinted
Zone 2 Bdrm 3/Guest
(i) U -Factor Type: 116-A = Default Table from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Exterior Shade Type SHGC
Window
H t Wd
Ove hanq Left Fin Ri ht Fin
Len Hq t LExt RExt Dist Len Hat Dist Len I H t
1
Bug Screen
0.76
_
2
Bug Screen
0.76
3
Bug Screen
0.76
4
B ug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
8.01 3.0
5.0 0.1
5.0 5.0
7
Bug Screen
0.76
8.0 6.0 5.0 0.1
5.0 5.0
8
Bug Screen
0.76
.8.01 3.0 5.6 0.1
5.0 5.6
9
Bug Screen
0.76
10
Bug Screen
0.76
'
11
Bug Screen
0.76
12.
Bug Screen
0.76
'
13 •
Bug Screen
0.76
14
Bug Screen
0.76
15
JBug Screen
0.76
16
1Bug Screen
0.76
EnemyPro
5.1 by EnerqySoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 6 of 26
ou
CERTIFICATE OF COMPLIANCE: Residential Part 4 of 5 CF -1 R
Project Name
New Residence -
Building Type m Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+,Addition/Alteration
Date
7/20/2012
OPAQUE SURFACE DETAILS
Surface
Type Area
U- Insulation Joint Appendix
Factor Cavity Exterior Frame Interior Frame Azm Tilt Status 4 Location/Comments
Wall
292
0.069 R-21 -
270 90 New 4.3.1-A6 '
Zone 2 Bdrm 3/Guest
Wall
194
0.069 R-21
0 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Wall
26
6.069 R-21
90 90 New 4.3.1-A6
Zone 2 Bdrm 3/Guest
Slab
287
0.730 None
6 180 New 4.4.7-A1 .
Zone 2 Bonn YGuest -
Slab
249
0.730 None
0 180 New 4.4.7-A1
Zone 2 Bdrm 3/Guest
Roof
2,450
0.026 R-38
270 0 New 4.2.1-A9
Zone 3 Great/Game/Kitch
Wall
70
0.069 R-21
180 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
491
0.069 R-21
270 90 New 4.3.1-A6
Zone 3 Great/GameMitch
Wall
128
0.069 R-21
340 90 1 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
516
0.069 R-21
270 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
222
0.069 R-21
70 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
205
0.069 R-21
90 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Wall
120
0.069 R-21
160 90 New 4.3.1-A6
Zone 3 Great/Game/Kitch
Slab
408
0.730 None
6 180 New 4.4.7-A1
Zone 3 Great/Game/Kitch
Slab
2,0421-
0.730 None
0 180 New 4.4.7-A1
Zone 3 Great/Game/Kitch
FENESTRATION SURFACE DETAILS
ID
Type I
Area U -Factor SHGC
Azm Status Glazing Type
Location/Comments
17
Window
100.0 0.550 I NFRC 0.39 NFRC 180 New Patio Doors
Zone 3 Great/Game/Kitchen/Di
18
Window
18.0 0.390 NFRC 0.36 NFRC 270 New Double non-metal tinted
Zone 3 Gieat/Game/Kitchen/Di
19
Window
22.0 0.950 NFRC 0.49 NFRC 270 New Entry Door
Zone 3 Gieat/Game/Kitchen/Di
20'
Window
32.0 0.950 NFRC 0.49 NFRC 270 New Entry Door
Zone 3 GreaUGame/Kitchen/Di
21
Window
22.0 0.950 NFRC 0.49 NFRC 270 New Entry Door
Zone 3 Great/Game/Kitchen/Di
22
Window
100.0 0.550 NFRC .0.39 NFRC 340 New Pocket Doors
Zone 3 Greaf/Game/Kifchen/Di
23
Window
22.5 0.390 NFRC 0.36 NFRC 270 New Double non-metal tinted
Zone 3 Great/Game/Kitchen/Di
24
Window
- 11.3 0.390 NFRC 0.36 NFRC 270 New- Double non-metal tinted
Zone 3 Great/Game/Kitchen/Di
25
Window
185.0 0.550 NFRC 0.39 NFRC 90 New Pocket Doors
Zone 3 Great/Game/Kitchen/Di
26
Window
120.0 0.550 NFRC 0.39 NFRC 160 New Pocket Doors
Zone 3 Great/Game/Kitchen/Di
(1) U Factor Type: 116-A= efaultTable from Standards, NFRC = Labeled Value
2 SHGC Type: 116-B = Default Table from Standards, NFRC = Labeled Value
EXTERIOR SHADING DETAILS
ID
Window
Exterior Shade Type SHGC Hat Wd
Ove hanq Left Fin Ri ht Fin
Len H t LExt I RExt Dist Len H t Dist Len H t
17
Bug Screen
0.76
18
Bug Screen
0.76
19
Bug Screen
0.76
20
Bug Screen
0.76
21
Bug Screen
0.76
22
Bug Screen
0.76 10.0 10.0
.4.01 0.1 4.0 4.0
23
Bug Screen
0.76
24
Bug Screen
0.76
25
Bug Screen
0.76 10.0 18.5
15.0 0.1 15.0 15.0
26
Buq Screen
0.76 10.0 12.0 15.0 0.1 15.6 15.0
EnerovPro
5.1 by EnergySoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 7 of 26
•
0
CERTIFICATE OF COMPLIANCE: Residential Part 5 of 5
CF -1 R
Project Name
New Residence
Building Type ® Single Family ❑ Addition Alone
❑ Multi Family ❑ Existing+ Addition/Alteration
Date
7/20/2012
BUILDING ZONE INFORMATION
System Name Zone Name
Floor Area
New Existing Altered Removed Volume Year Built
HVAC 1 Zone 1 Master Suite
1,101
11,561
HVAC 2 Bedroom 3
363
3,521
Guest Suite
536
6,164
HVAC 3 & 4 Living Zone
2,450
30,135
Totals 4,4501 01 01 0
HVAC SYSTEMS
System Name Qty. Heating Type
Min. Eff. Cooling Type Min. Eff. Thermostat Type Status
HVAC 1 1 Split Heat Pump
8.10 HSPF Split Heat Pump 15.0 SEER Setback
New
HVAC 2 1 Split Heat Pump
8.50 HSPF Split Heat Pump 15.0 SEER Setback
New
HVAC 3 & 4 2 Split Heat Pump
8.10 HSPF Split Heat Pump 14.5 SEER Setback
New
HVAC DISTRIBUTION
.
System Name Heating
Duct
Coolinq Duct Location R -Value
Ducts
Tested? Status
HVAC 1 Ducted
Ducted JAttic, Ceiling Ins, vented 4.2
m New
HVAC 2 Ducted
Ducted Attic, Ceiling Ins, vented 4.2
m New
HVAC 3 & 4 Ducted
Ducted Attic, Ceiling Ins, vented 4.2
0 New
WATER HEATING SYSTEMS
S stem Name
Qty.
Type
Distribution
Rated
Input
Btuh
Tank
Cap.
al
Energy Standby
Factor Loss or
or RE Pilot
Ext.
Tank
Insul. R-
Value
Status
Bradford -White 75 Gal
2
Small Gas
All Pipes Ins
65,000
75
0.65 n/a
n/a
New
MULTI -FAMILY WATER
HEATING
DETAILS
HYDRONIC
HEATING SYSTEM
PIPING
Control
Hot Water Piping Length
(ft)o
iii
:3
y
a
System Name
Pipe
Length
Pipe
Diameter
Insul.
Thick.
Qty. HP
Plenum Outside
Buried
❑
0
EnergyPro 5.1 by EnergySoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 8 of 96
MANDATORY MEASURES SUMMARY: Residential Pae 1 of 3 MF -1R
Project Name
New Residence 1
Date
7/20/2012
NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of
the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1 R, CF -1 R -ADD, or CF -
1 R -ALT Form) shall supersede the items marked with an asterisk (*) below. This Mandatory Measures Summary shall be incorporated
into the permit documents, and the applicable features shall be considered by all parties as minimum component performance
specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1 R
Form with plans.
,Building Envelope Measures:
116(a)l. Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leaka e.
§116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified LI -Factor, certified Solar Heat Gain
Coefficient SHGC , and infiltration that meets the requirements of 10-111 (a).
117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed.
118(a): Insulationspecified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form.
§118(1): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the
installation of a Cool Roof is specified on the CF -1 R Form.
*§1 Oa : Minimum R-19 insulation in wood -frame ceiling orequivalent U -factor. -
150 b : Loose fill insulation shall conform with manufacturer's installed design labeled R -Value.
*§150(c): Minimum R-13 insulation in wood -frame wall orequivalent U -factor.
*§150(d): Minimum R-13 insulation in raised wood -frame floor orequivalent U -factor.
§150(f): Air retarding wrap is tested labeled and installed according to ASTM E1677-95(2000) when specified on the CF -1 R Form.
150 : Mandatory Vapor barrier installed in Climate Zones 14 or 16. `
§150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces, Decorative Gas Appliances and Gas Log Measures:
150 e 1 A: Masonry or facto I ry-built fireplaces have a closable metal or glass door c6verinq the entire opening of the firebox.
§150(e)1 B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is
equipped with a with a readilyaccessible, operable, and tight -fitting damper and or a combustion -air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the
outside of the building, are prohibited.
Space Conditioning, Water Heating and Plumbing System Measures:.
§110-§113: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy
Commission.
§113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release
valve, backflow prevention,'pump isolation valve, and recirculation loop connection requirements of §113(c)5.
§115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances
(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and
spa heaters.
150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA.
§150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c).
§1500)1 A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped
with insulation having an installed thermal resistance of R-12 or greater.
§1500)1 B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water
tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the -
tank.
§1500)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of.
recirculatinq sections of hot water pipes are insulated per Standards Table 150-13.
§1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot
water tank shall be insulated to Table 150-B and Equation 150-A.
§1500)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table
123-A.
4150(e)3A: Insulation is protected from damage, including that due to sunlight, moisture equipment maintenance and wind.
§1500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in
conditioned space.
§150(j)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Cor oration.
EnergyPro 5 1 by EnergySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID: Page 9 of 26
MANDATORY MEASURES SUMMARY: Residential (Page 2 of 3 MF -1 R
Project Name
Date
New Residence
1 7/20/2012
§150(m)1: All air -distribution system ducts and plenums installed, are 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 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is
used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
§150(m)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.
§150(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes
unless such tae is used in combination with mastic and draw bands.
150(m)7: Exhaust fans stems have back draft or automatic dampers.
§150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers.
§150(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind.
Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar
radiation that can cause degradation of the material.
4150(m)10: Flexible ducts cannot have porous inner cores.
§150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air
Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation
required in Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency
Regulations; an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and
shall not use electric resistance heating ora pilot light.
§114(b)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction
and return lines, or built-up connections for future solar heating.
114(b)2: Outdoor pools ors as that have a heat pump or gas heater shall have a cover.
§114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
150 : Residential pool systems orequipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150 .
Residential Lighting Measures:
§150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies
contained in Table 150-C and is not a low efficacy luminaire asspecified by §150(k 2.
§150(k)3: The wattage of permanently installed luminaires shall be determined asspecified by §130(d .
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than
20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain
only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -
voltage lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a
medium screw -base socket.
150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
4150(k)7: All switching devices and controls shall meet the requirements of §150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or 100 watts for dwelling units larger than 2,500 ft2 may be
exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of
illuminated cabinet.
f EnergyPro5.1 by EnergySoft User Number: 6712 RunCode: 2012-07-20710:25:42 ID: Page 10 of 26
17,
17 -
MANDATORY MEASURES SUMMARY: Residential (Page 3 of 3 MF -1 R
Project Name
Date
New Residence
7/20/2012
§150(k)l0: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms
shall be high efficacy.
EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required,to be controlled by a
manual -on occupancy sensor.
§150(k)l 1: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms,
closets, and utility rooms shall be high efficacy luimnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be
allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -
on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less
than 1000 square feet located on a residential site is not required to comply with §150 k 11.
§150(k)l2: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters
Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air
leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between
the luminaire housing and ceiling.
§150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more
dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that
they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor,
and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management
control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor
luminaires used to comply with Exceptionl to §150(k)l3 may be controlled by a temporary override switch which bypasses the motion
sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed
luminaires in'or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not
be hiah efficacy luminaires.
§150(k)l4: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no
more than five watts of power as determined according to §130(d).
§150(k)l5: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable
requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable
requirements of Sections 130, 131, 134, and 146.
§150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more
dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided
that they are controlled by an occupant sensors certified to comply with the applicable requirements of 119.
EnergyPro 5.1 by EnergySoff User Number: 6712 RunCode: 2012-07-20710:25:42 /D: Page 11 of 26
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
New Residence
Date
7/20/2012
System Name
HVAC 1
Floor Area
1,101
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL COOLING PEAK
CFM Sensible
Total Room Loads 875 14,142
Return Vented Lighting 0
Return Air Ducts 1,199
Return Fan 01
Ventilation 0 0
Supply Fan 0
Supply Air Ducts 1,199
TOTAL SYSTEM LOAD 1 16,541
COIL HTG.
Latent CFM
1,607 994
01 0
1,607
PEAK
Heating System
Sensible
Output per Sys 47,500
17,265
Total Output Stuh 47,500
Output Btuh/s ft 43.1
937
Cooling System
0
Output per System 47,500
0
Total Output Btuh 47,500
0
Total Output ons 4.0
937
Total Output Btuh/s ft 43.1
Total Output s ft/Ton 278.1
19,139
Air System
CFM per System
1,600
HVAC EQUIPMENT SELECTION
Airflow cfm
1,600
Carrier 4 T Heat Pump 28,248
Total Adjusted System Output 1 28,248
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK r
10,767 29,667
10,767 1 29,667
Aug 3 PM I Jan 1 AM
Airflow cfm/s ft 1.45
Airflow cfm/Ton 404.2
Outside Air % 0.0%
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF
Outside Air
0 cfm
71 OF
71 OF 89 OF ^ 89 OF
f0�
Heating Coil Supply Fan 88 OF
1,600 cfm
ROOM
72 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112/78°F
Outside Air
0 cfm
71 / 60 OF
71160°F 54/53°F 54/53°F
Cooling Coil Supply Fan 55154 OF
1.600 cfm_.._._.._...._....._..
55.2 % ROOM
70160 OF
EnergyPro 5.1 by EnergySoR
User Number 6712 RunCode: 2012-07-20710:25:42 ID:
Page 12 of 26
C
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
New Residence
Date
7/20/2012
System Name
HVAC 2
Floor Area
899
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
1
COIL
CFM
Total Room Loads 495
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK
Heating System
Sensible
Latent CFM
Sensible
Output perSystem 71,000
9,979
1,549 435
13,329
Total Output Btuh 71,000
0
Output Btuh/s ft 79.0
846
723
Cooling System
0
0
Output perSystem 41,500
0
0 0
0
Total Output Btuh 41,500
0
1,549
0
Total Output ons 3.5
846
723
Total Output Btuh/s ft 46.2
Total Output s ft/Ton 260.0
11,671
14,776
Air System
CFM perSystem
1,400
HVAC EQUIPMENT SELECTION
Airflow cfm
1,400
Carrier 3.5T Heat Pump 29,898
3,187
44,345
1 44,345
Jan 1 AM
Airflow cfm/s ft 1.56
Airflow cfm/Ton 404.8
Outside Air°/, 0.0%
Total Adjusted System Output 29,898
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
3,187
Aug 3 PM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF
Outside Air
0 cfm
72 OF
72 OF 101 OF 101 OF
G
Heating Coil Supply Fan
101 OF
1,400 cfm
ROOM
72 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112178 OF
.
Outside Air -4r
0 cfm
71 / 58 OF
71 / 58 OF 51 / 50 OF 51 / 50 OF
� O
ZI
Cooling Coil Supply Fan 51150 OF
....................... _....
1,400 cfm _.
47.9% ROOM
70./ 58 OF
EnergyPro 5.1 by EnergySoff
User Number., 6712 RunCode: 2012-07-20710:25:42 ID:
Page 13 of 26
0
C
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
Project Name
New Residence
Date
7/20/2012
System Name
HVAC 3 & 4
Floor Area
2,450
ENGINEERING CHECKS
SYSTEM LOAD
Number of Systems
2
COIL
CFM
Total Room Loads 2,848
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation F 0
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COOLING
PEAK COIL HTG.
PEAK .
Heating System
Sensible
Latent CFM
Sensible
Output perSystem 89,000
36,452
3,531 1,381
38,856
Total Output Stuh 178,000
0
Output Btuh/s ft 72.7
3,091
2,109
Cooling System
0
0
Output perSystem 54,000
0
0 0
0
Total Output Btuh 108,000
5,621
3,091
1 48,255
3,531
-5,621
Total Output ons 9.0
2,109
Total Output Btuh/s ft 44.1
Total Output s ftlTon 272.2
37,452
Air System
CFM perSystem-
2,000
HVAC EQUIPMENT SELECTION
Airflow cfm
4,000
Carrier 4/5 T Heat Pumps 63,002
27,107
111,174
111,174
Jan 1 AM
Airflow cfm/s ft 1.63
Airflow cfm/Ton 444.4
Outside Air % 0.0%
Total Adjusted System Output 63,002
(Adjusted for Peak Design conditions)
TIME OF SYSTEM PEAK
27,107
Aug 3 PM
Outside Air cfm/s ft 0.00
Note: values above given at ARI conditions
HEATING SYSTEM PSYCHROMETRICS
Airstream Temperatures at Time of Heating Peak
26 OF
Outside Air
0 cfm
72 OF
72 OF 98 OF 99 OF
f nr�
Heating Coil Supply Fan 98 OF
4,000 cfm
ROOM
72 OF
COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak
112 / 78 OF
Outside Air
0 cfm
71 / 61 OF
71 / 61 OF 56 / 55 OF 57156 OF
Cooling Coil Supply Fan 58 / 56 OF
4,000 cfm .................................................
59.1 % ROOM
70 / 61 OF
EnergyPro 5.1 by EnergySoR
User Number: 6712 RunCode: 2012-07.20710:25:42 ID:
Page 14 of 26
•
C]
ROOM LOAD SUMMARY
Project Name Date
New Residence 712012012
System Name Floor Area
HVAC 1 1,101
ROOM LOAD SUMMARY
ROOM COOLING. PEAK COIL COOLING PEAK I COIL HTG. PEAK
Zone Name I Room Name I Mult. I CFM I Sensible I Latent CFM Sensible Latent CFM Sensible
Zone 1 Master Suite JZone 1 Master Suite I 1 1 8751 14,1421 1, 607 875 14,1421 1,6071 994 17,265
* Total includes ventilation load for
PAGE TOTAL
TOTAL*
875
- 14,142
1,607
994
17,265
875
14,142
1,607
994
17,265
C7
0
•
•
•
ROOM LOAD SUMMARY
Project Name Date
New Residence 7/20/2012
System Name Floor Area
HVAC 3 & 4 2,450
ROOM LOAD SUMMARY
ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK
Zone Name Room Name Mult. CFM I Sensible Latent CFM I Sensible I Latent CFM I Sensible
Zone 3 GreatlGamelKitche4 Living Zone 1 1 2,8481 36,452 3,531 2,848 36,452 3,531 1,381 38,856
Total includes ventilation load for
EnergyPro 5.1 by Ener4ySoft 6
PAGE TOTAL
TOTAL*
2,848
36,452
3,531
1,381 38,856
2,848
36,452
3,531
1,381 38,856
[A
•
ROOM HEATING PEAK LOADS
Project Name
Date
New Residence
7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name Zone 1 Master Suite
Time of Peak
Jan 1 AM
Floor Area 1,101.0 ft'
Outdoor Dry Bulb Temperature
26 OF
Indoor Dry Bulb Temperature 72 OF
Conduction Area
U -Value
AT OF
Btu/hr
R-38 Roof(R. 38.2x 14.16) 1,101.0
X 0.0260
X
46 =
1,317
R-21 Wall (W. 19.2x6.16) 932.6
X 0.0690
X
46 =
2,960
Double non-metal tinted 151.4
X 0.3900
X
46 =
2,716
Pocket Doors 132.0
X 0.5500
X
46 =
3,340
Wood Door 24.01
X 0.5000
X
46 =
552
Slab -On -Grade perim = 105.0
X 0.7300
X
46 =
3,526
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
-
X
X
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
X
X
=
X
X
=
X
X
=
X
X
X
X
=
X
X
=
X
X
=
X
X
Items shown with an asterisk (') denote conduction through an interior surface
to another room
Page Total
14,410
Infiltration:[ 1.00 X 1.064 X 1,101 X
10.50 X 0.303 � / 60 ]
X 46
= 2,855
Schedule Air Sensible Area
Ceiling Height ACH
AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM
17,265
EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2012-07-20710:25:42
ID:.
Page 18 of 26
C]
0
•
ROOM HEATING PEAK LOADS
Project Name
New Residence
T Date
1 7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name Bedroom 3
Floor Area 363.0 ft'
Indoor Dry Bulb Temperature 72 OF
Time of Peak Jan 1 AM
Outdoor Dry Bulb Temperature 26 OF
Conduction Area
R-38 Roof(R.38.2x14.16) 363.0
R-21 Wall (W. 19.2x6.16) 388.2
Double non-metal tinted 39.8
Slab -On -Grade perim = 45.0
Items shown with an asterisk (•) denote conduction through an interior surface
Infiltration:[ 1.00 X 1.064 X 363 X
Schedule Air Sensible Area
Fraction
U -Value AT °F
X 0.0260 X 46 =
X 0.0690 X 46 =
X 0.3900 X 46 =
X 0.7300 X 46 =
X X =
X X =
X X =
X X =
X X =
X X _
X X =
X X =
X X =
X X
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X =
X X
X X =
to another room Page Total
9.70 X 0.328 /60] X 46
Ceiling Height ACH AT
Btu/hr
434
1,232
714
1,511
3,891
= 941
TOTAL HOURLY HEAT LOSS FOR ROOM 4,833
EnergyPro 5.1 by EnergySoft User Number., 6712 RunCode: 2012-07-20710:25:42 ID: Page 19 of 26
•
•
i
ROOM HEATING PEAK LOADS
Project Name
Date
New Residence
7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Guest Suite
Time of Peak
Jan 1 AM
Floor Area
536.0 ft'
Outdoor Dry Bulb Temperature
26 OF
Indoor Dry Bulb Temperature
72 OF
Conduction
Area U -Value
AT OF
Btu/hr
R-38 Roof(R.38.2x14.16)
536.0 X 0.0260 X
46 =
641
R-21 Wall (W. 19.2x6.16)
705.4 X 0.0690 X
46 =
2,239
Double non-metal tinted
89.6 X 0.3900 X
46 =
1,607
Slab -On -Grade
perim = 78.0 X 0.7300 X
46 =
2,619
X X
=
X X
X X
=
X X
=
X X
=
X X
=
X X
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
=
X X
X X
=
Items shown with an asterisk (') denote conduction through an interior surface to another room
Page Total
7,107
Infiltration:[ 1.00 X 1.064 X 536 X 11.50 X 0.276
/60] X 46
= 1,390
Schedule Air Sensible
Area Ceiling Height ACH
AT
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM
8,497
EnergyPro 5.1 by EnergySoft User Number: 6712
RunCode: 2012-07-20710:25:42 ID:
Page 20 of 26
•
ROOM HEATING PEAK LOADS
Project Name
New Residence
Date
7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Floor Area
Indoor Dry Bulb Temperature
Living Zone
2,450.0 ft'
72 OF
Time of Peak
Outdoor Dry Bulb Temperature
Jan 1 AM
26 OF
Conduction
Area U -Value
2,450.0 X 0.0260 X
1,752.2 X 0.0690 X
100.0 X 0.5500 X
51.8 X 0.3900 X
76.0 X 0.9500 X
405.0 X 0.5500 X
perim = 208.0 X 0.7300 X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X I=
X X
through an interior surface to another room
X 2,450 X 12.30 X 0.258
Area Ceiling Height ACH
AT OF
46 =
46 =
46 =
46 =
46 =
46 =
46 =
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
Page Total
/60] X 46
AT
Btu/hr
2,930
5,561
2,530
929
3,321
10,247
6,985
32,503
= 6,353
R-38 Roof(R. 38.2x 14.16)
R-21 Wall (W. 19.2x6.16)
Patio Doors
Double non-metal tinted
Entry Door
Pocket Doors
Slab -On -Grade
Items shown with an asterisk (') denote conduction
Infiltration: 1.00 X 1.064
Schedule Air Sensible
Fraction
TOTAL HOURLY HEAT LOSS FOR ROOM
38,856
EnergyPro 5.1 by EnergySoft User Number: 6712
RunCode: 2012-07-20710:25:42
ID:
Page 21 of 26
•
C]
•
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name
Date
New Residence
7/20/2012 .
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Zone 1 Master Suite
Outdoor Dry Bulb Temperature
112 OF
Floor Area
1,101.0 ft'
Outdoor Wet Bulb Temperature
78 OF
Indoor Dry Bulb Temperature 70 OF
I Outdoor Daily Range:
34 OF
O a ue Surfaces
Orientation Area U -Factor
CLTD'
Btu/hr
R-38 Roof(R. 38.2x 14.16)
(VV) 1,101.0 X 0.0260
X 56.0 =
1,603
R-21 Wall (W. 19.2x6.16)
(S) 442.6 X 0.0690
X 26.0 =
794
R-21 Wall (W.19.2x6.16)
76.0 X 0.0690
X 33.0 =
173
Wood Door
24.0 X 0.5000
X 33.0 =
396
R-21 Wall (W. 19.2x6.16)
(N) 216.0 X 0.0690
X 23.0 =
343
R-21 Wall (W. 19.2x6.16)
(E) 198.0 X 0.0690
X 33.0 =
451
X
X =
X
X =
X
X =
Page Total
3, 760
Items shown with an asterisk (') denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference (CLTD)
Shaded
Unshaded
Fenestration
Orientation Area GLF Area GLF
Btu/hr
102
(S) 0.0 X 21.2 +
13.8 X 21.2 =
293
103
(S) 0.0 X 21.2 +
13.8 X 21.2 =
293
104
(S) 0.0 X 21.2 +
24.0 X 21.2 =
510
105
(S) 0.0 X 21.2 +
3.8 X 21.2 =
81
1L
(S) 0.0 X 25.5 +
132.0 X 25.6 =
3,374
1K
(E) 11.7 X 21.2 +
12.3 X 42.5 =
771
1K
(E) 23.4 X 21.2 +
24.6 X 42.5 =
1,541
1K
(E) 11.7 X 21.2 +
12.3 X 42.5 =
771
X +
X =
Page Total
7,634
Internal Gain
Btu/hr
Occu I pants
1.0 Occupants X 2301
Btuh/occ. =
230
Equipment
0.0 Dwelling Unit X 1,600
Btu =
0
Infiltration: 1.064
X 0.94 X 60.25 X 42 =
2,518
Air Sensible
CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
14.142
Latent Gain
Btu/hr
1.0 Occupants X F 200
Btuh/occ. =
200
Occupants
Infiltration: 4,771
X 0.94 X 60.25 X 0.00523 =
1,407
Air Sensible
CFM ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM
1,607
Ene Pro 5.1 by EnemySoft
User Number: 6712 RunCode: 2012-07-20T10:25:42 ID:
Page 22 of 26
•
•
:7
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name
Date
New Residence
1 7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Bedroom 3
Outdoor Dry Bulb Temperature
112 OF
Floor Area
363.0 ft2
Outdoor Wet Bulb Temperature
78 OF
Indoor Dry Bulb Temperature 70 OF
I Outdoor Daily Range:
34 OF
Opaque Surfaces
Orientation Area U -Factor
CLTD'
Btu/hr
R-38 Roof(R.38.2x14.16)
(W) 363.0 X 0.6260
X 56.0 =
529
R-21 Wall (W.19.2x6.16)
(S) 204.0 X 0.0690
X 26.0 =
366
R-21 Wall (W.19.2x6.16)
(N) 139.2 X 0.0690
X 23.0 =
221
R-21 Wall (W.19.2x6.16)
(E) 45.0 X 0.0690
X 33.0 =
102
X
X =
X
X =
X
X =
X
X =
X
X
Page Total
1,218
Items shown with an asterisk (') denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference (CLTD)
Shaded
Unshaded
Fenestration
Orientation Area GLF Area GLF
Btu/hr
111
(N) 0.0 X 21.2 +
3.8 X 21.2
= 80
112
(N) 0.0 X 21.2 +
36.0 X 21.2
= 762
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
Page Total
842
Internal Gain
Btu/hr
Occupants
1.0 Occupants X 230
Btuh/occ. =
230
Equipment
0.0 Dwelling Unit X 1,600
Btu =
0
Infiltration: 1.064
X 0.94 X 19.86 X 42 =
830
Air Sensible
CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
3,120
Latent Gain
Btu/hr
Occupants
1.0 Occupants X 200
Btuh/occ. =
200
Infiltration: 4,771
X 0.94 X 19.86 X 0.00523 =
464
Air Sensible
CFM ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM
664
Enem Pro 5.1 by EnemySoft
User Number: 6712 RunCode: 2012-07-20710:25:42 ID:
Page 23 of 26
•
•
•
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name
Date
New Residence
1 7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Guest Suite
Outdoor Dry Bulb Temperature
112 OF
Floor Area
536.0 ft'
Outdoor Wet Bulb Temperature
78 OF
Indoor Dry Bulb Temperature 70 OFI
Outdoor Daily Range:
34 OF
Opaque Surfaces
Orientation Area U -Factor
CLTD'
Btu/hr
R-38 Roof(R.38.2x14.16)
(w) 536.0 X 0.0260
X 56.0 =
780
R-21 Wall (W. 19.2x6.16)
(S) 193.2 X 0.0690
X 26.0 =
347
R-21 Wall (W. 19.2x6.16)
(W) 292.0 X 0.0690
X 33.0 =
665
R-21 Wall (W. 19.2x6.16)
(N) 194.2 X 0.0690
X 23.0 =
308
R-21 Wall (W. 19.2x6.16)
(E) 26.0 X 0.0690
X 33.0 =
59
X
X
=
X
X
=
X
X
=
X
X
Page Total
2.159
Items shown with an asterisk (') denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference (CLTD)
Shaded
Unshaded
Fenestration
Orientation Area GLF Area GLF
Btu/hr
106
(S) 0.0 X 21.2 +
13.8 X
21.2
= 293
107
(W) • 0.0 X 21.2 +
19.5 X
42.5
= 829
108
(w) 0.0 X 21.2 +
19.5 X
42.5
= 829
109
(N) 0.0 X 21.2 +
9.0 X
21.2
= 190
110
(N) 0.0 X 21.2 +
3.8 X
21.2
= 80
1M
(E) 0.0 X 21.2 +
24.0 X
42.5
= 1,021
X +
X
=
X +
X
=
X +1
X
=
Page Total
3,244
Internal Gain
Btu/hr
Occupants
1.0 Occupants X 230
Btuh/occ.
=
230
Equipment
0.0 Dwelling Unit X 1,600
Btu
=
0
Infiltration: 1.064
X 0.94 X 29.33 X 42 =
1,226
Air Sensible
CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
6,859
Latent Gain
Btu/hr
Occupants
1.0 Occupants X 200
Btuh/occ.
=
200
Infiltration: 4,771
X 0.94 X 29.33 X 0.00523 =
685
Air Sensible
CFM, ELA AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM
885
EnerovPro 5.1 bv EnerovSoft
User Number: 6712 RunCode: 2012-07-20710:25:42 ID:
Page 24 of 26
•
•
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name Date
New Residence 1 7/20/2012
ROOM INFORMATION DESIGN CONDITIONS
Room Name Living Zone Outdoor Dry Bulb Temperature 112 OF
Floor Area 2,450.0 ftz Outdoor Wet Bulb Temperature 78 OF
Indoor Dry Bulb Temperature 70 OF Outdoor Daily Range: 34 OF
ODaOue Surfaces
R-38 Roof(R.38.2x 14.16)
R-21 Wall (W. 19.2x6.16)
R-21 Wall (W. 19.2x6.16)
R-21 Wall (W. 19.2x6.16)
R-21 Wall (W. 19.2x6.16)
R-21 Wall (W. 19.2x6.16)
R-21 Wall (W. 19.2x6.16)
Orientation
Area
X
X
X
X
X
X
X
X
X
U -Factor
X
X
X
X
X
X
X
X
X
CLTD'
=
=
=
=
=
=
=
=
=
Z450.0
0.0260
56.0
70.0
0.0690
26.0
1,007.2
0.0690
33.0
128.0
0.0690
29.0
222.01
0.0690
31.2
205.0
0.0690
33.0
120.0
0.0690
28.2
0.0
22.5
X
42.5
=
0.0
11.3
X 42.5 =
X 48.6 =
Page Total
Page Total
Items shown with an asterisk (') denote conduction through an interior surface to another room.
1_ Coolina Load Temperature Difference (CLTD)
I Fonoctrntinn
1B
113
1A
1A
1A
1G
100
101
1J
Orientation
(S)
(tM
(►M
(tM
(M
(N)
(►M
(►M
(E)
3, 567
126
2,293
1 2341
1 7,4211
• Shaded
Area
GLF
X 25.5
X 21.2
X 37.2
X 37.2
X 37.2
X 25.5
X 21.2
X 21.2
X1 25.5
+
+
+
+
+
+
+
+
+1
Unshaded
Area
GLF
X 25.6 =
X 42.5 =
0.0
100.0
0.0
18.0
0.0
22.0
X
66.3
=
0.0
32.0
X
66.3
=
0.0
22.0
X
X
66.3
=
=
0.0
100.0
38.0
0.0
22.5
X
42.5
=
0.0
11.3
X 42.5 =
X 48.6 =
Page Total
185.0
0.0
36,452
Btu/hr
766
1,458
2,121
1,458
3,801
957
481
4,712
18,310
Internal Gain
atumr
Occupants
2.0
Occupants X
230
Btuh/occ.
=
460
Equipment
1.0
Dwelling Unit X
1,600
Btu
Infiltration:
1.064
X 0.94 X 134.06
X 42 =
5,604
Air Sensible
CFM ELA
AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
36,452
Latent Gain
Btu/hr
Occupants
2.0 Occupants X 200 Btuh/occ.
= 400
Infiltration:
4,771
X 0.94 X 134.06
X 0.00523 =
3,131
Air Sensible
CFM ELA
AW
URLY LATENT HEAT
•
•
RESIDENTIAL ROOM COOLING LOAD SUMMARY
Project Name
Date
New Residence
7/20/2012
ROOM INFORMATION
DESIGN CONDITIONS
Room Name
Living Zone
Outdoor Dry Bulb Temperature
112 OF
Floor Area
2,450.0 ft'
Outdoor Wet Bulb Temperature
78 OF
Indoor Dry Bulb Temperature
70 OFI
Outdoor Daily Range:
34 OF
Opaque Surfaces
Orientation Area U -Factor
CLTD'
Btu/hr
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
X
X
=
Page Total
0
Items shown with an asterisk (') denote conduction through an interior surface to another room.
1. Cooling Load Temperature Difference (CLTD)
Shaded
Unshaded
Fenestration
Orientation Area GLF Area
GLF
Btu/hr
1H
(S) 120.0 X 25.5 +
0.0 X 29.5
= 3,057
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
X +
X
=
Page Total
3,057
Internal Gain
Btu/hr
Occupants
2.0 Occupants X 230
Btuh/occ. =
460
Equipment
1.0 Dwelling Unit X 1,600
Btu
=
1,600
Infiltration: 1.064
X 0.94 X 134.06 X 42 =
5,604
Air Sensible
CFM ELA AT
TOTAL HOURLY SENSIBLE HEAT GAIN FOR ROOM
36,452
Latent Gain
Btu/hr
Occu ants
2.0 Occupants X 200
_
Btuh/occ.
400
Infiltration: 4,771
X 0.94 X 134.06 X 0.00523 =
3,131
Air Sensible
CFM ELA . AW
TOTAL HOURLY LATENT HEAT GAIN FOR ROOM
3,531
Enemvft 5.1 by EnemySoft
User Number- 6712 RunCode: 2012-07-20T10:25:42 ID:
Page 26 of 26