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13-0821 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000821 Property Address: 51940 AVENIDA VELASCO APN: 773-174-010•-10 -000.000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 7000 Applicant: J. Ta�v BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION Owner: D MILLER ZACHARY & SUMMER 51940.AVENIDA VELASCO LA QUINTA, CA 92253 Contractor: r ESSER AIR CONDITIONING & HTG P.O. BOX 1636 CATHEDRAL CITY, CA"92235 (760)324-0550 LiC. No.: 489046 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. License Class: C20 License No.: 489046 Datel`� ' Contractor: Elie -01 *4' colfk( 6w;v j !r OWNER -BUILDER DECLARATION �I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and �• 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 Aid not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). - (_ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/02/13 U JUL 03 2013 CITYofLgQUIINrA I FINe ung 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. ZgTLEPOINT NTL Policy Number WSLTHPE90140303 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor C de, I shall forthwith comply with those provisions. 'Date: Applicant: +0 ^' N WARNING: FAILURE TO SECURE WORKERS' COM PEN SATIOCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV L 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 Ouinta, its officers, agents and employees for any act or omission related to the work being. performed under or'following issuance of this permit. . 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above information is correct. -I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon th eabbove-mentioned pro rty for inspection purposes. "Date:,'l-'7'i Signature' (Applicant or Agent): LQPERMIT F Application Number . . . . . 13-00000821 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee 71.50 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 12/29/13 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - ONE (1), 16 SEER/80 AFUE, 3.5 TON HVAC SPLIT SYSTEM (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ----------------------------------- ---------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited ---------- ---------- ---------- ---------- Due ----------- - ----- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 L i J Bin # City of La Quin Building &r Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. 7 Project Address: Owner's Name: .511, #4 .,, �i(t / A. P. Number: �� 7 �(� ,1e ' e le jeo Address: s� qO ✓e-, iA 'C I4 f'i l) Legal Description: Contractor:' i City, ST, Zip: [ 4 , t u4- -t Z s 3 >>' Tele hone: ;•:.<•. Address: PO Pox l ?(,a ProjectDescription: 3- City, ST, Zip: C e- - `. Tele Telephone: Ito P Z + State Lic. # : 414 lv 4((0 City Lic. #. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: p :,. ;: ;::.:<.;:;:.s::.<•:;:• ::.::::.::::::::::::. <s::<>:i'•::::;:::>:<::>>:>; .;<.:;::;l:<:;>:: ConOccuanestruction Type: P Y State Lic. # Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: OC -170 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ' '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees General Information-. Site Address: 51940 Avenida Velasco La,Quinta CA -92253 .Enforcement Agency: La.0 Uinta; City of Date: 7/2/201-3 t -Build I ing Type D Single Family qMtilti Family Circle the Front entation:®, E, S, W, or degrees ^ 1450 ''Project Type;'❑Alterations'❑ Envelope ❑Fenestration[]Roof []HVAC Conditioned Floor Area (CFA): Replacement or Chane Outs ❑ Duct Re lacement ❑Water Heater a' NOTE: This form is not to be used for Newly Constructed Buildhogs or Additions ' Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration :• r " Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the ❑ Opening of framed cavity alone mandatory minimum insulation value per §.150 for the altered ossernbly.' Fill in Colurnns A,—C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, or floor assembly requires the installs_ tion.of Component ' - Package- D insulation values in Table 151-C. , Fill in Columns A —J. : Opaque Surface DetailS For the furred ortioned of Mass WaM,see Furr'in Strips Construction Table below. - A B C D E F ": G H Proposed see (Vote Standard Values From JA4 Table Tag/ Assemb ?RL Framing Thiclosess� :: 1fW I ei yotziFramed JI) Added Interior or Exterior Insulation ` .Continuous ' , ` . JA4 j.Proposed Assembly Assembly ID' or T ' c o ' u 1 - , e Cell Values .U-factor9 Joint A ` endix-Table 4.3.5 4.3.6 4.3.7' Joint Appendix Table 4:3.13 i ' isy s Assembl H : ��+ Y~p a w ` o o •a° Note: For furred assemblies ccountingfor-TCon t ort - , se"e agJAx43?a aJculatmg furred walls use the Mass and FurringConstruction lile,b . Mass 1. For Tag/ID indicate We Life tali n''nam 1 match the utld-H pla f 2. Indicate the Assembly Name•or type: Ro /Ge G' _ loots SlAbs CawT'Sr ' .'. W+et oors" nd:Cate the rams type and Size: For . Wood, Metal, Metal Buildings, Mass ent s4fo-otlrer� se, 11i , 6C, o"-Ut fo 11 otherdassembly description 3. 'Enter the thickness for mass in inches or pacingebe en amingmembe s enter - such -as Concrete Sandwich Panel, Spandrel Panel, Logs, St al Panel and etc :.: Thickness 4. Based on the Climate Zone; enter the Standard U factor frot>y� b e.I Sl -B, C or D, for each different assembly, am oi�type.. . 5. Enter the Table number Ihatclosely resembles theproposed assembly: ¢ > : 6. Enter the R -value that is being installed in the wall cavity or,between the framing; "otherwise, enter "0 7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter "W'. a' 8: Enter the{row and column of the 'U factor value based on Column F Table Number and.enter the Assembly U factor in Column J- -9: 9: The Proposed Assembly U- Column) must be equal to or less than the Standard U factor in Column E to comply. J Furring Strips Construction Table for -Mass Walls Onl c A ^B C. `D E F G H I 4 K L M' Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation ` -Walls From Reference `' in Furring Space from Reference Joint A ` endix-Table 4.3.5 4.3.6 4.3.7' Joint Appendix Table 4:3.13 i ' Assembl H : ��+ Y~p a w ` o o •a° . T 4 F- `o V ,, m a� :. '- F.2 _ v Final •. Mass Name of JA4 Table, �, �, �...a' " ' E E o ' , d Assembly�• U ' Thickness T z ¢ Number _ > x a ¢ > : facto Comment n Registration Number: 313-A0015967A-000000000-0000 Registratto:z Datellime: 07/02/2013 15.01:25 HERS Provider CB PCA 2008 Residential Compliance Forms.' -,,s August 2009 Prescriptive Certificate of Compliance: Residential` - _ 'CF -IR -ALT . Residential Alterations Pa e'2 -of 5 `* Project Name: f . ; ' Climate Zone #„ # of Stories Summer Miller 15 " - 1 ass and Furring Stri s Construction(footnotes), . Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry Solid Concrete, Walls, Etc Additional assemblies can ' e found Reference Joint Appendix JA 4. _ " J This is the U -Factor based on the thickness of the assembly in inches. _ t 3. The R -value of the insulation to be added on,the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly: 5. -6. The Final Assembly is calculated using, Equation 4-2 or. Equation 4-4of the Reference Joint Appendix JA4. The equation is the. inverse of Column added to Column I. Column K is the,inverse from;column J.. 7. Insert the calculated U- actor value on to. the O a ue.Sur ace Details in Column J FENESTRATION PROPOSED AREAS " ❑Replacing window alone =Replacement windows shall meet the U=Factor and SHGC Value requirements of Component Package D yin Table -151 -C. -The Total Fenestration -and West jacingArea requirements are not applicable.' c ❑ Adding 50ft2 or less of window area — Newly installed windows, shall meet the" U -Factor and SHGC Value requirements of Component Package D in Table451,C.` n ' ❑ Adding more than 50ftZ of window area— Newly installed windows shall meet the U. -Factor and SHGC Value and the Fenestration" Area requirements of Component Package D in Table 151-C.- Complete the Altered FenestrationAllowed Area Table on Page 2 of the CF -I R -ALT It ,, y aa�� Fenestra��n e�+E s 3 9 ' o NFRC.orDs fault •. Window Glass„Door or S :L t outh; We ft i . Vfact0 . ; SjIG `. ' _Value 3 y_ _. _ ” t n10W am soft, 1. Fenestration area is the area of total glazed MIME �t a las"slplus fi ate) Esc `` is less lhair650%glass; the fenestration area may be the glass area plus a 2 incfrani 2. Enter value from Component PackagerD Requ emen s in. Ta�� RI C 3. Actual fenestration products installed and'as indicated in C1 6 V Form'shall be equivalent to or hav a lowe 1—Tac r andlor,a lower SHGC value than thalspecified on'the CF -1 R ALT 4. Submit a completed W3 -3R Form: if a reduced SHGC is calculated with ezterior'shading. 5.1 a licable at this stage enter .'.'NFRC" or NFRC Certified windows or are CEC "Default" valuesfound in:Tab'le 116-A or B. * _ ALTERED FENESTRATION ALLOWED„AREAS (Complete if more than 50ft' of fenestration is added) ' A, B C D- B F G ` Allowed • ..Existing Fenestration . ' " _ s- Total Area ' CFA of.Entire °70 of Fenestration :Area FenestrationF 'Allowed Proposed Area, I)wellin CFA -Area' • : '' Removed Area Added' A x B E -D + C Total. Fenestration Area ' 3 3 j ftz .20; West Fenestration Area" ' (Required In +r ".05 CZ's 2,4&.7-15)- 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch lessthan 1:12.; 2. West facing glazing area removed cannot °be "counted " twice. " In orderYo distribute the west glazing area removed to the other orientations, inputdhe west glazing. area removed in the'Total Fenestration Area row, column Q.: 3. Include -the Proposed Area of the. Westfacingfenestration in both Area columns below,.: `4..To meet com liance, the Proposed Area must be less than or: a ual to the Total Allowed Area. or. BOTH the Total and West Fenestration'Areas. 4 Prescriptive Certificate of Com liancerResidential . CF -MALT Residential Alterations x i Pa a 3'of 5 Project Name: Climate Zone # r. #'of Stories Summer Miller ti ROOFING PRODUCTS ,(COUL ROOFS) §151012 > > - When the area ojexteriorroof surface to be replaced exceeds snore. than SO%_of the existing roof area, or more than 1,000 :,• whichever is less, the new roofing�area must meet the roofing product;"Cool Roof" requireinents,of §152(b)IHi,152(b)1Hii, or 152(b)IHtiL • >', Check applicable alternative or exception below if the roof alteration is exempt f!oih'the 'roofng product,"Cool Roof' requirements: Note: If any one of the alternatives or. exception below is ehecked,`the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table'below. . ❑ Cool Roofs Not Required in Climate Zones 1-12, l4, arid l6 with a Low Slope& Lessor 2:12 pitch.: 4 rl t " ❑Cool Roofs Not Required in,Climate Zones 1 through.9 and 16 with a.Steep-Sloped Roofs (pitch greater than 2:12) and product unit weightless , than 5lb/fix. Ws , ` ' } m a Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2.12)" ❑ InSulition4ith a thermal resistanceof at least.0.85 hi-f?.or at least a 3/4 inch air -space is added to the roof deck' - • - ; over an attic; or '-; • .r .: ' i ❑ • Existing ducts, in the'attic are insulated and sealed according to §151(f)10; or , Y - �. 0,,In climate zones 10, 12 and 13, with j to of free ventilation area of attic ventilation for every 150 fig. of attic floor area, and 1` where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the.roof ridge; or ❑ Building has at least R-30 ceiling insulation; or r ❑ Building has ra t bmT%r the attic mjeetrng uu en $f §151(02 _ ❑. Building has, �€ s r ❑ In climate zones 10 11, 13 a -: 4 R''-3 r r deck rnsu aUon a e vented attic m ' Exception to §152(b)f iui UAW-slo e"too ,(,pits 0, '! x; p & , ❑ Building has noduin the attic ,. Other Exceptions �, .. <. :. • y ❑ Roofing area.covered11 building mtegra , , av to is and solar em tfrom the below Cool Roof cntena: `: ` Y_, ❑ Roof constructionslthatlhave thermalma__ ove rot_ _ .. nth a Ieast�2 is ex m. thesbelowsGoo1 Roof criteria. Note: If no CRRC-1 label(is available this �h nce method otbe use L rformance Apgto ch'ttolshow'compliance,•otherwise, t. . - :Check ttie a licable box bel xe '. - _ _ the Lto�fin �_. >ss Coo�R uire ;,' W2, " duct Wei ,S,' � F514 14§� ed"Solar 4i s SRI CRRC Produci ID Number: lig S"0 e�eetance3 nce ttt t r` E)❑ t ❑ . a4 TI El 04 4. 1. The CRRC Product ID Number can be obtbined from the Cool RoojRdting Council's Rated Product -Directory at www. coolrools.argproduc&1search. php 2. Indicate the type of product is being used jor the roof top, i. a single p!y roof, asphalt roof, metal roof, etc. r s'..� If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the some directory and use the equation (0.2+0.7(ptnirid — 0.2) to obtain a calculated aged value.. Where pis the Initial Solar Reflectance. r 4. Check box if the Aged Reflectance is a calculated value using the equation above.' 5. Calculate the SRI value by using the SRI- Worksheet at hup.-Avww.energY•Co. govAitlei4/and enter, the.resulting value in the SRI Column above and attach acopy of the SRl- Worksheet to the CF IR.' o apply Liquid Field Applied,Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage ` recommended by the coatings manufacturer and meet minimumperformance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum:Pigmented Asphalt Roof Coating. ' : ❑ Cement -Based Roof Coating :' ❑ Other "i HVAC SYSTEMS - HEATING r '' List wbter;lieaters ani b�oile safor bo'` lhdnmct anhydr'o •paceheating. Minimum Duct or Piping Configuration. Heating Equipment ` Efficiency Distribution, Insulation, ; + Theimostat (Ceritral;Split,, T e and Ca aci 1,2,3 AFUE'or HSPF T e and Location R=Value Type Space, Parka a or H dronic Furnace; AFUE Ducted, ,' SetBack Split .'"Ca I. Indicate, Heating Type (Central Furnace, Wall -Furnace, Heat pump, Boiler, Electric Resistance," etc.) 2. Electric resistance, heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e.,.if total capacity _ \See < 2 KW or 7,000 Btulhr electric heating is controlled by a:time-limiting device not exceeding 30 minutes): §I51(b)3 exception. 3. Refer to the HERS •Verification section on Page 4 of the CF-IR-ALTForm for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in -Floor, Radiators; etc.) _rr ;; HVAC SYSTEMS - COOLING Minimum t - Efficiency-_ Duct or'PipingT` ^ Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat . (Central;`Split, ' Type and Capacity]- 2 COP) type and Location 'R -Value Type Space, Packa` a or H dronic AirCondition m 16.5"SEER D SetBack , (4p _ Split 1. Indicate Cooling Typ (A!C Heatipp m ED -- ,o ,g tc m + 2. Refer4iq HERS T rl oxes the r:ficatioie ectro o Ductiho,.._'- floor, Radiators, etc., 3. Indicate Type 6r4 WATER -HEATING List wbter;lieaters ani b�oile safor bo'` lhdnmct anhydr'o •paceheating. Inrdualdwellrng HWheatersmustbe wa�ffle1@_Fe gas orpropanefireddandro eeed all ulatr'om bHW hto.the}lntchens�`_ n.allundergrounda.:i +uhot water i esis re uired in.allom one .: -_zvnes; -�- Water Heatei Type/Fuel i: I)istn uhon Type um a;: n `E".mw External Tank Insulation ,. .'"Ca T e'` (Standard; Recirculating)2 System z acity (gal) Th R-Value3 1. Indicate Type'.(Storage Gas, Heat Pump, Instanidneous, "etc) a 2. Recirculating systems serving multiple dwelling uints shall meet the recirculation requirements of §150(n). , The Prescriptive requirements' do not allow.the installation of a recirculating water heating system for single dwelling units. • r 3. The external water, heatin tank and �'i es shall be insulated -to reel the requirements of§l50 • . SPECIAL FEATURES The enforcement agency should pay'special attention to the Special Features specified in this checklisrbeiow. These items may re wire written• •usti rcation and documentation�and special veri rcation NEW ROOF ASSEMBLY - Radiant Barrier; The radiant barrier requirement of § 151 2. does not apply to roof alterations. Slab. Edge (Perimeter) Insulation O YES ONO YES: In Climate Zone 16 iii Component'Packages D; R.7insulation is required: Heated -Slab Insulation : 13 YES ONO , YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ;.DYES NO YES: In Climate Zones 1, 2, 11, 13,. 14 & 16, R-8 insulation is re uired; in Climate Zones 12 & 15,4-4 is required under component Package D: Thermal Mass = <. 116 obtain Compliance Credit for the installation of thermal mass; use the "Performarice%Approach. 'rescri tive Ce-itiflikeNA Como Hance: Residential CF -IR -ALT tesidential Alterations. "' t y Page 5 of 5 'roject Name ; ' s C►_imate Zone # #,of Stories , ummer Miller 15 a 1" •HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified,in this Checklist below. A'completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before f nal inspection. Duct Sea_ ling,& Testing" ' HERS,kerifrcatlon is required for this measure. ' ❑ YES ❑ NO,YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned "r.space, the ducts are to be sealed per,§1,52(b)1Dii,and the newly'Iinstalled ducts are to be insulated per § 151(f)10. ' ❑ EXCEPTION: Existing'duct systems that are.extended, which are constructed, insulated or sealed with asbestos: -YES,,-, , ONO YESAii Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC -equipment and ducting) is replaced, the ducts are to'be sealed per §152(b)1Di 1 x, ❑ YES0, 'NO YES: Ih'.Climate Zones 2 and 9-16; if the existing HVAC equipment is replaced (including the replacement of the air handler, `f outdoor condensing unit of a split system, cooling or heating coil; or the furnace heat exchanger) the ducts are to be ,. sealed per§ 152(b) l E: j+ l t b ' - 10 EXCEPTION:%Duct systems that are documented to have been previously sealed confirmed through HERS '- verificationin.accordance with procedures in the Reference Residential Appendix RA3. "F z , ❑ _EXCEPTION: Ductsystems with less than 40 linear feet in unconditioned space. • . 13 EXCEPTION :' Exist _ ing duct's stems constructed, insulated•or sealed with asbestos. • + Refrigerant Charge - Split System . - HERS verification is required for this measure, 0 YES NO ES: 'mate Zones,2 and whc ' th e�cisting HV a uip nt is re laced including the replacement of the air f •en , g" of the furnace heat exchan er are _., c e measure ent sh venfied er 2 1 F. Central Fan Intgr ed�(CFtt/ei >(Ztsh S ~ The ventilation ie iitreme is of 150 ; do,__ � _ -1 to xi tin restdential homes . - o Ducted'Split,Systems r.Air.Conditio , and._ ea mpst rfit Y v required for this measure. WEIS��In Climate O YES D NOS , Zone . tl>tio �e=existing space a� (HVAC equipment and ducting) is , V. lace e a . n fan slta, be venfied e, . 52(b 1 meet thea_ ui ernents of § 151(f)7B. :.�? �"�'�'�'��;i'! ��',uaz.:�:s'l��'�,"�5�'v��O'��,u. Vii+„"•—".��1� Documentation Author's Declarati0t4tS�f ` tutem_e • I certify that this Certificate of Co 1 andoc; _ a n ira c'K$and' - JI - Tim Esser.. v k 'rescri tive Ce-itiflikeNA Como Hance: Residential CF -IR -ALT tesidential Alterations. "' t y Page 5 of 5 'roject Name ; ' s C►_imate Zone # #,of Stories , ummer Miller 15 a 1" •HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified,in this Checklist below. A'completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before f nal inspection. Duct Sea_ ling,& Testing" ' HERS,kerifrcatlon is required for this measure. ' ❑ YES ❑ NO,YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned "r.space, the ducts are to be sealed per,§1,52(b)1Dii,and the newly'Iinstalled ducts are to be insulated per § 151(f)10. ' ❑ EXCEPTION: Existing'duct systems that are.extended, which are constructed, insulated or sealed with asbestos: -YES,,-, , ONO YESAii Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC -equipment and ducting) is replaced, the ducts are to'be sealed per §152(b)1Di 1 x, ❑ YES0, 'NO YES: Ih'.Climate Zones 2 and 9-16; if the existing HVAC equipment is replaced (including the replacement of the air handler, `f outdoor condensing unit of a split system, cooling or heating coil; or the furnace heat exchanger) the ducts are to be ,. sealed per§ 152(b) l E: j+ l t b ' - 10 EXCEPTION:%Duct systems that are documented to have been previously sealed confirmed through HERS '- verificationin.accordance with procedures in the Reference Residential Appendix RA3. "F z , ❑ _EXCEPTION: Ductsystems with less than 40 linear feet in unconditioned space. • . 13 EXCEPTION :' Exist _ ing duct's stems constructed, insulated•or sealed with asbestos. • + Refrigerant Charge - Split System . - HERS verification is required for this measure, 0 YES NO ES: 'mate Zones,2 and whc ' th e�cisting HV a uip nt is re laced including the replacement of the air f •en , g" of the furnace heat exchan er are _., c e measure ent sh venfied er 2 1 F. Central Fan Intgr ed�(CFtt/ei >(Ztsh S ~ The ventilation ie iitreme is of 150 ; do,__ � _ -1 to xi tin restdential homes . - o Ducted'Split,Systems r.Air.Conditio , and._ ea mpst rfit Y v required for this measure. WEIS��In Climate O YES D NOS , Zone . tl>tio �e=existing space a� (HVAC equipment and ducting) is , V. lace e a . n fan slta, be venfied e, . 52(b 1 meet thea_ ui ernents of § 151(f)7B. :.�? �"�'�'�'��;i'! ��',uaz.:�:s'l��'�,"�5�'v��O'��,u. Vii+„"•—".��1� Documentation Author's Declarati0t4tS�f ` tutem_e • I certify that this Certificate of Co 1 andoc; _ a n ira c'K$and' - Name Tim Esser p - Tim Esser.. k Company: �. :. ` Date 7/2/2013 Esser Air Conditining ~ - Address:. 36665 Bankside Dr,Drive OFC,OFFICE, If Applicable ED CEA or U CEPE . (Certification #); City/State/Zip: Y ` + ` . Cathedral City California 92234' Phone: 760-324-0550 { .Responsible Building Designer's Declaration Statement.,,. • ; I am eligible under Division 3.of tlie`Califomia Business and Professions Code to accept responsibility for the building design identified on.µ this Certificate of Compliance. ' • I certify that the energy features and performance.specifications•for the building. design' identified onathis Certificate of Complian'ce`confonn to the requirements of Title 24, Parts 1 and 6 of the Califomia Code of kegulations. _ • The building'design features identified on this -Certificate of Compliance are consistent with the information provided to document this _ buildingL design on the other, applicable compliance forms, worksheets; calculations, plans'arid specifications submitted to'the enforcement a enc fora royal with this buildin ermit a lication. i s: Name: s - Tim Essen 7 Signature: Tim Esser i Company: , r,' Esser Air Conditming i „` Date' 7/2/2013 + Address:: 36665 bankside'Dr,Drive OFC,OFFICE ti. License: 489046 A City/State/Zip:. - - Cathedral City California -'92234 r Phone: 760-324-0550 y t u For assistance or questions regarding the Energy Standards; contact the Energy Hotline at. -,J400-772-3300. 3 = Registration Number: 313=AO015967A-000000000-0000 Regislration�Date/Time` 07/02/2013 15 01:25 HERSProvider:' CBPCA = 2008 Residential Compliance Forms + August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: , i. Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. :. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate tilled '.Duct Leakage Test — Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test — existing ducts stem Select one compliance, method from the following four choices. El Option 1: Measured leakage less than 15% of Fan Airflow. deoodnAtrfo1:1 Option 2V��'ei��+'1 rformance! ❑ Option 3. Reduce l�eakage`'by 60% ori '� e a d onduc-sm'ok', est do sea a,11 �c�s Wig eak ❑ Option 4,41�ail yaccessible leaks usi g smoke test, and ERStrater ustnvertfy.. Note: (Optionbhm st be attempted beforeutihzmg Optioln 4) 'x"r . t' :. �'. a a t _ Determine nomtnaLFan Air ow. using'one o�the'following three calculafjon methods El Cooling condenser '53.50 is system method: Size of mrTons �x 400 ;1400.00 FTVI ❑ Heating system method: 21 7i XA! _ Olq atmg Output Capauity,4! tuh ,r `; ' CFM' . ❑ Measured system airflow using-RA3.3 airflow test procedures:' CF gym. • 7 Option 1 used then:"' Allowed leakage = Fan Airflow 1400.00 x 0.15 = 210.00 CFM 1 Actual leakage= 125.00 CFM Pass if Actual leakage is less than'Allowed leakage' El Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow X0.10=—.-- CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑ Pass ❑ Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage' - Final leakage = Leakage reduction CFM ------------ (Leakage reduction / Initial leakage . ) x 100% _ % Reduction ` Pass if % Reduction > 60% . ❑ Pass ❑ Fail Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). 4 Pass if all accessible leaks have been sealed using'Smoke.Test ❑ Pass ❑ Fail . l Registration Number: 313-A0015967A-M2116875A-M21A Registration Date/Time: 07/14/2013 10:59:35 HERS Provider: CBPCA 2008 Residential Compliance Forms _ August 2009 e t CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System- (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quirita CA 92253 La Quinta, City of ` ' Y t y El Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation'systems, shall not be sealed/taped off during duct leakage testi*}. g C1 Oq ducts thatut'11ze;con o e motorized dame s, that o e o Lythe O . ventilation is required to meet ASHF%&S? n'd�a�d �d� c� o'se wh I t�il�t bn i s rL'o `re° q 13 , to, e, n � ure t he closed position during duct leakage testing o e W In li 4 r t ^,0 "' IP - t] All supply and return register boots t+nti�t be eale,c to t7�e mal smoke-tes*0!TTtitiuz�e''UMr. eotgplianc applies to duct leakage compliance optiOT (leakage_reduction by 60%) and option 4 ,(fix all accessible leaks) described above. 0 New duct installations cannot utilize buil'dmg c�avtttes as ple¢nums r platform reiurns in lieu of ducts. El Mastic and draw bands must be used bmatton,with cloth backed rubber a 'esivefduct�t p tb--seal leaks at all new duct connecti ns_ i DECLARATION STATEMENT • I certify under penalty of perjur , i -i i the_ I_ aw .:of the State•ofCali_forma, he information p ovided wthis form is true and correct. I • 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 -1 R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by theperson(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 -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Esser Air Conditining Responsible Person's Name: CSLB License: Lydia Garcia 1489046 HERS Provider Data Registry Information .Sample Group # (if applicable): ❑+ tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater. Information HERS Rater Company Name: + John Henry's HERS ' Responsible Rater's Name Responsible Rater's Signature John D Henry John Henry Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095756 7/14/2013 Registration Number: 313-A0015967A-M2116875A-M21A Registration Date/Time: 07/14/201310:59:35 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: 7Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of 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 forin(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance: STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. . TMAH -Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag Trane - System Location or Area Served The sensor is factory installed, or field installed according to manufacturer's 6 1 ❑ ONo w BA,Aab�eledjawcw4d?tOr'�ge 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and .stlO1?rr:2,ira a,a 2 u DYes.-- 111 +tom► * lu 19 r []No �. . W Ai m. �u wva W Ip � ,• r F 5/16"inch �8�njm access hole downstream of a apora{�e co�lin the supply plenum ,= n'dlabeled acordngjlto�F,gre,kn SectAiT; �2 p i'1 Aid u "R�Q'2 x . •� Enter Pa s or Fail ✓ ❑Pass ✓ ❑Fail Yes to 1 and�2 is'a ass. _` F,. . STMS - Sell' sornntheFvnnratnni. - - ? r y,` _ . - 7s System Name400r Iden if ti Ta `, T ane ' - The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive Thelsensor is factory installed; or fi61dinstalled�accrordirig to manufacturer s 3 ❑Yes ❑No specifications ►or is installed, by method's/specificafion_s.apY"p approved by,the Executive The sensor wire is terminated with a standard mini plug suitable for connection to'a �Dire�cor` Oyes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil The sensor wirp;s terminated with a standard miniplug; suitable for connection to a 4 ❑Yes ❑No digital thermometerThe sensor mini plug is accessible_to-tlae'in tabling technician and v" El N/A ✓ ❑ Pass v"❑Fail the HERS rater without changing the airflow through the condenser coil 5 Oyes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter p N/A ✓ ❑ Pass ✓ ❑ Fail N/A if STMS are not applicable. Otherwise enter Pass or Fail STMS - Sensnr an the Condenser Cnil System Name or Identification/Tag Trane The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to'a 7 Oyes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. ' Enter v" El N/A ✓ ❑ Pass v"❑Fail N/A if STMS are not applicable. Otherwise enter Pass or Fail Registration Number: 313-AOOI5967A-M2516874A-M25A 2008 Residential Compliance Forms Registration Date/time: 07/14/2013 10:57:15 HERS Provider: CePCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 -Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: " Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of . 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 forms) 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. • !f outdoor air dry-bulb is 55 OF or below, the installer must use the Alternate Charge Measurement Procedure. Snace Conditioninu Svstems System Name or Identification/Tag• Trane 6/3/2013= ?µ "1t , x'? (must be re -calibrated monthly) System Location or Area Served Date of ThermocoupleCahb'rattonay '`' Outdoor Unit Serial # E124201004 Outdoor Unit Make Trane Outdoor Unit Model NXA642GKA100 Nominal Co 4g Ca p,acity Btu/hr -, 4200,0.y -y00 - ; ."lli0 N %011; 11 UNA"' ILS...° Date of Verification !11SNAISI 11 ! 6/25/2013 : - ' '1 • W . - 0 W 1 ` � I��Ili � r•• ®. Calibration of niaunostrc=inctr'uments Date of Refrigerant Gauge�C.alibratton� Trane 6/3/2013= ?µ "1t , x'? (must be re -calibrated monthly) Date of ThermocoupleCahb'rattonay '`' 6/3/2o'13s� ' �ti`? re c librated monthly) �((rrirbe - Measured Te(OF), �� a •• s . �� ' v , Y�.�•�� .. ,, N ' #�; mneratures System Name or Identification/Tag Trane Supply (evaporator leaving) air. -dry-bulb temperature (Tsu I , db) 54.00 Return (evaporator entering) air dry-bulb temperature T , db) P ( return 76.00 Return (evaporator entering) air wet -bulb - tem -temperature T P ( return, wb) 63.00 Evaporator saturation temperature Teva orator, sat) 47.00 Condensor saturation temperature (Tcondensor, sat) 112.00 Suction line temperature (Tsuction) 52.00 t Liquid Line Temperature (Tliquid) 106.00 Condenser (entering) air dry-bulb' tem temperature T P ( condenser db) 101.00 Registration Number: 313-A0015967A-M2516874A-M25A 2008 Residential Compliance Forms Registration DateMme: 07/14/2013 10:57:15 HERS Provider: C6PCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 -Refrigerant Charge Verification - Standard Measurement Procedure a e 3 of 5 Site Address: ,, _ Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of Minimum Airflow Requirement, f 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 Trane , s Calculate: Actual Temperature Split = Treturn, db " Tsupply, db 22.00 i Target Temperature Split from Table T and T ' RA3.2-3 using return, wb return, db 19.20 , Calculate difference: Actual Temperature 2'80 Split — Target Temperature Split =' Passes if difference is, between -4°F and +4°F or upon -remeasurement, if between_ -4°F and -10r X111 it ei ing, 11 ail . Pass . � ul �'�d jn I _ '. 6 Note: Temperature plr Methlod Calcuia iorl Lsan�G��ne essaary if ctu it-Goolln`g o lrAAiir�l�wdsi veniflew sing of the R`e ail ppendtx airflow measurementaprocedures specifred to ere�lce�R siden 48 3:4- f'Sclua'1-cooling c�iJaYrflow is - Alf' value equal measured, mustlbe to^or'greater*than<thefCaleulated Mi imum:A•irf.00w Requirement in the table below. •- i-�� .•� +�-"4� e � ' 4 .� ,+ins: - � iF + i Calculated Min►mum Airflow Nomtnnal Cooking Capa, X..3.00 equirement (CFM) ,tt'ton) (cif�m/ton) a �4 F ��.T..: ° �y •. ....+:ln'..SiN hL(.� +.� I��' f�n cl� yY� �`, _J �kY, jj�,, System Name or Identification/Tg �4�� Trane � ��'f ��1 a. ,i't.. '..l`�.. ..`.� � N_L•:�r-�1. X13 e$.%N .. Calculated Minimum Airflow Requirement CFM }'rte Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than ' or equal to the calculated minimum airflow requirement. Enter Pass or Fail ' 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 Trane , s Calculate: Actual Superheat = Tsuction — Teva orator sat Target Superheat from Table RA3.2-2 using Treturnwb and Tcondenser, db Calculate difference: Actual Superheat — Target Superheat = System passes if difference is between -6°F and +69F Enter Pass or Fail Registration Number: 313-A0015967A-M2516874A-M25A Registration Date/Time: 07/14/2013 10:57:15 HERS Provider: CBPCA 2008 Residential Compliance Forms / August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 -Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: < Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of r 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 Trane I• Calculate:, Actual Subcooling = 5O00U &F Ir a7 c rs aolej Tcondenser. sat- Thquid 6.00 + i � ' Target Subcooling specified by Enter allowible su erheat=rangefr{, rustineer's spepifications (manufactur e+` f manufacturer g.00 .r between 3°Fund 2�6°F if ma ufacturer's ' Calculate difference: s ecificationNisriotavailable), Actual Subcooling — Target Subcooling = -3.00 + System passes'if difference is between is wit 'in �•;Pass , X tltw.n -4°F and +4°F Enter Pass or Fail pass 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 Na t rp � , � d�M: �l�9�- � platyaI Y T ne I• Calculate: Actual Superheat 5O00U &F Ir a7 c rs aolej Tsuction —Teva orator ssaf �s {: �v� _ ' Enter allowible su erheat=rangefr{, rustineer's spepifications (manufactur e+` f between 3°Fund 2�6°F if ma ufacturer's '0 00 26.0% 3 s ecificationNisriotavailable), System passes if actual_ -superheat the allowable superheat range is wit 'in �•;Pass , X tltw.n Enter Passor•Fail$ t Registration Number: 313-AO015967A-M2516874A-M25A Registration Date/Time: 07/14/2013 10:57:15 KERS Provider: cePCA 2008 Residential Compliance Forms August 2009 r � t I• Registration Number: 313-AO015967A-M2516874A-M25A Registration Date/Time: 07/14/2013 10:57:15 KERS Provider: cePCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-1VIECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5 Site Address: Enforcement Agency: Permit Number: 51940 Avenida Velasco La Quinta CA 92253 La Quinta, City of 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 Trane 489046 HERS Provider Data Registry Information Sample Group # (if applicable): System meets all refrigerant charge and Pass ' in a HERS sample group airflow requirements. Enter Pass'or Fail HERS Rater Company Name: John Henry's HERS f Responsible Rater's Name Responsible Rater's Signature I Cat It Contra o; o i DECLARATION STATEMENT a • I certify under penalty of perjury,under a laws &A a State%of California, the iriformati'onrprovided on this corrects - fix, � .�. ,� form is true and • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). I t A °4 �1 . , rli • The installed feature, material, component, or manufactured device requiring HERS verificaiidn that is identified on this certificate (the installation) complies with the applicable requiremeb nts n Reference Residential Appendices 15L2d 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 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. r Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Esser Air Conditining Responsible Person's Name: CSLB License: Lydia Garcia- 489046 HERS Provider Data Registry Information Sample Group # (if applicable): m tested/verified dwelling ❑ not-tested/verified dwelling . ' in a HERS sample group HERS Rater Information + HERS Rater Company Name: John Henry's HERS f Responsible Rater's Name Responsible Rater's Signature John D Henry John Henry Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095756 7/14/2013 4 , Registration Number: 313-A0015967A-M2516874A-M25A Registration DatelTime: 07/14/2013 10:57:15 HERS Provider: C9PCA 2008 Residential Compliance Forms August 2009 ]ohn Henry's Home Energy Rating INVOICE Service ` 13699 Monument Desert Hot Springs, CA 92240 , INVOICE #133 Phone (760) 671-5865 DATE: JULY 18, 2013 TO: SUMMER MILLER FOR: " HERS TESTING f THANK YOU FOR YOUR BUSINESS! / r 3