The URL can be used to link to this page

10-1321 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Application Number: -.,,,10-00001321' Property Address: 53770 AVENIDA VELASCO APN: 774-165-002-2 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 5555 -4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KIM STANLEY 53770 AVENIDA VELASCO LA QUINTA, CA 92253 Contractor: ' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/06/10 Z!: n `4.� Applicant: Architect or. Engineer: EVEN FLOW HEATING & AIR, INC�t_C+ ' 11729 BALD EAGLE LANE MORENO VALLEY, CA 92557 ' ,9 ()prrM ` (951)684-4979 -------------------------------------------------------------------------------------------- Lic. No.: 917275 — 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 an rofessiona Code, and my License is in full force and effect. license Class: C20 L' ense No.: 917275 /Date; _410 lJ C ractor. 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 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 1 1 am exempt under Sec. , B.&P.C. for this reason Date: Owner: J, 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: ,. LQPER1111T 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. Y—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 NORGUARD INS Policy Number EVWC112137 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 b come subject to the workers' compensation provisions of Section 700 of the Labor Code, I II forthwit comply with those provisions. D _AWWOpplicant: ✓ ,� 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 buildi construction, and hereby authorize representatives of t s co ty to enter upo the above-mentioned proper[ f r inspec ' n purposes. Date: Ignature (Applicant or Agent): Application Number . . . 10-00001321 Permit MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration'Date 6/04/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.'00 9.0000. EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 Special Notes and Comments REPLACE 5 TON HEAT PUMP PACKAGE UNIT AND THERMOSTAT. 2007 CODES. -------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) -------------- 1.00 Fee summary Charged ----------------- ---------- Paid Credited -- ---------- --------- Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 _ 8.25 Other Fee Total 1.00 .00 .00 -1..00 Grand Total 42.25 .00 00 42.25 Simplified Prescriptive Certificate of Com Hance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 to Is Site Address: Enforcement Agency: Date. Permit Equipment T i List Minimum Efficiency' Duct insulation requirement Condttiorkd Floor Area Thermostat Packaged Unit Furnas ❑ AFUE ❑ COP r Over 40 ft of duns added or ' ❑ 'Setback ❑ Indoor Coil O Condensing Unit OSEER ` ❑HSP -placed in unconditioned space Cl R6- (CZ 10.13) S ed by system flfnor already be ❑ EER ❑ Resistance sf present must ❑ Other ❑ R 8 (CZ 14-15) installed) . 1. Equipment Type: Choose the equipment being installed: if more than one system. use another CF -1 R -ALT -HVAC for each system. 2. Minimum Eqaipment Effrdeneles: 13 SEER, 78%AFUE. 7.7HSPFfortypical residential systems. , HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer deddes what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF4R forms (no hand filled CF41ts allowed) are filled out and si ed. nl October 12010 a registered copy of the CF -IR and CF -6R shall also be on site for final ins0ection. 1. HVAC Changeout Required Forms: • Al I. H VAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and for splits stems MECH-25 • . •Condenser Coil and /or , • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF4R forms: MECH- 21 and (for split systems) MECH-25 - For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirotnent), TMAH For Packaged' Units: Duct leaktige < 15 percent ; fxempled From duct leakage testing if: .. 0-1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. ExiMing duct iystirsu are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Chang with new CF -6R forms: MECH-04, MECH-20-HERS duds: (all new ducting arh all And (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF4R forms: MECH 20-, and (for split systems)MECH-22,. and MECH 25 For Split Systems: Duct leakage "< 6 percent; RC, CCA >_ 350 CFMRon, FWD, TMAH, SIMS, and either HSPP or PSPP. ; For. Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement' R aired'Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 . coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage,< 6 percent, RC, CCA >_ 300 CFM/ton, TMAH `For Packized Units: Duct leak a <6 percent ❑ 4. New Ducting over 40 feet Required Forms: adding or replacing more than 40 • IncluLinear feet Linear feet of due in unconditioned a. e. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R form: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: ExislinA due systems constructed,insulated or sealed with asbestos Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Ceitificate of Compliance documertation is accurate and complete. ' r • I am eligible under Division 3 of the California Business and Professions Code io accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulatiors. - • Ne design features identified on this Certifiatc of Compliance arc consistent with the information documented on other applicable compliance forms, worksheets, calcuL4xions. vilarts 4Qd specifications submitted to the enforcement agency (brap,proval with the perinit application. Name:Ate/ Signature: , Company: to Date: - . . b /0 Address: License: City/Statelzip:R&6#z Phone: 6 r .10 2008 Residential Compliance Forms March 2010. Bin # City of LQ Quints Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 13� " Project Address: 7 7n A, Vmlig 4nf Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:-em� Y26 Address: Telephone: D `•'%::sA•�':<'�:.;;�' Project Description: City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer. Address: City., ST, Zip: Telephone: •v;:.r.�n F�jti.+r��;'!�ifl�i,,:;�i:i />.,f,;..ry.v%;✓}-:.vg::i:..i,.yv,�v ilProject Construction Type: Occupancy: State Lie. #: a circle one): New Add'n ter Repair Demo Name of Contact Person: - Sq. Ft.:S 11 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd . Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calces Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°° Review, ready for correctionsfissue 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.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF-111-ALT-HVAC Alterations Climate Zones 10 - is Site Address: Enforcement Agency: Date: Permit #: 53770 Avenida Velasco La Quinta, CA 92253 City of La Quinta Dec.14, 2010 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat 0 Package Unit F1 Furnace ❑ Indoor Coil ❑ AFUE p SEER 13.0 ❑ COP ® HSPF 7.7 ❑ R 6 (CZ 10-13) R 8 Served by system 2400 sf 0 Setback If not already present, E] Condensing Unit ❑ EER ❑ Resistance ❑ (CZ 14-15) _ must be installed) ❑ Other 1. Equipment Type: Choose the equipment being installed, if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-611 and registered CF-4R forms (no hand filled CF-411s allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-1R and CF-611 shall also be on site for final inspection. 8 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF-4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leagage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40. linear feet in unconditioned space, or ❑ 3. Existing=ductsystems are constructed;-insulated, or, sealed with-asbestos ❑HVAC f 2. Neii4 Required Forms:_- System/ . Cut in or Changeout F i x CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22aand with new ducts: (all MECH=25�HERS 10� new ducting`all �' new equipment) CF-4R forms MECH=20; and (for split systems) MECH;22, and MECH. 25 - ri - For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged. Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or.without Required Forms: Replacement ' . Includes replacing or installing all new ducting and/or outdoor -, CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS condensing unit and/or indoor coil CF-411 forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more - CF-6R forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF-4R forms: MECH-21 unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. . I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. . The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Paul Reese Signature: Paul Reese Company: EVEN FLOW HEATING & AIR INC Date: Dec 14, 2010 Address: 11729 BALD EAGLE LANE License: 917275 City/State/Zip: MORENO VALLEY / CA / 92557 Phone: (951) 684-4979 Reg: 210-A0031165A-00000000-0000 Registration Date/Time:'2010/12/14 09:40:04 HERS Provider: Ca1CInc. July 2008 Residential Compliance Forms July 2010 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register 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 dwel ing,' use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING •-CF-4R-MECH-21 . . Duct Leakage Test,;-. Existing Duct System (Page 1 of 2) Site Address: 53770 Avenida Velasco, La Quinta CA 92253 (System Enforcement Agency: City of La Quinta Permit Number: 10-00001321- 1) ' Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register 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 dwel ing,' use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Reg:.210-A0031165A-M2100001A-M21A Registration Date/Time: 2010/12/15 10:13:07 -HERS Provider: CalCERTS, Inc. ' 2008 Residential Compliance Forms March 2010 e Select one compliance method from the following four choices. � 1. Measured leakage less than 15% of fan Flow ". • ❑ 2. Measured leakage to outside less than 10% of Fan Flow - ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4.'.Fix all accessible leaks using smoke and HERS rater verify } Note: (One of Options 1, 2, or 3 must be attempted. before,utilizing Option:, ),, DeterminFebminal Fan Flow using one of,the"following three calculation methods:11r, r ✓ ® Cooling system method: Size of condenser in Tons f 5 x 400 =1 2000 CFM j + ' _ ..,. ❑ He system method: 21. Output Capa ty in Thousands of Bt hr = _CFM - r ~ ✓ )--""- ✓ ❑ measured. system airflow using RA3.3 airflow testprocedures:._CFM Option 1 used then: 1 Allowed leakage = Fan Flow 2000 x 0.15 = 300 'CFM Actual Leakage = 245 CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: ) 2 Allowed leakage = Fan!Flow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM 4 Pass if Leakage Actual is less than Allowed ❑ 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% _ "/o Reduction Pass if % Reduction > 60% Pass Fail Option 4 used then: - 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke ' allowed to leak from system. Including ducts, plenums, air handler and door panel. - • Pass if all accessible leaks have been repaired using smoke E] Pass t Fail Reg:.210-A0031165A-M2100001A-M21A Registration Date/Time: 2010/12/15 10:13:07 -HERS Provider: CalCERTS, Inc. ' 2008 Residential Compliance Forms March 2010 e Select one compliance method from the following four choices. � 1. Measured leakage less than 15% of fan Flow ". • ❑ 2. Measured leakage to outside less than 10% of Fan Flow - ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4.'.Fix all accessible leaks using smoke and HERS rater verify } Note: (One of Options 1, 2, or 3 must be attempted. before,utilizing Option:, ),, DeterminFebminal Fan Flow using one of,the"following three calculation methods:11r, r ✓ ® Cooling system method: Size of condenser in Tons f 5 x 400 =1 2000 CFM j + ' _ ..,. ❑ He system method: 21. Output Capa ty in Thousands of Bt hr = _CFM - r ~ ✓ )--""- ✓ ❑ measured. system airflow using RA3.3 airflow testprocedures:._CFM Option 1 used then: 1 Allowed leakage = Fan Flow 2000 x 0.15 = 300 'CFM Actual Leakage = 245 CFM Pass if Leakage Actual is less than Allowed Pass Fail Option 2 used then: ) 2 Allowed leakage = Fan!Flow _ x 0.10 = _ CFM Actual Leakage to outside = _ CFM 4 Pass if Leakage Actual is less than Allowed ❑ 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% _ "/o Reduction Pass if % Reduction > 60% Pass Fail Option 4 used then: - 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke ' allowed to leak from system. Including ducts, plenums, air handler and door panel. - • Pass if all accessible leaks have been repaired using smoke E] Pass 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING _ CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2) Site Address: 53.770 Avenida Velasco, La Quinta CA 92253 (System , Enforcement Agency:'. City of La Quinta Permit Number: 10-00001321 i) Sample Group # (if applicable): N/A Q tested/verified dwelling V. • _. ., _ _ • 1. R 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.Stand ard,62.2,,andiclose�when OAiventilation;is not;required, may , be configured'to th'e"closed position"du`ring du`ct•leakage testings ® All supply and returnreglster boots must be sealed to'the drywalrif smoke test is utilized'for compliance— :-- applies to,duct lea kage.'compliance option� kage `r on by 60%) and option 4. (fix all accessible leaks) described a v�e ;CJ ' „ • New duct installations cannot utilize'building cavities as plenums or.platform;returnsm lieu:of ducts. 0 Mastic and•draw bands must be used in combination with cloth.backed rubber adhesive duct tape to seal leaks at all new duct connections k. 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 -SR) approved by the local enforcement agency. . The information reported on applicable sectlons 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 -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) , EVEN FLOW HEATING & AIR INC Responsible Person's Name: CSLB License: Paul Reese 917275 HERS Provider Data Registry Information Sample Group # (if applicable): N/A Q tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798528727 " HERS Rater Company Name: Dave Highland HVAC Testing & Diagnostics Responsible Rater's Name: Responsible Rater's Signature: Dave Highland Dove Highland •_ Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/2/2010 CC2004052 Reg: 210-A0031165A-M2100001A-M21A Registration Date/Time: 2010/12/15 10:13:07 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE s t CF-6R-MECH-0. Space Conditioning Systems, Ducts and Fans • (Page 1 of 2) Site Address: 53770 Avenida Velasco, La Quinta CA 92253 (System -- Enforcement Agency: City of La Quinta -.. Permit Number: 10-00001321 1) r . Equip''• Space Conditioning Systems I Heatina Eauivment Cooling Equipment 1 a c Efficiency Duct < r . Equip''• Efficiency Location Equip t-•. (AFUE, (attic; Type " '-w r" • ' :� R ARI # of etc.)1, 3 crawl- Heating Heating (package- . 'CEC Certified Mfr.'Name Reference Identical (>=CF -1R space, Duct' Load Capacity ' heat pump) ' and Model Number Number2 Systems value)4 etc.) R -value • (kBtu/hr) (kBtu/hr) Armstrong ER JR s Package agp060a100 1 80 AFUE Attic R-4.2 90 100 kBtu .: Rr� 'r•�r .,.. 1 t Cooling Equipment 1 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative 3 compliance. `.. t , )?. . 2. ARI Reference Number can be found by entering the equipment model number at http://www.aildirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ?) to the value shown on the CF -1R form. 4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 0 §150(i) Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of , §112(c). 0 §150(j)2: Pipe insulation,for cooling system refrigerant suction, chilled water and brine lines meets - minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.. } , Reg: 210-A0031165A-M0400001A-0000' Registration Date/Time: 2010/12/15 10:08:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential_Compliance Forms August 2009 a c Efficiency Duct < Equip''• (SEER Location Type � t-•. and EER) (attic, (package " '-w r" • ' :� R ARI # of 1, 3 crawl- Cooling Cooling heat - CEC Certified Mfr: Name Reference Identical (>=CF -1R space, Duct Load Capacity pump). and Model Number j Number2 Systems value)4 • etc.) R -value (kBtu/hr) (kBtu/hr) '' agp0 ER JR Peckagfe Oai1y0�0 1 13 -4.i 60� 5 Tons Rr� 'r•�r .,.. 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative 3 compliance. `.. t , )?. . 2. ARI Reference Number can be found by entering the equipment model number at http://www.aildirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ?) to the value shown on the CF -1R form. 4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 0 §150(i) Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of , §112(c). 0 §150(j)2: Pipe insulation,for cooling system refrigerant suction, chilled water and brine lines meets - minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.. } , Reg: 210-A0031165A-M0400001A-0000' Registration Date/Time: 2010/12/15 10:08:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential_Compliance Forms August 2009 a c 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative 3 compliance. `.. t , )?. . 2. ARI Reference Number can be found by entering the equipment model number at http://www.aildirectory. orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ?) to the value shown on the CF -1R form. 4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy Commission. 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. 0 §150(i) Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of , §112(c). 0 §150(j)2: Pipe insulation,for cooling system refrigerant suction, chilled water and brine lines meets - minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.. } , Reg: 210-A0031165A-M0400001A-0000' Registration Date/Time: 2010/12/15 10:08:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential_Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans • (Page 2 of 2) Site Address: • - 5 53770 Avenida Velasco,,Ld Quinta CA 92253 (System Enforcement Agency: I., Permit Number: City of La Quinta 10-00001321 Ducts and Fans • '.. §150(m): Duct and Fans M 1. All air -distribution systemductsand plenums installed, sealed and insulated to meet the ' requirements of CMC Sections 601, 602, 603, 604, 605 and'Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets ' the applicable requirements of UL 181, UL 181A, or UL 1818 or aerosol sealant that meets the ' requirements of UL'723. If mastic or tape is used to seal openings greater.than.1/4 inch; the combination. of mastic and either mesh or tape shall be used; and , 0 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. R 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. ® 7. Exhaust fan systems have back draft or automatic dampers. ® 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. - 9 Protection of Insulation. 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: 0 10.• Flexible ducts cannot have, porousAnne ;cores. °Y f • 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 L enforcement agency. " - • 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 -IR 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. h Reg: 210-A0031165A-M0400001A-0000„ Registration Date/Time: 2010/12/15 10:08:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) EVEN FLOW HEATING & AIR INC 'T " Responsible Person's Name: Responsible Person's Signature: Paul Reese Paul Reese CSLB License: 917275 Date Signed: 12/2/2010 Position With Company (Title): , h Reg: 210-A0031165A-M0400001A-0000„ Registration Date/Time: 2010/12/15 10:08:47 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 • INSTALLATION CERTIFICATE CF-6R-MECH-21-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 53770 Avenida Velasco, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) - City of La Quinta 10-00001321 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or,Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. 3 This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwel ings,'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 titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. R 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2 or 3 must be attempted before utilizingOption,4.)_ Determine nominal Fan` Flow using one of the following three' calculation methods. ;IC' ;f:� `system V 0 Cooling method: Size di condenser in Tons 15 x 400 =1 2000 CFM V !!! Thousands ❑ Heating system method: 21.7 x Output Capacity in of Btu/hr = _ CFM ' I] g R 3.3 •airflow procedure CFM �� T9M Measured system arflow us test : f 1 Option i used then:,-. Allowed leakage = Fan Airflow) 2000 x 0.15 = 300 ' CFM ,N , Actual Leakage—'245 CFM ` ` : I •' Pass if Actual Leakage is less than Allowed leakage Pass Fail Option 2 used then: : f I , 2 Allowed leakage = Fan Airflow x 0.10 = _ CFM Actual Leakage to outside = CFM Y, Pass if Actual leakage to outside is less than Allowed leakage Lj 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 I x 100% _ % Reduction Pass if % Reduction > 600/a Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling).. Pass if all accessible leaks have been repaired using smoke p Pass Fail Reg:.210-A0031165A-M2100001A-0000 Registration Date/Time: 2010/12/15 10:09:58 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2.of 2) Site Address: 53770 Avenida Velasco; La Quinta CA 92253 (System Enforcement Aen 9 �' City of La Quinta Permit Number: 10-00001321 . 1) position With Company (Title): r 917275, k/ - ® Outside aiF (OA) ducts for Central Fan Integrated (CFI) ventilation' systems, shall not be sealed/taped off during duct'leakage'testing. CFI1OA 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 testings; 8 All supply and return .register boots must be sealed toifhe drywalhif smoke test is utilized,foF compliance -t- - applies to duct leakagecompliance option 3 (leakage reduction by and option aoption'4_(fix all. accessi ble leaks) d�cribed ab� ve: � � � � ,,,,�-. j _.._... r�� '• I f - ®New duct' installations cannot utilize, building cavities as s plenums or pl tform,returns In heu of ducts.' ® Mastic and,draw-bands must be used in combination with cloth backed rubber adhesive duct tape to seal leaks'at all new duct connectioris DECLARATION STATEMENT s' . 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 otherinstallations 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) EVEN FLOW HEATING & AIR INC ' Responsible Person's Name: Responsible Person's_ Signature: Paul Reese` ' Paul Reese _ CSLB License: Date Signed: position With Company (Title): r 917275, 12/2/2010 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Inc. Reg: 210-A0031165A-M2100001A-0000 Registration Date/Time: 2010/12/15 10:09:58 HERS Provider: Ca10ERTS, 2008 Residential Compliance Forms March 2010