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12-0265 (MECH)X( -0 P.O. BOX .1504 . - VOICE (760) 777-7012 78-495 CALLE TAMPICO 'FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT • _ Date: 3/21/12 Application Number:� ` ' Owner: 0000265 Property Address: 54746 SOUTHERN HILLS CRAWLEY THOMAS APN: 775-120-040' - "� 54745 SOUTHERN HILLS ,-Application description: MECHANICAL LA QUINTA, CA 92253 Property'Zoning: LOW DENSITY RESIDENTIAL ' . Application valuation: 15400 , Contractor: Applicant: Architect or Engineer: ALL SEASONS A/C, PLMBG & HTG • `P.O. BOX 1112 t0 ,` PALM DESERT, CA 92261 `� \N��• ' (760) 568-,2663 Lia. No.. 827420 ------------------------ • LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed and ovisions Chapter, 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ' Section 7000) of Division 3 of, the Bus' nd Prof onal Code, y License is in.full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20' C36 cense N0" 827420 - � for by.Section 3700 of the Labor Code, for the. performance of the work for which this permit is , issued. ` ate: ontra or. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor . Code, for the performance of the work for which this permit is. issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from theMl. tate License Law for the Carrier NORGUARD INS Policy Number ALWC124 752 . following reason (Sec- 7031 .5, Business and. Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the -person in any manner so ecome subject to the workers' nsation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I_ s d beco a subject t orke pe tion provisions of Section . - License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code) or 3700 of the abor od , I-sh forthwit c ply tho pr isions.' ' 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 permitsubjectsthe applicant to a civil penalty of not more than five hundred dollars ($500).: Dater plicant: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - ` the structure isnot-intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - 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.). APPLICANT ACKNOWLEDGEMENT. (_ 1 I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. - IMPORTANT., Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code:. The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' • property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - -whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend,.indemnify and hold harmless the City of La Quinti, its officers, agents and employees for any act or omission related to the work being _ . performed under or following issuance of this permit. , Date: - - Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced - within 18Q days from date of issuance of such permit, or cessation of work for 180 days will subject , CONSTRUCTION LENDING AGENCY ' �. • permit to cancellation. I hereby affirm under penalty of perjury that there.is a construction lending agency for the performance of the I certify that 1 have read this application and state that the a ati on is co agr com I work for which this.permit is issued (Sec. 3097, Civ. C.). . city and county ordinances and state laws relating to bu' ing construc 'on, an ere authq,ize rep sentatives • r of t ' c unt to enter u n the above-mentioned pro rty for inspec ' n pur s Lender's Name: - - Dat Signature (Applicant or Agent): - Lender's Address: LQPERMIT " . Application Number . . .'. 12-00000265 . Permit MECHANICAL., Additional desc : Permit Fee 66.00 Plan -Check Fee 16.50'. : Issue Date- Valuation 0 Expiration Date '. 9/17/12. " Qty Unit Charge- Per Extension BASE FEE. 15.00 2:-00 - 9.`0000 EA MECH FURNACE <=100K. 18.00 _--2_ 00_-, 16_5 000 EA MECH B/C >3715HP%>100K-500KBTU 33.00. - - - --- ---- Special Notes and Comments HVAC CHANGE -OUT: INSTALL (2) SYSTEMS, FURNACES, INDOOR COILS & CONDENSERS. 2010 CODES: ------------------- ----------- .--.-------------------------------------------- Other Fees BLDG STDS ADMIN (.SB1473-) 1;;00 Fee summary Charged Paid `Cr.edited ----- Due ----------------- ----------- Permit Fee Total. 66:00 00 .00 ,661-00 Plan Check Total 16.50- .00 .00 16.50 Other Fee Total 1.00 .00 .00 1.00 • Grand Total 83.50 •.00 :00 83..50,' Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC . Climate Zones 10 - 15 F Site Address: Enforcement Agency: Date: Permit #: - 54746-Southerli Hills La Quinta; CA 92253 City of La Quinta Mar 19, 2012 Duct insulation Conditioned Floor Equipment Typel ' _ • List Minimum Efficiency2' P -.requirement • = Area -. Thermostat ❑ Package Unit. p Furnace p Indoor Coil ❑AFUE [a SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) • ' Served by system 1200 sf m Setback If not already present, must be p Condensing Unit [3 EER ❑Resistance ❑ R 8 (CZ•14-15) installed) _ q ,❑ Other ; . • I _ 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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October,1, 2010, a registered copy of the CF -IR . and CF -6R shall also be on site for final inspection. 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 -4R forms:' MECH-21 J 11 NOand (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!' ; Exempted from duct leakage 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. r` ❑ 3. Existing duct systems are constructed, insulated or sealedmith asbestos ,F ❑ 4. The system will not be Ducted (ie. Ductless,Mini-Split-S_ystem),(Also_,E_xempt,from,Refrigerant-Charge) [32. New. HVAC System Required Form_ s: f 'i . Cut in or;Changeout with; " ' ' ' ' '. , CF, -6R forms:,MECH-04, MECH-20=HERS, andi(for split systems) MECH;22-HERS, and new ducts: (all new • ductingAL4 new . MECH'25-HERS Jf �z' �~ s: s- '� •^ ► 4 '9 ' +� x �� 20, and MECH-25 } � �• CF -4R forms: and (for split systems)'MECH-22, y �,},�� equipment) * it For Split Systems: Duct leakage <16 percent; RC,' CCA'>_ -350 CFM/ton;-FWD, TMAH, STMS, and either HSPP or PSPP. y For Packaged Units: Duct leakage < 6 percent ' ❑ 3..New Ducts with/or without Required Forms: .. r Replacement . Includes_ replacing or installing all,new ducting and/or outdoor condensing unit R CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-257HERS and/or indoor coil and/or furnace.,No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. _ ' L .. " For Split Systems: Duct leakage 79 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent,., a ❑ 4. New Ducting over 40 feet Required Forms: `' . Includes adding or replacing more than 40 CF -6R forms: MECH-04; MECH-2I-HERS linear feet of duct in unconditioned space. • CF -4R forms: MECH-21 ' For split system'or packaged units:,Duct leakage < 15 percent - ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. t Contractor (Documentation Author's'/ Responsible Designer's Declaration Statement) ; • I certify that this Certificate of Compliance documentation is accurate and complete. , Division 3 the California Business and Professions Code to accept responsibility for the design identified on this Certificate of • I am eligible under 1 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: David Beale Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING'& HEATING INC ; Date: Mar 19, 2012 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 ' City/State/Zip:. PALM DESERT / CA / 92211 - Phone: (760) 568-2663 - Reg: 212-A0013719A-00000000-0000 Registration Date/Time: 2012/03/19 18:04:19 HERS Provider: CalCERTS, Inc.. 2008.Residential Compliance Forms " July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54746 Southern Hills La Quinta, CA 92253 _ City of La Quinta Mar 19, 2012 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit p Furnace p Indoor Coil ❑ AFUE @ SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system 1600 sf m Setback If not already present, must be p Condensing Unit [3 EER [3 Resistance ❑ R gCZ 14-15 ( ) 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-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-IR and CF-6R shall also be on site for final inspection. D 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 I11NOand (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 Laged Unitsm PHek leakage i 15 At FGF p Exempted from duct leakage 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 duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) •(Also-Exempt fromlRefrigerant Charge) ❑ 2. New HVAC System Required Forms: ! . Cut in or Changeout with; CF-6R forms: MECH-04, MECH=20;HERS land (for split systems) MECH-22-HERS, and new ducts: (all new , * y + { MECH=25; HERS / ` ducting and all new ' GF,-4R forms: MECH 20, and (for split systems) MECH-22, and MECH-25 1 ' equipment) 14 j s .`� r ± 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 condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 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 than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 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: David Beale Signature: pavid Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: Mar 19; 2012 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663 Reg: 212-AO01372OA-00000000-0000 Registration Date/Time: 2012/03/19 18:05:18 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Bin # City Of La Quii1td Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name:Tvd.(ClPaw leo A. P. Number: / Address: e44 -741z(, %v4vw_W L i sL Legal Description: Contractor: City, ST, Zip: ' a�a_. Telephone: one: NEE= Address: 111'2-- Project Description: City, ST, Zip: FM Y Y 1 I /1 p� (�} 1 �� O "1 I�CJ1 a c U v - e Tele hon . P #>�':>»> <». State Lie. # zo Arch., Engr., Designer: City Lic. #.: Address: City., ST, Zip: Telephone: p :.,. Construction Type: Occupancy: State Lic. #: ">#``:``.<t;:>:>;:€:::»><€v,,%.:.:`:?: Project a circle one): New Add'n Alter Re air Demo J type ) P Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:Q� 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 2" 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:- "d 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 • r „u 1st Choice HERS ' Rating Roy Eads, ,CEPS CalCerts #CC2005559 HVAC COMPLIANCE DOCUMENTS SYSTEM #2 -SLEEPING AREAS Date: 03.28.2012 Job Info: HERS Rater: Judi Crawley Roy Eads, CEPE 54746 Southern Hills CalCerts #CC2005559 La Quinta, CA 92253 760.641.2447 760.564.5441, Eads.Roy@Gmail.com Installation Contractor: All Seasons Air Conditioning Plumbing & Heating, Inc. 73605 Dinah Shore Drive, Suite 1310-M Palm Desert, CA 92211 760.568.2663 Forms Included: CF -IR -ALT -HVAC Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations " CF-4R-MECH-21 Duct Leakage Test - Existing Ducts CF-4R-MECH-25 Refrigerant Charge Verification - Standard 4 CF-611-MECH-04 Space Conditioning Systems, Ducts and Fans CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Ducts CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard ❑ Homeowner Copy Building Official Copy ❑ Installer Copy 1st Choice HERS Rating Tel: 760.641.2447 Email: Eads.Roy@Gmaii.com 0 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 18 Site Address: Enforcement Agency:, Date: , Permit #: 54746 Southern Hills - System 2 La Quinta, CA 92253 City of La Quints. Mar 22, 2012 i Duct insulation ConditionedFloor Equipment Type1 List Minimum Efficiency2 I.requirement Area - Thermostat, ❑ Package Unit 4 ®Furnace ~. 0 Indoor Coil - 0 AFUE 78% ® SEER 13.0 ❑COP 0 HSPF ❑ R 6 (CZ 10-13) �' Served by ervey system ®Setback . ' If not already present, must be 0 Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf installed), ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT_ -40C for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% ARIE, 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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. 0 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms:IMECH-04, MECH-2I-HERS. and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 111NOand (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -6R forms:'MECH-04, MECH=21-HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: iMECH-21 and (for split systems):MECH-25 - i For Split Systems: Duct leakage -<_;15 percent; RC, CCA <_ 300,CFM/ton (Minimum Air Flow Requirement); TMAH Exempted from duct leakage testing if:. - `. p T:: Duct -system was documeq�ted.to, :have been previously sealed and confirmed through HERS verification, or ❑-2. Duct systems with less thaz'40 linear feet in unconditioned space, or- ❑ 3, Existing duct systems are constructed, insulated or sealed with asbestos 0:4i .The sNsterm- mol not be Ducted tie:.Dt -de Mipt, plltpSystera�) (glso Exem fr m, fri Brant Ehar e ,r s1.. .; ' �. xs: u Pty pig....:. ; >.. 9 ) O 2. NeuV°HUAC` RSystem eq urred=foxtiis: f^ € S . Cutin aChan Bout with, 9 g.: new dins :{all new � 60 6R�ngs �NIECH-04, MECr20 HERS; aiad ioK sprit sy5tefs).MECy�t1ER5;.arid'. : "� �':-.,-... 9� ductin hand.altn w M..::: ,Nf;ECt� •S. .. � ....,.:.:..: .•: Fmn:,.— .'.Y::: ... CFRorits:MECH ancfor.sp `t:s}l sj MECH; 2Y,arrs NtEC:25 s equiprnebt):: y7U,, ::'":;,n . is �..��t:'s_:�•z l.: - For Split 5ysQems Dnci leaks ..... < 6I etee , GCA%e 5f�=C�FM�Ecin . VVt3 1l�1AFt; S NIS, andejfherllSPP or PSPP For Pacica ed'"Units: Duct ❑ 3,. New..,D.uet9 with/or without;<: `-> Required Forms: . Includes replacing or installing adfiew , ducting and/or outdoor condenssiigunit • CF -611 forms: MECH-04; MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace:No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 �• 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 ,a Required Forms: . Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-21-HERS linear feet of duct inunconditioned space. CF -4R forms: MECH-21 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. - f .. , • . 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: Signature: Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date:. Mar 19, 2012 r Address: 73605 DINAH SHORE DR STE 1310M ; License: 827420 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663!. Reg: 212-AO01372OC-00000000-0000 Regist_ration'Date/Time: 2012/03/19 18:05:18 •HERS Provider: Ca10ERTS,�Inc., 2008 Residential Compliance Forms July 2010 ,I 1" Choice HERS Rating Ca1Certs #CC'200555Q Roy Eads, CEDE 760.541.2447 t u u CFAR-M ECH-21' Dunt Leakage Test'- Existing CFAR-M ECH-25 . Refrigerant Charge Verification - Standard ' N 1st Choice HERS Rating Tel: 760.641.2447 Email: Eads.Roy@Cmail.corn E CERTIFICATE OF FIELD VERIFICATI 8E DIAGNOSTIC TESTING' -;.. ;. CF-411-MECH-21 Duct Leakage Test =;Existing Duct System }= ,- (Page 1.of 2) Site Address: ` a '' • ' 54746 Southern Hills - System 2, La Quinta CA 92253 Enforcement A en g �' ' Permit Nb Number: (System �) City of La Quinta L 12 -265 , Enterthe,Duct System Name or Identification/Tag: System JL - Enter Enter the Duct System Location or Area Served: SLEEPING AREAS Note: Submit one Installation Certificate for each duct system,that must demonstrate compliance in the dwelling.' • - ;r chis installation certificate is required for compliance.for alterations and additions in existing dwellings to - ;pace conditioning systems and duct systems. t Vote: For existing dwellings, a completely new or replacement duct system can also include existing parts of. .he original duct system (e.g.,, register boots, air handler, coil,. plenums, etc.) if those parts are�accessible ind they'can be sealed For completely new or'replacement duct system.installed in an existing dwelling, ise the Installation Certificate titled "Duct Leakage Test -Completely, New or Replacement Duct System." , Duct Leakage Diagnostic Test - existing duct system' • �. 2• Select one compliance method from the following four choices: - * • _ _ r ®1. Measured leakage - 'Reg: 212-A0013720C-M2100001A-M21A Registration•Date/Time:-2012/03/28 23:07:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms r March 2010 less than•15% of fan flow: J. 2: Measured leakage to outside less than 10% of Fan.Flow •,'" - ` ;' , �' 3. Reduce leakage by.60% end conduct "smoke and fix all leaks .... ,- .: .:... ..: .'..'.:: < :::: � ^t '` ,jr: a y"w - .f,w •t3? 4.:Fix all accessible leaks using smoke ind HERS rater verify •• '� Note: .(One of gotaons�l, 2, or 3 must'beattempte�befq�[e.utilz�n,g Optjor4.' to = 9 ✓ S. Determine 00. rrval Fa Flow using ane oft efiollows th�fee calculation `> ettaods y=ffist ® Co61 MIS ys "em 6 od Size criop der sQr iri' Tons X 400 = 2Offi" FM I v SG tZ Willi ✓ Heatw�g system meth, f utputrCapaclt� n� usaSON n � StWJhr.=.::.: _ S' - - -u::. �. n�s.:V �`'Ft':.. :;�� }s.Rt_ t:�,e:•Z��S �a-e•.. f� .� ue� -mss ✓ .'.... -� , •'„v :;=��..:..t1%::.-:r.�'%. •,-; :;:: ❑ MeasW �_°d;:s: tem •:��Y.s. �,�� „xfl :esP�edwres:, �. . ....,: _,m �..�,-o>:.�.�>r-„zl�<:::._._:..-ti+tr.._.a.r.-s:-�. �..x.�...,x<.... ,h_,� - _ K�e,��r,'�� _c='�.a�:.;��y'�S'”- as�o-` �;•. .- ;. r.. Z-__..`IE,v.. .. s'ii;,. a. ..::;-:Y-5.::,� Vic- :ix?C�sa :.4•s -:u:..-; .:...:.... . _ - 1• g : :.:...... AllowedJeaka e.'= Fan.Flow- :T0:15'='""2�80' CFM- Actual'Leakage:= . 94 CFM; s;r. • �. tt if Leakage Actual is less than Allowed _ w•'Pass Pass Fail-)' used then:::. 2 Allowed leakage = Fan:'Flow.:x 0.10 = _CFM ' 1 jOption-2 Actual Leakage to. outside:= =- CFM- p ' t • t. = " Pass if Leakage Actual is less than Alllowed. Pass Fail'i Option 3 used then:. z . Initial'leakage prior to start of. work =; CFM�� Final leakage after sealing all accessible leaks using smoke test =, CFM r , 3 . Initial leakage -Final leakage Leakage Leakage reduction CFM ((Leakage reduction Initial leakage x 100% _ %Reduction i ;`.Pass if % Reduction`> 60�PassElFail • Option 4 used.then: - ' - 4 All' accessible leaks repaired using smoke. 4R- S'rater must verify (No sampling): No smoke allowed to leak from system. Including ducts, plenums, -air handler and door panel.r f Pass if all accessible leaks have been repaired using smoke 13 Pass 13 Fail 'Reg: 212-A0013720C-M2100001A-M21A Registration•Date/Time:-2012/03/28 23:07:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms r March 2010 J. 'Reg: 212-A0013720C-M2100001A-M21A Registration•Date/Time:-2012/03/28 23:07:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms r March 2010 CERTIFICATE OF FIELD VERIFICAT N 8E DIAGNOSTIC�TESTING CF-4R-MECH-21 Duct Leakage Test - Existing, Duct System (Page 2 of,2) Site Address: 54746 Southern Hills -'System 2, La Quints CA 92253 x . Enforcement Agency Permit Number: (System 3)' t Oty of La Quints 12-265 ' � rya s s■F ..r• � •# r�, 7 �- j r "' ;" r _ i! ,t ' .! moi'. ".*.� - ^� .�l f ♦ � ! � 1r +� , ` yr � !� - , � i - � ' '�D�l ' ' ` '" > t •4 _ 5 it - . , " . ,?i �::. .:. �: «'.�:�::. .i � •. ~: , ,r�. �.r .�." -`tip ` ..'."., i,t - •� ., ® Outside air; (OA) ducts for Central. Fan -Integrated: (CFI) ventilation sykems,• shall not be sealed/taped off 1. ' during duct lea kage:testing._CFhOA`ducts that utilize controlled.motorized dampers, that open only when OA ventilation is requited to meet:ASHRAE Standard 62.2, and dose when OA ventilation is not required, may be Configured to the dosed position during dud leakage testing. •' ; - 'ems, if . -.... .-.,fPs'v�ff'•':;'_.., . _.: ' ems`•.. _ { .¢.. _-_... i 114;.:..-� 8 All supple d ret r l register boots - t=tie�eal�ed�to the iirywal�i��rnoke test is:.ui ztd`:farq_�pmpliance ! �... !.. _ -.applies�f�;Educt teakage.c . n 12' 1 RS- t#on 3 ilea age_�eductic��try f�{I a and Giron 4��c all accessible.'. " leaks) descr bed above, . SOMME. , s .. :- :..� yJ Mo .. :. = w�x f 0 Newc�t Instal)atrnncaetnot utllrz�uildln Cavrtres asF oletaanxsor latfur �eet�trn3 Iret of d is ..: �.:. v-= .. -�'< .. j�.., p. ,`E"?n ,.r`.•..^` i:...M1:¢:::,...,,,:'.:."�yx'.:z2t'ri:}±>..__..;.- 0 Mastic and::draw;bands::lnust:f � used n:;combrnatron wrth-doth backed rubber adhesrve duct tape to seal leaks at. all new:dUd connections DECLARATION STATEIENT S 1 I certify under penalty of periyry,-undei the laws of the State of California, the information provided an this form is true and correct.' I am the certified HERS rater -who pje' oR edAhe verification services identified and reported on this certificate (responsible rater),. ater), r i" The installed feature, material, 6rnpoeent, or manufactured device. requiring HERS verification that is identified on this certificate (they' installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3'and the requirements specified on the Certificate(s) of Compliance (CF111) approved by the local enforcement agency. The information reported on applicable sections of the Installation Certificates) (CF-61k),,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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC L Responsible Person's Name: CSLB License: *� David Beale ; 827420. HERS Provider Data Registry Information Sample Group # (if applicable):. N/A ® tested/verified dwelling 0 not dwelling in I - a HERS sample group HERS Rater Information Ca10ERTS Certificate # CCi-1798640547 i HERS Rater Company Name: 4x , Ist Choice HERS Rating Responsible Rater's Name: Responsible Rater's Signature: Roy Eads - . ' Roy Eads Responsible Rater's Certification Number w/ this -HERS Provider: Date Signed: 3/28/2012 CC2005559 , ",.Reg: 212-A0013720C-M2100001A-M21A- Registration Date/Time: 2012/03/28 21:07:46. HERS Provider: Ca10ERTS, Inc.,. 2008 Residential'Compliance Forms , ' _ March 2010.' CERTIFICATE OF FIELD VERIFICATION 8E DIAGNOSTIC TESTING' CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page I of 7EMYbarcement Agency: 7Pennit Number: Site Address: i (I Permit 54746,Sodthern Hills.- System: 2,! La, Quinta CA 92253 CityofLaQuinta 12-265, Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative t6reffigerant 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. 7NAH and STMS are not required lb'r compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling, can be documented for compliance using this form. AttaclIfitional fbrm( I s) for any additional systems in the dwelling as applicable. t Temperature Measurement Access Hole s (TMAH) and Saturation Tern Measurement peratur.e Sensors (STMS) Procedures for, installing TMAH are specified in Reference"Residehtial Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STNS are only required for completely new or A r replacement space -conditioning systems that utilize prescriptive Compliance method. TMAH - Access Holes in Supply and lkeiurn'Plenums of Air. Handler System Name orldentificationfTagL'- - Systeme r is factorffiffistalled, odllfrffig d ff- thu to hUL, accu. 'ffiffifacturerq tions, or is neth- 91j$0ecifica, ioWapprovi 7 00 4 System Location or Area Served . . . . . . . SLEEPING •AREAS Yes to 3, 4, and 5 is a past,. Enter NZA if STMS are not ,applicable. Otherwise enter': ass od. al V ®NSA Pass Fail 1 0 Yes No:: 7. 5/16 inch -(8 mm) access hole upstream of evaporative coil in the return plenum and and the HERS rater without changing the airflow through the condenser coil labeled according to Figure in Section RA3.2.2.2.2.- 2 [a yes No -5/16 inch (8 mm) access holedownstrearn of evaporative coil- in the supply plenum _ ,0 labeled according to Figure in Section,RA3.2.2.2.2.:' Yes.to 1 and.2:is-a.-pass. Enter Pass or Faill, ®.Pass V [I Fail KpI X, M -N2 z - "CV, STMS ;Sen_ vapor -Mlk at uao System Identification /Ta 3 r is factorffiffistalled, odllfrffig d ff- thu to hUL, accu. 'ffiffifacturerq tions, or is neth- 91j$0ecifica, ioWapprovi 7 00 4 6'Yes . . . . . . . r%'Zlwif M fb rt. -a' 121 s ft tafl-Ah --in T.np�sensonim- I.N. 16 to th S:a plug -.i cce si erwista ing tinician C the:H RS,ratee wit'hout'changi-r-fg the airflow through the condenser coil ofl When'attached to a digitat thermometer, the sensor provides an indication of the uration temperature'of the coil. Yes to 3, 4, and 5 is a past,. Enter NZA if STMS are not ,applicable. Otherwise enter': ass od. al V ®NSA Pass Fail • STMS - Sensor an the;Condenser Coil System Name or Identification/Tag System I The sensor is factory installed, or field installed according. to manufacturer's I 6 6'Yes ONo specifications, or is installed by methods/specifications approved by the Executive Director. ra The sensor wire is terminated with a standard mini plug suitable for, connection to a 0 Yes 0 Nc 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 0 Yes 0 No When attached to a Ithermometer, the sensor provides an indication of the temperature saturation temperature of the coil. Yes to, 6, 7, and 8 is a pass. Enter N/A if STMS are no B N/A Pass V; 0 Fail applicable. Otherwise enter Pass or Fail IF Reg: 212-A0013720CLM2500001A-t425A,-Registration Date/Time'- 2012/03/28 21:13:16 HERS Provider- CalCERTS, Inc 2008,Residential Compliance'Forms March 2010 CERTIFICATE OF FIELD VERIFICATION DIAGNOSTIC TESTING CF-4R-MECH-25 r Refrigerant Charge Verification - Standard. Measurement Procedure (Page 2 of 5) Site Address: s Enforcement A en Permit Number: 54746 Southern Hills -System 2, La Quints G4 92253 .Gty of La Quints 12 `265 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 Procedulk re 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 fbrm(s) for s any additional systems in the dwelling as applicable. ,.. . `. The system should be installed and changed in accordance with the manufacturer's specifications before starting this procedure. r The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. ' If outdoor air dry-bulb is 55°For below, the installer must use the Alternate Charge Measurement Procedure. I� Snare Cnndi•inninn CvetPmc . A. Date.of Refrigerant'Gauge Cali bratioc:'. 03/21/2012 '' (must be re -calibrated monthly): ; -:: - -..i = ' �: _ _ f: %.'�:7. :�,tc..�,,,j,}.j Date of:The: ,ocou IeCalibration <:�= gym_.:. P <=' "'> < is 0 -->Z1.:2012" �.;:`ust=:tie're-ta /_ ,�. -.( tbrated.month 1: lY) • rY. _:. - . : _ - r a. ,..-- . ._ _ - _ r r Measured��emperatur - =r � �,::� . : "�' - x' fesft : S stem "a ;. e`or Identifitat an ?:< Y rfi. 1. - v 5 v s:. Y -:: - -..i = ' �: _ _ f: %.'�:7. :�,tc..�,,,j,}.j Y nr ::'."i�,cx.c %•`37'.a:-.: �t�� :_'�E' :.�r_=':-..-?3, ��'��i..:::.?;ra.. .ri•....- - .,X.?0 - Su 1 ev` .orator<ieavf"`^ .-�aiirti'�'t}lb�->a .x�^.;si"z�. ^.'":+'t ,t!�526"._ �'x....-rte - - �.. = k F•:' •_ - :ms=s .-1cY•.' > -- "'T.'tc-. _ ;:-:- - =�_... tem erature .._...:..,,.:::.... ....:...:::.. ,..:...::...:...:..-.,...: -. • ,; Return (evaporatorentering) air dry bulb 71.7 temperature return,'-iiti) _ Return (evaporator entering) air,wetzbulb 53.2 temperature (Treturn, wb) Evaporator saturation temperature::°:. (T evaporator, 36.4 p' Condensor. saturation temperature , (Tcondensor, sat) 92.4 s Suction line temperature (Tsuction) . '1r R- rt 46.5 Reg: 212-A0013720C-M2500001A-M25A Liquid Line Temperature (Tliquid) 80.8' " Ca10ERTS, Inc_ 2008 Residential Compliance Forms. Condenser (entering) air dry-bulb March'2010 ,- temperature (Tcondenser, db)' _ 80.4 - " '- • `5. ` • is .' ♦ •_ ? h t ti.. 11' _ t Y. '- • `5. ` • is .' ♦ •_ ? h t ti.. t- Reg: 212-A0013720C-M2500001A-M25A Registration Date/Time:.,2012/03/28'21:13:16 HERS+Prcvider: Ca10ERTS, Inc_ 2008 Residential Compliance Forms. March'2010 . e • •.,(. • .'..f - ,� . ii • �- - .,r . t . # or. • .. ' i� 1 t i . •"' -- l • - C � � T . INSTALLATION CERTIFICATE _ CF-411-MECH-25 ' Refrigerant Charge Verification.-. Standard Measurement Procedure'-. +' (Page 3 of 5) Site Address: Enforcement'Agency: Permit Number: _ 54746 Southern Hills -_System 2, La Quinta CA 922531 City of.La-Quinta 12-265 0r . i 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 Name or Identification/Tag System Calculate: Actual Superheat = Calculate: Actual Temperature.Split = Tretum,•. 23. 50 3 Tsuction - Tevaporator, sat` db - Tsupply, dti s ' Target Superheat from Table RA3.2-2 using Target Temperature Split from Table RA3.2=3 5, 21.5 Treturn, wb and,Tcondenser, dti ' using Treturn, wb and Tretum, db :r. ' Calculate difference: Calculate difference:Actual Temperature Split - 2 ,. Actual Superheat - Target Superheat = Target Temperature Split = : Y - ' ' Passes if difference is between -4°F and +4°F or, • t i upon remeasurement, •if between -4°F and. PASS'' , Enter Pass or Fail -100°F Enter Pass or Fai ` • � ,.: ;, •; . • { : is Note: Temperature 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, the value, must -be equalto.or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Req eirement (CFM) = Nominal Cooling Capacity'(ton) X 300 (cfm/ton) .. - ��".....:.. 5 stem Na+e;orisitenEi:cation a Calculated<M ni�iium'Ai= rflow:' e • urrr`rn EFM)- • -- rr�:..y'r?�:.::s: Measured_Aiml :i`.si: 3'' r- W A--=""'•' � _ - may:;:'=:^::— a � - ..-.q2_.:�s> Y: t'::�::.:� .;-•:..-L`.. - ..�4`��. Jay er ..::<'-: :?:-::i::..'w� ...:i7�� i.v.!� ._ arYor."Passes if measufed'aifionis"greafe ai .. equal tothe calculated minimumairffow .�...... Entei`.-' ass or Fad Superheat Charge Method"Ca"btions for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device'sy5tems , • .; System Name or,Identification/Tag Calculate: Actual Superheat = ' Tsuction - Tevaporator, sat` s Target Superheat from Table RA3.2-2 using Treturn, wb and,Tcondenser, dti ' Calculate difference: ,. Actual Superheat - Target Superheat = ' System passes if difference is between"=60F and t +60F Enter Pass or Fail 14 Reg: 212-A0013720C-M2500001A-M25A Registration Date/Time: 2012/03/28 21:13:16 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March'2010 • ` ..t . - Y . t. 4 14 Reg: 212-A0013720C-M2500001A-M25A Registration Date/Time: 2012/03/28 21:13:16 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March'2010 • ` ..t . - Y . t. Ij INSTALLATION CERTIFICATE t Refrigerant Charge Verification - Standard Measurement Procedur Site Address: Enforcement Age 54746 Southern Hills System 2, La ,Quinta CA 92253 'City of La Quints ' CF-4R-MECH725 (Page 4 of 5) 4 Permit Number:.: 12-265 4. } 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.. '� 1 System Name or Identification/Tag • µ G. ,• . System 2 } ; t dl Calculate: Actual Subcooling = °' 11.6 1: y ; Tcondenser, sat - Tliquid tk Target Subcooling specified by.manufacturer, 8.0 Calculate difference: 3.6 Actual Subcooling - Target Subcooling .. _ °" System passes if difference is between - -4°F and+4'F PASS '. �! Enter Pass or Fai Vis:'ff `>.; ? : • ,.. - Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (lXV)'and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 ; t dl Calculate: Actual Superheat.= 10.1.• 1: r _T suction - -evaporator, sat'' tk Enter -allowable superheat range from_:_ man ufacturer's`specifications (or us -e --rang e 326 , between 3°F and. 26°F if manufacturer's:. .. , ,. •-, _ °" ......:.... .' specification is not available) "'' '--;`...:._. - 5 stem. asses tf�.actu _su erheat ism ithi lae>: = Y P a3 P= II w ble:su-e:r:h.. eatrange _wr ' Ente s Fai Vis:'ff `>.; ? : • ,.. - .� , i,. '4i,'� . �9:�. " ti7::_4.; Via:_>-._.:-?' ��...,. 4 . _5t... �,: :. x_:.:;. :mss . . . . .:..:.:..:.: -.:::..,..a,. _ .......».:: his•-�.,, _ 04.11c. . . . I I I I I I I I I I I Reg: 212-A0013720C-M2500001A-M25A ,Registration Date/Time,: 2012/03/28 21:13:16 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Fomes M March 2010 i' i, INSTALLATION CERTIFICATE CF=4R-MECH-25 4 ' Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) ' • , Site Address:. " Enforcement Agency: _ Permit Number: qt 54746'Southem Hills - System 2, La,Quinta CA 92253 Oty of .La Quinta 12465'• Standard Charge Measurement Summary: System shall pass both refrigerant charge` criteria, metering device criteria (if applicable), and minimum cooling coil t' airflow criteria based on measurements taken concurrently during: system operation. If corrective actions were'taken; all •'Y applicable verification criteria must be re -measured and/or recalculated.'` - System Name or,Identification/Tag "" System IL. 827420+• HERS Provider Data Registry Information - r �, - } Sample Group # (if applicable): N/A - System meets all refrigerant charge and airflow t --t 1_1 not-tested/verified dwelling in a HERS sample group requirements. PASS' ist Choice. HERS Rating Responsible Rater's Name: „ Responsible Rater's Signature: Enter Pass or, Fail R. Eads W Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 3/28/2012 r i W. ............. - ::.�� ' .>•<>-..::'`:'t , *�';.. -.��;?.: . ry"'t, N: 'x ..� - : ✓'�.. .... �-s�...- >.:, � tet-.; a -c:., z ->:'o. .�" ... ...,;..-c�-.?-' _ zR , ,LY,•;.^-y,.i, ;.:�z-<.f �:. �.w� — F.+'�.d! s ,a��- F�.`.�-R.�: _ C-. - <``:y>.i."::::_<, _ '.:4 �',�"`�,j;?:.• �.�'.'-. .--sem : .✓..,> s DEC LARATIOIV `STATEM ENT;'::?'.' I certify under penalty of:perjury; ud.. d 'ahe laws of the State of Carrfornia, 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,'comobiient, 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 Compriance (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 -111) 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/O_ wner) 3 •r , CSLB License: i David Beale ". i W. ............. - ::.�� ' .>•<>-..::'`:'t , *�';.. -.��;?.: . ry"'t, N: 'x ..� - : ✓'�.. .... �-s�...- >.:, � tet-.; a -c:., z ->:'o. .�" ... ...,;..-c�-.?-' _ zR , ,LY,•;.^-y,.i, ;.:�z-<.f �:. �.w� — F.+'�.d! s ,a��- F�.`.�-R.�: _ C-. - <``:y>.i."::::_<, _ '.:4 �',�"`�,j;?:.• �.�'.'-. .--sem : .✓..,> s DEC LARATIOIV `STATEM ENT;'::?'.' I certify under penalty of:perjury; ud.. d 'ahe laws of the State of Carrfornia, 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,'comobiient, 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 Compriance (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 -111) 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/O_ wner) 3 ALL SEASONS'AIR CONDITIONING PLUMBING & HEATING INC '. t Responsible Person's Name: , 'a `; CSLB License: i David Beale ". 827420+• HERS Provider Data Registry Information - r �, - } Sample Group # (if applicable): N/A - 1 ` v " , ® tested/verified dwelling t --t 1_1 not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCi-1798640547 HERS Rater Company Name: ist Choice. HERS Rating Responsible Rater's Name: „ Responsible Rater's Signature: Roy Eads • " • i R. Eads W Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 3/28/2012 CC2005559 .. < • Reg: 212-A0013720C-M2500001A-M25A Registration Date/Tire:'2012/03/28 21:1.3-:16 HERS Provider:•Ca10ERTS, Inc. 2008•Residential Compliance Forms r , "March 2010 .1St Choice HERS Rating Ca C'is #CC2005s59 Roy Eads, CEPE ' 760.641.2447 • f CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans CF-6R-MECH-2I-HERS Duct Leakage Test- Existing CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard 1st Choice HERS Rating Tel: 760.641.2447 Email: Eads.Roy@Crnail.com INSTALLATION CERTIFICATE " CF-GR-MECH-0 Space Conditioning Systems; Ducts and Fans (Page 1 of 2) Site Address: 54746 Southern Hills -System 2,1a. Quinta CA 92253 s. , Enforcement Agency: 'Permit Number: (System 1) y City of,La Quinta ,,F " 12-265 i Space Conditioning Systems• Heatina Eauioment ' coounq EqurPment ; Efficiency Dud . r Duct Equip i `R: Efficiency .Location � r' .Equip r ,, (package., (AFUE; (attic, 1,3 crawl - Cooling Type heat .. ARI # of etc.)1, 3 crawl- Load Heating Heating (package- ,. CEC Certified Mfr. Name value)4 etc.) Identical (>=CF -1R F space; Duct Load Capaaty. heat ,pump) and Model Number `.Reference Number2 Systems value)4 etc.) R -value - (kBtu/hr) (kBtu/hr) , Split; CARRIER +58STX070---14112 MIN Wk ,Furnace Wiz:... sr ' 1 80 AFUE - R-4.2 :.:...'- 54 kBtu ' ...��y�.: > ^•: cam: , - - a• - - _ - R._.,, Kr;..✓ v- �.:R.. - .. coounq EqurPment ; 1. If project is new construction, see:=Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative compliance. + 2r ARI Reference'Number: can'tie found.by entering the equipment model: number:at' http://www.aiidiredory.org/ari/ac:php#r 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 -IR,, CF -ZR -AA or CF -IR -ALT, w ALL BOXES MUST,: BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy: Commission: i A 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE; SMACNA, or RCCA.,' y 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of, + . §112(c). - ® §150(j)2:. Pipe insulation for cooling7system 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. F Reg: 212-A0013720C-'M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provides: Ca10ERTS Inc. 2008 Residential Compliance Forms. - August 2009 p " - Efficiency Dud . r • t, Equip (SEER • « Location `R: `Type.... - - and EER) (attic; (package., ::, ':. ..:.:,lr.:.; ARI 4 of, 1,3 crawl - Cooling Cooling` heat .. CEC Certified Mfr:.Nariie.... "Reference Identical (>=CF -1R - space, 'Duct - Load Capacity pump) and ModetNumber:= ;j:;: Number2 Systems value)4 etc.) R -value :. (kBtu/hr) (Wtu/hr)',+ Split ..:.:xr.::. CARRIER •....s;.:::..;kx«•_:..14'-5'EER�.`i=:._ " A/C::. 24/tBC636A30D =`. 3:3:EEltAtitic?>.=:; ws 4::2_a01, 3 Tons ,, MIN Wk Wiz:... sr F' `:.+nY-� - :.:...'- .. yy ...��y�.: > ^•: cam: , - - a• - - _ - R._.,, Kr;..✓ v- �.:R.. - .. 1. If project is new construction, see:=Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative compliance. + 2r ARI Reference'Number: can'tie found.by entering the equipment model: number:at' http://www.aiidiredory.org/ari/ac:php#r 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 -IR,, CF -ZR -AA or CF -IR -ALT, w ALL BOXES MUST,: BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy: Commission: i A 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE; SMACNA, or RCCA.,' y 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of, + . §112(c). - ® §150(j)2:. Pipe insulation for cooling7system 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. F Reg: 212-A0013720C-'M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provides: Ca10ERTS Inc. 2008 Residential Compliance Forms. - August 2009 p " - . r • t, 1. If project is new construction, see:=Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative compliance. + 2r ARI Reference'Number: can'tie found.by entering the equipment model: number:at' http://www.aiidiredory.org/ari/ac:php#r 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 -IR,, CF -ZR -AA or CF -IR -ALT, w ALL BOXES MUST,: BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy: Commission: i A 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE; SMACNA, or RCCA.,' y 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of, + . §112(c). - ® §150(j)2:. Pipe insulation for cooling7system 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. F Reg: 212-A0013720C-'M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provides: Ca10ERTS Inc. 2008 Residential Compliance Forms. - August 2009 p " - • t, `R: 1. If project is new construction, see:=Footnotes to Standards Table 151-B and Table 151-C for dud ceiling alternative compliance. + 2r ARI Reference'Number: can'tie found.by entering the equipment model: number:at' http://www.aiidiredory.org/ari/ac:php#r 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 -IR,, CF -ZR -AA or CF -IR -ALT, w ALL BOXES MUST,: BE CHECKED TO BE A VALID FORM 0 §110-§113: HVAC equipment is certified by the California Energy: Commission: i A 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE; SMACNA, or RCCA.,' y 0 §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of, + . §112(c). - ® §150(j)2:. Pipe insulation for cooling7system 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. F Reg: 212-A0013720C-'M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provides: Ca10ERTS Inc. 2008 Residential Compliance Forms. - August 2009 p " - INSTALLATION CERTIFICATE CF-6R-MECH-0 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 54746 Southern Hills - System 2, La Quinta CA 92253 Enforcement Agency: Permit Number: (System 2) City of La Quinta 12-265 Ducts and Fans r , §150(m): -Duct and Fans �} v .Y 0 1. All air' -distribution system ducts and plenums installed, sealedand 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 181B 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 combinations 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. 0.2D. 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. 0 7. Exhaust fan systems have back draft or automatic dampers. 0 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,' manually operated daropersi'_. 0 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 than water retardant and provides shielding from solar radiation that can cause degradation of the material::; 0::10: Flexible ..Oucts cannot have:porous}inner corres,.y :; - _ i - _. Y -- _ : _ ' -•'rml.: %fix-x:......r.�- - '§✓:%• . _?��<:::::.'.',:.,.. '.`-�s<'-:'.' .,.. z .. : 5g - -„�.. .c�:v�:�• `�4:.}f _ .;v.`^�Z :itsQ?5...c: :xy , ...,.•, _:... -.fir.,,... -• ..:...... ..... )ECENT " • 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 Divisi0n:3-of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person "respons&b :*for construction (responsible person). , • I certify that the installed feat ure5;..riiateriats, components,.or manufactured devices identified on this -certificate (the installation). conforms to all applicable codes a4:fOgulations, and the installation is consistent' with the plans and specifications approved by he. enforcement agency. . ' - • I reviewed a copy of the Certificate of Compliance (CF -111) forth 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 induded with the documentation the builder ' Drovides to the buildino owner at occuoanev. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL SEASONS'AIR CONDITIONING PLUMBING 8 HEATING INC Responsible Person's Name: Responsible Person's Signature: Shantel Cain; Sharrtel Cain CSLB License: , 827420 Date Signed: 3/26/2012 position With Company (Title): Reg: 212-A0013720C-M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms i' August 2009 ! - 1 , Reg: 212-A0013720C-M0400001A-0000 Registration Date/Time: 2012/03/28 20:49:55 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms i' August 2009 ! - INSTALLATION CERTIFICATE - CF-6R-MECH-2I-HER9 Duct Leakage Test — Existing Duct System .(Page 1 of 2) Site Address: a 54746 Southern=Hills - System 2, 'La Quinta CA 92253 A. Agency: en Enforcement A Permit Numbei: (System �) City yof La •Quinta ., 12-.265 This installation certificate is required for. compliance for alterations and additions in existing dwellings to, space conditioning systems and dud systems. Duct Leakage+ Diagnostic Test - existing duct system Reg: 212-AO013720C-M2100001A-0000' Registration Date/Time: 2012/03/28 20:52:`01. HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' March 2010 Select one compliance method from the following four choices.. ' 0 1• Measured leakage less than .15% of fan flow ❑ 2• Measured leakage to outsideiess than- 10% of Fan Flow _ 3• Reduce leakage by.60% and Lb .duct smoke and fix all leaks , ❑ 4;: FiX all accessible'leaks using smoke and HERS rater verify' Note:.(Ohe of O tp�ipns 1,'2 or'3 mustbe attempted before utilizin O tion 4.. Determine.,pdr-n nal:Fa r:Flow using Ei'rte-af.:thE fotiow t ';tti;ee c -1i ataon#i e h3ds -F "=% »: g ✓® Cool i.ta is,st" method: Size of ca e%i erin Torts - }3 x'4 2btl�..,CEM:... ).s v; a _.... =• . � fien ❑ Heatm.• s stem met#ipds� :r 7 --gutput Capa 4. t>usa ' 9., Y )v ). P P n fla. nds pf� :Ifir — : CFM .' - n..-. W AM M. ✓ •t�':9;t:� - .'..'': SLE',•.''^ ❑Meas reds a of .oin� si• 'i2A3� i r �:" - = .:� -ter: Opti on..i.used-- -- 1 Allowed leakage ="Fan Airflow:>: -';220® CFM Actual Leakage:=..94 CFM_>>�- Pass if Actual Leakage'is less than Allowed leakage. • ` Pass Fail n Option -2 used then-,,.- . 2 Allowed'leakage = Fari:,Airflo* "" x 0,10 =_CFM, t Actual Leakage to outside:.= .'i 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=i' = Leakage, reduction CFM i ((Leakage reduction Initial leakage _) x 100% _ • urs Reduction ' _f Pass if %Reduction > 60° ' O Pass ❑Fail Option 4 used then:. , _r 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). r Pass if all accessible leaks have been repaired using smoke '0 Pass ❑Fail Reg: 212-AO013720C-M2100001A-0000' Registration Date/Time: 2012/03/28 20:52:`01. HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' March 2010 Select one compliance method from the following four choices.. ' 0 1• Measured leakage less than .15% of fan flow ❑ 2• Measured leakage to outsideiess than- 10% of Fan Flow _ 3• Reduce leakage by.60% and Lb .duct smoke and fix all leaks , ❑ 4;: FiX all accessible'leaks using smoke and HERS rater verify' Note:.(Ohe of O tp�ipns 1,'2 or'3 mustbe attempted before utilizin O tion 4.. Determine.,pdr-n nal:Fa r:Flow using Ei'rte-af.:thE fotiow t ';tti;ee c -1i ataon#i e h3ds -F "=% »: g ✓® Cool i.ta is,st" method: Size of ca e%i erin Torts - }3 x'4 2btl�..,CEM:... ).s v; a _.... =• . � fien ❑ Heatm.• s stem met#ipds� :r 7 --gutput Capa 4. t>usa ' 9., Y )v ). P P n fla. nds pf� :Ifir — : CFM .' - n..-. W AM M. ✓ •t�':9;t:� - .'..'': SLE',•.''^ ❑Meas reds a of .oin� si• 'i2A3� i r �:" - = .:� -ter: Opti on..i.used-- -- 1 Allowed leakage ="Fan Airflow:>: -';220® CFM Actual Leakage:=..94 CFM_>>�- Pass if Actual Leakage'is less than Allowed leakage. • ` Pass Fail n Option -2 used then-,,.- . 2 Allowed'leakage = Fari:,Airflo* "" x 0,10 =_CFM, t Actual Leakage to outside:.= .'i 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=i' = Leakage, reduction CFM i ((Leakage reduction Initial leakage _) x 100% _ • urs Reduction ' _f Pass if %Reduction > 60° ' O Pass ❑Fail Option 4 used then:. , _r 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). r Pass if all accessible leaks have been repaired using smoke '0 Pass INSTALLATION'CERTIFICATEMECH-2I-HERS Duct Leakage Test. --Existing Duct System ._ , - (Page 2 of 2) Site Address: 54746 Southern Hills - System 2, La Quinta CA 92253r Enforcement Agency: Permit Number: �- (System 4) City of Quinta 12-265 .; '' .. - • •. a .. 4. a• r +. +® Outside air (OA)�ducts for t6h al Fan Integrated (CFI)'ventilation systems, shall not be sealed/taped off. - during 'duct. lea kage.testing..CFI_:..A ducts that utilize controlled motorized dampers, that open only when OR, ventilation is: required to meet ,F9HRAE Standard 62.2, and close when OA,ventilation is not required, may ' r_ be configured to the dosed posit &- during duct leakage testing.. h 0 All Supp, ly<;and-. ret ro. register`bootsy rest b ea er tat dry ti It tf fnpCce telt is utlU ed;;fior compliance ; • , ,�,• _< .,�, "�- rt'�b3' .4� - appliesyoyduct BeJcage comp)lalaceoptfon 3 `(leakage reductioyo} anf fon 4fix alraeces`sible 0115 leaks) cW' gibed above; ;`�3�• - ,:yG- �:::.. .. ...-.'..5�`-,.-:-; ::'C:•iv: :+c Ea+C'.'_".%,.sy':"Sl-"S.m...:-:.. .... :s!'.. ® New d_'Installattonsano utilize; bulldl ci3viles asn Infsfl. atfoF%returns rn lre- diets $'� P- Pl - . 'W_A ,. : .fig.; �. �• �. .: '? ' _ r ram` ....:.:.i_�-..::.?F-�..>.-Ni��3.�';cs.-.. *��:EY}.::�%l: C'i�%S��SuS� `}�2ja�kV��..'. - -�^��E -:2- ,:�`:-'.:il'��. - ' 0 Mastic arif#:draw baflds rf�tls 1 i�se�fn carrtbl fatlon:wxtlt clot `fiacfCe' °rfibber<' dhesf."e:;cfuctXta a to seal new.duct (eaks:at all connettions< -.: • s ..I DECLARATION -STATEMENT • I certify under penalty of prthe 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 o representative of the person respiins', a -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, rincluding 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 installationsin 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, madeavailable with the +' f building permit(s) issued for the building; and made available to the enforcement agency for all applicable inspections. I, N ° , understand that a signed copy of this Installation Certificate is required to be induded 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: - Reg: 212-A0013720C-M2100001A-0000 Registration Date/Time:'2012/03/28 20:52:.01 HMS Provider: Ca10ERTS, Inc_ 2008 Residential Compliance Forms March 2010 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Responsible Person's Name: Responsible Person's Signature: Shantel Cain Shantel' Cain / CSLB License: Date. Signed: 827420 position',With Company 3/26/2012• Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ,• ❑Yes' [I No • - - Reg: 212-A0013720C-M2100001A-0000 Registration Date/Time:'2012/03/28 20:52:.01 HMS Provider: Ca10ERTS, Inc_ 2008 Residential Compliance Forms March 2010 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Responsible Person's Name: Responsible Person's Signature: Shantel Cain Shantel' Cain / CSLB License: Date. Signed: 827420 position',With Company 3/26/2012• Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ,• ❑Yes' [I INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure 4 (Page 1 of 5) ' Site Address: Enforcement Agency: Permit Number: 54746 Southern Hills - System 2, La Quinta CA 92253 City of La Quinta 12-265 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 ME -CH -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 forms) 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 RA3Z. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required forcompletely 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 AS=<; , ori$ accai� rriaMfacturer' 3 apoMN'i-d%/svebyfe.Executive:::?:..: System:L Director. I _k :.: System Location or Area Served 4 SLEEPING, .z..5j..rlettrcin4tntarG , s�. s. d '�] Np'-':- ;.:,gttaCtFrxrnoraaetei�eser�sor::tntcir.:plg �s aceesssbleto the installEr�g Vechnician ❑ No - digital thermometer: The sensor'mini plug is accessible to the installing technician ' ' aridahe FIERS'raterwithout changing the airflovd through the condenser coil 5 :.. AREAS ;.i . ❑ No. _' :-The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to:;3.4;?ancJ:::S'is:a`pass. Enter, STMS are not applicable: Otherwise' enter.. -Pass oGFail �/ ®N/A 1 (3 Yes ❑ No'....- -5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and p pass ✓ ❑Fail applicable. Otherwise. enter Pass or Fail labeled according to Figure in Section RA3.2.2.2.2. 2 ® Yes ❑ No ..-= ::::.5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum . :and labeled according to Figure in Section RA3.2.2.2.2. ' Yes.to 1. and 2 .is.a: pass. = Enter'Pass or Fail ✓ I3 Pass ✓ ❑ Fail, r i ..,........ STMS -: ns Seor-on:'the;Evaporatoro�l>,,. , -:mow. System N;S0,W--.Identifit t' :' - - - em ;' Y c. a ion/Tag >: Sys[ Ft, : < _ir 1501. :?Thsensor is facto sCal#ed, ek3si; st fled _nn to AS=<; , ori$ accai� rriaMfacturer' 3 apoMN'i-d%/svebyfe.Executive:::?:..: , Director. I _k :.: ' .; _ The�se�iso,='ware Es #e miriat witted aia i9 suifaba= , : ,r.C� 4 ❑1'es.i;' .:;;. .z..5j..rlettrcin4tntarG , s�. s. d '�] Np'-':- ;.:,gttaCtFrxrnoraaetei�eser�sor::tntcir.:plg �s aceesssbleto the installEr�g Vechnician ❑ No - digital thermometer: The sensor'mini plug is accessible to the installing technician ' ' aridahe FIERS'raterwithout changing the airflovd through the condenser coil 5 :.. .....,. ❑.Yes;,=; : "" ;.i . ❑ No. _' :-The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to:;3.4;?ancJ:::S'is:a`pass. Enter, STMS are not applicable: Otherwise' enter.. -Pass oGFail �/ ®N/A ✓: [3 Pass ✓ ❑Fail STMS =Sensor on the Condenser;Coil System Name or Identification/Tag ^ System 1 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. I The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ 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 IThe sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ . ®N/A✓ p pass ✓ ❑Fail applicable. Otherwise. enter Pass or Fail ,• i Reg: 212-A0013720C-M2500001A-0000 Registration Date/Time: 2012/03128 21:03:35 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 —C INSTALLATION CERTIFICATE, F-6R-MECH-25-HERS Refrigerant Charge Verification Standard Measurement Procedure - (Page 2 of 7) Site Address: A Enforcement Agency:. Permit Number: 1 54746 Southern 'Hills - System 2, La Quinta CA 92253 City of La Quinta 12 -265 - Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F) Measurement Procedure are available in Reference Procedures for determining Refrigerant Charge'us'�Ing the Standard Charge' 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) thr,,' any additional'systems in the dwelling as applicable. - I . I . 11 • 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 "is 55*F or below, the installer must use the Alternate Chaige Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag, I System -L -S ME F System Location or Area Served SLEEPING� AREAS. -qg --:•p r _r..� temperatu �7 Outdoor Unit Serial # 4310E04278 Outdoor Unit Make CARRIER ...:re .. Outdoor Unit Model 24ABC636A,300 temperature (T retum,wb):�' Nominal Cooling Capacity Btuffir. f i,36000 36A Date of Verification 03/28/2012 Calibration of. Diagnostic Instruments 4 Date'.:of Refrigerant Gauge Calibration=:`.::' 03/21/2012 (must be re -calibrated monthly) Dke of-theMocpUple.-e-, libration i I g_� monthly) Measurq! N ,to peraturey.oft, - , J -%;v* - - -- System ".0"or R Jentifit'AAW ystem 1 -S ME F Supply- (ey'Wkpara, or -le 7 tr ti '5 -qg --:•p r _r..� temperatu �7 Return (evaporatqrc�entering) air dry. -bulb terTiperat-ur#.*.:,.,�.I.T..','�.- .... .. db) 71.7 ...:re .. Return (evaporator entering) air wet bulb 53.2 temperature (T retum,wb):�' Evaporator saturation temperature ��:-. 36A (Tevaporator, sat) Conclensor saturation temperature (Tcondensor, sat)' 92.4' Suction line temperature, (Tsuction) 46.5 n Liquid Line Temperature (Tliquid)' 81.4 Condenser(entering) air dry-bulb temperature (Tcondenser, db) 80.4 Reg.: 212-AO01 1 3720C-M2500001A-0000 Registration,� Date/Time: 2012/03/28 21:03:35 HERS'Provider:_ CalCERTS" Inc. - 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATETr6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 54746 Southern Hills - System 2; _La,Quinta CA 92253 City of La Quinta 12-265 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 i System 1 Calculate: Actual Temperature Split = Treturn 23.50 db - Tsupply, db Target Temperature Split from Table RA3.2-3 21.5 • using Treturn, wb and Tretum, db +: Calculate difference: Actual Temperature Split - 2 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and • PASS + -100°F Enter Pass or Fai Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures sp@cifred in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must. be equaG;to.or greater than the Calculated Minimum Airflow Requirement in the table below. Calcuiated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) 5 stem Narneoc:Ident�fitation a <: _ MF n = r _ _�A`C`^ um mAi w., Calculated;Mcni rfloRequ�cenaent { ,.FM)v mac- %TAS, �:-: _ _. :- ,Y;'.ty„'Za`.'_',AN i' ," .,..:<, =r=:".mow - Measured r ow.. sari Wit.; u �RLt3.3xprtic d.U.re .(GFMa.. r -,.:.-...:..:..... '.:r Y� vs• :•_ :F . .�_ '. ='>:'.': - ::'> .... ::: e.Y .. b y,..� rc .. Passes if me'a'sured,-ainflow ..... is,.. .grea,.:.7 :;_=.:,..,. ter:t�,ass:or.:;:.;:-:=:::.::::':.::.::.... .........:.......:.:._.::;..,.. ..=:-'::-:. equal to the calculated minimum aid'; requirement:,,, - Entec_Pass or Fai - Superheat Charge Method::Calc'(ations for Refrigerant Charge. Verification. This procedure is required to be used for fixed orifice metering device:=systems System Name or Identification/Tag• System 1 Calculate: Actual Superheat = Tsuction - Tevaporator, sat E Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser; db +: Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fai ' t Reg:'212-A0013720C-M2500001A-0000 Registration Date/Time: 2012/03/28 21:03:35 HERS Provider: Ca10ERTS, Inc_ 2008 Residential Compliance Forms y August 2009 INSTALLATION CERTIFICATE F-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: , Enforcement Agency: Permit Number: 54746 Southern Hills - System 2, La Quinta CA 92253 City of La Quinta 127265 SubcoolingCharge 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 Calculate: Actual Subcooling = , 11.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer .� 8.0 - r man ufacturer's:specifications (or usrange 4-25 Calculate difference:, 3 r .# Actual Subcooling - Target Subcooling = • i " System passes if difference is between -. P S= � x , - -3°F and +3°F PASS , Enter Pass or Fai 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 _ F System 1 Calculate_ Actual Superheat .= suction evaporator, sat-- - Enter.. a llowa ble superheat range from,— r man ufacturer's:specifications (or usrange 4-25 between 4°F and 25°F if manufacture_r's. specification is not available) i System.passeoff'6- -.superheat is�,tnrithi UO"` allowable s er:Ceat raii e.ai -. P S= � x `..; - - W. . - ^,.. ....:.:.:.�.. .:_ ., .�•Zj .:. �.?..:. ...- ...: � c..... .f ry J - S" , ., .. .. .... ,. .. .. a.,..... ..... .•...�:^.........::.;nom_._-; :.._,.::: ....:.... ..:: : Reg: 212-A0013720C-M2500001A=0000 Registration Date/Time:. 2012/03/28 21:03:35 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms - August 2009 INSTALLATION CERTIFICATE F-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of,5) Site Address: Enforcement Agency: Permit Number: 54746 Southem Hills - System 2, La Quinta CA.922531 City of La Quinta 12-265 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, Systema CSLB License: 827420 ' 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 System meets all refrigerant charge and airflow . requirements. +. PASS Enter Pass 'or Fail ti r �..- .�y:, .. ... .....�', .....%.i':c,.' _��'-��,-.moi::::. Wi :.. . ...: ems.:. y.,.... . �.. �.:... ..... .. ,-+y . 3 _ g _ yxs . ' Yom:. _ j r...: -/.-.. .. t.r.. .a:tz.;. r DECLAR&TION-`STATEMEN T:.::.:.'.:. . I certify under penalty of peryu y, und.i'fr'fhe laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3-.bf.,the 96siness 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;: riiaterials, 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. o 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 acompleted, 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 inducted 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 beainnino October 1. 2010- for all low-rise recidPntial huildinnc Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC' i Responsible Person's Name: Responsible Person's Signature: Shantel Cain Shontel Cain' CSLB License: 827420 Date Signed: 3/26/2012 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 Y Reg: 212-A0013720C-M2500001A-0000 Registration Date/Time:. 2012/03/28 21:03:35 HERS Provider:-Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 i Date: 03.28.2012 t .. Job Info: J HERS Rater: Judi Crawley I Roy Eads, CEPE 54.746 Southern Hills , CalCerts #CC2005559 q La Quinta, CA 92253' 760.641.2447 760.564:5441 Eads.Roy@Gmail.com - Installation Contractor: All Seasons Air Conditioning Plumbing & Heating, Inc. y , 73605 Dinah Shore Drive, Suite 1310-M - Palm Desert, CA 92211 760.568.2663 Forms Included: YF CF-1R-ALT-HVAC Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-4R-MECH-21 Duct Leakage Test- Existing Ducts CF-4R-MECH-25 'Refrigerant Charge Verification - Standard CF-611-MECH-04 Space Conditioning Systems, Ducts and. Fans CF-6R7MECH-21-HERS Duct Leakage Test - Existing Ducts CF-611-MECH-25-HERS Refrigerant Charge Verification - Standard ❑ Homeowner Copy Building:Official Copy ❑ Installer Copy ' 1st Choice HERS Rating Tei: 760.641.2447 Email: Eads.Roy@Gmaihcom Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations . CF -IR -ALT -HVAC Climate Zones 10 - 15. Site Address:, t Enforcement Agency: Date: ': Permit #: 54746 Southern Hills - System 1 La Quinta; CA 92253 City of La Quinta Mar 22; 2012- 012-Duct Ductinsulation Conditioned Floor ' Equipment Typel List Minimum Efficiency2 requirement Area Thermostat, ❑ Package Unit ® Furnace 0 AFUE 78% ❑ COP ❑ R 6 (CZ 10-13)' Served by system B Setback ® Indoor Coil O SEER :13.0 ❑ HSPF ❑ R 8 (CZ 14-15) 1200 sf If not already present, must be ® CondensingUnit ❑EER ' ❑Resistance installed), , . ❑ Other 1. Equipment Type: Choose the equipment being installed; if.more than one system, use another CF -1R -ALT -HVAC for early 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 -6R and registered CF -4R forms (no hand filled CF-4Rs'allowed)• are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25=HERS replaced CF -4R forms: MECH-21 111NOand (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -6R forms: MECH-04, MECH-21=HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 , For Split Systems: Duct leakage:;<::.15 percent; RC, CCA:5 300,CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from, duct leakage testingf:. ❑.1;:Duct'-system`was documented to have been previously sealed and confirmed through HERS, verification, or -[j.2. Duct systems with less thar40 linear feet in unconditioned space, or } 0-3• Existing duct systems are:coiistructed, insulated or sealed with asbestos ❑:-4.-Th es�yster w'If not be Ducted (ie�Duct#es Min ptivrS stern) A{sa�Exentptµfr ,Refrigera t?�harge) ❑ 2. New UAC 5y'sEe rr ;Re qui a fofms'... . ... 4 . Cut inzor't�liaangeout wi .� :' :; new duels (all new q� ductiri, l: �d all new., •:._; . gra $ :::: :__. _ '::: �,;-,.:;:... -:: r..., .. ... y-6RkfoiJWRA.lECH-04, MEOR gzQ;;HERSjw-a� �€o�split.sy s):MEC � -2';-:.EftS;,�nd ppc/ to %.:�__;__ :.. $i r\,': `... �...+ �,n,:.. �..... �= <" - `=' •:,�;;�ar=�-�`'..��: " .....�<�;'.... .. ..y,:: , . . MECH 20,: pa-:f�or.spbt'�erxP ECH-22fdJJ ..,H_25 `= = A`•=:::;:, ...... e ui mane. q P :}F.):. ... . For S lit S Stems Dict leak, a fi perce 111.; CCA 35it CFMJ.ton Ft1Uf3 f l i S i�!15 and eifheF HSPP'ow PSPP. " For Packaged:Units:-Duct leakagefz?6tpercent 0.3. New.,D;ucfieu. lth/or without;;;::: Required Forms: - . Includes replacing or installing alUnew ' ducting and/or outdoor coridensrig.:unit' CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or fuenace2`;No or, some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. , h 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 than 40 CF -6R forms: MECH-04,. MECH-2I-HERS ICF-4Rfbrms: linear feet of duct in unconditioned space. MECH-21 ' 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: Signature: Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: Mar 19, 2012 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663 r " Reg: 212-A0013719C-00000000-0000 Registration Date/Time: 2012/03/19 18:04:19 .:HERS Provider:'Ca10ERTS,' Inc. 2008 Residential Compliance -Forms July 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of, 2) Site Address: '54746 Southern Hills - System 1, La Quinta CA 92253 Enforcement Agency: Permit Number: • (System 1) City of La Quinta 12-265 { Enter the Duct System Name or Identification/Tag: System 1 f Enter the Duct System Location or Area Served: LIVING AREAS Note: Submit one1nstallation.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 dud systems, u Note: For existing dwellings, a completely new or replacement dud system can also, include existing parts of, the original dud 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 dud system installed in an existing dwelling, `: use the Installation Certificate tided "Dud Leakage Test -Completely New or Replacement Duct System." Duct Leakage Diagnostic Test - existing'duct system Select one compliance method from the following four,choices:- cs' 0 1. Measured leakage less than -15% of fan flow i 02.M . easured leakage to outside t... s than 10% of Fan Flow 3. Reduce leakage by -60% -and conduct smoke and fix all leaks ❑ 4.:Fix all accessible leaks using sntioke and HERS rater verify Note:: {One of Op ions,.l, 2, or 3 must=be:attempted . before uLftizziing Opt��4,), ,max - ...� ::bf•tf�Q :.. _.: =- ,,«� ',. _ ::_ :=>:>: ;.;-="':::= >:: ; ;.. , Determine ..yoffil.ri''a :Faj F ow using to )at - . 3...:•::.. .. tea'-.:: ..,- Ion .. G, foilotidi t trl ee calti ✓ 0 Cooling" -system method: .ice..::.. . '-,. ..... Q• -.r -. :.:1:.. , e`=�� ❑ Heattr<r •�s stem m °hod:�2-�1- . �� `��,8E1ut ut Capi • :� rr•Tusa_hods:� • •rrJ: — ' �_° - - - n hr— AFM' _ - • - • s�-.�:. � _ ~x�`::: f ❑ Measu ed:system r otu s ng Rla3>3 a rft� est cedrtres srFl�[ i Otson:.i.u5ed"then•....:..;:..,_._.. _,.. -. ... _:'.�..::.......,....,...--: s 1 Allowedaeakage = Fan F1ow-" T.— 0i `'X`0;15 = Z40 --'CFM , Actual. Leakage; :. 126 -'GFM - Pass if Leakage Actual is less than Allowed , Pass Fail Option 2 used then:::.. ' 2 Allowed leakage = Fan:.:Flow - z 0.10 = _ CFM Actual Leakage to outside.= : CFM Pass if Leakage Actual is less than Albwed Pass 13 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% _ 0% 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 r allowed to leak from' system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke . ' Pass ❑ Fail r Reg: 212-A0013719C-M2100001A-M21A Registration Date/Time: 2012/03/28 20:02:05 HERS Provider:'•Ca10ERTS; Inc. 2008 Residential Compliance Forms March 2010 f t ' CE TIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH721 ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Duct Leakage Test - Existing Duct System (Page 2 of 2) ' CSLB License: . Site Address:Agencyc 54746 Southern Hills - System 1, La Quinta CA 92253 Enforcement City of.La'Quinta Permit Number: • 12-265 -� Sample Group. # (if,applicable): N/A (System 1) , 0 not-tested/verified dwelling. in. ' or -@ Outside air (OA) ducts-forCe kik Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off a during` duct- lea kage.testing. CFi_OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet.ASHRAE Standard 62.2,•and dose when OA ventilation is not required, may ' be configured to the closed posit,,, h-Auring duct leakage testing.WM� ' .: M All supply'an:d ret r register F ovo it lust bei ea� a tF a dryu atl oke testis utff eif;fo compliance -applies to duct leakage.co.,mp>anoe tton. 3 ((ea ge.rediiction b 6D la iMhtW0 ron 4�{ afI accessible .. leaks)described above 4 - 0 New dt�Etslinstallatt�s:.carnotxttti{fze�uildg:- �ties:as{�lertrms*or latfar"' r�ett�rns iti iieu�`ductsA.>_:: 'z �"�'�=�•• , :...... F1Tj,, .r 4 ¢ r '' .: 'J+.`S•E:::: ..r. :...s. _.:.1 . •. �? atiH; � , .`�`� yx ;:. ^.;yt`..r; F.c,�.:3a� ' y..9`M _ ,:.:....,'._:.. ... ,..;.:.: .'�" .•nev'::.�: •:..r.^^�=•�:: ,.. ¢t'^: :.' F" .-.�� ... ..� C: Win: ®Mastic and; draw: bands musC b use :l rrlbination Witm-& liacked`:ruf bei adhesrve: duct tape •to seal leaks at all neiti_'duct connections° DECLARATION STATEMEPIT:=::;::::' . I certify under penalty of perjury, uAd -the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater: �h performed the verification services identified and •reported on this certificate (responsible rater). . The installed feature, material, cotriponent, 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 Certificates) 'of Comphance (CF -111) 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 Certfiicate(s) of Compliance (CF -1R) approved by the enforcement agency. i - . , Builder or Installer information as shown on the Installation Certificate (CF -6R), Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Responsible Person's Name:. ,. CSLB License: . r David Beale ° Y 1827420 HERS Provider Data,RegistrV Information Sample Group. # (if,applicable): N/A tested/verified dwelling 0 not-tested/verified dwelling. in. ' a HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798640546 '- HERS Rater Company Name: 1st Choice HERS Rating - Responsible Rater's Name: Responsible Rater's Signature: Roy Eads4, . ., Roy Ends ' ' Responsible Raters Certification Number w/ this HERS Provider: Date Signed: 3/26/2012 CC2005559 - •- ' ' Reg: 212-A0013719C=M2100001A-M21A Registration Date/Time: 2012/03/28 20:02:05 HERS•Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ; March 2010 r CERTIFICATE OF FIELD VERIFICATION 8t DIAGNOSTIC TESTING CF-4R-MECH-25 . Refrigerant Charge Verification - Standard Measurement Procedure , '.(Page 1 of 5) Site Address: , Enforcement Agency: Permit Number: F , 54746 Southern Hills - System 1, La,Quinta CA 92253 City of La Quinta 12-265 ' Note: If installation of a Charge Indicator. Display (CID) is utilized as an alternative to refrigerant charge verification for i; , compliance, a MECH-24 Certificate (instead of this ME -CH -25 Certificate) should be used to demonstrate compliance with ' the refrigerant charge verification .requirement: 7MAH and STMS are.not required fbr compliance, when a CID is utilized " for compliance. - .As many as 4 systems in the dwelling can be documented for compliance using this farm.. Attach. an additional form(s) for any additional systems it, the dweUmg as applicable. « Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) : Procedures far installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge,verification is required for compliance, TMAH are also required for compliance. STNS 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 i System Location or Area Served LIVING AREAS - 1 0 Yes ❑ No ..:: : ..- 5/16.inch (8 mm) access hole upstream of evaporative:coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. r 2 0 Yes ' p No., .: ` -and 5/16 inch (8 mm), access hole downstream of evaporative coil in the supply plenum ' labeled according to Figure in Section RA3,2,2,2.2. Yes to.i..and 2'is a pass. Enter Pass or.Fail ✓ 0 Pass 1. ✓ ❑ Fail STMS:- 5enso,Pnhe Evapotra4oroil:'.:.::.:-r.:.. S stem:NarCre.orrld6 ation a w Tkieltsor is factoyn51alled;:`orelct`instted°acco¢rng to natfactiirer's..._ .... 3Q esQ�. specations, or is'installedby rnet�htrdspecificatio sapprovelbythe Executive ` =:.3:.. ❑ No : 3 r lJEe2ctar. .,..... Y xse�nso,r `re !s tell ninate� wi s01 Tl'1� c f "d ri( inr ffik >.su a5le for'corirteit'sr�: o =a hermhe3serrsrepL yrs 4'tal ac€eb(e to tlie�slfegethr�ricFarr; The sensor,wire is terminated with a standard mini plug suitable for connection to a -i 7 :tfie-. rater wit ..;out chari`grng:ttie :airfFow tkrrough the'V id'enser coil' 5 :. ❑ Yes .....:";;= ;.: ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil: Yes to :3 :.4:`and 5'.is-a,:'pass. Enter. N)A if STMS are not ®N/A ✓ ❑ Pass ✓ ❑ Fail applicable: Otherwise enter:Pass o':- Fail . . ti saturation temperature of, the coil. , r STMS -Sensor on the Condenser -Coil System Name or Identification/Tag System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, orris installed by methods/specifications approved by the Executive Director. The sensor,wire is terminated with a standard mini plug suitable for connection to a -i 7 ❑ Yes ❑ 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 When attached to a digital thermometer, the sensor provides an indication of the ti saturation temperature of, the coil. , Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not 0 N/A e ✓ ❑Pass ✓. ❑Fail' i applicable. Otherwise enter Pass or Fail i _ f Reg: 212-A0013719C-M2500001A-M25A. Registration Date/Time: 2012/03/28 20:17:43 HERS Provider: CalCERTS, Inc. « 2008 Residential Compliance Forms ' March 2010 CERTIFICATE OF FIELD VERIFICATION Sr DIAGNOSTIC TESTING = CF-4R-MECH-25 ' Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: j: Enforcement Agency: 'Permit Number: , 54746 Southern Hills - System 1, La.Quinta:CA 92253 City of La Quinta 12-265 Standard. Charge Measurement Procedure '(for use if outdoor air dry-bulb is above 550F) 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. 11 • The system should be installed and charged in a000rdance with the. manufacturer's specifications beforestarting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. ' • If outdoor air dry-bulb is 55'F or below, the installer must use the Alternate Charge Measurement Procedure. , Space Conditioning Systems • y k System Name or Identification/Tag + System 1 , - 4?.5'.=:rGrE':-;:, - ,. ;-,>_::.:-�-. �^�'�.� Y'.s^Fi-c—�::1'itts'•F"...' .•.,x.. "�,�'.:s.:-...�{=�`. ...._... .: .:::'::�_:.':".. �-._..::ice:;.:-�._ Date of Thr _oeoupfe Calibration �>4 :.. ..::.� '•, .r w:c�csca - � ...�=e",.: �rr?'> .:.:.:.::.. :. .F....:.>b>. 43212012 `= 3''>_ _--"��.•rx: t.O`'.r.::7i:i:�._-�vyV,.-::.; ..., r ; v..: ,.+iL,..., ....:._. . (rraus ber-ta}+brated rnonthly) .. System Location or Area Served. '' LIVING AREAS Outdoor Unit Serial # ' 3711E0316 ... . . Return (evaporgtpr-entering) air dry=t5ulb .70.6 Outdoor Unit Make . CARRIER + Outdoor.Unit Model 24ABC648A310 ' Nominal Cooling Capacity Btu/hr :,::: - ' 48000 , Date of Verification 03/28/2012 , L,auioration or Liumnosvc ansxrumenxs„ Date of.Refrigerant Gauge Calibration;;;:.:.. s • (must be re -calibrated monthly) - 4?.5'.=:rGrE':-;:, - ,. ;-,>_::.:-�-. �^�'�.� Y'.s^Fi-c—�::1'itts'•F"...' .•.,x.. "�,�'.:s.:-...�{=�`. Date of.Refrigerant Gauge Calibration;;;:.:.. 03/21/2012 • (must be re -calibrated monthly) - 4?.5'.=:rGrE':-;:, - ,. ;-,>_::.:-�-. �^�'�.� Y'.s^Fi-c—�::1'itts'•F"...' .•.,x.. "�,�'.:s.:-...�{=�`. ...._... .: .:::'::�_:.':".. �-._..::ice:;.:-�._ Date of Thr _oeoupfe Calibration �>4 :.. ..::.� '•, .r w:c�csca - � ...�=e",.: �rr?'> .:.:.:.::.. :. .F....:.>b>. 43212012 `= 3''>_ _--"��.•rx: t.O`'.r.::7i:i:�._-�vyV,.-::.; ..., r ; v..: ,.+iL,..., ....:._. . (rraus ber-ta}+brated rnonthly) .. Supply. eva .pTffid eavrr5 PP Y' ( ..:..... :.:_t Measured? §` *s erature ... � � _::. _ , ...,.. .�... '.^,.t -`_.a;::;::' _,, sW.- -,_..� ANE - '.' - System 'awi�ie::or Id nti::rc tion'.':a. ��::;: � i - S steep 1'•::F.�� - �'::' - — A. - 4?.5'.=:rGrE':-;:, - ,. ;-,>_::.:-�-. �^�'�.� Y'.s^Fi-c—�::1'itts'•F"...' .•.,x.. "�,�'.:s.:-...�{=�`. _ Supply. eva .pTffid eavrr5 PP Y' ( ..:..... :.:_t tem er t r ..... ........ ....... " .. -- upp - ... . . Return (evaporgtpr-entering) air dry=t5ulb .70.6 tem &attire ' P (return: "". :• + Return (evaporator entering) air wet bulb 52.8 ' temperature Treturn, wb Evaporator saturation temperature:,,'--:_ 38.9 , (Tevaporator, sat) ; ; Condensor saturation temperature g7,6 ' (Tcondensor,-sat) Suction line temperature (Tsuction) ';', 50.3 . Liquid Line Temperature (Tliquid) j 86.1 ~ Condenser (entering) air. dry-bulb 79.3 temperature (Tcondenser, db) r f 1 ' _ _ .t. -r a •° :� • 7. Reg: 212-A0013719C-M2500001A-M25A' Registration'Date/Time.: 2012/031/28'20:17:43 HERS Provider: CalCERTS, Inc. ` 2008 Residential Compliance Forms i; •, March 2010 INSTALLATION CERTIFICATE • ;; CF-4R-MECH-25 ,'Refrigerant Charge Verification Standard, Measurement Procedure. (Page.3 of 5) Site Address_ Enforcement Agency: Permit Number:, 54746 Southern Hills - System 1, La Quinta CA 92253 City -of La.Quinta 12-265 Minimum Airflow Requirement Superheat Charge Method"Calcuiations for Refrigerant Charge Verification. This procedure is required to be used 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. .. - • . is System Name or Identification/Tag System 1 Calculate: Actual Superheat = ' Calculate: Actual Temperature Split = Treturn, 20.70 Tsuction - Tevaporator, sat db - Tsupply, db Target Superheat from, Table RA3.2-2 using Target Temperature. Split from Table RA3.2-3 20.9 Treturn, wb and'Tcondenser, db using Treturn, wb and Treturn, db Calculate difference:' . Calculate difference:.Actual Temperature Split - -0.2 + Actual Superheat - Target Superheat = Target Temperature Split = asses if difference is between -6°F and Passes if difference is between -4°F and +4°F or, . Eern+Y= upon remeasurement, if between -4°F and w' PASS Enter Pass or Fai Y -100°F Enter Pass or Fai ' Note: Temperature Split Method'CaCculation is not necessary if actual Cooling'Coil Ain9ow is,verifed using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. Ifactual cooling coil airflow is measured, the value must -be equar;to:or greater than the Calculated Minimum Airflow Requirement in the table below. = Calculated MinimunvAirflow Red6irement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) S stem`Name:-ar:fitlentifitation a_ - ... 10c 1n, f ��- �� ,,yam _ 3"yl:`' :.•3 Calculat4BA'A riimurn Airflow u'ifer eU�CFM YT b` Measured:_Arflow,uin'aRA3 - OFr, - , Passes i measured:aioinr is ' reaYet.tli.an:ar--"-~' equal to the calculated minimum airflow:. , F requirement::;: Eftter'Pass or Fai Superheat Charge Method"Calcuiations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device"" - System Name or Identification/Tag Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from, Table RA3.2-2 using Treturn, wb and'Tcondenser, db Calculate difference:' . r Actual Superheat - Target Superheat = asses if difference is between -6°F and Eern+Y= Enter Pass or Fai Reg: 212-A0013719C-M2500001A-M2SA Registration Date/Time: 2012/03/28 20:17:43 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance,Forms s ei March 2010 INSTALLATION 'CERTIFICATE CF-4R=MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Pag Site Address: Enforcement Agency: Permit Number: 54746 Southern Hills - System 1, Lkuinta CA 92253 City of La Quinta 12-265 a S 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, ,� I l 4 y 11.4 Calculate: Actual Subcooling = t 11.5 •, Tsuction - Tevaporator, sate - ' Tcondenser, sat - Tliquid Enter -allowable superheat range fra!ht.-- � V Target Subcooling specified by manufacturer 10 between 30F and 260F if manufacturer'' s. Calculate difference: specification is not available) Actual Subcooling - Target Subcooling System . asses f:accc3a{;su erheat is allowable superheat range . System passes if difference is between , .._.:. i✓.. - - ANNa _ _RYCT`/.�b;� "d . :: �..0 .> c '."y'L•!�<;:'.,' R -4°F and +4°F . + PASS .t... Enter Pass or Fai 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 r ,� I l 4 Calculate: Actual Superheat .= 11.4 Tsuction - Tevaporator, sate - ' Enter -allowable superheat range fra!ht.-- � V manufacturer's ran specifications (or us 3-426 between 30F and 260F if manufacturer'' s. specification is not available) System . asses f:accc3a{;su erheat is allowable superheat range . .._.:. i✓.. - - ANNa _ _RYCT`/.�b;� "d . :: �..0 .> c '."y'L•!�<;:'.,' - l' orFa� Or- .t... Reg: 212-A0013719C7M2500001A-M25A Registration Date/Time: 2012/03/28 20:17.43 HERS Provider: C'a10ERTS, Inc. 2008 Residential -Compliance Forms' March 2010 4� I l 4 ♦ 4 1' Reg: 212-A0013719C7M2500001A-M25A Registration Date/Time: 2012/03/28 20:17.43 HERS Provider: C'a10ERTS, Inc. 2008 Residential -Compliance Forms' March 2010 1' ^ � V Reg: 212-A0013719C7M2500001A-M25A Registration Date/Time: 2012/03/28 20:17.43 HERS Provider: C'a10ERTS, Inc. 2008 Residential -Compliance Forms' March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification -,-Standard Measurement Procedure (Page 5 of 5) ' Site Address: Enforcement Agency: Permit Number: 54746 Southem Hills - System 1, La'Quinta CA 92253 City of La Quinta 12-265 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 JCSLB 827420 HERS Provider Data Registry Information - Sample Group # (if applicable): N/A . µ' tested/verified' dwelling FaHERt-tested/veriSfied dwelling in sample group System meets all refrigerant charge and airflow HERS Rater Company Name: 1st Choice HERS Rating *. ;t requirements.' % ` ' PASS Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 3/26/2012 , Enter Pass or Fail{� L , 9R, ,�- yy 'v , .... : .. .-:... . ...-�_i.. �._ _ WO DECLARATION S ATEMENT �<- . I certify under penalty of'perjury, un'"iferahe laws of the State of Cafifornia;.the information provided an this form is true and correct. . I am the certified HERS rate'r'.'who'p.&.formed 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 an 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 locil 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 -611t) � Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) • ; ALL SEASONS AIR CONDITIONING PLUMBING & Reg:,212-A0013719C-M2500001A-M25A -Registration Date/Time: 2012/03/28 20:17:43 HERS'Provider: Ca10ERTS, Inc. 2008'Residential Compliance Forms i! March'2010 HEATING INC - .• • Responsible: Person's Name: License:. David Beale JCSLB 827420 HERS Provider Data Registry Information - Sample Group # (if applicable): N/A . µ' tested/verified' dwelling FaHERt-tested/veriSfied dwelling in sample group HERS Rater Information CAICERTS Certificate # CCl-1798640546 HERS Rater Company Name: 1st Choice HERS Rating Responsible, Rater's Name: Responsible Rater's Signature: R Roy Eads Roy Eads Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 3/26/2012 CC2005559 F Reg:,212-A0013719C-M2500001A-M25A -Registration Date/Time: 2012/03/28 20:17:43 HERS'Provider: Ca10ERTS, Inc. 2008'Residential Compliance Forms i! March'2010 0 INSTALLATION,CERTIFICATE ,_ `,; + r CF-M-NECH-O, Space Conditioning Systems, Ducts and Fans .(Page 1 of 2) Site. Address:. 54746 Southern Hills - System'1, La Quinta CA 92253 Enforcement Agency; �y of La Quinta Permit Number:' . 12-265 ' (System 1) :. a . . Equip Space -Conditioning Systems ' Heating Equipment c _ r Efficiency Dud Duct Equip .. ' Location Efficiency. Location and EER) Equip ` s (AR) E, (attic, 1,3 cawF + ,� .� Type ' heat .. ARI •# of •, etc.)1, 3 ' crawl- '•' Load 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) Split CARRIER y v Furnace SBSTX090 --- 14116. ' 2000827 1 80 AFUE Attic R-4.2 ', � r 71 kBtu j, : `5�.- ...'rim ..'M�f-..: .:ti C..: __ - — >y..G K 4'F7��5,`i?_ ..zC.2':::. ; ySRg: `, „ _ .r .71- woung cguIpmenr 1. If project is new construction,.sei=:Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. _:'.:.;= ' 2. ARI Reference Number can;-*bby entering the equipment model number at al http://www.aridirectory.or4larila-6.php# 3. Listed efciency ori this page must be greater. than or equal (?) to the value shown on the CF -IR form. 4. When CF 1R is reference it also.applicable to the„CF-1R, CF -ZR -AA or CF -IR -ALT ALL BOXES MUST. BE CHECKED TO BE A VALID FORM . ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §150(h): 'Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACOA. ® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet.the requirements of ' - §112(c). . ' - ® §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 enclosed entirely in t conditioned space. . _ Reg: 212-A0013719C-M0400001A-0000 Registration Date/Time': 2012/03/28 19.53:32 HERS Provider: Ca10ERTSJ Inc.. 2008 Residential.Compliance Forms .' August 2009 i Efficiency Dud Equip .. (SEER Location Type....-.. - and EER) (attic, ,. (package'.: ;` :> ::: ARI # of 1,3 cawF + ,� Cooling Cooling ' heat .. CECCeitified Mfr. Name. lylleference Identical (>=CF -1R ; -space;, Oud - Load Capacity pump) and Model Number :';;.=.; ',p Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/h r) Split s CARRIER :mss Y:.' .14'.2i: ER - '-___z5 _W.1& ` ..�.: '. Y,1t_ , A/C .::: z •� " 24A13.C64.6A310 3$-3ri871: ; «' ::z �. s : -_::, <,�12:0>E =>#lttic-:.;;: -4:2 ;mss �. w,<.,„:.:: 4 Tons � r c' YV : `5�.- ...'rim ..'M�f-..: .:ti C..: __ - — >y..G K 4'F7��5,`i?_ ..zC.2':::. ; ySRg: `, „ _ .r .71- 1. If project is new construction,.sei=:Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative compliance. _:'.:.;= ' 2. ARI Reference Number can;-*bby entering the equipment model number at al http://www.aridirectory.or4larila-6.php# 3. Listed efciency ori this page must be greater. than or equal (?) to the value shown on the CF -IR form. 4. When CF 1R is reference it also.applicable to the„CF-1R, CF -ZR -AA or CF -IR -ALT ALL BOXES MUST. BE CHECKED TO BE A VALID FORM . ® §110-§113: HVAC equipment is certified by the California Energy Commission. ® §150(h): 'Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACOA. ® §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet.the requirements of ' - §112(c). . ' - ® §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 enclosed entirely in t conditioned space. . _ Reg: 212-A0013719C-M0400001A-0000 Registration Date/Time': 2012/03/28 19.53:32 HERS Provider: Ca10ERTSJ 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: < -• ' !' 54746 Southern Hills - System 1, La Quinta' CA 92253 Enforcement Agency: Permit Number: (System.l) City of La Quinta 12-265 Ducts and Fans §150(m): Duct and Fans ' a 0 1. All air -distribution system: ducts and plenums installed', sealed and insula ted 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 UU181, UL 181A,;.or,UL, 181E or aerosol sealant that meets the requirements of UL 723. If masticor tape is used to seal openings greater than 1/4 inch, the combination` of mastic and either mesh or tape shall be used; and u. 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 shalf.notbe-used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities d ' and support platforms shall not be compressed to cause .reductions in the cross-sectional area of the 'ducts. _ 0 W. 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. 0 7. Exhaust fan systems.have back draft or automatic dampers. • ; s 0 8. Gravity ventilating -systems serving conditioned space have either automatic de readily accessible, F manually operated dampers:.._."" > ., 0 Protection of Insulation:.`Iili ulation shall be protected from damage, including that due to sunlight, ^• '-moisture, equipment maint; fiance, and wind. Cellular foam .insulation shall be protected as above or, painted. with a: coating that+s_water retardant and provides.shielding from solar radiation that can cause'�, - degradation of the material::';; 0:10: Flexible ducts cannot. tave;.porou inner cores . Jk - t Y.- s� r.. ..,, s -. .. .. ..:.•. a ....�` s=% z.. ,".....- .. A `32 .r" ALM +5t .. .. �> tom••. �fi:::..: . 4. r�� .. .camn:r � --:F•far.:.�^ s:.. .. .. " ..+.......: _... •may.^:: ..::..... .. .. _ .. :. - � - . .. - DECLARAT101N STATEMENT . I certify under "penalty of -perjury' ; unde"F-the laws of the State of California, the, information provided on this form is true and correct, t ' I am eligible under Division 3 -:of the Bp iness and Professions Code to accept responsibility for construction, or an authorized representative of the person respon5ibleifor construction (responsible'person). 1 . I certify that the installed features;:ni iferials, 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 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 -11Z that apply to the installation have been met. :. I will ensure that a completed, signed copy of this Installation Certificate shalbbe 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. Company Name: (Installing Subcontractor or General Contractor or Builder/owner) ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC a . Responsible Person's Name.: ,h Responsible Person's Signature: ' Shantel Cain Shorrtel Cain _ CSLB License: 827420 Date Signed: 3/26/2012 position With Company (Title): Reg: 212-A0013719C-M0400001A-0000 Registration Date/Time:`2012/03/28 19:53:32.,•HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms '; August 2009 INSTALLATION CERTIFICATE ,CF-6R-NECH-2I-HERS Duct Leakage Test - Existing. Duct System _ (Page i of 2) Site Address: 54746 Southern Hills - System'1, La Quinta CA 92253 Enforcement Agency: CAty of La Quinta Permit Number: , 12-265 (System 1) Determine nominal Fart_Flow using 6. --of tte follaw� g t F catc lation metCtods y � _'- ✓ ®CooUg system rfiieibod: Size Ott" riser. in rt ris 4�c x 40(i: _ �SflO�CFM - _-.. } = %'} +{IN ✓ ❑ Heatcng=,system metfiodi 73 OuEput Capacttert ousands,ofy� i. This installation certificate.is required for compliance for alterations and additions in existing dwellings to space conditioning systems •and duct systems. Duct Leakage Diagnostic Test - existing duct system ` Select one compliance method from the following four choices. ; 0 1. Measured leakage less than -15% of fan flow , 0 2:. Measured leakage to outside'.less thany 10% of Fan Flow ; 133. Reduce leakage by 600%-and:conduct smoke and fix all leaks, 4: F•ix all accessible leaks using siioke and HERS rater verify _ Note: ":(One ofOptions 11 2 or 3 mirst<ti"e:.attemr)tted before utilizing, Option Determine nominal Fart_Flow using 6. --of tte follaw� g t F catc lation metCtods y � _'- ✓ ®CooUg system rfiieibod: Size Ott" riser. in rt ris 4�c x 40(i: _ �SflO�CFM - _-.. } = %'} +{IN ✓ ❑ Heatcng=,system metfiodi 73 OuEput Capacttert ousands,ofy� i. I[] Meas d.s .stem a �. _....,..-:...;,�� ._�; "r..._... rflo�#est.-�r-nc-eGi�res� . ......._.:..:. ....,`�. ,: ---- --� .r::a...�.:-.::.._ , +•: �%�_ ��= K i' fry"- :>u:, Optid dA - 1 , Alloweii eaka , ._:.. .... .....:.....:...:, :': . I ge —Fan Wrflow;^>>==1:60"0'=�:z�0:15 Actual Leakage..*.- = 126 CFTM+' Pass if Actual Leakage is less than Allowed leakage E3 Pass Fail' Option -2 used then::-.: 2 Allowed leakage = Fa"riAirflow'_x 0.10 =_CFM - Actual Leakage to outside. = s CFM 1 =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 reductionCFM __..,,Reduction ((Leakage reduction _ / Initial leakage ) x 100% = Pass if % Reduction > 600% [3 Pass E] 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 0 Pass 0 Fail ' Reg: 212-A0013719C-M2100001A-0000 Registration Date/Time: 2012/03/28.20:00:24 RERS'Provider: Ca10ERTS,'Inc. 2008 Residential Compliance Forms {: March 2010 .i ' Reg: 212-A0013719C-M2100001A-0000 Registration Date/Time: 2012/03/28.20:00:24 RERS'Provider: Ca10ERTS,'Inc. 2008 Residential Compliance Forms {: March 2010 i ® Outside air (OA) ducts for-Cei'tral Fan -Integrated (CFI)"ventilation systems, shall not be sealed/taped off• s during duct. leakage.testing..CFI-'OA ducts that utilize controlled motorized dampers,.that open only when OA ventilation is required to meet A5HRAE Standard 62.2, and dose when OA ventilation is not required, may r. be configured to -.the dosed'posit'on.dtiring duct leakage testing. EaAll suppkY a x register ivots: s be ea o ttie drywall ► a ce to ;ss: t ttCt dar.zompliance - appliesf -W. act leafage compl r;ce�l�on 3 (leak E Teduetlo�n by 6tI }ands` on 4 z x a11" tcessible leaks deseg bed above .:.: .;: =' ;._. ::. car. - ��?5i:: �:•.:'�r: - .ice %::�:=' �t. - � - - . : r$.. ..'.�-.iY:'�f�:-=,=6. _ . i,. 0 New d��instaltatto�s:•c��ot'uttllzruildiGrg::cavt�'t_es. asspfer�t�tx►s„gtiplatfo:.,tsd .: .....:'-..'=�`� .✓� _torr -W 0101 a� %. t - .: ^.,'..y. Cr .:. ..,.....Ri. �...�.z-..n. r 4"^..�<' c'ti' + _ ._. .y3. . . .,�:..:-: _:.. ......c>z-...... c.+ —.>:.r.. ..,;F?'��._ `�<,`'=:�z�:.j'. 1,-, •fie:;% - '`��-E-.:wS �,�:� ',�i`.= %,� . ® Mastic at�rd draWrbandsrnust<sel~ ectfrtiatiati w cioh=ttackecl rulibei~adh _ .....:,.. ... ..:...:..::.:.:....:--.'.....::':..::.......::'.-.......... eslVe:duct'tape;to seal _ ; leaks at all` evi► iiuct connection;: DECLARATION f. I certify under penalty of perju.ry;'underthe laws of the State of California, the information, provided on this form is true and correct. }Iv . I am eligible under Division 3 of.the B"tininess 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 feitures;'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:. - . 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 7 requirements for the installation. I certify that the requirements detailed on the CF -111 that•apply to the installation have been met. c e I will ensure that a completed, signed copy of this Installation Certificate shall. be posted, or made mmilable 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 induded 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 l,'2010, for all low-rise residential buildings. . INSTALLATION CERTIFICATE. F-6R-MECH-2I-HERS Duct Leakage Test — Existing -Duct System ,T : ,, .. • (Page.2 of 2) Site Address:. • , ' • Enforce Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL SEASONS'AIR CONDITIONING PLUMBING 8: HEATING INC W' Responsible Person's Name: • Responsible Person's .Signature: 54746 Southern Hills -System 1; La Quinta CA 92253 Shantel Cain . ment Agency: Permit Number: (System 1) • ' City of La Quinta > 12-265 • ' Is this installation monitored by a Third Party Quality, Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes' • 'El 'No . i ® Outside air (OA) ducts for-Cei'tral Fan -Integrated (CFI)"ventilation systems, shall not be sealed/taped off• s during duct. leakage.testing..CFI-'OA ducts that utilize controlled motorized dampers,.that open only when OA ventilation is required to meet A5HRAE Standard 62.2, and dose when OA ventilation is not required, may r. be configured to -.the dosed'posit'on.dtiring duct leakage testing. EaAll suppkY a x register ivots: s be ea o ttie drywall ► a ce to ;ss: t ttCt dar.zompliance - appliesf -W. act leafage compl r;ce�l�on 3 (leak E Teduetlo�n by 6tI }ands` on 4 z x a11" tcessible leaks deseg bed above .:.: .;: =' ;._. ::. car. - ��?5i:: �:•.:'�r: - .ice %::�:=' �t. - � - - . : r$.. ..'.�-.iY:'�f�:-=,=6. _ . i,. 0 New d��instaltatto�s:•c��ot'uttllzruildiGrg::cavt�'t_es. asspfer�t�tx►s„gtiplatfo:.,tsd .: .....:'-..'=�`� .✓� _torr -W 0101 a� %. t - .: ^.,'..y. Cr .:. ..,.....Ri. �...�.z-..n. r 4"^..�<' c'ti' + _ ._. .y3. . . .,�:..:-: _:.. ......c>z-...... c.+ —.>:.r.. ..,;F?'��._ `�<,`'=:�z�:.j'. 1,-, •fie:;% - '`��-E-.:wS �,�:� ',�i`.= %,� . ® Mastic at�rd draWrbandsrnust<sel~ ectfrtiatiati w cioh=ttackecl rulibei~adh _ .....:,.. ... ..:...:..::.:.:....:--.'.....::':..::.......::'.-.......... eslVe:duct'tape;to seal _ ; leaks at all` evi► iiuct connection;: DECLARATION f. I certify under penalty of perju.ry;'underthe laws of the State of California, the information, provided on this form is true and correct. }Iv . I am eligible under Division 3 of.the B"tininess 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 feitures;'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:. - . 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 7 requirements for the installation. I certify that the requirements detailed on the CF -111 that•apply to the installation have been met. c e I will ensure that a completed, signed copy of this Installation Certificate shall. be posted, or made mmilable 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 induded 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 l,'2010, for all low-rise residential buildings. . INSTALLATION CERTIFICATE. F-6R-MECH-2I-HERS Duct Leakage Test — Existing -Duct System ,T : ,, .. • (Page.2 of 2) Site Address:. • , ' • Enforce Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ALL SEASONS'AIR CONDITIONING PLUMBING 8: HEATING INC W' Responsible Person's Name: • Responsible Person's .Signature: Shantel Cain Shantel Cain . CSLB License: 827420 Date Signed: 3/26/2012 Position With Company (Title): Is this installation monitored by a Third Party Quality, Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes' • 'El 'No . ' Reg: 212-A0013719C-M2100001A=0000. Registration Date/Time:'2012./03/28 20:00:24 HERS Provider: CalCERTSIjInc. 2008 Residential Compliance Forms - March 2010 } ' Reg: 212-A0013719C-M2100001A=0000. Registration Date/Time:'2012./03/28 20:00:24 HERS Provider: CalCERTSIjInc. 2008 Residential Compliance Forms - March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page i "of 5) Site Address: Enforcement Agency: Permit Number: ' 54746 Southern Hills - System 1, La Quinta CA 92253 City of La Quir 12-265 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 ompliance: 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. ; .Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement ;4 Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is s required for compliance, TMAH are also required for compliance. STNS 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 System Location or Area Served - r LIVING AREAS 1 :® Yes ❑ No :: 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to. Figure in Sectiori RA3.2.2.2.2. ; 2 13 Yes ❑ No ". 5/16 inch (8 mm) access hole downstream of evaporative coil. in the supply plenum - -and labeled according to Figure in Section RA3.2.2.2.2, r Yes to...i_and 2 is a pass. Enter Pass or Faill ✓ 0 Passe.- ✓ ❑ Fail - STMS:.....Sensor on. the Evaporator=:C-otl f , ,:.:: System—.Name*or>I:denification a y1 Y:steiitl�-=✓` - » :4„ `> 3 • y` Yes sepsor is factbr3}t�ii tstalled "or:.Udl' insf-aifeti'acc ding to Manufacturer's -may. .�-, x..34 ... aes , IUa sp tYeations, or is£ fistalled,by n et�iutks/specrficattO $ approv&jW th6' Executive r 01 specifications, or is installed by methods/specifications approved by the Executive R. 4 nsor wire iso rminated.w+lth a�sta and mth� lu '-SUIT fe far�i�connectt-ta: to'a 9.. " h i si ile an errnnx eC2 den' a a``ir�� is acce to _#t e instaa ting.vep-h- A.1 . :Y ._ ..:�9 _ , r The sensor wire is terminated with a standard mini plug suitable for connection to a_ 7 aid they ERS rate tN�tJa :u#:<ehan. tx the ai.mowrt. :Qq h the conde user coil.,_.. 5 .: ❑ Yes..:.. ❑ NoTiie:sehsor measures the saturation temperature of the coil within 1,3 degrees F Yesto.3,,4;: and; 5.<is:za;pass. Enter N{A:.if STMS are not applicable:°::Otherwise enter. Pass orfaif: ✓ • ®N/A , ✓ ❑Pass ✓ [3 Fail STMS - Sensor on the Condense. Coil,' System Name or Identification/Tag: t ,. System 1. The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ❑ No, r v. Reg: 212-A0013719C-M2500001A=0000 Registration Date/Time: 2012/03/28 20:08:22 HERS Provider: CalCERTB, Inc. 2008 Residential Compliance Forms August 2009 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 ❑.Yes ❑ 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 1 ❑ No,, IThe sensor measures the saturation temperature of :the coil within 1.3 degrees F - Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail-,✓ 0 N/A r '; ✓ ❑Pass ✓ . ❑Fail r v. Reg: 212-A0013719C-M2500001A=0000 Registration Date/Time: 2012/03/28 20:08:22 HERS Provider: CalCERTB, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE i CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure A. (Page 2 of 5) Site Address: :, Enforcement Agency: Permit Number: 54746'Southern Hills- System 1, La Quinta CA 92253 City of La Quinta 12-265 • ' Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 550F)' ` . Prooedures 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 accordancewith the manufacturer's specifications before starting this procedure.. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. , Y, t - If outdoor air dry-bulb, is 55°F or below, the installer must use the Alternate Charge Measurement Procedure: Space Conditioning Systems • i :�; System Name or Identification/Tag, ' ' System i be re -calibrated monthly) r I • r F ' .: " ..,:.. Date of.Thernocou letv4libration P _ . d.monthly ,..' s - System Location'or Area Served LIVING AREAS . -....9:=.�-:-;•� y>.. tem erature' T ....:.:..-:_:..:... ... - - a Outdoor Unit Serial # 3711EO316 , ' s• Outdoor Unit Make CARRIER - Outdoor Unit Model is 24ABC648A310 r ' Nominal Cooling Capacity Btu/hr!, 48000 temperature (T 6i returri, wb) `= ' _ 52.8 ! s , Date of Verification 03/28/2012 Calibration' of. Diagnostic Instruments Date of Refrigerant Gauge Calibratioi!r:f::.: 03/21/2012• .(must be re -calibrated monthly) I • r F ' .: " ..,:.. Date of.Thernocou letv4libration P _ . d.monthly ,..' s - �:.:;._..,,...-�:�- �;�,_.::---�,-; Yom- ;�._ :... - - eva :orator__ PPIY:( ..P_.....-:leavatagj=yairrar�=#��tH -- - a..:: I Measured7Tein eratures `.' - : yy :. ams,.. .... .s. .. � .tom.,..:.'::: .. ....................... _Ell - r; System arne'or Identificat as y.'T _Y-. y �•'- I • r F . . I Measured7Tein eratures `.' - : yy :. ams,.. .... .s. .. � .tom.,..:.'::: .. ....................... _Ell - r; System arne'or Identificat as y.'T _Y-. y �•'- I • r F •- ,..' s - �:.:;._..,,...-�:�- �;�,_.::---�,-; Yom- ;�._ :... - - eva :orator__ PPIY:( ..P_.....-:leavatagj=yairrar�=#��tH -- - a..:: . -....9:=.�-:-;•� y>.. tem erature' T ....:.:..-:_:..:... ... - - a ' s• Return (evaporato.r.,entering) air dry4bulb 70.6 - temperature-(Treturn,:db). = 4 r Return (evaporator entering)"air wetz�bulb temperature (T 6i returri, wb) `= ' _ 52.8 ! s , Evaporator saturation temperature..:.-'' 38.9 (Tevaporator, sat) z`. „ Condensor saturation temperature (Tcondensor, 97.6- sat) ttemperaturer line (Tsuction) 5Suction 0.3 •t ti , ` Liquid Line Temperature (Tliquid) ` 86.1" Condenser (entering)„air dry-bulb 79.3 _y temperature R - condenser, db)_ . �` +t .' Reg: 212-A0013719C-M2500001A-0000, Registration Date/Time: 2012/03/28 20:08:22 HERS Provider:. Cal_CERTS; Inc. 2008 Residential Compliance,Forms '. August 2009 �3r I • r F Reg: 212-A0013719C-M2500001A-0000, Registration Date/Time: 2012/03/28 20:08:22 HERS Provider:. Cal_CERTS; Inc. 2008 Residential Compliance,Forms '. August 2009 e Reg: 212-A0013719C-M2500001A-0000, Registration Date/Time: 2012/03/28 20:08:22 HERS Provider:. Cal_CERTS; Inc. 2008 Residential Compliance,Forms '. August 2009 INSTALLATION CERTIFICATE CF-611-MECH-25-HERS Refrigerant Charge Verification Standard Measurement Procedure (Page 3 of 5) Site Address: 7 7Enrcement Agency: Permit Number: 54746 Southern Hills - System 1, La Quinta CA 9225of La Quinta 12=265 'Minimum Airflow Requirement e 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 • g • System 1 , Calculate: Actual Temperature Split =Tretum y 20;70 . f !' db - Tsupply, db Target Temperature Split from Table RA3.2-3 20.9 } i using Treturn, Jab and Treturn, db - ' Calculate difference:. Actual Temperature Split - . _0.2 ' Target Temperature Split = - Passes if difference is between -3°F and +30For, r upon remeasurement, if between -3°F and' PASS -100°F , Enter Pass or Faill Note: Temperature Split Method talculadoh is not necessary if actual coolingcoilAirflow is verified using one of the airflow measurement 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 Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity/ (ton) X 300 (cfm/ton) . r System". Nard@ or: -Identification ate- _ >:; ... ; CalculatAW ddgl�Rmimum AirflrsW;ft �v'::�:r4 �� Measure:{��►flow�duresl- - — . .5sra,.�-'�..':: �..� 4�r•��F:' r .��-f2^i,.5 "3„/ v�is?S�.y.-p��•� "� 3 Passes if me;i iU'ed-=airflow is"greateG<tfian o'r:-,=?5_;•.:.::.- `_ ">:is:; _.- ' :•-: •:..,a:::::.:.. :::'......- :::;.:: -.. equal to the calculated minimum airflow: ' ' Enter<Pass or Fail Superheat Charge Method`Cald lations for Refrigerant Charge Verification.'.This procedure is required to be used for fixed orifice metering device:'systems ° p ; System Name or. Identification/Tag System 1. !' Calculate: Actual Superheat= Tsuction--Tevaporator, sat.• - Target Superheat from Table RA3.2-2 using Tretum, wb and Tcondenser, db ., Calculate. difference: Actual Superheat - Target Superheat System passes if difference is between -5°F and , +5°F, :r I . • 'Enter' Pass or Fail' Reg: 212-A0013719C-M2500001A-0000 Registration Date/Time: 2012/03/28 20:08:22 HERS Provider: Ca_10ERTS, Inc. 2008 Residential Compliance Forms j August 2009 ` i .. it ._ - • . - ', INSTALLATION CERTIFICATE F-GR-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page'4 of.5) ; Site Address: Enforcement Agency: Permit Number:' 54746 Southern Hills..- System' 1; La'Quinta CA 922531 Gty of La Quinta 12-265 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 Calculate: Actual Subcooling Calculate: Actual Superheat = ' Tcondenser, sat.- Tliquid, Tsuction,-Tevaporator, '. Target Subcooling specified by manufacturer 10 Calculate difference: + man ufacturer's:specifications (or use range, Actual Subcooling - Target Subcooling between 4°F and,2S°F if manufactur_e�'s System passes if difference is between specification is not available) -3°F and +30F PASS '::Yxa•::- '�n`.. :iiim"Zs`'� "-�'<4^i ::Z. ::w.xi,:•f:z_%t �:.�.._ ,y_ -:k �.�.�:. �. j x :. Enter Pass or Faill "' ;R - -��.assor•.Fai 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 7 System 1'. Calculate: Actual Superheat = ' Tsuction,-Tevaporator, 11.4 sat':. Enter..allowable superheat range.fr6M--. + man ufacturer's:specifications (or use range, 4-25 between 4°F and,2S°F if manufactur_e�'s specification is not available) System. passe!gif::a.ctu (superheat u,,wit - II I t" '::Yxa•::- '�n`.. :iiim"Zs`'� "-�'<4^i ::Z. ::w.xi,:•f:z_%t �:.�.._ ,y_ -:k �.�.�:. �. j x a owaber- ea r :F:�•--:' p .:tx 2rtge ,�<._..hm-.....-..�-- "' ;R - -��.assor•.Fai : i s „ - F a . ,� r ! , .. • . �� , . � fps j _ • , , ,. Reg: 212-A0013719C-142500001A-0000 Registration.Date/Time-- 2012/03/2820:08:22 HERS Provider: CalCERTS1,1Inc.'- 2008 Residential Compliance.Forms August 2009 INSTALLATION CERTIF 54746 Southern Hills 9 on,- Standard Measurement Procedure Enforcement Agency: 1, La Quinta CA 92253 City of La Quinta -6R-MECH-25-HERS . (Page 5 of 5) Permit Number: 12-265, Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria '(if appficable); 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 i CSLB License: h 827420 Date Signed: 3/26/2012' " Is this installation monitored by a Third Party Quality Name ofTPQCP (if. applicable): Control Program (TPQCP)? p Yes p No., 2'. System meets all refrigerant charge and airflow , requirements. U '� - PASS.' Enter Pass or Fail { _ ' 4 .. R .:t,.: .�:-' _ ':'moi• -.::i: `-' �;p_. _ :: , OR _ xg 3 , k - .:N'f• Fi"'-•y3-.5� _ - ti's _-. r. .tiff: .:111 . -.x-o: r:. -.....>: � s..,... -. .. ,.... is " rk .i�C' ' .. •.:. ria..: c...:..rr r.., .. -..-.- �.: V'�.- a.. , s?:TA;:•Y'. -" -,.02: ' if y J . 5h W. i � I DECLARAft6NI9TA1 MENT • I certify under penalty of'perjury, under the laws of the State of California, the information provided on this form is true and correct. h- • lam eligible under Division 3':of.the .8usiness and Professions Code to accept responsibility for construction, or an authorized representative of the person responsiiile:for construction (responsible person). " i • I certify that the installed features;•:materials, components, or manufactured. devices identified on this certificate (the installation) • , conforms to all apprfcable codes and regulations, and the installation is consistent with the plans and specifications approved by the °y 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 rHERS rater, and.if those installations fail to meet the requirements of such. quality assurance checking, the required corrective action and i additional checking/testing of other installations in that HERS sample group will be performed at my expense. k . I reviewed a copy of the Certificate of Compliance (CF -IR) 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 a understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder n provides to the building owner at occupancy:; I will ensure that all Installation Certificates will comefrom 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)ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Responsible Person's Name: Responsible Person's Signature:., • , ; Shantel Cain' . Shantel Cain CSLB License: h 827420 Date Signed: 3/26/2012' Position With Company (Title): Is this installation monitored by a Third Party Quality Name ofTPQCP (if. applicable): Control Program (TPQCP)? p Yes p No., Reg: 212-A0013719C-M2500001A-0000 Registration Date/Time:.2012/03/28.20:08:22 HERS Provider: CalCERTS, Inc. .. 2008 Residential Compliance Forms August 2009 ,