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13-0064 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000064 Property Address: 44755 VIA ALONDRA APN: 604-032-999-67 -305212- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 26926 Applicant: Architect or Engineer: N0 - 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT i� INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/22/13 Owner - ANDREW CYRUS 44755 VIA ALONDRA LA QUINTA, CA LA QUINTA, CA 92253 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. LicenseClass: C20 License No.: 686310 Date: ( 2 ContracPtor' i L` v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ' (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _) I am exempt under Sec. , B.&P.C. for this reason ' 46ate: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: � x Lender's Address: `N y LQPERMIT p 1 Contractor: ' GENERAL AIR ING 31170 RESER IVEtR e X013 ' THOUSAND PAL CA�219 6 (760)343 748848 Lic. No.: 686 10 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: .I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. l� 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ZENITH INS CO Policy Number Z071741502 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i Date: 22 Applicant: yr ` WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the'City of La Quinta, its officers,'agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180.days from date of issuance of such permit, or cessation.of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date: i j3 Signature (Applicant or Agent) .�sr ' J Application Number.: 13-00000064 Permit MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration -Date •7/21/13 Qty Unit Charge Per Extension BASE FEE 15.00 _2.00, 9.0000 EA MECH B/C <=3HP/100K BTU" 18.00 Special -Notes and Comments REPLACE 1 3TON A/C,,,1 4TON, 2-90K BTU FURNACES -2 COMPLETE SYSTEMS. 2010 CODES. -------------"------------------------------------------7------------ Other Fees -BLDG STDS ADMIN (SB1473) - 1`.00 - Fee summary Charged Paid Credited ., Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 :00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 '42.25 -LQPERMIT. - Oty of La Qui : to RAft et Safety Division Perirllt # P.O. Box 1504,78-495 Calle Tampko V 4.Quinta, CA 92255 -:(760) 77Y-7012 Permlt-Appllcadon'and Building Tracking Sheet Project Adatcss: y U 75S .Q 1 oY. dX-c Owner's Name:.A,\dre-\,) C S A. P. Number. Address: y y -7 S 5 Legal Description: 'City, ST, Zip-CAQ Z Z 53 Contractor.' ` Telephone:Addr= ' 31 -7C) exve Project Description: 3'ro n A C City, sr, zip: a \ s q ZZ'7co . y k.r A' .z 4 O k 13T v Telephone. '7(00 - 3c4 3 --74 F ,R State Lit. #: Arch., EW., Deslgner Address City., ST, Zip: Telephone: Construction Type:. Ocatpancy: State Lie. #' Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. EL: #Stories # Unit;: telephone # of Contact Person Estimated Value of Project APPLIcANIT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Beed TRACMG PERMrr FEES Pian Sett Plan Chest submitted ItemAmoaat Strndaial Cates.Reviewed, ready for corrections Plan Check Deposit. Thus Cala. Called Contact Person Plan Cheek Balance Titre 24 Calec Pians picked up Construction Flood plain plus Plans resubmltted Ma6aritcsl Grating plan 2'! Review, ready for torreetionsfusue Electrical Subeontattor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.L iLO.A. Approval Plans resubmitted Grading IMN ROUS Review; ready for eorreetionsrusue Devdoper lmpaet Fee Planning Approval. Called Contact Person Pub. Ms. Appr ' Date of permit Issue School Fees Total Permit Fees Simplified Prescriptive'Certificate of Compliance:,2008 Residential HVACA/terations CF -lit -ALT -HVAC Climate Zones 10 - 15` AN - Site Site Address: • Date: Permit,*: •, 44755 VIA ALONDRA,La Quinta, CA 92253 Cityof La Quinta. Jan 21,•2013 - EquipmentTypel • U - - List Minimum Efficiency2 Duct insulation. -requirement Conditioned Floor Area' - .' -^ - Thermostat_ ❑ Package Unit - .. .,-. ! • 1 1 Simplified Prescriptive'Certificate of Compliance:,2008 Residential HVACA/terations CF -lit -ALT -HVAC Climate Zones 10 - 15` AN - Site Site Address: Enforcement Agency:. Date: Permit,*: •, 44755 VIA ALONDRA,La Quinta, CA 92253 Cityof La Quinta. Jan 21,•2013 - EquipmentTypel • U - - List Minimum Efficiency2 Duct insulation. -requirement Conditioned Floor Area' - .' -^ - Thermostat_ ❑ Package Unit - .. .,-. ® Furnace ® AFUE 78% [3 COP T Y R 6 (CZ 10-13)` Served by system ® Setback ® Indoor,Coil ®SEER 13.0. ❑ HSPF O R 8 (CZ 14-15) 2731 sf `�' If not already present, moist 6e " ®Condensing Unit Q EER Ll Resistance installed) 13 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 Ef ciencies: 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 fad the work completed by the installer. The inspector also verifies that each appropriate CF -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 11 2010, a registered copy of the CF -1R.. 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 and (for split systems) MECH-25 ' • Condenser Coil and /or • Indoor Coil and /or CF•6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS, ` • Furnace CF -411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Dud leakage..'..15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH, r , J Exempted from dud leakage testirib f:: -, p1: Duct-system:was documented to have been previously sealed and confirmed through HERS verification, or 1i 1•'. [3'2 Duct systems with less tha40linear feet in unconditioned space, or r '03. Existing dud systems are'crinstructed, insulated or sealed with asbestos E . �:4: The etnwili not be Ducted' ie:. ct�ess'Mini- lit �ysterra 1isoExerra tfiom- ,e r e. snit. char e p - . O 2. New�MdAC' em Re vin:. .::...:.. .. ::: . .Cut in o , 'Sngeout with �' �Fs�;61oi-nis %44 -04, ME 20 HERS, and (€ar split syS e}rts) MEC1 2 FtERS, new ducts ,`(ail new ... ter.:-.:. .d.... -r '^�y. -3 For Split Systems: buct a Aqe b percents RC, CCA�z 3stt CFN}ftctti� FWD, TMAH, a�MS; and eCther HSPP or P. For Packagetl`Clnits: Duct leakage <; &: e�cerrt' } ":::':'.:.::.:.,:.:..........:.....:.: :..... • ..: •.. ::.._... , ..:: r ":-' ..P _ ,,.....> 03.. D.yick� uvi /or wrthothtS : ?: ,• Required Forms: RepFaCerient':'::::::':::?`.:";:: . includes replacing or installing. all new Y ' ducting and/or outd6or,ndenstpg: unit co CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems): MECH-25-HERS and/or indoor coil and/or furnace ;IVo ar some CF -4R forms: MECH-20 and (for split systems), MECH-25 r equipment changed. �. For Split Systems: Dud leakage < 6 percent; RC, CCA a 300 CFM/ton, TMAH ' - For Packaged Units: Dud 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 p EXCEPTION' 'Existing dud 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. , . .r - • I certify that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the K . 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. "I Name: Danielle Garcia Signature: Danielle Gwcia - Company: HARRISON ENTERPRISES INC Date: Jan.21, 2013 'r Address: 31-170 RESERVE DRIVE STE A ,' a License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 'Reg: 213-A0004224A-000000000-0000 -Registration Date/Time: 2013/01/21`22:31:03 HERS Provider: CalCERTS, 'Inc. , 2008 Residential Compliance Forms i +' '` July 2010 . INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 (System 1) City of La Quint a 13-64 Enter the Duct System Name or Identification/Tag: 3 TON Enter the Duct System Location or Area Served: KITCHEN Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. . stallation certificate is required for compliance for alterations and additions in existing dwellings to :onditioning systems and duct systems.' - Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. ti ® 1. Measured leakage less than 15% of fan flow , 2. Measured leakage to outside less than 10% of Fan Flow - - t O 3. Reduce leakage by 60°/ and conduct smoke and fix all leaks �. i] 4., Fix all accessible leaks using;smoke and HERS rater verify 4 Note',(One of Options 1, 2 or 3 must be'attempted before utilizing Option 4.) Determine nommaUa-nn Flow using one of -the following three calculation methods ✓ ®Coolin/g system method Size of onde ser in Tons 3'x 400 1200 C[ ✓ f] Heating system method1:T x Output Capacity in Thousands of.Btu/hr, ._ CFM � •"�'l•'•K'r C - '- � �• � e$ P y,F •' •- n 2 • F" ' .�,' 2 �,- ' - g^.,,"'l, e+". ✓O Measured airflowystem ausing RA3'3 airflowftestjprocedures:—CF,M �a^---w""' y P us6th enFa:° .A "•1200 , 1A Allowed e'ge n rfl&;v +x 0.15 Actual Leakage 176 CFM s' r ,Pass if Actual Leakage is less than Allowed leakage ® Pass Fail = Option 2 used then: 2 Allowed leakage. = Fan Airflow ` x 0.10 = _ CFM J Actual Leakage to 6u6ide = °k CFM Pass if Actual leakage,to outside is less than Allowed leakage Pass ❑ Fail ' Option 3 used then:' Initial leakage prior to start of'work = CFM ; Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction CFM ((Leakage reduction _/ Initial leakage x 100% _ % Reduction - Pass if % Reduction >= 60% Pass Fail 4 Option 4 used then: All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). - Pass if all accessible leaks have been repaired using smoke Pass rl Fail Reg: 213-A0004224A-M2100001A-0000 Registration Date/Time: 2013/01/31 21:09:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta,CA 92253 (System 1) City of La Quinta 13-64 • ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFIIOA ducts that utilize controlled motorized dampers, that open only when OA '• ventilation, is, required to meet:ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured,t-o the closed position during duct leakage testing. ® All supply and-treturn register boots must,be,sealedA%the drywall„�f� moke test istutilizedtfor compliance - applies to duct leakage compliance option3:,(leakage reduction hy,60%)andloptlon`4 (fix all accessible leaks descnbed�ab'ove- t +< F•� � ®New duct installations cannotiutilize building cavities as plenums or platform returns inrlieu of ducts"`"''” ' ® Mastic?and draw bands must,be used imco`m_binationlWith,cloth backed;rubber adhesive duct tape to seal leaksatall new'duct connections' DECLARATIONSTATEMENT . I certify under penalty of perjury; undenthe laws of the State of California, the information provided on this form is true and correct. ' . I am eligible under Division 3 o the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). ' . I certify that the installed features;i.materials, components, or manufactured devices identified on this certificate (the installation) M. conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the' enforcement agency. . I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. e I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the y . • } building permit(s) issued for the building, and made available to the enforcement agency for, all applicable inspections. I _ understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder , provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia • - CSLB License: Date Signed: Position With Company (Title) - 686310 1/22/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes - ❑ No , I" Reg: 213-A0004224A-M2100001A-0000 Registration Date/Time: 2013/01/31 21:09:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms,', March 2010 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with _ the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance.' As many as 4 systems in the dwelling can be documented for compliance using this form.'Attach an additional form(s) for t: r any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) , Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or T 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 3 TON . System Location or Area Served WHEN _ 1 ® Yes ❑ No F 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. 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;l.;and 2 is a pass: *.. €' Enter Pass or Faill ✓ ® Pass ✓ ❑ Fail .r STMS'_ Sensor on.the Evaporator Coil_;, System`Name o"r.Identification/Tags tl-"-11. �-,t,13:TON ,1-1v� 3 ,� E. ❑Yes -• p No �. The sensor is factory instated; or field installed according to manufacturer s specifications, or is installed by methods/speafications approved by the Exec -i" "^ ❑ Yes ❑ No x Director. - 4 a ❑ Yes No The sensor.wiire is terminated .with a standard mini lug suitable for connection to� digital thermometer: The ". ❑ 6 sensor mmi,plug is accessible to the installing technician and,the HERSrater: without changing' he airflow thr669 h the condenser coil 5 .' ❑ Yes ._ ❑ No T,he sensor. measures the saturation temperature of the coil within 1.3 degrees F _7 Yes to,,3i 4;'and'S,is aspass. EnterN/A'if STMS are not applicable-Otlierwise enter. Pass orj;FaiF ✓ ®N/A ✓ ❑Pass ✓ [3 Fail d.w STMS - Sensor on the Condenser: Coil r, , System Name or Identification/Tag'_- 3 TON The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ 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 _T ,i ®N/A ,/ p pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail.' r Reg: 213-A0004224A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:12:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 • - 3 TON (must be re -calibrated month) i , V- i1 System Location or Area Served KITCHEN . , •c# f (must be re -calibrated monthly) , Supply. (evaporator leaving) air dry -bulbi �° ' 3 _ 50 � " 'ti +► Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. - Space Conditioning Systems System Name or Identification/Tag 3 TON (must be re -calibrated month) ' System Location or Area Served KITCHEN . , •c# f (must be re -calibrated monthly) , Supply. (evaporator leaving) air dry -bulbi �° ' 3 _ 50 � " 'ti +► Outdoor Unit Serial # 5812E06989 �„ � , A?1Y �, Y Outdoor Unit Make LENNOX , Outdoor Unit Model XC21-036 - Nominal Cooling Capacity Btu/hr.�. 36000 temperature (Treturn, wb)" # Date of Verification 1/29/2013 Condensor saturation temperature. 69 Calibration Diagnostic Instruments Date of Refrigerant Gauge Calibration: 1/1%2013 (must be re -calibrated month) M r., Date of Thermocouple:Calibration .•,,. , •c# f (must be re -calibrated monthly) , Supply. (evaporator leaving) air dry -bulbi �° ' 3 _ 50 Measured Temperatures(°F) tf � t" ./s. �, �., s �, . >.. System Name or Identification Ta .. 3 TON 3 "F M h Supply. (evaporator leaving) air dry -bulbi �° ' 3 _ 50 � " 'ti +► temperature (TS'�PPIY db) 3 "'' '�x "";ter ° x r. � �, �„ � , A?1Y �, Y Return (evaporator entering) air dry-bulb- 74 , temper ature;(Treturndb)'^?'' . Return (evaporator entering)'air wet -bulb 55 temperature (Treturn, wb)" # Evaporator saturation temperaturesx'S (Tevaporator, sat) 37 Condensor saturation temperature. 69 (Tcondensor, sat) + Suction line temperature (Tsuction)' 58 Liquid Line Temperature (Tliquid) 63 ` Condenser (entering) air dry-bulb . 66 temperature (Tcondenser, db) ' t M h } 'Reg: 213-A0004224A-M2500001A-0300 Registration Date/Time: 2013/01/31 21:12:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure, (Page 3 of 5) Site Address:, Enforcement Agency: Permit Number: 44755 VIA ALONDRA, Le Quinta CA 92253 City of. La Quint a 13-64 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 3 TON �... ; Calculate: Actual Temperature Split = Treturn, db 24.00,. ! - Tsupply, db - Y Target Temperature Split from Table RA3.2-3 22 using Treturn, wb and Treturn, db 1 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 -100°F PASS Enter Pass or Fail . 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"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) System: Name �or Identification/Tag I` { "~ ON .rt 3 T� � �.l"++ar3. p.•d s. `�S`:. �"" ii.'4�'�: �':: 5�'��Y: •t x" f ti .% 'E E'.�i.,sj. �_.. _ Calculated Minimum Airflow. Re uirement CFM " ."$' x '+w Measured Airflow using,RA3, 3 procedures(CFM) a,. . Passes if measured airflow is,greater than or. equal to the calculated minimum airflow ::n;,. -, ,pz -! �r requirement En#er..:Pass or Fail i4F`7'4 - Superheat Charge Method,Calculations for Refrigerant Charge Verification. This procedure is required to,be used for fixed orifice metering device• systems System Name or Identification/Tag 3 TON �... ; Calculate: Actual Superheat = ! Tsuction - Tevaporator, sat. Y Target Superheat from Table RA3.2-2 using . Treturn, wb and Tcondenser, db 1 Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and • Enter Pass or Fail . Reg: 213-A0004224A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:12:97 HERS Provider: CalCERTS, Inc. ' 2008 Residential Compliance Forms August 2009 , INSTALLATION CERTIFICATE I CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 City of La Quinta 13-64 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 3 TON Calculate: Actual Subcooling = 6.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 4 Calculate difference: Actual Subcooling - Target Subcooling = 2 System passes if difference is between - -3°F and +3°F PASS_ ' Enter Pass or Fail ",L. , kPASS�. �1k,�"�� z ��ti� 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 3 .TON Calculate: Actual Superheat = 21.0 Tsudion - orator, sat ' . :4 Enter allowable superheat. range from manufacturer's'specifications (or use range 21 between 4°F and 25OF.if manufacturer's, - specification isnot available)s;.,_ System..passes if,'ktual'superheat is withimthe;Y allowable superheat range , ",L. , kPASS�. �1k,�"�� z ��ti� - ,` • Enter�Pass or Fail �±� � .�:x w� �..,.-.. t t t Y za', SY ETiyY '4- . k r - r Reg: 213-A0004224A-M2500001A-0000 Registration Date/Time: 201.3/01/31 21:12:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms -August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 City of La Quinta' 13-64 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 3 TON CSLB License: 686310 Date Signed: 1/22/2013 Position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No requirements. PASS Enter Pass or Fail 4 ' � _, gzMe DECLARATION STATEMENT, • I certify under penalty of perjury, un, eirthe laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features;`materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am • required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data reoistry for multiple orientation alternatives, and beoinnino October 1. 2010. for all low-rise residential huildinns. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: Danielle Garcia - Danielle Garcia CSLB License: 686310 Date Signed: 1/22/2013 Position With Company (Title): Is this installation monitored by a Third'Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? ❑ Yes ❑ No Reg: 213-A0009224A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:12:97 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 c,. 4 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 (System 1)1 City of La Quint a 13-64 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System." Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. ❑ 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2, or 3 must be attempted before utilizing Option 4.) Determine nominalfan, Flow using one, -of the followingAhree calculation -methods. " ✓ 13 Cooling sy"stem method: Size of condenser in Tons _ x400= _ CFM y j , ✓ ❑ Heating system method 2 7 x _ Output Capacity in Thousands of Btu/hr = =r CFM - �_ ✓ ❑ Measured system airflow. using RA3.3 airflow,•test,`procedures: CFM - ) Option 1 used then:.:. 1 Allowed leakage = Fan Flow _ x 0.15 = _ CFM = Actual Leakage = _ CFM - Pass if Leakage Actual is less than Allowed ❑ Pass ❑ Fail Option 2 used then: 2 Allowed leakage = Fan Flow_ x 0.10 = _ CFM Actual Leakage to outside = — CFM Pass if Leakage Actual is less than Allowed ❑ Pass E3 Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction_CFM ((Leakage reduction _/ Initial leakage x 100% = /o Reduction Pass if % Reduction >= 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been repaired using smoke Pass Fail Reg: 213-A0004224A-M2100001A-M21A Registration Date/Time: 2013/02/06 20:18:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. GENOA ducts that utilize controlled motorized dampers, that open only when OA ventilation-is.required to"meet ASHRAE Standard 62.2, and close when,OA ventilation is not required, may be configured to,fhe closed position during duct leakage testing. ❑ All, supply,andtreturn register; boots-must�Tbersealedyto«the drywalliif;smokeTtest istutilized7for-compliance , -applies to duct'leakage compliance�optlon I(leakage reduction by, 60%) :and�option;4 (fix al accessible leaks) described above. 7 { x k . ❑ New duct Installatlons`cannot?.utlllze building cavities as plenums. or platform irdurns In lieu '—of ducts .. ❑ Mastic`antl}draw bands must be,used;in combination with;cloth bac kedirubber,adheslve.1duct tapekto seal • leaks:2t ali new`. duct connections zr DECLARATION•STATEMENT . I certify, under penalty of perjury; under the laws of the State of California, the information provided on this form is true and correct. _ . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). t' . The installed feature, material; component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC �t ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. GENOA ducts that utilize controlled motorized dampers, that open only when OA ventilation-is.required to"meet ASHRAE Standard 62.2, and close when,OA ventilation is not required, may be configured to,fhe closed position during duct leakage testing. ❑ All, supply,andtreturn register; boots-must�Tbersealedyto«the drywalliif;smokeTtest istutilized7for-compliance , -applies to duct'leakage compliance�optlon I(leakage reduction by, 60%) :and�option;4 (fix al accessible leaks) described above. 7 { x k . ❑ New duct Installatlons`cannot?.utlllze building cavities as plenums. or platform irdurns In lieu '—of ducts .. ❑ Mastic`antl}draw bands must be,used;in combination with;cloth bac kedirubber,adheslve.1duct tapekto seal • leaks:2t ali new`. duct connections zr DECLARATION•STATEMENT . I certify, under penalty of perjury; under the laws of the State of California, the information provided on this form is true and correct. _ . I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). t' . The installed feature, material; component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: ; Danielle Garcia 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 385941 TO tested/verified dwelling ® not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798725045 HERS Rater Company Name: - Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/29/2013 CC2006208 y Reg: 213-A0004224A-M2100001A-M21A 'Registration Date/Time: 2013/02/06 20:18:12 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERI'IFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING - CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 City of La Quint a 13-64 y Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as,4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or ; replacement space -conditioning systems that utilize prescriptive compliance method.. , TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag • System 1 System Location or Area Served Whole House 1 ❑Yes • 13 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. 2 E3 Yes 13,6 : 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 tomi:and2 is -a pass:•,:' ^. ; Enter Pass or Fail ✓ ❑Pass ✓ ❑Fail STMS=;Sensoronthe Evaporator Goll System Nameor. Identification/Tagg t"'"`► x t�!,r<�' 3 F,. 'Yes � No 1 The sensor is factory �installlled,'or�fieldjnsta[led- accord in' g to manufacturers ❑ Yes 13 El:. vier'' specifications, or is installetl by metho&i pecifications'approved by the'Executive Director. Director. 4` Yes. e . The sensor wire is terminatedMith a. standard mini plug suitable for connection,�to a digital 'thermometer.' ❑ Yes „❑ ❑.No Thesensor mmi.plug is.-accessibie:to the;installing�technic an +r ''� � ' r and the.HERS,rater;without changing the airflow th"nough the'condenger coil^ 5 Yes, ; [3 No 'f When attached to a digital thermometer, the sensor provides an indication of the rte❑ saturation temperature of the coil. saturation temperature of the coil. Yapplicable. Otherwise enter: es to 3; 4, and:5 is a pass. Enter N/A if. STMS are not Pass orFail' ✓ [3N/A ✓ ❑ Pass ✓ p 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. 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 When attached to a digital thermometer, the sensor.provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ®N/A ✓ E3 Pass ✓ '0 Fail applicable. Otherwise enter Pass or Fail Reg: 213-A0004224A-M2500001A-M25A Registration.Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 J System 1 (must be re -calibrated monthly) S . Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. k • 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 Charge Measurement Procedure. Space Conditioninq Svstems System Name or Identification/Tag System 1 (must be re -calibrated monthly) System Location or Area Served Whole House "`ter '� `� , „� ' , (must be re -cal bratedmonthly) ze, Outdoor -Unit Serial # �! Outdoor Unit Make, Outdoor Unit Model Nominal Cooling Capacity Btu/hr's ' Date of Verification Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration: System (must be re -calibrated monthly) Date ofThermocou Calibration ple1,, E_a "`ter '� `� , „� ' , (must be re -cal bratedmonthly) ze, Supply: (evaporator.leaving') air, dry-bulb-. uut�7� t�MauiIc — ray} r d'i� System Name or Identification/Tag System E r IZ Supply: (evaporator.leaving') air, dry-bulb-. temperature (TSuPP IY, db) — ray} r d'i� System Name or Identification/Tag System IZ Supply: (evaporator.leaving') air, dry-bulb-. temperature (TSuPP IY, db) Return (evaporator ehtering) air dry-bulb temperature,(Treturn; db) ,fit Return (evaporator entering) air wet sbulb temperature (Treturn wb) Evaporator saturation temperature r' (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) - Suction line temperature (Tsuction) ' Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 213-A0004224A-M2500001A-M25A Registration Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Minimum Airflow Requirement Temperature Split Method Calculations for determiningMinimumAirflow Requirement for Refrigerant Charge Verification. The temperature split methodis specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag r y Calculate: Actual Temperature Split = Treturn, db - _ - - Tsupply, db `" J Target Temperature Split from Table RA3.2-3 using - Treturn, Wb and Treturn, db Calculate difference: Actual Temperature Split - Minimum Airflow Requirement Temperature Split Method Calculations for determiningMinimumAirflow Requirement for Refrigerant Charge Verification. The temperature split methodis specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag r Calculate: Actual Temperature Split = Treturn, db - - - Tsupply, db `" J Target Temperature Split from Table RA3.2-3 using - Treturn, Wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F A Enter Pass or Fail 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 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) " a .4 S stem;Name or Identification Ta ' , ,e. Calculated Minimum AiA w Requirement (CFM) Measuredy'Airflow usingilRA3■.3 pr cedure(CFM) w ` � �jppCp�, ys `'!r Passes'if measured: airflow is greater than or equal ;; ,•.,< r,;. " , to the calculated minimum airflow requirement.---" , "Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag';'.' Calculate: Actual Superheat = Tsuction - !evaporator, sat `" J Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = r System passes if difference is between -6°F and +6°F Enter Pass or Fail r• Reg: 213-A0004224A-M2500001A-M25A ,Registration Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge.Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 7�7 44755 VIA ALONDRA, La Quinta CA 92253 City of La Quint a 13-64 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 . Calculate: Actual Subcooling = Tcondenser, sat- Tliquid' Target Subcooling specified by manufacturer Calculate difference:' Actual Subcooling - Target Subcooling = ' System passes if difference is between -4°F and +4°F ' ' • Enter Pass or Fai f A 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 Calculate: Actual Superheat = Tsuction -Tevaporator, sat P, Enter allowable superheat range from; . ; manufacturer's specifications (or use range between 3°F and 26°F if manufacturers specification is not available):: System passes,if actual; superheat is"withinlhe "7 allowable su erheat ran e nz* P 9 f A Enter,Pass or Fail Y k .: ;� { � '•AM- . d - Reg: 213-A0004224A-M2500001A-M25A .Registration Date/Time: 2013/02/06 20:21:36 HERS Provider:-CalCERTS, Inc. 2008 Residential Compliance'Fo=ms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification —Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA, La Quinta CA 92253 7 -City of La Quinta 13-64 Standard Charge Measurement Summary: . A - •r 4, 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 686310 , HERS Provider Data Registry Information - Sample Group # (if applicable): 385941 ❑ tested/verified dwelling System meets all refrigerant charge and airflow a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798725045 , HERS Rater Company Name: requirements. Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams , Enter Pass or Fail Date Signed: 1/29/2013 - , < � i C } • t, i'' ._.S'-• w. 'ek k -_b• `a '�',, ryx� • r%L �- :3e '* &''xyfi v Y .. rx�.. `� ,,.,...•+. ,.,p ,�_ � •..,,. a � �<tz. '� � r;..,y�''-M1. � • �.� � j � �� - y, gy�ypp.� • TO ^''lee• ._ ... '�ii'.}• _• �.,t#j.-. � • • e- , DECLARATION STATEMENT s • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the - enforcement agency. ' Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC , Responsible Person's Name: CSLB License: . Danielle Garcia 686310 , HERS Provider Data Registry Information - Sample Group # (if applicable): 385941 ❑ tested/verified dwelling ® not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798725045 , HERS Rater Company Name: Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams , Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/29/2013 CC2006208 Reg: 213-A0004224A-M2500001A-M25A Registration Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 - i Site Address: 44755 VIA ALONDRA La Quinta CA 92253 (System r Permit Number: , 1� City of La Quinta. 13-64 ✓ ❑ Heating system method 21:1 x 1 Output•Capacfty fn Thousands of Btu/hr CFM ✓ ❑Measured system airflow using:RA3,3 airflow test procedures: CFM, �" INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 44755 VIA ALONDRA La Quinta CA 92253 (System Enforcement Agency: Permit Number: , 1� City of La Quinta. 13-64 Enter the Duct System Name or Identification/Tag:'4 TON' Enter the, Duct System• Location or Area Served: BEDROOM Note: Submit.one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. . This installation certificate is required for compliance for, alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they, can be sealed. For a completely new or replacement duct system installed in an existing dwelling,' use' the Installation Certificate -titled "Duct Leakage Test - Completely New or Replacement Duct System. " I YYGC LCd KagC UlaNi WILIG 1 C,C - CAIbUnq OYGI ,ysaCF" Select one compliance method from the following four choices. ® 1. Measured leakage less than 15% of fan flow r ❑ 2. Measured leakage to out5ide'less than 10% of Fan,Flow , ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4 Fix all accessibleleaks using smoke and HERS rater verify - x a Note: -`(One of Optiops 1, 2 or 3 must be :a..ttempted,before utilizing Option - Determine nominal Fan -Flow using bhe` of the following three calculation methods f rb F ✓ Cooling system method Size of condenser' Tons 4 x 400 ) 1600 CFM - ✓ ❑ Heating system method 21:1 x 1 Output•Capacfty fn Thousands of Btu/hr CFM ✓ ❑Measured system airflow using:RA3,3 airflow test procedures: CFM, �" Option 1 used then.:: v Allowed leakage =Fan Airflow' 1600 r x 0.15 "'240' Actual Leakage— 203 CFM . �,, Pass if Actual Leakage is less than Allowed leakage ®Pass [3 Fail Option 2 used then:"•.v 2 Allowed leakage 'FarrAkowa x 0.10 = _ CFM Actual Leakage to outside. __' CFM *, w TPass if Actual leakage to outside is less than Allowed leakage ❑ Pass Fail ' Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = _ CFM 3 • Initial leakage_ - Final leakage'_ = Leakage reduction - CFM' ((Leakage reduction _/ Initial leakage x 100% _ 0/4 Reduction Pass if % Reduction >= 60% Pass Fail' Option 4 used then: 4 . All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). ' Pass if all accessible leaks have been repaired using smoke Pass Fail f Reg: 213-A0006811A-M2100001A 0000 4Registration Date/Time: 2013/01/31 21:19:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance.Forms - March 2010 r Reg: 213-A0006811A-M2100001A 0000 4Registration Date/Time: 2013/01/31 21:19:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance.Forms - March 2010 r INSTALLATION CERTIFICATE' CF-6R-MECH-2I-HERS Duct Leakage Test- Existing Duct System (Page 2 of 2) Site Address:• 44755 VIA ALONDRA La Quinta�CA 92253 (System Enforcement Agency: Permit Number: , 1) City of La Quinta 13-64 ® Outside air (OA) ducts for Central Fan'Integrated (CFI) ventilation systems, shall not be sealed/taped off. during'duct Ieakage,testing."CH OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet AS.HRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. N All supplykand,eeturn register -boots must,be�seaIed to the drywall,if smoke test is utilized for,compliance = applies�to duct leakage compliance option 3 (leakage reduction by 60%) and'option4(flx all accessible leaks) d'`escntied above, ' )y_Sfix 9IF ® New duct mstallatioiny�srcann[Jot utilize building cavities aajs plenumfs,orp�Iatform returns ihdieu of -ducts m1.+�'S� � v � �'pr�� Y �� . • � ' ® Mastic and,draw?bandsmust`be used in,com`bination;with`icloth;backed rubber adhesive duct tape to seal leaks at all new duct connections 4P, DECLARATION STATEMENT - ) `t• . I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized . representative of the person responsible for construction (responsible person). , . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)` conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS M ,rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -SR that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the, building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder - provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC ' Responsible Person's Name: Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: Date Signed: Position With Company (Title): 686310 • 1/22/2013 Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): . Control Program (TPQCP)? ❑ Yes ❑ No Reg: 213-A0006811A-M2100001A-0000 Registration Date/Time: 2013/01/31 21:19:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 { 7-0 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. , „r. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for " any additional systems in the dwelling as applicable: Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) - Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler y , System Name or Identification/Tag 4 TON System Location or Area Served BEDROOM 1 ® Yes - ❑ No .- 1 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. 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,i_and 2 is a pass. _:' r, } Enter.Pass or Faill ✓ ® Pass ✓ ❑ Fail STMS =, Sensor on the Evaporator Coil. �,k K - System 'Name, or Identification/Tag"1 �,.,r' 3 Yes p:No The sensor is factory installed `or field installed; according to manufacturer s specifications, or is installed by methods/specifications approved*by the Executive �- ❑ Yes ❑ No specifications, or is.installed by methods/specifications approved by the Executive ' Director.The 4 '`�❑ Yes t p No sensor wire is terminated with a standard mini plug suitable for connectionEto ar' yS.. ? r 3 Y1. digital thermometer' ,,,��"''�' The sensor mini plug is accessible t84h"i install ing��technician ❑ Yes -- ax :._. „< <„3 and the HERS r6t6r with'6ut"ch6ndi6g,the airflow through the condenser il bo 5 ❑Yes _ ' ', .❑ No c: ±The sensor measures the saturation temperature of the coil within 1.3 degrees F . Yes to1-;4; and`5 is a pass: Enter N/A if STMS are not applicable`..Othe•rwise enter Pass of Fail; ® N/A ✓ -❑ Pass ✓ [3Fail ✓ ®N/A • ✓ ❑Pass ✓ [3 Fail applicable. Otherwise enter Pass or, Fail .,; u STMS - Sensor on the Cond nserCoil System Name or Identification/Tag 4 TON - 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 ' Di rector. 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 []Y s ❑ 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 • ✓ ❑Pass ✓ [3 Fail applicable. Otherwise enter Pass or, Fail .,; F ' Reg: 213-A0006811A=M2500001A-0000 'Registration Date/Time: 2013/01/31 21:29:36 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55°F) _ Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. - • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag 4 TON (must be re -calibrated monthly) Y System Location or. Area Served BEDROOM �"� � '" ""'w".s`",. :"^ 1/1/2013 (((ymust Z w+,� i t.�`'• be+�re-calibrated monthly) Y Outdoor Unit Serial # 5812301269 " Outdoor Unit Make LENNOX < Outdoor Unit Model XC21-048 1 Nominal Cooling Capacity Btu/hr ' ` F 48000 Date of Verification II� 1/29/2013 , Calibration of Diagnostic Instruments• • Date of Refrigerant Gauge Calibration:'_. 1/1/2013 (must be re -calibrated monthly) Y �Name 'ti. � 13 �� Date of Thermocouple Calibration , ' ..a„ i�.++vA�" �"� � '" ""'w".s`",. :"^ 1/1/2013 (((ymust Z w+,� i t.�`'• be+�re-calibrated monthly) •.,y o _ 6. tR V.!( w7:' :; 5:� 4 .Bi �`I .^`_7k `�- T.. 0 Measured Temperatures(,°F)t,�/; '1 M �3 �+ar a� F :i ; 0. System or Identificaytion/Tyao 4 TONeew �Name Supply,(evgporator leavin air d bulbi " temperature (TsuPPIY, a6)' 7, Return (evaporator entering) air dry-bulb temperature,(Treturn,I db) 74 Return (evaporator entering) air wet -bulb '^.' 55 temperature ( erature Treturn, wb) * > ^' r �;. e Evaporator saturation temperature ti 41 (Tevaporator, sat) Condensor saturation temperature 72 (Tcondensor, sat) Suction line temperature (Tsuction) 54' Liquid Line Temperature (Tliquid) 63 Condenser (entering) air dry-bulb - 67 w temperature (T condenser, db) Z • ' Reg: 213-A0006811A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:24:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 ' INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA , La Quinta CA 92253 1 City of La Quint a 13-64 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 4 TON Calculate: Actual Temperature Split = Treturn, db 23.00 ' - Tsupply, db Target Temperature Split from Table RA3.2-3 22 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split - 1 Target Temperature Split = .' Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and -100°F PASS Enter Pass or Fail , - 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'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) fr System Name or Tdentification/Tag - `.-.9 ',�._?". 4=TON � .. �is�,, a•'�',`...� � x'"�?�' �, ._�„'T 3Y'.ti kt F"i�•� Calculatetl:Minimum Airflow�Requirement (CFM) ` Measured'Airflow using RA3 3 procedures (CFM) 417 Passes if measured,airflow is'greater than orro" Irt equal to the calculated minimum airflow .,; c. requirement r' ;, ;t Ente! A ass or Fail .r . _ .)", -1 r.. ' . - Superheat Charge Method, Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device, Systems System Name or Identification/Tags 4 TON Calculate: Actual Superheat = Tsuction - Tevaporator, sat 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 Fail r Reg: 213-A0006811A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:24:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009' r � INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA , La Quinta CA 92253 City of La Quinta 13-64 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 4 TON Calculate: Actual Subcooling = 9.0 { Tcondenser, sat - Tliquid ' Target Subcooling-specified by manufacturer 9 Calculate difference: 0 Actual Subcooling - Target Subcooling— _ System passes if difference is between -3°F and +3°F PASS' �� w ` Enter Pass or Fail `. f • ate.:....._ 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 4 TON Calculate: Actual Superheat = 13.0 Tsuction - Tevaporator, sats= ' Enter allowable superheat range from manufacturer's specifications (or use: range 13 between 4°F and 25°F if manufacturer's specification is not available) Systema passes ifactual',superheat is�withmithe allowable superheat range°��` (... PASS ;rAJ( �� w K . rEnter Pass=or Failm:o `. f • ate.:....._ 3 � r � ' � s cs a• 5. e ix '` � 1. Reg: 213-A0006811A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:24:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 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 4 TON CSLB License: 686310 Date Signed: 1/22/2013 position With Company (Title): System meets all refrigerant charge and airflow Name of TPQCP (if applicable): x Control Program (TPQCP)? ❑ Yes ❑ No - requirements. . PASS Enter Pass or Fail - •; • }'� f�---'x-''l` `ii - . IF � ' "'_:� 'R 1 �.. `[Ji�S p.�� ' � i � 4° ��i'y, f.i.. ,f #� :E� '1i ' - `v, vr..F}+r•�, yyt;' • • f� i r F d d S �P # M �..�w � � � �y > . n s . r ,. �: ,,5'x...'4'" µ �Y �� *_ �„w.�+�`�r.,m �.�,� y„s'..,��: - ��r,�4'�� r'v„''�a�"�.'�j” a,�}>� ... .. • DECLARATION STATEMENT, >i r • I certify under penalty of perjury und&Ahe laws of the State of California, the information provided'on this form is true and correct. • I am eligible under Division 3 ofthe Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features,'materials, components, or manufactured devices identified on this certificate (the installation) - conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. , • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and " 'r 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 -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 understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder ` provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)' HARRISON ENTERPRISES INC Responsible Person's -Name: r Responsible Person's Signature: Danielle Garcia Danielle Garcia CSLB License: 686310 Date Signed: 1/22/2013 position With Company (Title): Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): x Control Program (TPQCP)? ❑ Yes ❑ No - Reg: 213-A0006811A-M2500001A-0000 Registration Date/Time: 2013/01/31 21:24:36 HERS Provider: CalCERTS, Inc. •2008 Residential'Compliance Forms August 2009 int x CERTIFICATE OF FIELD VERIFICATION &DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test —Existing Duct System (Page 1 of 2) Site Address: 44755 VIA ALONDRA , La Quints CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quints 13-64 This installation certificate is required for compliance for alterations and additions, in existing dwellings to space conditioning systems and duct systems. Dud Leakage Diagnostic Test - existing duct system _ c Select one compliance method from the following four choices., - [31.'Measured leakage less than -15% of fan flow [32. Measured leakage to outside less than 10% of Fan Flow V44 '. _ S , [33. Reduce leakage by,60%and conduct smoke and fix all leaks , , .-.. . [3 4,Fix all accessible leaks using smoke and HERS rater verify . Note: (One of Options 1, 2, or 3 mustmbe-attempted before,utilizing Option.4.), - Determine ,nominal Fan Flow using one,ofithe-followiing"three calculation methods" 'of ✓ ❑ Cooiing system method Size condenser in Tons"Ob, E x 400 I CFM i '+ ✓ 13 Heating system method 21 7 x Output Capac�ty.in Thousands of Btu/hr = =CFM L 13 Measured system airflow using RA3;3 airflow test procedures a CFM; _ }. Option`1 used then :,;-rl „= c;. ar' x .,. r.. 1 Allowed leakage =A,Fan Flow_x 0 15 CFM - - J Actual Leakage = _ CFM ' Pass if Leakage Actual is less than Allowed [3 Pass [3 Fail Option 2 used then: 2 Allowed leakage = Fan Flow I' x:0.10 = -CFM , Actual Leakage to outside :--=> CFM " "ted>'' Pass if Leakage Actual is less than Allowed [3Pass 0 Fail Option 3 used then: Initial leakage prior to start of work = CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction..:_ CFM ((Leakage reduction_/ Initial leakage x 100% _ % Reduction f 1 Pass if % Reduction >= 60% Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke'test. HERS rater must verify (No sampling). • Pass if all accessible leaks have been repaired using smoke Pass a Fail • I , - A Reg: 213-A0006811A-M2100001A-M21A Registration Date/Time: 2013/02/06 20:18:13 HERS Provider:,Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 , CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF=4R-;4R Duct Leakage Test — Existing Duct System (Page 2 0 Site Address: 44755 VIA ALONDRA La Quinta CA 92253 (System Enforcement Agency: - Permit Number: , 1) City of La Quinta 13-64 ❑ Outside air (OA) ducts for Central Fan Integrated (CFI),ventilation systems, shall not be-sealed/taped off during duct leakage testing CFI'OA ducts that utilize controlled motorized dampers, that open only when OA � ventilation is required>to.meet ASHRAE Standard 62.2, and close when OA ventilation is not required; may be configured•to the closed position during duct leakage testing _ n ❑ All supply„and return register boots,!must bei sealed'to the drywallRlfismoke testis utilized for compliance - applies�to duct leakage compliance option 3 (leakage reduetionhby 60%):and options-41,(fix all accessible zA leaks described above ❑ New duct instaiiations,cann'St utilize building cavities as�`pienumscor platform returns in.lieu of ducts ❑ Mastic and draw bands mustbe used;: incombinationtwith”cloth`backed rubber adhesive duct tape to seal leaks at all new duct connections DECLARATION STATEMENTI` ; I certify under penalty of pe' ury,.under the laws of the State of California, the information provided on this form is true and correct. . I am the certified HERS rater wiio; performed the verification services identified and reported on this certificate (responsible rater). . The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2'and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. . The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) - responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) 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) HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 686310' HERS Provider•Data Registry Information Sample Group # (if applicable): 385941 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798728132 HERS Rater Company Name: ' Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams • y Responsible Rater's Certification Number w/ this HERS Provider: Date Signed:.1/29/2013 CC2006208 Reg: 213-A0006811A-M2100001A-M21A ,Registration Date/Time: 2013/02/06'20:18:13 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms , March 2010 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: _ + t ' As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form($) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. -If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are'only required for completely new or, replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return'Plenums of Air Handler System Name or Identification/Tag System 1 - System Location or Area Served Whole House .- 1 ❑Yes [3 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. I W 2 • [3 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. " z = - Yes .to -1. and 2 is a pass. til, w;,,; r Enter Pass or Fail ✓ ❑ Pass ✓ ❑ Fail STMS Sensor onAhe, Evaporator P r Coil—,.�:..�.:._�.� System Name'or,Identification/Tag r�; The sensor is factory installed, or field installed according to manufactu sensor is factory insta�ed,:or�field.instalied according t' manufacturers: 3 ❑ Yes ❑'No specifications, or is installed by methods/speaficafions'approved by the Executive Director. _4�1 ?, 'x'❑Yes t `digital The sensor, wire.Ks terminated.with a standard,mini plug suitable for connection to,a'"- 4 4 ❑ No ❑ No _ thermometer: The"sensor mmi,plug is accessible to themstallmgtechnician - and the'HERS;rater,_without changing the airflow through the condenser coil 5❑ Yeses' [3 No "°d When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 3, 4,'and S,is a pass. Enter N/A if. STMS are not applicable: Otherwise enter. Pass oiF. Fail ❑ N/A ✓ p Pass . ✓ [3 Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag' ' System 1 The sensor is factory installed, or field installed according to manufactu 6 ❑ Yes ❑ No .' specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ 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 saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ®N/A ✓ [3 Pass ✓ 13 Fail applicable. Otherwise enter Pass or Fail . rer's s Reg: 213-A0006811A-M2500001A-M25A Registration Date/Time: 2013/02/06 20:21:36 'HERS Provider: CalCERTS,'Inc. 2008 Residential Compliance Forms' March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA , La Quinta'CA 92253 City of La Quinta 13-64 • Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference• Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable: • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag r' System 1 (must be re -calibrated monthly) -.'•"' . =.,." ..... � ,r...,, rrrrr.:. '.........._ _. __,.._,.. .--„+,Wa-rsa+xa.,,. 6 System Location or Area Served, ' - Whole House r [. .p � � ,,f,'�"�t..pyn.. �,i. ,' � � y r'�°'.,' S° �=�) aC'�:'a� �4' (must be re calibrated monthly) , Outdoor Unit Serial # 3F1.. ,p4 ya l,;x �!'. rr ti Y. 'j-' 5 ;: � - :-.. - •, y Outdoor Unit Make Outdoor Unit Model , Nominal Cooling Capacity Btu/hr` Date of Verification k + Calibration'of Diagnostic Instruments Date of Refrigerant Gauge Calibration System;i (must be re -calibrated monthly) -.'•"' . =.,." ..... � ,r...,, rrrrr.:. '.........._ _. __,.._,.. .--„+,Wa-rsa+xa.,,. 6 ._._ ._•__._ _ , a...,p�n F v�++rM&+w�..... i1 i. • �.i"'�Y A � � "S. g(} Date of Thermocouple, Calibration [. .p � � ,,f,'�"�t..pyn.. �,i. ,' � � y r'�°'.,' S° �=�) aC'�:'a� �4' (must be re calibrated monthly) • �.�„ � .� �,�, i �r 3F1.. ,p4 ya l,;x Measured Temperaturee(40F)q;'/ _ System Name or Ident f catiori/Tag'+ System;i .- �}�-°r� ,•' T F ,� ��.• $Y �`,� �, Al t=�±'xf - aKa�:_ '��_: mow'' c'" i',: � .rt • ._�� A�+. Supply. (evaporator leaving) .. v""° � ,K.- ii ?1.10'. temperature (Tsupply, db) _ Y; 3F1.. ,p4 ya l,;x �!'. rr ti Y. 'j-' 5 ;: � - :-.. - •, y Return (evaporator entering) air dry-bulb temperature. (Treturndb)+ Return (evaporator entering) air wet -bulb temperature (Treturn, wb)' �'#`:�, . �.•,_; f" Evaporator saturation temperature ,',%', k. (Tevaporator, sat) �' ,• ^ Condensor saturation temperature , (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Tliquid) , Condenser (entering) air dry-bulb temperature (Tcondenser, db)' r, Reg: 213-A0006811A-M2500001A-M25A 'Registration Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March -2010 INSTALLATION CERTIFICATE CF-4R-MECH-2S Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of S) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA , La Quinta CA 92253 City of La Quinta 13-64 Minimum Airflow Reauirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag ; Calculate: Actual Temperature Split = Treturn, db~ Tsu ly, db Target Temperature Split from Table RA3.2-3 using Treturn, wb and Treturn, db i - Calculate difference:. Actual Temperature Split - Target Temperature Split= Passes if difference is between -40F and +4°F or, upon remeasurement, if between -4°F and -100°F -. Enter Pass or Fail 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 equal,to or greater than the Calculated Minimum Airflow Requirement in the table below. -Minimum Calculated Airflow Requirement (CFM)•= Nominal Cooling Capacity (ton) X 300 (cfm/ton) System:Nameorldentification/TagI P41 Calculated Minimum Aieguirm (CFM) IJ A yeent Measured Airflow using R3A3 procedures (CFM) �� :�.� tOM' � • rs� Passes'if measured airflow. -is greater than or equal." "",, z#4 to the calculated minimum airflow requirement `• Enter Pass or Fail r Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems • System Name or Identification/Tag' Q Calculate: Actual Superheat = Tsuction - Tevaporator, sat 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 -6°F and +6°F -. Enter Pass or Fail Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag Calculate: Actual Subcooling = Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling System passes if difference is between _ F - -4°F and +4°F - Y 4i 7 Enter Pass or Fail ,A(4-% - 4 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 , Calculate: Actual Superheat Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if manufactureYs specification isnot available) .;a� - _ F - System'passes,if actual superheat is withinitheC.- allowable sAly range � ;f - Y 4i 7 Enter Pass or Fail ,A(4-% �r � .x...31 :,e ,�..- � sR. -•..�'s s.-� ` zr * � y t ,� -, ; »y �,., 'k.,'g' � '"S� ,� .M '�r�'4 av - ... , _ • Reg: 213-A00068llA-M2500001A-M25A Registration Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 t INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 44755 VIA ALONDRA , La Quinta CA 92253 City of La Quinta 13-64 ' 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 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 385941 ❑ tested/verified dwelling System meets all refrigerant charge and airflow HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798728132 HERS Rater Company Name: requirements. Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Enter Pass or Fail Date Signed: 1/29/2013 CC2006208 i fie( A �e .x i y. 1C t t �' ' `�S-., � a,^^. 4 v° .,t �;' ��' � ter* �^ ,, �- �i�'�" '� -•�*�i .. r DECLARATION, STATEM ENT I certify under penalty of perjury, u. er the laws of the State of California, the information provided on this form is true and correct. I am the certified HERS rater"who' performed the verification services identified and reported on this certificate (responsible rater). The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the " installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified ` on the Certificate(s) of Compliance (CF -"1R) 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 -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner). HARRISON ENTERPRISES INC Responsible Person's Name: CSLB License: Danielle Garcia 1686310 HERS Provider Data Registry Information Sample Group # (if applicable): 385941 ❑ tested/verified dwelling ® not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798728132 HERS Rater Company Name: Stratz Permit Service Responsible Rater's Name: Responsible Rater's Signature: Garrett Williams Garrett Williams Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1/29/2013 CC2006208 Reg: 213-A0006811A-M2500001A-M25A Registration.Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 r r Reg: 213-A0006811A-M2500001A-M25A Registration.Date/Time: 2013/02/06 20:21:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010