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06-1960 (MECH)• P.O. BOX 1504 TA& 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 6�09p�-1}9.6,0 Owner: Property. Address: 48513 VIA AMISTAD COOK THOMAS C APN: 646-122-028- - 48513 VIA AMISTAD Application description: MECHANICAL LA QUINTA, CA 92253 Property. Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4200 Contractor: " Applicant: Architect or Engineer: PALM DESERT AIR CONDITION 42081 BEACON HILL PALM DESERT, CA 92211 _^ (760)346-0677 Lic. No.: 374937 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business and Professionals Code, and my License is in full force and effect. LicensepCCllass: C20 License No.: 374937 tPbntra 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 requiies 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/11/06 .DkQ 0 G MAY 1 0 1006 CITY OF LA QUINTA FINANCE -DEPT" WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND . Policy Number 1795546-2006 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. j5afe( AppNoa ' WARNING: FAILURE TO SECURE WORKER�OMPEN�SATION OVERAGE 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 propert for inspection purposes. fuZC`fAoolicaanto�ggeml: P Application Number . . . . . 06-00001960 Permit . . . MECHANICAL Additional desc . Permit.Fee . . 44.00 Plan.Check Fee 11.00 Issue Date,. Valuation 0 Expiration•Date . 11/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4..5000 EA MECH VENT'INST/ DUCT.ALT 4.50 l 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 .1.00 6.5000 EA MECH AH <=10K CFM 6.50 Special Notes and Comments --- --------- REPLACE ONE 5 TON 14 -SEER COMFORT SYSTEM Fee summary Charged Paid Credited Due Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ! i'' Permit � �� b I Project Address:' i�r- 1/3 Owner's N A. P. Number: Address: Legal Description: City, ST, Zip:���J� Telep hon Contractor: Address: Project Description: City, ST, Zip: �l Telephone:)�, d4 77 State LiC. # : City Lic. #: Arch., Engr., Designer: 7174 Address: City, ST, Zip: Telephone: State Lic. #: i Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n 6jit:eD Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Perso • Q4,�v Estimated Value of Project: -I 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 Energy 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:- ''" 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 CaICEKYS - certilicate r rage oz JI --i CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 48513 Via Amistad Palm Desert A/C -'Heating 374937 ProjectAdd s Contractor Name / License No. 06-00001960 Condor to Telephone Permit Number Paul 1an V n 760-777-1724 25014 HERS Rater Telephone Sample Group Number Ma v 23. 2006 CC14-1798365589 Ce*** ing ig cure Date Certificate Number Firm:' Air Experts Air Conditioning HERS Provider: CalCERTS Street Address: PO Box 94 City/State/Zip:La Quinta if CA 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ Is an approved HERS provider by the California Energy'Commission. HERS RATER COMPLIANCE STATEMENT The house was 0 Tested 9 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form compiles with the, diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution t system Is fully ducted and correct tape is used before a CF -411 may be released on every tued building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (installation Certificate). New Dl,trib e ution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts)., New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth harked- njhhpr adhesive duct tane to sea[ leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: Main System NEW, CONSTRUCTION Duct Pressurization Test Results (CFM'@ 25 Pa) Measured Values I Ente=-:Fested kea' N/A 2 Fan Flow: Calculated (Nominal e,''Cooling -e Heating) or,- - Measured Not Tested Enter Total Fan Flow In CFM: 3 N/A N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct N . ot Tested System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System orAltered Duct System for Not Tested Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System Not Tested (Une 4 -'Line 5) - (Only If Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable) Not Tesbid 8 Entire New Duct System - Pass If Leakage Percentage <= 6% [ 100 x Line 5 Line 2 Not Tested El Aass'❑ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC' Equipment Chan'ge-06t, use one of the following four Test or Verification - Standards for compliance: . . . I . 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 Not, Tested Q Pass D Fall 10 Pass If Leakage to Outside Percentage <= 10% C 100 x Line 7 Line 2 Not -Tested'❑ Pass - ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x Line 6 Line 4)] Not Tesied El Pass ❑ Fall and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection', E]Pass ❑ Fail Pass If One of Lines #9 through #12 passi Pass El Fall or , I httD://www.calcert-S.coih/cf4r orint certificate.cfm?lots=25013.25007,25011,25012,25009... 5/23/2006 1 it - 6 Ca10ERTS - Certificate Page 3 of 11 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3-4 of 8) CF -4R 48513 Via Ami ad Palm Desert A/C - Heating / 374937 Project Address Contractor Name / License No. +h 06-00001960 Contra r Conta Telephone Permit Number Paul V In VI 60-777-1724 25014 HERS Ra , Telephone Sample Group Number Ma 23, 2006 CC14-1798365589 Certifyin ignature Date Certificate Number , Firm: Air Experts Air Conditioning HERS Provider:Ca10ERTS Street Address: PO Box 94 City/State/Zip:La Quinta / CA / 92247 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTS@ is an: approved HERS provider by the California Energy Commission. e HERS RATER COMPLIANCE STATEMENT The house was ❑ Tested 9 Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the di nostic tested compliance requirements as checked on this form. 91 The installer has provided a copy of the CF -611 (Installation Certificate). &HERMOSTATIC EXPANSION VALVE (TXV): Main System o.-, Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of.the specific equipment'shall be verified. Main System HVAC System TXV Pass ❑ Fail T , i, .d http://www.calcerts.coin/cf4r_print_certificate.cfin?lots=25013,25007,25011,,25012,25009... 5/23/2006 f �� - i W.y. Fi nJf' .e Certificate of Compliance PreSCriDtive Method - HVAC-onlv Alteration rF-1 R -AI T Proje le:.--- e l' Date: © CaICERTS 2005 Enforcement Agency Use Only Project Address: �Zone: Building Permit # ocume tation Aututtr Telephone: Plan CheckDate-b Om any Name: ge- Field Check Date IMPORTANT: This CF -1 R -ALT f rm i only for use when an HVAC -only alt ration is made to an existing home Use one form for each system bel altered. This is system # of systems altered in this house. Check all lines that aRRy. Check only lines that aooly- Scope of Alterations: 10 An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 .� Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue tonext line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R form. Go to Section 2. 10 ❑ ' This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AbU EER 12 condenser will be installed with TXV(RCA) AND added duct insulation 114 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AfiQ EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AbIQ EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15,1 None of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed.. No TXV(RCA) is required. Go to Section 3. 18 O Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑❑l hiss stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 Cf This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 Is not checked. TXV(RCA) Is required. Go to Section 3. Sectio 3 - HERS Rater verification 22 If line 15 is checked, HERS verification Is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 ❑ lif line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 0 If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ,YJ Ili less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page vel swn va- i v -U0 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com . Certificate of Compliance Prescriptive Method - HVAC-onlv Alteration CF=1 R -ALT Project ' : i Date: © Ca10ERTS 2005 IMPORTANT: This CF -IR -ALT form is only for use when an.HVAC-only alteration is made to an existing home Use one form for each system being altered. This is. system #L__L of systems altered in this house. Section 6 - Minimum Requirements. for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efficiencies/R-values. 26 Configuration: 6s0it system ❑ Package Unit 29 ❑ Ac Handler as fumace, AFUE: ❑Heatpump FAU OHydronic FAU ❑Other 30 ❑ Heat Exchanger 31 JR' . Outdoor CondensingUnit •BA/C OHealpump (title SEER/HSPF: / EER H re d 32' ❑ Cooling or heating coil OA/C OHeatpump OH dronic 33 ❑ Ducts Locatiom. Length (ft):JR-value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building. features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate.has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Address: Comyar}y N me: City/State/Zip: Address: Phone: City/Sta /Zip. Phone, Signature: Signature: Enforcement Agency (Building Department) Notes/Com ents: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire iiroup. vciawn V-1u-uu rage z of z This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Installation Certificate Prescrintive Method . HVAc_rinly Alfarafinn rF:-RP_AI T Project Title: cook Dater �{ /•� / 1 �V 6 .©2005 Ca10ERTS Enforcement Agency Use Only Project Address: 4 513 V, Climate Zone: i.� Building Pertnh # Installing¢ontractor: Telephone:/ Plan Check Date omp me: Field Check Date IMPORTANT: This CF -6R fo only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system #_L of 1— systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match type/location and meet or exceed efficiencies/R-values from CF -1 R. Equipment T e . Manufacturer Model Number Efficiency Load" Capacity— a acit — .Furnace / O i AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE SEER Package heatpump HSPF SEER EER' A/C Condenser G �f� SEER .Heatpump Condenser HSPF SEER Indoor DX coil —T. EER' Hydronic coil Provide EER if needed for compliance (line 24 of CFA R -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. ' Loads are sensible for cooling. "' Capacities are sensible at design conditions for cooling and adjusted altitude, downflow, etc. out ut.for heating. XV: . ❑ If TXV is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV-verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) O For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct - sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specified in Section 150(m) of the 2005 Building Energy Efficiency Standards. Signed (Installer): Date: Notes: , -1 -v. raga i vi c This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: C00i( Date: I ` O © 2005 Ca10ERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # I of f systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct testing is required per CF -1 R -ALT form Step 1 - Pre-test: Leakage of the system before any alterations. This testis optional* and is only used for the 60% reduction option 1 Pre-test leakage : CFM25 2 1 Line 1 x 0.4 harget for 60% reduction Step 2 - Determine Total System Fan Flow. Use any of these methods. Use values for equipmenI after alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton 30047 CFM 4 Heating: Furnace output Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: JJt,90 0 JCFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: 8a Total System fan flow (line 7 from above) x 0.06 = CFM25 = 6% leakage target (new duct systems) 8b Total System fan flow (line 7 from above) x 0.15 = CFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 = CFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ 1 Seal all new connections with approved materials. 11 ❑ lNo newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ Ilf adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = 1 3_7 9 ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 14a ❑ If line 13 Is less than line Ba house passes the 6% leakage requirement, Go to Step 9. 14b ❑ If line 13 Is less than line 8b house passes the 15% leakage requirement. Go to Step 9. 15 ❑ If line 13 Is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is required. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular. duct blaster test but the house is pressurized to 25 pascals at the same time. 18 CFM25 refer to 2005 ACMa ndix RC, Sections RC 4.3.3 19 ❑ tleaka s less than line 9 house asses the 10% leaks a to outside re uirement 20 ❑ asses, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Duct Sealing is required. See Ste 8. 22 ❑ Install required label per ACM Appendix RC, Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal re ister boots to surrounding material perACM Appendix RC, Sections RC 4:3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater: Sampling is allowed. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and rater must sign the three -party agreement 3. All above tests must be completed by the installer or their representative, not the third party rater. No Sampling - House does not pass by lines 14, 15 or 19; OR homeowner chooses not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be performed solely by the third party rater. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com