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11-1091 (MECH)P.O. 'BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO - FAX (760) 777-7011- LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ` Date: 10/04/11 Application Number: `ik M6o_o01091'"° Owner: r Property Address: -4-4216 W SUNDOWN CREST DR KOSTELNY SANDY ID 4 APN: 604-100-038-106 -19903 - 44216 WEST SUNDOWN CREST DRIVE a Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL a �'"04 Application valuation: 9600. . cliY OF 4uINrA Contractor: FIN4 t Applicant: Architect or Engineer: PREFERRED PLUMBING HTG A/C P.O. BOX 5120 ' PALM SPRINGS, ~CA 92263 - - - (760)322-3173 Lic. NO.: 457554 1 --_------------------------- ------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busines a' Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for .workers' compensation, as provided - License Class: C10 C16, C2 Lic No.. 457554 . for by Section '3700 of the Labor Code, for the performance of the work for which this permit is . issued. •/ate: /- ntracfor. 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 WNE -BUILDER DECLARATION -insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the" Carrier EVEREST NATL Policy Number 7600006445111 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, .in the performance of the work for which this permit is issued; I shall not employ any construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, r ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shout ecome su ' he s' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co shall fo with co w' tho provisions. + that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - /o f� 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.: ate: L� ppllcant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The. 'WARNING: FAILURE TO URE WOR S' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT•AN EMPLOYER TO CRIMINAL PE SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000).IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _ - improvements are not intended or offered for sale. If, however; the building or improvement is sold within SECTION 3706 OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or - - - improve for the purpose of sale.). • • APPLICANT ACKNOWLEDGEMENT 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to,the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of ' conditions and restrictions set forth.on this application. property who builds or improves thereon, and. who contracts for the projects with a contractor(sl licensed. is Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt,inder Ser.. , B.&P.C. for this reason 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. 'Date: Owner: • - 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is.a construction lending agency for the performance of the I certify that I have read this application and state that'the above information is correct. I a 4e to comply with all ' work for which this'permit is issued (Sec. 3097, Civ. C.). - - - city and county ordinances and state laws relating to building o struction, and b th ze-r presentpves__ _ - of this county to enter upon the above-mentioned property r ' spec 'on pur ses. 'Lender's Name: f Date:/ ignature (Applicant or Agent): Lender's Address: , LQPERMIT Application Number '11=00001091 Permit• MECHANICAL Additional desc.... Permit Fee 40.50 Plan Check Fee.: 1"0,:13 Issue Date . . . . Valuation .. 0 _ Expiration Date 4/01/12 Qty Unit Charge Per Extension BASE. FEE 15.00 1.00 9.0000 EA MECH FURNACE`<=100K 9.00 1.00 16.5000 EA - MECH B/C >3-15HP/>100K-500KBTU: 16.50 Special Notes and Comments REPLACE EXISTING HVAC HEAT PUMP SYSTEM WITH LIKE FOR LIKE, 2.,5 TON, 16.SEER.' .2010 CODES. -----------------_-------------------------------------- ------ --- Other Fees . . . . ... . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged, Paid Credited - - - - --------- Due ---------- .- - - - - ------ Permit Fee Total 40•.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 :00 .00 1.00 Grand Total' 51.63 .00 .00 51.63 Bin # r�� • City of La , Qutnta Y.fE y.0 1 Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico Permit # La Quinta, CA 92253 - (760) 777-7012 1`'• �O� Sa'K,94 'r�'.Building Permit Application and Tracking Sheet r Project Address L,�!�►�� Owner's Name:�D u G A. P Number �'e �� /•�� Address: �f U l (2K, DC. . Description " ' City, ST, Zip: LA 00 1 r.j L"egal tlf ma ;.. : N Tele hone: ®" Addiess PO BOx 51120 Project Description: 'City" ST Z� , p:Palm'l Springs,:. CA;92263 1� i�(. �;L ' (� I 1 IJ 1� _' J � I 1 � l 4'}. 1.y Telephone (.7 6 0 �" 3 2 2' -3117 3, '.up State Lle # " 4 5,75`5 4 ,F ; " City Lic: #: V 2 To ti Address, Ctty.ST, Telephone is �4 Construction Type: Occupancy: µ Projecitype (circle one): New Add'n Alter Repair 'Demo State.Llc #,:«'.,t -. .'�.. z .`". = ofCo Ft.: Stoes:Sq. its:, Telephone.#`ofContact•Pers • �on Estimated Value of Project. APPLICANT: DO NOT WRITE BELOW THIS LINE Reg'd Reed TRACKING PERMITFEES f r Plan Sets ; Plan Check Idiftaitted Ite Amount Structursl.Calcs; s ! Reviewed, ready for corrections Pla Check Deposit t" Trnss'l Gats. •�' Called Contact Person Pla Check Balance :..:;..,Y ... �,,"... Plans Ricked up Con traction Flood plain plaq Pin ns.resubmitted Me meal . Gradingplan " 2"d Review, ready fo�'correctlons�ssue Ele rical Subcontactor.List Called Contact Peron Plu bing Grant Deed Plans picked up S.M I. H.O,A Approval . Plans resubmitted t Gra ing IN HOUSE:- '`" Review, ready for correctionsrssue Dev toper Impact Fee plannitlg Apprbvai. Called Contact Person A.I..P. Pub. Wks. Appr Date of permit issue School Fe.es Tots I Permit Fees Sim lifted Prescriptive Certificate.of Com liance:'2.008 Residential HVACAIEerations CF -1.I3 -ALT -HVAC Climate Zones 10 to -i5. i(e Address:, En or ement envy; D Permit #: 2 Conditioned Floor Equipment T e' List Minimum-Efficiency2 Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFUE ❑ OP Over 40 ft of ducts added or M-Teeiback ❑ Indoor Coil ondensing Unit ' �S�FER �� EER SPF �+.r . - -'rte ❑Resistance replaced in unconditioned space ❑ R 6 (CZ 10-13) . Se,rv�ed' Yb) system sf (Ifnot already present, must be ❑Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; .if more than one system, use another CF- IR -ALT -HVA Cfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A'copy of the forms shall be left on site for final he inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The* pector also verifies that each appropriate and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si ed innin October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. HVAC Changeout Required.Forms: • All HVAC Equipment replaced CF-611forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R forms: MECH- 21 and (for split systems)• MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA 2:300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS • Cut s: al Chang outducting ducts: (all new ducting and all new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM1ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION': Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with t a licatio Name: M Signature: Com an a �c P Y >Tt'� Date: Address: .^ N� (5 5-( Z C� _ License: �• 5-7 5 City/State/Zip: 'P Phone: r 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 any additional systems in the dwelling as applicable. i Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement y. 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., 4 :x preplacement space -conditioning systems that utilize prescriptive compliance method�5; ; • T a �• ` TMAH - Access Holes in Supply and Return Plenums of Air'Handler T System Name or Identification/Tag System Location or Area Served . 1 Yes - No�::>> :... ::: 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2:2.2.2. 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:ao l and 2.as..a pass Enter Pass or Fail ✓ Pass ✓ Fail cTMc`_'C' n:� A*. *ti ...... .............. System Name or Identification/Tag`' 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 F,i V.N/A V. Pass ✓ Fail applicable. Otherwise enter Pass or Fail Reg: 211-A0063469A-M2500001A-M25A+ Registration'Date/Time: 2011/12/14 08:59:49' HERS Provider: Ca10ERTS, Inc. 2008 'Residential Compliance Forma March 2010 ' ~i, v - 'J ' -{`+ tt/.i" L , `1... C?:•- .. it P� , , Y 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: 44216 W Sundown Cr, La Quinta CA 92253 City of La Quinta 11-1091 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above SSOF) . 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 System Location or Area Served Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Nominal Cooling Capacity Btu/hr:`':':>:::: Date of Verification XX. .... :.�:,.r. .. Calihratinnf Diafinnetir<Tnctrum'ante ' Date of RefngerantGauge Calibratio (must be re -calibrated monthly) :. .. .:. :..-•e—j.. .> ;'W4 ars S: _ ,irwti:. ,.-•i:w:�:.i� Date of Thermocouple Calibration , �, I XV s b (must be re ca4lzibrated monthly) yy Su I eVa'poratordeaving),air dry bulb". PP Y ( ?) � Measured Temperature;MF)*R­i 41".4" S stem Name or ld(antifi'd'6tion/.Tag 4A t� Su I eVa'poratordeaving),air dry bulb". PP Y ( ?) � � +' '' F . . ...: ' temperature (T« Yh€� sup.pl.Y, db ^•.. Return (evaporator` " t -r"." air dry bulb ' temperaturefff,— � ue' db) .. _.., ... Return (evaporatoGentenng) air wef bulb temperature (Treturn, wb) .' Evaporator saturation temperature ; - (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) r Suction line temperature (Tsuction) ' Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature (Tcondenser, db) +. Reg: 211-A0063469A-M2500001A-M25A' Registration. Date/Time: 2011/12/14 08:59:49 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 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 f Calculate: Actual Temperature Split = Treturn, db '. Tsu I ' db Target Temperature Split from Table RA3.2-3 using < Treturn, wb and Treturn, db y Calculate difference: Actual Temperature Split - r ' Target Temperature Split = + Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -40F and -].00°F. .� - Enter Pass or Fail z Note: Temperature Split Method:Caiculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures 'cufied in Reference Residential Appendix RA3.3. If actual cooling coil airflow is _ measured, the value must be equaliito or greater -than the Calculated Minimum'Airf/ow Requirement in the table below. , _ .. t CalcuhKd' :.MiMinum Airflow Re gement (CFM) = Nominal Cooling Capacity (ton) X 300 (dm/ton) i System Name or Idenft tification/Tag r • Calculated Minimum Airflow*Requirement (CFM) '� .dna • fiF .,u� riilaax�a,i `��'a�� erg' ... Measured Airflow usingyW 3 procedures (,CFM) f' �. i Passes if measured„aiff. lowis greater.than or equals �' x to the calculatetl mimmwm airflow requir ment "'° ” , j Enter Pass.or Fail Superheat.Charge Method. talculations for Refrigerant Charge Verification. This.procedure is required to'be used for fxed orifice metering device sy t ms F System Name or Identification/Tag Calculate: Actual Superheat = - Tsuction - Tevaporator; sat ' Target Superheat from Table RA3.2-2 using. Treturn, wb and Tcondenser, db Calculate difference: • , Actual Superheat - Target Superheat = System passes if difference is between -60F and +6°F % Enter, Pass or Fail r Reg: 211-A0063469A-M2500001A-M25Ai Registration Date/Time: 2011/12/14 08:59:49 HERS Provider: Ca10ERTS, 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: 44216 W Sundown Cr, La Quinta CA 92253 1 City of La Quinta 11-1091 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 = tem passes if difference is between F and +4°F rO Enter Pass or Fail 2008 Residential Compliance Forms r March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 44216 W Sundown Cr, La Quinta CA 92253 1 City of La Quinta 11-1091 Builder or Installer information as'shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) PREFERRED AIR CONDITIONING Responsible Person's Name: CSLB License: 1457554, Patti O'Toole HERS Provider Data Registry Information. Sample Group # (if applicable): 272470 tested/verified dwelling not-tested/verified dwelling in la HERS sample group _ HERS Rater Information CalCERTS Certificate # CCl-1798613026 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature: William David Painter William David Painter - Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/13/2011 CC2005784 � Reg: 211-A0063469A-M2500001A-M25A Registration Date/Time: 2011/12/14,08:59:49 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 OF CERTIFICATE OF FIELDYERIFICATION & DIAGNOSTIC TESTING = CF-4R-MECH-21 Duct Leakage Test —Existing, Duct System ' F (Page 1 of 2) Site Address: 44216 W Sundown Cr, La Quinta CA 92253 (System Enforcement'Agency:' -Permit Number: City of•,La Quinta 11-1091. w. Enter, the Duct System Name or Identification/Tag: J Enter the Duct System, Location or Area Served: Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. y . - This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems a'nd duct systems. t1 • CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System ,(Page2 of 2) Site Address:;Enforcement 44216 W Sundown Cr,' La Quinta CA 92253 (System Agency: - ' Permit Number: 1� -- City of La Quinta , 11-1091 Ma5tle and draw bands must be used�ln�combinatlon with cloth backedrrubben.'Odhesi. duct tape to seal ::..Y ".: '.i':.: i:::::.:+.:!.`. .: •. :: :....:. :...::.... '.; v.,}.' ::ii: -is ::-;..._.:.; vi?i:':: is y::.::::.::: i:..:::.+.:.:::. � ::.::.:::.::...:...:.:.:'..:..::::::..:::::::: leakS.iat::all::::ne.w:du*ct:,'.conn*'n ions :' »ass:::::»:>:>i>::>E;:;:;::;:;................ _. ... ... DggtA AT'ION>`'STATEMENT: ' I certify untler penalty ofper)ury' under the laws of the State of California, the information provided on this form is true and correct. I am the certified HERSraterwhoperforrried the verification services identified and reported on this certificate (responsible rater). The installed feature, material corn poriei t, or manufactured device requiring HERS verification that is identified on this certificate (the a ' installation) complies with the a'ppl yatile requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance' (CF'iR) approved by the local enforcement agency. The Information reported on applicable sections of the Installation Certificates) (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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - PREFERRED AIR CONDITIONING Responsible Person's Name: r CSLB License: Patti O'Toole r 457554 ? HERS Provider,Data Registry Information s j Sample Group # (if applicable): 272470 tested/verified"dwelling •not-tested/verified dwelling in a HERS. sample group ' + HERS Rater Information CaICERTS Certificate # CC1-1798613026 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name:, t % ' Responsible Rater's Signature: - William'David Painter William David Painter ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/13/2011 CC2005784 t 1 Reg: 211-A0063469A-M2100001A-M21A Registration Date/Time: 2011/12/14 08:57:32 HERS Provider: Ca10ERTS, Inc.. 2008 Residential Compliance Forms _ March 2010 • .y � ter, _ '� 1' '