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04-5904 (SFD)K BUILDING & SAFETY DEPARTMENT P:70 BOX 1504 4 (760).777-7012 �cG �r-78-{495 CALLE TAMPICO FAX 760 777-7011 LvQUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 = `BUILDING"PERMIT LA QUINT° CITY OF FINA�CE'DF- Application Number e. t�4�0005904' Date 8/11/04 Property Address— +. 43"34'1 PARKWAY ES-P"LANADE W . f•609=380.-997-2,8., APN: -293 3 - Application description `°DWELLING SINGLE FAMILY DETACHED Property Zoning.,LOW,DENSITY RESIDENTIAL Application valuation. X188445.. Owner Contractor -------- ------------- --------- -- PONDEROSA HOMES II, LLC. "- PONDERO'SA HOMES II, INC. 6671 OWENS DRIVE Y 6671.OWENS.I,DRIVE PLEASANTON : CA.: -945,88-1. PLEASANTON , �' CA 94588 (76, 0)' 3i.8 ."l0 REP,UBLIC WCC: -"REPUBLIC •15671.602 , i0/01/04 . 'CSLB.-.• -`752884 08/31/04 CCC.: B -------------------------- Structure I=nformation. --------='- Construction Type TYPElV,- NONRATED Occupancy Type . . . . ."`DWELLG/LODGING/LONG <=10 Flood Zone . . . . . ... ION -AO FLOOD ZONE Other.struct info CODE'EDITION , 2001 CBC # BEDROOMS 7: 5.00 -FIRE ;S:PRINKLERS- . NO GARAGE' '.. S Q FTG 448.010 PATIQiS.Q FTG 387.00 `° 'NUMBER OF `UNITS 1'* FIRST FLOOR• SQ 'FTG 3051.00 Permit . . . . . . BUILDING PERMIT- ERMIT Additional Additional desc Permit Fee 951.6;0 Plan Check Fee '154.54 Issue Date . . . . Valuation. 188445 Qty Unit Charge -Per Extension BASE 'FEE 639.50 89.00 3.5000 THOU BLDG 100,001-500,00.0 311.50 ------------ Permit . . . . . . MECHANICAL Additional desc Permit Fee- 90.00 Plan -Check Fee 5.63 Issue Date . . "Valuation . . . . 0 Qty Unit Charge Per- Extension V I P.O. Box 1504• �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: C) 5 q o'4 Date: � � 30• V � Applicant: -Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: No.: CL 4-116 `_!� BUILDING PERMIT DECLARATIONS 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 Lice in full force and effect. ���/ !(cense Class cense No. 7�z �c�y OWNER -BUILDER DECLARATION I. hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 civif penalty of not more than five hundred dollars ($500).): U 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 or 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.). U I, as owner of the property, am exclusively cdntracting 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 ��rssued. My workers' compensatioasu rance carrier and olicy ny�per are: Cartier ati4so, —Policy Number /�(� //14 I dertify 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' com ensation 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 fort ith comply with those provisions. Date A�cant WARNI G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address t pc 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 rad 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 h reby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate' -34 O gnature (Applicant or Agent): Page 2 Application Number d 04-00005904 Date .8/11/04 Qty Unit Charge Per. Extension BASE' FEE 15.00 2.00 9.000.0.EA MECHtFURNACE <=100K 18.00 2.00 9.. 0000. EA MECH B/C <=3-HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT -FAN 32.50 1.00 6.5000 EA MECH;'. EXHAUST HOOD 6.50 Permit . . . . . . ELEC=NEW:RESIDENTIAL Additional desc'. Permit Fee 130.75 ..Plan Check --Fee 8.17 Issue Date _ Valuation 0 Qty Unit Charge Per Extension BASE FEE. 15.00 3051.00 035.0' ELEC- NEW' RES - 1 OR 2 TFAMILY 106.79 448.00 .0200 n ELEC..GARAGE`OR.NON-.RESIDENTIAL 8.96 ---------------------------------------------- Permit ------=----------------------- PLUMBING Additional desc Permit Fee 190.50 °'Plan Check Fee 11.91 Issue Date . . . Valuation 0 Qty Unit Charge,. Per Extension BASE.FEE 15.00 20.00 6.000.0` -EA'. PL B, FIXTURE 120.00 1.00 15:: 0:00 0 .EA PLiB BUILDING SEWER ' 15.00 1.00 7.50,0,0rEN PLB WATER".HEATER,/VENT 7.50 1.00 3.0000:Ek PLBrWATER INST/ALT/REP 3.00 1.00 9..0000''EA PLB.-LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLM 'GAS :PI;PE, >=5 6.00 1.00 15.0000 EA PLS,GAS..METER 15.00 Permit . . . . . . GRADING.PERMIT Additional desc Permit -Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00. ------------------------------------------------------------------------- Special Notes and.Comments. SFD - LOT 28,3051 SF.: -PLAN 2BXR-OPTION Page 3 Application.Number- . . . 04•=0.0005904 Date 8/11/04 Special Notes and Comments BEDROOM 5/BATH `4 .(3+213 SF')'"W/2 CAR- GARAGE.. (GARAGE 448 SF). PERMIT DOES.N.OT INCLUDE BLOCK WALLS , 'POOL , :SPA OR DR`I VEWAY. ' APPROACH. 7 5 %;:. REDUCTION .TO. -PLAN CHECK, FEE DUE TO.MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other Fees . . . . . ... ART IN"PUBLIC PLACES -RES .00 DIF=COMMUNITY .CENTERS -RES 97.00 DIF. CIVIC -CENTER - RES 366.00 ENERGY REVIEW FEE 15.45 DIF `FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 'DIF LIBRARTES - RES' 225.00 DIFPARK.``MAINT -FAC .- RES 5.00 Div''. PARKS/REC f= RES 502.00 STRONG'. MOT`ION.` (SMI) - RES 18.84 DIF STREET. MAINT FAC -RES 15.00 DIF TRANSPORTATION '- RES 1098.00. Fee summary Charged Paid.- Credited Due Permit Fee Total 1377.25 .00 .00 1377.25 Plan Check Total 180:-25 .:00 .00 180.25 Other Fee Total 2439.29 :0.04 .00 2439.29 Grand Total 3996.79, .0:0 .00 3996.79 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance formance with the current energy regulation, California Administrative code, Title 24, State Of California, in the building at ESPLANAIDE W -ESM, LOT 28, PHASE 8, LA QUjNTA CA CEILINGS: TYPE' BAITS MAUNFACTURER: Certainteed THICKNESS: R-38 WALL& TYPE: BATTS MANUFACTURER: Owens Corning THICKNESS: R-13 GENERA0NTRACT—OR: PONDEROSA HOMES VqENSEAL TITLE����� PARAGON SCHMID BUILDING- PRODUCTS A MASCO Company- LICENSE # 221517 BY. TITLE. ACCOUNT REPRESENTIVE DATE.. INSULATION f--r-wriiPICATE Thi i to certify that insulation has been installed in conformance with the . Current energy regulab California Administrative Code, Title 24, State of California, in the building located at �C�EIING�S.- TYPE: BLOW NFACTURER: Certainteed TltG ESS: R-38 WALLS: TYPE: SLOW MAUNFACTURER- inteed THICKNESS: R-13* GENERAL CONTRACTOR: P EROSA "OM I E ICENSE# BY: TITLE PARAG SCHMID BUILDING PRODUCTS A MASCO Company ENSE # 221517 BY:, TITLE: ACCOUNT REPRESENTIVENN DATE: INSTALLATION CERTIFICATE MOSAIC AT ESPLANADE- PLAN 2838 CF -6R 43-341 Parkway Esplanade West 28 04-00005904 Site Address Lot # Permit Ntunber An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip- Type (pkg., CEC Certifited MrfName heat pump) & Model Number # of Identical Systems Efficiency (AFUE, etc.) 2 CF -1 R value Duct Location (attic, etc.) Duct or Piping R -value Heating load (Btu/hr) Heating Capacity (Btu/hr) Comfortmaker N8MPL075F16 2 80% ATTIC R4.2 60,000 CoolingEquipment Equip. CEC Certified Compessor # of Efficiency Duct Cooling Cooling Type (pkg., Unit MrfName and Identical (SEER, etc.) Location Duct Load Capacity heat pump) Model Number Systems 2 CF -IR value (attic, etc.) R -value (BUft) (Btu/hr) Comfortmaker NAC242 I 12.0 ATTIC R4.2 42,000 NAC248 1 12.0 ATTIC R4.2 48,000 I, the undersigned, verify that equipment listed above my signature (1) is actual equipment installed; (2) is equivalent to more efficient than that specified in the certificate of compliance (Form CF -I R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) ,the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. WATER HEATING SYSTEMS: Distribution If Recir- # of Rated I Tank Effi- External Heater CEC Certified MB Type (Std. culation, Identical Input (kW Volume ciency 1 Standby 1 Insulation Type Name & Model Number Point -of -Use) Control Type Systems or Btu/hr) (gallons) (EF, RE) Loss (%) R value American FG62-50T40-3NV Circulating Pump Timer One 40,000 BTU 50 .62 N/A N/A For small gas storage (rated input < 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heater; rated input> 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input For instantaneous gas water heaters, list Recovery Efficiency, Standby Loss and Rated Input Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Subchapter 2, Section 111. I, the undersigned, verify that equipment listed above my signature (1) is actual equipment installed; (2) is equivalent to more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department/Building Owner at Occupany PONDEROSA HOMES II, INC. OWNER f - ' MOSAIC AT ESPLANADE INSTALLATION CERTIFICATE ALL PLANS CF -6R FENESTRATION/GLAZING: Manufactured 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. " Installed U -value must be less than or equal to value from CF -1 R. Alternatively, installed weighted average U -value for the total fenestration area is less than or equal to value from CF -1 R. I, the undersigned, verify that the festration/glazing listed above my signature (1) is the actual fenestration product installed; (2) is equivalent to or more efficient than the specified in the certificate of compliance. (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #S (if applicable) COPY TO: Building Department Building Owner at Occupancy ri A � 6 -t 3 -o 5 PONDEROSA HOMES II, INC. Signature, Date OWNER Operator Products Labelled Site Buildt Products Total Type (e,g,,, U -value is # of Default Quantity Square Comments/ Manufacturer/Brand Name fixed, slider) CF -1 R Value 2 Panes. U -Value 2 (Optional) Feet Special Features (GROUP LIKE PRODUCTS) 1. Milgard 111 OH Operable SI. .59 2. Milgard 1510 Operable Sh. .60 – -- 3. Milgard 710 Fixed Windows .43 – - — 4. Milgard 450 Sliding GIs dr. .58 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. " Installed U -value must be less than or equal to value from CF -1 R. Alternatively, installed weighted average U -value for the total fenestration area is less than or equal to value from CF -1 R. I, the undersigned, verify that the festration/glazing listed above my signature (1) is the actual fenestration product installed; (2) is equivalent to or more efficient than the specified in the certificate of compliance. (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and (3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable. Item #S (if applicable) COPY TO: Building Department Building Owner at Occupancy ri A � 6 -t 3 -o 5 PONDEROSA HOMES II, INC. Signature, Date OWNER CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page'l CF -1 --------------------------------- -______-------- Project Title.......... Plan , -2:-' /Plan 2 w/br5 Date..03/12/03 13:40:3 Project Address........ Esplanade Mosaic ******* -------------------- La Quinta *v6.01* Documentation Author... Sam Maimone ******* Building Permit Heritage Energy Group 15375 Barranca Pkwy, Suite F-101 Plan Chec / Date Irvine,'CA 92618 949-789-7221 Field Check/ Date Climate Zone. ..... 15 -------------------- Compliance -Method____. MICROPAS6—vv6_01- for -2001 Standards by Enercomp,- Inc. -- I MICROPAS6 v6.01 File -22208M21 Wth-CTZ15S92 Program -FORM CF-1RUser#-MP0940 User -Heritage Energy Group Run ----- --------------------------------------------------------- GENERAL INFORMATION ---------------- Conditioned Floor Area..... Building Type,,,,,,,,,,, ... Construction Type ......... Building Front Orientation: Number of Dwelling Units... Number of Stories... ...... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 2838 sf / 3039 sf Single Family Detached New Cardinal - N,E,S,W 1 1 Slab On Grade 18.6 % of floor area 0.58 Btu/hr-sf-F 0.39 10 ft BUILDING SHELL INSULATION ------------------------- Component Frame Cavity Sheathing Total Assembly Type ----- Type ------- R -value -------- R -value ------- R -value U -factor Location/Comments ----- S1abEdge None R-0 R-n/a ----------------------------- F2-0 760 S1abEdge None R-0 R-n/a Left F2=0.510 Wall Wood R-13 R-n/a R-13 0.088 RoofRadiant Wood R-30 R-n/a R-30 0.035 Door Wood R-0 R-n/a R-0 0.330 FENESTRATION orientation Wind Back (S) Door Back (S) Wind Right (W) Door Right (W) Wind Right (W) Wind Front.(N) Wind Left (E) Wind Left (E) Wind Left (E) Door Left (E) ADD W/BR5: Wind Front (N) Area U- Exterior (sf) Factor SHGC- Shading 115.0 0.600 0.360 Standard 112.0 0.580 0.350 Standard 76.0 0.600 0.360 Standard 24.0 0.550 0.650 Standard 8.0 0.600 0.360 Standard 45.0 0.600 0.360 Standard 30.0 0.600 0.360 Standard 24.0 0.430 0.350 Standard 55.0 0.600 0.360 Standard 40.0 0.550 0.650 Standard Over- hang/ Fins Location/Comments Yes metal framed low -e Yes metal framed low -e Yes metal framed low -e Yes non metal framed clr None metal framed low -e None metal framed low -e None metal framed low -e None metal framed low -e Yes metal framed low -e Yes non metal framed clr 37.5 0.600 0.360 Standard None metal framed low -e SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 1443 Standard Slab 1395 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1: Project Title.......... Plan 2 / Plan 2 w/br5 Date..03/12/03 13:40:38 HVAC SYSTEMS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermosta- ---Type-- Efficiency Airflow Location R -value Leakage D Type --------------------------------- ------------- ---------------- Furnace 0.800 AFUE n/a Attic R-4.2 Yes No Setback ACSplitTXV 12.00 SEER Yes Attic R-4.2 Yes No Setback Living rooms: Minimum Heating Load: 28,197 Btuh Cooling Load: 26,986(Sensible),32,383(Total)- Bedrooms: Minimum Heating Load: 28,108 Btuh Cooling Load: 28,146(Sensible),33,.775(Total) beds w/br5: Minimum Heating Load: 30,975 Btuh Cooling Load: 31,610(Sensible),37,932(Total) Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizinc_ safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. That individual is required to provide Form CF -6R, an Installation Certificate, which must be posted at the building site prior to issuance of the occupancy permit. The CF -6R is not required for permit submittal. It is intended to insure installation :of equipment that meets the efficiency requirements of the compliance documentation. DUCT TESTING DETAILS Duct Leakage Target Equipment Type (; fan CFM/CFM25) ------------------------- ----------------- Furnace / ACSplitTXV 60 / 60.6 Furnace / ACSplitTXV 6`s / 58.6 WATER HEATING SYSTEMS Measured Supply Duct Surface Area (ft2)----------------- n/ a n/a Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value -- ------------------- -------------- ------ Storage Gas Recirc/TimeTemp 1 0.60 50 -R- n/a Rheem Water Heater # RHG PRO50-40 (N) (or equal) *All piping used to recirculate hot water must be insulated with R-4 insulation or equivalent. This includes any recirculating piping located in concrete slabs or underground. A timer must be permanently installed to regulate pump operation. Timer setting must permit the pump to be cycled for at least eight hours per day. lieu of a timer and temperature control. An automatic thermostatic control must be installed to cycle the pump on and off in response to the temperature of the water returning to the water heater through the recirculation piping. Minimum differential or "Deadband" of the control shall not be less than 20 degrees F. SPECIAL FEATURES AND MODELING ASSUMPTIONS ---------------------------------------- - This building incorporates a Radiant Barrier. The radiant barrier must have an emissivity less than or equal to 0.05, must be installed to cover the roof trusses, rafters, gable end walls and other vertical attic surfaces, r� CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -ll Project Title.......... Plan 2 Date..03/12/03 13:40:31 This building incorporates Tested Duct Leakage. This building incorporates either Tested Refrigerant Charge and Airflow (RCA) or a Thermostatic Expansion -Valve (TXV) on the specified air conditioning system(s). HERS REQUIRED VERIFICATION *** Items in this section recjuire field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -6R installation certificate. *** This building incorporates Tested Duct Leakage. Target CFM leakage values measured at 25 pascals are shown in DUCT TESTING DETAILS above or may be calculated as documented on the CF -6R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary for Tested Duct Leakage. This building incorporates either Tested Refrigerant Charge and Airflow (RCA) .or a Thermostatic Expansion Valve (TXV) on the specified air conditioning system(s). If a cooling system is not installed, then HERS verification is not necessary for the RCA or TXV. REMARKS 06/08/2005 1-4:51 9496312293 ACTION NOW MPH PAGE 09 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (fight Ducts r3 TXV) CF -41R PROJECT INFORMATION Climate Zone: 15 Project Title: Mosaic @ Esplanade Project Address; Le Quints Builder Name: Ponderosa Homes Voice # ; 925-460-8900 Builder Contact: Jeff Nygren Voice 0: Project ID 0; 29323 Sample Group 0: Phase: 8 Lot #: 28 Plan #; 2 Address: 43-341.Par4way,.Esplanede We6t HERS INFORMATION HERS Rater. Scott Johnson Jayme Carden Certification # : CCNSJ614O37 CCNJC615157 HERS Firm: Action Now Voice 4; 949.631.2274 Address: 2575 Westminster Avenue. Costa Mesa, CA 92627 HERS Provider; CHEERS Voice #: 800-424-3377 HERS Address: 9400 Topenge Canyon Blvd., Chatsworth. CA 91311 HERS RATER COMPLIANCE STATEMENT x T-24 Compliance Credit was Taken for Tight Ducts = T-24 Compliance Credit was Taken for TXV TXV Verified Yes The house was: x Tested / Verfled =Approved as a part of sample, but was not tested x The installer has prove ed a copy of CF -6R x Air Distribution System is Fully Ducted (eheetmetal, duetboard or flex duct) Where cloth backed rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at the connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE COMPLIANCE CREDIT Duct Diagnostic Leake a Testing Results (Maximum 6% Duct Leakage) CFA: CFA Leak Max Tested Leak 0 System Indicate the max mum a owe le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 & 16 x 400 x (Cooling Capacity In Nominal Tons) x (0.08) 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x Measured Fen Flow x .06 uct Pressurization Test Re su is 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fail (Pass = 6% -Or Less) Pass System © of Indicate the maximum a owa le Duct Leakage end the calculation used; 0.7 x Floor Area x (0,06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.06) for Climate Zones 1 through 7 8 16 x 400 x (Cooling Capacity in Nominal Tons) x (0.06) fan flow 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0.06) Measured Fan Flow x .06 uct Pressurization Test Results ( 5 PA) 4 100 x Test Leakage/ fan flow = % Leakage a Check Box for Pow or Fail (Pass = 6% or Less) Passr---- ai System = of Indicate the maximum a owa le Duct Leakage and the calculation used: 0.7 x Floor Area x (0.06) for Climate Zone 8 through 15 0.5 x Floor Area x (0.08) for Climate Zones 1 through 7 8 16 400 x (Cooling Capacity In Nominal Tons) x (0.06) fan flow 21.7 x (Heating Capacity in Thousands of Output BTU per hour) x (0,06) Measured Fan Flow x ,06 not Pressurization Test Res u 5 PA) 100 x Test Leakage/ fan flow = % Leakage Check Box for Pass or Fall (PaE"'Q % or Less) Pass a Raters Certifying Signature Date 6/82005 F2001-02 (4-02) Action Now T-24CF4RTDaTXVmacro.xls