0302-056 (SFD)LICENSED CONTRACTOR 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.
License # Lic. Class Exp. Date
752 K84 A11HC 8/3 ) /G4
Date ; �� ff� Signature of Contractor�Y�l
OWNER -BUILDER DECLARA 10N
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
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
pert• rmance 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 & policy no.'are:
Carrier FEMOICt Ilai?I?Wi` ' Policy No. 15671601
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 .l shy II f rt witl comply with. those,,provisior
,,'Date: ( Applicants
Warning: Failure to secure Workers'Compensation aoverag is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) e`Date `, `"��(✓
BUILDING PERMIT PERMIT# maaltlt
LOT 49 TRACT 2932.3.1
DATE VALUATION $172,40.2.1()
JOB SITE
ADDRESS f$.. F(F ��„O.�A°1h �E+u��,l.'J�t�.�.Ir.:i�'7�'%I".I�1
APN trf;�-.'1i••Q'
OWNER
CONTRACTOR / DESIGNER / EN (NEER
1}0Ni7`b:1C0PAkTOLM i1, INC.
%i3.Ri5x: iC?.�� {C11 1:e� Il Sl�iC
400 0, FARRI1., DR. S .& In 103
400.1..1+Q,kkt r 131;: MUM, B 103
Z).AL,W&PRTNOS CA. 92262
F'A. q °�r``!7RWCT8 CA. 9.2262
(7?)1°)1 V 710 M-4- 2346
USE OF PERMIT
DIN (312 if`.r NIff..Y DINIELLNG
Sri) .• LoOT •4a, PLAN ZBXL. I'E7tNIT :I)OM NOT INCLIUr M, C LIOC K
WAI.« A P0014 ,SPA. OR 1: RA`9 WAY ATIPROAC0
TILWT CONSTRUCTION ;48.38,10 Nle
P ORCHIPA'I IO 327.0E SF
GA11,ACWCAMPORT 671.0n &W
E&r'TMATED COITT C•3F C 0 J1?. IC17()R'
� 73n�ItJi.1£d
PFMMIIT Fog 90104"Y
CC'P1I1T IXT ION I:ll?, 101-000-41 EI -000 $305,00
PIAN CHFXX FE, S 101-000-439-318 MA.&d
I! ECHA141C.A1 FEE 101.000-121.000 R1£tS 60
FILI CTRIC;,M.. FEE 101.000-420-000 $146.25
PL,tIMBI) 0 FI?li. 101.-000.419.000 168,-54
3'I'1i:ONC IMOTIf3Pd PLESS IMSID 101-000-241-000" 1.$00 ' $I3.A
OFtA.DNO Ffil 101.000-4.2 3.0100 ii Ot 5.0e3
D01f :.1,01"ER IMPACT FFE $2,40.5.00
FEE DEPOSIT 101-000-439-316 -Si50.ii0
UR -`t ' V . L C014STR 'TM, 3014 AM M- AW CHECK
��i,� :►�. °'_
f1 ESiaq*1'�+f?L,`�'
-2i7;3I,%.0t?
J 'LAI T(Yr sl, DUIC ROW
13,^141*, &-,
r to
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings26
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation - , e
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath � �I
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS,
Gas Test
Electric Final
Waste Lines .2 .�c f, '� ��
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection . 0 3 57
Encapsulation
Gas Piping t _
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm) c 6f/�-
�D.A l
COMMENTS:
1;M t
IJ L
_ ^�
Ip LJ
INSTALLATION CERTIFICATE MOSAIC AT ESPLANADE- PLAN 2838 CF -6R
SD u -rJ4
79-706 Parkway Esplanade Wxr* 49 0302-056
Site Address Lot # Permit Number
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:
If Rccir-
# of
Rated 1
Tank
Effi-
External
Heating Equipment
culation,
Identical
Input (kW
Volume
ciency 1
Standby I Insulation
Equip.
# of
Efficiency
Duct
Duct or
Heating
Heating
Type (pkg, CEC Certifited Mrf Name
Identical
(AFUE, etc.)
Location
Piping
Load
Capacity
heat pump) & Model Number
Systems
z CF -IR value
(attic, etc.)
R -value
(Btu/hr)
(Btu/hr)
Comfortmaker NBF075F16G1
2
80%
Attic
4.2
75,000
CoolingEquipnrent
Equip. CEC Certified Compessor
ti of
Efficiency
Duct
Cooling
Cooling
Type (pkg., Unit Mrf Name and
Identical
(SEER etc.)
Location
Duct
Load
Capacity
heat pump) Model Number
Systems
>_ CF -IR value
(attic, etc.)
R -value
(Btr/hr)
(Btu/hr)
Comfortmaker NAC242AKA5
2
12
Attic
4.2
42,000
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 -1R) 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 Rccir-
# of
Rated 1
Tank
Effi-
External
Heater CEC Certified Mfr Type (Std.
culation,
Identical
Input (kW
Volume
ciency 1
Standby I 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 heaters 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 1 11.
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.
PONDEROSA HOMES 11, INC.
Si ture, Date OWNER
COPY TO: Building Department/Building Owner at Occupany
MOSAIC AT ESPLANADE
INSTALLATION CERTIFICATE ALL PLANS CF -6R
FENESTRATION/GLAZING:
Manufacturer/Brand Name
Operator
Type (e,g,,,
fixed, slider)
(GROUP LIKE PRODUCTS)
1. Milgard 111 OH
Operable SI.
2. Milgard 1510
Operable Sh.
3. Milgard 710
Fixed Windows
4. Milgard 450
Sliding GIs dr.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Manufactured
Products Labelled
U -value is
CF -1R Value 2
.59
.60
.43
.58
Site Buildt Products Total
# of Default Quantity Square Comments/
Panes U -Value 2 (Optional) Feet Special Features
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.
PONDEROSA HOMES II, INC.
Item #s SignaCure, Date OWNER
(if applicable)
COPY TO:
Building Department
Building Owner at Occupancy
.CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -11
Project Title.......... Plan 2 /Plan 2 w/br5 Date..03/12/03 13:40:3F
Project Address........ Esplanade Mosaic ******* _____________________
La Quinta *v6.01*
Documentation Author... Sam Maimone ******* Building Permit
Heritage Energy Group
15375 Barranca Pkwy, Suite F-101 Plan Check -/Date
Irvine, 'CA 92618
949-789-7221 Field Check/ Date
Climate Zone........... 15
Compliance Method ...... -MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
I MICROPAS6 v6.01 File -22208M21 Wth-CTZ15S92 Program -FORM CF -1R
------User#-MP0940 User -Heritage Energy Group Run-
------------ ------------- ------ ----------------------
GENERAL
un-----------------------------------------------------
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
Front
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
(E)
24.0
0.430
FENESTRATION
Standard
------------
Over-
Area U- Exterior hang/
Orientation (sf) Factor SHGC Shading Fins
---------- ----- ------ -------------- -----
Wind
Back
Door
Back
Wind
Right
Door
Right
Wind
Right
Wind
Front
Wind
Left
Wind
Left
Wind
Left
Door
Left
ADD W/BR5:
Wind
Front
(S)
115.0
0.600
0.360
Standard
Yes
(S)
112.0
0.580
0.350
Standard
Yes
(W)
76.0
0.600
0.360
Standard
Yes
(W)
24.0
0.550
0.650
Standard
Yes
(W)
8.0
0.600
0.360
Standard
None
(N)
45.0
0.600
0.360
Standard
None
(E)
30.0
0.600
0.360
Standard
None
(E)
24.0
0.430
0.350
Standard
None
(E)
55.0
0.600
0.360
Standard
Yes
(E)
40.0
0.550
0.650
Standard
Yes
Location/Comments
--------------------------
metal framed low -e
metal framed low -e
metal framed low -e
non metal framed clr
metal framed low -e
metal framed low -e
metal framed low -e
metal framed low -e
metal framed low -e
non metal framed clr
(N) 37.5 0.600 0.360 Standard None metal framed low -e
SLAB SURFACES
-------------
Area
Slab Type (sf)
---------------- ------
Standard Slab 1443
Standard Slab 1395
SPECIFICATIONS
TYPE SIZE 2L i +? X r` Lill
SURFACE AREA OF POOL
PERIMETER DEPTHS MIN. �r—� I l MAX, = --L
SPA 'SPECIFICATIONS
TILE
SIZE 2- X _* SQ. FT,
SPA DAM WALL WIDTH
N0. OF JETS
LIGHT 5"ti
TILE TYPE LO C �'
WATER LINE
TILE TRIM
QUARTER ROUND"
R.B.B.
RAISED SPA AT + IrZ e`
SPILLWAY TYPE%'
SPECIAL NOTES
DECKING
CKING�
EXCAVATION STEEL
TYPE C}/f
FINISH
ACCESS FROM
ELEVATION
DEEP END RAMP �'°
LOVE SEAT rm"
EXPANSION JOINTS• 5
CANTILEVER -
DECK DRAINS "r
DECCO DRAIN
CONCRETE REMOVAL LOADS
SOD REMOVAL LOADS
CURB CORE
STEPS
TREE REMOVAL BY /"�
IRRIGATION REMOVAL BY
STEP FACE
TILE BASE F
IRRIGATION REPAIR
SAND AND VISQUEEN
6' R.B.B.� ft
12' R.B.B. `Si A ft
RIBBONS
MOW STRIP
18' R.B.B. ft
24' R.B.B. ,.�
v
30' R.B.B. ft
TAN SHELF DEPTH
ROCK POCK eTs --
f,
CENTERS
MASONRY A
COPING TYPE""'
; R.B.B.' FACING''
SPILLWAYTYPE'S itG'S4 - SIZE
STEPS .
PROP. EXT. WALLS .�
PLANTER WALL
RETAINING WALLS •�"'
EQUIP. WALLS
PLUMBING
p �i V
FILTER ' l Oct �"' SIZE
POOL PUMP C-A*L- 'r - SIZE _ U
- BOOSTER PUMP SIZE "
ADD'L PUMP SIZE
FIREPIT
ADD'L PUMP SIZE
HEATER 4...t SIZE
TIME CLOCK Li U SQe i C
SUB PANEL
AOD'L'OUnE*M ..-
SKIMMER TYPE'"
FILL LINE„!!' ='
GAS LINE r%''15' fUBs "^
PEBBLE PLASTER sb +aT
LIGHTS POOL f !
LIGHTS SPA t 2_ S_ AD 4.
FOUNTAINS/SPRAYHEADS .r.�
ROLLED BOND BEAM
SHEER DESCENTS
BEHIND SPA ”-
EYEBALLS
LIGHTS IN POOL �N SPA ! Z -;9 A
STUB SET EQUIPMENT -
MISC. i : l_t
PLUM^eING SZE
FENCING
FENCE TYPE
HEIGHT
GATE
GUNITE
GATE REVERSAL
DEEP END RAMP
REMOVE do REHANG
EXTENDED 2nd STEP
LOVESEAT
SPILLWAY TYPF
CANTILEVER'
EST. START to .L3
EST. COMPLETION=
COPING
R.B.B. — SEE STEEL "� t !' PA-
OTHER
OWNER RESPONSIBILITIES
OWNER TO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
(2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF
LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT
(3) WET; DOWN CONCRETE SHELL. AT_LEAST TWICE-DAILY FOR SEVEN DAYS AFTER SHELL IS -INSTALLED
(4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS,
AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA
(5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE
PRIOR TO PREPLASTER INSPECTION
(6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE)
(7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY
USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS,"INC. IS PROHIBITED BYLAW.
OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
SIGNATURE(S) DATE
SWIMMING POOL PLAN FOR:
NAME
}1�V E 1 R' I Li N G E
STREET
JOB ADDRESS, .:1�
Mtn ���w` CITY LA qjj,.eA
PHONE OFFICE :. 'RES
LOT 0-42-, TRACT PAGE BOOK
MAP BOOK PAGE NO. CITY
MAIL ADDRESS
CONSTRUCTION OFFICE ,PHONE NQ.
SCALE
DATE
DRAWN BY
SOLD BY
CHECKED
/8.r T�''.
1-1
10203D(>
REVISIONS DATE
211
®F �" j
3
-:
411
LDATE
SELECTIONS
STONE
rl
TILE
"
BOULDERS
DECK COLOR
JANDY
A.
PEBB./PLAS
_ a 4.6,
SIGNATURE
DRAINAGE NOTE: Drainage and irrigation for planters and pots, by
-others, unless otherwise noted.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title.......... Plan 2 / Plan 2 w/br5 Date..03/12/03 13:40:38
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
Equipment Minimum
Type Efficiency
------------ ------------
Furnace 0.800 AFUE
ACSplitTXV 12.00 SEER
HVAC SYSTEMS
Refrigerant Tested
Charge and Duct Duct Duct
Airflow Location R -value Leakage
--------------------------------
n/a Attic R-4.2 Yes
Yes Attic R-4.2 Yes
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)
ACCA
Manual Thermostat
D Type
------ ----------
No Setback
No Setback
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, oversizing
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 Measured Supply
Leakage Target Duct Surface Area
Equipment Type (% fan CFM/CFM25) (ft2) -----------------
------------------------- -----------------
Furnace / ACSplitTXV 6% / 60.6 n/a
Furnace / ACSplitTXV 6% / 58.6 n/a
WATER HEATING SYSTEMS
---------------------
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 PR050-40 (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,
and must meet attic ventilation criteria.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title.......... Plan 2 Date..03/12/03 13:40:38
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
CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Tight Ducts & TXV) CF -4R
PROJECT INFORMATION Climate Zone: 15
Project Title:
Mosaic @ Esplanade
Project Address:
La Quinta
Builder Name:
Ponderosa Homes
Voice #: 925-460-8900
Builder Contact:
Jeff Nygren
Voice #:
Project ID #:
29323
Sample Group #:
1 Phase: Model
Lot #:
49
Plan #:
2
Address:
79-706 Parkway Esplanade South
HERS INFORMATION
HERS Rater:
Scott Johnson Jayme Carden
Certification # :
CCNSJ614037 CCNJC615157
HERS Firm:
Action Now
Voice #: 949-631-2274
Address:
2575 Westminster Avenue, Costa Mesa, CA 92627
HERS Provider:
CHEERS
Voice #: 800-424-3377
HERS Address:
9400 Topanga Canyon Blvd., Chatsworth, CA 91311
HERS RATER COMPLIANCE STATEMENT
Hxx T-24 Compliance Credit was Taken for Tight Ducts
T-24 Compliance Credit was Taken for TXV TXV Verified Yes
The house was:
NxTested / Verfied =Approved as a part of sample, but was not tested
The installer has prow ed a copy of CF -6R
Air Distribution System is Fully Ducted (sheetmetal, ductboard 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 Leakage Testing Results (Maximum 6% Duct Leakage)
CFA: CFA Leak Max Tested Leak t�
System o
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 (0.06) for Climate Zones 1 through 7 & 16
x 400 x (Cooling Capacity in Nominal Tons) x (0.06)
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x .06
uct Pressurization Test Results 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less)
System ' ` of
Indicate the maximum a owa le Duct Leakage and the calculation
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 (0.06)
Pass
used:
21.7 x (Heating Capacity in Thousands of Output BTU per hour) x
Measured Fan Flow x .06
uct Pressurization Test Res u is 5 PA)
100 x Test Leakage/ fan flow = % Leakage
Check Box for Pass or Fail (Pass = 6% or Less) Pass
System LJ of
Indicate the maximum a owa le Duct Leakage and the calculation used:
0.7 x Floor Area x (0.(
0.5 x Floor Area x (0.(
400 x (Cooling Capac
21.7 x (Heating Capai
Measured Fan Flow
uct Pressurization Test Re
100 x Test Leakage/ fan flo%
Check Box for Pass or Fail (
Raters Certifying Signature
400
r-zuu i-uz t4-uz) Hcuon NOW I-z4Gr4K I uat I hvmacro.xis
INSULATION CERTIFICATE
This is to Certify that insulation has been installed In conformance With the Current energy
regulation, California Administrative Code, Title 24, State of California, in the building at
MOSAIC @ ESPLANADE, LOT 49, MODEL, LA DUINTA, CA
CEILINGS: THICKNESS: R-38
TYPE: BATTS MANUFACTURER: Certainteed
WALLS: THICKNESS: R-13
TYPE: BLOW MANUFACTURER: Certainteed
GENERAL CONTRA R: PONDEROSA HOMES II, INC LICENSE It A'1 2— S'Y
BY: TITLE:v�°r� may► y �"f `
PA 1ZON SCHMID RUILDiNG PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE: ACCOUNT REPRESENTIVE DATE: 0--k],-V5