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12-0433 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 -_- - _ _ ^ _ ,-"r. I Application Number: 12-00000433 Property Address: 60494 JUNIPER IN APN: 764-270-999-156 -300232- Application description: MECHANICAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 11100 4 • BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JAMES BRENNWALD 60494 JUNIPER LANE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/19/12 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.). Lender's Name: Lender's Address: LQPERMIT of La Qumta, 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 my to enter upon the above-mentioned property forr •r1spection-pur S. ate ignature (Applicant or Agent): Contractor. \C Applicant: Architect or Engineer: VIC'S AIR CONDITIONING INC U �ilvecx_ P.O. BOX 215 FAN THOUSAND PALMS, CA 92276 1 (760)343-5033. LiC. No.: 756658 . a 0 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am 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 Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 756658 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ateont or: 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 O N •BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I m exempt from the Contractor's State License Law for the Carrier STAR INS CO Policy Number WCMSTR050916902 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, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, 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 should become subject to the workers' 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 Code, I shall forthwith comply with tbose.provisio 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— 'L% �7 / .- scant: 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and �P the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL RE TO SECURE WORCOMPENSATION 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 PENALTIES AND 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 - (_) I, 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 }o 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(s) licensed 1. 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—) I am exempt under Sec. BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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.). Lender's Name: Lender's Address: LQPERMIT of La Qumta, 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 my to enter upon the above-mentioned property forr •r1spection-pur S. ate ignature (Applicant or Agent): n. Application Number . . . . . 12-00000433 Permit . . . MECHANICAL "Additional desc•. 3 Permit Fee . .".". 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . 0 Expiration Date 10/16/12 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-50OKBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW SPLIT SYSTEM, FURNACE,.COIL,CONDENSER. 2010 CODES. ------------------------------------------------------------------ Other Fees. . , i. . . . . . . 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 LQPERMIT - . Bin # • _ .. .. .... .. . City of la Quin -U, Btrlidiag a Safety Division P.O. Box. 1SO4,'78-495 Calle Tampico LA-Quinta, CA 92253 - (760) 777-7012 'Building Permit Application and Tracking Sheet Permit # .' Project Address: Owner's Name:. A P. Number Address: Legal Description: Contractor. f City, STIPP: 42 Telephone ' � ; `°"dam: ''21— Project Description: City, ST, Zip:— Telepho State Lia # : l� ,ty Lie P: Arch., liagr., Designer. Address: City, ST. Zip: Telephone: State Lia #: Construction Type:. spy: Project type (circle one): New Add'n Aher Repair Demo Name of Contain Person: Sq, Fu ti Stories: # ifiit$ Telephone g of Cotrtact Person: Estimated Value of Project APPLICANT: DO NOT WRRE BELOW THIS UNE iF Sobmittal Plan Sefs Req'd Recd TRACHING PBRMtF FEES Plan Check submitted item Amount Structural Ccs. Reviewed, ready for corrections Plan Check Deposit, . Truss Cal". Called Contact Person Plan Check Balance. Title 24 CalaL Plans picked up Construction Flood plain plan Pians resubmitted.. MechaetW Ginding plan 26! Review, ready for correctiouslinue Electrical Subeostaetor, List Called Contact Person Pluntbing Grant Deed. Plans picked up S.MI, S.O.A. Approval Plans resubmitted Grading IN HOUSE- 2" Review, ready for cmrrectionsiusue Developer Impact Fee Planning Approval Called Contact Person A I.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 1 of 5 Project Name: Climate Zone # # of Stories Brenwald, James 115 1 General Information Site Address: 60494 Juniper Ln La Quinta CA 92253 Enforcement Agency: La Quinta, City of Date: 4/16/2012 Building Type ❑� Single Family ❑ Multi Family Circle the Front Orientation: N,Q S, W, or degrees Conditioned Floor Area (CFA): 1200 Project Type: Alterations ❑Envelope Fenestration ❑Roof ❑HVAC Values From JA4 Table Replacement or Chane Out ❑ Duct Replacement ❑ Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration ❑ Opening of framed cavity alone—Alterations that involve the opening of the framed cavity ofa wall, ceiling, or floor must install the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly—Replacement ofan entire wall, ceiling, or,lloor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A —J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G I H I I J Proposed " " Standard Values From JA4 Table Tag/ Assembiame Framing Thickness a�ter52 N Sp ing, ` tl in Furring Space from Reference Framed Continuous JA4 Proposed JA4)Table' Cav'ty Insulations Assembly Assembly ��v0a IDI or T` a a, 'Size°' o Other' ` fad Number�� -6 Lt Value's'" Cell Value' U-factor9 / { '% "#k u tori + 46*00'l -t%-0%�o V%V11"0. r r N cUtl C •'� U Note: Forfurred assemblies, dccountingfo"rContinuous Insulation R -value, see ,Page JA4-3 and Equation -4-1. For'calculatingfurred walls use the Mass and -L FurringConstniction table below' . f I r 1 I I 1. For Tag/ID indicate the identification name that'matches the building plans. 2. Indicate the Assembly Name type: Roof/Ceiling ,Walls, Floors, Slabs„Crawl Space, Doors Ad e�rindicate he Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4,•2x 6, or e`... see JA4 for other po sible frame typeYassemb'lies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 1-6�or 24-"0C; or Other for ll other Isembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale' Panel and etc.... �- 4. Based on the Climate Zone; enter the Standard U factor from.Table X151 -B, C or D for each different Assembly Name -or -type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ”. 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A B C D I E F G H I J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 s 0 — N cUtl C •'� U Assembly a g 8.2 F F g o > 7 Final Mass Name A4 Table 2,5 E° = > o Assemblyi Thickness' ypeor Numbe? ¢ > c X e ¢ > U -factor ' Comment Registration Number: 312-A0011296A-000000000-0000 Registration Date/Time: 04/16/2012 17:35:34 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Climate Zone # # of Stories Brenwald, James 115 1 Mass and Furring Strips Construction(footnotes) 1. Indicate the type ofassembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can befound Reference Joint Appendix JA4. 2. This is the U -Factor based on the thickness of the assembly in inches. 3. The R -value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R- Value is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- actor value on to the Opaque Su ace Details in Column J FENESTRATION PROPOSED AREAS ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 151-C. ❑ Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration Area requirements of Component Package D in Table 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT ji Orientation M �"' t� �I � ,#�!, Fenestra 'on ype and Frame1 'j (otth,�'QLl' P�copsedArea : aximurn Maicitnum NFRC or Default indow, Glass -Door -or -Skylight) {{ iSouth, West ' ,.ft/ �r ;U-factorz 3 SyI•IGC., `3, 4 Values 1. Fenestration area is the area of total glazed produ`ct`(i.e. glass plus frame). Exception.-' When"a door is less_tham50% glass, the fenestration area may be the glass area plus a "2 inch frame around the glass. rhve2. Enter valuefrom Component Package D Requirements m Table 151-C. 3. Actualfenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to oa'lower U factor and/or a lower SHGC value than that specified on the CF -IR ALT Form. 1= 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.I applicable at this sta a enter `NFRC" or NFRC Certi ted windows or are CEC `De au It" values found in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ftz of fenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B -D + C Total Fenestration Area ftz .20 > West Fenestration Area (Required In .05 > CZ's 2,4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Pro osed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 312-A0011296A-000000000-0000 Registration Date/Time: 04/16/2012 17:35:34 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 3 of 5 Project Name: Climate Zone # # of Stories Brenwald, James 115 1 ROOFING PRODUCTS (COOL ROOFS) §1510912 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1Hy 152(b)IHii, or 152(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not fill table below. O Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. Moot Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrW-OF/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 fig of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the flee ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or f §151(02;.0 ❑ Building has radiant barri*erin barrierthe attic meeting the require ents inq ❑ Building has no ducts`iri�ih�e atfro or i a. u �� i o r b �a wu.r �u mit• rr ❑ In climate zones 10, j.1, .13 and.1,4, R-3 ,or_greater roof deck insulation above vented attic. Exception to §152(b)1Hui, Low -slope roof(pttc/i Mwwln tact r Association ❑ Building has no ducts in the -attic. Other Exceptions '� ❑ Roofing area covered by�building integrated; photovoltaic panels and solar thermal.,panels:are exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with atJeast 2511b/ft- isxe em"'•from the below Cool Roof criteria. Note: If no CRRC-1 label is available,.this }compliance method cannot be used, use the'Performance Approach to show compliance, otherwise, Check the applicable RUN below if Exempt fromghe Roofing Products "Cool Roof,rRe uirement-14r - . � Roof Slope Product Weight . ii L Pr§o,duct "o .yAged-Solarr ` Thermal CRRC Product ID Number -_<=2t 12',-:_2:121 < 511i/tip,? 51b%ft - ,_T eZ f � Reflectance3'4 Emi4ance SRIS ❑ ❑ ❑f ❑ ❑ ❑ ❑ . _Q ❑ ❑4 -- ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. coolroofs.org/products/search nhp 2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc. 3. 'If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pinitia1- 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at &W://www.energv.ca.gov/title24/and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § I18(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating TO Cement -Based Roof Coating ❑ Other Registration Number: 312-A0011296A-000000000-0000 Registration Date/Time: 04/16/2012 17:35:34 HERSProvider: CBPCA 2008 Residential Compliance Forms ' August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 4 of 5 Project Name: Climate Zone # # of Stories Brenwald, James 115 1 HVAC SYSTEMS - HEATING List water heaters add�boilers for both domestic hdt water (DHW) heaters and hydronicspace heating. Individual dwelling DHW heaters must be gas or propane fired, and may_not exceed 50 gallon Hamot water pipe insulation from the�DHW heater to the kitchen(s) and on all underground Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity'," AFUE or HSPF Type and Location° R -Value Type Space, Package or H dronic Furnace, 66000 80 AFUE Ducted, SetBack Split or Insulation Type' 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §751(6)3 exception. 3. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, TyDe and Ca aci ',2 COP) Type and Location; R -Value Type Space, Package or H dronic AirConditioner,48000 ,�, ,� 14 SEER Ducted,;,,,; SetBack Split 1. Indicate Cooling Type -(A/C, Heat pump„EvwCooling, etc) pp� • zn­•,�*�, 2. Refer to the HERSrVerification section1o.; Page 4 of he F;,7R:AZs 67t?,,�m aftfor additional requir��ts aid check a 14 le boxes. 3. Indicate Type or Location cts,H dronic in Floor Radiators, etc. I I I V _Q V pie11Z11111 , WATER HEATING k,,_ J`T List water heaters add�boilers for both domestic hdt water (DHW) heaters and hydronicspace heating. Individual dwelling DHW heaters must be gas or propane fired, and may_not exceed 50 gallon Hamot water pipe insulation from the�DHW heater to the kitchen(s) and on all underground hot water pipes is required in all com onent packages -in all climate zones Water Heater Type/Fuel *`�T EneFactor External Tank Distribution Type Number or Insulation Type' Stand Recirculatin z (Standard, g) system Ca acity (gal) ' , ThermalTEfficiency R -Value 3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written 'usti cation and documentation and special verification. NEW ROOF ASSEMBLY - Radiant Barrier The radiant barrier requirement of § 151 (02 does not apply to roof alterations. Slab Edge (Perimeter) Insulation 0 YES 0 NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation E3 YES 0 NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation Q YES A NO YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass use the Performance Approach. Registration Number: 312-AO011296A-000000000-0000 Registration DatelTime: 04/16/2012 17:35:34 HERSProvider: CBPCA 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone # # of Stories Brenwald, James 115 1 HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. 0 YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES [3 NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1Di. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. M YES ® NO YES: InLClimate Zones,2 and 8-15, when•.the-existing HVA equipment is replaced (including the replacement of the air }iand�ler o �tdoor F. condens g unit f,a plit system Ayr lie pum ,f` olmg o head g:c°"oil, or the furnace heat W w ra w r r vub us Wir r rw_ � lu w9r ,r r +� �e�r r e it+� �d w ._exchaner a refrigerant char a measurement sh be verified r J52(b)1 F. Central Fan Integrated (CFn`Ventilation Sy tenn""andan„1(aDraw t o o The ventilation reuirements of 1,50 o do!not apply to existing residential homes. Ducted Split Systems - lAir Conditioners and'Heat Pumps: Airflow HERSverificat o •is required for this measure. 13 YES 13 NO YES: In Climate -Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shalltbe verified er1�2 b 1Ci-to meetahe requirements of §151(07B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate anemm tete. f NF1 Name: Octavian Victoria +� Signature. octavio Victoria j t Company: �' Vic's Air Conditioning Date:----- 4/16/2012 Address: 215 P.O Box If Applicable 13 CEA or [3 CEPE (Certification #): City/State/Zip: Thousand Palms California 92276 Phone: 760-324-3700 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Octavian Victoria Signature. octavio Victoria Company: Vids Air Conditioning Date: 4/16/2012 Address: 215 P.O Box License: 756658 City/State/Zip: Thousand Palms California 92276 Phone: 760-324-3700 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registration Number: 312-A0011296A-000000000-0000 Registration Datellime: 04/16/2012 17:35:34 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 I Z .v CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is requiredfor compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register.boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test — Completely New or Replacement Duct Svstem. " Duct Leakage Diagnostic Test — existing ducts stem Select one compliance method from the following four choices. El Option 1. Measured leakage less than 15% of Fan Airflow. ❑ Option . ,asurw end e�ak. t�o�qu' side�-llesI' lo."ao of an ❑ Option 3. Reduce-leakase by 60°�m2 rP F. -.,i ,-',OYip"ft..i, -,t ..,�r ,..--IP-1ii :' s A, ❑ Option 4!Fix all a c Note: (Opt n L must be d before utilizmg Option Lo 4 Determine nominal. Fah Airflow using one o�the following three calculation methods i 0 Cooling system method: Size of condenser m Tons, 4.00; ;z 400 ="4� 00.00 �r ,� y ' ❑ Heating system method: 21 7 x �' M sting utput Capac ty(1 B h{�—r.:�CFM ❑ Measured system airflow using RA3.3 airflow test procedures: CFM Option 1 used then: ' • �. 41V , Allowed leakage = Fan Airflow 1600.00 x 0.15 = 240.00 CFM 1 Actual leakage = 193.00 CFM Option 2 used then: Pass if Actual leakage is less than Allowed leakage Allowed leakage = Fan Airflow x 0.10 = CFM 2 Actual leakage to outside = CFM Option 3 used then: Pass if Actual leakage to outside is less than Allowed leaks e Initial leakage prior to start of work= CFM 3 Final leakage after sealing all accessible leaks using smoke test = CFM Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Option 4 used then: Pass if % Reduction > 60% 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been sealed Registration Number: 312-A0011296A-M2110365A-M21A 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:33:13 El Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Smoke Test 1 ❑ Pass ❑ Fail HERS Provider: CePCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of O Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing CHI ducts that uutilizetcpntroll,ed otorized dampers, that open only when OA ventilation is required to meet AS � i11I w N `4!I +�!3.i1+ 4t R +�° dW`tt J IiR�Is Stan �a�d�2,d�!clQse wbetr0� v`ptlatios no regu�re_d, may be ,oti>ylgured o'the closed position during duct leakage -testing - 0 All supply4nd return register boots mu"'§t�beoea ec toQCi3��11if s oke�t' s �uti ze o ,co liancg applies to duct leakage comphan a optioA3 (leakage reduction by 6O-/ and option 4_ fix all accessible leaks) described above. & f I a� O New du8t installations— c�annnno4dutilize building cavities as plenums D Mastic and draw bands must be used it n combination with c oth bE duct connections.---_.----,.--' DECLARATION STATEMENT • I certify under penalty of perjury _under ihehawts.of the State ofroCaliforr' I r i )latform"returns in lieu of ducts. leaks at all new form is true and correct. • am the certified HERS rater who performed the verification services identified and reported on thi's ertificate (responsible rater). • The installed feature, material, component, or manufactured device requiring HE verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate CF -6R Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Vic's Air Conditioning Responsible Person's Name: CSLB License: octaviano Victoria 1756658 HERS Provider Data Registry Information Sample Group # (if applicable): 0 tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: MLC Home Performance Responsible Rater's Name Responsible Rater's Signature Tom Bachus Tom Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095794 4/19/2012 Registration Number: 312-A0011296A-M2110365A-M21A Registration Date/Time: 04/19/201206:33:13 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quints, City of Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge ver f cation for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System 1 3 ❑Yes ❑No �The'�sensor is factory installed, or field 'nstalledAAa',�ccordin {to manufacturer's - iiJ�.�."T spelcf System Location or Area Served Whole House 6 ❑Yes ❑No 1 l7 es ❑No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and 4 abelgd4as.crd»to.ure +_t1O 3`2:� 1t � ■ . tt re ti;�5/1"6�"inch''g% �' a le do nt a +ray �+ � u� u . 2 OYes� —❑No ► * access ho ` mstteam of evaporative coil'Fin the supply plenum and labeled sew ord �gltogkiireip Saectior' RSA .+2 .+2 O N Yes to 1 and`2 is aif ass. p� _ Im —. � * '� 1' - W Enter Pass JroFail ✓ Pass ✓ 13 Fail 7 ❑Yes STMS - Sensor on the Evanorator Cnil_ a System Nam. Ide tIf c ti rT g S�stem 1 h System 1 !! 3 ❑Yes ❑No �The'�sensor is factory installed, or field 'nstalledAAa',�ccordin {to manufacturer's - iiJ�.�."T spelcf cationsi or is installed b ethods/specific�t ns appr by the Executive Direct"or 1 ,-- 1''k ' f J ! 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive The sensor wire is terminated with a standard minilplug suitable for connection to a 4 ❑Yes ❑No digital thermometer- The sensor mini plug is accessible.to-thePinstalling technician and The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes the HERS rater without changing the airflow through the condenser coil 5 ❑Yes ONO The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. N/A if STMS are not applicable. Otherwise enter Pass or Fail ✓ N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Cnit System Name or Identification/Tag System 1 T_ 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 The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail O N/A ✓ ❑ Pass ✓ ❑ Fail Registration Number: 312-Ao011296A-M2510364A-M25A Registration Date/Time: 04/19/201206:30:27 HERS Provider:CePCA 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55 °F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • /f outdoor air dry-bulb is 55 °For below, the installer must use the Alternate Charge Measurement Procedure. Snace Conditinninu CvOpme System Name or Identification/Tag System 1 K System Location or Area Served Whole House Supply (evaporator leaving) air dry-bulb 4)2/20120 Outdoor Unit Serial # 11193L5U5F temperature (Tsu 1 , db) 51.00 Outdoor Unit Make TRANE Return (evaporator entering) air dry-bulb Outdoor Unit Model 4TTB3048D1000AA temperature (Tretum, db) 70.00 Nominal Cooling C parity Btu/hr.. k' N_ ,ri. M • t. 4800 00 a Ri a n I � • FAk'm fflear � ay %Wr Date of Verification 9 N %A II N I to 4 11/2012 IF %WIN g IY g 1 IE1l g Calibration nf niaonn t ante Date_ Date of Refrigerant Gauge;Calib ation `' 4/2/2012 K (must be re -calibrated monthly) Date of Theiwl. rntoctio�ple CaI bratio ,; Supply (evaporator leaving) air dry-bulb 4)2/20120 must be re -calibrated monthly) . temperature (Tsu 1 , db) 51.00 Measured Temneratnrrc 101P11 n,t9: ;,, . ~ i' System Name or Identification/Tag System l ( �' Supply (evaporator leaving) air dry-bulb temperature (Tsu 1 , db) 51.00 Return (evaporator entering) air dry-bulb temperature (Tretum, db) 70.00 Return (evaporator entering) air wet -bulb temperature (Tretum, wb) 58.00 Evaporator saturation temperature (Teva orator, sat) 48.00 Condensor saturation temperature (Tcondensor, sat) 110.00 Suction line temperature (Tsuction) 61.00 Liquid Line Temperature (Tliquid) 98.00 Condenser (entering) air dry-bulb temperature (Tcondenser, db) 97.00 Registration Number: 312-AO011296A-M2510364A-M25A 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:30:27 HERS Provider: CBPCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5 Site Address: Enforcement Agency:Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of 7 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 System 1 Calculate: Actual Temperature Split = Tretum, db - Tsupply, db 19.00 Target Temperature Split from Table RA3.2-3 using T d T return, wb anreturn, db 20.70 Calculate difference: Actual Temperature _1.70 Split — Target Temperature Split = Passes if difference is between -4°F and +4°F or upo remeasurement, if between -4°F and -]0 � if %nte�r' M o Fal Passr _ :u I l i J fi rs Note: Temperature Split Method Calculattofl necess_ t_ ual Gctoli " oil - tr o is'bert tet us n one o the Ile f ,i . g , �f , g i airflow mecuuremetpro�CedusspecifrednRefere+iceResideritiapp�ndrx"7f aetalcloli»g coarflow is measured, the value must be equal to orIgr-eater thanrthe=Calculated MinimumAirflow Requirement in the table below. Calculated Mini Ai�equi r umrfl w eme t (CFM) _ Nominal Coolin ' ap y" (ton) X 3U0 cfm/ton) System Name or Identification/T6ag � System l Alck G Calculated Minimum Airflow I Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction — Teva orator sat Target Superheat from Table RA3.2-2 using Treturn wb and Tcondenser, db Calculate difference: Actual Superheat — Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Fail Registration Number: 312-A0011296A-M2510364A-M25A 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:30:27 HERS Provider: CePCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: Enforcement Agency:Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of 7 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 System 1 � man Calculate: Actual Subcooling = %W 3 �n r -t' Assoc Moo Toondenser. Sat — Tli uid 12.00 777, 3 00 26.00 V,• i ' r Target Subcooling specified by System passes if actual.supeified is Witli�n l Pass manufacturer 10.00 Calculate difference: Enter Pass or`Fail 1., •,;_' ` , so Actual Subcooling — Target Subcooling = 2.00 System passes if difference is between -4°F and +4°F Enter Pass or Fail Pass Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Na tft'e�brideficgt'io, SLy,ste1„"inn �1 � man Calculate: Actual=Superheat = Tsuction —Tev�rator-sat %W 3 �n r -t' Assoc Moo Enter allowable superheat-range`from i J manufacturer's specifications (oruse'ran ge between 3°F and 2�6°F if m na ufacturer's s ecification�is not available ;: 777, 3 00 26.00 V,• i ' r System passes if actual.supeified is Witli�n l Pass the allowable superheat range Enter Pass or`Fail 1., •,;_' ` , so Registration Number: 312-AO01 1296A-M2510364A-M25A 2008 Residential Compliance Forms LN Registration Date/Time: 04/19/2012 06:30:27 HERS Provider: CBPCA August 2009 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag I System 1 I I I I System meets all refrigerant charge and I Pass airflow requirements. Enter Pass or Fail California mull.ding, rerformoance Col Is0 i m k,= DECLARATION STATEMENT • I certify under penalty of perjury, under�nthe laws the State of Californiasthe;informatioa. r vided on,this-form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this svcate (responsible rater). • The installed feature, material, component, or manufactured device requiring HERS verification that is identified on this certificate (the installation) complies with the applicable requirements in Reference Residential Appendices RA2and 03 an-Sthe requirements specified on the Certificate(s) of Compliance (CF -I R) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1 R) 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) Vic's Air Conditioning Responsible Person's Name: CSLB License: octaviano Victoria 756658 HERS Provider Data Registry Information Sample Group # (if applicable): m tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information HERS Rater Company Name: MLC Home Performance Responsible Rater's Name Responsible Rater's Signature Tom Bachus Tom Bachus Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 1095794 4/19/2012 Registration Number: 312-AOOI1296A-M2510364A-M25A 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:30:27 HERS Provider: CBPCA August 2009 w INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 1 of 2 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Enter the Duct System Name or Identification/Tag: Enter the Duct System Location or Area Served: whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This installation certificate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, plenums, etc) if those parts are accessible and they can be sealed. For a completely new or replacement duct system installed in an existing dwelling, use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. " Duct I.P.nknop Dinannetir Tact— V—e+inn T%—+ Q.—+.— Select one compliance method from the following four choices. 0 Option 1. Measured leakage less than 15% of Fan Airflow., ❑Option 2r NI ec ea g �qu�{"Sid s"s {ha �l 0 � o A fl'o I r ❑ Option 3.. Redace `�leakage`biy, 60%'or mf" e a d�'`d't��¢'400,uc-sU.g st,foQseaj1 1 adcc�i5lle Je � . , ❑ Option 4. Fix all accessible leaks, using -smoke test, and, �IERS-rater us t Teri - Note: (Option 1 s beattempt d befo.ut{hzmg'-Optiolr4) Determine nominal Fan Airflow"using bne o the following thre calculation methods. El Cooling 4")400= system method: Size1of condenser:in Tons figlT FM ❑ Heating system method: 21.7�z=_.� �I=Ibatin Output Cak tuh - >+'g P - ?-CFM 45VT ❑ Measured system airflow using RA3.3 airflow test procedures: CFM Option 1 used then: Allowed leakage = Fan Airflow 1600 x 0.15 = 240 CFM I Actual leakage= 193 CFM Pass if Actual leakage is less than Allowed leakage [Z] Pass ❑ Fail Option 2 used then: Allowed leakage = Fan Airflow X0.10= CFM 2 Actual leakage to outside = CFM Pass if Actual leakage to outside is less than Allowed leakage ❑Pass El Fail Option 3 used then: Initial leakage prior to start of work= CFM Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage - Final leakage = Leakage reduction CFM (Leakage reduction / Initial leakage ) x 100% = % Reduction Pass if % Reduction > 60% ❑Pass ❑Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS rater must verify (No sampling). Pass if all accessible leaks have been sealed using Smoke Test ❑Pass ❑Fail Registration Number: 312-A0011296A-M2110365A-0000 Registration Date/Time: 04/19/2012 06:31:47 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test — Existing Duct System (Page 2 of 2 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of 0 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed position during duct leakage testing. All supp�"y a` d r n'� tst r boots m b 'a -d to duct leakageYcom l�a cTepion 3 '1eca a e_edcon j D New duc, i llattions canno utilize biuldio! a ; ID Mastic and draw bands must be asedJin corn inatiorr% duct connections. DECLARATIOMSSTAT_EMENT • 1 certify under penalty of perjury, under the.laws of the State • I am eligible under Division 3 ofbe Bu inessyarid Erbfessior representative of the person responsible for construction co for (res • I certify that the installed features, materials, componNents, or conforms to all applicable codes and regulations, anAlre•inst enforcement agency. ;e — applies to red above. n duct tape to seal leaks at all new true and correct. to_accept.resporisibilifffor construction. or .tuned devices identifiedson this certificate (the installation) is consistent with the plans,arid.specif cations•approved by the • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Vic's Air Conditioning Responsible Person's Name: Responsible Person's Signature: octaviano Victoria octaviano Victoria CSLB License: Date Signed: Position With Company (Title): 756658 14/19/2012 Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? OYes ONo Registration Number: 312-AO011296A-M2110365A-0000 Registration Dale/Time: 04/19/2012 06:31:47 HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge verification for compliance, a MECH-24 Certificate (instead of this MECH-25 Certificate) should be used to demonstrate compliance with the refrigerant charge verification requirement. TMAH and STMS are not required for compliance, when a CID is utilized for compliance. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional form(s) for any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (STMS) Procedures for installing TMAH are specified in Reference Residential Appendix RA3.2. If refrigerant charge verification is required for compliance, TMAH are also required for compliance. STMS are only required for completely new or replacement space -conditioning systems that utilize prescriptive compliance method. TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or Identification/Tag System 1 System 1 System Name. or Identification/Tag System 1 System Location or Area Served Whole House xrs.�_-�. ❑Yes ❑No 1 O es i , 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and � ❑No w. � ir, a �, I labeled aecotdingto■Figure 2ectio '.µ;�2r2r2A2C M N NI Ni r W i �..a� w M M YMfYY 2 ❑Yes -7 �0 0 .. � W Y Y Y 71R Y Y Y Y - BN W 1Y4 =../ c �8 mm access hole downstream of evaporative�coil the supply plenum m - —,, ❑Yes and labeleC a*s -_ -" IN. ,N• ! yy 1 W. b �w a. •0. ate �v-ae Ir g j of guru in�S'ection <- 3 2 2�L� i, , i Yes to 1 and�2 is a,pass. ;< �;x _ - - Enter Pass or Fail �/ ❑Pass - •/ ❑Fail STMS - Sensor on the Eya orator. Coil STMS - Sensor on the Condenser Coil System Name or Identification/Tag System 1 System Name. or Identification/Tag System 1 .� 1 xrs.�_-�. ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive The`s'ensor is'factory installed, or field installre�d acc rig to.manufacturer's 3 ❑Yes []No specifica�ti� or is installle�methodsN pecific`afion5 approved by the Executive The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes Director. digital thermometer. The sensor mini plug is accessible to the installing technician and The sensor wire is terminated with a standard minNlug suitable for connection to a 4 ❑Yes ❑No digital thermometer -The sensor mini plug is accessil le-to°the stalling technician and The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter the HERS rater without changing the airflow through the condenser coil 5 ❑Yes ❑No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 3, 4, and 5 is a pass. Enter ✓ ❑ Fail N/A if STMS are not applicable. Otherwise enter Pass or Fail ,� p N/A ✓ El Pass ✓ 11 Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑Yes ❑No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑Yes ❑No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes []No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. Otherwise enter Pass or Fail ✓ p N/A ✓ ❑ Pass ✓ ❑ Fail Registration Number: 312-AO011296A-M2510364A-0000 2008 Residential Compliance Forms Registration Date%Time: 04/19/2012 06:27:46 HERSProvider: CBPCA August 2009 in INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above 55 7) 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 forms) 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 SS °F or below, the installer must use the Alternate Charge Measurement Procedure. Cnare ('nnditinnina Cvetamc System Name or Identification/Tag System 1 (must be re -calibrated monthly) ' Date of Thermocouple Cahbrat System Location or Area Served Whole House Outdoor Unit Serial # 11193L5U5F Outdoor Unit Make TRANE Outdoor Unit Model 4TTB3048D1000 Nominal CVin Cap, ac ��yy Btu/hr� _ iq ��t'1l +8000! 00 %X U rvAWm w Nw1 Date of Verification warm rur 4/1112012 %FN aerr19ua ;%wenw1%W%ff Calibration of Diaut crinctrumerite Date of Refri erant Gau e•Calidation g g 4/2/2012Nr. �� (must be re -calibrated monthly) ' Date of Thermocouple Cahbrat 4/2/2012 be ey cah6rtated monthly) �(must Measured Temneratures (°Fl 1 V A System Name or Identification/Tag System j1 M Supply (evaporator leaving) air dry-bulb temperature (Tsu I , db) 51.00 Return (evaporator entering) air dry-bulb temperature (Tretum, db) 70.00 Return (evaporator entering) air wet -bulb temperature (Tretum, wb) 58.00 Evaporator saturation temperature (Teva orator, sat) 48.00 Condensor saturation temperature (Tcondensor, sat) 110.00 Suction line temperature (Tsuction) 60.00 Liquid Line Temperature (Tliquid) 98.00 Condenser (entering) air dry-bulb temperature (Tcondenser, db) 92.00 Registration Number: 312-AOO11296A-M2510364A-0000 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:27:46 HERS Provider: CBPCA August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of 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 System 1 Calculate: Actual Temperature Split = 19.00 Treturn, db - Tsupply, db Target Temperature Split from Table 20.70 RA3.2-3 using Tretum, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = -1.70 Passes if difference is between -3°F and Pass +3°°F or, up i� �� elu' + bke a *F Pass l 'u l kiln j p 19- r11'%nce c-1 -3and -100 rifer o ail Note: Temperature Split Method Calcula ot"i ts;notteces iyWiAotua � C ooli Ro!7*Mrfl wi sVditeWng4-one of the airflow measurement procedures speciftecin- eference.Residential Appendix- 3 3. If actual cooling coil airflow is the be greater;! n measured, value must egual_to or the 071culated`Min" imum,'*' ox Requirement in the table below. - Calculated Minimum Airflow Requirement (CFM) = Nommal Cooling Capacity (ton) X 300 (cfin/ton) System Name or Identification/Tag System 1 Calculated Minimum Airflow Li Requirement (CFM) Measured Airflow using RA3.3 procedures (CFM) Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag System 1 Calculate: Actual Superheat = Tsuction - Teva orator sat Target Superheat from Table RA3.2-2 using Tretum, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -5°F and +5°F Enter Pass or Fail Registration Number: 312-AO011296A-M2510364A-0000 2008 Residential Compliance Forms Registration Date/Time: 04/19/2012 06:27:46 HERS Provider: CBPCA August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5 Site Address: Enforcement Agency: Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of 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 Identifrcation/Tag System 1 Calculate: Actual Subcooling = � �� �0 rm n Tsuction — Teva orator. Il —IOIL- 12.00 tw.s. ;ar. i ,F1� . .0.M Pk ° � -tea Teondenser, sat — Tli uid PWA K A. 400=2500 6'Wjj ANS, M Vii WN I Target Subcooling specified by 10.00 manufacturer Calculate difference: 2.00 �. Actual Subcooling — Target Subcooling= System passes if difference is between Pass -3°F and +3°F Enter Pass or Fail Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: ' ct SIr 2 � �� �0 rm n Tsuction — Teva orator. Il —IOIL- ,�,, tw.s. ;ar. i ,F1� . .0.M Pk ° � -tea Enter allowable superheat range from ( A PWA K A. 400=2500 6'Wjj ANS, M Vii WN I manufacturers specificafions'(or:use rangew between 4°F 2.5°F if and manufaciurer'st7 specification is n44vailaGle "—�j System passes if actual superhda0is wit qin the allowable perheat.range ` Pass �. Enter Pass or Fail Registration Number: 312-AOOI1296A-M2510364A-0000 2008 Residential Compliance Forms r y.. Registration Date/Time: 04/19/201206:27:46 HERSProvider: CBPCA August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5 Site Address: Enforcement Agency:Permit Number: 60494 Juniper Ln La Quinta CA 92253 La Quinta, City of Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on measurements taken concurrently during system operation. If corrective actions were taken, all applicable verification criteria must be re -measured and/or recalculated. System Name or Identification/Tag System 1 System meets all refrigerant charge and airflow requirements. Enter Pass or Fail Pass COW,, Mlavvors AssOciatiol'i (No" DECLARATION+S_TATEM_ENT 1 • I certify under penalty f perjury, undernelaws of the StatenfCalifomiaj4einfo�rrr ation p, vided`on t s orm is true and correct. • I am eligible under Division 3 ofLt Business and rofessions Code to acce tires onsibili for co tion, or anyauthorized representative of the person responsible for cons ct on (resnon ihte rcnnl ty f • I certify that the installed features, materials, componlents, or manufactured devices identifiedion this certificate rt Cate (the installation) conforms to all applicable codes and regulations, and(the installation is consistent with the plans,ancl-specificationsc tions approved by the enforcement agency. • I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Vic's Air Conditioning Responsible Person's Name: Responsible Person's Signature: octaviano Victoria octaviano Victoria CSLB License: Date Signed: Position With Company (Title): 756658 4/19/2012 President Is this installation monitored by a Third Party Quality Control Name of TPQCP (if applicable): Program (TPQCP)? ❑Yes [Z]No Registration Number: 312-Ao011296A.M2510364A-0000 04/19/2012 06:27:46 Registration Date/Time: HERS Provider: CBPCA 2008 Residential Compliance Forms August 2009 7-1 ■ 1� MWILS ■ , TM org Certificate of Product Ratings AHRI Certified Reference Number: 4711947 Date: 4/13/2012 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTB3048D1 Furnace Model Number: *UD2C080B9V4 Manufacturer: TRANE Indoor Unit Model Number: C(A,C,D,E)48D44+TDR Manufacturer: ASPEN MANUFACTURING Trade/Brand name: ASPEN Manufacturer responsible for the rating of this system combination is ASPEN MANUFACTURING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 48000 EER Rating,(Cooling):_,____T__ 12.00 SEER Rating (Cooling): 15.50 1flI- Irr V ' Ratings followed by an asterisk (') indicate a voluntary cerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION � ��' The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air-Conditioning, Heating, click on `Verify Certificate" link and enter the AHRI Certified Reference Number and the date on AM ON -'which the certificate was Issued, which is listed above, and the Certificate No., which is listed below. and Refrigeration Institute ©2012 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129788341631880620