0209-165 (SFD)F7
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions oi'
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
i
Date Signature of Contractor
OWNER -BUILDER DECLARATION
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 J d
Datet kSignature 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
performance of the work for which this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:.
Carrier Policy No.
(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 37,00 of the Labor
Code, I shall forthwith comply with those pr6.Aions.
Date: il.;a ii Applicant—4
X-,
Warning: Failure to secure Workers -!Co pensation coverage 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. t
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. U
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
,ff orriinspection purposes.
/
Signature (Owner/Agent)f g� # Date -
.
-;{ BUILDING PERMIT PERMIT0#465
-
DATE4 VALUATION $90,"T.40 LOT 9 TRACT 1".23JOB
SITE
ADDRESS 5.f, :5M Agl' IDAA:,A 1AZ
APN
OWNER i
CONTRACTOR / DESIGNER / EN (NEER
RORY Cy. PUTMAW
i�'*r�"iJf� Ftlk3tils��
:
f j MA
USE OF PERMIT
aIKO E A i9iT.� S� !4 F OTC3
S,JrF�3'�.544). fr�.F.',�1gZq AIwT 1(��OF-S NOT .rNC 1..U01?. BLOCK 'Wd LLS, POOL Op,
y0
{1�4,fp4
TRACT CO%3STRT1(11014 1.4.10,00 ill+'
PORMPA.TIO g .00d SP'
0ARAC;hlrrARPORT 473.00 18-F
rnirr v3t,'� ai1'm Arn
MA S°i RUC T ]ON ME 101.000.4.1 S-000 - $599100
FI,A,* i CHECK F052 401-000-439-318 $496119
ME DEPOSIT 101-0004 39-318 4250.00
Myr' Ad'i.NICAIfw i''FE 101-000421-000 $52.30
Txt CTit.IC;,V FFJI 101-0004,+'C)w000 $1[ ,:s4
P;l+tDu,PlINa FrE 101-000-419-•± 00,
a T RUNG MOTION 03- RR ID 101.000 -241 -MOO
OR AFD)NO "t. . 101-I300, 423-000.
DEVE.1,01YER MRACT RE
PR1.1CISIP PLAN 101-000.441-343 �3.iT+J.00
i
9L71:1=1.00 kL CCA-49TATICTI-ON 14ND Pl utll'a CHFICK
3)3,891.89
e zY.83 .P3 EXPAAU. H-033
4750.1%,
T(Y.CA MZ.A41T: VX,'F DUE Y4OW
SEP 3 0 2002
CITY OF LA QUINTA '
FINANCE DEPT. r
RECEIPT
DATE fBYG
y/'
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION j
DATE
INSPECTOR OPERATION
DATE
INSPECTOR
BUILDING APPROVALS MECHANICAL APPROVALS
Set Backs / G Z Underground Ducts
Forms & Footings Ducts
a
Slab Grade Return Air
Steel Combustion Air
Roof Deck �, _ Exhaust Fans
0. K. to Wrap / /` F.A.U.
Framing Z OCompressor
Insulation - _ Vents
Fireplace P.L. Grills
Fireplace T.O. Fans 8 Controls
Party Wall Insulation Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
_
Final - 19 - o POOLS - SPAS
BLOCKWALL APPROVALS steel
Set Backs Electric Bond
Footings Main Drain
Bond Beam Approval to Cover
Equipment Location
s;
Underground Electric
Underground Plbg. Test
Final Gas Piping
v PLUMBING APPROVALS Gas Test
Electric Final
_
Waste Lines /�- % _ Heater Final
Water Piping Plumbing Final
'
Plumbing Top Out Equipment Enclosure
Shower Pans O.K. for Finish Plaster
Sewer Lateral Pool Cover
Sewer Connection 17= /(%—Q,3 Encapsulation
Gas Piping I
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles .
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
�'"►�.T�1 �; r�4 i✓+r$ 3i"�Y i''� : f ✓ '" -r ?�1 t �.k ..ti.-: ,....+:.«... :.:w9.'�s�++�r�*-o..-..��.Y+,h+s+�•..-s+.s
P.O. BOX 1504 APPLICATION ONLY
Building i' �; ti• r 78-495 CALLE TAMPICO
Address - f - �+ LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address
City
Contractor` /
UL4"T�a faX*
cny
zip
I el.
State Lic.
& Classif.
City
Lic. ff
Arch., Engr.,
Designer
Address
Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to 'its Issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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 (8500).
!: 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
,it hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
r7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (8100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance df the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and stale 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 city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number 7; 33-1 1-OoI—J
Legal Description �U'1 `7 "�� "< 7 3
Project Description `> r., 1 f ✓ A') ,� `- '�� �'/ • ' S
Sq. Ft.
Size% 4/ ilo
No.
Stories /�
No. Dw.
Units
�/
New 0 Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
1 '
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
'
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
11.
+I L,DATECI `INSPECTOR
Isu d by: D Permit
Vali ated by:'
tf,I;,,,,;QITY OF LA QUINTA
Ii.
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
CERTIFICATE OF COMPLIANCE �F>ED�,
Desert Sands Unified School District zq�ca��o
47950 Dune Palms Road
Q BERMUDA DUNES r
Date 9/30/02 La Quinta, CA 92253 En RANCHO MIRAGE t�
INDIAN WELLSLM DESE
ti
No. 23670 (760) 771-8515 ��: PALA QUINTART^�y
J�OINDIO YJ
Owner
Rory Putman
APN # 773-121-002
Address
2790 Vincentia Rd
Jurisdiction La Quinta
City
Palm Springs Zip 92262
Permit #
Tract #
Study Area
Type
Single Family Residence
No. of Units 1
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1 9
51590 Avenida Diaz
1440 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
1 EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 1,440 S.F. or $3,081.60 have been paid for the property listed `above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/Chino Commerical Bank -Wales Miles Check No. 3255
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Monk, Guillen $3,081.60 So.00
Payment Recd Over/Under
Signature IM w1vLe-1
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
fel
In
Ci
RC DISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove
Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1)
that the proposed housing design does not duplicate the same architectural style of any house
within 200 feet of the applicant, and/or 2) if there is a need for the applicant to file for Master .
Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmit
this information to the Building and Safety Department as part of your correction list. Please
attach additional explanations as necessary.
APPLICANT: Rory G. Putman
SITE ADDRESS: 51-590 Ave Diaz
APN 773 - 121 - 002-5 CASE NO.:
LEGAL: LOT 9 BLOCK 23 UNIT
CHECK AND APPROVED BY: Wally Nesbit
2002-696
S.C.@V.L.Q.
DATE:
Inform the assigned Building plan checkerupon your assignment to this case. The CDD
Executive Secretary maintains a log book to track applications and assign case numbers.
REQUIRED ITEM
Y N
COMMENT/CORRECTION
Verify legal and APN information
S rs7—
Consistent with MDG on file (as
applicable)
MDG filing required (5 filings
since 9/3/98)
Architectural variety within 200
feet of the surrounding area:
Architectural design features
-Othea equirements:orov15:
Planning Commission
City Council
xhibit
XWith Conditions s
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
November 21., 2002
(760) 777-7000
FAX (760) 777-7101
Mr. Riley LeBrun51— s��
Power Brokers
PO Box 134
La Quinta CA 92253
SUBJECT: LOT 9, BLOCK 23, UNIT #2, SC@VLQ - APN'S 773-121-002, 003
Dear Mr. LeBrun:
Thank you for submitting the property conveyance records for the above property. As you
requested, this letter is to verify that the above subject parcel, located within the City of La
Quinta, was transferred and recorded, at the. time of conveyance, so as to create two
separate parcels. This was done prior to enactment of the Subdivision Map Act. Therefore,
subject to Section 66412.6 of the Subdivision Map Act, this Department determines that Lot
9 is legally divided as two separate 40' x 100' parcels, for purposes of construction pursuant
to all applicable City requirements.
Any future construction on these lots will require compliance with all applicable development
standards and provisions of the Zoning and Building Codes.
Should you have any further questions, please call me at (760) 777-7069.
Very truly yours,
JERRY HERMAN
COMMUNITY DEVELOPMENT DEPARTMENT
Wallace Nesbit
Associate Planner
WN/wn
c: Community Development Director
Planning Manager
CCounter_Tecb`nician ,Building-and-Safety-Depar-tment->-
Nrs,
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 51-590 AVENIDA DIAZ
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0209-165
Occupancy Group: R-3, U-1 Type of Construction:
Owner of Building: RORY G. PUTMAN
Building Official
VN Land Use Zone: RC
Address: 2790 VINCENTIA ROAD
City: PALM SPRINGS, CA 92262
By: RICHARD KIRKLAND
Date: 03-21-03
POST IN A CONSPICUOUS PLACE
-999, *4-11 ��
Engineering incorporated
1981 20th Anniversary 2001
Consulting Electrical Engineers
19031 Highway 18 Ste 200 72330 Canyon Lane
Apple Valley, CA 92307 Palm Deseil, CA 92260
Plione: (766)242-3369 Phone: (760) 773-4,78
Far: (760) 242-1092 Fac: (760) 242-1092
dreannjoeCchartennet dmamjo a.,nol.com
TITLE 24, JANUARY 2001 ENERGY EFFICIENCY STANDARDS
FOR LOW RISE RESIDENTIAL BUILDINGS
WALLY MILES
1440 SQ. FT. HOUSE
WEST ORIENTATION
8-26-02
Energy Budgets for this building were determined using the CALRES VERSION 1.4 certified by the
California Energy Commission. The Calres analysis attached was conducted using tables from the
Residential Manual for Compliance With the Energy Efficiency Standards (for Low Rise Residential
Buildings) JANUARY 2001, certified by the California Energy Commission.
*** HOUSE COMPLIES ***
***REFERENCE C -2R PAGE 1***
I hereby certify that the California Energy Commission Conservation Division regulations establishing
Energy Efficiency Standards for Residential Buildings, Title -24, Part 6, have been reviewed and the design
submitted substantially complies with these regulations.
Joseph M. Nolan
�04� n' z2t"
Electrical Engineer
References:
#1 - C -2R
#2 - CF -1 R
#3 - MF -1 R Mandatory Measures Checklist: Residential
#4 - CF -6R Installation Certificate
#5 - FHA FORM J Heating and Cooling Calculations
CITY OF LA QUINTA
P"!_DING & SAFETY DEPT.
APPROVED
-oR CONSTRUCTION
I'I S7
TITLE 24 - RESIDENTIAL PAGE -1
COMPUTER METHOD SUMMARY Page 1 C -2R J
-------------------------------------------------------------------------------`
Pr6ject Title: WALLY MILES - 1440 SQ. FT. RESIDENCE Run: 257 28 -Aug -02
Project Address: WALLY MILES - 1440 SQ.
Building Title:
Document Author:
Telephone:
LA QUINTA, CA
WALLY MILES - 1440 SQ.
DREAM ENGINEERING INC.
760.773.4478
FT. RESIDENCE Building Permit #
Plan Check / Date
Compliance Method: CALRES2 1.4.02 Field Check / Date
Climate Zone: 15
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
Space Heating 3.21
tSpace Cooling .46.78
Water Heating 16.22
Total 66.20
GENERAL INFORMATION
Conditioned Floor Area:
Average Ceiling Height:
Building Type:
Building Front Orientation:
Glazing Area, o of Floor Area:
Average Fenestration U -Value:
Average Fenestration SHGC:
Number of Dwelling Units:
Number of Stories:
Floor Construction Type:
Number of Conditioned Zones:
Total Conditioned Volume:
Proposed Design
---------------
3.38
47.39
13.31
-------- Complies
64.08 Yes
1440 ft2
8'1" ft -in
8FD Single Family Detached
270 deg (West)
i1.7o
0.78
0.68
1.00
1
Slab on grade
1
11664 ft3
BUILDING ZONE INFORMATION
Floor Vent
Zone Area Volume Thermostat Height
Name (ft2) (ft3) Type Type (ft)
HOUSE 1440 11664 Conditioned CEC Standard 210"
OPAQUE SURFACES
Surface
Area
U-
Insl
Total
Tru
Slr
Construction
Type
---------- ------
(ft2)
factor
------
Rval
----
Rval
-----
Azm
---
Tlt
---
Gns
---
Type
Location/Comments
Zone = HOUSE
------------
-------------------
Door
40.0
0.330
0
3
270
90
Yes
CEC30-Wood
Outside
Wall
203.0
0.088
13
11
270
90
Yes
W13_2x4.16
Outside
Wall
328.3
0.088
13
11
0
90
Yes
W13.2x4.16
Outside
Wall
172.3
0.088
13
11
90
90
Yes
W13.2x4.16
Outside
Wall
351.7
0.088
13
11
180
90
Yes
W13.2x4.16
Outside
'COMPUTER METHOD SUMMARY Page 2 C-2R`�
Project Title: WALLY MILES - 1440 SQ. FT. RESIDENCE Run: 257 28 -Aug -02
---------------------------------------------------------------------------------
---------------------------------------------------------------------------------
OPAQUE SURFACES continued
Surface
Area
U- insl
Total Tru
Slr Construction
4'8"
W3
Type
----------
(ft2) factor Rval
------ ------ ----
Rval Azm
----- ---
Tlt Gns Type
--- ---------------
Location/Comments
-------•------------
Ceiling
1440.0 0.034 30
29 --
0 Yes R30.2xl2.16 Outside
3'0"
Floor
909.0
-- 0
-- --
180
No Slabl40C Grade
4'8"
Floor
531.0
-- 0
-- --
180
No S1ab140E Grade
PERIMETER
LOSSES
Insul
Perimeter
Length
F2
Insul
Depth
Type
-----------
(ft)
--------
Factor
------
R-val
----- ------
(in)
Location/Comments
Zone = HOUSE
----------------------------------
Exposed
13410"
0.756
0
16
Outside
Exposed
22'0"
0.510
7
16
Outside
/ GARAGE
FENESTRATION SURFACES
Fenestration
Exterior
Shade
Over -
Fenestration
Area ---------------
Tru
-----------------
hang
Name
Type
(ft2) U -factor
SHGC
Azm Tilt
Type
SHGC
/Fins
Zone = HOUSE
W1
Window
23.3
0.78
0.68
0 90
BugScrn
0.76
Overha
W2
Window
23.3
0.78
0.68
0 90
BugScrn
0.76
Overha
W3
Window
14.0
0.78
0.68
0 90
BugScrn
0.76
Overha
W4
Window
33.3
0.78
0.68
90 90
BugScrn
0.76
Overha
WS
Window
23.3
0.78
0.618
90 90
BugScrn
0.76
Overha
W6
Window
14.0
0.78
0.68
90 90
BugScrn
0.76
Overha
W7
Window
18.7
0.78
0.68
180 90
BugScrn
0.76
Overha
W8
Window
18.7
0.78
0.68
180 90
BugScrn
0.76
Overha
OVERHANGS
Fenestration
Name Width Height
W1
510"
418"
W2
510"
4'8"
W3
310"
418"
W4
5'0"
618"
W5
5'04
4'8"
116
3'0"
418"
W7
410"
418"
148
410"
4'8"
Length Height Left Right
'H' 'V' Extension Extension
------ --------- --------- ---------
210" 010" 010" 43'0"
210" 0'0" 010" 4310"
210" 010" 010" 4510"
210" 010" 010" 2510"
210" 010" 010" 2510"
210" 010" 010" 2710"
210" 010" 010" 4410"
210" 010" 010" 4410"
COMPUTER METHOD SUMMARY Page 3 C -2R �I
Project Title: WALLY MILES - 1440 SQ. FT. RESIDENCE Run: 257 28 -Aug -02
FINS Left Fin Right Fin.
Fenestration Dist Dist
-------------------------- Fin Fin Ht from Fin Fin Ht from
Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes
------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------
None
THERMAL MASS
Vol. Cond-
Area ThCk Heat duct- Construction insd
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
-------------- ----- ---- ---- ----------------- ---- ---------------=---------
Zone = HOUSE
FIREPLACE 25.0 1.0 23 0.42 BRICK 0 Interior
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Mass Comments
------------ -------- -------- ------------ --------------------------------
None
HVAC SYSTEMS
Refrigerant
Minimum
# of
Energy
Charge and
Equipment
Duct Location
System Name System Type
--------------------------------------
Airflow TXV
Efficiency
and R-value
Zone = HOUSE
-----------
----------
-•------------
GasFurn.80 Furnace
N/A
0.80 AFUE
Attic R-4.2
ACpkg12 Air cond. - central pckg
Yes
12.00 SEER
Attic R-4.2
HVAC DISTRIBUTION EFFICIENCY DETAILS
Duct Leakage
Supply Target
Duct Surface ACCA Manual D (leakage cfm/
System Name Area Design o of fan cfin) Fan CFM
------------- -------- ------ ------------------------------------
CEC_100oR4.2 389 No n/a 1008
WATER HEATING SYSTEMS
Distrib
Water
Water
# of
Energy
Volume
System Name Type
------------ --------
Heater Name
------------
Heater Type
-----------------
Htrs
Factor
(gal)
Standard—Gas Standard
StandardGas
Storage gas
----
1
------
0.53
------
40
,COMPUTER
METHOD
SUMMARY
Page
4
C -2R
Project
Title:
WALLY BILES
- 1440 SQ. FT. RESIDENCE Run:
257
28 -Aug -02
SPECIAL WATER HEATING SYSTEM CREDITS
Solar savings Wood stove
System Name fraction boiler?
-----------------------------------
Standard—Gas -- No
SPECIAL WATER HEATER/BOILER DETAILS
Rated
Water Recovery Input
Heater Name Efficiency AFUE (kBtuh)
StandardGas 760 -- 36.00
HYDRONIC DISTRIBUTION AND TERMINALS
System/Name Type Number
-------------- -------------- ------
None
SPECIAL FEATURES, REMARKS, AND NOTES
Wood stove
boiler pump?
-------------
No
Pilot
Standby Tank Light
Loss R -value Qtuh)
-------------- ------
Pipe Pipe Insul Insui
run (ft) diam (in) thck (in.) R -value
--------- --------- --------- -------
1. Heating duct register location: Ceiling.
2. Cooling duct register location: Ceiling.
3. A Thermostatic Expansion Valve must be installed in the cooling equipment.
ERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R
-`-------------------------------------------------------------------------------
roject Title: WALLY MILES - 1440 SQ. FT. RESIDENCE Run: 257 28 -Aug -02
roject Address: WALLY MILES -- 1440 SQ.
uilding Title:
ocument Author:
elephone:
LA QUINTA, CA
WALLY MILES - 1440 SQ.
DREAM ENGINEERING INC.
760.773.4478
FT. RESIDENCE Building Permit #
Plan Check / Date
Compliance Method: CALRES2 1.4.02 Field Check / Date
Climate Zone: 15
IGENERAL INFORMATION
Conditioned Floor Area:
1440 ft2
Average Ceiling Height:
8'1" ft -in
Building Type:
SFD Single Family Detached
Building Front Orientation:
270 deg (West)
Glazing Area, o of Floor Area:
11.70
Average Fenestration U-Value:0.78
Insul
Average Fenestration SHGC:
0.68
Number of Stories:
1
Number of Dwelling Units:
1.00
Floor Construction Type:
Slab on grade
(BUILDING SHELL
Component
Type
---------------
iDoor
Wall
Wall
Wall
Wall
Ceiling
Floor
Floor
Slab Perimeter
(Slab Perimeter
INSULATION
Area (ft2)
Conditioned?
Exterior Conditions/Descripti
-------------------
Slab
Cavity
Sheathing
-----------------•--------
Grade
Slab
531
Insul
Insul
Total
Assembly
0.78
R -value
R -value
R -value
U -value
Location/Comments
0
--
3.03
0.330
Outside
13
0
11.36
0.088
Outside
13
0
11.36
0.088
Outside
13
0
11.36
0.088
Outside
13
0
11.36
0.088
Outside
30
0
29.41
0.034
Outside
0
0
3.38
0.295
Grade
0
0
1.38
0.722
Grade
0
0
0
0.756
Outside
0
0
0
0.510
Outside / GARAGE
FLOOR TYPES AND AREAS
Construction Type
Area (ft2)
Conditioned?
Exterior Conditions/Descripti
-------------------
Slab
------------
909
--------------
Yes
-----------------•--------
Grade
Slab
531
Yes
Grade
FENESTRATION
Area Fenestration Fenestration Exterior Overhang
Type/Orientation
-----------------
(ft2)
U -factor
SHGC
Shading
and Fins
Window North
----- ------------
60.7
------------
0.78
0.70
----------
BugScrn
---------
Overhang
Window East
70.7
0.78
0.70
BugScrn
Overhang
Window South
37.3
0.78
0.70
BugScrn
Overhang
CERTIFICATE OF
COMPLIANCE:
Residential
Page
3
CF -1R
Project Title:
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
WALLY
MILES - 1440 SQ. FT.
RESIDENCE Run:
257
28 -Aug -02
SPECIAL FEATURES, REMARKS, AND NOTES
1. Heating duct register location: Ceiling.
2. Cooling duct register location: Ceiling.
3. A Thermostatic Expansion Valve must be installed in the cooling equipment.
COMPLIANCE STATEMENT
Thiz certificate of compliance lists the building features and performance
specifications needed to comply with -the Energy Standards in Title 24, Parts 1
and 6, of the California Code of Regulations, and the Administrative regulations
to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted.
for a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features, Remarks, and Notes
section.
DESIGNER OR OWNER
WALLY S. MILES
760.771.4824
Certification ##:
Q `�U.
Sign Date
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone:
Signed Date
DOCUMENTATION AUTHOR
Joe Dolan (7601773-4476
Dream Engineering, Inc.
72330 Canyon Lane
Palm Desert, CA92260
Signed
Date
CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R V
Project Title: WALLY MILES - 1440 SQ. FT. RESIDENCE Run: -257 28 -Aug -02
THERMAL MASS Area Thick
Type Cover (ft2) (in) Location/Comments
Intmassl 25.0 1.0 Interior
HVAC SYSTEMS
Type Efficiency
Furnace 0.80 AFUE
Air cond. - central pckg 12.00 SEER
Refrigerant
Charge and
Airflow TXV
N/A
Yes
HVAC DISTRIBUTION EFFICIENCY DETAILS
Supply
Duct Surface ACCA Manual D
System Name Area Design
CEC_100oR4.2 389 No
WATER HEATING SYSTEMS
Distribution System
Location
and R -value
-------------------
Attic R-4.2
Attic R-4.2
Duct Leakage
Target
(leakage cfm/
% of fan cfm) Fan CFM
n/a 1008
Distrib
Water
Water
## of
Energy
Volume
System Name Type
------------
Heater Name
Heater Type
Htrs
Factor
(gal)
--------
Standard—Gas Standard
------------
StandardGas
-----------------
Storage gas
----
1
------
0.63
------
40
SPECIAL WATER HEATING SYSTEM CREDITS
Solar savings Wood stove
System Name fraction boiler?
------------ ------------- ----------
Standard Gas -- No
SPECIAL WATER HEATER/BOILER DETAILS
Rated
Water Recovery Input
Heater Name Efficiency AFUE (kBtuh)
StandardGas 76% -- 36.00
HYDRONIC DISTRIBUTION AND TERMINALS
System/Name Type Number
-------------- ------------- ------
None
Wood stove
boiler pump?
-------------
No
Pilot
Standby Tank Light
Loss R -value (Btuh)
-------------- ------
Pipe Pipe Insul Insul
run (ft) diam (in) thck (in) R-value
---------------------------------
FA
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page I of i) MF -'IR
Note:.LovTise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (`) may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the document.-
or
ocumentsor on this checklist only. I
instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures:
§150(x): Mi!tinmm R-19 ceiling insulatiot;.
X
§ 150tb): Loose flit insulation manufacturer's labeled R -Value.
x
' §150(c): Minimum R-13 wall insulation in wood framed walls orequi%alcnt U -Factor in metal fmmc walls
(docs not apply to exterior mass walls).
§l50(d): Minimum R-13 raised floor insulation in Framed floors.
§ 150(l) : Slab edge insulation - water absorption rate no greater than 0.35/. water vapor transmission rate no
greater than 2.0 pertn/inch.
§ t I S: Insulation specified or installed meets insulation quality standards. indiente type and form.
§'1 16-17: Fenestration Products. Exterior Doors. and Infiltmtion/ExfiItration Controls
1. Dnors and windows between couditimied and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field -Fabricated) have label with certified L;-Fnctor. certified Solar Heat
Groin Coefficient (SHGC.). and infiltration certification.
t. Fxtcrior doors and windows weatherstripped: all Joints and penetrations caulked and sealed.
§ 150(g): Vapor barriers mandatory in Climate "Zones l4 and 16 only.
X
§ 150(8: Special infiltm6on barrier installed to comply with,5, 151 meets Commission quality standards.
§ 15n(c): Lnstallntion of Fireplaces. Decorative Gas Appliances and Gas Logs.
1. N-lasottr: and factory -built fireplaces have:
a. Closeable metal or glass door
b. Ontsidc air intake with damper and control
c. Fine dam llcr and control
?. i`io cotninume: burning gas pilot lights allowed.
Space Conditioning, Water Heating and Plumbing System Measures:
§ I I n-§ 113: HVAC cqutipment. water heaters. show-erheads and faucets certified by the Commission.
§150(h): 1-Icating and/or cooling loads calculated in accordance with ASH RAF. SivL/kC'NA or ACOA.
§150(i): Setbnelc thermostat on ail applicable heating and/or cooling systems.
§150(i): Pips and tank insulation
1. Storage gas water henters rated with an Energy Factor less than 0.53 must be cxtemnity wrapped with
insulation bavinc vh insta4cd thcmhal resistance of R-12 or greater.
2. f=irst 5 feet of pipes closest to water heater tarts, non -recirculating systems. insulated (R-4 or greater)
3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12
external insulation or R-16 combined intetnal/cmcmal insulatiou.
4. All buried or cxpoccd piping insulated in recirmilating sections of hot water systems.
5. Cooling systems piping below 55° F insulated.
b. Pilling insulated bctvcen hearing source and indirect hot water tank.
Compliance Forms August 2001 A-5
MANDATORY MEASU"S CHECKLIST: RESIDENTIAL (page 2 of 2) MF-tR
Note: Lowrisc residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (°`) may be superseded by more stringent compliance requirements listed on the Certificnte. of
Compliance. NN -'hen this checklist is incorporated into the permit documents, the"features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Space Conditioning, Nater Heating and Plumbing System Measures: (continued)
§ 150(m): Ducts and Fans
1. AI I ducts and plenums installed, scaled and insulated to meet the requirement of the 1998 CMC Sectitms 601.
603.604. and Standard 6-3; ducts insulntcd to aminim um installed level of .R: 4.2 or enclosed entirely in
conditioned space. Openings shall be scaled with mastic, tape. aemsol sealant. or other duct -closure system
that meet, flee applicable requirements of UL 131, UL 181 A. or UL 181 B. if mastic or tape is used to seal
openings greater than U4 inch, the combination of mastic and either mesh or tape shall be used. Building
caritics shall not be used for conveyvtg conditioned air. Joints and scams of duct systems and their
components shall not be scaled with cloth back rubber adhesive duct tapes unless such tape is used in
combination with mastic and drawbnnds.
2. Building crwvitics, support platforms for air handlers, and plenums defined or constricted with materials
other than sealed sheet metal. duct board or flexible duct shall not be used for conveying conditioned
air. Building cavities and support platforms may contain ducts. fleets installed in cavities and support
platforms shall. not be compressed to cause reductions in the cross-sectional arca of the ducts.
3. Joints and scams of duct systems and their components shall not be sealed with cloth back ribber
adhesive duct tapes unless such tape is used in combination with mastic and drawbands.
=1. Exhaust fan systems have back draft or automatic dampers.
5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
mannally operated dampers.
ti. Protection of insulation. Insulationshall be protected from damage, including that due to sunlight,
moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to
wcather shall he suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas.
or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is
water retardant and rovides shielding from solar radiation that can cause degradation of the material.
§ 114: Pool and Spa Heating Systems and Equipment.
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no
electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36" of pipe between filter and heater for future solar hcating.
b. Covcr for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas tired celtml. furnaces, pool heaters, spa heaters or household cooking appliances have no
continuously burning pilot light. (Fxception. Non-clectical cookin applianccswidi pilot < 150 Bu /hr)
§ 118 (1): Coot Roof material meet specified criteria
Lighting Measures:
§150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt
or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily
accessible lighthig control panel at an entrance to the kitchen.
§150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with Immps with au
efficacv of 40 lumcnsAvatt or greater switched at the entrance to the morn or one of the altenratives to this
requirement allowed in § 150(k)2.: and incandescent recessed ceiling fixttues are IC (insulation cover)
.2amved.
Compliance Forms August 2001 A-6
INSTALLATION CERTIFICATE (Page 1 of 13) CF -6R
Site Address 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 infonnation 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).
HYAC SYSTEMS:
Heating Equipment
Equip. 4 of Efficiency Duct Duct or Healing Heating
Type (pkg. CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping Load Capacity
Itcat. uam) and Model Number Systems [>CF -1R valuel (attic. etc.) R-vnlue (Btu/hr) (Btu/Itr)
Cooiirrg Equipment
Equip. CFC Certified Compressor tr of Efficiency Duct Cooling Cooling
T),pc (pke. Unit Mfr Name and Identical (SEER, etc.)' Location Duct Load Capacity
heatnuttm) ModelNumber Systems f>_CF-1R valuel (attic. etc.) R. -value (Bitift) (BnJhr)
l. > reads Greater Ilion or equal to
I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed. 2) equivalent to or more
efficient than that specified in the certificate of compliance (.Form CF -I R) submitted. for compliance with the F.nerwp
E/7rciencl- Stcmdar•dc for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices (from the A..pp/ionce.Ef�ciency.Regulatitins or Part C), where applicable.
Signature, Date
WATER HEATING SYSTEMS:
Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
Distribution 1fRecir- #of Rated' Tank Effi- External
l leater CEC Certified Mfr Type (Std. culatiou, identical Input (kW Volume ciency' Standbv" Insulation
Tvpc Name & Model Number Point-of-Usc) Control Type Systems or Btu/hr) (gallons) (EF. RE) Loss (^/o) R -value'
2 I -or small pas storage (rated input of less than or equal to 75.000 Bht/hr), electric resistance and heat pump water heaters, list Energy Fnctor.
For large gas storage water heaters (rated input of grcaler than 75.000 Btu/Itr), list Recovery Ffficiency. Standby Loss and Rated input.
For instantaneous gas water heaters, list Recovery EiLciency and Rated Input.
3. R-12 external insulation is mandatory for storage water heaters with an energy factor of .less than 0.58.
Faucets & Shower H.eads:
All Faucets and showcnccads installed are certified to the Commission, pursuant to Title 24, Part C, Section 11 1.
i, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to
or more etlicicnt than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the
L•nervy E, 'ciency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part C), where applicable.
Signature, Date
COPYTO: Building. Department
l IERS .Provider (if applicable)
Building Owner at Occupancy
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Compliance Forms August 2001 A-23
INSTALLATION CERTIFICATE (Page 2 of 13) CF -6R
Site Address Permit Number
F ENE, STR A TI O N/G L A ZT NG :
Total
Quantity
Product Product of Like .Exterior Shading
U -Factor' (S SI-lGC' (S It of Product Square Device or Comments/Location;
Manuractutcr/Brand Name CF -1R value)' CF-1Rvalue)Z Panes (Optional) Feet Overhang SnecialFcanires
(GROUP LIKE PRODUCTS)
I..
2.
3. — — — --
4 -- — --
5. — --
.
6 — -- --
.— —
Q — —
1. — ---
1
12..
1 — —
— --
3.
14.
15. — ---
' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the
default values from Section 116 of the Energy Efficiency Standards.
Z .Installed U -Factor must be less than or equal to values from CF -IR. Installed SHGC must be less than or equal to values
from CF -IR, or a shading device (exterior or overhang) is installed as specified on the CF -1R. Alternatively, installed
weighted average U -Factors for the total. fenestration area are less than or equal to values from CF -LR.
T. the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product
installed; 2) is equivalent to or has a lower U -Factor and lower SHGC than that specified in the certificate of compliance
(.Form CF -IR) submitted for compliance with the EnerQ, Efficiency Standw-ds for residential buildings; and 3) the
product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where applicable.
Item #s Signature, Date
(if applicable)
Item #s Signature, Date
(if: applicable)
Ttem #s Signature, Date
(if applicable)
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
.Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Tnstalling Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Windo-,v Distributor
Compliance Forms August 2001 A-24
INSTALLATION CERTIFICATE (Page 3 of 1.3) C:F-6R
Site Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
❑ ]DUCT LEAKAGE REDUCTION
Pressurization. Tcst Results (CFM @ 25 PA)
Test Leakage (CFM)
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity
in Thousands of Btu/hr, enter calculated value here
If fan flow is measured, enter measured value here
Leakage Fraction = Test Lcakage/(Measured or Calculated Fan Flow) =
Pass if leakage fraction < 0.06 ❑ 0
Pass Fail
❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test
❑ Yes ❑ .No ❑ Visual Inspection of Duct Connections ❑ ❑
Pass Fail
❑ THERMOSTATIC EXPANSION VALVE (TXV)
❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is
provided for inspection
Yes is a pass
❑ DUCT DESIGN
1 ❑ Yes ❑ No ACCA Manual D Design calculations have been
completed, Duct Design is on the plans and duct installation
matches plans.
2. ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV,
verified fan flow matches design from CF -TR.
Measured Fan Flow =
Yes for both I and 2 is a Pass
❑ ❑
Pass I -ail
❑ ❑
Pass Fail
❑ I. the undersigned, verify that the above diagnostic test results and the work i performed associated with the test(s) is in
conformance with the requirements for compliance credit. [The builder shall provide the HL -RS provider a copy of the CF -CR
signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements
for compliance credit.]
Tests Signature, Date
Pcrlonned
COPY TO: Building Department.
HERS Provider (if applicable)
Building Owner at Occupancy
installing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
Compliance Forms August 2001 A-25
INSTALLATION CERTIFICATE (Page 4 of 13) CF -6R
Site Address
Permit Number
REFRIGERANT CHARGE AND AIRFLOW MEASUREMENT
Verification .for Required Refrigerant Charge and Adequate .Airflow for Split System Space Cooling Systems "without
Thermostatic .Expansion Valves
Outdoor Unit Serial #
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity
Date of Verification
Date of Refrigerant Gauge Calibration
Datc of Thcnnocouple Calibration
Btu/hr
(must be checked monthly)
(must be checked monthly)
Standard Charge and Airflow Measurement (outdoor air dry-bulb 55 OF and above):
Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this
procedure.
NTeasured Temperatures
Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db)
OF
Return (evaporator entering) air dry-bulb temperature (Tretunt, db)
OF
Return (evaporator entering) air wet -bulb temperature (Treturn, wb)
OF
Evaporator saturation temperature (Tcvaporator, sat)
OF
Suction line temperature (Tsuction, db)
OF
Condenser (entering) air dry-bulb temperature (Tcondcnser, db)
OF
Superheat Charge Method Calculations for Refrigerant Charge
Actual Superheat = Tsuction, db — Tevaporator, sat
OF
Target Superheat (from Table 1)
7
Actual Superheat — Target Superheat
OF
(System passes if between -5 and +5°F)
Temperature Split Method Calculations for Adequate Airflow
Actual Temperature. Split = T return, db - Tsupply, db OF
Target Temperature Split (from Table 2) "F
Actual Temperature Split - Target Temperature Split OF
(System passes if bct%veen -3°F and +3°F or, upon
remeasurement, if between +37 and -25'F)
Standard Charge and Airflow Measurement Summary:
System shall pass both refrigerant charge and adequate airflow calculation criteria from
the same measurements. If corrective actions were taken, both criteria must be
remeasured and recalculated
System Passes
yes or no
Compliance Forms August 2001 A-26
INSTALLATION CERTIFICATE (.Page 5 of 13) CF -6R
Site Address Permit Number
Altentate Chamc and Airflow Measurement (outdoor air dry-bulb below 55 "F):
Weigh -In Charging Method for Rcfri_Qcrant Charge
Actual liquid line length: tt.
Manufacturers Standard liquid line length: ft.
Difference (Actual — Standard): ft.
Manufacturers correction (ounces per foot) x difference in length = _ounces
(+ = add) (- = remove)
Measured Airflow Method for Adequate Airflow
Airflow criterion: Cooling Capacity X 0.032 = CFM
Measured Airflow is C.FM and passes since it is greater than the criterion.
Alternate Charge and Airflow Measurement Summary:
System charge shall be corrected and it shall also pass measured adequate airflow criterion.
System Passes yes or no
Compliance Forms August 2001 A_27
INSTALLATION CERTIFICATE (Page 6 of 13) CF -6R
Site Address
Permit Number
Table K-1: Target Superheat (Suction Line Temperature - Evaporator Saturation Temperature)
Compliance Forms August 2001 A-28
Return Air Wet -Bulb Temperature ('F)
C4 RNfn, nb)
50
51
1 52
1 53
54
1 55
56
57
1 58
59
60
1 61
62
63
64
1 65
66
67
1 68
69
1 70
71
72
1 73
1 74
75
76
55
1 8.8
10.1
1 11.5
12.8
14.2
1 15.6
17.1
18.5
26.0
21.5
23.1
24.6
26.2
27.8
29.4
31.0
32.4
33.3
35.1
36.4
37.7
39.0
40.2
41.5
427
43.9
45.0
56
8.6
8.3
7.9
7.5
7.0
9.9
9.6
9.3
8.9
8.4
11.2
11.0
10.6
10.2
9.8
12.6
12.3
12.0
11.6
Ill
14.0
13.7
13.4
13.0
12.6
15.4
15.1
14.8
14.4
14.0
16.8
16.5
16.2
15.8
15.4
18.2
17.9
17.6
17.2
16.8
19.7
19.4
19.0
18.6
18.2
21.2
20.8
20.4
20.0
19.6
22.7
22.3
219
21.4
21.0
24.2
23.8
23.3
22.9
22.4
25.7
25.3
24.8
24.3
23.8
27.3
26.8
26.3
25.7
25.2
28.9
28.3
27.3
27.2
26.6
30.5
29.9
29.3
28.7
28.1
31.8
31.3
30.7
30.1
29.6
33.2
32.6
32.1
31.5
31.0
34.6
34.0
33.5
32.9
32.4
35.9
35.3
34.8
34.3
33.7
37.2
36.7
36.1
35.6
35.1
38.5
33.0
37.5
36.9
36.4
39.7
39.2
38.7
38.3
37.3
41.0
40.5
40.0
39.5
39.1
42.2
41.7
41.3
40.8
40.4
43.4
43.0
42.5
42.1
41.6
44.6
44.2
43.7
43.3
42.9
57
58
59
60
w
61
6.5
6.0
5.3
-
7.9
7.4
6.8
6.1
5.4
9.3
8.8
8.3
7.6
7.0
10.7
10.2
9.7
9.1
8.5
12.1
11.7
HA
10.6
10.0
13.5
13.1
12.6
12.0
11.5
14.9
14.5
14.0
13.5
12.9
(6.3
15.9
15.4
14.9
14.3
17.7
17.3
16.8
16.3
1 15.8
19.1
18.7
18.2
17.7
17.1
20.5
20.1
19.6
19.0
18.5
21.9
21.4
20.9
20.4
19.9
23.3
22.8
22.3
21.7
21.2
24.7
24.2
23.6
23.1
1 22.5
26.1
25.5
25.0
24.4
23.3
27.5
27.0
26.4
25,8
25.2
29.0
28.4
27.8
27.3
1 26.7
30.4
29.9
29.3
28.7
28.2
31.8
31.3
30.7
30.2
29.7
33.2
32.7
32.?
31.6
31.1
34.6
34.1
33.6
33.0
32.5
35.9
35.4
34.9
34.4
33.9
37.3
36.8
36.3
35.8
35.3
38.6
38.1
37.7
37.2
36.7
39.9
39.4
39.0
38.5
1 38.1
41.2
40.7
40.3
39.9
39.4
42.4
42.0
41.6
41.2
40.8
62
63
64
65
�
Q
9 ^-
V
6.3
5.5
-
7.8
7.(
6.3
5.5
9.3
8.7
8.0
7.2
6.4
10.8
10.2
9.5
8.8
8.1
12.3
11.7
I t. (
10.4
9.7
13.3
13.2
12.6
11.9
11.2
15.2
14.6
14.0
13.4
12.7
16.6
16.0
15.5
14.8
14.2
18.0
17.4
16.8
16.3
15.7
19.3
18.8
18.2
17.6
17.0
20.7
20.1
19.5
19.0
18.4
22.0
21.4
20.8
20.3
19.7
23.2
22.7
22.1
21.5
20.9
24.6
24.1
23.5
22.9
22.3
26.1
25.6
25.0
24.4
33.9
27.6
27.1
26.5
26.0
25.4
29.1
28.6
28.0
27.5
27.0
30.6
30.1
29.5
29.0
28.5
32.0
31.5
31.0
30.5
30.0
33.4
33.0
32.5
32.0
31.5
34.9
34.4
33.9
33.4
33.0
36.3
35.8
35.3
34.9
34.4
37.6
37.2
36.8
36.3
35.9
39.0
38.6
38.1
37.7
37.3
40.4
39.9
39.5
39.1
38.7
E
A v
5.6
7.3
6.4
5.6
8.9
8.1
7.3
6.5
5.6
10.5
9.8
9.0
8.2
7.4
12.1
11.4
10.7
9.9
9.2
13.6
12.9
12.2
11.5
10.8
15.0
14.4
13.7
13.1
12.4
16.4
15.8
15.2
14.5
13.9
17.8
17.2
16.6
15.9
15.3
l9.l
18.5
17.9
17.3
16.7
20.3
19.7
l9?
18.6
18.0
21.7
21.2
20.6
20.0
19.4
23.3
22.8
'2.2
'21.6
21.1
24.9
24.3
23.8
23.2
22.7
26.4
25.9
'25.4
24.8
24.3
28.0
27.4
26.9
26.4
25.9
29.5
29.0
28.5
28.0
27.5
31.0
30.5
30.0
29.5
29.1
32.5
32.0
_3 [.S
3 t. L
30.6
34.0
33.5
33.1
32.6
32.2
35.4
35.0
34.6
34.1
33.7
36.9
36.5
36.0
35.6
35.2
38.3
37.9
37.5
37.1
36.7
d
'v
76
-
6.6
5.7
8.4
7S
6.7
5.9
10.1
9.3
3S
7.7
69
11.7
I I.0
10.2
9.5
8.7
13.2
12.5
11.8
11 1
10.4
14.7
14.0
13.4
12.7
12.0
16.1
15.4
14.8
14.2
135
17.4
16.3
16.2
15.6
15.0
18.9
13.3
17.7
l7,(
16.6
_
20.5
20.0
19.4
18.9
18.3
22. L
21.6
21.1
20.5
20.0
23.8
23.2
22.7
22.2
21.7
25.4
24.9
24.4
23.8
23.3
27.0
26.5
26.0
-
25.5
25.0
23.6
28.1
27.6
27.1
26.7
30.1
29.7
29.2
28.8
28.3
31.7
31.3
30.8
30.4
29.9
33.3
32.3
32.4
32.0
31.6
34.3
34.4
34.0
33.6
33.2
36.3
36.0
35.6
35.2
34,3
77
78
79
30
8 L
6.0
5.2
7.9
7.1
6.3
5.5
-
9.7
8.9
8.2
7.4
6.6
11.3
10.6
9.9
9.2
8.3
12.9
12.2
11.6
10.9
10.3
14.3
13.7
13.1
12.5
11.9
16.0
15.4
14.9
1.1.3
13.7
17.7
17.2
16.6
16.1
15.5
19.4
18.9
18.4
17.8
17.3
21.1
20.6
20.1
19.6
19.0
22.3
22.3
21.8
21.3
20.8
24.5
24.0
23.5
23.0
22.6
26.2
25.7
25.2
24.8
243
27.9
27.4
26.9
26.5
26.0
29.5
29.1
28.6
28.2
27.8
31.'2
30.7
30.3
29.9
29.5
32.3
32.4
32.0
31.6
31.2 1
34.4
34.0
33.7
33.3
32.9
82
83
84
85
36
5.8
5.0
7.8
7.0
63
5.5
-
9.6
8.9
8.2
7.5
6.8
11.3
10.6
10.0
9.4
8.8
13.2
12.6
12.0
11.5
10.9
15.0
14.4
13.9
13.3
12.8
16.7
16.2
15.7
15.1
14.6
13.5
18.0
17.5
17.0
16.5
20.3
19.8
19.3
18.8
18.3
22.1
21.6
21.1
20.6
20.1
23,8
23.4
22.9
22.4
22.0
25.6
25.1
24.7
24.3
23.3
27.3
26.9
26.5
26.1
25.6
29.1
28.7
28.3
27.9
27.5
30.8
30.4
30.1
29.7
29.3
32.6
32.2
31.3
31.5
31.1
87
83
89
90
Compliance Forms August 2001 A-28
INSTALLATION CERTIFICATE (Page 7 of 13) CF -6R
Site Address
Permit Number
Table K -t: Target Superheat (Suction Line Temperature - Evaporator Saturation Temperature) (continued)
Compliance Forms - August 2001 A-29
IReturn Air Wet -Bulb Temperature ff)
50
51
1 52
53
54
55
56
57
58
1 59
60
61
62
63n
64
65
66
67
68
69
70
71
72
73
74
75
76
9'-
-
-
-
-
-
-
-
-
6.1
5.4
8.1
7.5
6.8
6.2
5.6
10.3
9.8
9.2
8.7
8.1
12.2
11.7
11.1
10.6
10.0
14.1
13.5
13.0
12.5
12.0
15.9
15.4
14.9
14.4
13.9
17.5
173
16.8
16.3
15.3
19.7
19.2
18.7
18.2
17.8
21.5
21.1
20.6
20.2
19.7
23.4
22.9
22.5
22.1
21.6
25.2
24.3
24.4
24.0
23.6
27.1
26.7
26.3
25.9
25.5
23.9
28.5
28.2
27.8
27.4
30.8
30.4
30.1
29.7
29.4
92
93
94
95
0
2
96
-
7.5
7.0
6.4
5.8
5.3
9.5
8.9
8.4
7.9
7.3
11.4
10.9
10.4
9.9
9.3
13.4
12.9
12.4
11.9
11.4
15.3
14.9
14.4
13.9
13.4
17.3
16.8
16.4
15.9
15.4
19.2
18.8
18.3
17.9
17.5
21 2
20.8
20.3
19.9
19.5
23.2
22.7
22.3
21.9
21.5
25.1
24.7
24.3
24.0
23.6
27.1
26.7
26.3
26.0
25.6
29.0
28.'7
28.3
28.0
27.7
97
98
99
100
c
T z
A t
102
103
104
-
6.8
6.2
5.7
5.2
-
8.8
3.3
7.8
7.2
6.7
10.9
10.4
9.9
9.3
8.8
12.9
12.4
11.9
11.5
1 11.0
15.0
14.5
14.0
13.6
13.1
17.0
16.6
16.1
15.7
15.2
19.1
18.6
18.2
17.8
17.4
21.1
20.7
20.3
19.9
19.5
23.2
22.8
22.4
22.1
21.7
25.3
24,9
24.5
24.2
23.8
27.3
27.0
26.7
26.3
26.0
105
U
106
6.2
5.7
5.2
1
8.3
7.9
7.4
6.9
6.4
10.5
10.0
9.5
9.1
8.6 1
12.6
12.2
11.7
11.3
10.8
14.8
14.4
13.9
13.5
13.1
17.0
16.6
16.1
15.7
15.3
19.1
18.7
18.4
18.0
17.6
21.3
21.0
20.6
20.2
19.9
23.5
23.2
22.8
22.5
22.1
25.7
25.4
25.1
24.7
24.4
107
108
109
l 10
III
I
-
-
5.9
5.4
-
8.1
7.6
7.2
6.7
6.2
10.4
9.9
9.5
9.0
8.6 1
12.6
12.2
11.8
11.4
10.9
14.9
14.5
14.1
13.7
13.3
17.2
16.8
16.4
16.1
15.7
19.5
19.1
18.8
18.4
18.1 1
21.8
21.5
21.1
20.8
20.5
24.1
23.5
23.5
23.2
22.9
112
113
114
115
Compliance Forms - August 2001 A-29
INSTALLATION CERTIFICATE (Page 8 of 13) CF -6R
Site Address Permit Number
Table K-2: Target Temperature Split (Return Dry -Bulb - Supply Dry -Bulb)
Return Air Vet -Bulb ("F) (T return, h)
50
151
1 52
53
54
55
56
57
58
59
60
6t
62
63
1 64
65
66
67
68
69
1 70
71
72
73
74
75
76
70
20.9
120.7
120.6
20.4
20.1
19.9
19.5
19.1
18.7
18.2
17.7
17.2
16.5
15.9
15.2
14.4
13.7
12.8
11.9
1 LO
10.0
9.0
7.9
1 6.8
5.7
4.5
3.2
a
E+
w
71
21.4
2t.9
22.5
23.0
23.6
21.3
21.8
22.4
22.9
23.5
21.1
21.7
22.2
22.8
233
20.9
21.5
22.0
22.6
23.1
20.7
21.2
21.8
22.3
22.9
20.4
20.9
21.5
22.0
22.6
20.1
20.6
21.2
21.7
22.2
19.7
20.2
20.8
21.3
21.9
[9.3
19.8
20.3
20.9
21.4
18.8
19.3
19.9
20.4
21.0
18.3
18.8
19.4
19.9
20.4
17.7
18.2
18.8
19.3
19.9
17.1
17.6
18.2
18.7
19.3
16.4
17.0
17.5
18.1
18.6
15.7
16.3
16.8
17.4
17.9
15.0
15.5
.16.1
16.6
17.2
14.2
14.7
15.3
15.8
16.4
13.4
13.9
14.4
15.0
15.5
12.5
13.0
13.6
14.1
14.7
11.5
12.1
12.6
13.2
.13.7
10.6
11.1
1 L7
12.2
12.7
.9.5
10.1
10.6
l L2
11.7
8.5
9.0
9.6
10.1
10.7
7.4
7.9
8.5
9.0
9.5
6.2
6.8
7.3
7.8
8.4
5.0
5.6
6.1
6.6
7.2
3.8
4.3
4.8
5.4
5.9
72
N73
74
75
z
i
A
L
76
24.1
-
24.0
24.6
23.9
24.4
23.7
24.2
24.7
-
23.4
24.0
24.5
-
23.1
23.7
24.2
24.8
22.8
23.3
23.9
24.4
25.0
22.4
22.9
23.5
24.0
24.6
22.0
22.5
23.1
23.6
24.2
21.5
22.0
22.6
23.1
23.7
21.0
21.5
22.1
22.6
23.2
20.4
21.0
21.5
22.1
22.6
19.8
20.4
20.9
21.4
22.0
19.2
19.7
20.2
20.8
21.3
18.5
19.0
19.5
20.1
20.6
17.7
18.3
18.8
19.3
19.9
16.9
t 7.5
18.0
18.5
19.1
16.1
16.6
17.2
17.7
18.3
15.2
15.7
16.3
16.8
17.4
14.3
14.8
15.4
15.9
16.4
13.3
13.8
14.4
14.9
15.5
12.3
12.8
13.4
13.9
14.4
t 1.2
11.7
12.3
12.8
13.4
10.1
10.6
11.2
11.7
12.3
8.9
9.5
10.0
10.6
11.1
7.7
8.3
8.8
9.4
9.9
6.5
7.0
7.6
8. t
8.7
77
78
79
80
L
a
81
-
25. l
24.7
25.2
-
24.2
24.8
25.3
25.9
23.7
24.2
24.8
25.3
23.1
23.7
24.2
24.8
22.5
2 3.1
23.6
24.2
2 L9
2 2.4
23.0
23.5
21.2
21.7
22.3
22.8
20.4
21.0
2 L5
22.1
19.6
20.2
20.7
21.3
18.8
19.3
19.9
20.4
17.9
18.5
19.0
19.5
17.0
17.5
18.1
18.6
16.0
16.6
17.1
17.6
l 5.0
15.5
16.1
16.6
13.9
14.5
15.0
15.6
12.8
13.4
13.9
14.4
11.7
12.2
12.7
13.3
10.4
1.1.0
1 L5
12.1
9.2
9.7
10.3
10.8
82
83
84
Compliance Forms August 2001 A-30
INSTALLATION CERTIFICATE (Page 9 of 13) CF -6R
Site Address
Permit .Number
DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS
❑ DUCT IN CONDITIONED SPACE
❑ Yes ❑ No Duct in conditioned space criteria matches CF -1 R
❑ ❑
Yes is a Pass Pass Fail
❑ REDUCED DUCT SURFACE AREA
Measured duct exterior surface area in the following unconditioned duct locations (square feet):
Attics
Crawlspaces
Basements
Other (e.g., garages, etc.)
Cl Yes ❑ No Duct surface area matches CF -1 R? ❑ ❑
Yes is a Pass Pass Fail
1:11, the undersigned, verify that the duct surface area and duct locations claimed for duct surface area reductions and duct
location improvements beyond those covered by default assumptions match those on the plans. [The builder shall provide
the HERS provider a copy of the CF -6R signedby the builder employees or sub -contractors certifying that diagnostic testing
and installation meet the requirements for compliance credit.]
Tests Signature, .Date
Performed
COPY TO: Building Department
HERS .Provider (if. applicable)
Building Owner at Occupancy
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
Compliance Forms August 2001 A-31
INSTALLATION CERTIFICATE (Page 10 of 13) CF -6R
Site Address
Permit Number
BUILDING ENVELOPE LEAKAGE DIAGNOSTICS
❑ ENVELOPE SEALING INFILTRATION REDUCTION
Diagnostic Testing Results
Building
Envelope Leakage (CFM @ 50 Pa) as measured by Rater
i . ❑
❑
Is measured envelope leakage less than or equal to the required level from
Yes
No
CF -.1R?
2. ❑
❑
is Mechanical Ventilation shown as required on the CF -l. R?
Yes
No
2a. ❑
❑
If Mechanical. Ventilation is required on the CF -IR (Yes in line 2), has it
Yes
No
been installed?
2b. ❑
❑
Check this box yes if mechanical ventilation is required (Yes in line 2)
Yes
No
and ventilation fan watts are no greater than shown on CF -1R.
Measured Watts =
3. ❑
❑
Check this box yes if measured building infiltration (CFM a, 50 Pa) is
Yes
No
greater than the CFM @ 50 values sliown for an SLA of 1.5 on CF -1 R
(If this box is checked no, mechanical ventilation is required.)
4. ❑
❑
Check this box yes if measured building infiltration (CFM @ 50 Pa) is less
Yes
No
than the CFM cr 50 values shown for an SLA of 1.5 on CF -JR,
mechanical ventilation is installed and house pressure is greater than
minus 5 Pascal with all exhaust fans operating.
Pass if:
d. Yes in line 1 and line 3, or
c. Yes in line l and line2, 2a, and 2b, or
f. Yes in line l and Yes in line 4.
Otherwise fail.
❑ ❑
Pass Fail
❑ 1, the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage
reduction below default assumptions as used for compliance on the CF -1R. This is to certify that the above diagnostic test
results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit.
[The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors
certifying that diagnostic testing and installation meet the requirements for compliance credit.)
Test Performed Signature Date Testing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
COPY TO: Building Department
.HERS Provider (if applicable)
Building Owner at Occupancy
Compliance Forms August 2001 A-32
INSTALLATI®N CERTIFICATE (.Page 11 of 13) CF -6R
Site Address Permit Number
The following is an explanation of many of the input values required on this form:
HVAC SYSTEMS
Heating Enuiament Tvae must be one of the following:
Furnace:
Gas (including Liquefied Petroleum Gases) or oil -fired centi-al furnace &
space heater
Boiler:
Gas or oil -fired boiler
PckgH.eatPump:
Packaged central heat pump
SplitHeatPump:
Split central heat pump
RoomHeatPump:
Room heat pump
LgPkgHeatPump:
Large packaged heat pump (>_ 65,000 Btu/hr output)
Electric:
Electric .resistance heating (fixed HSPF = 3.41.3); radiant electric resistance
(fixed HSPF = 3.55)
CombinedHydro:
Reference water heater under water heating systems below
CEC Certified Manufacturer Name &c Model Number from applicable Commission approved appliance directory.
ft of identical Systems is for those systems with the same efficiency, duct location, duct R -value and capacity.
Efficiency from. applicable Commission certified appliance directory.
Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none.
Duct (or Piping) R -Value fi•om Directory of Certified Insulation Materials and/or manufacthrrer's data-
Heating/Cooling Load refer to Commission approved load calculation procedure.
Heating/Cooling Capacity from the applicable Cotwnission certified appliance directory. Note: location elevations over
2,000 ft above sea level require a derating of output capacity (refer to manufacturer's literature).
Cooling Equipment Type must, be one of the following:
SplitAirCond:
Split system air conditioner
PckgAirCond:
Packaged air conditioner
Split.Hcat.Pump:
Split system heat pump
PckgHeatPump:
Packaged heat pump
RoomHeatPump:
Room heat pump
LgPkgHeatPump:
Large packaged heat pump (>_ 65,000 Btu/hr output). Substitute EER for SEER
when SEER is not available
RoomAirCond:
Room air conditioner. Minimum SEER varies*
Ly,-Pk,AirCond:
Large packaged air conditioner (> 65,000 Btu/hr output). Substitute EER for
SEER when SEER is not available
EvapDirect:
Direct evaporative cooling system. For compliance calculation purposes, fixed
values: SEER = 11.0; duct location = attic, duct insulation R. -value = 4.2
EvapIndirect:
Indirect evaporative cooling system. For compliance calculation purposes, fixed
values: SEER = 13.0; duct location = attic; duct insulation R -value = 4.2
'.Retcr to Energy Commission publication Appliance Lrrciency.Regulation.c P400-92-029
Compliance Forms I August 2001 A-33
INSTALLATION CERTIFICATE (Page 12 of 13) CF -6R
Site Address )Permit Number
The following is an explanation of many of the input values required on this form:
WATER HEATING SYSTEMS
Distribution Systems Refer to Residential Manual for more details:
Standard:
Standard — Supply pressure based system, no pumps
Pipe Insulation:
Pipe Insulation on all 3/4 -inch pipes
POU/HWR:
Point of Use[Hot Water Recovery System
Recirc/NoControl:
Recirculation loop with no controls
Rccirc/Timer:
Recirculation loop with a timer
Recirc/'Temp:
Recirculation loop with temperature control
Accirc/Time+Temp:
Recirculation loop with a timer and temperature control
Recirc/Demand:
Recirculation loop with demand control
Water Hcater Type
Windows, sliding glass doors, .French doors, skylights, garden windows, and
Inforniation Needed
any door with more than one square foot of glass
Operator Type:
Energy Factor
Recovery Efficiency
Standby Loss
Rated .Input
Storage Gas, Oil or Electric
Yes
No
No
No
Heat Pump
Yes
No
No
No
Instantaneous Gas
No
Yes
No
No
Instantaneous Electric
Yes
No
No
No
Large Storage Gas
No
Yes
Yes
Yes
Indirect Gas (Boiler)
No
Yes (AFUE)
No
Yes
FENESTRATION/GLAZING
Fenestration:
Windows, sliding glass doors, .French doors, skylights, garden windows, and
any door with more than one square foot of glass
Operator Type:
Slider, hinged, fixed
U -Factor:
Installed U -Factor must be less than or equal to value from CF -IR
OR
Installed weighted average U -Factor for the total fenestration area is less than
orequal to value from CF -IR
SHGC:
Installed SHGC must be less than or equal to value from CF -1 R
O.R
Installed weighted SHGC for the total fenestration area is less than or equal to
value from CF- iR
OR
An interior shading device, overhang, or exterior shading device is installed
consistent with the CF -1R
Shading Device:
Include when the building complied using an exterior shading device: woven
sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning,
roll -down blinds or slats (do not list bug screen), or an overhang (include
de th in feet
Compliance Forms August 2001 A-34
INSTALLATION CERTIFICATE (Page 13 of 13) CF -6R
Site Address
Permit Number
The following is an explanation of many of the input values required on the Diagnostic portion of this form (page 3 of O:
TYPE OF CREDIT
Refcr to Residential Manual Chapters 4 and 5 for more details:
Reduced Duct Surface Area:
Calculated as the outside area of the duct. Areas must be measured and
verified by a HERS rater.
improved Duct Location:
Supply duct located in other than attic, as verified by location of registers
(does not require HERS rater verification).
Catastrophic Leakage:
Pressure pan test readings must be less than 1..5 Pascal at a house pressure of
25 Pascal.
TXV:
Access cover required to facilitate verification.
Infiltration. Reduction:
Infiltration is measured without mechanical ventilation operating.
Mechanical ventilation is required for very tight house construction when
credits for infiltration reduction using diagnostic testing are being used for
achieving compliance. These very tight houses are defined as those with SLA
of less than 1.5. The compliance documentation (CF -1R) will contain the
measured CFM target value from. a blower door test at 50 Pascal pressure
difference that represents this SLA of 1.5. Mechanical ventilation is also
required if the builder chooses to design the building to use mechanical
ventilation and claims a credit for infiltration below an SLA of 3.0. The
compliance documentation (CF -IR) will contain the measured CFM target
value that represents this 3.0 SLA. If the builder claims credit in a design for
infiltration reduction that is at an SLA of 3.0 or higher, and the actual.
measured SLA is 1.5 or greater, then mechanical ventilation is not required.
If the SLA in this case were below .1.5, then mitigation (such as mechanical
ventilation) would be required.
Compliance Forms August 2001 A-35
Engineering Incorporated
1981 20th Anniversary 2001_
Consulting Electrical Engineers
19031 Highway 18 Ste 200 72330 Cany m L.—
Apple Valley, C.\ 923117 Pahn Desert, CA 922641
Phene: (760) 242-3369 Phu—: (760) 773-447R
Fav (760)242.1092 Far: (760)242-1092
dremgjoe( xha.ie noel dmnijo gnul.cum
FORM J EQUIPMENT LOADS
PROJECT: 21 BTU/SQ FT DREAM ENGINEERING INC.
MILES - 1440 SQ. FT.HOUSE WI 1440 SQ FT APPLE VALLEY, CALIFORNIA
LA QUINTA CA HTM HTM AREA/ BTU BTU
CLG HTG LENGTI CLG HTG
GROSS EXPOSED WALLS
1
EXPOSED WALL (SQ FT)
1:248
FOOTPRINT - PERIMETER (FT)
156
FIXED WINDOWS
1,440
CEILING HEIGHT (FT)
34
0
0
SLIDING WINDOWS
LA QUINTA
35
169
0
WINDOWS &
NORTH
30
61
1821
GLASS DOORS:
EAST
80
71
5656
SOUTH
45
37
1679
WEST
80
0
0
SKY LIGHTS
0
48
0
0
OPAQUE DOORS
38
25
40
1520
NET EXPOSED WALL
R13
2.5
2.6
1248
3120
AVE CEILINGS
R30
:2.09
1.2
1440
3004
CEILINGS (R#2)
0
FLOOR (SLAB - PERIMETER)
0
28
156
0
FLOOR (RAISED FLOOR)
0
0
0
SUBTOTAL BTUH LOSS
DUCT BTUH LOSS (15%)
HEATING: TOTAL BUTH LOSS
PEOPLE & APPLIANCES
1200
SENSIBLE BTU GAIN
17999
DUCT BTU GAIN (15%)
2700
SUM OF SENSIBLE AND DUCT
GAINS
20699
COOLING: TOTAL BTUH GAIN (TOTAL
X 1.3)
26909
HTG UNIT SIZING =
BTUH LOSS X 1.3 + 10 X AREA =
CLG UNIT SIZING =
BTUH GAIN X
1.15
=
0
5820
19031 HIGHWAY 18 - SUITE 200
(760)242-3369/F1092
NUMBER OF FLOORS
1
EXPOSED WALL (SQ FT)
1:248
FOOTPRINT - PERIMETER (FT)
156
BUILDING DIMENSIONS (SQ FT)
1,440
CEILING HEIGHT (FT)
8.0
DIRECTION FACING
WEST
LOCATION
LA QUINTA
SUMMER DESIGN OUTDOOR - 78 112
WINTER DESIGN OUTDOOR - 68 24
0 UBC 50% OCCUPANCY N/A
1000 DISCLAIMER:
3245 1.THE BUILDING HEAT LOSS & RESULTING MAXIMUM HEATING
1670 EQUIPMENT OUTPUT CALCULATIONS IN THIS REPORT MEET THE
0 CRITERIA OF TITLE 24. THIS MAXIMUM MAY BE EXCEEDED
4415 WHEN THE FURNACE IN THE SELECTED PRODUCT LINE MUST BE
0 LARGER TO MEET COOLING LOAD AIR FLOW REQUIREMENTS.
16150 23HE BUILDING SENSIBLE HEAT GAIN CALCULATED IN THIS
1938 REPORT MEETS THE CRITERIA OF TITLE 24 AND MAY BE
18088 USED BY THE MECHANICAL CONTRACTOR IN EQUIPMENT
SELECTION AND SYSTEM DESIGN. THE ARI STANDARD 210
RATED CAPACITY OF THE EQUIPMENT SELECTED [MAY NEED
TO BE HIGHER THAN THAT STATED IN THE CALCULATIONS
BECAUSE THE DESIGN CONDITIONS FOR THE LOCATION ARE
DIFFERENT FROM THE TEST CONDITIONS USED IN THE RATINGS.
37915 BTU HEATING OUTPUT, MINIMUM REQUIRED
30945 BTU COOLING SENSIBLE, MINIMUM REQUIRED
3 TONS COOLING REQUIRED
a' '
61) 03 y J'a1vran9 Prod cc C
FEATURES
CODE COMPLIANCE: H.U.D., ASHRAE/IES 90.1b-1992 and
1990 NAECA.
A.G.A. CERTIFIED - To ANSI standards for residential water
heaters. All models are approved for use in combined appliance
applications.
FOAM INSULATION - Minimizes radiant heat loss.
GLASS -LINED TANK - Glass, specifically developed by
A.O. Smith ceramic research for water heater use, is fused to
steel at 16000F., providing corrosion protection for years of de-
penilable use. Proven reliable in millions of water heaters for over
50 years.
DIP TUBE - Carries inlet water deep into tank.
ANODE - Tank -mounted, screw-in anode for longer tank life.
THERMOSTAT - Designed for long service life. Safety shutoff
provided. Propane models have built-in filter and dirt leg provided.
BURNER - All steel, multiport burner for improved combustion
efficiency. FSGT has a stainless steel burner. FSG -75 & FSG -
100 have a cast iron burner.
SELF CLOSING INNER DOOR - Supplied as a standard feature
on FSGT models only. Standard cover plate on all others.
DRAFT DIVERTER - Supplied with screw anchor tabs for secure
connection to the top cover.
NON LINTING ENERGY SAVING PILOT
BRASS DRAIN VALVE - On all FSGH and FSGT models only.
Non-metallic valves on all others.
HIGH RECOVERY MODELS AVAILABLE — FSGH/FSGT
models are the best value.
CALIFORNIA - Models for sale in California are built to special
requirements. See California specification sheet available from
sales office.
ENERGY SAVER
GAS RESIDENTIAL WATER HEATERS
FSG, FSGL, FSGH & FSGT
6 YEAR LIMITED TANK WARRANTY
If the tank should leak any time during the
first 6 years, under the terms of the warranty,
A. O. Smith will furnish a replacement heater.
Installation, labor, handling and local delivery
are extra. When used commercially, warranty
is for 1 year. THIS OUTLINE IS NQ= A
WARRANTY. For complete information,
consult the written warranty or A. O. Smith
Water Products Company.
Warranty does not apply to product installed
outside of the United States of America or its
territorial possessions and Canada.
PLUG
ANODE
NOTWATER
OIftLEr MPE
' DNIMNEY ENERGY
VENTCOLDWAER SAVER
VALVE
UNION GAS GLASS LINED WATER HEATER
ORA:r _ I I
INSULA710H FLUE
aAFFLE
GAS SUPPLY
PIPE \
MAW MANUAL
INLET DIP TUBE
?EMPERATUREAND
PRESSURE RELIEF
VALVE
GRAIN UNE
EMBLEM AND
RATING PLATE
TYPICAL
INSTALLATION
THERMOSTAT
WATER
TEMPERATURE
AONUSTPNG DIAL
- DRAIN VALVE
IFLOOR GRAN
OUTER DOOR
'INSTALL IN ACCORDANCE
WITH LOCAL CODES
I
RELIEF
3/4' NP'
112' NPT
GAS INLET
..J
VAL
• II
FRONT VIEW
3/4' NPT
DUTLETA
UG ANODE
3/4' NPT
INLET A
4'
. INLET/OUTLET 1' ON 75 GAL MODELS
1 114' ON 100 GAL MODELS.
t 16' ON 75 AND 100 GAL MODELS
TOP VIEW
6 -Year
Model
No.
Gal.
Ca .
Vent
Size
NATURAL GAS
PROPANE GAS
A
s --T
C
Approx.
Ship. WL
Lbs.)
BTU
Input
Per Hr.
GalJHr.•
Recovery
90' F Rise
BTU
Input
Per Hr.
GaUHr.•
Recovery
90" F Rise
Height
Plus
Dlverter
Height
Less
Diverter
Ola.
ENERGY SAVER MODELS
FSG -30
1 30
1 3'
1 32.000
32.7
1 30.000
30.7
59
551/4
15314
105
FSG -40
40 1
3-
32.000
32.7
30.000
30.7
57
531/4
181/4
119
FSG -50
50 1
3'
40.000
40.9
37.000
37.9
601/4
561/2
201/4
153
ENERGY SAVER LOWBOY MODELS
FSGL•30
30
3'
40.000
40.9
37.000
37.9
471/2
433/4
181/4
1/a
FSGL-40
40
1 3'
1 40.000
40.9
37.000
37.9
51
471/4
201/4
131
ENERGY SAVER HIGH INPUT MODELS
FSGH-30
1 30
1 3'
1 40.000
40.9
37.000
37.9
61 1/4
57 1&
153/4
122
FSGH-40
1 40
1 3'
1 40.000
40.9
1 37.000
37.9
591/4
551/2
181/4
128
ENERGY SAVER VERY HIGH INPUT MODELS
FSGT40
1 38
4-
50,000
51.2
41.000
48.1
59
54 314
201/4
130
FSGT-50
1 48
4'
1 60,000
61.4
601/2
561/4
201/4
164
FSG -75
1 75
4'
1 75.000
75.8
75.000
75.8
61
57
251/2
271
FSG -100
1 100
4'
1 75,000
75.8
75.000
75.8
681/2
65
261/2
1 352
NOTE: To compensate for the effects of high altitude areas above 2,000 feet, recovery capacity should be reduced approximatey
4% for each 1,000 feet above sea level. ALL DIMENSIONS IN INCHES.
'Recovery capacities are based on DOE method of test.
SUGGESTED SPECIFICATIONS
Water Heater(s) shall be Model No. as manufactured by A. O. SMITH, or an approved equal. Heater(s) shall be glass -fined,
gas-fired, equipped to bum , design certified to meet the latest ANSI Standard by the American Gas Association. Heater(s) shall have
an input rating of BTU/HR and with a recovery capacity of GPH at °F temperature rise and an energy factor of
or greater. Gas control shalt totally regulate the gas supply to main and pilot bumers. Heater(s) shall have a maximum worsting pressure
of 150 psi, a nominal storage tank capacity of gallons with a 3/4" tapping for relief valve installation and a rigidly supported anode rod for
maximum cathodic protection. All internal surfaces of the heater(s) exposed to water shall be glass -lined with an alkaline borosilicate composition
fused -to -steel. Heaters) shall also be equipped with an automatic shutoff device to shutoff entire gas supply in event of excessive temperature in
tank. Heater(s) shall also be equipped with an A.G.A. certified draft hood. Tank shall be foam insulated (75 and 100 gallon - vermin -proof glass
fiber insulation) or equal. Outer jacket shall have a baked enamel finish. Heater shall have a 6 year limited warranty as outlined in the written
warranty in a residential installation, (1 year in a commercial installation). Fully illustrated instruction manual to be included. Heater(s) shall comply
with the "National Appliance Energy Conservation Act of 1987".
A.O. Smith Water Products Co., Inc. On Line A. O. Smith
www.hotwater.com Water Products Company
Irving, TX
-For Technical Information and A Division pf A. O. Smith Corporation
Automated Fax Service, A. O. Smith Corporation reserves the right to make product changes
Phone: 800-527-1953 or improvements at any time without notice.
,_
t
II
A. O. Smith Residential Heaters
Model
Number
Gal
Vent
Size
BTU's or
Watts/Volts
EnergySpecial
Factor
Dynaclean
Dip Tube
Features
Cast Iron Brass Mag Mode Smartvalve
Burner Drain Valve
6 year tank / 2 year parts limited warranty
High Recovery Standard Models
FSGH-30 1 30 3 38,0001
0.56
FSGH-40 1 40 3 1 38,0001
0.55
FSGH-50 1 50 1 3 38,0001
0.53
FSG -75 1 75 1 4 1 75,0001
0.481
yes yes
FSG -100 11001 4 1 75,0001
0.431
yes yes
Extra High Recovery Standard Models
I
1
FSGT-40 1 40 I 4 50,0001
0.581
1
FSGT 4-_�- _ 60,0001
High Recovery 2" Insulated Models
0.541
FGR -30 1 301 3 1 38,0001
0.621
1
1
FGR -40 1 401 3 1 38,0001
0.611
{ 1
1
FGR -50 1 501 3 1 38,0001
0.601
1 )
FGR -75 1 751 4 1 75,0001
0.481
{
1 I
1
FGR -100 11001 4 1 78,0001
0.431
1
I I
I
Power Vent- vents with ABS, PVC or CPVC
FPSH-40 j 40 12 or 31 46,0001
0.621
I
) I
I yes
FPSH-50 1 50 12 or 31 50,0001
0.62!
I
I i
I yes
FPS T-50 150 ! 3 1 65,0001
0.601
I
1 yes !
I yes
FPSH-75 1 75 ; 3 or 41 75,0001
0.501
I
I yes
I yes
Power Vent 2" Insulated Models outside air
i
FPD -40 1 40 ; 3 1 42,0001
0.59!
I
j I
yes
FPD -=0 1 50 1 3 1 42,0001
0.60i
I
I i
1 yes
1 I I
I
1
I I
I
6 year tank / 6 year parts limited warranty
I
I
{ !
I
High Recovery ProMax Models
FCG-30 1 30 i 3 1 38.0001
0.571
yes I
1 yes
1
FCG-40 i 40 1 3 1 38.0001
0.571
yes
I yes
FCG-50 i 50 '. 3 38.0001
0.591
yes i
) yes i
FCG-75 75 ; 4 I 80,0001
!
yes i
I yes
!
FCG-100 11001 4 1 78,0001
I
yes I
j yes
Extra High Recovery ProMax Models
. I
FCGT-40 1 40. 4 i 50.0001
0.571
yes
I yes I
I
FCGT-50 1 50 ! 4 1 60.0001
0.541
yes (
I yes I
I
High Recovery 2" Insulated ProMax Models
I
I
i
CTG -40 1401 3 1 40,0001
0.631
yes 1
yes I I
yes I
CTG -50 1 50 { 3 1 40,0001
0.621
yes I
yes i I
yes
f ! 1 f
I
I f
I
10 year tank 12 year parts limited warranty1
I
I
j
High Recovery Standard Models
IPGXH,-O
I
I
I I
1
1 30 j 3 1 38,0001
0.561
yes I
PGXH-40 1 40 ) 3 1 38,0001
0.55[
1
1
yes I
PGX-50 1 501 3 38,0001
0.551
1 1
yes I
Extra High Recovery Standard Models
I
1 I
I
PGXT-40 1 401 4 1 50,0001
0.571
I
yes I
PGXT-50 1 501 4 1 60,0001
0.541
1
1 1
yes I
I I I
I
I
I
10 year tank / 10 year parts limited warranty 1
I
I I
High Recovery 2" Insulated Models
I
I
PGCG-40 401 3 40,0001
0.631
yes
yes I yes I
yes I
PGCG-50 50-1— 3 ( 40,0001
0.621
yes
yes 1 yes 1
. yes I
Enerqy factor based on October 2000 GAMA Directory
Save Money
Right Out Of The Box
If you have ani air conditioning system that was
put in before the Department of Energy established
new efficiency standards in 1992, chances are its
SEER (Seasonal Energy Efficiency Ratio) is relatively
low—so your cooling costs could be a lot higher
than they need to be. Now the good news:
-_ Evm one. of. today's_Heil°:home_cooling products:-:-=:
including the Heil 10"' and Heil 12" High Efficiency
Air Conditioners, meets or exceeds the government's
minimum energy efficiency standards. These units
could shave 40 to 50%* off your summer
cooling costs!
Savings percentage based on national averages; may vary accon'ing to efficient%
of current unit and installation.
What's Under The Flood
Heil 10 and Heil 12 High Efficiency Air.
Conditioners feature proven compressors as well
as a coil made with copper tubing and aluminum
fins for more durability and efficiency—so 'it takes
• All models feature top -performing
compressors for reliable operation–
a reciprocating compressor on most
10 SEER models and a scroll
compressor on all 12 SEER models.
• All condensing units have been
100% run tested
• All coils are 100% leak tested at three
different checkpoints.
• Hot discharge air is directed up and
away from plants and shrubbery.
• These units come in 1'/ -ton through
5 -ton capacities. We can provide
you with a customized system that's
an exact match for the size of
your home.
less energy to keep you comfortable. The coils' fins
are coated with a tough acrylic finish even before
the coils are built, gi\-ing them extra protection—
so they; ve you years of trouble free operation.
And the condensing unit is painted with a triple -
step process that endures all kinds of weather.
and resists corrosion, too. So your unit keeps
looking great, season after season.
Built Better, Backed Better
Heil 10 and Heil 12 High Efficiency Air
Conditioners come with a 5 year limited warranty"
on the compressor, coil, and all other functional
parts. Also, your dealer can give
e° you full details on the HELP''
,. ° a (Homeowner's Extended Labor
Program) extended warranty,
which gives you a choice of
5 or 10 years of additional
worry -free protection.
' See published warrantyfor'complete details.
Save Money
Right Out Of The Box
If you have an air conditioning system that was
put in before the Department of Energy established
new efficiency standards in 1992, chances are its
SEER (Seasonal Energy Efficiency Ratio) is relatively
low—so your cooling costs could be a lot higher
than they need to be. Now the good news:
Every one of today's Heil° home -cooling products, -:-
including the Heil 10" and Heil 12'" High Efficiency
Air Conditioners, meets or exceeds the government's
minimum energy efficiency standards. These units
could shave 40 to 50V off your summer
cooling costs!
Savings percentage based on national averages; may vary according to efficienn
of current unit and installation.
What's Under The Hood
Heil 10 and Heil 12 High Efficiency Air
Conditioners feature proven compressors as well
as a coil made with copper tubing and aluminum
fins for more durability and efficiency—so it takes
• All models feature top -performing
compressors for reliable operation—
a reciprocating compressor on most
10 SEER models and a scroll
compressor on all 12 SEER models.
• All condensing. units have been
100% run tested
• All coils are 100% leak tested at three
different checkpoints.
• Hot discharge air is directed up and
away from plants and shrubbery.
• These units come in 1'f -ton through
5 -ton capacities. We can provide
you with a customized system that's
an exact match for the size of
your home.
less energy to keep you comfortable. The coils' fins
are coated wuh a tough acrylic finish even before
the coils are built, giving them exim protection—
so they give you years of trouble-free operation.
:lnd the condensing unit is painted with a triple -
step process that endures all kinds of weather.
and resists corrosion, too. So your unit keeps
looking great, season after season.
Built Better, Backed Better
Heil 10 and Heil 12 High Efficiency Air
Conditioners come with a 5 year limited warranty'
on the compressor, coil, and all other functional
parts. also, your dealer can give
you full details on the HELP'
(Homeowner's Extended Labor
Program) extended warranty,
which gives you a choice of
5 or 10 years of additional
worry -free protection.
91,11[c ".0 U00711 V.-WRIMN
t See published warrantyfor complete details.
c�yr�8usr/o�r
Representative photo only, some models may vary in appearance.
MANUFACTURED FOR NATURAL GAS
CONVERTIBLE TO (LP) PROPANE GAS
NOTE: These furnaces are not designed
for installation in a corrosive atmosphere,
containing Chlorine, Fluorine, or any other
damaging chemicals.
WARNING
This furnace is not designed for use inside
mobile homes, trailers, or recreational
vehicles. Such use could result in property
damage, bodily injury, and/or death.
UPFLOW HORIZONTAL 40"
OPERATION
• 80% AFUE efficiency range.
• Electronic ignition device.
• Induced draft combustion blower.
HEAT EXCHANGER
• Four pass aluminized steel.
• 20 year limited heat exchanger warranty.
BURNER ASSEMBLY
• In -shot monoport burners.
BLOWER ASSEMBLY '
• Multispeed, pre -lubricated PSC motors, dynamically balanced,
resilient mounted to reduce vibration and noise.
• Entire blower assembly mounted on rails for easy service.
WIRING CENTER
• 40VA transformer.
• Terminal board allows easy selection of motor speeds.
• Electronic air cleaner and humidifier connections provided.
CABINET
• Painted steel cabinet.
• Fully insulated cabinet.
SAFETY
• Flame sensor constantly monitors flame. Provides 100% gas shut off
if flame is not sensed.
• Redundant gas valve.
• High temperature limit control.
• Flue blockage pressure switch.
• Blower door interlock switch prevents furnace operation if door is
removed.
INSTALLATION
• May be installed as an upflow furnace or as a horizontal left or right
furnace.
• Compact 40" design.
• Convertible to (LP) Propane Gas.
• 0" clearances on sides and back.
• Twinning kit available to operate two furnaces in tandem.
• External side or bottom filter rack (sold seperately).
to-,
IT
a !� cfs EEG:CIENCY
NG
\\11,iTIFIED
(.,ma
1vraovto
Design Certified R' 4RR A
by A.G.A.
441 11 2601 03
'MODELr
•GUIDE
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MODEL NUMBER
N T
G 3
050
F B A
.0i1
1
MARKETING REVISION
PRODUCT FAMILY
PRODUCT GROUP
FURNACE WIDTH
U = Upflow
T = Upflow / Horizontal
B = 151/2
H = Horizontal
C = Downflow I Horizontal
i
B
F = 19118
D = Downflow
L = lowboy
J = 22314
F = Floor Furnace
M = Multiposition
N = 263/8
FUEL
NOTE: Evaporator "A" coil drain pan dimensions
Unit
�\ I j
is designed for bottom
may vary from furnace duct opening size. Always
G =Natural Gas
0 =Oil
or side return.
consult evaporator specifications for duct size
NOMINAL AIR FLOW ons
(Tons)
L = LP. Gas
H = High Altitude Natural Gas
requirements.
A = Heat Only G = 3.5
E = Electric
Unit
Cabinet
Electrical Connections
Supply Air
8=1 H=4
SERIES
Top Left/Right Side
C = 1.5 J = 4.5
Side
Right Side Left Side
Capacity
A B C
D=2 K=5
3 = 3000
7 = 7000
G J H
M
E= 2.5 L = 5.5 - 7.0
5 = 5000
8 = 8000
1 /2 2 l2
4 /2 17 /16 18 l2
F= 3 M = 7.5 - 10.0
6 = 6000
9 = 9000
75HF, IODOKF 8
t00KF
40 19118 28112
NOMINAL INPUT MBTUH
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
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K
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C
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B
NOTE: Evaporator "A" coil drain pan dimensions
Unit
�\ I j
is designed for bottom
may vary from furnace duct opening size. Always
\ \ l
return
or side return.
consult evaporator specifications for duct size
F
G
Retum
25-22'28
air through back of
requirements.
unit is NOT allowed.
Unit
Cabinet
Electrical Connections
Supply Air
Return Air
Gas Connections
Top Left/Right Side
Low Volt Bottom
Side
Right Side Left Side
Capacity
A B C
E
rD ER1/8
R P 0
N F
G J H
M
K L50FB
& 75FB
40 15 /z 28 !22
1 /2 2 l2
4 /2 17 /16 18 l2
14 23 le 12 le 22 l2 12 /4
23 /8
28 /4 26 281/4
75HF, IODOKF 8
t00KF
40 19118 28112
1112 1112 2%
41/2 175/16 181/2
17518 231/8 143/4 22112 141/2
237/8
281/4 26 28114
125KJ
40 22 l4 28 !2
1 Iz 1 Ip 2 12
4T/2 17r/16 187/ 2
21 (a 23r/, 18114 22 !2 14 12
23 le
28 (4 26 28 I4
CONVERSION
40" = (1016)
15112" = (394)
1112" = (38)
15/8„ = (41)
1
18 12" _ (470)
231/8" = (587)
125/8" = (321)
12114" = (311)
141/2" = (368)
FROM INCHES
TO
19118" _ (486)
21/2" _ (fi4)
14" _ (365)
175/8^ = (448)
14314" _ (375)
237/8" _ (606)
METRIC (mm)
223/4" = (578)
281/2" = (724)
41/2" _ (114)
175116" _ (440)
211' - (540)
18314 = (476)
221I2" _ (572)
281/4" = (718)
26" _ (660)
ALL DIMENSIONS IN INCHES (millimeters)
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
FURNACE SPECIFICATIONS
•W HORIZONTAL
Model Number NATURAL GAS
NTG3050FBA
NTG3075FBA
NTG3075HFA
NTG310OGFA
NTG310OKFA
NTG3125KJA
INPUT (btuh)
50,000
75,000
75.000
100.000
100.000
125.000
HTG. CAP. (btuh)
40.000
59,000
60.000
79.000
79.000
99,000
AFUE % (ICS)
80.0%
80.0%
80.0%
80.0%
80.0%
80.0%
CSE
73.0%
73.0%
73.0%
73.0%
73.0%
73.0%
TEMP. RISE (deg. F)
35-65
35-65
25-55
35-65
35-65
40- 70
VOLTS/PHiHZ
11516011
115160/1
11516011
11516011
115/6011
11516011
F.L.A.
9
9
12
12
12
12
TRANSFORMER (V.A.)
40
40
40
40
40
40
GAS PIPE SIZE (IN.)
112
1/2
112
1/2
tit
112
CATEGORY I VENT SIZE
3"
4"
4"
4"
4"
5"
COOLING CAP.
3.0 TON
3.0 TON
4.0 TON
3.5 TON
5.0 TON
5.0 TON
SHIPPING WEIGHT (LBS.)
127
129
147
149
161
200
DIMENSIONS (in.) HEIGHT
40
40
40
40
40
40
WIDTH X DEPTH
15112 x 281/2
15 12 x 28 /2
--1-9T/-8,,2W/2
1911e x 28112
191/8 x 281/2
2271 x 28112
'BLOWERPERFORMANCE
Model Number
NTG305OFSA
NTG3075FOA
NTG307SHFA
NTG310OGFA
NTG310OKFA
NTG312SKJA
BLOWER TYPE AND SIZE
10 x 8
10 x 8
10 x 10
1,0 x 10
11 x 10
11 x 10
MOTOR H.P. (TYPE)
la
/a
l2
/a
/4
J14
MOTOR SPEEDS
4
4
3
4
4
4
AIRFLOW
.10 ESP IN. W.C.
LOW
675
675
1503
815
1210
1264
MEDIUM LOW 859 859 - 1043 1441
1520
MEDIUM - - 1722 - -
-
MEDIUM HIGH 1015 1015 - 1324 1773
1841
HIGH 1394 1394 1887 1649 2104
2161
.20 ESP IN. W.C.
LOW
662
662
1460
783
1201
1251
MEDIUM LOW 846 846 - 1030 1430
1506
MEDIUM - - 1660 - -
-
MEDIUM HIGH 999 999 - 1302 1740
1803
HIGH 1342 1342 1810 1616 2078
2132
.30 ESP IN. W.C.
LOW
651
651
1420
755
1197
1249
MEDIUM LOW 819 819 - 1021 1453
1486
MEDIUM - - 1608 - -
-
MEDIUM HIGH 977 977 - 1280 1740
1772
HIGH 1289 1289 1752 1592 2061
2079
.40 ESP IN. W.C.
LOW
636
636
1370
735
1191
1219
MEDIUM LOW 795 795 - 989 1441
1456
MEDIUM - - 1540 - -
-
MEDIUM HIGH 952 952 - 1255 1718
1736
HIGH 1227 1227 1670 1546 2020
2042
.50 ESP IN. W.G.
LOW
608
608
1318
704
1167
1168
MEDIUM LOW 765 765 - 968 1425
1427
MEDIUM - - 1484 - -
-
MEDIUM HIGH 914 914 - 1218 1707
1702
HIGH 1163 1163 1599 1502 2005
1991
.60 ESP IN. W.C.
LOW
564
564
1250
668
1160
1178
MEDIUM LOW 735 735 - 941 1390
1415
MEDIUM - - 1400 - -
-
MEDIUM HIGH 870 870 - 1171 1676
1672
HIGH 1086 1086 1520 1425 1953
1914
.70 ESP IN. W.C.
LOW
514
514
1182
646
1130
1143
MEDIUM LOW 685 685 - 881 1365
1358
MEDIUM - - 1322 - -
-
MEDIUM HIGH 818 818 - 1100 1654
1614
HIGH
1002
1002
1425
1353
1917
1838
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
Furnace
14x25
Filter Kit
20x25
16x25
20x25 Duct
Nat.
Nat. To .
LP To Nat.
High All.
LP High
Draft Hood
Model
Side or
Bottom Return
Filter Kit
Stand-off
LP Kit
Gas Kit
Gas
All.
Twinning Kit
Number
Bottom
Filter Kit
Side or Bottom
with Filter
5"
NTC3100GF
Kit
5"
NTC3100KF
NTG3050FB
NAHAO03FF
NTC3125KJ
NIA
5"
NTG3075FB
NIA
NAHLO02LP
NAHF002NG
NTG3075HF
NTG310OGF
NAHA001TK
•1160991
'1009510
•1160993
•1160992
NAHAO03WK
NTG3100KF••
N/A
NAHA001FF1
NTG3125KJ—
NAHA002FF••
* Fast part number
** Applications of NTG310OKFA & NTG3125KJA above 1650 CFM requires two side returns, bottom return or NAHA001TK 20 x 25 duct
stand-off filter kit. Bottom return applications With the NTG3125KJ require the 20 x 25 bottom return filter kit, NAHA002FF.
1 NAHA001 FF application: NTG3075HF, NTG3100GF & NTG3100KF bottom or side return, NTG3125KJ side return only.
N/A Not Applicable
Masonry Chimney Draft ... Chart
Masonry Chimney
Furnace
Draft Hood
Draft Hood
Model No.
Outlet Dia.
Kit Required
NTC3050FB
NAHLO07DH
4"
NTC3075FB
NTC3075HF
NAHLO08DH
5"
NTC3100GF
NAHLO09DH
5"
NTC3100KF
NTC3125KJ
NAHL01ODH
5"
ME4
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H£A771VG & COOL/AG PRCOL CIS
INTERNATIONAL COMFORT PRODUCTS CORPORATION (USA)
650 HEIL-QUAKER AVE
LEWISBURG, TENNESSEE 37091
RESIDENTIAL AND COMMERCIAL SYSTEMS • SPLIT SYSTEMS • PACKAGED AIR CONDITIONERS •
COMBINATION GAS / ELECTRIC UNITS • HEAT PUMPS' AIR HANDLERS • MANUFACTURED HOME AIR .
CONDITIONERS' GAS, OIL AND ELECTRIC FURNACES
PART NO. 441 11 2601 04 (4/98)
Printer! in U.S.A. SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE Replaces 441 11 2601 02 (9/97)