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11-1014 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001014 Property Address: 52827 AVENIDA DIAZ APN: 773-311-020-5 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 7000 Tity/ 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/20/11 Owner: VELASQUEZ MARIO 52827 AVENIDA DIAZ LA QUINTA, CA 92253 I Applicant: Architect or Engineer: PROs FORMANCE HEATING & AIR CON C�2011 ;I�I'' P.O. BOX 2041 INDIO, CA 92202 f Ci•���'� PX(760) 812-0872 ` Lic. No.: 924629 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License I�0 license No.: 924629 ate: 11 C actor / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _) I am exempt under Sec. , B.&P.C. for this reason 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 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. F+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 and policy number are: Carrier SOUTHERN INS CO Policy Number WSIO047071-01 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 3 100 of the La or Code, I shajorthcom ply with those provisions. 1 licant: � ^� WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all ci�e: ordin nces and state laws relating to building construction, and hereby authorize representatives oto ant Iupon a above-mentioned prc�a�• f^• urpos O ' nature (Applicant or Agent): Application Number . . . . . 11-00001014 Permit. . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/18/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 --------------------------------=------------------------------------------- Special Notes and Comments INSTALL NEW 4 TON HEAT PUMP SPLIT SYSTEM, 15 SEER. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: 75 SL . Date: / � 1 t I © CaICERTS 2005 Enforcement Agency Use Only Project Address: A-vi.s'b-A-Z)dy,tZ.. L,i,a Q ,s r w Climate Zone: Building Permit# Documentation Author: -?E ¢ s Telephone: -7W?12.©�(-,a . Plan Check Date Company Name: cv�t�64Q NES 1 1.412 Ca,v���•uc.1�N6, Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # J of systems altered in this house. Check all lines that apply. Check only lines that auDly. Scope of Alterations: 1 19 An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 * An outdoor condensing unit is to be installed or replaced. Duct Seating and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 19L More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. '® Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ �If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AhM EER 12 condenser will be installed with TXV(RCA) JAND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 O Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ IThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 K rhis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 2204 If tine 15 is checked, HERS verification is required for Duct Sealing. 23 P�, If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Se ion 5- Duct R -Values 26 Ilf more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: Date: © CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only a teration is made to an existing home altered. This is system of systems altered in this house. Use one form for each system being;1___L_ Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typellocation and meet or exceed efficiencies/IR-values. 2$ Configuration: plit system ❑ Package Unit 29 0- AV Handler ❑Gas furnace, AFUE: hVeatpump FAU ❑Hydronic FAU ❑Other 30 5�— Heat Exchanger 31 Outdoor Condensing Unit ❑A/C * eatpump fficien SEER/HSPF: 15 IEER ff r d : 32 tff-- Cooling or heating coil V&C qkHeatpump ❑Hydronic 33 Q, Ducts Location: ILength (ft): (moi _ R -valve: All mandatory measures apply to any altered component. See MF -1R -ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with 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 project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: 67 S Name: 1' Address: Company Name: C r City/State/Zip: LIA 62,-n �+ t^lp Address: 1 U 7S6' -)L_ rotes .4 l Phone: off. City/State/Zip: ctd _ R '�- Phone: '1 (4, C.) - '�'I 'a - 6 8-1 - Signature: Signature: Enforcement A encVTBb-ilding Department) Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire groUD. Version 03-10-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin,# City, of La Qull7ta Bulldtng 8T Safety Dtvfslon P.O. Box 1504,78-495 Calle Tamptco La.Qutnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Perinit # Project Address: F1 �( Owner's Name:. A. P. Number. Address: a �a. M I�• �� �Z- Legal Description: City, P ST Zip: Contractor: b:}Etq i Telephone: Address: ?V %&Y�t 00.moi Project Description: vtaC CLL44 City, ST, Zip: N�-lp Cta Cl Ol _ �4GE 1✓t.E - Telephone:"%20 til O 1 E �� �S E S-EEIZ State Lic.'# : 9 �ksk City Lic. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: A d State Lic. #: tra V Construction Type:. Occupancy: i'`. Project type (circle one): New Add'n Alter Repair Demo I Ft : [ �v # Stories: ( # Unit;-, i Name of Contact Person: 121 t• 1 '� E S �. Telephone # of Contact Person: - (� $ Estimated Value of Project: 77 tro v APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Pl*U Sets Req'd 'Reed TRACKING PERMU FEES Plan Check submitted. Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposit, . Truss Calcs• Called Contact Person Plan Check Balance • Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted Mechariieal GMIng plan 2id Review, ready for correctionstissue Electrical Subeoutactor List Called Contact Person Plumbing GFaat Deed Plans picked up ML H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correcdonsAssue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1014 Space Conditioning Systems Heating Equipment Equip Type (package- heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical Systems Efficiency (AFUE, etc.)1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Heating Load (kBtu/hr) Heating Capacity (kBtu/hr) Split Heat Pump York AX60OCT '�� 1 8.5 HSPF Attic R-4.2 48IN-74 Tons coming EQummenf Equip Type (package heat pump) CEC Certified Mfr. Name and Model Number ARI Reference Number2 # of Identical systems Efficiency (SEER and EER) 1, 3 (>=CF -1R value)4 Duct Location (attic, crawl- space, etc.) Duct R -value Cooling Load (kBtu/hr) Cooling Capacity (kBtu/hr) Split York r5 "*,yHJF48S41S1 '�� .ctl r rr 15 SEER -112.5;EERIM NAttic}e CR -4.2-_-1 48IN-74 Tons 1. 1r project is new construction, see kootnotes to 5tanaaras faoie 151-u ana iaoie 151-c ror ouci cemng airernarive compliance. 2. ARI Reference Number can be found by entering the equipment model number at http://www.aridirectory.orglari/ac. php# 3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1 R form. 4. When CF -IR is reference it is also applicable to the CF -1R, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM © §110-§113: HVAC equipment is certified by the California Energy Commission. 0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. • §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §112(c). 0 §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space. 7*1 0 Reg: 211-A0049022A-M0400001A-0000 Registration Date/Time: 2011/09/21 13:54:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms Auquat 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 (System 1) City of La Quinta 11-1014 Ducts and Fans §150(m): Duct and Fans 0 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used; and 0 1. Building cavities, support platforms for air handlers, and plenums defined or constructed 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. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 0 2D. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. 0 7. Exhaust fan systems have back draft or automatic dampers. 0 8. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 0 Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. 0 10. Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form Is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the Installed features, materials, components, or manufactured devices identified on this certificate (the Installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -111 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. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) PRO-FORMANCE HEATING 81 AIR CONDITIONING Responsible Person's Name: Responsible Person's Signature: Hugo Reyes Hugo Reyes CSLB License: Date Signed: Position With Company (Title): 924629 9/21/2011 Reg: 211-A0049022A-M0400001A-0000 Registration Date/Time: 2011/09/21 13:54:33 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms Aucrust 2009 INSTALLATION CERTIFICATE CF-411R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 City of La Quinta 11-1014 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 1924629 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in la HERS sample group requirements. PASS BCI Testing Responsible Rater's Name: "'.a. Responsible Rater's Signature: Enter Pass or Fall William Irvine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/21/2011 CC2004075 DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form Is true and correct. • I am the certified HERS rater who performed the verification services Identified and reported on this certificate (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 RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -111) 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 -111) approved by the enforcement acencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) PRO-FORMANCE HEATING A AIR CONDITIONING Responsible Person's Name: CSLB License: Hugo Reyes 1924629 HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798593818 HERS Rater Company Name: BCI Testing Responsible Rater's Name: "'.a. Responsible Rater's Signature: William Irvine William Irvine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/21/2011 CC2004075 Reg: 211-A0049022A-M2500001A-M25A Registration Date/Time: 2011/09/21 15:29:36 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 51 Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 City of La Quinta 11-1014 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 Calculate: Actual Subcooling = 7.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 8 Calculate difference: -1 Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F PASS ! 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: Actual Superheat = 14.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 4 to 26 between 3°F and 26°F if manufacturer's specification is not available) System passes,if actual superheat is within the allowable superheat range V) ' PASS ! f .Enter Pass or Fail Reg: 211-A0049022A-M2500001A-M25A Registration Date/Time: 2011/09/21 15:29:36 HERS Provider: Ca10ERTS, inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 City of La Quinta 11-1014 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 Calculate: Actual Temperature Split = Treturn, db - Tsupply, db Target Temperature Split from Table RA3.2-3 using Tretum, wb and Treturn, db Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -4°F and +4°F or, upon remeasurement, if between -4°F and -100°F Enter Pass or Faill Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified using one of the airflow measurement procedures specified in Reference Residential Appendix RA3.3. If actual cooling coil airflow is measured, the value must be equal to or greater than the Calculated Minimum Airflow Requirement in the table below. Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (cfm/ton) e or Identification/Tag /''�/� System Name System 1 Calculated Minimum AirflowwRequirement (CFM) 1200pit 41j 'Oft-- MeasuredAirtlowTysing,RA3.3 procedures (CFM) f J.1250 -, y � '" ► Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS 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 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Target Superheat from Table RA3.2-2 using Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat = System passes if difference is between -6°F and +6°F Enter Pass or Faill 10 Reg: 211-A0049022A-M2500001A-M25A Registration Date/Time: 2011/09/21 15:29:36 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 City of La Quinta 11-1014 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. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag System 1 (must be re -calibrated monthly) Date of Thermocouple; Calibration � 9/5/2011 F System Location or Area Served Whole House Outdoor Unit Serial # WlC1891160 Outdoor Unit Make York Outdoor Unit Model YH3F48S1A Nominal Cooling Capacity Btu/hr 48000 Date of Verification 9/21/2011 canbration or oia4nostic instruments Date of Refrigerant Gauge Calibration 9/5/2011 (must be re -calibrated monthly) Date of Thermocouple; Calibration � 9/5/2011 F must be r i calibrated monthly) Measurea remberatures UIF) I I I 1 d I _[ I \ "< cr System Name or Identification/Tag1 'sr System 1 h r'/ I w!' Supply (evaporator leaving) -air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature (Tretum, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature 39 (Tevaporator, sat) Condensor saturation temperature 102 (Tcondensor, sat) Suction line temperature (Tsuction) 53 Liquid Line Temperature (Tliquid) 95 Condenser (entering) air dry-bulb 85 temperature R ) Condenser, db ME Reg: 211-A0049022A-M2500001A-M25A Registration Date/Time: 2011/09/21 15:29:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-2S Refrigerant Charge Verification -_Standard Measurement Procedure (Page 1 of S) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 City of La Quinta 11-1014 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 Location or Area Served Whole House 1 p Yes :❑No 5/16 inch (8 mm) access hole upstream of evaporative coil in the return plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 p Yes ❑ No 5/16 inch (8 mm) access hole downstream of evaporative coil in the supply plenum and labeled according to Figure in Section RA3.2.2.2.2. Yes to 1 and 2 is a pass. Enter Pass or Fail ✓ © Pass ✓ ❑Fail STMS - Sensor.on,the Evaporator Coil - _ - System Narne'or Identification/Tag / �/f System 1 ) j t Ir / ! ,+ The sensor is factory installed, orifield installed according,to manufacturer's by b Executive 3 (E]Yes p No specifications, or is installed methods/specifications approved the f / / Director. The sensor wire is terminated with a standard mini plug suitable for connection to a The sensor wire is terminated with a standard mini plug suitable for connection,to a+ tecFiriicien 4 Elp-Yes - p No r' digital thermometer. The`sensor.mini plug is accessible to the installing and the HERS rater without changing the airflow through the condenser coil and the HERS rater without changing the airflow through the condenser coil 5 El Yes El No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not p N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I System 1 sensor is factory installed, or field installed according to manufacturer's ❑ 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 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician RacaThe and the HERS rater without changing the airflow through the condenser coil ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. 7, and 8 is a pass. Enter N/A if STMS are not ✓ 0 N/A ✓ ❑ Pass ✓ ❑ Fail e. Otherwise enter Pass or Fail RE' Reg: 211-A0049022A-M2500001A-M25A Registration Date/Time: 2011/09/21 15:29:36 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1014 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. 0 All supply.and-treturn register boots mustTbe,sealed-to=the drywall if=smoke)test�islutilizedifor compliance - applies to,duct leakage compliance+option 3 (leakage reduction by 60%)-andfoption`(4 (fix ahkcessible leaks) described above. E 0 New duct installations cannot: utilize building cavities as plenums or platform returns in lieu of ducts: 2 Mastic and?draw,bands,must be used.in combination:wlth:cloth backed �-rubber.adhesive.idut �ta.pe,to seal leaks at all new duct connections DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am the certified HERS rater who performed the verification services identified and reported on this certificate (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 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 -111) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) PRO-FORMANCE HEATING & AIR CONDITIONING Responsible Person's Name: CSLB License: Hugo Reyes 1924629 HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwelling ❑ not-tested/verified dwelling in la HERS sample group HERS Rater Information CalCERTS Certificate # CCl-1798593818 HERS Rater Company Name: BCI Testing Responsible Rater's Name: Responsible Rater's Signature: William Irvine William Irvine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/21/2011 CC2004075 Reg: 211-AO049022A-M21000OIA-M21A Registration Date/Time: 2011/09/21 15:23:57 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 52827 Avenida Diaz, La Quinta CA 92253 (System 1) 1 City of La Quinta 11-1014 =nter the Duct System Name or Identification/Tag: System 1 =nter the Duct System Location or Area Served: Whole House Vote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the 1welling. 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 Leakage Diaqnostic Test - existinq duct system Select one compliance method from the following four choices. 0 1. Measured leakage less than 15% of fan flow ❑ 2. Measured leakage to outside less than 10% of Fan Flow ❑ 3. Reduce leakage by 60% and conduct smoke and fix all leaks ❑ 4. Fix all accessible leaks using smoke and HERS rater verify Note: (One of Options 1, 2, or 3 must be attempted before utilizing Option 4.) Determine nominalAFan;,Flow using one of the;following=three;calculatiommethods. ✓ 2 Cooling system method: Size oflcondenserrn Tons i4 x 400 = 1640 CFM ✓ ElHeati g system method: 21.7 i _ Output Capacity in J-housands of Btu -/hr= _CFM 7\\ j � ✓ '�airtl,j using ❑ Measured system RA3.3 airflow,testeprocedures: CFM Option's -Tuned then:t" t ' '.!,/ ' ._ -� a , s �._ s-- .�• ' ? (•'rte C +- 1 Allowed leakage = Fan Flow 1600 x 0.15 = 240 CFM Actual Leakage = 130 CFM Pass if Leakage Actual is less than Allowed 2 Pass ❑ Fail Option 2 used then: 2 Allowed leakage = Fan Flow_ x 0.10 = _ CFM Actual Leakage to outside = _ CFM Pass if Leakage Actual is less than Allowed ❑ Pass ❑ 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% _ °t' Reduction Pass if % Reduction > 60% ❑ Pass p Fail Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke allowed to leak from system. Including ducts, plenums, air handler and door panel. Pass if all accessible leaks have been repaired using smoke ❑ Pass Fail NO] Reg: 211-A0049022A-M2100001A-M21A Registration Date/Time: 2011/09/21 15:23:57 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010