Loading...
12-0666 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO L.A, QUINTA, CALIFORNIA- 92253 Application Number: _ r12�:0:000066is Property' Address: 49065 WASHINGTON ST APN: 646-170-009- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9933 4 'mow BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ' MUDGE,RICHARD T 5511 PASEO DEL LAGO W 3B LAGUNA WOODS, CA 92637 - 1r VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date . a -6/14/12 Y Contractor. Applicant: Architect or Engineer: DCS AIR CONDITIONING _ - 72078 CORPORATE WAY, 1 n'gry THOUSAND • PALMS', CA 9 gy c 2�il1L (760) 343-5562 .8a� Lic. No.. 968141Po�(t�ilSdfe� t nW — — --- - - — — — — - --- LICENSED CONTRACTOR'S DECLARATION — — — _ — — — — — — — — — — — _ — — — — — - — — ',—WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am li nsad under provisions of Chapter 9; (commencing with � ` I hereby affirm under penalty of perjury one of the' following declarations:' - - Section 7000) of Division 3 of the Business and P essionals Code, and my License is.in full force and effect. I have and willmaintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 968141 ' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /./� • `Date: X14 Z Contractor:+ I have and will m • intain workers' compensation insurance, as required by Section 3700 of the Labor - _ a :. • ,_ ' Code, for ,the performance of the work for which this permitisissued. My workers' compensation .. • OWNER -BUILDER DECLARATION - •"'' ! insurance carrierand policy number are: - • , I hereby affirm under penalty of perjury that I am exempt from the Contractor's 11 State License Law for the - Carrier ZENITH INS" Policy Number _Z071741501 - . following reason (Sec. 7031.5, Business and Professions Code: Any city or county, that requires a permit to'•. ?" _ I. certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure,. prior to its issuance, also requires the applicant for the " - person in any manner so as to.become s •fact to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the, provisions of the Contractor's State "k,, , - - and agree that, if I should become subje to the workers' compensation provisions of Section License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700.of the Labor Code, I shall forth w' comply with those provisions. 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 ($5001.: -'; Date'F�{� 1 L Applicant: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ` ,... + - , - the structure is not intendedor-offered for sale (Sec. 7044, Business and Professions Code: The W.t WARNING: FAILURE TO SECURE WORKER O NSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds. or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND r e and who does the work himself -or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _ improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or - improve for the purpose of sale.). - - - APPLICANT ACKNOWLEDGEMENT - (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. _ IMPORTANT Application'is hereby made to,the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors'. State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ! 1 I am exempt under Sec. , B.&P.C. for this reason the owner, *and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City of La Quinta,-its officers, agentsandemployees for any act or omission related to the work being ' performed under or following issuance of this permit. .. Date: Owner: - 2. Any' permit issued as a resultofthis 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 CONSTRUCTION LENDING AGENCY ' permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that thekaboinformation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to buildction, and hereby authorize representatives of this county to enter upon the above-mentioned propertion purposes. Lender's Name: - - - Date: Signature �( Z. Signature (Applicant or Agent): Lender's Address: - -—� LQPERMIT .. Application Number . . . . .' 12-00000666. Permit . . MECHANICAL Additional desc Permit Fee 33,.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 12/11/12 Unit Charge Per Extension, 4 {Qty BASE FEE 15.00 •1.00 9.0000 EA MECH FURNACE <=100K •9.00 1.00 9.0000 'EA MECH B/C <=3HP/100K BTU 9.00. Special Notes and Comments HVAC CHANGE OUT - 13SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S),TO•BE INSTALLED PRIOR TO FINAL - r INSPECTION. 2010 CALIFORNIA BUILDING CODES. June 14, 2012 1:25:54 PM AORTEGA i. .. - --- -, Other Fees>BLDG STDS ADMIN (SB1473) ----- %1.00 Fee summary, Charged- ' .Paid Credited -------------------_------ ------ --------- .Due ---- Permit Fee Total -33.00 - .00 00 33.00. Plan Check Total 8:25 00 00 8.25-` r Other:Fee Total 1:00 DO 00 1.00 Grand Total .',, 42:25 00 42 , .00. .25 LQPERMIT CaICERTS - CF -1R Registration Page 1 of 1 A., �sAe 2 L= W. .. �i Public Home LESLIE ROGAN logged in [Logout] [Home] CONGRATULATIONS Secure Home Your CF -IR -ALT -HVAC Registration is complete! About Us You may want to print this page for your records. Training Site Address:;49065 WASHINGTON, LA QUINTA ;La Quinta, CA 92253 ....................... _............................ __............. ;...... ._...... ................................. -.-_.-....... ........ _..................... _....... _._... –----- _........ _........ _._................ -- CEC Re . .............. ......._. .................._..............-......--.........:......._..........................._...._.._._.........._..........-.......-...._.._..----._........ _._.. ..... __._...... ._......_......_..................._..._...-.. _ CF -_1 RR-_ ALT -HVAC:; CLICK_ HERETO DOWNLOAD Forms _—�– Assigned Company:iEnergy Driven Solutions, Inc. Membership Benefits [CLICK HERE] to do another Events Industry Partners News To register for our monthly newsletter, please click here. Copyright CP 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us BBBQ D-- Staff W::1: Rw https://www.calcerts.com/public—cflR.cfin?project—id=180238 4/10/2012 V Bin # ' :Clay of La Quinta r Building a Safety Division J.O. Box 1504, 78-495 Calle Tampico - La Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pemtit # 2• bbd Project Address: �� Owner's Name: A P. Number Address: Legal Descriptio)i: Contractor. Address: City, ST, Zip: Telephone:! Project Description: City, ST, Zip: Telephone J S Z State Lic. #: Arch., Engr, Designer City Lia #; Address: qty, ST, Zips Telephone: State Lie. #: Name of Contact Person:, Construction Type: Occupancy: Project type (circle one • New Add'n Alter Repair Demo Sq. FL: I # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit 'Noss Cales. Called Contact Person _ Plan Check Balance. Mile 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted . Mechanical Grading plan 2n. Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person i Plumbing Grant Deed s Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person ;ti A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: 49065 WASHINGTON, La Quinta CA 92253 (System,.. 4 Enforcement Agency: ' Permit Number: City of La Quinta 12-0666 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct System Location or Area Served: Whole House = Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. nstallation certificate is required for compliance for alterations and additions,in existing dwel conditioning systems and duct systems. • _ � G• ote: For existing dwellings, a completely new or replacement duct system can also include existing parts of ie original duct system (e.g., register boots,' air handler, coil, plenums, etc.) if those parts are accessible nd they can be sealed. For a completely new or, replacement duct system installed in an existing dwelling, se the Installation Certificate titled "Duct Leakage Test .Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system" 1; ' p� � G• ote: For existing dwellings, a completely new or replacement duct system can also include existing parts of ie original duct system (e.g., register boots,' air handler, coil, plenums, etc.) if those parts are accessible nd they can be sealed. For a completely new or, replacement duct system installed in an existing dwelling, se the Installation Certificate titled "Duct Leakage Test .Completely New or Replacement Duct System. " Duct Leakage Diagnostic Test - existing duct system" 1; ' , .g. - _ i 'moi `• 'y Yr_1""_ ter' .a. � . � - . _ _ • Reg: 212-A0042800ArM2100001A-M21A 'Registration'Date/Time:'2.012/09/16'23 31:40 ^HERS Provider: CalCERTS, Inc.- 5 2008 Residential "Compliance'Forms March 2010 +5 V r- . CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-21 Duct Leakage Test - Existing Duct System (Page 2 of 2) Site Address: 49065 WASHINGTON, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0666 ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage testing. CFI OA ducts that utilize controlled -motorized dampers, that open only when OA ventilation is required to meet ASHRAE Standard 62.2,. and close when ,OA ventilation is not required, may be configured to the closed position, during duct leakage testing. All supply; and return register bootsust be�"sealed to the`dryMl i'f smoke test is utilized for compliance - applles;to_duct leakagercompllance.option 3 (leakage reduction by ;60%)Nand option 4 (fiz all accessible leaks) described abov�eye New duet installatlo"ns' cannot utilize building cavities as�plenums or platfo,rrn returns In lieu of ducts r em:. ❑ Mastic and draw bands must be used in.combination with cloth backed rubberFadhesive duct tape to seal leaks at all new duct connections. DECLARATION STATEMENT . I, certify under penalty of penury, 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 -611), 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 -6111) ' Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: .--FC-SLB License: LESLIE ROGAN 1968141 HERS Provider Data Registry Information Sample Group # (if applicable): 339914 ❑ tested/verified dwelling ® not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798680496 HERS Rater Company Name: The Energuy CA LLC Responsible Rater's Name: Responsible Rater's Signature_: Ezequiel Moreno Ezequiel Moreno Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/14/2012 CC2005795 Reg: 212-A0042800A-M2100001A7M21A Registration Date/Timer 2012/09/16 23:31:40 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 1 of 5) Site Address: Enforcement Agency: Permit Number: 49065 WASHINGTON, La Quinta CA 92253 City of La Quinta 12-0666 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 ❑ 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 ❑ 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 Faill ✓ ❑ Pass ✓ ❑ Fail STMS'-. Sensor -on the. Evaporator Coil System Nameor-Identification/Tag _ 9 The sensor is factory installed; onfield installed according to manufacturer's °by 3❑ Yes �❑ No specifications, or is installed methods/specifications approved; by the Executive I moi° 3, rDi` irector. t The sensor wire is terminated with a standard mini plug suitable for connection,to a 4 ❑_Yes : :RTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-, afrigerant Charge Verification - Standard Measurement Procedure (Page 2 of ite Address: Enforcement Agency: Permit Number: 9065 WASHINGTON, La Quinta CA 92253 City of La Quinta 12-0666 aKanudra a.nargc r1CasUrCmCnL rFULXUUfC kwr use It OUCuoOr alr ary-DUID Is auuvc.aa-r), -- 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 SS°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) System Location or Area Served Whole House V (must 66 re calibrated monthly) Outdoor Unit Serial # Outdoor Unit Make Outdoor Unit Model Nominal Cooling Capacity Btu/hr Date of Verification Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration (must be re -calibrated monthly) Date of Thermocouple Calibration tei V (must 66 re calibrated monthly) System Name or Identification/TagIR'..System 1 • M da ,� Supply (evaperato'r lea'ving.)''air dry-bulb temperature (Tsupply, db) Return (evaporator entering) air dry-bulb temperature.(Treturn, db) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator saturation temperature <' (Tevaporator, sat) Condensor saturation temperature (Tcondensor, sat) Suction line temperature (T suction) . Liquid Line Temperature (Tliquid) Condenser (entering) air dry-bulb temperature condenser; db) Reg: 212-A0042800A-M2500001A-M25A .Registration Date/Time: 2012/09/16 23:34:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010'.- STALLATION CERTIFICATE CF-4R-MECH- frigerant Charge Verification - Standard Measurement Procedure (Page 3 o1 e Address: Enforcement Agency: Permit Number: 065 WASHINGTON, La Quinta CA 92253 City of La Quinta. 12-0666 Minimum Airflow Requirement 25 5) 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 Treturn, 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 Fail 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) System Name or Identification/Tag,..R 4i ( Calculated Minimum Airf%--,'7 quirement (CFM) Measured Airflow,u,.sing RA3'.3 procedures (C.FM) Passes if measured airflow is greaterthan or equal': to the calculated minimum airflow requirement: Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device systems System Name or Identification/Tag' 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 Fail INSTALLATION CERTIFICATE CF-411-MECH-25 . Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 49065 WASHINGTON, La Quinta CA 92253 City of La Quinta 12-0666 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 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer Calculate difference: Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F i ,p 4 Enter Pass or Fail i S•. . 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 Calculate: Actual Superheat = Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use,range between 3°F and 26°F if manufacturer's specification is not available) System passes -if actual superheat is"within the i ,p 4 allowablesuperheat range i S•. . Enter, Pass or Fail t Standard Charge Measurement Summary: r 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:: r " System Name or Identification/Tag System 1" 968141 F - HERS Provider Data Registry Information' _a x Sample Group # (if, applicable): 339914- ..• %. System meets all refrigerant charge and airflow ® not-tested/verified dwelling in, la " HERS sample group , requirements. HERS Rater Company Name: _ Y ~t The Energuy CA LLC f y r • . Responsible Rater's Name: e -.:, _ Responsible. Rater's Signature: .� Enter Pass or Fail Ezequiel Moreno h ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/14/2012 CC2005795 r �. 4♦. , . • - . ' .a. •' � Wit: �N 3;: . ! •� .: T .�� � K a - k - _. i`. JFK . - 1':•`` -x^ { •� !. .. 77 • r '•tet :$, r. tq: ` t. ,,.. ♦ . ^.t y r iia _ ♦+.. . `s ;` t4 c� 3. r. �" aha ; "" � �, .�• 4y '` —� `'�• ..i �, ,A6�!{6'. � DECLARATION STATEMENT; �" •+ .: ti , M 4. . 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 idefitified and reported on this certificate (responsible rater). s i` 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 r on the Certificate(s) of Compliance.(CF-11k) approved by the local enforcement agency. .,. The information reported on applicable sections of, he Installation�Certificate(s),(CF 6R), signed end submitted by the person(s) responsible for the installation conforms to the requirements specifiedon the Certificate(s) of Compliance (CF -1R) approved by the , enforcement agency.- Builder gency: Builder or Installer information as shown on the Installation Certificate (CF -611) ; - i 7. HARRISON ENTERPRISES INC' { 'y ^>, T' CSLB License: LESLIE ROGAN . , t ^ C r �. 4♦. , . • - . ' .a. •' � Wit: �N 3;: . ! •� .: T .�� � K a - k - _. i`. JFK . - 1':•`` -x^ { •� !. .. 77 • r '•tet :$, r. tq: ` t. ,,.. ♦ . ^.t y r iia _ ♦+.. . `s ;` t4 c� 3. r. �" aha ; "" � �, .�• 4y '` —� `'�• ..i �, ,A6�!{6'. � DECLARATION STATEMENT; �" •+ .: ti , M 4. . I certify under penalty of perjury, under the laws of the State_of.California, the information provided on'this form is true and correct. . I am the certified HERS rater who performed the verification services idefitified and reported on this certificate (responsible rater). s i` The installed feature, material, component, or -manufactured device requiring HERS verification that is identified on this certificate (the + installation) complies with the applicable requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified r on the Certificate(s) of Compliance.(CF-11k) approved by the local enforcement agency. .,. The information reported on applicable sections of, he Installation�Certificate(s),(CF 6R), signed end submitted by the person(s) responsible for the installation conforms to the requirements specifiedon the Certificate(s) of Compliance (CF -1R) approved by the , enforcement agency.- Builder gency: Builder or Installer information as shown on the Installation Certificate (CF -611) ; - i 7. HARRISON ENTERPRISES INC' { 'y ^>, Responsible Person's Name: r �. 4♦. , . • - . ' .a. •' � Wit: �N 3;: . ! •� .: T .�� � K a - k - _. i`. JFK . - 1':•`` -x^ { •� !. .. 77 • r '•tet :$, r. tq: ` t. ,,.. ♦ . ^.t y r iia _ ♦+.. . `s ;` t4 c� 3. r. �" aha ; "" � �, .�• 4y '` —� `'�• ..i �, ,A6�!{6'. � DECLARATION STATEMENT; �" •+ .: ti , M 4. . 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 idefitified and reported on this certificate (responsible rater). s i` 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 r on the Certificate(s) of Compliance.(CF-11k) approved by the local enforcement agency. .,. The information reported on applicable sections of, he Installation�Certificate(s),(CF 6R), signed end submitted by the person(s) responsible for the installation conforms to the requirements specifiedon the Certificate(s) of Compliance (CF -1R) approved by the , enforcement agency.- Builder gency: Builder or Installer information as shown on the Installation Certificate (CF -611) ; Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)' 7. HARRISON ENTERPRISES INC' { 'y ^>, Responsible Person's Name: CSLB License: LESLIE ROGAN . , t ^ C 968141 F - HERS Provider Data Registry Information' _a x Sample Group # (if, applicable): 339914- ..• %. 0 tested/verified dwelling ® not-tested/verified dwelling in, la HERS sample group , HERS Rater Information CaICERTS Certificate # CC1-1798680496_,•, HERS Rater Company Name: _ Y ~t The Energuy CA LLC f y r • . Responsible Rater's Name: e -.:, _ Responsible. Rater's Signature: .� Ezequiel Moreno Ezequiel Moreno h ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 9/14/2012 CC2005795 Reg: 212-A0042800A-M2500001A-M25A Registratiori'Date/Time: 2D12/09/.16.23:34:14 HERS'Provider.: CalCERTS1 Inc. 2008 Residential Compliance Forms ' A. ,• a. March 2010 z Reg: 212-A0042800A-M2500001A-M25A Registratiori'Date/Time: 2D12/09/.16.23:34:14 HERS'Provider.: CalCERTS1 Inc. 2008 Residential Compliance Forms ' A. ,• a. March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 1 of 2) .Site Address: 49065 WASHINGTON, La Quinta CA 92253'(System, Enforcement Agency: i ,, Permit Number: 1) City of La Quinta y 12-0666 _ Space Conditioning Systems ` Heating Equipment Cooling Equipment + Equip Ak Efficiency (SEERLocation Duct e .. i a ". ` ' Efficiency Location Equip - ' z Jm ARI # of * (AFUE, (attic, -� Cooling Cooling Type CEC Certified Mfr. Nae •- ARI # of etc.)1, 3 crawl- Duct Heating Heating (package- CEC Certified Mfr. Name Reference - Identical (>=CF -1R : space, Duct Load Capacity heat pump) and Model Number Number2 Systems. value)4 ' etc.) R -value (kBtu/hr) (kBtu/hr) Split AMANA ,�_• .Attic.;. 3Tonsx Furnace AMVC8060 .. 1 80 AFUE 'Attic ,i - { r •� - 71 ' •' � "+ef'"btl" .,� 5.� _ ^.i�+�. �"'�. � w' Vii. t' E>F �2 �'.'^„"' %3' �'! "�'1 _�4awfl+rw, Cooling Equipment + Equip Ak Efficiency (SEERLocation _Duct .. ,Type--''_' ` ' and EER), (attic,' (Package - ' z Jm ARI # of * ' `1, 3. crawl- -� Cooling Cooling heat CEC Certified Mfr. Nae •- Reference - Identical ' (>=CF -1R space, •. Duct Load :Capacity pump) and Model Number + Number2 Systems value)4 etc.), R -value ,(kBtu/hr) (kBtu/hr)' Split AMANA �1.F, A/C ASXC16036'; , ,�_• .Attic.;. 3Tonsx 71 ' •' � "+ef'"btl" .,� 5.� _ ^.i�+�. �"'�. � w' Vii. t' E>F �2 �'.'^„"' %3' �'! "�'1 _�4awfl+rw, 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151_-C for duct ceiling alternative compliance. ti ; w f - 2. ARI Reference Number can be'found by enteringthe equipment model number at http://www.aridirectory.orglarilac.php#'.- ,3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R -form. 4. When CF -1R is reference itis also applicable to the -CF -1R, CF 1R -AA or CF -IR -ALT r "� r t'. 4i. . *. ' • • S . 1 , ALL BOXES MUST BE.CHECKED TO BE A VALID iORM . ':; 0 §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_ 0 §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. - Reg:'212-A0042800A-M0400001A-0000.. Registration Date/Time: 2012/08/30 12:28:34'0 ,HERS Provider:.Ca10ERTS, Inc. 2008 -Residential Compliance Forms August 2009 Ak 1. If project is new construction, see Footnotes to Standards Table 151-B and Table 151_-C for duct ceiling alternative compliance. ti ; w f - 2. ARI Reference Number can be'found by enteringthe equipment model number at http://www.aridirectory.orglarilac.php#'.- ,3. Listed efficiency on this page must be greater than or equal ( ? ) to the value shown on the CF -1R -form. 4. When CF -1R is reference itis also applicable to the -CF -1R, CF 1R -AA or CF -IR -ALT r "� r t'. 4i. . *. ' • • S . 1 , ALL BOXES MUST BE.CHECKED TO BE A VALID iORM . ':; 0 §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_ 0 §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. - Reg:'212-A0042800A-M0400001A-0000.. Registration Date/Time: 2012/08/30 12:28:34'0 ,HERS Provider:.Ca10ERTS, Inc. 2008 -Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-04 Space Conditioning Systems, Ducts and.Fans (Page 2 of 2) Site Address: 49065 WASHINGTON, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta 12-0666 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 1816 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 3inner cores 71a 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) , HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: LESLIE ROGAN LESLIE ROGAN CSLB License: Date Signed: position With Company (Title): 968141 4/10/2012 Reg: 212-A0042800A-M0400001A-0000 Registration Date/Time: 2012/08/30 12:28:34 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System _ (Page 1 of 2) Site Address: 49065 WASHINGTON, La Quinta CA 92253 (System Enforcement Agency: Permit Number: 1) City of La Quinta; . , 12-0666 ® 3. Reduce leakage by� 60% and conduct smoke and fix all leaks • ° Y ` Fix leaks and - ❑ 1. Measured leakage less than,15% of fan flow P' s , ® 3. Reduce leakage by� 60% and conduct smoke and fix all leaks • ° Y ` Fix leaks and Enter the Duct System Name or Identification/Tag: System 1.- - - Enter the Duct System Location or Area Served: Whole House, ` Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling.., ----------------- This installation certificate is required for compliance for alterations and additions in, existing dwellings to space conditioning systems and duct systems. Note: For existing dwellings, a completely new or replacement duct system can also include. existing parts of ' the original duct system (e.g., register boots, air handler, coil, plenums; etc.) if•those parts are accessible '•, and they can be sealed. Fora 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 Diagnostic Test - existing duct system Selecf one compliance method from the following four.choices.` ❑ 1. Measured leakage less than,15% of fan flow P' ❑ 2. Measured leakage to outside less than 10% of Fan Flow. , ® 3. Reduce leakage by� 60% and conduct smoke and fix all leaks • ° Y ` Fix leaks and 0 4.. all accessible using smoke _HERS,rater verify Note: (One of Options 1, 2 or 3 must be attempted before utilizing Option 4 ) •, - • ..., Determine nominal 'Fan' Flow using one o f1the'follow3ng three'+calculation methods.4i+'>_ ��a. _ ✓ 13 Cooling -system mof, method: Size•condenser in Tons .1 3 " x 40.0 _ 1200- 1 �t ✓ ❑Heating systern'metfiod': ,21 7 x Output Capacity m Thousands of Btu/hr = _CFM ❑ Measured `RA3 3.airflow,test s stem airflow usin rocedures. _CFM Option,i used then:.. ; 1. Allowed leakage = Fan Airflow I x 0.15 _ CFM:. Actual Leakage- — CFM ' Pass if Actual Leakage is less than Allowed leakage Pass Fail Option 2 used then:; 2 Allowed leakage = Fan: Airflow x 0.10 CFM Actual Leakage to outside = CFM, "Pass if Actual leakage to outside is less than Allowed leakage Pass bFail - Option 3 used then: Initial leakage prior to start of work = 800 CFM` ' Final leakage after sealing.all:accessible leaks using smoke test _ 295 CFM--. 3 Initial leakage 800 - Final leakage '. 295 =Leakage reduction 505 CFM ; ((Leakage reduction 505 /Initial leakage: 800 x 100% = 63.13 % Reduction . Pass if % Reduction >= 60% © Pass Fail' Option 4 used then:., _ + 4 All accessible leaks repaired using smoke test. HERS rater must verify (No Sampling). _ Pass if all.accessible leaks have been repaired using smoke ❑Pass ❑ Fail 4 i 1 14 41 Reg: 212-A0042800A-M2100001A-0000 ,Registration Date/Time: 2012/08/30 12:51':48 'HERS Provider: CalCERTS, Inc., 2008 Residential Compliance�Forms ' March 2010 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test -Existing Duct System (Page 2 of 2) Site Address: 49065 WASHINGTON, La Quinta CA 92253 (System Enforcement Agency:. City of La Quinta Permit Number: 12-0666 1) position With Company. (Title): 968141 ® Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct leakage. testing. CFI OA ducts that utilize -controlled motorized dampers,,that open only when OA ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation is not required, may be configured to the closed. position during duct leakage testing: ® All supplyrand return"register"boots must belsealed'to the drywall if smoke test Is utilized for�`compliance applies'.to-duct leakage compliance o-ption 3 (leakage reduction by 60%), and option 4 (fix all -accessible leaks) described above ;`,a 4 ® New duct installations cannot utl6ze bwlding cavities as plenums o'r platform returns In lieu of ducts ®.Mastic and draw bands must be used in combination_with cloth, backed rubber adhesive duct pesto seal leaks at all new "duct connections. . DECLARATION STATEMENT • I• certify under penalty ofperjury, under,the laws of, 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 understand that a HERS rater will check the installation to verify compliance,• and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify'that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I. understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, ,for all low-rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature:, LESLIE ROGAN LESLIE ROGAN CSLB License: Date Signed: position With Company. (Title): 968141 4/10/2012 Is this installation monitored by a.Third Party Quality Name of TPQCP (if applicable): " Control Program (TPQCP)? ❑ Yes ❑ No Reg: 212-A0042800A-M2100001A-0000 'Registration Date/Time: 2012/08/30 12:51:48 HERS Provider: Ca10ERTS, Inc. •2008.Residential ComplianceForms March 2010 INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) ' Site Address: _ Enforcement Agency: Permit Number: " 49065 WASHINGTON, La Quinta CA 92253' City of La.Quinta 12-0666. . Note: If installation of a Chalige, 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. - -• TemperatureMeasurement 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. x f. TMAH - Access Holes in Supply and Return Plenums of Air Handier'. .~ j �' • {' System Name or Identification/Tag System 1 System Location or Area Served Whole House _ 1 p Yes 13 No 5/16 inch (8mm) 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 [3 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 1Jand 2 is a pass. Enter,Pass or.Fail �-E3 Pass - -,1[3 Fail • ` STMS- Sensor on the Evaporator Coil F • t , 57 y f ❑ Noteµ .'specifications, The sensor is facto rnstaled; orfield installed according to manufacturer s or, is installed by maethods/specifications approved by the Executive ❑ No_ specifications; or is installed •by methods%specifications approved by the Executive . Director. + _ 4 System Namexor Identification/Tag -, .. : , ., . ;- ,. . System 1' ' x �, '� '�;: �',,•, `` 77, 57 3 40 [b Yes ❑ Noteµ .'specifications, The sensor is facto rnstaled; orfield installed according to manufacturer s or, is installed by maethods/specifications approved by the Executive ❑ No_ specifications; or is installed •by methods%specifications approved by the Executive . Director. + _ 4 ❑ Y_esNo a The sensor wire is terminated with a standard mini plug suitable for connection to a�f digital thermometer EThe sensor'mmi Plug is.accessible to the;installmgaeclinicianr The sensor wire is terminated with a standard mini plug suitable for connection to a - and the -HERS, 'rater.without changing the airflow through the. condenser coil 5 ❑ Yes ❑ No The sensor measures the saturation temperature of the coil within 1:3 degrees F Yes to 3, 4, and 5 is a pass. Enter N/A:if STMS are not .' applicable. Otherwise enter Pass or'Fail I `,, ;/ m N/A I ✓ ❑Pass 't ✓. ❑ Fail STMS - Sensor on the Condenser Coil, r System Name or Identification/Tag_ System 1 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes,., ❑ No_ specifications; or is installed •by methods%specifications approved by the Executive L Director. ,,, , • . The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ; ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil . 8 ❑ Yes I ❑ No The sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to 6, 7, and 8 is a pass. Enter,N/A if.STMS are not. p N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail „' , • - , _11 Reg: 212-A0042800A-M2500001A10000 'Registration Date/Time:-2012/08/30.12:54:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms ' , 4 ' r August 2009 ' INSTALLATION CERTIFICATE - CF-6R-MECH-25-HERS . Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency:`, Permit Number: 49065 WASHINGTON, La Quinta CA 92253City of La Quinta-• 12-0666 - 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 fora 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. F 4/1/12 System Location or Area Served Whole House + ` Outdoor Unit Serial # :. - _` - 1'1111582741 Outdoor Unit Make AMANA ' Outdoor Unit Model ASXC16036 �a P temperature (T ) r return, Nominal Cooling Capacity Btu/hr -36000 Date of Verification ; 7r'. 4/10/12 .. Evaporator saturation temperature +� 481. 8; • r Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibration }. •;-4/1/12 `-' �; _(must be re -calibrated monthly) Date of Thermocouple Calibration. F 4/1/12 P; (must'be re calibrated month) Measured Tem eratures °F r System Name or Identification/Ta g i.' ` 'System Supply (evaporator leaving)-ai}'dry-bulb temperature (Tsupply, db) # ' Return (evaporator entering) air dryy-bulb- �db 79 temperature (T ) r return, Return (evaporator entering) air wet -bulb temperature (Treturn, wb) .. Evaporator saturation temperature +� 481. 8; (Tevaporator, sat) Ikr' t.. Condensor saturation temperature''° 101: a (Tcondensor, sat) ' Suction line temperature (Tsuction) ' .h 73 Temperature Line Liquid Tem Tliquid) 4 P ( � 92 r i Condenser (entering) air dry-bulb 90 temperature (Tcondenser, db) ` a+ ` .IF • — `,. .. ''moi- ' • ''+ • ^.. �- �'` .. ' '..• . a, Reg: 212-A0042800A-M2500001A-0000 Registration Date/Time: 2012/08/30 12:54:14 ,HERS Provider:`CalCERTS, Inc.• 2008 Residential.Compliance Forms ��. L - August 2009 FALLATION CERTIFICATE CF-611-MECH-25-H igerant Charge Verification - Standard Measurement Procedure (Page 3 c Address: Enforcement Agency:. Permit Number: 55 WASHINGTON, La Quinta CA 92253 1 City of La Quint a 12-0666 Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System i Calculate: Actual Temperature Split = Treturn, 21.00 db - Tsupply, db Target Temperature Split from Table RA3.2-3 _ 24 using Treturn, wb and•Treturn, db Calculate difference: Actual Temperature Split - -3 Target Temperature Split = Passes if difference is between -3°F and +3°F or, upon remeasurement, if between -3°F and PASS -100°F Enter Pass or Fail 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) System Name or Identification/Ta 9 ,? �`rr" �, System •1 : , d , ,� �+ `� � - Calculated Minimum A+rfl w: Requirement"(CFM) IT R Measured Airflow using `RA33 procedures •(CFM) Passes if measured airflow is greater than or. equal to the calculated minimum airflow requirement: Enter Pass or Fail Superheat Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for fixed orifice metering device system's System Name or Identification/Tag System 1 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 -5°F and +5°F Enter Pass or Fail 'Y 1 Reg: 212-A0042800A-M2500001A-0000 Registration Date/Time: 2012/08/30 12:54:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 49065 WASHINGTON, La Quinta CA 92253 ' I City of La Quinta 12-0666 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 = 9.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 8 Calculate difference: 1 Actual Subcooling - Target Subcooling = System passes if difference is between ' -3°F and +3°F PASS Enter Pass or Fail PASS Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems.. System Name or Identification/Tag -System 1 Calculate: Actual Superheat = 25:0 Tsuction - Tevaporator, sat Enter allowable superheat range from. manufacturer's specifications (or use range 4-25 between 4°F and 25°F if manufacturer's . specification is not available) System passes -if actual"superheat is°within .the allowable superheat range F PASS Enter Pass .or Fail ��' INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 49065 WASHINGTON, La Quinta CA 92253 1 City of La Quinta 12-0666 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 CSLB License: Date Signed: Position With Company (Title): System meets all refrigerant charge and airflow 4/10/2012 Is this, installation monitored by a Third Party Quality Name of TPQCP (if applicable): requirements. PASS Enter Pass or Fail VVI P' * 9i 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 understand that a HERS rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corrective action and additional checking/testing of other installations in that HERS sample group will be performed at my expense. • I reviewed a copy of the Certificate of Compliance (CF -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. I will ensure that all Installation Certificates will come from a HERS provider data registry for multiple orientation alternatives, and beginning October 1, 2010, for all low=rise residential buildings. Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) HARRISON ENTERPRISES INC Responsible Person's Name: Responsible Person's Signature: LESLIE ROGAN LESLIE POGAN CSLB License: Date Signed: Position With Company (Title): 968141 4/10/2012 Is this, installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)?. ❑ Yes ❑ No Reg: 212-A0042800A-M2500001A-0000 Registration Date/Time: 2012/08/30 12:54:14 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance.Forms August 2009 Du`ct Testing 'form Information " Nl{ Name: ��[ 4 20 jyl/J 2`'� � c 4 } Job # Model 20ttiE .2 f C �.J.; , Serlal # JR/ / 7 9 �% `T .._ _, s• D ti d• : ' Serial # } i ' , 4, Matte. N MALAR A, _ , .., � ., `,� ,, ` 4: �� • , � r � - . r Outside Temperature; i a 3 • , . .:�, ; . • , t ; -t. Discharge Pressure _=PSI ' Discharge Temperature:. 1/ n - 8 Z -77-7 > M t Actual Te Suction Preswr+e:PS!'_PSI Sq?��01 Temperature: 4 � • 3 M _ • . , .. ' t' i• it }t� k. ,c; "'� ••*�. `'`�- `ti'.. . t Actual Temperature.-.- .�4 6 . � = Return Air:` rrt SupPp'7 Alr ( �,,, t� ... a yam` ��'., /�� (moi �l✓����,�/ : .. ` �A w� Wet Bulb: o 't D Dry Bulb: g 2 T +4 Minimum } ' D 3 MaXimum Amps: + 3 , r �;� *• _ Breaker Size'' ti f I ' Amps: ' / ✓. J s _ w r +,r '•�. ` " CompressorAmps: ` 11 , k M �` .. r t ` - • ' e Line set Length: _ ,_Et. •., ... $ - A , ~�, , - . S x Ft.. - Duct Test Final Leakage: Z 9 5 CFM a CFM Number: ,. a • y ';�_ : ,•- , � .r ' , . , � � � �� , � A. , .Y - r x. e -, - e, .. a a; �'�• _ �, r' a -�: `. •r. •`+!.�e' � � t. - � ti + � watts: _ ' `� Motor Amps: - .',:r : • • �.., .� • •Amps; Watts: ' HVAC Field Data Sheet Pg1of2 Client Name N A N9 "° 6r Job # 73 Daae 9 Pb# �y 2 43-' "'I Address 4/ 0 b 5 /� 14 r a(, t.0 N Tedmidan(s) Permit # Gauge/ MO=couple CalibrationDate_—� Some Dud's Only (Ali Ducts Only (Cirdetypeofwo&) ME r system Location or Area Served Heating Equipment Malm Heating Equipment Model 41 AM ARI Reference Number Heating EquipmentAFUE Duct Location (attic, crawlspaee, etc.) Duct R -Value Cif duds were Inst A4 Heating load Heating Equipment Output Capacity Condenser Make ASX Condenser Model Size in Tons SEER & EER Cooling Load Cooling Capacity W�*A21 D.uctTesdv Dud leakage pretest result Duct Leah2p Final Result 44MVt M m pass (6%) Duct Leatr a Finat Result s50 CIWWnw paw (19961 Pass using 60% leakage reduction? Z Pass using smoke and visual inspecdon? MffW 2Z or.MBW Z3. 'COoWWCbffAbftM& . .P.Qa:ii7�Drlew Measured Air Volume from Flow Grid or Hood MW VUcTS Target: 3S0 CFbt/ton z CondenserTons CHANGE= Target 300 CFM/ton z condenser Tons Measured air greater than Target? (YIN) Measured Fan Watt Draw Target OSs watts/measured CFM-- FM=Measured MeasuredWatts less than Target? (YIN) Copj 101' 02011EDSEaagyDrivenSateshwe Pg a of i HVAC Field Data Sheet . gent Name fl, c #A R 9 AVOF job # 2 3 o S -7Date L/0-2 MECfI-2S (,7tmge &AIr low ZONE 1 ZONE2 ZONE ZONE 4 Condenser Serial Number 1) I 5-02-711 Supply air dry buIb temperature 59 - S Return air dry bum temperature S d Return air wet bulb temperature 7 D Evaporator Saturation Temperature Condenser Saturation Temperature I n l Suction Line Temperature -74 Liquid Line Temperature `j Z Suction Pressure 13 Liquid Pressure 3-20 Actual Airflow Temperature Split 1 5. 1 Target Temperature Split from Table W2-3 21.1 Passes if dfffmvm is t T of Target Temp (Y/N) Actual Subcooling (t 4° of Target to pass) Target Subcooling from Mfr. 2 Actual Superheat (3 to 26° to pass) 2 5.3 Outside air dry bulb temperature 0 MECB 26"Wdgh=in Ching ft below Sr . Actual Line Set length (ft) mfes Standard Lune Set Length (it) . Length Difference = Correction Factor (ounces per hoot) Target: Conation Factor x Length Difference System Charged to Target' (YIN) .Other Dow Minimum amps Z 0 - Maximum amps S Breaker size 3 b Compressor amps Return Static Pressure Supply Static Pressure Supply Air Wet Bulb Temperature g, Z *- AUAPPL MUEBOAMON TRU PORK MUST OF COMPMED FOR PACRjOR NOEMWI70AM • • CopyrW 0 2011 EDS Energy Driven SabdO Q, inc