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11-0423 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,it!t 4 4 Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 2/21/12 Application Number: 11-00000423 Owner: {� Property Address: 53336 VIA PISA TOWNSEND, MICHAEL & BRIT�A D 1, APN: 772-500-053- - - 6925 ADERA ST. Application description: DWELLING - SINGLE FAMILY DETACHED VANCOUVER, BC V6N 11 O`� _: Property Zoning: LOW DENSITY RESIDENTIAL ` 2 y I\V Application valuation: 454870 Architect or Engineer: PIN ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin and Professionals Code, and my License is in full force and effect. License Class: B / . 'cense No.: 533670 ate/7Z.ntr `/ OWNE -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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).: (_ I 1, 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.). (_ 1 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: LA Lender's Address: LQPERMIT Contractor: o SUNROSE CORPORATION oft �• 40101 MONTEREY AVE STE Bl - RANCHO MIRAGE, CA 92270 (760)773-6633 Lic. No.: 533670 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1948056-2012 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Laborade,,l shall forthwith c�riply with those provisions. WARNING: FAILURE TO SECURE WDRKERS' COMPEWTION 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 nr fnllnwing iccriance, of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives Of yW5;z he above-mentioned pro erty or inspection purpo s. oata (Applicant or Ag nt Application Number . . . . . 11-00000423 Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 5.00 FIRE SPRINKLERS YES GARAGE SQ FTG 979.00 PATIO SQ FTG 948.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4523.00 ---------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 585.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1882.00 Plan Check Fee 1223.30 Issue Date . . . . Valuation . . . . 454870 - Expiration Date 1/10/12 Qty Unit Charge Per Extension BASE FEE 639.50 355.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1242.50 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 181.00 Plan Check Fee.. 45.25 Issue Date . . . . Valuation 0 Expiration Date 1/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 2.00 .16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 228.36 Plan Check Fee 57.09 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . . . . 11-00000423 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 5108.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 178.78 979.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 19.58 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING EA PLB Additional desc . 15.00 2.00 6.0000 Permit Fee . . . . 231.75 Plan Check Fee 57.94 Issue Date . . . . 7.5000 Valuation 0 Expiration Date 1/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 24.00 6.0000 EA PLB FIXTURE 144.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 15.00 .7500 EA PLB GAS PIPE >=5 11.25 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------- ----------------------- Special Notes and Comments 5108 SF 2 -STORY SFD (INCL. CASITA). R-3 OCCUPANCY TYPE V -B CONSTRUCTION W/ FIRE SPRINKLER SYSTEM PER 2010 CODES. **PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, SPA, FIRE PITS,' BBQ'S and DRIVEWAY APPROACH**760-773-6633 SUNROSE NO LONGER CONTRACTOR OF RECORD PER JENNY MCINTIRE 08-01-2011 ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 637.18 BLDG STDS ADMIN (SB1473) 19.00 LQPERMIT Application Number . . . 11-00000423 ---------------------------------------------------------------------------- Other Fees . . . . . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 122.33 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 MULTI -SPECIES (MSHCP) FEE 1254.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 45.49 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 2538.11 .00 .00 2538.11 . Plan Check Total 1383.58 1000.00 .00 383.58 Other Fee Total 6553.00 .00 .00 6553.00 Grand Total. 10474..69 1000.00 .00 9474.69 LQPERMIT TUT4 4a" P.O. BOX 1504 >- / ��r 78-495 CALLE TAMPICO Address Building ,7 J�(e [/ �Gi.✓SLe LA QUINTA, CALIFORNIA 92253 Mailing f �/ Address C/i�ty r Zip Tel. %g_ Contractor 4114 Sa h -%'..- �pel'e yro Address i3% _ Zj City ( Z'p Tel. � 4A State Lic. City & Classif. 5 �Q Lic. # Arch., Engr., Designer Address Tel. is- Lic. # 1�2,i 3 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or I'm - provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.' If, after making this Certificate of Exemption you should become subject to the Workers' Compensation Provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above-mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT 11, 4g, APPLICATION ONLY BUILDING: TYPE CONST. OCC. GRP. A.P. Number 2 i ? /lam Legal Description 40 7 30 Project Description Sq. Ft. ,No. No. Dw. Size 5 1,99, Stories 2- Units —/ New 2 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing f S.M.I. / Grading Driveway Enc. v� Infrastructure j TOTAL REMARKS AMOUNT �y �• AQM V ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by:— Validated by: Validation: YELLOW = APPLICANT Date Permit PINK = FINANCE Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMAND. AMOUNT: DATE: RECEIPT: CHECK#: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: iHideaway, Date: November 10, 2011 Owner's Name: Michael & Amber Townsend Phone No. Project Address: 53-336 Via Pisa LaQuinta, CA 92253 Project Description: 2 Story Single Family Residence APN: 777-160-018 Tract #: Type of Development: Residential 1 X Commercial Total Square Feet of Building Area: 5,108 sq. ft. Lot #'s: Industrial Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: November 10, 2011 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code 17620 Number of Sq.Ft. Amount per Sq.Ft. Amount Collected Gov. Code Project Agreement EAsting Not Subject to Fee 65995 Approval Prior to 1/1/87 Requirement 5108 $2.97 $15170.76 Building Permit Application Completed: Yes/No By: Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Laurie Howard, Secretary Signature: , ail— � NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. M V:chnydocs/dcv fees, certi ficate o f compl iance 11/2010 1 RECORDING REQUESTED BY: t7TRANGE COAST TITLE COMPANY AND WHEN RECORDED, MAIL TO: Michael Townsend 6925 Adera Street Vancouver, BC, Canada V6P 5C2, DOC # 2010-0552564 11/16/2010 12:34P Fee:15.00 Page t of t Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. !Ward Assessor, County Clerk 8 Recorder 11111111111111111111111111111111111111111111111 S R U PAGE SIZE DA MISC LONG RFD COPY MA L 465 426 CO NCOR SMF NCHG ntEXnl� T: CTY UNI UW 1 GRANT DEED -� ASSESSOR'S PARCEL NO.: 777-160-018-9 The undersigned Grantors) declare that the DOCUMENT TRANSFER TAXIS: L069 TITLE ORDER NO.: 1209061-10 S 192.50 County ESCROW NO.: 26760-004 XX computed on the full value of the interest of property conveyed, or computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. _ OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David A. Bartel and Cheryl K. Bartel, Trustees of The David A. Bartel and Cheryl K. Bartel Family trust dated 3-2-95 hereby GRANT(S) to) MICHAEL D. TOWINSEND AND BRITTA AMBER TOWNSEND HUSBAND AND WIFE AS JOINT TENANTS all that real property situated in the City of La Quinta, County of Riverside, State of CA, descnbed as: Lot 301 of Tract 29894-2, as per map recorded in Book 327, Page(s) 56-88, Inclusive of Maps, in the Office of the County Recorder of said County. Dated November 5, 2010 State of California , } Coun of Sa n } On, I It aQto , Before me, I/ Notary Public P P.y appeared I),V d ft. &4A gimp lg ,e � i ]C Who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) iWare subscribed to the within instrument and acknowledged to me that hQ'skdthey executed the same in JvWher/their authorized capacity(ies), and that by yis/her/their signature(s) on the instrument the person(s) or the entity upon behalf of wbich the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correcL WITNESS my hand and official seal SignatuW MAIL TAX STATEMENT'S TO: Michael Townsend 6925 Adera Street Vancouver, BC, Canada V6P 5C2, 1-r rte -Chert{ ty David A- Bartel, Trustee xi,�.. Cheryl ! 1, Trustee LipMERLYN C. GILL Commission # 1774042 �S;on PublicCalifornia Franclaco Counfy m. Fx[t'•c's Nnv T G, ^Ol 1 (This area for official notary seal) Realist Page 1 of 1 Property Detail Report. Subject Property Riverside County Owner Info: Owner Name : Townsend Michael D Owner Name 2 : Townsend Britta Amber Owner Vesting : Husband/Wife Tax Billing Address : 6925 Adera St Tax Billing City & State : VANCOUVER BC V611P 5C2 CANADA Location Info: Tax Info: Tract Number : 29894-2 APN : 777-160-018 Alt APN : 777-160-018 Tax Year : 2010 Annual Tax : $3,650 Assessment Year : 2011 Recording Date : 11/16/2010 Annual Tax : $3,650 County Use Code : Vac Residential State Use : R07000 Universal Land Use : Residential Lot School District : Coachella Vly Land Assessment : $175,000 Total Assessment : $175,000 Tax Area : 20160 Legal Description :.44 Acres In Lot 301 Mb 327/056 Tr 29894-2 Lot Number : 301 Characteristics: Sewer : None Lot Acres :.44 Lot Sq Ft : 19166.4 Water : None Recording Date : 11/16/2010 Deed Type : Grant Deed Settle Date : 11/05/2010 Owner Name : Townsend Michael D Sale Price : $175,000 Owner Name 2 : Townsend Britta Amber Document No : 552564 Seller : Bartel D & C Family Trust Sales Histo Recording Date : 11/16/2010 03/22/2006 Sale Price : $175,000• $600,000 Buyer Name : Townsend Michael D &Bartel D A & C K Britta A Family Trust Seller Name : Bartel D & C Family Jacobs Peter L Trust Document No : 552564 201742 Document Type : Grant Deed Grant Deed RA -4..— Mortgage Date : 09/30/2009 Mortgage Lender : First Hawaiian Bk Courtesy of Elisha Alacano Desert Area MLS The data within this report is compiled by Corel-ogic from public and private sources. If desired, the accuracy of the data contained herein can be independently verified by the recipient of this report with the applicable county or municipality. http://realist2.firstamres.com/searchbasic 11/16/2011 CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/2512009 Green Sheet approvals are forwarded to the Buildinq & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 12 / 21 / 11 Developer: Sunrose Corporation Tract No.: 29894-2 Tract Name: The Hideway C.C. Lot No. (s): Lot 301 Address(s)- 53-336 Via Pisa Phone Number:( 60 ) 773-6633 The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the Building & Safety. Department: s• CUSTOM HOMES: PROVIDE ITEMS #2. #3, #4, #5 & #7 BELOW ❖ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW ❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW ❖ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City stafl. Recommended by: Date: r / 5-1 , �- Public Works Distribution: ( ) Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: TAChecldists - Forms & ApplicationsTonns & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 9-25-09.doc City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Aqreement (<1 acre/lot or Infill Proiect) Project Information Project Contractor: Sunrose Corporation Project Phase Project Name: Townsend Residence (check one) Project Tract/Lot Numbers: 29894-2 / Lot 301 Construction Demolition Project Street Address: 53-336 Via Pisa Total Acres in Active Construction (<1 acre per Lot): 19,029 sq. ft. 12 21 11 12 21 1 Anticipated Start Date: / / Anticipated Completion Date: / / ,Z PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non -business hours. Name: 0 Mike Tuvell Title: Pres. /Owner Company Name- Sunrose Corporation Mailing Address: 40101 Monterey Ave. #61-214 City, State, ZIP Code: Rancho Mirage, CA 92270 Primary Phone #: 760-773-6633 Fax #: 760-773-6634 24 Hour Emergency Phone#: 760-773-6633 Cell Phone #: 760-702-0119 Email Address: sedonahomes@dc.rr.com PM10 Certificate #: 11 126640 The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; ❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; ❖ Shall hold harmless t"ty/County and its representatives from liability for any actions related to this dust control plan or any City/Coy6ty i itiated abatement activities. of Property Owner or Authorized Representative Date TAChecklists - Forms & ApplicationsTonns 8 Applications\GREEN SHEET cover 8 PM10 less than 1 Acre Revised 9-25-09.doc PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE ' C OAC H E LLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUx CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS:, BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 55 RwERsm Cout IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77=933. Las-Montanas Rd., Ste: #201, Palm Desert, CA 9221.1-4131 • Phone (760) 863-8886 • Fax(760)863-7072 www.rvcfire.org July 18, 2011 Shasta Fire Protection 3584 La Campana Way Palm Springs, CA 92262 Re: Residential Fire Sprinkler Plan Review The Townsend Residence at the Hideaway The above referenced sprinkler plans have been reviewed and are acceptable by the Riverside County Fire Department and are approved with the following conditions: 1) . Approval of these plans does not include the piping of the underground system. 2) Permanently marked identification signs shall be attached to all.control valves. 3) A sign shall be located adjacent to the alarm bell. worded as follows: SPRINKLER FIRE ALARM - WHEN BELL RINGS CALL 911 4) A warning sign, with minimum '/4 inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WARNING: The water. system for this home supplies fire sprinklers that require certain flows and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or automatically shut off the water to the fire sprinkler system, such as water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system without a review of the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. K it C) LC� -4�Zyj The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: (a) Overhead Rough and Hydro static test: All piping shall be visible and pumped at normal operating pressure. (b) Fire Riser Flush (c) Final. inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection date. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Applicant/installer shall be responsible to contact the.Fire Department to schedule inspection. Sincerely, By Jason Stubble Fire Safety Specialist t Riverside County Fire Department Fire Protection Planning Section � T.a Riverside Office: 2300 Markel S1., Ste. 150, Riverside, CA 92501 Ph. (951) 955-4777 Fax (951) 955.4886 Murrieta Office: 39493 Los Alamos Rd., Ste A. Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600.6164 Palm Desert Office: 77.933 Las Montanas Rd., k 201 Palm Desert, CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072 Fire Department Clearance/Release Date: To: K1 ` ill Fax: Tract/Parcel Map #: LCX Permit/Lot #.- 5 3` 36 VIA Elsd Job Site Address: Final For Recordation Release For Building Perm'it(s) Shell Final Only (No. Tenant) Aa Final Fo S119riWep� Building.Plan Check Fees Paid Building Plan Check Fees Not Paid Other Fees Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. ! t I Autrizing Signature For R lease Print Name Form C — Revised 11/21/2012 Pian Submitted Job Site Owner's Number, Street, or PO City, State, Postal t Owner's Phone Nun Owner's E -Mail Add Project Manager's Project Manager's Phone R Project Manager's E-mail A Builder / Contra Number, Street or PO City, State, Postal Project Square Building Permit Number: Project Description: SFR Exempt: 13 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan City Approval By 6/9/2011 53336 Via Pisa Mr. & Mrs. Toinrnsend c!o Sunrose 40101 Monterey Ave., B1-214 Rancho Mirage, Ca 92270 773-6633 Jenny 773-6633 sedonahomes(a-dc,rr.co Sunrose Corp (Sedona Homes) 40101 Monterey Ave., B1-214 Rancho Mirage, Ca 92270 6,087 ns ......... . Projected Diversion: 72.8% .'•Sjf: Y: �:4ii1}':ii':%:i:i?�ii:i:': I understand k is the property owner's responsibility to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. l hereby certify that completion, Implementation and adherence of the Debris Management Pian (OMP) for the above named project shall guarantee that at least 50% of the jobsito waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the First day of the project through the completion of the project in accordance with this plan. This DMP Is Issued in•the name of the property owner(s) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP Is issued In the name_of the property owner(s) and the owner retains legal responsibiliity for ensuring that the provisions of the 6MP,are adhered p to. The property owner(s) and general contractor shall be kept Informed of the diversion progress through di-inonthly reports. If _t7 self -hauling, all refuse material from this project site must be to an approved recycler or transfer station � I Bill JUN Z 8 LJi1 Owner / Developer / Project Manager / Superintendent Date Certificate of Occupancy Building & Safety Department This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the California Residential Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 53-336 VIA PISA Use classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: VB Code Edition: 2010 Sprinkler Installed: YES Building Official Building Permit No.: 11-0423 Land Use Zone: RL Sprinkler Required: YES Owner of Building: TOWNSEND, MICHAEL & BRITTA Address: 6925 ADERA ST City, ST, ZIP: VANCOUVER, BC V6N 1-N1 By: AJ ORTEGA Date: DECEMBER 11, 2012 POST IN A CONSPICUOUS PLACE yes 71-:780 SanJacinto Dr. Ste. E2, Rancho. Mirage,, Ca: 92270 ph. (760) 834-8860 fax (760) 834-8861 Letter of Transmittal To: City of La Quinta Today's Date: 7-7-11 78-495 Calle Tampico City Due Date: 7-8-11 La Quinta, CA 92253 Project Address: 53-336 Via Pisa Attn: Phillip Plan Check #: 11-423 Submittal: ❑ 1St ❑ 4th ® 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: Includes: # Of Descriptions: Copies: Descriptions: Copies: ® 1 ® 1 ® 1 ® 1 ® 1 El Revised Soils Report Structural Comment List ❑ ® By Messenger ❑ By Mail (Fed Ex or UPS) ❑ . Your Pickup Descriptions: Includes: # Of Descriptions: Copies: Structural Plans ® 1 Revised Structural Plans Structural Calculations ® 1 Revised Struct. Calcs Truss Calculations ❑ Revised Truss Soils Report (Sulfate Ltr) ❑ Revised Soils Report Structural Comment List ❑ Approved Structural Plans Redlined Structural Plans ❑ Approved Structural Calcs Redlined Structural Calcs ❑ Approved Truss Calcs Redlined Truss Calcs ❑ Approved Soils Report Redlined Soils Reports ❑ Other: Comments: Structural content is approvable. This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: John W. Thompson Rancho Mirage Office: ® (760) 834-8860 Other: ❑ ® Per Your Request ❑ Approval ❑ At the request of: ROTH JUL 08 2011 ZVO AZOV4�E�is�pe��ei�i��p� . a� �; - Cross Reference Guide to select ventilation fans. Continuously operating fans maximum 1.0 sone. Intermittently operated local whole -building fans maximum 1.0 sone. Intermittently operating local exhaust fans maximum 3.0 sone. 7n #aiiY� E 7�7F7; Panas,onk z. t� JV-08VQL4 ""Fa- J uJoir-a's Mit L A", Broan DTXE050 50 <0.3 27.8 3 Y NuTone QUEN050 Nn 6" 50 <0.3 27.8 3 Y Panasonic QTXEN080FLT Fan-Fluaresmflight 6. 4' 0.3 40.0 3 Panisonic Broan 0TXE080 fan 6" 80 0.3 40,0 3 Y NuTone OTXEM080 7 Nn 6' 80 I 0.3 40.0 3 Y Panasonic -'IV-IIVQ3 -74 301 `3 Broan QTXE110 Fan 61, 110 0.7 36.7 3 i Y NuTone OREN110 Fan 6" 110 I 0.7 36.7 3 Y Panasonic FV-i5VQ4' Fan 6.- - '. I . __ -1 -'- 0.6 ' - . 31 A: Broan OT)CE150 Fan 61, 150 1.4 53.6 3 Y Wow 07)B4150 Fan 6. 150 I 1.4 53.6 3 Y Ptaililionic Broan 1200 I Fn 8. 210 2.0 127.0 1 N vaii'asonfc' 29 0A, erdan 'L300 'Nn 81, 308 2.9 212-0 tj :-zl Brom, L400 Fan 4-112"X 18-1/21, 434 2.4 146.0 'Wa 72. 7,i a i�* . z. t� JV-08VQL4 ""Fa- J uJoir-a's Mit L b-31 v Sim OT)EMFLT Fan -Fluorescent Light 80 0.3 40.0 3 Y NUT0116 QTXEN080FLT Fan-Fluaresmflight 6. 80 0.3 40.0 3 Panisonic i -:.'.";R?-1jVQL4' lit 0 '_3 BMW OT)CE110FLT Fan -Fluorescent Light 6. 110 0.7 3v 3 v NuTone OT)CEN110FLT Fan-Huorescent Light 6. 110 0.7 363 3 Y lPainasonic A Broan OT)CE150FLT fan-Fluorescentlight 61 150 1.4 53.6 3 v QUENISORT fan-Nuojescant.uglit 6'- 150 1.4 53.6 3 Y ;,_was®�tec -�"•�.�� :�� • Corporation el.North .America . ,,;w `.#ieadgnarters Customer Service For Order n ana ow, ent ccri40 N E: 8 6 6 - 2 9 2 - 7 29- 9 f T -A X 8 B 8'_ 5 -5 3 - 72 3 AWOne Panasonic •�y wRoad�L For CustoreyCall 6iker- ollingMsadom;IL660008 PHOIME866-2927729Z gn2ndzP6C*d :ct"'an-Q-'e" _1096POSI-Gormmw VFD3043355 WEILAND NFRC RATINGS Weiland CPD # Manufacturer Product Code Frame / Sash 1.1 -factor Type SHGC VT Condens ation Resistan ce Glazing Layers Low -E Gap Widths Spacer GapFill Grid Divider Tint WLD-'N-1-00005'-00061 :'LOWE 272.'-. -LOWE272;:. ';M�'Ak�.!` 6.46!--�! !"!".0.3": 0.49 `431 "O� :042(2) •'0:748031'•'0:748031'•'0:748031'Al"D FII 1:,'-AIR(100)' -`'N --NA---! WLDNA=OOOOSM062 .'WA/WAjL- .0.26 0.43 .�43 .'.2 0.042(2) '0348031 Al -D Fill AIR 100) :^G` 0:75 `!CL: WILD -N 41>00005-00063 "LowE 272. '--WANVA �/WA 0..45.. -1-0.23 10.37 :'43 0.042(2) '0348031 Al -D Fill 1 -'AIR';(! 00)' G'. 1.5:: CLJ WLO-N71-'-00005-00064 .'LowE 272. WA r, o.45. 0.26 � 0.43 '-.�::43 :�- 2 . , . :'0.042(2) �048031 AlrD Fill;t-'AIR :-(100) ! -.0151 - CL:; WLD-N-;1-00005-00065 I-qtf-2;?, -TO-WE WANVA OA5- �.O�.-L 0.37 :'43: . ' '. 2 0.042(2) -, 10748031 All -D Fill1: AIR (100) 1.5 - WLID-4-1 -00005'00066 WA/WA- C 0.45 0.-36 '0 49 -(5.'4-3 i--43 0.042(3)1 '0.748031- Al -D Fillrj - ,AIR -(100) �N :CL- -N71 -0 -00067 WLD 0005 r IJO-WIE 272. WANV . WAWA` ::,A ff .72 43- .2.' 0.042(3 Al -D Fill 1' OO)r :.AIR"(1 -075 ."CL- WLD.N 1-00005-00068 LowE 272. WAWA 0.451- 0.28 0.37, -43 2 0.042(3) 0.748031' Al -D Fill 1 'AIR (100 L 'CL- 1 WLD-N-- - 005-00069 LowlE 272. WANVX'�,- r 0:32 0.431 T3�-.- --`2 '0.042(3) 0.748031 -91---D fill"t'AIR-000) .,S r OL WLD-N-1-00005-000701 LO;TVE 272: L WAIWA 45 2-8 �37 -..43 0. 042 70'7-48031 Al -0 fill '1:'AIR-(IOOT.. CL Thermal Performance Data s,E9 Clad Casement Picture Narrow Sash (C-WCP) Glazing Options U -Factor SHGC Vt CR Insulated Glass Clear Glass 0.48 0.65 0.6942 Insulated Glass LoE - 179 0.35 0.58 0.6651 Insulated Glass LoE - 179 Cardinal Argon 0.32 0.59 0.6652 Insulated Glass LoE - 179 Cardinal 0.36 0.58 0.6649 Insulated Glass LoE2 - 240 0.34 0.22 0.3452 1w Insulated..Glass LoE2 -. 272 .0.33 0.35 0.60.53 J( Insulated Glass LoE2 - 272 Cardinal Argon 0.30 0.35 0.60 53 Insulated Glass LoE2 - 272 Cardinal 0.34 0.35 0.6050 Insulated Glass LoE3 - 366 0.33 0.23 0.54 53 Insulated Glass LoE3 - 366 Cardinal Argon 0.30 0.23 0.54 54 Insulated Glass LoE3 - 366 Cardinal 0.34 0.23 0.54 51 Insulated Glass LoE3 - 366/i81 0.28 0.21 0.4841 Insulated Glass LoE3 - 366/i81 Cardinal Argon 0.26 0.21 0.4842 Insulated Glass LoE3 - 366/i81 Cardinal 0.28 0.21 0.4839 Insulated Glass LoE2 - 272/i81 0.28 0.32 0.5441 Insulated Glass LoE2 - 272/i81 Cardinal Argon 0.26 0.32 0.5442 Insulated Glass LoE2 - 272/i81 Cardinal 0.29 0.32 0.54 39 Insulated Glass 7/8" Bar Clear Glass 0.48 0.59 0.6242 Insulated Glass 7/8" Bar LoE - 179 0.35 0.53 0.5951 Insulated Glass 7/8" Bar LoE - 179 Cardinal Argon 0.32 0.53 0.5952 Insulated Glass 7/8" Bar LoE - 179 Cardinal 0.36 0.53 0.5949 Insulated Glass 7/8" Bar LoE2 -240 0.34 0.20 0.3052 Insulated Glass 7/8" Bar LoE2 -272 0.33 0.32 0.5453 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal Argon 0.30 0.31 0.5453 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal 0.34 0.32 0.5450 Insulated Glass 7/8" Bar LoE3 - 366 0.33 0.21 0.4853 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal Argon 0.30 0.21 0.4854 Insulated Glass 7/8" Bar L6E3 - 366 Cardinal 0.34 0.21 0.4851 Insulated Glass 7/8" Bar LoE3 - 366/i81 0.28 0.19 0.4341 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal Argon 0.26 0.19 0.4342 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal 0.28 0.19 0.4339 Insulated Glass .7/8" -Bar LoE2 - 272/i81 0.28 0.29 0.4841 Insulated Glass 7/8" Bar LoE2 - 272/i81 Cardinal Argon 0.26 0.29 0.4842 Print Date: April 2, 2011. Thermal Performance Data s,E,��It ,_ Clad Inswing Door 4 5/8" Stiles (C-ID) Glazing Options U-Factor SHGC Vt CR Insulated Glass Clear Glass 0.45 0.47 0.4945 Insulated Glass LoE - 179 0.36 0.42 0.4755 Insulated Glass LoE - 179 Cardinal Argon 0.34 0.42 0.4756 Insulated Glass LoE -179 Cardinal 0.36 0.42 0.4753 Insulated Glass LoE2 -240 0.35 0.16 0.2457 Insulated Glass LoE?_, 272 ''._.. ,-0 34 .' 0 26 .0 43 57 iC Insulated Glass LoE 2 - 272 Cardinal Argon 0.32 0.25 0.43 57 Insulated Glass LoE2 - 272 Cardinal 0.35 0.26 0.4354 Insulated Glass LoE3 - 366 0.34 0.17 0.3958 Insulated Glass LoE3 - 366 Cardinal Argon 0.32 0.17 0.39 58 Insulated Glass LoE3 - 366 Cardinal 0.34 0.17 0.39 56 Insulated Glass LoE3 - 366/i81 0.30 0.16 0.3444 Insulated Glass LoE3 - 366/i81 Cardinal Argon 0.29 0.15 0.3447 Insulated Glass LoE3 - 366/i81 Cardinal 0.31 0.16 0.3444 Insulated Glass LoE2 - 272/i81 0.30 0.23 0.3844 Insulated Glass LoE2 - 272,681 Cardinal Argon 0.29 0.23 0.3847 Insulated Glass LoE2 - 272A81 Cardinal 0.31 0.23 0.3844 Insulated Glass 7/8" Bar Clear Glass 0.45 0.41 0.4245 Insulated Glass 7/8" Bar LoE - 179 0.36 0.36 0.40 55 Insulated Glass 7/8" Bar LoE - 179 Cardinal Argon 0.34 0.37 0.4056 Insulated Glass 7/8" Bar LoE - 179 Cardinal 0.36 0.36 0.40 53 Insulated Glass 7/8" Bar LoE2 -240 0.35 0.14 0.21 57 Insulated Glass 7/8" Bar LoE2 -272 0.34 0.22 0.37 57 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal Argon 0.32 0.22 0.3757 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal 0.35 0.22 0.37 54 Insulated Glass 7/8" Bar LoE3 -366 0.34 0.15 0.33 58 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal Argon 0.32 0.15 0.33 58 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal 0.34 0.15 0.33 56 Insulated Glass 7/8" Bar LoE3 - 366/i81 0.30 0.14 0.3044 Insulated Glass 7/8" Bar LoE3 - 366/;81 Cardinal Argon 0.29 0.14 0.3047 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal 0.31 0.14 0.3044 Insulated .Glass 7/8" Bar LoE2 - 272/i81 0.30 0.20 0.3344 Insulated Glass 7/8" Bar LoE2 - 272/i81 Cardinal Argon 0.29 0.20 0.3347 Print Date: April 2, 2011 Thermal Performance Data WA t 51 Clad Inswing Sidelite 2 5/16" Stiles (C -IS) Glazing Options U -Factor SHGC Vt 'CR Insulated Glass Clear Glass 0.44 0.35 0.3745 Insulated Glass LoE - 179 0.37 0.32 0.35 56 Insulated Glass LoE - 179 Cardinal Argon 0.36 0.32 0.35 56 Insulated Glass LoE - 179 Cardinal 0.38 0.32 0.35 53 Insulated Glass LoE2 -240 0.36 0.12 0.1857 xinsulated Glass; ' ,LoE2 272 ' " 0 36 0 19 0 3257 . Insulated Glass LoE2 - 272 Cardinal Argon 0.35 0.19 0.32 58 Insulated Glass LoE2 - 272 Cardinal 0.37 0.19 0.32 55 Insulated Glass LoE3 - 366 0.36 0.13 0.29 58 Insulated Glass LoE3 - 366 Cardinal Argon 0.35 0.13 0.29 58 Insulated Glass LoE3 - 366 Cardinal 0.37 0.13 0.29 55 Insulated Glass LoE3 - 366/i81 0.33 0.12 0.2645 Insulated Glass LoE3 - 366/i81 Cardinal Argon 0.32 0.12 0.2646 Insulated Glass LoE3 - 366/i81 Cardinal 0.34 0.12 0.2643 Insulated Glass LoE2 - 272/i81 0.33 0.18 0.2944 Insulated Glass LoE2 - 272/i81 Cardinal Argon 0.33 0.18 0.2946 Insulated Glass LoE2 - 272/i81 Cardinal 0.34 0.18 0.2943 Insulated Glass 7/8" Bar Clear Glass 0.44 0.31 0.3245 Insulated Glass 7/8" Bar LoE - 179 0.37 0.28 0.31 56 Insulated Glass 7/8" Bar LoE - 179 Cardinal Argon 0.36 0.28 0.31 56 Insulated Glass 7/8" Bar LoE - 179 Cardinal 0.38 0.28 0.31 53 Insulated Glass 7/8" Bar LoE2 -240 0.36 0.11 0.16 57 Insulated Glass 7/8" Bar LoE2 -272 0.36 0.17 0.28 57 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal Argon 0.35 0.17 0.2858 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal 0.37 0.17 0.28 55 Insulated Glass 7/8" Bar LoE3 -366 0.36 0.12 0.25 58 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal Argon 0.35 0.12 0.25 58 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal 0.37 0.12 0.25 55 Insulated Glass 7/8" Bar LoE3 - 366/i81 0.33 0.11 0.2245 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal Argon 0.32 0.11 0.2246 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal 0.34 0.11 0.2243 Insulated Glass 7/8" Bar LoE2 - 272/i81 0.33 0.16 0.2544 Insulated Glass 7/8" Bar LoE2 - 272/i81 Cardinal Argon 0.33 0.16 0.2546 Print Date: April 2, 2011 Thermal Performance Data Clad Awnings Narrow Sash (C -WA) Glazing Options U -Factor SHGC Vt CR Insulated Glass Clear Glass 0.48 0.58 0.61 41 ..'Insulated Glass LoE =.179 .` '.0"37, 0.52 :0.58 i50.-."', Insulated Glass LoE - 179 Cardinal Argon 0.35 0.52 0.5851 Insulated Glass LoE - 179 Cardinal 0.38 0.52 0.5848 Insulated Glass LoE2 -240 0.36 0.20 0.30 51 3C Insulated Glass 35. Insulated Glass LoE2 - 272 Cardinal Argon 0.33 0.31 0.5352 Insulated Glass LoE2 - 272 Cardinal 0.36 0.31 0.5349 Insulated Glass LoE3 -366 0.35 0.21 0.4851 Insulated Glass LoE3 - 366 Cardinal Argon 0.32 0.21 0.4852 Insulated Glass LoE3 - 366 Cardinal 0.36 0.21 0.4849 Insulated Glass LoE3 - 366/i81 0.31 0.19 0.4340 Insulated Glass LoE3 - 366/i81 Cardinal Argon 0.29 0.19 0.4342 Insulated Glass LoE3 - 366/i81 Cardinal 0.31 0.19 0.4338 Insulated Glass LoE2 - 272/i81 0.31 0.29 0.4740 Insulated Glass LoE2 - 272/i81 Cardinal Argon 0.29 0.28 0.4741 Insulated Glass LoE2 - 272/i81 Cardinal 0.32 0.29 0.4738 Insulated Glass 7/8" Bar Clear Glass 0.48 0.53 0.5541 Insulated Glass 7/8" Bar LoE - 179 0.37 0.47 0.5350 Insulated Glass 7/8" Bar LoE - 179 Cardinal Argon 0.35 0.48 0.5351 Insulated Glass 7/8" Bar LoE - 179 Cardinal 0.38 0.47 0.5348 Insulated Glass 7/8" Bar LoE2 -240 0.36 0.18 0.2751 Insulated Glass 7/8" Bar LoE2 -272 0.35 0.29 0.4851 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal Argon 0.33 0.28 0.4852 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal 0.36 0.29 0.4849 Insulated Glass 7/8" Bar LoE3 - 366 0.35 0.19 0.4351 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal Argon 0.32 0.19 0.4352 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal 0.36 0.19 0.4349 Insulated Glass 7/8" Bar LoE3 - 366/i81 0.31 0.18 0.3940 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal Argon 0.29 0.17 0.3942 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal 0.31 0.18 0.39 38 Insulated Glass 7/8" Bar LOE2 - 272/i81 0.31 0.26 0.4340 Insulated Glass 7/8" Bar LoE2 - 272/i81 Cardinal Argon 0.29 0.26 0.4341 Print Date: April.2, 2011 Thermal Performance Data Sit -AM VAOfW 1N61 *M91 Clad E3 Bifold Door 4 5/8" Stiles (C-BDE3) Glazing Options U -Factor SHGC Vt CR Insulated Glass Clear Glass 0.44 0.47 0.4945 Insulated Glass LoE - 179 0.35 0.42 0.4756 Insulated Glass LoE - 179 Cardinal Argon 0.34 0.42 0.4757 Insulated Glass LoE - 179 Cardinal 0.36 0.42 0.4754 'Insulated Glass LoE2 - 240 0.34 0.16 0.2457 Insulated Glass LoE2 - 272. 0.34 0.25 ;.0.43 57 X Insulated Glass LoE2 - 272 Cardinal Argon 0.32 0.25 0.43 58 Insulated Glass LoE2 - 272 Cardinal 0.35 0.25 0.4355 Insulated Glass LoE3 - 366 0.34 0.17 0.3958 Insulated Glass LoE3 - 366 Cardinal Argon 0.32 0.17 0.3958 Insulated Glass LoE3 - 366 Cardinal 0.34 0.17 0.3956 Insulated Glass LoE3 - 366/i81 0.30 0.15 0.3445 Insulated Glass LoE3 - 366/i81 Cardinal Argon 0.28 0.15 0.3446 Insulated Glass LoE3 - 366/i81 Cardinal 0.30 0.15 0.3443 Insulated Glass LoE2 - 272/i81 0.30 0.23 0.3844 Insulated Glass LoE2 - 272/i81 Cardinal Argon 0.29 0.23 0.38.46 Insulated Glass LoE2 - 272/i81 Cardinal 0.31 0.23 0.3842 Insulated Glass 7/8" Bar Clear Glass 0.44 0.40 0.4245 Insulated Glass 7/8" Bar LoE - 179 0.35 0.36 0.4056 Insulated Glass 7/8" Bar LoE - 179 Cardinal Argon 0.34 0.37 0.4057 Insulated Glass 7/8" Bar LoE - 179 Cardinal 0.36 0.36 0.4054 Insulated Glass 7/8" Bar LoE2 -240 0.34 0.14 0.2057 Insulated Glass 7/8" Bar LoE2 -272 0.34 0.22 0.3757 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal Argon 0.32 0.22 0.37 58 Insulated Glass 7/8" Bar LoE2 - 272 Cardinal 0.35 0.22 0.37 55 Insulated Glass 7/8" Bar LoE3 -366 0.34 0.15 0.3358 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal Argon 0.32 0.15 0.33 58 Insulated Glass 7/8" Bar LoE3 - 366 Cardinal 0.34 0.15 0.33 56 Insulated Glass 7/8" Bar LoE3 - 366/i81 0.30 0.14 0.2945 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal Argon 0.28 0.14 0.2946 Insulated Glass 7/8" Bar LoE3 - 366/i81 Cardinal 0.30 0.14 0.2943 Insulated Glass 7/8" Bar LoE2 - 272/i81 0.30 0.20 0.3344 Insulated Glass 7/8" Bar LoE2 - 272/i81 Cardinal Argon 0.29 0.20 0.3346 Print Date: April 2, 2011 Redland Clay Tile REDLAND" CLAY TILE Page 1 of 1 —1 E,-IfR�D71SN 'I", , REOFIII GALLERY REi� kS7A4F, f- �1.6rNTA=L71: Baja Mission Sandcast 4300 series EL f http://redlandclaytile.com/red-is-green/baja-mission-sandeast.html 2/9/2011 I Cool Roof Rating Council Page 1 of 2 r , a ' Manufacturer Information (sorted+) atk:lfail Rated Products Directory: Search Results [ new search ] [ print friendly :!�^"-� Oar' y � •. ' view ] (last updated 11 Feb 2011 18:10 CST) r' „ r Showing Search Results Reflect Uilliij for. ,. Match any of: Sir Company Name: 0646-0007 Brand: '"tan"' APOC 274 Model: -tan*.. Tan Type: ...tan.,, 0.70 Color Category: Tan 0.86:1 Product Type: Field -Applied Coating; Factory or Field Applied Coating 85 Init. Solar Reflect: >_ 0.55 Low/Steep Aged Solar Reflect: >_ 0.55 Gibson Inc. Init. Therm. Emit: a 0.75 Aged Therm. Emit: >_ 0.75 Applied Slope: Low select' from products where ( company_name like'%tan%' or brand like'%tan%' or model like'%tan%' or type like'%tan%') and (color like '%Tan%') and (type like 'Field -Applied CoatingW or type like'Factory or Field Applied Coating%') and solar reflect_init > '0.55' and solar_reflect_3yr — '0.55' and therm_emit_init —'0.75' and therm—emit 3yr —'0.75' and slope like'%Low%' order by company name asc previous 1 1 1 next (showing records 1 - 6 of 6) 25 Records per Page ►' i CRRC j Prod.ID Manufacturer Information (sorted+) Brand Model Color Category Product Tvpe Solar init Reflect Uilliij Therm Emit SRI init Sir Slope Application 0646-0007 APOC/Gardner- APOC 274 Tan Tan Field- 0.70 0.64 0.86:1 0.90 85 78 Low/Steep i Gibson Inc. Applied Michael Hyer Coating j (727-531-4100) 0624-0006 Bayer Materials Bavblock II HR Tan Tan Field- 0.70 0.69 0.86' 0.92 85 85 Low Science, LLC Applied i Isaac Williams Coating (281-350-9800) 0620-0020 Henry Company Skip Leonard Henry HE 286LT Light Tan Tan Field- Applied 0.68 0.65 0.90; 0.89 83 79 Low (214-764-3022) Roof Coating j Coating - Heavy Body j 0662-0036 Johns Manville TopGard 5000 Tan Tan Field- 0.72 0.59 0.92 0.92 89 71 Low j Jonas Houchin Applied (303-978-2478) Coating http://www.coolroofs.org/products/results.php?keyphrase--tan&select_type=select&type%... 2/14/2011 1"I Johns Manville Description TopGard 5000 is a 100% acrylic elastomeric coating. It is especially effective in colder climates where extra levels of low temperature flexibility are required. TopGard 5000 exceeds ASTM 0 6083 requirements for critical properties such as tensile strength, elongation, wet adhesion and weatherability. Use TopGard 5000 is used as an excellent reflective coating over smooth or mineral -surfaced roofing systems. It can be used over both modified and built-up roofing systems. Application When applying TopGard 500, use a brush, roller or spray equipment. Make sure that all surfaces are clean, dry and free of any dirt, grease, oil or other debris that may interfere with proper adhesion. It is recommended that TopGard 5000 be applied in two coats. The first coat should be completely dry (normally 4 to 12 hours) before applying the second coat Temperatures must be 50°F (10°C) and rising during time of application. Do not apply TopGard 5000 within 24 hours of anticipated rain, dew or freezing temperatures. As with any coating, cooler temperatures and high humidity will slow the cure time. Advantages • Fully adhered installation • 100% acrylic durability • Energy savings • Prolonged roof life • Reduced Crfe cycle costs • Can be used within 24 hours of roof membrane installation when used with TopGard Base —no roof membrane cure period required. Coverage Type of Roof Coverage Rate (per coat)` Fiber glass felts 65 -100 ft2/gal (1.60 - 2.45 m2/) Smooth -surfaced 65 -100 "al 11.60 -2.45 m2/[) modified sheets Mineral -surfaced 50 - 70 ft2/gal (1.23 -1.72 m2/1) BUR/modified sheets SPF/Metal 5D - 70 ft2/gal (1.23 -1.72 m2/f) • Coverage rates depend upon weather conditions and substrate. Refer to specific code agency Web sites for exact construction information Note When Topeard 5006 is applied as a wo-cost process total cured coating thickness WH be approximately 20 m0 (OS mm). Packaging 5 gal (18.91) pails (approximate weight 60 lb [27.2 kg]) 55 gal (MB 1) drums (approximate weight: 673 lb [305.3 kg]) 275 gal (1,0411) totes (approximate weight 3,290 lb [1,4923 kgD Shelf Life The shelf life of the TopGard products is one year, provided the cans are unopened and have been stored under moderate conditions. TopGard® 5000 Energy and the Envirorunent ENERGY STAR*. Pass Reflectivity- 0.83" California Title 24 Pass Reflectivity: 0.63" Emiss' ' . 0.88 LEEV Reflectivity: 0.83• Emissivity: 0.88 _ _ .60 Utin 114 kWm) Sustainable Sites No cracking or checking (credits 5,1,5.Z 7.1, 71) BongationAfter AcceleratedWeathering _.___»__._._..—._ ._._...230% Energy and Atmosphere Accelerated Weathering (prerequisite 2 and credit 1) 'Solar Reflectance index (SRI) is 102. SRI is tested in accordance with ASTM E 1980. Approvals • UL® 790 Class A Rating • FM Global® Standard 4470 for Class 1 Fire, Windstorm, &Hail Classification • California State Fire Marshall Tested in accordance to ASTM 0 6083 Physical Properties Property Value Initial Tensile Strength._.____ _ __._ _ _ _ _ _ _.__._ 235 psi 11.6 MPa) Initial Elongation _ _ F . _ _ .___ _.—__ _ _ .._ _____ _ .__ 245% Dry Adhesion.—__.....___ pli Wet Adhesion_.._____.__....__._.___.__.__._._......._.._ _ _. _ _._. 35 pli Tear Resistance _ _.__ _ __._ — _ _ _.__ .. _ _ .60 Utin 114 kWm) lg&hr Accelerated Weathering...._..._.._.__._.._.-... No cracking or checking Tensile Strength After Accelerated Weathering.—.—..--.— 170 psi (1.2 MPa) BongationAfter AcceleratedWeathering _.___»__._._..—._ ._._...230% Low Temperature Accelerated Weathering Permeance sperms►..._ . �.._ _�—____ _» _ _ _.__ _... __ ___ _15 WaterSwelling___.____..__..__»_._» _ . _.._... _..._..___ __.10 Fungi Resistance (Zero—No Growth►___ __._—_ _ .___..Zero rating Volume 55%:t I % Weight Solids Viscosity_._ ........».._.._.._.._.._..._._.--- _..„.------- _..._.._.»...___._12D:10 Density ......... » .._..»_.. — _ __ _ _ _ . _._._.._ __. _ _ 1.42 gA .»_-_....._._._.11.8lb/gal 11.4 kg/1) Non -volatiles (NVMs) 65%:t 1% Refer to the Material Safety Data Sheet and RS -2130 12-08 product label prior to using this product (Replaces 5-08) 11T"Y fohnsMamrille Spotlight on JM TopGard Acrylic Coatings These highly reflective, water-based acrylic coatings have been carefully designed to meet the toughest requirements in the growing list of energy and environment -related regulations and standards. In addition to significant energy savings, particularly in the reduc- tion of peak demand forcooling, TopGard's high emissivity helps combat the "urban heat island effect," which can cause city temperatures to be 2°F (-17°C) to 8°F (-f3°C) higher than the sur- rounding countryside. TopGard coatings may be used over any bituminous roofing sys- tem, smooth or granulated, to help provide seamless waterproof- ing, long-term energy savings and prolonged roof life. TopGard coatings meat or exceed all performance standards contained in ASTM 0 6083. Carefully formulated with high-quality, 100 percent acrylic polymer, TopGard coatings have the high strength, elongation and adhesion properties that cannot be found among products composed of copolymers or those weak- ened by high pigment volume content And they offer excellent protection against premature weathering due to ultraviolet rays from the sun. Installing TopGard Coatings for Superior Results Over Modified fi Bitumen or BUR Systems With proper installation, TopGard coatings will provide excellent performance. Installation should not be performed without follow- ing the complete guide specifications. For best results, some of the most important considerations are listed as follows: Storage and Handling. Coatings must be stored between 40°F (4°C) and 10VF (38°C}: If conditions exceed these ranges, special precautions must be taken to avoid damage. Do not store at high temperatures in direct sunlight ProjectCondi6or& Surface must be clean, dry and free of any dirt, grease, oil or other debris that may interfere with proper adhesion. Temperatures must be 50°F (10°C) and rising during time of application. Do not apply.within 24 hours of anticipated rain, dew or freezing temperatures. Preparation. Ensure that surface is clean, sound, dry and free of any materials that could inhibit adhesion. Achieving this condition may require the use of an industrial cleaner such as TSP (triso- dium phosphate), scraping, power brooming, vacuuming or other means performed by observing responsible trade practices. If a cleaner is used, scrub the entire surface vigorously with a stiff - bristled broom, paying particular attention to low areas. Allow the solution to stand approximately 5 minutes. Before it dries, wash thoroughly with clean water and repeat as necessary to remove all traces of the cleaning solution. Please note: any existence of talc or other separator agents on the bitumen is not acceptable. If a roof has been previously coated with an aluminized asphalt check for proper adhesion after cleaning. To test proper adhe- sion, apply a piece of masking tape to the cleaned membrane and peel it back up: If any of the aluminized coating comes up, the roof must be re -cleaned prior to installing TopGard products. All roof penetrations, mechanical equipment cants, edge metal and other on -roof items must be in place and secure. All drains must be clean and in working order. All air-conditioning and air intake vents must be closed or suitably protected. All cracks, voids, holes or other surface imperfections must be repaired with at least 24 hours of drying time. Equipment TopGard products may be installed with a roller or airless spray equipment, with spray equipment being preferred. JM recommends the Graco® GH -5030 pump or Graco® GM -7000 pump, with a Reverse -A -Clean® tip, sized between .033 inch to .045 inch (Registered trademarks of Graco, Inc., Minneapolis, MN.) Application. Apply two coats of TopGard product, both atthe rate of 1.5 gallons per 100 square feet TopGard Base is used as the base coat when the roofing system is new and/or 9 ponding water is an issue. TopGard 4000 is used as the base when a new roofing system has had at least 90 days to cure. Afterthorough drying of the first coat (normally 12 hours), the second coat is applied using a cross -hatch technique. TopGard Base must always be used as the first coat when applying TopGard products overAPP.(Atacdc Polypropylene) membranes Inspection. Inspection by.a JM representative must be made to verify the proper installation of the system Any areas that do not meet the minimum standards for application as specified shall be corrected at the contractors expense. Heavy puddles of the boat- ing are not acceptable. Extending Roof life Through Sound Maintenance and TopGard Re -coating Its important to inspectyour coated roofing system every spring and fall, after storms, and after HVAC servicemen or other trades- men have been on the roof. Make sure all drains and scuppers are clean and free of debris. Repair any HVAC leaks that may be discharging condensate or water onto the roof. Inform a JM technical representative and engage an approved roofing con- tractor to provide proper repairs and sealing of any damage, new penetrations, openings or new equipment I m 1"17 Johns Manville As the coating system approaches 7 years old, assess its condi- tion. As needed, schedule a thorough roof cleaning, consisting of water, a mild soap solution and a soft -bristle broom. Then, apply a full re -coat with the desired TopGard product These procedures will not only extend the life of your roofing system, but also help preserve its energy-saving properties. TopGard 4000 Technical Data Coverage Rate (per coat) Type of Roof (100 sq ft) Fiber glass felts 1-1h gal (3.8 - 5.71) Smooth -surface modified sheets 1-1A gal (3.8 - 5.71) Granulated -surface 136 - 2 gal (5.7 - 7.61) BUR/modified sheets Note: When TopGard 8000 is applied as a two -coat process total cured coating thickness will be approximately 20 mil. Packaging 5 -gallon pails (approximate weight 60 Ib [27.2 kg]) 55 -gallon drums (approximate weight 689 lb [312.5 kg]) 275 -gallon totes (approximate weight 3,370 lb [1,528.6 kg]) TopGard 5000 Technical Data Note: When TopGard Base is used in conjunction with TopGard 5000 as a two -coat process, total cured coating thickness will be approximately 20 mil. Packaging 5-gallon.pails (approximate weight 60 ib 127.2 kg]) 55 -gallon drums (approximate weight 673 Ib 1305.3 kg]) 275 -gallon totes (approximate weight 3,290 Ib 11,492.3 kg]) Availability TopGard 4000, 5000 and Base are available in 5 -gallon pails, 55 -gallon drums and 275 -gallon totes. The product is currently stocked in southern California. If shipping to the East Coast in spring or fall, additional shipping precautions may be required resulting in increased freight charges. Tested in Accordance to ASTM D 6083 Physical Properties Coverage Rate (per coat) Type of Roof (100 sq ft) Fiber glass felts 1 -1Yi gal 13.8 --5.7 1) Smooth -surface modified sheets 1- tYz gal 113.8 - 5.71) Granulated -surface 1A-2 gal 15.7 -7.61) BUR/modified sheets Tear Resistance Ilbffin.) SPF/Metal 13: -2 gal (5.7 - 7.61) Note: When TopGard Base is used in conjunction with TopGard 5000 as a two -coat process, total cured coating thickness will be approximately 20 mil. Packaging 5-gallon.pails (approximate weight 60 ib 127.2 kg]) 55 -gallon drums (approximate weight 673 Ib 1305.3 kg]) 275 -gallon totes (approximate weight 3,290 Ib 11,492.3 kg]) Availability TopGard 4000, 5000 and Base are available in 5 -gallon pails, 55 -gallon drums and 275 -gallon totes. The product is currently stocked in southern California. If shipping to the East Coast in spring or fall, additional shipping precautions may be required resulting in increased freight charges. Tested in Accordance to ASTM D 6083 Physical Properties Physical Property Result Initial Tensile Strength (psi) 770 Initial Elongation (96) 260 Ory Adhesion (ph) 6.5 Wet Adhesion 1pli) 5.0 Tear Resistance Ilbffin.) 100 1,000 -hr Accelerated Weathering No Cracking or Checking Elongation After Accelerated 226 Weathering (%) Permeance (perms) 12 Water Swelling (%1 26 Fungi Resistance (Zero = No Growth) Zero Volume Solids I%1 52t 1 Weight Solids f%) 66-1 1 Viscosity (KU) 110: 10 Density (Ib/gal) 11.9 Nonvolatiles (%) 66± 1 Tested in Accordance to ASTM D 60M Physical Property Result Initial Tensile Strength (psi) 235 Initial Elongation (%) 245 Ory Adhesion (pli) 8.5 Wet Adhesion (plil 3.5 Tear Resistance Ilbffin.) 80 1,000 -hr Accelerated Weathering No Cracking or Checking Elongation After Accelerated 230 Weathering (°,6) Low -Temperature Flepbility After Pass Accelerated Weathering 'Permeance {perms) 15 Water Swelling 1%) 10 Fungi Resistance (Zero = No Growth) Zero Volume Solids 1%) 55:L 1 Weight Solids (%) 69± 1 Viscosity(KU) 120±10 Density Ilb/gal) 11.8 Nonvolatiles (%) 69± 1 17 u JohnsManW11e Description TopGard 5000 is a 100% acrylic elastomeric coating. It is especially effective in colder climates where extra levels of low temperature flexibility are required. TopGard 5000 exceeds ASTM D 6083 requirements for critical properties such as tensile strength, elongation, wet adhesion and weatherability. Use TopGard 5000 is used as an excellent reflective coating over smooth or mineral -surfaced roofing systems. It can be used over both modified and built-up roofing systems. Application When applying TopGard 5000, use a brush, roller or spray equipment Make sure that a0 surfaces are clean, dry and free of any dirt, grease, oil or other debris that may interfere with proper adhesion. It is recommended thet TopGard 5000 be applied in two coats. The first coat should be completely dry (normally 4 to 12 hours) before applying the second coat Temperatures must be 50°F (10•C) and rising during time of application. Do not apply TopGard 5000 within 24 hours of anticipated rain, dew or freezing temperatures. As with any coating, cooler temperatures and high humidity will slow the cure time. Advantages • Fully adhered installation • 100% acrylic durability • Energy savings • Prolonged roof life • Reduced fife cycle costs • Can be used within 24 hours of roof membrane installation when used with TopGard Base — no roof membrane cure.period required. Coverage Type of Roof Coverage Rate (per coat)' Fiber glass felts 65 -100 ftr/gal (1.60 - 2.45 m2/I) Smooth -surfaced 65 -100 ft2/gal (1.60 - 245 m2/I) modified sheets Mineral -surfaced 50 - 70 ft2/gal (1.23 -1.72 mil) BUR/modified sheets SPF/Metal 50 - 70 ftp/gal (1.23 -1.72 m2/I) 'Coverage rates depend upon weather conditions and substrate. Refer to specific code agency Web sitesfor exact construction irdormation. Note: When TopGard 5000 is applied as a two -coat pmcess, total cured coating thickness will be approximately 20 mil (0.5 rmn). Packaging 5 gal (18.91) pails (approximate weight 60 lb 127.2 kg]) 55 gal (208 1) drums (approximate weight 673 lb [305.3 kg]) 275 gal (1,0411) totes (approximate weight 3,290 Ib [1,492.3 kg]) Shelf We The shelf life of the TopGard products is one year, provided the cans are unopened and have been stored under moderate conditions. TopGard® 5000 Energy and the Environment ENERGYSTAP. Pass Reflectivity: 0.83* California Title 24 Pass Reflectivity; 0.83• Emiss' ' . 0.88 LEED° Reflectivity: 0.83• Emissivity. 0.88 Sustainable Sites (credits 5.1, 5.2, 7.1, 72) Energy and Atmosphere (prerequisite 2 and credit 1) *Solar Reflectance Index (SRI) is 102 SRI is tested in accordance with ASTM E 1980. Approvals • UL® 790 Class A Rating • FM Global® Standard 4470 for Class 1 Fre, Windstorm, & hail Classification • California State Fire Marshall Tested in accordance to ASTM D 6083 Physical Properties Property Value Initial Tensile Strength._._..._..._.__—._ --_»--__.__ - 235 psi (1.6 MPa) Initial Elongation 245% Dry Adhesion pg WetAdhesion » ,.____.._.._.._.._.___._.».»_ ._._.._......_ _ „.. _ 3 5 pft Tear Resistance ___ » » » .. _ _ _. _ „.. _ 80lbflin (14 kiWm) IA*hrAccelerated Weathering..._.._...._._.._...... No cracking or checking Tensile Strength After Accelerated Weathering......____ 170 psi (12 MPa) Elongation After Accelerated Weathering Low Temperature Flexibility After»»..__..._.__._._.. „___„_.___._Pass Accelerated Weathering Permeance WaterSwelling...__.».»._....._.»...»..».»»__.._...„ ........... _._.._..__„ Fungi Resistance (Zero—No Growth)__..__.__.__.._.__..__»Zero rating Volume Solids »„» _.._»__ »» » .__ _ _ ._ _ _ _......_.....„ 55%t 1% Weight Solids 69% t l% Viscosity...__.......„_..__ ... _...... _...._.._._..__... »...._ ..._..» .».._._. 120 t 10 1.42 gA 1.8lb/gal (1.4 kQM Non-volatiles(NVMs)-.._..„..._.. „_._._._. ..._...._ »_»»._ »_65%t 1% Refer to the Material Safety Data Sheet and RS -2130 12-08 product label prior to using this product (Replaces 5-08) 1/7" Johns Mamrirle Spotlight on JM TopGard Acrylic Coatings These highly reflective, water-based acrylic coatings have been carefully designed to meet the toughest requirements in the growing list of energy and environment -related regulations and standards. In addition to significant energy savings, particularly in the reduc- tion of peak demand for cooling, TopGard's high emissivity helps combat the "urban heat island effect," which can cause city temperatures to be 2°F (-17°C) to 8°F (-i3°C) higher than the sur- rounding countryside. TopGard coatings may be used over any bituminous roofing sys- tem, smooth or granulated, to help provide seamless waterproof- ing, long-term energy savings and prolonged roof life. TopGard coatings meet or exceed all performance standards contained in ASTM 0 6083. Carefully formulated with high-quality, 100 percent acrylic polymer, TopGard coatings have the high strength, elongation and adhesion properties that cannot be found among products composed of copolymers or those weak- ened by high pigment volume content And they offer excellent protection against premature weathering due to ultraviolet rays from the sun. Installing TopGard Coatings for Superior Results over Modified G Bitumen or BUR Systems With proper installation, TopGard coatings will provide excellent performance. Installation should not be performed without follow- ing the complete guide specifications. For best resuhs, some of the most important considerations are listed as follows: Storage and Handling. Coatings must be stored between 40°F (4°C) and 100°F (380C). If conditions exceed these ranges, special precautions must be taken to avoid damage. Do not store at high temperatures in direct sunlight ftioaConditfons Surface must be clean, dry and free of any dirt, grease, oil or other debris that may interfere with proper adhesion. Temperatures must be 50°F (10°C) and rising during time of application. Do not apply within 24 hours of anticipated rain, dew or freezing temperatures. PWaration Ensure that surface is clean, sound, dry and free of any materials that could inhibit adhesion. Achieving this condition may require the use of an industrial cleaner such as TSP (triso- dium phosphate), scraping, power brooming, vacuuming or other means performed by observing responsible trade practices. If a cleaner is used, scrub the entire surface vigorously with a stiff - bristled broom, paying particular attention to low areas. Allow the solution to stand approximately 5 minutes. Before it dries, wash thoroughly with clean water and repeat as necessary to remove all traces of the cleaning solution. Please note: any existence of talc or other separator agents on the bitumen is not acceptable. If a roof has been previously coated with an aluminized asphalt, check for proper adhesion after cleaning. To test proper adhe- sion, apply a piece of masking tape to the cleaned membrane and peel it back up. If any of the aluminized coating comes up, the roof must be re -cleaned prior to installing TopGard products. All roof penetrations, mechanical equipment, carts, edge metal and other on -roof items must be in place and secure. All drains must be clean and in working order. All air-conditioning and air intake vents must be closed or suitably protected. All cracks, voids, holes or other surface imperfections must be repaired with at least 24 hours of drying time. Equipment TopGard products may be installed with a roller or airless spray equipment, with spray equipment being preferred. JM recommends the Gracom GH -5030 pump or Graco® GM -7000 pump, with a Reverse -A -Clean® tip, sized between .033 inch to .045 inch (Registered trademarks of Graco, Inc., Minneapolis, MN.) Applicadom Apply two coats of TopGard product, both atthe rate of 1.5 gallons per 100 square feet TopGard Base is used as the base coat when the roofing system is new and/or if ponding water is an issue. TopGard 4000 is used as the base when a new roofing system has had at least 30 days to cure. Afterthorough drying of the first coat (normally 12 hours), the second coat is applied using a cross=hatch technique. TopGard Base must always be used as the first coat when applying TopGard products overAPP Wact'c Polypropylene) membranes, Inspection Inspection by a JM representative must be made to verify the proper installation of the system. Any areas that do not meet the minimum standards for application as specified shall be corrected atthe contractors expense. Heavy puddles of the coat- ing are not acceptable. . Extending Roof life Through Sound Maintenance and TopGard Re -coating Its important to inspect your coated roofing system every spring and fall, after storms, and after HVAC servicemen or other trades- men have been on the roof. Make sure all drains and scuppers are clean and free of debris. Repair any HVAC leaks that may be discharging condensate or water onto the roatInform a JM technical representative and engage an approved roofing can - tractor -to provide proper repairs and sealing of any damage, new penetrations, openings or new equipment 117" johns Manlville As the coating system approaches 7 years old, assess its condi- tion. As needed, schedule a thorough roof cleaning, consisting of water, a mild soap solution and a soft -bristle broom. Then, apply a full re -coat with the desired TopGard product These procedures will not only extend the life of your roofing system, but also help preserve its energy-saving properties. TopGard 4ODO Technical Data Coverage Rate (per coat) Type of Roof 000 sq ft) Fiber glass felts 1 - M gal (3.8 - 5.7 I) Smooth -surface modified sheets 1 -1%i gal (3.8 - 5.71) Granulated -surface 1h - 2 gal (5.7 - 7.61) BUR/modified sheets Note: When TopGard 4000 is applied as a two -coat process, total cured coating thickness will be approximately 20 mil. Packaging 5 -gallon pails (approximate weight 60 Ib [27.2 kg]) 55 -gallon drums (approximate weight: 689 Ib [312.5 kg]) 275 -gallon totes (approximate weight 3,370 Ib 11,528.6 kg]) TopGard 5000 Technical Data Coverage Rate (per coat) Type of Roof (100 sq ft) Fiber glass felts 1-114 gal 13.8 - 5.71) Smooth -surface modified sheets 1 -11're gal (3.8 - 5.71) Granulated -surface 114 - 2 gal 15.7 - 7.6 I) BUR/modified sheets SPF/Metal IA - 2 gal (5.7 - 7.61) Note: When TopGard Base is used in conjunction with TopGard 5000 as a two -coat process, total cured coating thickness will be approximately 20 mil. Packaging 5 -gallon pails (approximate weight 6O 1b 127.2 kg]) 55 -gallon drums (approximate weight 673 (b 1305.3 kg]) 275 -gallon totes (approximate weight 3,290 Ib 11,492.3 kg]) Availability► TopGard 4000, 5000 and Base are available in 5 -gallon pails, 55 -gallon drums and 275 -gallon totes. The product is currently stocked in southern California. If shipping to the East Coast in spring or fall, additional shipping precautions maybe required resulting in increased freight charges. Tested in Accordance to ASTM D 6083 Physical Properties Physical Property Result Initial Tensile Strength (psi) 270 Initial Elongation (%) 260 Dry Adhesion (p0) 6.5 Wet Adhesion (pli) 5.0 Tear Resistance (Ibf/in.) 100 1,000 -hr Accelerated Weathering No Cracking or Checking Elongation After Accelerated 220 Weathering M Permeance (perms) 12 Water Swelling (%) 26 Fungi Resistance (Zero = No Growth) Zero Volume Solids M 52t 1 Weight Solids (%) 66i 1 Viscosity (KU) 110:00 Density(lb/gal) 11.9 Nonvolatiles M 66± 1 Tested in Accordance to ASTM D 6083 Physical Property Result Initial Tensile Strength (psi) 235 Initial Elongation (%) 245 Ory Adhesion (pli) 8.5 Wet Adhesion (pli) 3.5 Tear Resistance (Ibf/n.) 80 1,000 -hr Accelerated Weathering No Cracking or Checking Elongation After Accelerated 230 Weathering (%) Low -Temperature Flepbility After Pass Accelerated Weathering Permeance (perms) 15 Water Swelling (%) 10 Fungi Resistance (Zero = No Growth) Zero Volume Solids (%) 55± 1 Weight Solids (%) 69 ±1 Viscosity (KU) 120±10 Density llb/gal) 11.8 Nonvolatiles M 69 t 1 �• B 0 19 .*'•A.{'1 ' ' 'A 'a' It � . • i t hm I Residential Gas Water Heaters Si PrOM�1 -opLus HIGHREcOVERY FEATURES HIGHEST RECOVERIES AND FIRST HOUR RATINGS Capacity/input combinations up to 98 gallons/75,100 BTUs produce recoveries up to 81 gallons, per hour, with deliverable hot water up to 150 gallons: DYNACLEANTM DIFFUSER DIP TUBE Helps reduce lime.and sediment buildup, maximizes hot water output Made from long- lasting:PEX cross-linked polymer. - GREEN CHOICE®GAS BURNER Patented "Eco -Friendly" design reduces NOx emissions by up to 33% and complies with less than 40 ngrj requirements for NOx emissions. COREGARDTm ANODE ROD A. O. Smith's exclusive aluminum anode has a stainless steel core, protects tank against corrosion longer versus ordinary anodes. PUSH=BUTTON PIEZO IGNITOR Makes lighting pilot fast and easy with one -hand push-button spark ignition. Standard on FVIR compliant models. HEAT TRAP.NIP.PLES* Factory -installed on most models. DURABLE TAMPER-RESISTANT BRASS DRAIN VALVE Environmentally- iendly.:.;;,; THIMv" ENVIRONMENTALLY -FRIENDLY" NON -CFC FOAM INSULATION •Improves efficiency. "BLUE'DU4MOND® GLASS COATING P,roxides'superior�eesistence.compa�ed to industry standard glass lining. 'CSA CERTIFIED ANDASME RATED T&P RELIEF VALVE ?op=mounted T&PReliei Valve available'as'option on FVIR compliant models. CODE COMPLIANCE UBC, CEC, SBCC, CABG, standby loss, reguiremen 90.1 and the Federal Erie :according to the Nati'on' `DESIGN CERTIFIEMB 3 :';: ,ANSI Z21 101. '4 i C5A S ;_]FVIR COMPLIANT " -See other side National codes. Meets the thermal efficiency and apartment of Energy and current edition of ASHRAVIESNA tandards effective January 20, 2004, !rgy Conservation Act (NAECA) of 1992. 10NAL'.- storage-type water heaters. • n) 6 -YEAR LIMITED`TANKAND PARTS WARRANTY For complete information, consult written warranty or A. O. Smith Water Products Company. -rim -•� ? -.. r..c: ..7 a2xG�•nz.,i.i _....1!.w'1.z.—_ ...:..x a e..,. _r>.:...,n .-L�7.. :�:, .�.�'xn...:,. x�tev}sed February 2017 :_l, . , `, _ , , �• .- ` Series 100/101 Green Choice - Page 1 of 2 AOSRG45400 Sm"th, I oResidential Gas Water Heaters Pr Max@ OPLUS HIGHRECOVERY "MODEL 'SERIES NUMBER 7l �w FIRST HOUR:< 'RATING :'CAPACITY. {r.` ' sty 'GAu ON REC011ERY 90 f RISE L�,;r r .DIMENSIONS ENERGY FACTOR ' BTU INPUT` PER.HOUR kD VALUE INCHES t t c a xr -. s) s t�,.... F r '4�. DRAfT 'HOOD / f; APPROX, SHIPPING}, `� „ ��,PW " r. #s {°�""" f_ to fl y ,��[r s1 ;;Ri; , PER HOUR `, �. NATURAE �.R...Mw1., ?--�+,. the top surface and ? ; ° D� � tvE �t �� OUTLET WEIGHT ..[� :.+" b.�< .GaZ'�i..i'-.'. °w.L:. hiJc'�X,4 .. �....-•`r� i~ .du� ,. i "�;.:_y., 'r` r�"n , �...�[..pSw ,',�t c ._ ,�.;-tea �16dimx�s' . �.• e5. 'Sl r_s�;,I,y ,a " �K is �}� ;'- 'Y� A. Easy -to -light B. View port for easy GCVT-40 300 75 40 51 0.60 50,000 16 61-3/4 58-1/4 20 13-1/4 8 51-3/4 4 138 GCVX-50 100 93 50 67 0.58 65,000 16 63-7/8 59-1/2 22 y 15-1/2 8 54-1/8 4 195 X67 .' a & s.�rir 0:57 � e�465,000 �, .ma..+."4".:t ;;ei6 rr{t i S5 S7:`-.nys...l: �i.`60 a.'�Sc'r�_ 24:a, X15 1/2 'ra�•y' -54 1/4 t_ r 4A5 `� a�xs.t .%�."r FCG-75" 300 WA 74 81 WA� 75,100 16 61 57 26-1/2 14-3/4 16 50-1/4 4 275 * FCG 100 ; � ,e300�� ft 't 1J/A r ' ;_ � 98, s, r � ', 1V. t x81 � t�' "L W+4 z '+s 75100 ,Y r 10 A 68=1/2 3 y^� X65 =�' 27.3/4 aa%4 15 3/16 .+%3 ,F'�• , �?�n� 'S7 3/8 ��*. 4 � �_-„a`rf 3502 •�'' ,� x.,16 Recovery capacity based on actual performance tests. Water Connections —1 'on 75 -gallon model, 1-1/4” on 100 -gallon model, 3r4"on all other models. 41 ` Not equipped with FVIR Technology. 75and 100 -gallon models have factory -installed (non -heat trap) nipples, 75 -gallon model has 80% efficiency, 998 BTU/hr. standby loss; 100 -gallon model has 80% efficiency, 1146 BTU/hr. standby loss. t Propane Gas — GCVT-40: 45,000 BTU input; GCVT--50: 45,000 BTU input; GCVX-50: 55,000 BTU input; GCV-65: 62,500 BTU input. For 10 -Year Tank and 6 -Year Parts Warranty, change "G" to "X" in Model Number (example: XCVT-40), or change "F" to "P" in model number (example: PCG -75). • The FVIR Series 100 models are certified from sea level to 7,700 ft. elevations. The FVIR Series 300 models are certified from sea level to 10,100 ft elevations. For high attitude versions of the 75 & 100 -gallon models add SMR 'S19" Flammable Vapor Ignition Resistant FVIR Water Heaters FVIR design meets American National Standards Institute standards (ANSI 221.10.1 - 4.1 CSA Standards) that deal with the accidental or unintended .ignition of flammable vapors, such as those emitted by gasoline. FVIR gas water heaters feature a sealed combustion chamber with air intake screen and a fireproof Corderite flame arrestor built into the water heater base. In addition, a thermal cutoff (TCO) device, integral with the thermocouple, is designed to shut off gas flow to the burner and pilot if poor combustion is detected. If flammable vapors accidentally enter the combustion chamber, a1 3 v xy a the Corderite flame arrestor is designedT so flames burn off �. :, , the top surface and ? ; ° cannot escape down through the arrestor r 'e A. Easy -to -light B. View port for easy .piezo ignitor burner inspection inside sealed combustion chamber T&P VALVE 1/2" GAS CONNECTION HOT CONNECTION ANODEROD• 0 yoOo COLD CONNECTION C o A J�—ALL *Location for optional top -mounted T&P Valve if ordered from factory. (FVIR models only) RevisedFebruary'2017 :.�. • ' f _ _ - .__ _ . _-- — ^^Pagi 2of2- www.hotwaterxom AOSRG45400 Sladde.n. Engineering 45090 Golf Center Parkway, Suite F. Indio, CA, 92201 (760) 863-0713 Fox (760) 8634M7 6782 Stanton Avenue, Suite A,-Bucna Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 450 Egan Avcnuc, Bcaumon4 CA 92223 (951) 845-7743 Fax (951) 845-8863 800 F., Florida Avenue, Hemet, CA 92543 (951) 766-8777 Fax (951) 766-8778 June 13, 2011 Mr. & Mrs. Townsend c/o Sedona Homes 40101 Monterey Avenue, Suite 111-214 Rancho Mirage, California 92270 Project: 53336 Via Pisa The Hideaway La Quinta, California Subject: Soluble Sulfate Content Project No. 522-11101 11-06-141 As requested, we have sampled the surface soil on the subject lot to determine the soluble sulfate content as it relates to selecting appropriate concrete mix designs. The testing indicated soluble sulfate content of 800 ppm. (0.080 percent) that corresponds with the "negligible' exposure category in accordance with CBC Table 19-A-3. in accordance with Table 19-A-3, special sulfate related concrete mix designs should not be required, If you have questions regarding this letter, please contact the undersigned. Respectfully submitted, SLADDEN ENLGINEERING 13rett L. Andes s„ Principal' Engineer W C Dip, 93M2 p Letter/gl:: M OF n Copies: 2/Mr. & Mrs. Townsend 2/Sedona Homes , A A --ti r42 --t> JUN 2 8 2011 a f Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90821 (714) 523-0952 Fax (714) 523-1369 45090 Golf Center Pkwy, Suite F, Indio, CA 92201 (760) 863-0713 Fax (760) 863.0847 450 Egan Avenue, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 Date: June 9, 2011 Account No.: 544-11101 Customer: Location: The Hideaway, 53336 Via Pisa, La Quinta Sulfate Series Analytical Report Soluble Sulfates per CA 417 PPM Soluble Chloride per CA 422 ppm 800 120 TABLE 19-A-2—REQUIREMENTS FOR SPECIAL EXPOSURE CONDITIONS LXPOSUnE COMrfilJON Concrete intended to have low permeability when exposed to water Concrete exposed to freezing and thawing in a rnoist condition or to deicing chemicals For corrosion protection for reinforced Concrete exposed to chlorides from deicing chemicals, salts or brackish water, or spray front these sources MAXIMUM WATER-CEMENTTTfgUS MATERIALS RATIO, ey WEIGHT NORMAL -WEIGHT AGCnEGATE CONCRETE 0.50 0.45 0,40 TABLE 19-A-"EQUIREMENTS FOR CONCRETE EXPOSED TO SULFATE -CONTAINING SOLU11ONS MINIMUM r-" NORMAL-WEtGtrr ANU LIGNTVYpGHT AGGRECATE CONCRETE, Pal X 0.00689 for Mr`a 4,000 4,500 5,000 NORMAL-WEtoHl' LIGHTWEIGHT AGGREGATE AGGREGATE CONCRETE WATER- SOLUBLE Maximum Water- Carnwrtmom f"Normal- V-4uht and SULFATE Matertals Rade, by Udhtwaight (( SULFATE PEAC�INTAp4BE Wey NOmol-w*ICht tt C rrxete spall Y SULFATE ($0i) IN EXPOSURE WElGNr ' WATER. ppm CEMENT TYPE Aoderetal Certerator x 0.00689 Ter MPa Negligible 0.00-0.10 0-150 — — Modcratc2 0.10-0.20 150-1,500 Il.lp(MS),is 0.50 4,000 WS) Severn 0-20-2.00 1,500-10.000 V OAS 4,500 Very severe Over 2.00 Over 10.000 V plus 0.45 4,500 ponolaR3 IA lower water-eementitious materials ratio or highu st"ength may be required for low penneahiliry Or for protection against corrosion Of embedded items or ftcezing and thawing Cable 19-A-2). xSeawater. 3p4'Clan giat has been determined by test Or servic6record to improve sulfate tl SiStance when used in concrete con • taining T} pc V Cement. 2-264 :-t 1 Sladden Engineering 77-725 Enfield Lane, Suite 100, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 6782 Stanton Avr.. Suite A, Buena Park, CA 90621 (714) 523.0952 Fax (714) 523-1369 450 Egan Avcnuc, Beaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863 15438 Cholamc Road, Suite A, Victorvillc, CA 92392 (760)962-1868 Flue (760) 962-1878 April 3, 2007 Peter Jacobs Homes, Inc. P.O. Box 356 La Quinta, California 92253 Project: The Hideaway Lot 301 - Via Pisa La Quinta, California Subject: Geotechnical Update Project No. 544-07137 07-03-254 Ref: Geotechnical Engineering Report prepared by Earth Systems Southwest (ESS) dated April 11, 2001, File No. 08199-01, Report No. 04-04-71.6. Report of Testing and Observation during Rough Grading prepared by ESS dated August 28, 2002, File No. 07117-11, Report No. 01-07-718 Report of Testing and Observation During Rough Grading prepared by Sladden Engineering dated October 12, 2003, Project No. 5442199 Report No. 03-10-647 As requested, we have reviewed the above referenced geotechnical reports as they relate to the design and construction of the proposed single family residence. The project site identified as Lot 301 located along Via Pisa within the Hideaway Golf Club development in the City of La Quinta, California. it is our understanding that the proposed residence will be a relatively lightweight wood -frame structure supported by conventional shallow spread footings and concrete slabs on grade. The lot was previously graded during the rough grading of the Hideaway project site and was subsequently regraded. The rough grading included overexcavation of the native surface soil along with the placement of engineered fill material to construct the building pads. The regrading included processing the surface soil along with minor cuts and fills to construct the individual building pads to the current configurations. Some additional overexcavation was performed in areas where the building envelopes were reconfigured. The most recent site grading is summarized in the referenced Report of Observations and Testing during Rough Grading prepared by Sladden Engineering along with the Compaction test results. April 3, 2007 -3- Project No. 544-07137 07-03-254 The bearing soils are non -expansive and fall within the "very low" expansion category in accordance with Uniform Building Code (UBC) classification criteria. Pertinent 2001 CBC Seismic Design parameters are summarized on the attached data sheet. If you have questions regarding this letter or the referenced report, please contact the undersigned. Respectfully submitted, SLADDEN ENGINEERING C a5389 ` Brett L. Ande w Principal Engineer Exp. 9.30.2008 qr Cnnl. SER/lrw cit C�V`r� Copies: 2/Peter Jacobs Homes, Inc. Sladden Engineering April 3, 2007 -4- Project No. 544-07137 07-03-254 2001 CALIFORNIA BUILDING CODE SEISMIC DESIGN INFORMATION The California Code of Regulations, Title 24 (2001 California Building Code) and 1997 Uniform Building Code, Chapter 16 contain substantial revisions and additions to earthquake engineering design criteria. Concepts contained in the code that will be relevant to construction of the proposed structures are summarized below. Ground shaking is expected to be the primary hazard most likely to affect the site, based upon proximity to significant faults capable of generating large earthquakes. Major fault zones considered to be most likely to create strong ground shaking at the site are listed below. Fault Zone Approximate Distance From Site Fault Type (1 *997 UBC) San Andreas 9.8 km A San Jacinto 26 km A Based on our field observations and understanding of local geologic conditions, the soil profile type judged applicable to this site is So, generally described as stiff or dense soil. The site is located within UBC Seismic Zone 4. The following table presents additional coefficients and factors relevant to seismic mitigation for new construction upon adoption of the 1997 code. Sladden Engineering Near -Source Near -Source Seismic Seismic Seismic Acceleration Velocity Coefficient Coefficient Source Factor, No Factor, Nv C. Cv San Andreas 1.01 1.22 0.44 Na' 0.64 Nv San Jacinto 1.0 1.0 0.44 N. 0.64 N� Sladden Engineering 0&1000&klOH Shasta Fire Protection We Save Lives TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 HYDRAULIC CALCULATIONS AT SPECIFIED FLOW PAGE 1 THE SPRINKLER SYSTEM THE FOLLOWING SPRINKLERS ARE OPERATING IN: [ ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA NO. Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 201 4.90 20.00 13.34 7.41 202 4.90 20.00 13.00 7.04 THE SPRINKLER SYSTEM FLOW IS THE OUTSIDE HOSE FLOW AT REFERENCE POINT NO. 1 IS [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 70.00 psi RESIDUAL PRESSURE 65.00 psi AT 100.00 gpm TOTAL SYSTEM FLOW 31.34 gpm AVAILABLE PRESSURE 69.42 psi AT 31.34 gpm OPERATING PRESSURE 29.47 psi AT 31.34 gpm PRESSURE.REMAINING 39.94 psi 26.34 gpm 0.00 gpm 5.00 gpm CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE 11,,b6tRy------------ . �I I JUN 2 2011 BY ❑&100❑&k10H Shasta Fire Protection We Save Lives TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 PAGE 2 A MAX. VELOCITY OF 5.48 ft./sec. OCCURS BETWEEN REF. PT. 20 AND 21 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. FITTING Equivalent Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, 5=Gate Valve, 6=Swing Check Valve FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 2 31.34 30.00 -9 9.00 120 9 1.602 0.038 0.000 29.47 27.99 1.48 2 3 31.34 20.00 -18 18.00 120 9 1.602 0.038 0.000 27.99 26.55 1.44 3 4 31.34 20.00 -17 17.00 120 9 1.602 0.038 0.000 26.55 25.15 1.40 4 5 26.34 10.50 -25 25.00 120 13 1.650 0.024 4.550 25.15 19.75 0.85 5 6 26.34 7.50 0 0.00 120 9 1.602 0.027 0.000 19.75 19.55 0.21 6 7 0.00 13.00 -1 1.00 120 9 1.400 0.000 0.000 19.55 19.55 0.00 7 11 0.00 36.33 -12 12.00 120 9 1.400 0.000 0.000 19.55 19.55 0.00 11 12 0.00 51.50 -10 10.00 120 9 1.400 0.000 0.000 19.55 19.55 0.00 12 13 0.00 5.50 -8 8.00 120 9 1.400 0.000 2.383 19.55 17.16 0.00 13 14 0.00 7.00 -8 8.00 120 9 1.400 0.000 0.000 17.16 17.16 0.00 14 15 0.00 31.33 -11 11.00 120 9 1.400 0.000 0.000 17.16 17.16 0.00 15 16 0.00 5.50 -8 8.00 120 9 1.400 0.000 -2.383 17.16 19.55 0.00 16 17 0.00 48.17 -15 15.00 120 9 1.400 0.000 0.000 19.55 19.55 0.00 17 101 0.00 2.00 -15 15.00 120 9 1.109 0.000 -0.217 19.55 19.76 -0.00 17 102 0.00 12.00 -19 19.00 120 9 1.109 0.000 -0.217 19.55 19.76 -0.00 6 8 26.34 29.67 -9 9.00 120 9 1.400 0.053 0.000 19.55 17.50 2.05 8 9 26.34 10.50 -14 14.00 120 9 1.400 0.053 0.000 17.50 16.20 1.30 9 10 26.34 10.00 -6 6.00 120 9 1.400 0.053 4.333 16.20 11.02 0.85 10 20 26.34 14.08 -16 16.00 120 9 1.400 0.053 0.000 11.02 9.43 1.59 20 21 26.34 18.83 -10 10.00 120 9 1.400 0.053 0.000 9.43 7.90 1.53 21 22 13.00 8.00 -1 1.00 120 9 1.109 0.045 0.000 7.90 7.50 0.40 21 201 13.34 1.17 -14 14.00 120 9 1.109 0.047 -0.217 7.90 7.41 0.71 22 202 13.00 1.17 -14 14.00 120 9 1.109 0.045 -0.217 7.50 7.04 0.68 A MAX. VELOCITY OF 5.48 ft./sec. OCCURS BETWEEN REF. PT. 20 AND 21 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. - Shasta Fire Protection We Save Lives 3584 La Campana Way, Palm Springs, Ca H Y D R A U L I C C A L C U L A T I O N S C 0 V E R S H E E T TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 W A T E R S U• P P L Y STATIC PRESSURE (psi) 70 RESIDUAL PRESSURE (psi) 65 RESIDUAL FLOW (gpm) 100 B O O S T E R P U M P S NUMBER OF BOOSTER PUMPS 0 S P R I N K L E R S MINIMUM FLOW PER SPRINKLER (gpm) 13 MINIMUM PRESSURE PER SPRINKLER (psi) 7.04 THIS SYSTEM OPERATES AT A FLOW OF 26.34 gpm AT A PRESSURE OF 25.15 psi AT THE BASE OF THE RISER (REF. PT. 4) PIPES USED FOR THIS SYSTEM -------------------------------------- -------------------------------------- 009 BLAZEMASTER CPVC 013 DYNA-THREAD-40 ❑&100❑&kl2H ❑&100❑&k10H Shasta Fire Protection We Save Lives TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 PAGE 1 HYDRAULIC CALCULATIONS AT SPECIFIED FLOW THE FOLLOWING SPRINKLERS ARE OPERATING IN: ( ] TEST AREA 1 [ ] TEST AREA 2 [ ] TEST AREA 3 [ ] REMOTE AREA Elevation of sprinklers = Elevation above water test. REF. PT. K ELEV. FLOW PRESSURE ft gpm psi 101 4.90 10.00 13.51 7.60 102 4.90 10.00 13.00 7.04 THE SPRINKLER SYSTEM FLOW IS 26.51 gpm THE OUTSIDE HOSE FLOW AT REFERENCE POINT N0. 1 IS 0.00 gpm [ ] THE INSIDE HOSE [ ] RACK SPKLR'S. [ ] YARD HYDT. FLOW IS 5.00 gpm THE FOLLOWING PRESSURES & FLOWS OCCUR ---> AT REF. PT. 1 <--- STATIC PRESSURE 70.00 psi RESIDUAL PRESSURE 65.00 psi AT 100.00 gpm TOTAL SYSTEM FLOW 31.51 gpm AVAILABLE PRESSURE 69.41 psi AT 31.51 gpm OPERATING PRESSURE 32.73 psi AT 31.51 gpm PRESSURE REMAINING 36.68 psi ❑&100❑&k10H Shasta Fire Protection We Save Lives TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 PAGE 2 A MAX. VELOCITY OF 5.52 ft./sec. OCCURS BETWEEN REF. PT. 16 AND 17 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. FITTING Equivalent,Length per NFPA 13 1994, 6-4.3 '-' Indicates Equivalent Length. 'T' Indicates Threaded Fitting 1=45 --------------------------------------------------------------------------------------------- Elbow, 2=90 Elbow, 3='T'/Cross, 4=Butterfly Valve, S=Gate Valve, 6=Swing Check Valve --------------------------------------------------------------------------------------------- FROM TO FLOW PIPE FITS EQV. H -W PIPE DIA. FRIC. ELEV. FROM TO DIFF (gpm) (ft) (ft) C TYPE (in) (psi) (psi) (psi) (psi) (psi) 1 2 31.51 30.00 -9 9.00 120 9 1.602 0.038 0.000 32.73 31.24 1.49 2 3 31.51 20.00 -18 18.00 120 9 1.602 0.038 0.000 31.24 29.78 1.46 3 4 31.51 20.00 -17 17.00 120 9 1.602 0.038 0.000 29.78 28.37 1.42 4 5 26.51 10.50 -25 25.00 120 13 1.650 0.024 4.550 28.37 22.96 0.86 5 6 26.51 7.50 0 0.00 120 9 1.602 0.028 0.000 22.96 22.75 0.21 6 7 26.51 13.00 -1 1.00 120 9 1.400 0.054 0.000 22.75 22.00 0.75 7 11 26.51 36.33 -12 12.00 120 9 1.400 0.054 0.000 22.00 19.41 2.59 11 12 26.51 51.50 -10 10.00 120 9 1.400 0.054 0.000 19.41 16.10 3.31 12 13 26.51 5.50 -8 8.00 120 9 1.400 0.054 2.383 16.10 13.00 0.72 13 14 26.51 7.00 -8 8.00 120 9 1.400 0.054 0.000 13.00 12.19 0.80 14 15 26.51 31.33 -11 11.00 120 9 1.400 0.054 0.000 12.19 9.92 2.27 15 16 26.51 5.50 -8 8.00 120 9 1.400 0.054 -2.383 9.92 11.58 0.72 16 17 26.51 48.17 -15 15.00 120 9 1.400 0.054 0.000 11.58 8.19 3.39 17 101 13.51 2.00 -15 15.00 120 9 1.109 0.048 -0.217 8.19 7.60 0.81 17 102 13.00 12.00 -19 19.00 120 9 1.109 0.045 -0.217 8.19 7.04 1.37 6 8 0.00 29.67 -9 9.00 120 9 1.400 0.000 0.000 22.75 22.75 0.00 8 9 0.00 10.50 -14 14.00 120 9 1.400 0.000 0.000 22.75 22.75 0.00 9 10 0.00 10.00 -6 6.00 120 9 1.400 0.000 4.333 22.75 18.42 -0.00 10 20 0.00 14.08 -16 16.00 120 9 1.400 0.000 0.000 18.42 18.42 0.00 20 21 0.00 18.83 -10 10.00 120 9 1.400 0.000 0.000 18.42 18.42 0.00 21 22 0.00 8.00 -1 1.00 120 9 1.109 0.000 0.000 18.42 18.42 0.00 21 201 0.00 1.17 -14 14.00 120 9 1.109 0.000 -0.217 18.42 18.64 0.00 22 202 0.00 1.17 -14 14.00 120 9 1.109 0.000 -0.217 18.42 18.64 0.00 A MAX. VELOCITY OF 5.52 ft./sec. OCCURS BETWEEN REF. PT. 16 AND 17 Sprinkler-CALC Release 7.2 Win By Walsh Engineering Inc. North Kingstown R.I. U.S.A. Shasta Fire Protection We Save Lives 3584 La Campana Way, Palm Springs, Ca H Y D R A U L I C C A L C U L A T I O N S C O V E R S H E E T TOWNSEND RESIDENCE LOT #301 11-021 6-9-11 STATIC PRESSURE (psi) RESIDUAL PRESSURE (psi) RESIDUAL FLOW (gpm) W A T E R S U P P L Y 70 65 100 B O O S T E R P U M P S 0 NUMBER OF BOOSTER PUMPS 0 MINIMUM FLOW PER SPRINKLER S P R I N K L E R S (gpm) 13 MINIMUM PRESSURE PER SPRINKLER (psi) 7.04 THIS SYSTEM OPERATES AT A FLOW OF 26.51 gpm AT A PRESSURE OF 28.37 psi AT THE BASE OF THE RISER (REF. PT. 4) PIPES USED FOR THIS SYSTEM -------------------------------------- -------------------------------------- 009 BLAZEMASTER CPVC 013 DYNA-THREAD-40 0&1000&k12H f A BlazeMaster° FIRE SPRINKLER SYSTEMS LISTED AND APPROVED FOR MORE TYPES OF APPLICATIONS THAN ANY OTHER NON-METALLIC SYSTEM • Sprinkle- Contractors • General Cortractors • Builders & Developers • Architects & Engineers 3 • Authorities Having Jurisdiction Lubrizol _&I III JI I' -1 I` u,.—� •� " I X91 d - I � hl � IF uJ ' I ,IAF I' SII II Is�II u I k s Itl m 1" ' e 3� ,I (III" LI 11.=al IF° II_ .� A I u,I JI — T yam, e , u . � z iJ - - r II r II III c II I� j -� I, •� R � I - Al 14 �i SPI i IIII CJI IIi - _ JI Sill R "Ilit.I F - r' L �I - I II_ a II IIII _ �1 "• a e- - [ I��11 �III�IIII -- I 4111 - -ISI - II u —fluII II Jul II III II 1 I I — L III larIN - I�I�' II - - – —!L I I I I II I I JI �kl I I - � AV I ISI Jr II — �. ��I a 71 _ �I!I loll tug JAI :11 x II IIc. L„ �I - . Ar, I _ -I -i hen dealing w;th fire protection, you neec a piping system you can depend on. BlazeMaster® CPVC pipe and fittings are designed specifically for fire sprinkler systems and are based on more than 50 years of proven experience. Lubrizol, the worldwide leader in CPVC innovation, takes fire sprinkler systems to a level of superior performance that exceeds your expc-ctations. BlazeMaster fire sprinkler systems are the most advanced, Listed and approved non-metallic piping system available on the market today. And there's no comparison between CPVC pipe and metal pipe. CPVC systems offer more advantages than metal systems making all other pipes obsolete. Check the facts: Certified by NSF International for potable water safety under all water conditions Elimination of scaling and corrosion for lasting performance, even in salt air environments Natural immunity to Microbiologically Influenced Corrosion (MIC) Superior flow characteristics offer better hydraulic design over metal systems Ease of fabrication in the field provides unmatched flexibility • Minimal tool investment generates increased cost savings • 50 -year life expectancy • CPVC formulation delivers exceptional toughness • Quality Assurance Program guarantees consistency and reliability e� cI f � R Vii.= f BlazeMaster fire sprinkler systems are backed by an extensive field support organization, which is available for expert technical assistance and can provide you with: Proven installation recommendations to maximize efficiency and cost savings Expert consultation regarding compliance with local, regional and national codes Assistance with architects and engineers on design and specification work There are numerous advantages to using the BlazeMaster fire sprinkler technology to address your specific needs, including: Sprinkler Contractors • Improved durability: BlazeMaster CPVC pipe and fitting compounds have been specially formulated using Lubrizol technology for improved durability. It provides many advantages during installation, even at cold temperatures. • Cost savings: Overhead on tools is minimal since pipe can be cut on-site with simple hand tools. A one-step joining system makes installations even quicker, keeping labor to a minimum. General Contractors • Less conflict with other trades: Contractors installing BlazeMaster systems work easily and quickly around dry -wailers, framers and other mechanical contractors. • Lightweight: No special rigging or equipment is needed to move BlazeMaster pipe within the building. {; Builders and Developers Low cost: Installed costs of a BlazeMaster system are significantly lower and prices are more stable than Optimal sized system: Smooth internal diameters lead to better hydraulic performance than metal systems, which often means pipe can be downsized, lowering material costs. -14 J I- Api �r ■ t. Listings and Approvals • UL 1821 Listed • Exposed system risers NFPA 130,13R • Exposed basemel NEPA 13D (solic wood joist • Extended coverage (exposed) - 20' spacing on pendent in lieu of 15' • Use with all Tyca and Viking combustible concealed sprinklers • Tyco attic sprinkler head with wet system piping (feed main and ridge installation) • Exposed extended coverage sidewall sprinider Listings for exposed pipe & fittings - 24' extended coverage sidewall sprinkler, 17' drop,155*F sprinkler head 18' extended coverage sidewall sprinkler, 12' drop, 1651 sprinkler head -16' extended coverage sidewall sprinkler, le" drop, 175°F sprinkler head -14' standard coverage sidewall sprinkler, 17' drop, 200*F sprinkler head • Permitted for use with return air plenum; with no set -back at ceiling openings per NFPA 90A • ULC or CUL Listec • Factory Mutual Approved • Factory Mutual Approval exposed • Factory Mutual Approval above drop-in ceilings • Factory Mutual Approval exposed w/ Saff Steel' ** soffiting covering system • VdS Approval • TFRI Approval • LPCB Approval • NSF Certification Other Differentiation • Size available up to 3" • Approved commercial product fir over 25 years • Backed by over 50 years of CPUC resin and compound manufacturing experience • CPVC resin & compound from ISO 9031 manufacturing facilities • System chemical compatibility program (aiciilary products) backed by incependent third party tes6rgNerification • Formal installation training program vdiich has more than 25,000 graduates • Leader in neve Listing and Approval developments • Dedicated CFVC system field consultants • CPVC pipe ccmpound pressure rated by Plastics Poe Institute • CPVC fitting compound pressure rated by Plastics Pipe Institute • Pipe compound cell class, 23517, exceeds the minimum allowable ASTM requir;ments for CPVC tensile st ength • Fitting compound cell class, 24447, eroeeds the minimum allowable ASTM requirements for CPVC impact stre igth Refer to manufacturer's installation instructions for product Listings and limitations prior tc use. ** Soffi-Steel " is a registered trademark of We Engieeenng Architects and Engineers • Fully tested: BlazeMaster fire sprinkler systems have been thoroughly tested by UL, FM*, UL -C, LPCB, VdS (Germany) and TFRI (China). These systems have been exposed to flames reaching above 1400°F during fire tests and have been tested at twice the operating pressure continuously for more than one year without signs of weakening or failure. • Design freedom: Lightweight and easy fabricatio means BlazeMaster CPVC pipe and fittings are ideal for those tough -to -get -at areas and in retrofit applications where their flexibility allows for quick, quiet and clean installations, which lead to occupancy benefits. dhorities Having Jurisdiction Fully Listed and approved: BlazeMaster pipe and fittings are Listed by UL and UL -C for NFPA 13 light hazard occupancies and residential occupancies in NFPA 13R and 13D. They are also approved by VdS, Tianjin Fire Research Institute (China), and Factory Mutual*. All model building and mechanical codes permit the use of BlazeMaster fire sprinkler systems. Proven performance: BlazeMaster CPVC fire sprinkler systems have a proven track record of reliable performance since its introduction in 1984. Lubrizol's duality Assurance Program, unsurpassed in the industry, ensures that this reliability will be maintained for many years to come. ►pproved for more applications lan any other non-metallic pipe'° i put it simply - BlazeMaster CPVC pipe and fittings are the andard in fire sprinkler system protection. For further information ■ t. Listings and Approvals • UL 1821 Listed • Exposed system risers NFPA 130,13R • Exposed basemel NEPA 13D (solic wood joist • Extended coverage (exposed) - 20' spacing on pendent in lieu of 15' • Use with all Tyca and Viking combustible concealed sprinklers • Tyco attic sprinkler head with wet system piping (feed main and ridge installation) • Exposed extended coverage sidewall sprinider Listings for exposed pipe & fittings - 24' extended coverage sidewall sprinkler, 17' drop,155*F sprinkler head 18' extended coverage sidewall sprinkler, 12' drop, 1651 sprinkler head -16' extended coverage sidewall sprinkler, le" drop, 175°F sprinkler head -14' standard coverage sidewall sprinkler, 17' drop, 200*F sprinkler head • Permitted for use with return air plenum; with no set -back at ceiling openings per NFPA 90A • ULC or CUL Listec • Factory Mutual Approved • Factory Mutual Approval exposed • Factory Mutual Approval above drop-in ceilings • Factory Mutual Approval exposed w/ Saff Steel' ** soffiting covering system • VdS Approval • TFRI Approval • LPCB Approval • NSF Certification Other Differentiation • Size available up to 3" • Approved commercial product fir over 25 years • Backed by over 50 years of CPUC resin and compound manufacturing experience • CPVC resin & compound from ISO 9031 manufacturing facilities • System chemical compatibility program (aiciilary products) backed by incependent third party tes6rgNerification • Formal installation training program vdiich has more than 25,000 graduates • Leader in neve Listing and Approval developments • Dedicated CFVC system field consultants • CPVC pipe ccmpound pressure rated by Plastics Poe Institute • CPVC fitting compound pressure rated by Plastics Pipe Institute • Pipe compound cell class, 23517, exceeds the minimum allowable ASTM requir;ments for CPVC tensile st ength • Fitting compound cell class, 24447, eroeeds the minimum allowable ASTM requirements for CPVC impact stre igth Refer to manufacturer's installation instructions for product Listings and limitations prior tc use. ** Soffi-Steel " is a registered trademark of We Engieeenng Irl r ' , M1 r r - , 76 - r -N- w ., n Irl r ' , M1 - I J r r - 76 - r -N- w ., n - I J Lubrizol ow Lubrizol Advanced Materials, Inc. BlazeMaster® Marketing Department 9911 Brecksville Road Cleveland, OH 44141-3201 USA 216-447-5000 888-234-2436 Fax: 216-447-5313 Chaussee de Wavre, 1945 1160 Brussels Belgium 32-2-678-19-11 Fax: 32-2.678-19-90 1107-1110 Shui On Centre 68 Harbour Road Wan Chai, Hong Kong 852-2508-1021 Fax: 852-2512-2241 BlazeMaster 1 QUAffly ASSURARCE PROGRAM BlazeMaster® pipe and fittings are produced to stringent quality standards, established by Lubrizol, that exceed ASTM and other industry standards. Lubrizol has partnered with eight high quality manufacturers of pipe and fittings to bring the BlazeMaster system to market. Each manufacturer of the pipe participates in a Quality Assurance Program that ensures that these high standards are maintained for your peace of mind. This program is unique to Lubrizol and includes testing on strength and ductility and other physical properties of the pipe as well as dimensional tolerances. Lubrizol remains the technology leader and primary source of CPVC materials worldwide. While we do not manufacture pipe and fittings, we maintain a close and active relationship with the pipe and fittings manufacturers. Ask for the details of the warranty program from these BlazeMaster manufacturers. For a complete listing of regional sales representatives and manufacturers, please visit our website at www.blazemaster.com. From plumbing to siding to fire sprinkler systems and more... All the pieces have now come together to solve many of today's toughest building and industrial challenges. To contact a sales consultant, call 888.234.2436 ext. 447.7393 or visit our website at www.fbcbuildingsolutions.com. BM002 ® is a registered trademark of The Lubrizol Corporation. TM is a trademark of The Lubrizol Corporation. The information contained herein is believed to be reliable, but no representations, guarantees or warranties of any kind are made as to its accuracy, suitability for particular applications or the results to be obtained therefrom. The information is based on laboratory work with small-scale equipment and does not necessarily indicate end product performance. Because of the variations in methods, conditions and equipment used commercially in processing these materials, no warranties or guarantees are made as to the suitability of the products for the applications disclosed. Full-scale testing and end product performance are in USA FBC Building Solutions FlowGuard Gold®Pipe & Fittings ZwGuard` MultiPort CPVC Manifold, wGuard° MultiPort Commercial System FlowGuard° Bendable Piping FlowGuard' Flex Tubing BlazeMaster® Fire Sprinkler Systems BlazeMaster° Multipurpose System V The Lubrizol Corporation 2010, all rights reserved. the responsibility of the user. Lubrizol Advanced Materials, Inc. shall not be liable for and the customer assumes all risk and liability of any use or handling of any material beyond Lubrizol Advanced Materials, Inc: s direct control. THE SELLER MAKES NO WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Nothing contained herein is to be considered as permission, recommendation, nor as an inducement to practice any patented invention without permission of the patent owner. 02/10 March 19, 2010 Sprinkler 41a MICROFAST@ AND MicrofastHP® QUICK RESPONSE PENDENT SPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com 1. DESCRIPTION Viking Microfast® and MicrofastHP® Quick Response Pendent Sprinklers are small, thermosensitive, glass -bulb spray sprinklers available in several different finishes and temperature ratings and K -Factors to meetdesign requirements. The special Polyester and Teflon® coatings can be used in decorative applications where colors are desired. In addition, these coatings have been investigated for installation in corrosive at- mospheres and are cULus listed as corrosion resistant as indicated in the Approval Chart. (Note: FM Global has no approval classification for Teflon® and Polyester coat- ings as corrosion resistant.) 2. LISTINGS AND APPROVALS cULus Listed: Category VNIV FM Approved: Class 2020 NYC Approved: Calendar Number 219-76 SA and MEA 89-92-E, Volume 16 ABS Certified: Certificate 04-HS407984C-PDA VdS Approved: Certificate G4040095, G4040097, G4060056, G4060057, G4880045, G4930038, and G4980021 LPC Approved: Ref. No. 096e/03 and 096e/04 CE Certified: Standard EN 12259-1, EC -certificate of conformity 0832 -CPD -2001, 0832 -CPD -2003, 0786 -CPD -40130, and 0786 -CPD -40170 MED Certified: Standard EN 12259-1, EC -certificate of conformity 0832 -MED -1003 and 0832 -MED -1008 NOTE: Other International approval certificates are available upon request. Refer to the Approval Chart on page 41d and Design Criteria on page 41e for cULus and FM approval requirements that must be followed. 3. TECHNICAL DATA Specifications: Available since 1987. Minimum Operating Pressure: 7 psi (0.5 bar)* Maximum Working Pressure: Sprinklers 12282 and 12290 are rated for Viking Technical Data may be found on use with water working pressures ranging from the minimum 7 psi The Viking Corporation's Web site at (0.5 bar) up to 250 psi (17 bar) for high-pressure systems. High-pres- http:/twww.vikinggroupinc.com. sure (HP) sprinklers can be identified by locating "250" stamped on The Web site may include a more recent the deflector. All other Part Nos. not mentioned above are rated to a edition of this Technical Data Page. maximum 175 psi (12 bar) wwp. Factory tested hydrostatically to 500 psi (34.5 bar) Testing: U.S.A. Patent No. 4,831,870 Thread size: Refer to the Approval Chart Nominal K -Factor: Refer to the Approval Chart Glass -bulb fluid temperature rated to -65 °F (-55 °C) Overall Length: Refer to the Approval Chart *cULus Listing, FM Approval, and NFPA 13 installs require a minimum of 7 psi (0.5 bar). The minimum operating pressure for LPCB and CE Approvals ONLY is 5 psi (0.35 bar). Material Standards: Frame Casting: Brass UNS-C84400 or QM Brass for Sprinklers 06662B and 12282. Brass UNS-C84400 for all other sprinklers. Deflector: Phosphor Bronze UNS-C51000 or Copper UNS-C19500 for Sprinklers 06662B, 06666B, 06765B, and 12104. Copper UNS-C19500 for Sprinkler 12282. Brass UNS-C26000 for all other Sprinklers. Bushing (for Sprinklers 06718B, 06720B, and 12290): Brass UNS-C36000 Bulb: Glass, nominal 3 mm diameter Belleville Spring Sealing Assembly: Nickel Alloy, coated on both sides with Teflon Tape Screw: Brass UNS-C36000 Pip Cap and Insert Assembly: Copper UNS-C11000 and Stainless Steel UNS-S30400 Pip Cap Attachment: Brass UNS-C36000 Form No. F081296 Replaces page 41 a -f, dated March 14, 2008. (Updated min. operating pressure for LPCB and CE Approval. Added new protective sprinkler cap remover/escutcheon installation tool. Added alternate frame material for Sprinklers 06662B and 12282. Removed VdS Approval from Sprinkler 06765B. Updated photo.) Sprinkler 41 b March 19, 2010 MICROFASTO AND MicrofastHP® QUICK RESPONSE PENDENT SPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Ejector Spring (for Sprinkler 12104): Stainless Steel For Teflon® Coated Sprinklers: Belleville Spring -Exposed, Screw -Nickel Plated, Pip Cap -Teflon® Coated For Polyester Coated Sprinklers: Belleville Spring -Exposed Ordering Information: (Also refer to the current Viking price list.) Order Microfast® and MicrofastHP® Quick Response Pendent Sprinklers by first adding the appropriate suffix for the sprinkler fin- ish and then the appropriate suffix for the temperature rating to the sprinkler base part number. Finish Suffix: Brass = A, Chrome-Enloy® = F, White Polyester = M -/W, Black Polyester = M -/B, and Black Teflon® = N Temperature Suffix (°F/°C): 135°/57° = A, 155°/68° = B, 175°/79° = D, 200°/93° = E, and 286°/141 ° = G For example, sprinkler VK302 with a 1/2" thread, Brass finish and a 155 °F/68 °C temperature rating = Part No. 06662BAB Available Finishes And Temperature Ratings: Refer to Table 1 Accessories: (Also refer to the "Sprinkler Accessories" section of the Viking data book.) Sprinkler Wrenches: A. Standard Wrench: Part No. 10896W/B (available since 2000). B. Wrench for Coated and/or Recessed Sprinklers: Part No. 12144W/B' (available since 2003) C. Optional Protective Sprinkler Cap Remover/Escutcheon Installer Tool— Part No. 15915 (available since 2010.) NOTE: RECESSED PENDENT SPRINKLERS WITH PROTECTIVE CAPS MUST USE WRENCH 12144W/B. 'A %" ratchet is required (not available from Viking). "Allows use from the floor by attaching a length of 1" diameter CPVC tubing to the tool. Ideal for sprinkler cabinets. Refer to Bulletin F_051808. Sprinkler Cabinets: A. Six -head capacity: Part No. 01724A (available since 1971) B. Twelve -head capacity: Part No. 01725A (available since 1971) 4. INSTALLATION Refer to appropriate NFPA Installation Standards. 5. OPERATION During fire conditions, the heat -sensitive liquid in the glass bulb expands, causing the glass to shatter, releasing the pip cap and sealing spring assembly. Water flowing through the sprinkler orifice strikes the sprinkler deflector, forming a uniform spray pattern to extinguish or control the fire. 6. INSPECTIONS, TESTS AND MAINTENANCE Refer to NFPA 25 for Inspection, Testing and Maintenance requirements. 7. AVAILABILITY The Viking Microfasr and MicrofastHP® Quick Response Pendent Sprinklers are available through a network of domestic and international distributors. See The Viking Corporation web site for the closest distributor or contact The Viking Corporation. 8. GUARANTEE For details of warranty, refer to Viking's current list price schedule or contact Viking directly. Wrench Flats Protective Sprinkler Cap 10896 Q Figure 1: Standard Sprinkler Wrench 10896W/13 March 19, 2010 Sprinkler 41 c MICROFAST@ AND TECHNICAL DATA MicrofastHP® QUICK RESPONSE PENDENT SPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com TABLE 1: RATINGS AND FINISHES AVAILABLE SPRINKLER TEMPERATURE Sprinkler Temperature Sprinkler Nominal Maximum Ambient Bulb Color. Classification Temperature Rating' Ceiling Temperaturez Ordinary 135 °F (57 °C) 100 °F (38 °C) Orange Ordinary 155 °F (68 °C) 100 °F (38 °C) Red Intermediate 175 °F (79 °C) 150 °F (65 °C) Yellow Intermediate 200 °F (93 °C) 150 °F (65 °C) Green High 286 °F (141 °C) 225 °F (107 °C) Blue Sprinkler Finishes: Brass, Chrome-Enloy®, White Polyester, Black Polyester, and Black Teflon® Corrosion -Resistant Coatings': White Polyester, Black Polyester, and Black Teflon® Footnotes ' The sprinkler temperature rating is stamped on the deflector. 2 Based on NFPA-13. Other limits may apply, depending on fire loading, sprinkler location, and other requirements of the Authority Having Jurisdiction. Refer to specific installation standards. 3 The corrosion -resistant coatings have passed the standard corrosion test required by the approving agencies indicated on pages 41d. These tests cannot and do not represent all possible corrosive environments. Prior to installation, verify through the end-user that the coatings are compatible with or suitable for the proposed environment. For automatic sprinklers, the coatings indicated are applied to the exposed exterior surfaces only. Note that the spring is exposed on sprinklers with Polyester and Teflon® coatings. — Sprinkler Wrench 12144W/Bx)K for installing coated and/or recessed pendent sprinklers with protective caps. )KA 1/2' ratchet is required (not available from Viking). Carefully slide the wrench sideways around the protective cap, ensuring engage- ment with the sprinkler wrench flats. Sprinkler 41 d March 19, 2010 MICROFASTO AND MicrofastHP11 QUICK RESPONSE PENDENT SPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Approval Chart Temperature KEY Microfasr and MicrofastHP®Quick Response Pendent Sprinklers � Finish p p AIX 4— Escutcheon (if applipbI Maximum 175 PSI (12 bar) WWP Sprinkler Thread Size Nominal Overall Listings and Approvals' Base SIN K -Factor Length (Refer also to Design Criteria on page 41e.) Part No' NPT BSP U.S. metric Inches mm cULus4 FMS NYC- VdS LPCB E Standard Orifice 066626 I VK302 1/2" 15 mm 5.6 80.6 2-1/4" 58 1 A1X, B1Y I A3X, 133Y A1X, B1Y A3 A3X, 63Y C3X, E3Y73 C3X, E3Y15 Large Orifice 06666B VK352 3/4" 20 mm 8.0 115.2 2-3/8" 60 A1X, B1Y A2X, B2Y A1X, B1Y — A3X C313 — 12104 VK352 3/4" 20 mm 8.0 115.2 2-1/4" 58 1 — — — G3 — — — 06765B VK352 1/2" 15 mm 8.0 115.2 2-3/8" 60 1 A1X, B1Y — A% B1Y — — — — Small Orificee 06718B10 VK329 1/2" 15 mm 2.8 40.3 2-3/16" 56 A% B1Y A2X AIIX, B1Y — — — — 06720B10 VK331 1/2" 15 mm 4.2 60.0 2-1/4" 58 A% B1Y — A% B1Y — — — — 06932B VK331 — 10 mm 4.2 60.0 2-3/8" 60 1 — A3 — G214 — Maximum 250 PSI (17 bar) WWP Standard Orifice Sprinkler Thread Size Nominal Overall Listings and Approvals3 Base SIN K -Factor Length (Refer also to Design Criteria on page 41e.) Part No' NPT BSP U.S. metric2 Inches mm cULus4 FM NYC" VdS LPCB E 12282 VK317 1/2" 15 mm 5.6 80.6 2-1/4" 58 A% B1Y — A1X — — — — Maximum 250 PSI (17 bar) WWP Small Orifice9 1229010 1 VK342 1/2" 1 15 mm 2.8 40.3 2-3/16" 56 1 A% B1Y — A1X — — — — Approved Temperature Ratings Approved Escutcheons A- 135 °F (57 °C), 155 °F (68 °C), 175 °F (79 °C), 200 °F (93 °C), Approved Finishes X - Standard surface -mounted escutcheon or and 286 °F (141 °C) 1 - Brass, Chrome-Enloy®, White Poly- the Viking Microfasr Model F-1 Adjustable B -135 °F (57 °C),155 °F (68 °C), 175 °F (79 °C), and 200 °F (93 °C) ester'•s, Black Polyester's, and Black C - 155 °F (68 "C), 175 °F (79 °C), 200 °F (93 °C), and 286 °F Escutcheon (141 °C) Teflon' Y - Standard surface -mounted escutcheon or D - 135 °F (57 °C), 155 °F (68 "C), 175 °F (79 °C), and 286 °F 2 - Brass and Chrome-Enloye the Viking Microfast® Model F-1 Adjustable (141 °C) 3 -Brass, Chrome-Enloy®, White Polyesters, Escutcheon12 or recessed with the Viking E - 155 °F (68 °C), 175 °F (79 °C), and 200 °F (93 °C) and Black Polyesters Micromatic® Model E-1 or E-2 Recessed F - 155 °F (68 °C), 175 °F (79 °C), and 286 °F (141 °C) Escutcheon G - 155 °F (68 °C) Footnotes 1 Base part number is shown. For complete part number, refer to Viking's current price schedule. 2 Metric K -factor measurement shown is when pressure is measured in Bar. When pressure is measured in kPa, divide the metric K -factor shown by 10.0. 3 This table shows the listings and approvals available at the time of printing. Check with the manufacturer for any additional approvals. 4 Listed by Underwriters Laboratories Inc. for use in the U.S. and Canada. 5 FM Approved for use only in wet -pipe sprinkler systems (or preaction systems qualifying as wet systems) for protection of occupancies described in the Factory Mutual Engineering and Research Loss Prevention Data Sheets and Technical Advisory Bulletins. s Accepted for use, City of New York Board of Standards and Appeals, Calendar Number 219 -76 -SA. 7 cULus Listed as corrosion resistant. e Other colors are available on request with the same Listings and Approvals as the standard colors. 9 Listings and Approvals limited to Light Hazard Occupancies where allowed by the installation standards being applied, with hydraulically calculated wet systems only. Exception: 4.2K sprinklers may be installed on hydraulically calculated dry pipe systems where piping is corrosion resistant or internally galvanized. 10-rhesprinkler orifice is bushed. "Accepted for use, City of New York Department of Buildings, MEA Number 89-92-E, Vol. 16. 12The Viking Microfast® Model F-1 Adjustable Escutcheon is considered a surface -mounted escutcheon because it does not allow the fusible element of the sprinkler to be recessed behind the face of the wall or ceiling. 13 CE Certified, Standard EN 12259-1, EC -certificate of conformity 0832 -CPD -2001 and 0832 -CPD -2003. 14 C.E Certified, Standard EN 12259-1, EC -certificate of conformity 0786 -CPD -40130 and 0786 -CPD -40170. 15:Op MED Certified, Standard EN 12259-1, EC -certificate of conformity 0832 -MED -1003 and 0832 -MED -1008. March 19, 2010 Sprinkler 41e MICROFAST" AND MicrofastHP®QUICK RESIMOWPONSE PENDENT NIKJM*SPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com DESIGN CRITERIA (Also refer to the Approval Chart on page 41d) cULus Listina Reauirements: Microfase and MicrofastHP® Quick Response Pendent Sprinklers are cULus Listed as indicated in the Approval Chart for installation in accordance with the latest edition of NFPA 13 for standard spray sprinklers. • Designed for use in Light and Ordinary Hazard occupancies (exception: small orifice sprinklers are limited to Light Hazard where allowed by the installation standards being applied, with hydraulically calculated wet systems only). • The sprinkler installation rules contained in NFPA 13 for standard spray pendent sprinklers must be followed. FM Approval Requirements: For installation in accordance with the latest applicable FM Loss Prevention Data Sheets (including 2-8N) and Technical Advisory Bulletins. FM Global Loss Prevention Data Sheets and Technical Advisory Bulletins contain guidelines relating to, but not limited to: minimum water supply requirements, hydraulic design, ceiling slope and obstructions, minimum and maximum allowable spacing, and deflector distance below the ceiling. NOTE: The FM installation guidelines may differ from cULus and/or NFPA criteria. IMPORTANT. Always refer to Bulletin Form No. F_091699 - Care and Handling of Sprinklers. Also refer to page QR1-3 for general care, installation, and maintenance information. Viking sprinklers are to be installed in ac- cordance with the latest edition of Viking technical data, the appropriate standards of NFPA, FM Global, LPCB, APSAD, VdS or other similar organizations, and also with the provisions of governmental codes, ordinances, and standards, whenever applicable. 1/2' (15 mm) �� NPT I��Ih\ 2-1/4' 1-5/8' (58 mm) (4 Pendent Sprinkler 06662B (VK302) Ceiling Opening Size: 2-5/16' (58.7 mm) minimum 2-1/2' (63.5 mm) Maximum 1-3/4' (44.5 mm) i Installed with a standard 1/8' surface - mounted escutcheon. 2-1/8' (54 mm) MOIL\ 2' 1-1/2' (38,1 mm) (50.8 mm) Minimum Maximum Installed with a Microfost Model F-1 Adjustable Escutcheon Figure 3: Sprinkler VK302 Dimensions with a Standard Escutcheon and the Model F-1 Adjustable Escutcheon Sprinkler 41f March 19, 2010 MICROFASTOAND MicrofastHP° QUICK RESPONSE PENDENT NIKJW*iSPRINKLERS The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Installed with a MicroMatic Model E -I Recessed Escutcheon Installed with a thread on Model E-2 Recessed Escutcheon Figure 4: Sprinkler VK302 Dimensions with the Model E-1 and E-2 Recessed Escutcheons Form No. F_081296 Replaces page 41a -f, dated March 14, 2008. (Updated min. operating pressure for LPCB and CE Approval. Added new protective sprinkler cap remover/escutcheon installation tool. Added alternate frame material for Sprinklers 06662B and 12282. Removed VdS Approval from Sprinkler 067656. Updated photo.) August 13, 2009 Sprinkler 147u FREEDOM® RESIDENTIAL A A CONCEALED PENDENT SPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com DESCRIPTION Viking Freedom® Residential Concealed Pendent Sprinkler VK457 is a small high - sensitivity solder link and lever residential sprinkler designed for installation on con- cealed pipe systems where the appearance of a smooth ceiling is desired. The orifice design, with a K -Factor of 4.9 (70.6 metric'), allows the sprinkler's efficient use of available water supplies for the hydraulically designed fire -protection system. The fast response operating element and special deflector combine speed of operation and areas of coverage to meet residential sprinkler standards. The sprinkler is pre -assembled with a threaded adapter for installation with a low - profile small -diameter cover assembly installed flush to the ceiling. The two-piece design allows installation and testing of the sprinkler prior to installation of the cover plate. The "push -on", "thread -off' design of the concealed cover plate assembly allows easy installation of the cover plate after the system has been tested and the ceiling finish has been applied, while also providing up to 1/2" (12.7 mm) of vertical adjustment. The cover assembly can be removed and reinstalled, allowing temporary removal of ceiling panels without taking the sprinkler system out of service or removing the sprinkler. 2. LISTINGS AND APPROVALS cULus Listed: Category VKKW Refer to the Approval Chart on page 147w and Design Criteria on page 147x for cULus Listing requirements that must be followed. 3. TECHNICAL DATA Specifications: Available since 2008. Viking Technical Data may be found on The Viking Corporations Web site at Minimum Operating Pressure: Refer to the Approval Chart. Maximum Working Pressure: 175 psi (12 bar). Factory tested hydrostatically http://www.vikinggroupinc.com. to 500 psi (34.5 bar). The Web site may include a more recent Thread size: 1/2" (15 mm) NPT edition of this Technical Data Page. Nominal K -Factor: 4.9 U.S. (70.6 metric') 'Metric K -factor measurement shown is when pressure is measured in Bar. When pressure is measured in kPa, divide the metric K -factor shown by 10.0. Material Standards: Sprinkler Body: Brass UNS-CB4400 Deflector: Copper UNS-C51000 Deflector Pins: Stainless Steel UNS-S30200 Button: Brass UNS-C36000 Seat Assembly: Brass UNS-C31600 Compression Screw: Brass UNS-C36000 Fusible Element Assembly: Beryllium Nickel, coated with black acrylic paint Levers: Stainless Steel UNS-S31600 Lever Bar: Copper Alloy UNS-C72500 Belleville Spring Sealing Assembly: Nickel Alloy, coated on both sides with Teflon Tape Cover Adapter: Cold Rolled Steel UNS-G10080, Finish: Clear Chromate over Zinc Plating Shipping Cap: Polyethylene Cover Plate Materials: Cover Plate Assembly: Copper UNS-C11000 and Brass UNS-C26800 Spring: Beryllium Nickel Solder: Eutectic Form No. F_072607 Replaces page 147u -z, issued October 31, 2008. (Revised minimum and maximum dimensions in Figure 2.) =7 ':'^« ?T ` tee:. .tix •b,-- V, 2. LISTINGS AND APPROVALS cULus Listed: Category VKKW Refer to the Approval Chart on page 147w and Design Criteria on page 147x for cULus Listing requirements that must be followed. 3. TECHNICAL DATA Specifications: Available since 2008. Viking Technical Data may be found on The Viking Corporations Web site at Minimum Operating Pressure: Refer to the Approval Chart. Maximum Working Pressure: 175 psi (12 bar). Factory tested hydrostatically http://www.vikinggroupinc.com. to 500 psi (34.5 bar). The Web site may include a more recent Thread size: 1/2" (15 mm) NPT edition of this Technical Data Page. Nominal K -Factor: 4.9 U.S. (70.6 metric') 'Metric K -factor measurement shown is when pressure is measured in Bar. When pressure is measured in kPa, divide the metric K -factor shown by 10.0. Material Standards: Sprinkler Body: Brass UNS-CB4400 Deflector: Copper UNS-C51000 Deflector Pins: Stainless Steel UNS-S30200 Button: Brass UNS-C36000 Seat Assembly: Brass UNS-C31600 Compression Screw: Brass UNS-C36000 Fusible Element Assembly: Beryllium Nickel, coated with black acrylic paint Levers: Stainless Steel UNS-S31600 Lever Bar: Copper Alloy UNS-C72500 Belleville Spring Sealing Assembly: Nickel Alloy, coated on both sides with Teflon Tape Cover Adapter: Cold Rolled Steel UNS-G10080, Finish: Clear Chromate over Zinc Plating Shipping Cap: Polyethylene Cover Plate Materials: Cover Plate Assembly: Copper UNS-C11000 and Brass UNS-C26800 Spring: Beryllium Nickel Solder: Eutectic Form No. F_072607 Replaces page 147u -z, issued October 31, 2008. (Revised minimum and maximum dimensions in Figure 2.) Sprinkler 147v August 13, 2009 FREEDOM® RESIDENTIAL NIKJW*iA A CONCEALED PENDENT SPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Ordering Information: (Also refer to the current Viking price list.) Viking Freedom® Residential Concealed Pendent Sprinkler VK457 and Cover Plate Assembly must be ordered separately: Sprinkler: Part No. 14694AC (includes a 165 *F (74 °C) rated sprinkler with a protective plastic cap covering the unit). Cover Plate Assembly: Base Part No. 13750 (2-3/4" diameter), Base Part No. 14934 (3-5/16" diameter), or Base Part No. 15394 (square cover plate, 3-5/16" diameter) Specify finish and temperature rating of the cover plate assembly by first adding the appropriate suffix for the finish and then the appropriate suffix for the cover temperature rating to the base part number: Finish Suffix: Polished Chrome = F, Brushed Chrome = F -/B, Bright Brass = B, Antique Brass = B -/A, Brushed Brass = B4B, Brushed Copper = E -/B, Painted White = M4SW1004, Painted Ivory = M4SW1634, Painted Black = M4SW1007 Temperature Suffix (*F/°C): 135°/57° =A For example, cover 13750 with a Polished Chrome finish and a 135 *F/57 *C temperature rating = 13750FA. Available Finishes And Temperature Ratings: Refer to Table 1. Accessories: (Also refer to the "Sprinkler Accessories" section of the Viking data book.) Sprinkler Wrenches**: A. Heavy Duty Part No. 13623W/B (available since 2006), or B. Head Cabinet Wrench Part No. 13619*** (available since 2006) C. Optional Concealed Cover Plate Installer Tool Part No. 14412 (available since 2007) D. Optional Large Concealed Cover Plate Installer Tool Part No. 14867 (available since 2007) "Requires a %" ratchet (not available from Viking). *"Also optional for removal of the protective cap. Ideal for sprinkler cabinets. Sprinkler Cabinet: Part No. 01731 A, Capacity: five (5) sprinklers (available since 1971) 4. INSTALLATION Refer to appropriate NFPA Installation Standards. 5. OPERATION During fire conditions, when the temperature around the sprinkler approaches its operating temperature, the cover plate detaches, releasing the deflector. Continued heating of the exposed sprinkler causes the fusible element to disengage releasing the sealing assembly. Water flowing through the sprinkler orifice strikes the deflector, forming a uniform spray pattern over a specific area of coverage determined by the water supply pressure at the sprinkler to extinguish or control the fire. 6. INSPECTIONS, TESTS AND MAINTENANCE Refer to NFPA 25 for Inspection, Testing and Maintenance requirements. 7. AVAILABILITY Viking Sprinkler Model VK457 is available through a network of domestic and international distributors. See The Viking Corporation web site for the closest distributor or contact The Viking Corporation. 8. GUARANTEE For details of warranty, refer to Viking's current list price schedule or contact Viking directly. Sprinkler Sprinkler Nominal MaximuTemperature Rating Cover Plate Large Cover Squareuare Cover Temperature Temperature Ambient Cem of the Cover Base Part Plate Base Plate Base Classification Rating' Temperature Assembly (Required) I Number Part Number Part Number Ordinary 1 165 *F (74 °C) 1 100 *F (38 °C) 1 135 *F (57 °C) I 13750 I 14934 1 15394 Cover Plate Finishes: Polished Chrome, Brushed Chrome, Bright Brass, Antique Brass, Brushed Brass, Brushed Copper, Painted White, Painted Ivory, or Painted Black Footnotes ' The sprinkler temperature rating is stamped on the deflector. 2 Based on NFPA-13, NFPA 13R, and NFPA 13D. Other limits may apply, depending on fire loading, sprinkler location, and other requirements of the Authority Having Jurisdiction. Refer to specific installation standards. 3 Part number shown is the base part number. For complete part number, refer to current Viking price list schedule. August 13, 2009 Sprinkler 147w FREEDOM® RESIDENTIAL CONCEALED PENDENT SPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Approval ChartSprinkler Temperature Rating Residential Concealed Pendent Sprinkler VK457 Cover Plate Tempe ature Rating For systems designed to NFPA 13D or NFPA 13R. AW1-4-Cover Plate Finish KEY For systems designed to NFPA 13, refer to the design criteria on page 147x. Sprinkler Base NPT Thread Size Nominal K -Factor Maximum Water Part Number' SIN Working Pressure Inches mm U.S. metric 14694A VK457 1/2 15 4.9 70.6 175 psi (12 bar) Listings and Approvals' Maximum Areas of Coverage" Minimum Water Supply Requirements' (Refer also to Design Criteria on page 147x.) cULus° NYC NSP Installed below smooth, flat, horizontal ceilings, including ceilings with slopes up to and including 2/12 (9.5°). 12 ft. x 12 ft. (3.7 m x 3.7 m) 13 gpm @ 7.0 psi (49.2 Umin @ 0.48 bar) AX1 see Footnote 5. AX1 14 ft. x 14 ft. (4.3 m x 4.3 m) 13 gpm @ 7.0 psi (49.2 Umin @ 0.48 bar) AX1 See Footnote 5. AX1 16 ft. x 16 ft. (4.9 m x 4.9 m) 13 gpm @ 7.0 psi (49.2 Umin @ 0.48 bar) AX1 See Footnote 5. AX1 18 ft. x 18 ft. (5.5 m x 5.5 m) 17 gpm @ 12.0 psi (64.4 Umin @ 0.83 bar) AX1 see Footnote 5. AX1 20 ft. x 20 ft. (6.1 m x 6.1 m) 20 gpm @ 16.7 psi (75.7 Umin @ 1.15 bar) AX1 See Footnote 5. AX1 Installed below ceilings with slopes' up to and including a 8/12 (33.7°) pitch. Refer to Figure 5 on page 147z. UL NYC NSP 16 ft. x 16 ft. (4.9 m x 4.9 m) 26 gpm @ 28.2 psi (98.4 Umin @ 1.94 bar) AX1 see Footnote 5. AX1 18 ft. x 18 ft. (5.5 m x 5.5 m) 31 gpm @ 40.0 psi (117.3 Umin @ 2.76 bar) AX1 see Footnote 5. AX1 20 ft. x 20 ft. (6.1 m x 6.1 m) 31 gpm @ 40.0 psi (117.3 Umin @ 2.76 bar) AXI See Footnote 5. AX1 Cover Temperature Rating Cover Plate Finishes Sprinkler Temperature Rating X - 135 °F (57 "C) cover 137501, 14934' (large diameter), 1 - Polished Chrome, Brushed Chrome, Bright A - 165 "F (74 °C) or 15394' (square cover plate) Brass, Antique Brass, Brushed Brass, Brushed Copper, Painted White, Painted Ivory, or Painted Blacks Footnotes ' Part number shown is the base part number. For complete part number, refer to current Viking price list schedule. 2 Metric K -factor measurement shown is when pressure is measured in Bar. When pressure is measured in kPa, divide the metric K -factor shown by 10.0. 3 This chart shows the listings and approvals available at the time of printing. Other approvals may be in process. Check with the manufacturer for any additional approvals. Listed by Underwriter's Laboratories for use in the U.S. and Canada. ' Meets New York City requirements, effective July 1, 2008. ' For areas of coverage smaller than shown, use the "Minimum Water Supply Requirement" for the next larger area listed. Flows and pressures listed are per sprinkler. The distance from sprinklers to walls shall not exceed one-half the sprinkler spacing indicated for the minimum Water Supply Requirement" used. 6 Areas under sloped ceilings must be measured along the ceiling slope. Actual floor coverage in the horizontal plane under sloped ceilings will be less than the listed area of coverage. ' Tested and Certified by NSF (National Sanitation Foundation) to NSF/ANSI Standard 61, Drinking Water System Components. 6 Other paint colors are available on request with the same listings as the standard finish colors. Listings and approvals apply for any paint manufacturer. Contact Viking for additional information. Custom colors are indicated on a label inside the cover assembly. Refer to Figure 3. Sprinkler 147x August 13, 2009 FREEDOM® RESIDENTIAL • CONCEALED PENDENT J]MSPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com DESIGN CRITERIA (Also refer to the Approval Chart on page 147w:) cULus Listing Requirements: When using Viking Residential Concealed Pendent sprinkler VK457 for systems designed to NFPA 13D or NFPA 13R, apply the listed areas of cover- age and minimum water supply requirements shown in the Approval Chart on page 147w. For systems designed to NFPA 13: The number of design sprinklers is to be the four contiguous most hydraulically demanding sprinklers. The minimum required discharge from each of the four sprinklers is to be the greater of the following: • The flow rates given in the Approval Chart on data page 147w for NFPA 13D and NFPA 13R applications for each listed area of coverage, Ar • Calculated based on a minimum discharge of 0.1 gpm/sq. ft. over the "design area" in accordance with sections 8.5.2.1 or 8.6.2.1.2 of NFPA 13. • Minimum distance between residential sprinklers: 8 ft. (2.4 m). NOTE: Concealed sprinklers must be installed in neutral or negative pressure plenums only. IMPORTANT. Always refer to Bulletin Form No. F_091699 - Care and Handling of Sprinklers. Also refer to pages RES1-17 for general care, installation, and maintenance information. Viking sprinklers are to be installed in ac- cordance with the latest edition of Viking technical data, the appropriate standards of NFPA and any other similar Authorities Having Jurisdiction, and also with the provisions of governmental codes, ordinances, and standards, whenever applicable. Final approval and acceptance of all residential sprinkler installations must be obtained from the Authorities Having Jurisdiction. Sprinkler and Adapter Assembly (Protective Cap is removed for installation --use Wrench 13619-0 Step 1: Carefully sl wrench sideways a the deflector anc )KA 1/2' ratchet is required (not available from Viking). 2-1/4' (57.2 mm) diameter opening is required in I_ the ceiling. r In— Sprinkler Wrench (Part No. 13623W/Bs)K is shown) lal Step 2: Carefully press the wrench upward and turn slightly to ensure engagement with sprinkler wrench flats. Figure 1: Sprinkler Installation and Correct Use of Wrenches August 13, 2009 Sprinkler 147y FREEDOM® RESIDENTIAL CONCEALED PENDENT SPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com 1/2' Q5 mm) NPT 2-1/8' (54 mm) Note: Upon sprinkler activation, the deflector descends to approximately 13/16' (20.6 mm) below the sprinkler body. 2-1/16' (52 mm) Minimum Figure 2: Sprinkler Dimensions and Cover Installation CUSt4M Q91 cl- 2 Y � o C -)r— O J VIKING Identification of Custom Paint Color: All custom color painted cover plates will have an identifying label affixed to the inside of the cover that indicates custom color and will have a representative sample (a paint dot) of the paint on the label. Figure 3: Identification of Custom Paint Color for Concealed Covers 2-3/4' (70 mm) or 3-5/16' (84.1 mm) 00 NOT PAINT �-3-5/16' (84.1 mm) ►� Figure 4: Square Cover Assembly 15394 Sprinkler 147z August 13, 2009 FREEDOM® RESIDENTIAL CONCEALED PENDENT SPRINKLER VK457 (K4.9) The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com Maximi ceilinc slope = f (33.7° Refer to the Appro Chart for listed areas of coverag Note 1 below. Notes: 1. Listed areas of coverage corre- spond to areas measured along ceiling slope. (For sloped ceiling installations, actual floor cover- age in the horizontal plane under sloped ceilings will be less than the listed area.) 2. Actual installations may require multiple sprinklers. A single sprin- kler installation has been shown for clarity. 3. For "cathedral" ceiling applica- tions, install sprinklers in a sym- metrical mirror-image of Figure 5. Figure 5: Installation Instructions - Sloped Ceilings Form No. F_072607 Replaces page 147u -z, issued October 31, 2008. (Revised minimum and maximum dimensions in Figure 2.) Fig. 24 - Hanger for CPUC Plastic Pipe Double Fastener Strap Type - Side Mount Size Range — 3/4" thru 2" CPVC pipe Material — Pre -Galvanized Steel Function — Intended to perform as a hanger/restrainer to support CPVC piping used in automatic fire sprinkler systems. Can be installed on the top or on the bottom of a beam. The Fig. 24 can also function as a restrainer to prevent the upward movement of the sprinkler head during activation. Approvals — Underwriters' Laboratories Listed in the USA (UL) and Canada (cUL) to support fire sprinkler piping. May be installed in wood using fasteners supplied with product, or into minimum 20 gauge steel using (2) 1/4" x 1 " tek type screws. Meets and exceeds the requirements of NFPA 13, 13R and 13D. Features — Fig. 24 incorporates features which protect the pipe and ease installation. The flared edge design protects the CPVC pipe from any rough surface. Easily attaches to the building structure using the two UL Listed hex head self threading screws* furnished with the product. It is recommended that rechargeable electric drills fitted with a hex socket attachment be used as installation tools. No impact tools (such as a ham- mer) are allowed. Damage has been known to result from installations using impact type tools. No pre -drilling of a pilot hole in wood is required. Finish — Pre -Galvanized Order By — Figure number and pipe size * Hardened hex head self threading screw is furnished with the product and is the minimum fastener size acceptable. �. A' OFFlCE/MANUFACTURING FACIUTY • 1375 SAMPSON AVE. * CORONA, CA 92879 • PH: 951.737.5599 • FAX: 951.737.0330 m CUSTOMER SERVICE • 800.786.5266 www.toko.com Dimensions • Weights CPVC Max. Hanger Fastener Hex Approx. Pipe Size A B C " Spacing (Ft.) Head Size WtJ100 3/4 24/16 14/32 1 V16 51h 5/16 9 1 24/6 15/16 1 -Y16 6 5/16 9 11/4 3 11/2 13/16 61h 5/16 11 11/2 31/4 15/5 1Yi6 7 5/16 12 2 311/16 127/32 13/16 8 5/16 15 OFFlCE/MANUFACTURING FACIUTY • 1375 SAMPSON AVE. * CORONA, CA 92879 • PH: 951.737.5599 • FAX: 951.737.0330 m CUSTOMER SERVICE • 800.786.5266 www.toko.com Fig. 23 - Hanger for CPVC Plastic Pipe Double Fastener Strap Type Size Range — 3/4" thru 3" CPVC pipe Material — Pre -Galvanized Steel Function — Intended to perform as a hanger/restrainer to support CPVC piping used in automatic fire sprinkler systems. Fig. 23 can be installed on the top, bottom or side of a beam. The Fig. 23 also functions as a restrainer to prevent the upward movement of the sprinkler head during activation. Approvals — Underwriters' Laboratories Listed in the USA (UL) and Canada (cUL) sizes 3/4" thru 2" to support fire sprinkler piping. May be installed in wood using fasteners supplied with product, or into minimum 20 gauge steel using (2) 1/4" x 1 " tek type screw. Meets and exceeds the requirements of NFPA 13, 13R and 13D. Features — Fig. 23 incorporates features which protect the pipe and ease installation. The flared edge design protects the CPVC pipe from any rough surface. It also incorporates snap restrain- C ers allowing easier and faster installation. Easily attaches to the building structure using the two UL Listed hex head self thread- ing screws* furnished with the product. It is recommended that rechargeable electric drills fitted with a hex socket attachment be used as installation tools. No impact tools (such as a hammer) are allowed. Damage has been known to result from installations using impact type tools. No pre -drilling of a pilot hole in wood is required. Finish — Pre -Galvanized Order By — Figure number and pipe size * Hardened hex head self threading screw is furnished with the product and is the minimum fastener size acceptable. C &US LISTED OFFlCE/MANUFACTURING FACILITY -1375 SAMPSON AVE. - CORONA, CA 92879 - PH: 951.737.5599 • FAX: 951.737.0330 CUSTOMER SERVICE - 800.786.5266 www.toko.com Dimensions - Weights CPVC Max. Hanger Fastener Hex Approx. Pipe Size A B C Spacing (Ft.) Head Size WtJ100 3/4 31/8 19/16 13/16 51h 5/16 9 1 33/8 111/16 13/16 6 5/16 9 11/4 43/16 2'.12 13/16 61h 5/16 11 11/2 47/16 27/.12 1IV16 7 5/16 12 2 47/s 27/16 1 Y16 8 5/16 15 21/2 109/32 211/16 13/16 Consult Factory 5/16 22 3 117/8 3 13/16 Consult Factory 5/16 25 OFFlCE/MANUFACTURING FACILITY -1375 SAMPSON AVE. - CORONA, CA 92879 - PH: 951.737.5599 • FAX: 951.737.0330 CUSTOMER SERVICE - 800.786.5266 www.toko.com Fig. 22 - Hanger for CPVC Plastic Pipe Single Fastener Strap Type Size Range — 3/4" thru 2" CPVC pipe Material — Pre -Galvanized Steel Function — Intended to perform as a hanger to support CPVC piping used in automatic fire sprinkler systems. The product acts as a hanger when tab is upward and the fastener screw is in the horizontal position. Figure 22 can be installed on the top of a beam, but in this situation acts as a guide to the piping which is supported by the beam itself. It is not intended to sup- port CPVC pipe from under a flat horizontal surface, such as a ceiling. For this type of installation, use the TOLCOO Fig. 23, Double Fastener Strap for CPVC Piping. Fig. 22, when inverted, with the hanger tab downward, can function as a restrainer to prevent the upward movement of the sprinkler head during activation. Approvals — Underwriters' Laboratories Listed in the USA (UL) and Canada (cUL) to support fire sprinkler piping. May be installed in wood using fasteners supplied with product, or into minimum 20 gauge steel using (1) 1/4" x 1" tek type screw. Meets and exceeds the requirements of NFPA 13, 13R and 13D. C @US LUSTED Features — Fig. 22 incorporates features which protect the pipe and ease installation. The flared edge design pro- tects CPVC pipe from any rough surface. It is easily attached to the building structure using the special UL Listed hex head self threading screw* furnished with the product. It is recommended that rechargeable electric drills fit- ted with a hex socket attachment to be used as installation tools. No impact tools (such as a hammer) are allowed. Damage has been known to result from installations using impact type tools. No pre -drilling of a pilot hole in wood is required. Finish — Pre -Galvanized Order By — Figure number and CPVC pipe size. * Hardened hex head self threading screw is furnished with the product and is the minimum fastener size acceptable. Dimensions • Weights CPVC Max. Hanger Fastener Hex Approx. Pipe Size A B C Spacing (Ft.) Head Size Will 00 3/4 27/16 15/16 1 V16 51h 5/16 9 1 211/16 17/16 13/16 6 5/16 9 11/4 31/16 1 % 1 V16 61h 5/16 11 11h 3Y16 13/4 1 V16 7 5/16 12 2 33/4 21/8 13/16 8 5/16 15 OFFICE/MANUFACTURING FACILITY • 1375 SAMPSON AVE. • CORONA, CA 92879 • PH: 951.737.5599 • FAX: 951.737.0330 CUSTOMER SERVICE! 800.786.5266 www.tolco.com 37 LEGACY REPORT cJ ER -4063 Reissued May 1, 2001 ICC Evaluation Service, Inc. Businesslttegional Office' 5360 Worlanan Mill Road, Whittier, California 90601 ■ (562) 6930543 Regional Office ■ 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 5939800 VWI/W.ICC-eS.org RegionalORicem40.51WestRossmoorRoad,CountryClubHills,Illinois60478a(708)799-2305 Legacy report on the 1997 Uniform Building CodeTTM DIVISION: 08—DOORS AND WINDOWS Section: 08620—Unit Skylights SKYVIEW SKYLIGHTS SOLAR INDUSTRIES, INCORPORATED POST OFFICE BOX 27337 TUCSON, ARIZONA 85726-7337 1.0 SUBJECT Skyview Skylights. 2.0 DESCRIPTION 2.1 General: The Skyview Skylights are either plastic -domed or glass - glazed skylights that are curb or deck mounted. 2.1.1 Plastic -Domed Skylights: The domes are formed from acrylic plastic sheets, and are attached by the manufacturer to an aluminum sill frame and aluminum retainer cap with corrosion -resistant screws. The sill frame acts as a code complying curb for deck -mounted units. A 2 -by wood member acts as the curb for curb -mounted units. The skylights are fixed or openable, and have either single or double domes. Tables 1 and 2 list model numbers, dimensions, and allowable loads. Figures 1, 2 and 3 provide curb details. 2.1.2 Glass -Glazed Skylights: The glass -glazed, curb - mount skylights are similar in construction to the plastic - domed skylights exceptforthe glazing material and the shape of the aluminum retainer cap. Table 3 lists model numbers, dimensions, and allowable loads. Figure 4 provides curb details. 2.2 Material: 2.2.1 Plastic Domes: Plastic domes are Type 147K Lucite acrylic plastics. See ICBG ES Evaluation Report ER -1990. The plastic has a CC2 classification. 2.2.2 Glass Glazing: Glazing is insulating glass with a top lite of 3/,, -inch -thick tempered glass and a bottom lite of laminated glass. The laminated glass bottom lite consists of two plies of 0.122 -inch -thick annealed glass with a polyvinyl butyral interplayer. The insulated glass glazing complies with ASTM E 774 and E 773. 2.2.3 Aluminum Frame and Retainer Cap: Extruded aluminum alloy Type 6063 T5 complies with Chapter 20, Division II, of the code and ASTM B 209. 2.2.4 Fasteners: 2.2.4.1 Screws: Electrogalvanized, No. 8,'/Z inch -long, self - drilling, tamper -proof steel screws. 2.2.4.2 Nails: Galvanized 6d common nails. 2.2.5 Flashing: Minimum No. 26 gage corrosion -resistant metal. 2.2.6 Curbs: Wood curbs are minimum 2 -inch -wide, nominal size, Group II species lumber. 2.3 Installation: 2.3.1 Curb -Mount Skylights: Curb -mount skylights are installed on roofs, including those that require no minimum slope. Wood curbs support the skylights at least 4 inches above the roof plane. The wood curb attachment to the roof structure is not recognized in this report and needs to be designed to resist the required wind -uplift and gravity loads. Step flashing extends 6 inches beyond each curb member. The flashing, which extends up the side to the top of the curb, is set in mastic at the roof sheathing, and tack nailed or set in mastic at the curb. The gap between the wood curb and vertical -mounting leg of the aluminum frame is maximum 9/16 inch. A continuous '/Z inch -diameter bead of silicone sealant provides a water-resistant seal between the frame and the flashing. The skylight is fastened to the curb with 6d common nails, which require a minimum nail penetration of 1'/, inches. See Table 4 for required number of fasteners. 2.3.2 Deck -Mount Skylights: Deck -Mount, plastic -domed skylights are self -flashing and are installed on roof decks that require no minimum slope. The skylights are attached with 6d common nails, which require a minimum nail penetration into structural members of 1'/, inches. See Table 4 for required number of fasteners. 2.4 Identification: Each skylight unit label bears the manufacturer's name and address, evaluation report number, plastic thickness before forming, and CC2 plastic classification. Additionally, each skylight has a safety label warning of risk of fall. Glass identification complies with Section 2402 of the code. 3.0 EVIDENCE SUBMITTED Data in accordance with the ICBG ES Acceptance Criteria for Plastic Skylights (AC16), dated April 1997; and ICBG ES Acceptance Criteria for Sloped Glass Glazing in Solariums, Patio Covers and Prefabricated Skylights (AC17), dated April 1991. ICC -ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to �i --- any finding or other matter in this report, or as to any product covered by the report. I Copyright © 2005 JUtfalSp bo15aII Page 2 of 5 ER -4063 4.0 FINDINGS That the Solar Industries, Inc., Skyview Skylights described in this report comply with the 1997 Uniform Building CodeTM, subject to the following conditions: 4.1 Installation complies with Sections 2409.4 and 2603.7 of the code, the manufacturer's instructions, and this report. 4.2 Allowable loads comply with Tables 1, 2 and 3, of this report. This report is subject to re-examination in two years. TABLE 1 -ALLOWABLE LOADS FOR CURB -MOUNTED PLASTIC SKYLIGHTS' ITEM NO. MODEL NO. CURB DIMENSIONS (in. x in.) NOMINAL PLASTIC DOME RISE ALLOWABLE LOADS (psf) THICKNESS PRIOR (in.) Outer Inner rav Gravity ty Uplift p TO FORMING (in.) 1 2028 183/4 x 263/8 14'/4 x 221/4 0.093 5 20 20 2 2040 183/4 x 383/8 14'/4 x 341/4 0.093 5 20 20 3 2042 183/4 x 403/8 14'/4 x 36'/4 0.093 5 20 20 4 2052 183/4 x 503/8 14'/4 x 46'/4 0.093 5 20 20 5 2076 183/4 x 743/8 14'/4 x 701/4 0.118 5 20 20 6 2864 263/8 x 623/8 22'/4 x 58'/4 0.118 5 20 . 20 7 2876 263/8 x 743/8 221/4 x 70'/4 0.118 5 20 20 8 2896 263/8 x 943/8 22'/4 x 90'/4 0.118 5 20 20 9 2840 263/8 x 383/8 22'/4 x 34'/4 0.118 5 35 35 10 2842 263/8 x 403/8 22'/4 x 36/4 0.118 5 35 35 11 2852 263/8 x 503/8 22'/4 x 461/4 0.118 5 35 35 12 3652 343/8 x 503/8 304 x 46'/4 0.118 6 20 20 13 4052 383/8 x 503/8 34'/4 x 46'/4 0.118 7 20 20 14 4252 403/8 x 503/8 36'/4 x 46'/4 0.118 71/4 20 20 15 3676 343/8 x 743/8 30'/4 x 70'/4 0.150 6 20 20 16 4264 403/8 x 623/8 36'/4 x 581/4 0.150 71/4 20 20 17 4364 413/8 x 623/8 37'/4 x 58'/4 0.150 71/2 20 20 18 4276 403/8 x 743/8 36'/4 x 701/4 0.150 71/4 20 20 19 4296 403/8 x 943/8 36'/4 x 90'/4 0.150 71/4 20 20 20 5264 503/8 x 623/8 46'/4 x 58'/4 0.150 91/4 20 20 21 5276 503/8 x 743/8 461/4 x 70'/4 0.150 91/4 20 20 22 5296 503/8 x 943/8 46'/4 x 901/4 0.150 91/4 20 20 23 5298 505/8 x 963/8 46'/2 x 92'/4 0.150 91/4 20 20 24 52100 503/8 x 983/8 46'/4 x 94'/4 0.150 91/4 20 20 25 54102 52'/8 x 1001/8 48 x 96 0.150 93/4 20 20 26 2020 183/8 x 183/8 14'/4 x 141/4 0.093 5 35 35 27 2424 223/8 x 223/8 18'/4 x 18'/4 0.093 5 35 35 28 2828 263/8 x 263/8 22/4 x 22'/4 0.093 5 35 35 29 3636 343/8 x 343/8 301/4 x 30'/4 0.118 6 30 30 30 4040 383/8 x 383/8 304 x 341/4 0.118 6 30 30 31 4242 403/8 x 403/8 36'/4 x 361/4 0.118 71/4 30 30 32 5252 503/8 x 503/8 46'/4 x 461/4 0.118 91/4 30 30 33 6464 623/8 x 623/8 58/4 x 581/4 0.187 12 20 20 34 7676 743/8 x 743/8 70'/4 x 70'/4 0.187 14 20 20 35 9696 943/8 x 943/8 901/4 x 901/4 0.250 18 20 20 36 102102 100'/ x 1001/ 96 x 96 0.250 191/ 20 20 'See Figures 1 and 2 for details of curb -mount and deck -mount skylights, respectively. ZThickness is within a tolerance of 10 percent. `Page 3 of 5 ER -4063 TABLE 2—ALLOWABLE LOADS FOR OPERABLE PLASTIC -DOMED AND GLASS -GLAZED SKYLIGHTS' ITEM NO. MODEL NO. CURB DIMENSIONS (in. x in.) NOMINAL PLASTIC PLASTIC ALLOWABLE LOADS (psf) Gravity Uplift THICKNESS PRIOR DOME RISE Outer Inner rav Gravity ty Uplift P 40 40 TO FORMING (in.) (in.) 1 2028 183/4 x 263/8 14'/4 x 22'/4 0.093 5 20 30 2 2040 183/4 x 383/8 14'/4 x 304 0.093 5 20 30 3 2042 183/4 x 403/8 14'/4 x 361/4 0.093 5 20 30 4 1 2052 183/4 x 503/8 141/4 x 46'/4 0.093 5 20 30 9 2840 263/8 x 383/8 221/4 x 34'/4 0.118 5 35 35 10 2842 263/8 x 403/8 22/4 x 36'/4 0.118 5 35 35 11 2852 263/8 x 503/8 22'/4 x 404 0.118 5 35 35 12 3652 343/8 x 503/8 30'/4 x 461/4 0.118 6 20 30 13 4052 383/8 x 503/8 34'/4 x 461/4 0.118 7 20 30 14 4252 403/8 x 503/8 36'/4 x 461/4 0.118 71/4 20 30 26 2020 183/8 x 183/8 104 x 14'/4 0.093 5 35 35 27 2424 223/8 x 223/8 18'/4 x 18'/4 0.093 5 35 35 28 2828 263/8 x 263/8 22'/4 x 22'/4 0.093 5 35 35 29 3636 343/8 x 343/8 30'/4 x 301/4 0.118 6 30 30 30 4040 383/8 x 383/8 34'/4 x 304 0.118 6 30 30 31 4242 403/8 x 403/8 361/4 x 361/4 0.118 71/4 30 30 32 5252 1 503/8 x 503/ 46'/ x 461/ 0.118 91/ 30 30 'Glass -glazed skylights are curb mounted, and the insulated glass thickness is 1 inch. The insulated glass consists of a tempered top pane and a laminated bottom pane. See Section 2.2 of this report for details. 2fhickness is within a tolerance of 10 percent. TABLE 3—ALLOWABLE LOADS FOR CURB -MOUNT GLASS -GLAZED SKYLIGHTS 1.2 ITEM NO. MODEL NO. CURB DIMENSIONS (in. x in.) ALLOWABLE LOADS (psf) Outer Inner Gravity Uplift 1 2028 183/4 x 263/8 14'/4 x 22'/4 40 40 2 2040 183/4 x 383/8 14'/4 x 341/4 40 40 3 2042 183/4 x 403/8 14'/4 x 304 40 40 4 2052 183/4 x 503/8 14'/4 x 404 40 40 5 2076 183/4 x 743/8 14'/4 x 70'/4 40 40 6 2864 263/8 x 623/8 22'/4 x 581/4 40 40 7 2876 263/8 x 743/8 22'/4 x 70'/4 40 40 8 2896 263/8 x 943/8 221/4 x 90'/4 40 40 9 2840 263/8 x 383/8 22'/4 x 34'/4 40 40 10 2842 263/8 x 403/8 22'/4 x 36'/4 40 40 11 2852 263/8 x 503/8 22'/4 x 404 40 40 12 3652 343/8 x 503/8 30'/4 x 46'/4 40 40 13 4052 383/8 x 503/8 34'/4 x 46'/4 40 40 14 4252 403/8 x 503/8 36'/4 x 404 40 40 26 2020 183/8 x 183/8 104 x 14'/4 40 40 27 2424 223/8 x 223/8 18'/4 x 18'/4 40 40 28 2828 263/8 x 263/8 221/4 x 22'/4 40 40 29 3636 343/8 x 343/8 30'/4 x 30'/4 40 40 30 4040 383/8 x 383/, 341/4 x 341/4 40 40 31 4242 403/8 x 403/8 361/4 x 304 40 40 32 5252 503/ x 503/ 404 x 46'/4 1 40 1 40 'Insulating glass thickness is 1 inch and complies with Section 2.2 of this report. 2See Figure 3 for skylight details. Page 4 of 5 ER -4063 TABLE 4—FASTENER REQUIREMENTS FOR PLASTIC -DOME AND GLASS -GLAZED SKYVIEW SKYLIGHTS ITEM NO. MODEL NO. NUMBER OF RETAINER NUMBER OF FRAME -TO -CURB NUMBER OF FRAME -TO -ROOF FASTENERS' FASTENERS' STRUCTURE FASTENERS' 1 2028 6 6 12 2 2040 6 6 14 3 2042 6 6 14 4 2052 8 8 18 ' 5 2076 12 12 22 6 2864 12 12 22 7 2876 10 10 26 8 2896 18 16 30 9 2840 8 8 18 10 2842 8 8 18 11 2852 10 10 20 12 . 3652 10 10 22 13 4052 10 10 22 14 4252 10 10 22 15 3676 14 14 28 16 4264 12 12 24 17 4364 12 12 26 18 4276 14 14 28 19 4296 18 16 34 20 5264 14 14 28 21 5276 16 16 32 22 5296 20 18 36 23 5298 20 18 36 24 52100 20 18 38 25 54102 20 18 38 26 2020 4 4 10 27 2424 4 4 12 28 2828 8 8 14 29 3636 8 8 18 30 4040 8 8 20 31 4242 8 8 20 32 1 5252 12 12 26 33 6464 16 16 32 34 7676 20 20 38 35 9696 28 24 48 36 102102 28 24 50 'Retainer fasteners attach the retainer cap to the skylight frame. 'Frame -to -curb fasteners attach curb -mount skylight to Douglas fir wood curb, other species of lumber will require additional nails. 'Frame -to -roof structure fasteners attach deck -mounted skylight to the roof structure. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 1) City of La Quinta 11-423 Enter the Duct System Name,or Identification/Tag: Zone 1 Enter the Duct System Location or Area Served: Casita Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also for completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement duct system can also include existing parts of the original dud system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Laakana ninnnnatic Tact - rmmnlatalu naw nr A-41- -*- Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one'calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing.Low Leakage Air Handier (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -111 as 30/6, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 2 x 400 x leakage factor = 48 CFM ❑ Heating system method.' 21.7 x 1 Output Capacitylin Thousands of Btu/hr x leakage factor = CFM ❑ Measured airflow method (RAM) � � _�[ fanflow in'CFMih&e 'x CEnter measured CFM leakage factor , >, ,/ Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage(CFM) pressurization test-° rocedure from Reference Residential p p Appendix RA3.1(CFM @ 25 Pa). List Actual Leakage from duct leakage test(CFM) r 45 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail Reg: 211-N0016690A-M2000001A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 t CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: rermit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 1) City of La Quinta -423 Outside air (OA) ducts for.Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. Mastic andidraw bantls must be used in comb ni ation with:,ClotFi!backed; rubber adfiesive7ductaape to seal leaks at uct connections. rv •r Y f � �- DECLARATION STATEMENT . • I cern under enelt `ofperjury,i fy p �F y ��under the laws of State of California,'the information provided on this form is true and correct. J' . I am the certified HERS rater,who performed the verification services identified and reported on this certificate (responsible `ra'ter).�'Q • 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®tested/verified dwelling not-tested/verified dwelling in PaH ERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2000001A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-2i Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2,' Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 2) City of La Quinta 11-423 :nter the Duct System Name or Identification/Tag: Zone 2 :nter the Duct System Location or Area Served: Second Floor Vote: Submit one Installation Certificate for each duct system that must demonstrate compliance in the swelling. his certificate is required for compliance for completely new duct systems installed in new dwelling construction, and alsc or completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or eplacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil, denums, etc.) if those parts are accessible and they can be sealed. Duct Lpakana Diannnctir Tact - rmmnlataly nm" — rarJ--f- A-6 --*- Enterire... Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 2 x 400 x leakage factor = 48 CFM ❑Heating system method: ,� 21.7 1 Output Capacity i'n lakagefactor x T}ho/usands of Btu/hr x = /--CFM ❑ Measured airflow+method (RA3:3): J Enter measuredifan flow CFMihere 'x _ in F leakage factory C M Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual LeakagePressurization.test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) F 36 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessible portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑Fail Reg: 211-N0016690A-M2000006A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 - 4, CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 2) City of La Quinta 11-423 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. Mastic and=dra b`a'nds must be,used in com6ii' ati6n witWCiotWbacked,=rubber adhesive'duct`tape to eal leaks at uct connections..- (� ( 4 : --- DECLARATION STATEMENT • I certifyunder enal of e u{r� p ry q rj ry;-under the laws of the St/tef California,"the information provided on this form is true and correct. . r f 4 1, - ars . I am the certified"HERS rater.who performed the-venfication services identified end reported on this certificate. (responsible rater).y O • 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 -1R) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®tested/verified dwelling notted/verified dwelling in FaHERSEmple group HERS Rater Information CalCERTS Certificate # CC1-1798712684 , HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2000006A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 i %. CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page I of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 3) City of La Quinta 11-423 Enter the Duct System Name or Identification/Tag: Zone 3 Enter the Duct System Location or Area Served: Dining, Service Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also For completely new or replacement duct systems in existing dwellings. 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. Duct Leakaup Diannnctir Tact - rn nnlo*alu naw nr A-* -#e Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -1R, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation — (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed dud leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use aleakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity ofcondenser in Tons 3%x 4�00,x leakage (factor = 72 CFM ❑ Heating system method:f 47 21.7 x I Output Capacity -in Thousands of Btu/hr x leakage"factor = /CFM ❑ Measured airflow1method (RA3:3) ' l . Enter measured fan flow'in,CFMihere x leakage factor �� CFM 14_�,f Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage Pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 67 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑ Fail 3 Reg: 211-N0016690A-M2000007A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 3) City of La Quint a 11-423 PeaOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. Mastic and,dra bands must be used in comb ni ation with',Cl6tWiibacked bber adhesive duct -tape to eal leaks at uct connections. i I V V ru] DECLARATION STATEMENT'` . I certify under penalty of pi rjury,�under the laws of he State of Califomia,':the information prcorrect. ovided on this form is true andIr . I am the certified.HERS ratecwho performed the verification services identified and reported"on this certificate (re'sponsible rater).`' O . 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 -1R) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A 11Mtested/verified dwelling ned/verified dwelling in paHEORTSsample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2000007A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 4) City of La Quinta 11-423 Enter the Duct System Name or Identification/Tag: Zone 4 Enter the Duct System Location or Area Served: Kitchen, Great Rm Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the Iwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also For completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or ,eplacement 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. Durt LPakana niannnctir Tact - rmmmletely # — w-1 - —o A—.4i. --&e Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must be (CFM) entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handler (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use a/eakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 5 x400 x leakage factor = 120 CFM /r7 ❑ Heating s" ystem method: f' i ' f) 21.7 x / Output Capacity in Thousands of Btu/hr x leakagerfactor = -CFM ❑ Measured airflow1method (RA3.3): 4 J- A / /,/ f r' Enter measured fan flow'in,CFM here x leakage factor - CFM �. , 1 } Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual Leakage Pressurization test procedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) 80 Pass if Actual Leakage is less than Allowed Leakage ® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ Pass ❑ Fail I t Reg: 211-N0016690A-M2000008A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 4) City of La Quinta 11-423 Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct eakage 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 boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. Mastic and,dra bands must be used in combination with"Cl6tWiibacked rubber adhe`sive,duct;Eapeto eal leaks at uct connections. i V v ` Jr[� Y DECLARATION STATEMENT • I certify under penalty of Perjury, under the laws of the State of Caliifo&a,,the information provided on this form is true and correct. • I am the certifiedRE .RS rater, who performed the verification services identified and reported on this certificate (responsible rater).`1 Q . 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 -611), signed and submitted by the person(s)' responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -SR) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 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 # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2000008A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 5) City of La Quinta 11-423 Enter the Duct System Name or Identification/Tag: Zone 5 Enter the Duct System Location or Area Served: Bedrooms Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the dwelling. This certificate is required for compliance for completely new duct systems installed in new dwelling construction, and also For completely new or replacement duct systems in existing dwellings. For existing dwellings, a completely new or replacement dud system can also include existing parts of the original dud system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible and they can be sealed. Duct Lpakaaa Dinannctir Tact - rmmnlatalu now nr ranhramnnt A-4- � .ate— Enter a value for the Allowed Leakage (CFM) for the duct system leakage verification. The value entered must be the VLLDCS criteria or one of the three calculated leakage rates described below. Verified Low Leakage Ducts in Conditioned Space (VLLDCS) Compliance Credit. If compliance credit for Allowed verified low leakage ducts in conditioned space is shown in the special features section of the CF -111, the Leakage leakage to outside test method must be used to verify duct leakage (refer to RA3.1.4.3.4), and 25 CFM must (CFM) be entered for Allowed Leakage. Allowed leakage calculation - (select one calculation method from this section). Use 6% (leakage factor = 0.06) for calculations. When utilizing Low Leakage Air Handier (LLAH) credit, the allowed duct leakage may be specified by the CF -1R to be less than 6%, in which case the user-specified leakage rate must be used in the calculations below. For example, if the user-specified leakage (specified as a percentage of fan airflow) is reported on the CF -1R as 3%, then use a/eakage factor of 0.03 in the calculations below. ® Cooling system method: Nominal capacity of condenser in Tons 5 x 400 x leakage factor = 120 CFM ❑ Heati�g system method:r� T, 21.7 x Output Capacity in Thousan" ds of Btu/hr x leakage factor - / CFM �� V ❑ Measured airflowlmethod (RA3r3): y'S , I Enter measuredifan flow in;CFMJhere x leakage`facto� _ 'CFM Enter value for Actual leakage (CFM) in the right column, from measurement using applicable duct leakage Actual LeakagePressurization test pmcedure from Reference Residential Appendix RA3.1(CFM @ 25 Pa). (CFM) List Actual Leakage from duct leakage test(CFM) F118 Pass if Actual Leakage is less than Allowed Leakage 1® Pass ❑ Fail For complete replacement of duct systems only, if the 6 percent leakage rate criteria cannot be met, a smoke test should be performed to verify that the excess leakage is coming only from a pre-existing furnace cabinet (air handler cabinet), and not from otheraccessib/e portions of the duct system. A HERS rater must verify the installation (No sampling allowed). List Actual Leakage from smoke test(CFM) Pass if all accessible leaks (except for existing air handler) are sealed using smoke ❑ pass ❑ Fail k to I Reg: 211-N0016690A-M2000009A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-20 Duct Leakage Test - Completely New or Replacement Duct System (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 (Zone 5) City of La Quint, 11-423 FeaOutside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off during duct kage 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 boots must be sealed to the drywall ® New duct installations cannot utilize building cavities as plenums or platform returns in lieu of ducts. Mastic and,draw berids must be used in ¢omb ni ation with,ClotFi�backed,:�ubber adhesive duct'tape'to eal leaks at uct connections. i DECLARATION STATEMENT ,,?r • I certifyunderpenaltyy of perjury, Ender the laws of the State of Califomia,'the information providedyon this form is true and correct. • I am the certified H—IiERS rater,who performed theroerification services identified and reported on this certificate (responsible �ater).x Q • 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling JRnot-te sted/verified dwelling in ERS ample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2000009A-M20A Registration Date/Time: 2012/12/07 20:34:26 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag plenum as shown in the figure in Section RA3.3.1.1. Zone 2 Zone 3 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located o PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section Zone 3 Zone 4 RA3.3.1.1. System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great CFM/ton CFM/ton CFM/ton CFM/ton Rm Confirm that a HSPP or PSPP has been the CFM/ton criteria specified on the CF -1R by the nominal cooling installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. Target (CFM) Enter Pass or Faill Enter the diagnostically tested airflow (CFM). Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below., This measure requires verification by a HERS rater., / V 'fir J"f ) / I " 11 r ,R Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling! / ❑ Diagnostic Fan Flow Using Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 ® Diagnostic FanyFlow Using Flow Grid Measurement according.to the procedures in RA3.3.3.1.2', ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Zone i Zone 2 Zone 3 Zone 4 Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 3 5 Enter the minimum airflow requirement from the CF -111 350 350 350 350 (CFM/ton). CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling 700 700 1050 1750 capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1133 711 1180 1801 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail r Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quinta 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -11? for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Dining, Kitchen, sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 Floor Service Great Rm Enter the air handler Tested (CFM) from the cooling coil 1133 711 1180 1801 airflow test table above. Enter the fan watt draw requirement from the CF -1R .58 .58 .58 .58 (Watt/CFM). Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -IR by 657.14 412.38 684.4 1044.58 the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 525 412 522 767 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS Enter Pass or Fail If a DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of Califomia, 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 -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ®tested/verified dwelling not-tested/verified dwelling in FaHERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply System Name or Identification/Tag Zone 5 plenum as shown in the figure in Section RA3.3.1.1. 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section Nominal Cooling Capacity (ton) of the outdoor unit. RA3.3.1.1. System Name or Identification/Tag Zone 5 Enter the minimum airflow requirement from the CF -111 (CFM/ton). 350 CFM/ton System Location or Area Served Bedrooms Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 Confirm that a HSPP or PSPP has been Enter the diagnostically tested airflow (CFM). Tested (CFM) 1767 installed on the air handler per the PASS The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS requirements of RA3.3.1.1. Enter Pass or Fail, Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one,method from the three choices -below for compliance with the Cooling,Coil Airflow test requirement for this dwelling./ / _ it / f i 1 I ) I � i ❑ Diagnostic Fan Flow Usirig, plenum'Pressure Matching according to the procedures in,RA3.3.3.1.l'` �, p ® Diagnostic Fan Flow Using Flow'GridiMeasurement according to the procedures in RA3.3.3.1.2, ❑ Diagnostic,Fan Flow Using Flow Capture Hood,according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag Zone 5 System Location or Area Served Zone 5 Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -111 (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 Enter the diagnostically tested airflow (CFM). Tested (CFM) 1767 The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS 701 D Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 p Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 5 Donna Simmons 1780534 HERS Provider Data Registry Information System Location or Area Served Bedrooms ❑ not-tested/verified dwelling in la Enter the air handler Tested (CFM) from the cooling coil airflow test table 1767 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: above. David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). 1024.86 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 787 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 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 # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag ; plenum as shown in the figure in Section RA3.3.1.1. Zone 2 Zone 3 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section Zone 3 Zone 4 RA3.3.1.1. System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great CFM/ton CFM/ton CFM/ton CFM/ton Rm Confirm that a HSPP or PSPP has been the CFM/ton criteria specified on the CF -IR by the nominal cooling installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. 700 1050 1750 Target (CFM) Enter Pass or Fail Enter the diagnostically tested airflow (CFM). Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. ,This measure requires verification by a HERS rater. Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling! 'o- ' ! / / ( 1 � -P 1 1, \ C ❑ Diagnostic Fan Flow,Using Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 f ® Diagnostic Fan Flow Using Flow Grid Measurement according,to the procedures in RA3.3.3.1.2 ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 System Name or Identification/Tag ; Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Zone 1 Zone 2 Zone 3 Zone 4 Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 3 5 Enter the minimum airflow requirement from the CF -IR 350 350 350 350 (CFM/ton). CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -IR by the nominal cooling capacity of the outdoor unit (ton). 700 700 1050 1750 Target (CFM) Enter the diagnostically tested airflow (CFM). 1133 711 1180 1801 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fait R 1.1 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 !CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-221 lHSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2)1 1bite Aaaress. envorcement Agency: vermis number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 111-423 I Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Dining, Kitchen, ERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 Floor Service Great Rm Enter the air handler Tested (CFM) from the cooling coil 1133 711 1180 1801 airflow test table above. Enter the fan watt draw requirement from the CF -1R .58 .58 .58 .58 (Watt/CFM). Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by 657.14 412.38 684.4 1044.58 the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 525 412 522 767 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS Enter Pass or Fail 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 agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling JRn ot-tested/verified dwelling in ERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFZR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic Fan,Flow Using Flow Capture Hood,according.to the'procedures in RA3.3.3.1.3 /`_ /xJ/ jt System Name or Identification/Tag ,' plenum as shown in the figure in Section RA3.3.1.1. 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag Zone 5 Enter the minimum airflow requirement from the CF -SR (CFM/ton). 350 System Location or Area Served Bedrooms CFM/ton Confirm that a HSPP or PSPP has been Calculate the target minimum airflow for the test by multiplying the CFM/ton installed on the air handler per the PASS criteria specified on the CF -111 by the nominal cooling capacity of the outdoor 1750 requirements of RA3.3.1.1. unit (ton). Enter Pass or Faill Target (CFM) Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choicestbelow for compliance with the Cooling -Coil Airflow test requirement for this b dwelling./ / I _ // r ( f k V ❑ Diagnostic Fan Flow Using Plenum Pressure Matching„according to the procedures in,RA3.3.3.1.1 l \ p ® Diagnostic Fan Flow.Using Flow 'Grid lMeasurement according to theprocedures in RA3.3.3.1.2, ,r+r+/1) Ile ❑ Diagnostic Fan,Flow Using Flow Capture Hood,according.to the'procedures in RA3.3.3.1.3 /`_ /xJ/ jt System Name or Identification/Tag ,' Zone 5 System Location or Area Served Zone 5 Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -SR (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor 1750 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1767 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail 3 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 ran wan craw verirication When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 5 Donna Simmons 780534 HERS Provider Data Registry Information System Location or Area Served Bedrooms ❑ not-tested/verified dwelling in la Enter the air handler Tested (CFM) from the cooling coil airflow test table 1767 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: above. David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 Enter the fan watt draw requirement from the CF -1R (Watt/CFM). '58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). 1024.86 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 787 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) Enter Pass or Fail PASS 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 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 Ca10ERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Pagel -of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFZR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 — System Name or Identification/Tag plenum as shown in the figure in Section RA3.3.1.1. Zone 2 Zone 3 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located p PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section Zone 3 Zone 4 RA3.3.1.1. System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great CFM/ton CFM/ton CFM/ton CFM/ton Rm Confirm that a HSPP or PSPP has been the CFM/ton criteria specified on the CF -1R by the nominal cooling installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. Target (CFM) Enter Pass or Faill Enter the diagnostically tested airflow (CFM). Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below.tThis measure requires verification,by.a HERS rater. Select one method from the three choices below for compliance ,with the Cooling Coil Airflow test requirement for this dwelling! ❑ Diagnostic Fan Flow,UsingPlenum Pressure Matching according to the procedures in RA3.3.3.1.1 ® Diagnostic, Fan, Flow Using Flow Grid Measurement according.to the procedures in RA3.3.3.1.2 ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 — System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Zone 1 Zone 2 Zone 3 Zone 4 Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 3 5 Enter the minimum airflow requirement from the CF -111 350 350 350 350 (CFM/ton). CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling 700 700 1050 1750 capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1133 711 1180 1801 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail 5 0 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Dining, Kitchen, sample group HERS Rater Information CaICERTS Certificate # CCT -1798712684 Floor Service Great Rm Enter the air handler Tested (CFM) from the cooling coil 1133 711 1180 1801 airflow test table above. Enter the fan watt draw requirement from the CF -111 .58 .58 .58 .58 (Watt/CFM). Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by 657.14 412.38 684.4 1044.58 the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 525 412 522 767 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS Enter Pass or Fail 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 -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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A 119tested/verified dwelling not-tested/verified dwelling in FaHERS sample group HERS Rater Information CaICERTS Certificate # CCT -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 ITERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic„Fan Flow Using Flow,Capture Hood,according to the'procedures in RA3.3.3.1.3 System Name or Identification/Tag plenum as shown in the figure in Section RA3.3.1.1. sl'” 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag Zone 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). System Location or Area Served Bedrooms Confirm that a HSPP or PSPP has been Calculate the target minimum airflow for the test by multiplying the CFM/ton installed on the air handler per the PASS criteria specified on the CF -111 by the nominal cooling capacity of the outdoor requirements of RA3.3.1.1. unit (ton). Enter Pass or Faill Target (CFM) Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices below for compliance with the Cooling -Coil Airflow test requirement for this dwelling. ❑ Diagnostic Fan Flow Using.Plenum'Pressure Match i ng,,a ccording to the procedures in,RA3.3.3.1.1` p ® Diagnostic Fan Flow.,Using Flow'GridIMeasurement according to the procedures in RA3.3.3.1.2, ', ''`!`}-��'1 �+ ❑ Diagnostic„Fan Flow Using Flow,Capture Hood,according to the'procedures in RA3.3.3.1.3 System Name or Identification/Tag Zone 5 sl'” " System Location or Area Served Zone 5 Nominal Cooling'Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor 1750 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1767 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail Q Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quint a 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 p Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 5 Donna Simmons 780534 HERS Provider Data Registry Information System Location or Area Served Bedrooms ❑ not-tested/verified dwelling in la Enter the air handler Tested (CFM) from the cooling coil airflow test table 1767 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: above. David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). 1024.86 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 787 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail 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 -IR) approved by the local enforcement agency. • The information reported on applicable sections of the Installation Certificate(s) (CF -6R), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 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 Ca10ERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La QL 1 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 ' System Name or Identification/Tag plenum as shown in the figure in Section RA3.3.1.1. Zone 2 Zone 3 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section Zone 3 Zone 4 RA3.3.1.1. System Name or Identification/Tag 2 Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying Rm Confirm that a HSPP or PSPP has been the CFM/ton criteria specified on the CF -1R by the nominal cooling 700 installed on the air handler per the PASS PASS PASS PASS requirements of RA3.3.1.1. Target (CFM) Enter Pass or Fail Enter the diagnostically tested airflow (CFM). 1133 Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification, a by HERS rater. .lam v T-/ , � v ) r ti,: `? Select one method from the three choices below for compliance with the Cooling Coil Airflow test requirement for this dwelling! C // f J f j 4 `�,, O ❑ Diagnostic Fan Flow,Using' Plenum Pressure Matching according to the procedures in RA3.3.3.1.1 /`•,r'ti�? + ® Diagnostic.Fan;Flow Using Flow Grid Measurement according,to the procedures in RA3.3.3.1.2 ® Diagnostic Fan Flow Using Flow Capture Hood according to the procedures in RA3.3.3.1.3 ' System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Zone 1 Zone 2 Zone 3 Zone 4 Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 3 5 Enter the minimum airflow requirement from the CF -1R 350 350 350 350 (CFM/ton). CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling 700 700 1050 1750 capacity of the outdoor unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1133 711 1180 1801 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail � 0 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta T11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Dining, Kitchen, a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 Floor Service Great Rm Enter the air handler Tested (CFM) from the cooling coil 1133 711 1180 1801 airflow test table above. Enter the fan watt draw requirement from the CF -1R .58 .58 .58 .58 (Watt/CFM). Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -1R by 657.14 412.38 684.4 1044.58 the air handler Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 525 412 522 767 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS Enter Pass or Fail 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 -1R) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780S34 HERS Provider Data Registry Information Sample Group # (if applicable): N/A tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CFIR )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply ❑ Diagnostic,Fan Flow Using Flow,Capture Hood,according to the"procedures in RA3.3.3.1.3 plenum as shown in the figure in Section RA3.3.1.1. Zone 5' 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located ❑ PSPP downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag Zone 5 System Location or Area Served Bedrooms Confirm that a HSPP or PSPP has been installed on the air handler per the PASS requirements of RA3.3.1.1. Enter Pass or Faill Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices, -below for compliance with the Cooling Coil Airflow test requirement for this ' v dwelling./ / _ If / f / ] j f k ❑ Diagnostic Fan Flow Using;Plenum Pressure Match ing, accord ing to the procedures in RA3.3.3.1.1\ 4 ® Diagnostic Fan Flow,Using Flow 'Grid [Measurement according to the'procedures in RA3.3.3.1.2, ❑ Diagnostic,Fan Flow Using Flow,Capture Hood,according to the"procedures in RA3.3.3.1.3 System Name or Identification/Tag Zone 5' System Location or Area Served Zone 5 Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor 1750 unit (ton). Target (CFM) Enter the diagnostically tested airflow (CFM). 1767 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS Enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-22 HSPP/PSPP Installation: Fan Watt Draw Test (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quinta 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 5 Donna Simmons 1780534 HERS Provider Data Registry Information System Location or Area Served Bedrooms ❑ not-tested/verified dwelling in la Enter the air handler Tested (CFM) from the cooling coil airflow test table 1767 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: above. David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 Enter the fan watt draw requirement from the CF -111 (Watt/CFM). .58 Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). 1024.86 Target (CFM) Enter the diagnostically tested Watt draw (Watt). 787 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS Enter Pass or Fail r 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 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 Ca10ERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name orYIdentification/Tag ° , �� =�^-� shown in the figure in Section RA3.3.1.1. El PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located System Location or Area Served Zone 1 downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great 350 350 CFM/ton Rm Confirm that a HSPP or PSPP has been CFM/ton Calculate the target minimum airflow for the test by multiplying the installed on the air handler per the requirements of RA3.3.1.1. PASS PASS PASS PASS Enter Pass or Faill the outdoor unit (ton). 700 700 Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. .-I� iT'�'.►�s'9 �C^"7C1. i z tr �l�C�.. Select one, method from the three choices'below fogcompliance with the Cooling -Coil Airflow test requirement for this dwelling. ❑ Diagnostic Fan Flow Using•Plenum;Pressure Matching according to the procedures in RA3.3.3.1.1� , ® Diagnostic Fan Flow Using 1Flow;GridiMeasurement according,to thelprocedures in RA3.3.3.1.2 \ ,� ® Diagnostic Fan Flow'Using Flow Capture Hood according to theiprocedures in.RA3.3:3.1.3 System Name orYIdentification/Tag ° , �� =�^-� V Zone:1 Zone-2c!e, .Zone.3 (; Zone 4 System Location or Area Served Zone 1 Zone 2 Zone 3 Zone 4 Nominal Cooling Capacity (ton) of the outdoor unit. 2 2 3 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 350 350 350 CFM/ton CFM/ton CFM/ton CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -111 by the nominal cooling capacity of the outdoor unit (ton). 700 700 1050 1750 Target (CFM) Enter the diagnostically tested airflow (CFM). 1133 711 1180 1801 Tested (CFM) The system complies if Tested (CFM) is equal or greater than Target (CFM). PASS PASS PASS PASS Enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Fan Watt Draw Verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -IR for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Dining, Kitchen, HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 Floor Service Great Rm Enter the air handler Tested (CFM) from the cooling coil airflow test 1133 711 1180 1801 table above. Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 .58 .58 .58 Watt/CFM Watt/CFM Watt/CFM Watt/CFM Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler 657.14 412.38 684.4 1044.58 Tested (CFM). Target (CFM) Enter the diagnostically tested Watt draw (Watt). 525 412 522 767 Tested (Watt) The system complies if Tested (Watt) is less than or equal to Target (Watt) PASS PASS PASS PASS Enter Pass or Fail 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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. Hole for the placement of a Static Pressure Probe (HSPP), and Permanently installed Static Pressure Probe (PSPP) in the supply plenum When the Certificate of Compliance (CF1R )indicates Cooling Coil Airflow or Fan Watt Draw verification are required, HSPP or PSPP are required to be installed in each air handler in the dwelling. Procedures for installing HSPP and PSPP are described in Reference Residential Appendix RA3.3. This measure requires verification by a HERS rater. Select one method from the two choices below for compliance with the HSPP/PSPP requirement for this dwelling. ® HSPP 1/4 inch (6 mm) hole labeled and located downstream of the evaporator coil in the supply plenum as System Name or Identification/Tag '4 1 J 1 Zone 5 shown in the figure in Section RA3.3.1.1. Ll PSPP 1/4 inch (6 mm) hole equipped with a permanently installed pressure probe, labeled and located Zone 51-,-, =' ,} U downstream of the evaporator coil in the supply plenum as shown in the figure in Section RA3.3.1.1. System Name or Identification/Tag Zone 5 5 System Location or Area Served Bedrooms 350 CFM/ton Confirm that a HSPP or PSPP has been Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 installed on the air handler per the PASS 1767 requirements of RA3.3.1.1. The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS Enter Pass or Fail Cooling Coil Airflow Verification When the Certificate of Compliance indicates Cooling Coil Airflow verification is required, the procedures for measuring the cooling coil airflow must be performed as specified in Reference Residential Appendix RA3.3. Results of the cooling coil airflow diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Select one method from the three choices below for:compliance with the -Cooling Coil Airfiow,test,requirement for this dwelling. ❑ Diagnostic.Fan Flow Using Plenum Pressure Matching according:to the procedures in RA3.3.3.1.1 ® Diagnostic Fan Flow Using.Flow Grid Measurement according,to the procedures in RA3.3.3.1.2 1 ; ❑ Diagnostic Fan Flow UsingiFlow,Capture Hood according to the procedures in RA3.3.3.1.3 V. `_ _ _ J-. System Name or Identification/Tag '4 1 J 1 Zone 5 j System Location or Area Served `� �� ' ^' _ , - Zone 51-,-, =' ,} U (,,f C7 k.. aO Nominal Cooling Capacity (ton) of the outdoor unit. 5 Enter the minimum airflow requirement from the CF -1R (CFM/ton). 350 CFM/ton Calculate the target minimum airflow for the test by multiplying the CFM/ton criteria specified on the CF -1R by the nominal cooling capacity of the outdoor unit (ton). Target (CFM) 1750 Enter the diagnostically tested airflow (CFM). Tested (CFM) 1767 The system complies if Tested (CFM) is equal or greater than Target (CFM). Enter Pass or Fail PASS Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-22 HSPP/PSPP Installation: Cooling Coil Airflow (Page 2 of 2) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Fan Watt Draw verification When the Certificate of Compliance indicates Fan Watt Draw verification is required, the procedures for measuring the Fan Watt Draw must be performed as specified in Reference Residential Appendix RA3.3. Results of the Fan Watt Draw diagnostic test must be entered in the table below. This measure requires verification by a HERS rater. Note: Fan watt draw must be measured simultaneously with cooling coil airflow. The fan watt draw measurement and cooling coil airflow measurement must simultaneously meet or exceed their target criteria specified by the CF -1R for the dwelling. Select one method from the two choices below for compliance with the Fan Watt Draw test requirement for this dwelling. ® Portable Watt Meter Measurement according to the procedures in RA3.3.2.2.1 ❑ Utility Revenue Meter Measurement according to the procedures in RA3.3.2.2.2 System Name or Identification/Tag Zone 5 Donna Simmons 1780534 HERS Provider Data Registry Information System Location or Area Served Bedrooms ❑ not-tested/verified dwelling in a Enter the air handler Tested (CFM) from the cooling coil airflow test table above. 1767 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Enter the fan watt draw requirement from the CF -1R (Watt/CFM). .58 Watt/CFM David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 Calculate the target maximum Watt draw for the test by multiplying the Watt/CFM criteria specified on the CF -111 by the air handler Tested (CFM). Target (CFM) 1024.86 Enter the diagnostically tested Watt draw (Watt). Tested (Watt) 787 The system complies if Tested (Watt) is less than or equal to Target (Watt) Enter Pass or Faill- PASS 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 -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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 7City of La Quinta 711-423 verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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 dwellinq as applicable. 1 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 2 System Location or Area Served Casita Second Floor Dining, Kitchen, Great HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Service Rm 3 Certified EER Rating of the installed equipment David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 (Btu/Watt-hr) 12 12 12 12 4 Make and Model Number of the installed Outdoor Unit D&N D&N D&N D&N NXA624GKA NXA624GKA NXA636GKA NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen Aspen Aspen Aspen C30D44 C30D44 C36D44 C60D44 6 Make and Model Number of the installed Furnace or Air D&N D&N D&N D&N Handler. N8MPLOSO N8MPLOSO N8MPLOSO N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 12 12 12 11 When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. IN When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS I PASS PASS T If the unit complies enter Pass 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 Certificates) of Compliance (CF -1R) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 5 Responsible Person's Name: CSLB License: Donna Simmons 2 System Location or Area Served Bedrooms ® tested/verified dwelling ❑ not-tested/verified dwelling in a 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit D&N Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen C60D44 6 Make and Model Number of the installed Furnace or Air Handler. D&N N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the -----T 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass . ' --- �4o 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: I Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance usino this form. Attach an additional form(s) for anv additional svctemc in the rfwpllinn ac annrrah,r 1 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 2 System Location or Area Served Casita Second Floor Dining, Kitchen, Great HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798712684 HERS Rater Company Name: Service Rm 3 Certified EER Rating of the installed equipment David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 (Btu/Watt-hr) 12 12 12 12 4 Make and Model Number of the installed Outdoor Unit D&N D&N D&N D&N NXA624GKA NXA624GKA NXA636GKA NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen Aspen Aspen Aspen C301344 C301344 C361344 C601344 6 Make and Model Number of the installed Furnace or Air D&N D&N D&N D&N Handler. N8MPL050 N8MPL050 N8MPL050 N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 12 12 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter Pass 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 ComDliance (CF -IR) annrnved by the Pnfnrrement anenry Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 5 Responsible Person's Name: CSLB License: Donna Simmons 2 System Location or Area Served Bedrooms ®tested/verified dwelling not-tested/verified dwelling in a 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit D&N Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen C60D44 6 Make and Model Number of the installed Furnace or Air Handler. D&N N8MPL300 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the -7 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A❑ ®tested/verified dwelling not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-411-MECH-23 Verification of High EER Equipment (Page i of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 2 System Location or Area Served Casita Second Floor Dining, Kitchen, Great HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798712684 HERS Rater Company Name: Service Rm 3 Certified EER Rating of the installed equipment David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 (Btu/Watt-hr) 12 12 12 12 4 Make and Model Number of the installed Outdoor Unit D&N D&N D&N D&N NXA624GKA NXA624GKA NXA636GKA NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen Aspen Aspen Aspen C301344 C30D44 C36D44 C60D44 6 Make and Model Number of the installed Furnace or Air D&N D&N D&N D&N Handler. N8MPL050 NSMPL050 N8MPL050 N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF-iR 12 12 12 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter Pass 0 FIc 101-� .0-11 1--) K�00 Z 0 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 -1R) 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 5 Responsible Person's Name: CSLB License: Donna Simmons 2 System Location or Area Served Bedrooms ® tested/verified dwelling ❑ not-tested/verified dwelling in a 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit D&N Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen C60D44 6 Make and Model Number of the installed Furnace or Air Handler. D&N N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the --T 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 4 F. 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) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4111-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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 dwellinq as applicable. 1 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 2 System Location or Area Served Casita Second Floor Dining, Kitchen, Great HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Service Rm 3 Certified EER Rating of the installed equipment David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 (Btu/Watt-hr) 12 12 12 12 4 Make and Model Number of the installed Outdoor Unit D&N D&N D&N D&N NXA624GKA NXAG24GKA NXA636GKA NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen Aspen Aspen Aspen C30D44 C30D44 C36D44 C60D44 6 Make and Model Number of the installed Furnace or Air D&N D&N D&N D&N Handier. N8MPL050 N8MPL050 N8MPL050 N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF-iR 12 12 12 12 H When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater 8 than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter Pass 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23j Verification of High EER Equipment (Paae i of ill bite Address: tnrorcement Agency: iiiiiiii Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. As many as 4 systems in the dwelling can be documented for compliance using this form. Attach an additional forms) for any additional systems in the dwellino as anolicahle. 1 System Name or Identification/Tag Zone 5 Responsible Person's Name: CSLB License: Donna Simmons 2 System Location or Area Served Bedrooms ® tested/verified dwelling ❑ not-tested/verified dwelling in a 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit D&N Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen C60D44 6 Make and Model Number of the installed Furnace or Air Handler. D&N N8MPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 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 -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 aoency. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 2 System Location or Area Served Casita Second Floor Dining, Kitchen, HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Service Great Rm 3 Certified EER Rating of the installed equipment David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 (Btu/Watt-hr) 12 12 12 12 4 Make and Model Number of the installed Outdoor D&N D&N D&N D&N Unit NXA624GKA NXA624GKA NXA636GKA NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen Aspen Aspen Aspen C30D44 C30D44 C361344 C60D44 6 Make and Model Number of the installed Furnace or D&N D&N D&N D&N Air Handler. N8MPL050 N8MPL050 N8MPL050 N8MPL100 7 Minimum Equipment EER required for compliance Ps reported on the CF -1R 12 12 12 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. ® When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or 8 greater than the required minimum EER in row 7, the unit complies. PASS PASS PASS PASS If the unit complies enter Pass IT V 1 T Irf V Z�, co 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 -1R) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 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 # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2300012A-M23A Registration Date/Time: 2012/12/07 20:47:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-23 Verification of High EER Equipment (Page 1 of 1) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 Verification of High EER Equipment Procedures for verification of High EER Equipment are described in Reference Residential Appendix RA3.4. For dwelling units with multiple systems, the procedures must be applied to each system separately. 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. 1 System Name or Identification/Tag Zone 5 Responsible Person's Name: CSLB License: Donna Simmons 2 System Location or Area Served Bedrooms ® tested/verified dwelling ❑ not-tested/verified dwelling in la 3 Certified EER Rating of the installed equipment (Btu/Watt-hr) 12 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: 4 Make and Model Number of the installed Outdoor Unit D&N Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 NXA660GKA 5 Make and Model Number of the installed Inside Coil Aspen C60D44 6 Make and Model Number of the installed Furnace or Air Handler. D&N NSMPL100 7 Minimum Equipment EER required for compliance as reported on the CF -1R 12 ® When a high EER system specification includes a time delay relay, the installation of the time delay relay must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Time Delay Relay Verification Procedure. IN When installation of specific matched equipment is necessary to achieve a high EER, installation of the specific equipment must be verified for compliance credit. Refer to Reference Residential Appendix RA3.4.3 for the Matched Equipment Verification Procedure. If the Certified EER Rating in row 3 is equal to or greater than the 8 required minimum EER in row 7, the unit complies. PASS If the unit complies enter Pass 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 -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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 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 # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2300012A-M23A Registration Date/Time: 2012/12/07 20:47:54 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service IKitchen, Great RMT 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 ✓ Cl Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name; or_Identification/TagZone 1= -mt:--Zone 2 j`—,-�:m-,=rKZone3v,-, 1 Zone 4 3 p,Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or / f is installed by methods/specificati6ns approved byfthe Executive Director. 4 13 Yes ] ❑No The sensor wire is terminated with a standard mini plug suitable for connection to a digital thermometer. The"sensor mini plug inaccessible fo the installing technician.a6d the,HERS,) 7 ❑ Yes I' rater without cha6ging the airflow through the condenser coil 5 ❑ Yes ❑ No when attached to a digital thermometer, the sensor provides an'indication of the saturation 8 ❑ Yes ❑ No temperature of the coil. YT es to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ® N/A ✓ ❑ Pass - ✓ ❑ Fail Otherwise enter Pass or Fail ✓ ® N/A ✓ ❑ Pass - ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 1 1 Zone 2 1 Zone 3 1 Zone 4 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No when attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. YT es to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass - ✓ ❑ Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta1 11-423 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 Svstems System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great Rm Outdoor Unit Serial # E123412463 E112117506 E123408329 E123309405 Outdoor Unit Make D&N D&N D&N D&N Outdoor Unit Model NHA624GKA NXA624GKA NXA636GKA NXA660GKA Nominal Cooling Capacity Btu/hr 24000 24000 36000 60000 Date of Verification F12-7-12 12-7-12 12-7-12 12-7-12 Lauorauon OT ulagnostic instruments Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple:Calibration V` 1� -1-1� ( must be,re-calibrated monthly) measurea jemperatures-t7r) /I f 1 X7) f —C 1 ti X 0 System Name or Identification/Tagf Zone 1] _Zone�2 Zone 3 J� '^Zone 4V Supply (evaporator leaving) 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) 46 39 40 40 Condensor saturation temperature (Tcondensor, sat) 90 87 84 90 Suction line temperature (Tsuction) 49 47 63 57 Liquid Line Temperature (Tliquid) 80 78 75 82 Condenser (entering) air dry-bulb temperature 72 77 75 79 (Tcondenser, db) 1 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 51 Site Address: Enforcement Agency:711-423 Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 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 Treturn, wb and Treturn, db " Calculate difference: Actual Temperature Split - Target Temperature Split = Passes if difference is between -40F 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,oi•-Identification/Tag + -�-Zone'I +�^" Zone'2'�`'�' Zone 3r Zone 4 /'%V .// ]/ II 1 it ! I i If Calculated Minimum Airflowequirement (CFM) -) 700 ,+ ,rl 700 1050 1750 _ i< .41- It r / 1 4� o Measured Airflow using RA3.3 procedures (CFM) l 1133 1 - 711 1180 + 1801 J J. Passes if measured airflow is greater. than or equal to -fr�- the calculated minimum airflow requirement. PASS PASS PASS PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5] Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 711-423 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid 10.0 9.0 9.0 8.0 Target Subcooling specified by manufacturer 13 10 10 9 Calculate difference: -3 -1 -1 -1 Actual Subcooling - Target Subcooling = System passes if difference is between PASS "� T171V PASS EJ'V PASS PASS -4°F and +4°F PASS PASS PASS 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Superheat = Tsuction - Tevaporator, sat 3.0 8.0 23.0 17.0 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 10 3-26 3-26 manufacturer's specification is not available) System passesrif,actual superheat is within the allowable superheat—range 1-7 y/,/�"" ! PASS "� T171V PASS EJ'V PASS PASS Enter Pass or Fail o 44�, /P G t �co Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERT3, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 9 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 Zone 1 Zone 2 Zone 3 Zone 4 System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS PASS PASS PASS Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 reauirements specified on the Certificate(s) of Comnlianre fCF-1R1 annrnved by the Pnfnrramant anpnry Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 5 System Location or Area Served Bedrooms 1 ®Yes [3No 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 ✓ IN Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name or,Identification/Tag , Zone,S _ _,, „^rte,, ;:� �, 3 ❑ Y s Y ❑ No The sensor is factory installed, or field installedaccording to manufacturer's specifications, or _ j is installed by meth6ds/specificati6ns approved by,the Executive Director. 4 ❑Yes AE3,No �` The sensor wire is terminated with a standard mini plug suitable for,connection to a digital thermometer. Ther sensor' mini plug is,accessible to the installing' technician and -the HERS ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS ")"P rater without changing the airflow through the condenser coil 8 , f rater without,changing the,airfl6w through the condenser coil j j a j 5 ❑ Ye�s 4 ❑ No When attached to a digital thermometer, the sensor provides'amindication of the saturation temperature of the coil. �Y�esto6 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ®N/A ✓ ❑Pass ✓ [3 Fail Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 5 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. �Y�esto6 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑Pass ✓ ❑Fail therwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-2R Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5] Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 -7 City of La Quinta 11-423 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above SS°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 Zone 5 (must be re -calibrated monthly) Date of Thermocouple,Calibration � � V i V 12-1- 12�• I r System Location or Area Served Bedrooms Outdoor Unit Serial # E123309400 Outdoor Unit Make D&N Outdoor Unit Model NXA660GKA Nominal Cooling Capacity Btu/hr 60000 Date of Verification 12-7-12 r. .=L Was Y1 VI0911L/OLIL. anbuumL:"L5 Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple,Calibration � � V i V 12-1- 12�• I r must beige -calibrated monthly) � Jai l System Name or Identifi ication/Tagp '00, %. / x.40 J Y1 ! .'T i_ Zone S I ! 1 Supply (evaporator leavin p g)`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) 44 Condensor saturation temperature (Tcondensor, sat) 94 Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) 88 Condenser (entering) air dry-bulb temperature 81 (Tcondenser,db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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 Na rTde`fication/Tag" "�"ZonerS 17 ,ell 1 Calculated Minimum Airflow Re _ uirement CFM 1750 r Measured Airflow using RA3 3,proceduires (CFM) f 1767 r L• A p Passes if measured airflow is greater than or equal to the_ - calculated minimum airflow requirement. PASS - 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 5 Calculate: Actual Subcooling = 6.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between �`— pASS�( 1`1 f t "7 -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 Zone 5 Calculate: Actual Superheat = 5.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 manufacturer's specification is not available) System passes if superheat is within the allowable. superheat range f +�""� t� ai f �`— pASS�( 1`1 f t "7 f / �,1 Enter Pass or Fail 'o Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 7City of La Quinta 71 11-423 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 Zone 5 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail buvid Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 0 _. 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the reauirements specified on the Certificate(s) of Compliance fCF-1R) annrnved by the enfnrrement anenrv- Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker buvid Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 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:711-423 Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 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 Zone 1 Zone 2 1 Zone 3 1 Zone 4 System Location or Area Served Casita Second Floor I Dining, Service I Kitchen, Great Rm 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 Name; or.Identification/Tag_ y, r Zone, i._�� .cZ---Zone 2 j e ^ Zone 34:�-y Zone 4 3 rr ❑ No The Sensor is factory installed, or field installed according to manufacturer's specifications, or /Q.Yes is installed by methods/specifications approved bythe Executive Director. 4 �Q Yes ,) // ❑ No'f` The sensor wire is terminated with a standard mini plug suitable for connection to a digital tHermometer. The sensor mini plug is accessible to the installing technician andithe.HERS;�} 7 ❑ Yes I (�/] I rater without changing the•airflow through the condenser coil 5 ❑Yes v [3 No When attached to a digital thermometer, the'sensor provides an indication of the saturation 8 ❑ Yes ❑ No temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail V ® N/A F ✓ ❑ Pass I ✓ ❑ Fail I STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 1 I Zone 2 1 Zone 3 1 Zone 4 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. V ® N/A F ✓ ❑ Pass I ✓ ❑ Fail I Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Conditioninq Svstems System Name or Identification/Tag Zone i Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great Rm Outdoor Unit Serial # E123412463 E112117506 E123408329 E123309405 Outdoor Unit Make D&N D&N D&N D&N Outdoor Unit Model NHA624GKA NXA624GKA NXA636GKA NXA660GKA Nominal Cooling Capacity Btu/hr 24000 24000 36000 60000 Date of Verification 12-7-12 12-7-12 12-7-12 12-7-12 balluraalun yr ulagnvsLlc anszrumenrs Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple, Calibration � � -i-1 ( must be,re-calibrated monthly) 1-1ca,u1 Cu 1 CIilpCrdcurCS`I r 1 I I T l �l I - C J i \ 13 1 if y f J System Name or Identification/Tag Zone 1 k -Zone'2 Zoe 3 JZ ne 4� Supply (evaporator leaving),air dry-bulb temperature jr+� *� (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) 46 39 40 40 Condensor saturation temperature (Tcondensor, sat) 90 87 84 90 Suction line temperature (Tsuction) 49 47 63 57 Liquid Line Temperature (Tliquid) 80 78 75 82 Condenser (entering) air dry-bulb temperature 72 77 75 79 (Tcondenser,db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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 Jj�"�`� Zone'I T 7 "�`�Zone`2 T Zo e.3r Zone 4 Y r it 1` ii T I it Calculated Minimum AirflowiRequirement (CFM) 700 700 1050 N 1750 �1 C` - { rr I /A { Measured Airflow using RA3.3 procedures (CFM) �� 1133 �j 711 % i 1180 / 1801 Passes if measured airflow is greater than or equal to - the calculated minimum airflow requirement. PASS PASS PASS PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-2: Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5] Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid 10.0 9.0 9.0 8.0 Target Subcooling specified by manufacturer 13 10 10 9 Calculate difference: 3-26 10 3-26 3-26 Actual Subcooling - Target Subcooling = _g -1 -1 -1 System passes if difference is between f'PASS T17. PASS71V PASS PASS -4°F and +4°F PASS PASS PASS 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Superheat = Tsuction - Tevaporator, sat 3.0 8.0 23.0 17.0 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 260F if 3-26 10 3-26 3-26 manufacturer's specification is not available) System passesrifiactual superheat is within the allowable superheat range r f'PASS T17. PASS71V PASS PASS / Enter Pass or Fai Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25. Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS PASS PASS PASS Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificatefsl of Compliance fCF-1R1 aooroved by the enforrement anenrv_ Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charge veriFcation 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 Zone 5 System Location or Area Served Bedrooms 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 Name orjdentification/Tag 1a Zone 5, 1•" � --�—� .nom._ 3p Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or is iAtalled by methods/specifications approved by,the Executive Director. 4 ❑Yes No The sensor wire is.termini ted with a standard mini plug suitable for,connection to a digital thermometer. The{sensor'mini plug is accessible to the installing, technician and.the HERS;) 7 ❑ Yes ❑ No rater without ichanging the,airfidw through the condenser coil 5 ❑ Yes�� p No When attached to a digital thermometer, the sensor provides amindication of the saturation 8 ❑ Yes ❑ No temperature of the coil. ` Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ,/ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail ® N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 5 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: -"7Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 SS°F, or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioninq Svstems System Name or Identification/Tag Zone 5 (must be re -calibrated monthly) Date of Thermocouple, f %�/� V r V2-1- System Location or Area Served Bedrooms Outdoor Unit Serial # E123309400 Outdoor Unit Make D&N Outdoor Unit Model NXA660GKA Nominal Cooling Capacity Btu/hr 60000 Date of Verification 12-7-12 4-111Walwn ul YIaunosviG iLnsxruments Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple, f %�/� V r V2-1- �!r( ust bere-calibrated monthly) 1 / t / l'l Camul Cu 1 C111{7ClalurCD'1--,-r 1 )/ 1 1 7C1 1 —1 J t t rl System Name or Identification/ragJ .4 � -orf . J �l 'tt , _l � Zone 5 x ..,: ;t �f Jf_I Supply (evaporator leaving)°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) 44 Condensor saturation temperature (Tcondensor, sat) 94 Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) as F Condenser (entering) air dry-bulb temperature (Tcondenser,db) 81 I Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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 oF Ider9fication/Tag, 2one57C"`► fT'�C /r77 1 Calculatetd Minimum Airfl�!Requi m 1 t (CFM) J 1750 I it , It ti Measured Air-, Ig � f.3 p I c' -\ (CFM) ,/� 'rL _ j 67 Z- 4 ,, ! Passes if measured airflow is greater than -or equal to the calculated minimum airflow requirement. PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-2: Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of S) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 5 Calculate: Actual Subcooling = 6.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between PASS -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 Zone 5 Calculate: Actual Superheat = 5.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 manufacturer's specification is not available) System passesif,actual superheat is within the allowable, superheatrang—e` -Y �r I PASS Enter Pass or Fail 0 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 7City of La Quinta 11-423 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 Zone 5 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow [J not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 0 DECLARATION STATEMENT • 1 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 ComDliance (CF -SR) aooroved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6111) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A -J ® tested/verified dwelling [J not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 1 Zone 3 Zone 4 System Location or Area Served Casita Second Floor I Dining, Service I Kitchen, Great Rm 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 Name.or Identification/Tag _ t.. tizone 1-1I -<---Zone 2 /�nx"--�wx zone 3+::�-, 1 Zone 4 3 Q Yes r ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or / is installed by methods/specifications approved byithe Executive Director. I The sensor wire is terminated with a standard mini plug suitable for connection to a digital 4 [3 Yes ❑ No'% thermometer. The sensor mini plug is accessible to the installing technician and -the HERSi) /f .f►j I f rater without changing the airflow through the condenser coil 5 ❑ Yeses ❑ No When attached to a digital thermometer, the'sensor provides an'indication of the saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass T_-, ❑ Fail Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 1 1 Zone 2 1 Zone 3 1 Zone 4 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ E3 Pass ✓ ❑Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 3 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 S5°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioninq Svstems System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great Rm Outdoor Unit Serial # E123412463 E112117506 E123408329 E123309405 Outdoor Unit Make D&N D&N D&N D&N Outdoor Unit Model NHA624GKA NXA624GKA NXA636GKA NXA660GKA Nominal Cooling Capacity Btu/hr 24000 24000 36000 60000 Date of Verification 12-7-12 12-7-12 12-7-12 12-7-12 alp 11 Y1 Oa+VII VI V OMIIVMLM AKMLIlJM1 Flt Date of Refrigerant Gauge Calibration +IYGI OaY1 cS l`: r l 12-1-12 (must be re -calibrated monthly) Date of Thermocouple�Calibrationi %� 1rt iV �2-1-12 �, ��(must be,re-calibrated monthly) I/ I l =Y J _U ■ % \ [3 - + *I r System Name or Identiflcation/TagF Zone1 -Zone,2 j� Zone 3 Zo a 4` Supply (evaporator leaving) air dry-bulb temperature - t- -- (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) 46 39 40 40 Condensor saturation temperature (Tcondensor, sat) 90 87 84 90 Suction line temperature (Tsuction) 49 47 63 57 Liquid Line Temperature (Tliquid) 80 78 75 82 Condenser (entering) air dry-bulb temperature 72 77 75 79 (Tcondenser,db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 = Tretum, 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 Zone"1 Zorie'2�`''' Zone 3? q7 Zone 4 /I I-,' Y ,�f �/ ki R N. Jr f f f 1/ Calculated Minimum Airflow�R equir �� t (CFM) 700 ,J, f 700 r 1050 1750 $ Measured Airflow using RA3.3 procedures (CFM) �� 1133 1 w 711 1180 j A �,• ! } 1801 %rt `' " .-#7'f 4?'1 if tom.` \ � - r�' 1 -I 1f . ! �r Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS 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 j 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid 10.0 9.0 9.0 8.0 Target Subcooling specified by manufacturer 13 10 10 9 Calculate difference: 3-26 10 3-26 3-26 Actual Subcooling - Target Subcooling = -3 -1 -1 -1 System passes if difference is between PASS T PASS j� PASS • �, PASS -4°F and +4°F PASS PASS PASS 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Superheat = Tsuction - Tevaporator, sat 3.0 8.0 23.0 17.0 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 10 3-26 3-26 manufacturer's specification is not available) System passes,if,actual superheat is within the allowable superheat hinge 1-7% PASS T PASS j� PASS • �, PASS Enter Pass or Fail Y Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 11NSTALLATION CERTIFICATE CF-4R-MECH-251 f iteirigerant Cnarge verirication - btanaara Measurement Procedure (Page 5 of 5)1 bite Address: tnTorcement Agency: Permit rvumDer: 53-336 Via Pisa, La Quinta CA 92253 I City of La Quinta 1 11-423 I 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 Zone 1 Zone 2 Zone 3 Zone 4 System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS PASS PASS PASS Enter Pass or Fail bavid Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 zF { �"-. Pif 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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker bavid Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Supplv and Return Plenums of Air Handler System Name or Identification/Tag zone 5 System Location or Area Served Bedrooms 1 ®Yes [3No 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 toYes ❑ 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 Name or,Identification/Tag , ,Zone 5, 3 [3Yes [3 No _ ! The sensor is factory installed, or field installed according to manufacturer's specifications, or is inst611ed by methods/specifications approved by,the Executive Director. 4 ❑ Yes /j ❑ No J The sensor wire is terminated with a standard mini plug suitable for,connection to a digital tFiermometer. Theisensorini plug is,accessible to the installing"technician and,the HE_RS� rater without, cha6ging the,airflo`w through the condenser coil 5 ❑ Yes ❑ No ' When attached to a digital thermometer, the sensor provides amindic�ation of the saturation temperature of the coil. s to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. YeOtherwise enter Pass or Fail ✓ 10 N/A _F ✓ [3 Pass ✓ [3 Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 5 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ®N/A ✓ [3 Pass ✓ ❑Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 Standard Charge Measurement Procedure (for use if outdoor air dry-bulb is above S5°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 Svstems System Name or Identification/Tag Zone 5 (must be re -calibrated monthly) Date of The mocouplerCalibration �% V i -1- , r System Location or Area Served Bedrooms Outdoor Unit Serial # E123309400 ,tF *' *� •' Outdoor Unit Make D&N Outdoor Unit Model NXA660GKA Nominal Cooling Capacity Btu/hr 60000 Date of Verification 12-7-12 1.anoratlon or ulagnostic instruments Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of The mocouplerCalibration �% V i -1- , r Y(r ust be�re-calibrated monthly) 1(r Measured Temperatures'(°F) // i f W7 1 -C j \ 't O f� System Name or Identifications g� / Zone Sf j� a Supply (evaporator leaving)'air dry-bulb temperature -- _ ,tF *' *� •' (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) 44 Condensor saturation temperature (Tcondensor, sat) 94 Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) 88 Condenser (entering) air dry-bulb temperature 81 (Tcondenser, db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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 ��` Zone'S` P-7 .rl Y I� i �. Calculated Minimum Airflow. �equir meet (CFM) ,{ 1750 t J 1 'ril III I Measured Airflow using RA3 3 procedures (CFM) 1767 / "r Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 ITERS Provider: Ca10ERTS,-Inc. 2008 Residential Compliance Forms March 2010 1 INSTALLATION CERTIFICATE CF-4R-MECH-2! Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5, Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone S Calculate: Actual Subcooling = S.0 Tcondenser, sat - Tliquid 6.0 Target Subcooling specified by manufacturer 9 Calculate difference: -3 , Actual Subcooling - Target Subcooling = if difference is between ASS �. P T (r7 dpasses r-VanF+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 Zone 5 Calculate: Actual Superheat = S.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 , manufacturer's specification is not available) System passes,if�actual superheat is within the allowable, superheat ranger % Y VEnter ASS �. P T (r7 / Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta1 11-423 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 Zone 5 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 -611), signed and submitted by the person(s) responsible for the installation conforms to the requirements specified on the Certificatefsl of CDmDliance fCF-1R) aooroved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 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: 53-336 Via Pisa, La Quinta CA 92253 =City of La Quinta 11-423 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 SUDDIV and Return Plenums of Air Handler System Name or Identification/Tag Zone 1 Zone 2 1 Zone 3 Zone 4 System Location or Area Served Casita Second Floor I Dining, Service I Kitchen, Great Rm 1 ®Yes [3No 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 ✓ 10 Pass ✓ ❑ Fail STMS - Sensor on the Evaporator Coil System Name;or Identification/Tag �• Zone 1=-jz-7 I .z—Zone 2 rhe - Zone 30" Zone 4 3 p Yes f ❑ No The sensor is factory installed, or field installed according to manufacturer's specifications, or / is installed by methods/specifications approved by�the Executive Director. 4 ❑ Yes ❑ No The sensor wire isyterminated with a standard mini plug suitable.foi-connection to a digital thermometer. The sensor mini plug is accessible fo the installing technician and the,HERSI;) 7 ❑ Yes ❑ No rater without "changing the;airFlow through the condenser coil 5 ❑ Yes .. ❑ No When attached to a digital thermometer; the sensor provides anIndication of the saturation 8 ❑ Yes ❑ No temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail ® N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 1 I Zone 2 1 Zone 3 1 Zone 4 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great Rm Outdoor Unit Serial # E123412463 E112117506 E123408329 E123309405 Outdoor Unit Make D&N D&N D&N D&N Outdoor Unit Model NHA624GKA NXA624GKA NXA636GKA NXA660GKA Nominal Cooling Capacity Btu/hr 24000 24000 36000 60000 Date of Verification 12-7-12 12-7-12 12-7-12 12-7-12 caimration of magnostic instruments Date of Refrigerant Gauge Calibration 12-1-12 z (must be re -calibrated monthly) Date of Thermocouple; Calibration ]/ � V ] �2-1-12 r(must be re -calibrated monthly) measures i emperatures,(, r) 11 i 1 11�1 1 'C 1 \ O t JI 1 System Name or Identification/Tag ` Zone 1 Zone 2 . Zone 3 1 rr Zone 4r` Supply (evaporator leaving),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) 46 39 40 40 Condensor saturation temperature (Tcondensor, sat) 90 87 84 90 Suction line temperature (Tsuction) 49 47 63 57 Liquid Line Temperature (Tliquid) 80 78 75 82 Condenser (entering) air dry-bulb temperature 72 77 75 79 (Tcondenser,db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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'Ident.fication/Tag,r�r "`"Zoned "�.Zone'2y-?- 97 Zone,3t, Zone 4 J'/ V I> r/ i 1 V 1 f !f r f i Calculated Minimum Airfl�;Requirement (CFM) 700 �r 700/ ,050 -1750 l Measured Airflow using RA3 3 procedures (CFM) 1133 - 711j 1180 r 1801 Passes if measured airflow is greater than or equal to the calculated minimum airflow requirement. PASS PASS PASS PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 Y INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5] Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 711-423 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Subcooling = Tcondenser, sat - Tliquid 10.0 9.0 9.0 8.0 Target Subcooling specified by manufacturer 13 10 10 9 Calculate difference: -3 -1 -1 -1 Actual Subcooling - Target Subcooling = System passes if difference is between , PASS7".PASS T ` PA�SS% 7 , PASS -4°F and +4°F PASS PASS PASS 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Superheat = Tsuction - Tevaporator, sat 3.0 8.0 23.0 17.0 Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 10 3-26 3-26 manufacturer's specification is not available) System passes if,actual superheat is within the allowable su erlieat ran a 19 ter Pa Fai PASS7".PASS T ` PA�SS% 7 , PASS % [ s or f j , -T, , t f9 _ �'� _ sU co Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 0 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS PASS PASS PASS Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 -1R) approved by the enforcement agency. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CalCERTS Certificate # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 5 System Location or Area Served Bedrooms 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 Name or=Identification/Tag jwZone 5 �_,1 r•_,, — -0-W ,,- 3 13Yes [I No The sensor is factory installed, or field installed- according to manufacturer's specifications, or is installed by methods/specificatidns approved by,the Executive Director. 4 ❑Yes + No The sensor wire is terminated with a standard mini plug suitable for,connection to a digital thermometer. The sensor mini plug is accessible to the installing technician and,the HERS 7 ❑ Yes ❑ No '/ rater without changing the airflow through the condenser coil , , f ,f 5 ❑ Ye� p Not When attached to a digital thermometer, the sensor provides amindication of the saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A I ✓ ❑ Pass ✓ ❑ Fail T Otherwise enter Pass or Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag Zone 5 6 ❑ Yes ❑ No The sensor is factory installed, or field installed according to manufacturer's 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 digital 7 ❑ Yes ❑ No thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not applicable. ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail Otherwise enter Pass or Fail Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 ITERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Svstems System Name or Identification/Tag Zone 5 (must be re -calibrated monthly) Date of T rim couple,Calibration� V r �t �2-1- 12, +�(; System Location or Area Served Bedrooms Outdoor Unit Serial # E123309400 Outdoor Unit Make D&N Outdoor Unit Model NXA660GKA Nominal Cooling Capacity Btu/hr 60000 Date of Verification 12-7-12 Laimrarion OT Ulagnosac instruments Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of T rim couple,Calibration� V r �t �2-1- 12, +�(; ust be re -calibrated monthly) measurea temperatures,t-ri ii i i �i I '-i J % N. O System Name or Identification/Tagi t` jJ Zone 5f ! %1 Supply (evaporator leaving),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) 44 Condensor saturation temperature (Tcondensor, sat) 94 Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) 88 Condenser (entering) air dry-bulb temperature 61 (Tcondenser,db) Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-2S' Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of S) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 7City of La Quinta 11-423 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 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 NamerIlenfication/Tagr 2one+5 j/ # Calculated Minimum Airfl� ReI f int (CFM) / 17I, -C/- 1 i Q -- f L \ `� Measured Airflow using RA3 Y� roceduries (CFM) � 1767 _ a % Passes if measured airflow is greater than or equal to the W ` calculated minimum airflow requirement. PASS 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 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quinta 11-423 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 Zone 5 Calculate: Actual Subcooling = 6.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between PASS -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 Zone 5 Calculate: Actual Superheat = 5.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range between 3°F and 26°F if 3-26 manufacturer's specification is not available) System passes if,actual superheat is within the allowable. superheat range �, , Y 7 P or PASS f I Enter ss Fail1'N-P7-`T(r7 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency:Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 711-423 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 Zone 5 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑ not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 ComDliance (CF -111) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -611) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified dwelling ❑ not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCl-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2200002A-M22A Registration Date/Time: 2012/12/07 20:38:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 SUDoly and Return Plenums of Air Handler System Name or Identification/Tag 3 Zone 1 Zone 2 Zone 3 1 Zone 4 System Location or Area Served ' .i Casita Second FloorDining, Service Kitchen, Great Rm 1 ®Yes [3No 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 o' he Evaporator, Coil., � System Name or Identification_/Tag/ / / t I one 1 Zone 2 I I Zone 3 Zone 4 3 ❑ Yes /[036 No The sensor is factory installed, or, field installed according to manufacturers specifications, or is installed by methods/specifications approved,by'the Executive 6 ❑ Yes ' .i Director. `xdrJ C 4, The sensor wire'is terminated with a standard mini plug suitable for connection,to a'�s 4 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician 7 ❑ Yes ❑ No and the HERS rater without changing the airflow through the condenser coil 5 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the 8 ❑ Yes ❑ No saturation temperature of the coil. Yes to 3, 4, and 5 is a pass. Enter N/A if STMS are not V IN N/A ✓ ❑ Pass V ❑ Fail applicable. Otherwise enter Pass or Fail ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 1 I Zone 2 1 Zone 3 1 Zone 4 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail 0 Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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 Conditioninq Svstems System Name or Identification/Tag Zone 1 Zone 2 Zone 3 Zone 4 System Location or Area Served Casita Second Floor Dining, Service Kitchen, Great Rm Outdoor Unit Serial # E123412463 E112117506 E123408329 E123309405 Outdoor Unit Make D&N D&N D&N D&N Outdoor Unit Model NHA624GKA NXA624GKA NXA636GKA NXA660GKA Nominal Cooling Capacity Btu/hr 24000 24000 36000 60000 Date of Verification 12-7-12 12-7-12 12-7-12 12-7-12 Gaimratlon or umanostic instruments Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple Calibration 7! Y / 12-1-12 f � ! � (must be r e -calibrated monthly) � J measurea iemperatures�ryr> i/ i I xl f —r s \ i o System Name or Identifcation/Tag�Zone 1 Zone 2 . Zone,3 'Zo e 4 � Supply (evaporator leaving)'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 46 39 40 40 (Tevaporator, sat) Condensor saturation temperature 90 87 84 90 (Tcondensor, sat) Suction line temperature (Tsuction) 49 47 63 57 Liquid Line Temperature (Tliquid) 80 78 75 82 Condenser (entering) air dry-bulb 72 77 75 79 temperature (Tcondenser, db) A Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, 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: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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) y �J I System Name or Identification/Tag�� 1Zone T Zone 2 I Zone 3 V Zone 4 J 1 J Calculated Minimum Airfflllow /Requirement 700 f 7 00 � 1050 1750 (CFM) {I / '! lr 1 1' Measured,Alrflow us'in'g RA3:3 procedures �--' 0 4--1133'--� J 7111180 " )1801 (CFM).' �. .f .,•. Passes if measured airflow is greater than or equal to the calculated minimum airflow PASS PASS PASS 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 Fail 7 Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quinta 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Subcooling = 10.0 9.0 9.0 8.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 13 10 10 9 Calculate difference: -3 -1 -1 -1 Actual Subcooling - Target Subcooling = em passes if difference is between and +4°F FF PASS PASS PASS PASS Enter Pass or Fail PASS /PASS PASS r 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 Zone 1 Zone 2 Zone 3 Zone 4 Calculate: Actual Superheat = 3.0 8.0 23.0 17.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 10 3-26 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes,if actual superheat is!within } d 1 ifthe allowatile'superheat range �/" PASS /PASS PASS r PASS / ,,Enter Pass'or Fai ` ,T Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010. INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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 Zone 1 Zone 2 Zone 3 Zone 4 System meets all refrigerant charge and ❑ not-tested/verified dwelling in la HERS sample group airflow requirements. PASS PASS PASS PASS Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 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 -1R) approved by the enforcement aaencv. Builder or Installer information as shown on the Installation Certificate (CF -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 780534 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 # CC1-1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 Zone 5 System Location or Area Served Bedrooms 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 IN 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 Name -or Identification/Tag,�j ,x'� "Zone 5 > 1 ' j � ♦ ,P j f ) j f 1 ` ❑ Yes El NP sensor is factory installed, or field installed according to manufacturer's specifications, or islinstalle'd by methods/specifications approved by the Executive 6 ❑ Yes / Director. `❑ ' % '❑ The sensor wire is terminated with a standard mini plug suitable for connection to a, Yes„ Noj' digital thermometer. The sensor mini plug is accessible to the installing technician RacThe ❑ Yes ❑ No and the HERS rater without changing the airflow through the coridenser�coil- ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the 8 ❑ Yes ❑ No saturation temperature of the coil. , 4, and 5 is a pass. Enter N/A if STMS are not -7 ✓le. ®N/A ✓ ❑Pass ✓ ❑Fail Otherwise enter Pass or Fail ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail STMS - Sensor on the Condenser Coil System Name or Identification/Tag I Zone 5 The sensor is factory installed, or field installed according to manufacturer's 6 ❑ Yes ❑ No specifications, or is installed by methods/specifications approved by the Executive Director. The sensor wire is terminated with a standard mini plug suitable for connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the installing technician and the HERS rater without changing the airflow through the condenser coil 8 ❑ Yes ❑ No When attached to a digital thermometer, the sensor provides an indication of the saturation temperature of the coil. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ® N/A ✓ ❑ Pass ✓ ❑ Fail applicable. Otherwise enter Pass or Fail s 0 Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 2 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 1 City of La Quinta 11-423 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) far 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 Conditionina Svstems System Name or Identification/Tag Zone 5 (must be re -calibrated monthly) Date of Thermocouple Calibration! V 12-1=12 rmust System Location or Area Served Bedrooms 1 Outdoor Unit Serial # E123309400 Outdoor Unit Make D&N Outdoor Unit Model NXA660GKA Nominal Cooling Capacity Btu/hr 60000 Date of Verification 12-7-12 a.auorauon or uiagnosvc anstrumems Date of Refrigerant Gauge Calibration 12-1-12 (must be re -calibrated monthly) Date of Thermocouple Calibration! V 12-1=12 rmust be r calibrated monthly) J 1 ineasureu 1 emperacures'r, r l ■/ ! I I .- f 7 %L l U System Name or Identification/Tag �{ ne 5 ,�/ Zo'ne 5 - Supply (evaporator leaving)*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 44 (Tevaporator,sat) Condensor saturation temperature 94 (Tcondensor, sat) Suction line temperature (Tsuction) 49 Liquid Line Temperature (Tliquid) BB Condenser (entering) air dry-bulb 81 temperature (Tcondenser, db) Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 ►d • INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page3 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 11-423 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 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- T7 �Zone'S i rf v 17 r +� > Calculated Minimum Airflow -Re- uirem ant CFM f 1750'40 j Measured Airflow usingAlfRA3 3 procedures CFM 1767A 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 Fail A Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms March 2010 k. INSTALLATION CERTIFICATE CF-411-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quint a 11-423 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 Zone 5 Calculate: Actual Subcooling = 6.0 Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer 9 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between -4°F and +4°F PASS r 7r r L� 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 Zone 5 Calculate: Actual Superheat = 5.0 Tsuction - Tevaporator, sat Enter allowable superheat range from manufacturer's specifications (or use range 3-26 between 3°F and 26°F if manufacturer's specification is not available) System passes,if actual superheat is within^the 1f ) r r 7r r L� allowable superheat range /,' tt PASS / --Enter.Pass or Fail I -j Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: CalCERTS, inc. 2008 Residential Compliance Forms March 2010 iw INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 5 of 5) Site Address: Enforcement Agency: Permit Number: 53-336 Via Pisa, La Quinta CA 92253 City of La Quinta 111-423 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 Zone 5 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A System meets all refrigerant charge and airflow ❑not-tested/verified dwelling in a HERS sample group requirements. PASS Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: Enter Pass or Fail David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 i 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 -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 -6R) Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) ADAM SIMMONS Responsible Person's Name: CSLB License: Donna Simmons 1780534 HERS Provider Data Registry Information Sample Group # (if applicable): N/A ® tested/verified. dwelling ❑not-tested/verified dwelling in a HERS sample group HERS Rater Information CaICERTS Certificate # CCI -1798712684 HERS Rater Company Name: Energy Driven Solutions, Inc. Responsible Rater's Name: Responsible Rater's Signature: David Bricker David Bricker Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 12/7/2012 CC2004131 Reg: 211-N0016690A-M2500013A-M25A Registration Date/Time: 2012/12/07 21:09:21 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms March 2010 TITLE 24 -Part 6 Energy Conservation Standards. Compliance Report THE TOWNSEND CUSTOM RESIDENCE LOT 3 01, THE HIDEAWAY LA QUINTAq CA Apri13, 2011 v, Madlin's Job Number: 31530A Project Designer.• STACTS, INC. 5 55 DESERT CLUB DRIVE SUITE 300 Qv1N�A LA QUINTA, CA 92253 1 OF FES DEPS TELEPHONE 760-636-8951 ,��Lp1NG & S '\J 'ED \, 1,0 u cT\cN FOR c �S1a OPJE� 2� �Madl in s enterprises VTVV*VV RECEIVED by: APR 2 7 2011 Catherine M. Madlin, Certified Energy Analyst Post Office Box 1443 w Palm Springs, CA 92263 Phone 760-322-5004 / 760-323-3644.Fax E-mail: Cmadlin@aol.com lw Madlins enterprises Catherine M. Madlin, Certified Energy Analyst 760-322-5004 / 323-3644 Fax.... - . - Title 24 Energy Conservation Standards Compliance Report This proposed project has been reviewed for compliance with the State of California Energy Conservation Standards, Title 24 - Part 6, by Madlins Enterprises. The building design described in this compliance report is in conformance with the standards as outlined in the attached compliance forms and documentation. This report is not intended to be used to show compliance with Title 24 - Part 11, the 2010 California Green Building Standards Code. Date: April 3, 2011 Job Number: 31530A Designer's Name: STRACTS, INC. Owner's Name: MR. & MRS. TOWNSEND Project Name: THE TOWNSEND CUSTOM RESIDENCE Project Location: LOT 301, THE HIDEAWAY, LA QUINTA, CA Method of Compliance: MICROPAS V8.1 CERTIFIED COMPUTER PROGRAM Orientation of Entry: WEST - SEE SITE PLAN rr r r CABEC California Association of Building Energy Consultants Catherine M Madlin Residential ROB -90.240 & Nonresidential NROB•90.553 Residential ROB -89.1596 & Nonresidential NR08.88-3673 Post Office Box 1443 w Palm Springs, CA 92263 rJ Madlin Y enterprises Catherine M. Madlin, Certified Energy Analyst - 760-322-5004 / 323-3644 Fax ..... - . DESCRIPTION OF BUILDING COMPONENT MINIMUM COMPLIANCE REQUIREMENTS Job Name THE TOWNSEND CUSTOM RESIDENCE Job Number/ File Number / Compliance Method 31530A / Micro as V8.1 Computer Simulation Total Conditioned Square Footage 5108 S .Ft. Total Glazin % (Floor/Glass Area Ratio) 31.8% Cool Roof Details — Computer Performance Model Deck: Reflectance=0.55 / Emissivity = 0.90 Tile Roof Reflectance=0.33 / Emissivity = 0.85 Roof — Radiant Barrier Credit Taken Required at Roof— Installed Per Mfg Secs Insulation: Roof / Ceiling R-38 Batts Insulation: Walls R-21 Batts — 2x6 Wood Studs Insulation: Floor - Slab on Grade Not Required Insulation: Raised Floor R-30 Batts minimum Thermal Mass Square Footage & % Not Required For Compliance HVAC System Type Gas Heat / Electric Cooling AC System Efficiency (heating/cooling) 80% AFUE 14.0 SEER / 12.0 EER — 3`d Party Inspection AC Verified Refrigerant Charge or CID Required For Compliance — 3`d Party Inspection HVAC Verified Air Flow Required For Compliance - 3`d Party Inspection AC Verified Fan Draw Watts Required For Compliance — 3`d Party Inspection HVAC Ducts / Location R-8 / Attic (CEC Default Value) HVAC Duct Verified Leakage Duct Testing Required — 3`d Party Inspection Fan Ventilation System Standard — Installing Contactor to Design Domestic Hot Water Heater 75 Gallon Gas Unit — Distribution Type is Recirculating with Time & Temperature Controls Energy Factor / Eff / Standby Loss 0.80 Recovery Efficiency R-12 Blanket on Tank Not Required For Compliance Other Requirements Applicable Mandatory Measures It is the responsibility of all contractors providing services and/or equipment for this project to read the Title 24 CF -IR. The Summary of Requirements table on this page is only provided to assist you in understanding the Title 24 requirements outlined on form CF -1R. If there is a discrepancy between the two documents, the CF -IR form takes precedence. rJ ra 0 Catherine M. Madlin, Certified Energy Analyst - 760-322-5004 / 323-3644 Fax Minimum Compliance Requirements - Fenestration Madli s enterprises VVVVVTV* Fenestration Type U Factor (maximum) SHGC (maximum) Tested Value Operable 0.35 0.31 Yes — NFRC Casement or Awning 0.35 0.31 Yes — NFRC Fixed 0.33 0.35 Yes — NFRC Patio Door — Weiland 0.45 0.36 Yes — NFRC French Door(s) 0.36 0.26 Yes — NFRC Bi -Fold 0.35 0.25 Yes - NFRC Special — Entry Door 0.99 Single le Pane 0.74Sin Clear Glazing No — CEC Default Special Shape — Dual Pane 0.55 0.67 No — CEC Default Skylights 1.98 0.83 No — CEC Default Typical specifications: Dual Pane, LoE2 272 Coating, Wood Frame with Clad Exceptions: Entry door, special clerestory window at entry, skylights Various Manufacturers U -factor and SHGC values listed above verified with NFRC database Glazing. Exterior Shading — Overhangs as Shown on Plans It is the responsibility of all contractors providing services and/or equipment for this project to read the Title 24 CF -IR The Summary of Requirements table on this page is only provided to assist you in understanding the Title 24 requirements outlined.on form CF -IR If there is a discrepancy between the two documents, the CF-]Rform takes precedence Madlin -s enterprises Catherine M. Madlin, Certified Energy Analyst • 760-322-5004 / 323-3644 (fax) .. v .... Title 24 Compliance Forms CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 Project Address LOT 301 - THE HIDEAWAY ****** LA QUINTA, CA 92253 *v8.1* Documentation Author... CATHERINE M. MADLIN ****** Building Permit # Madlin's Enterprises P.O. Box 1443 Plan Check Date Palm Springs, CA 92263 760-322-5004 Field Check/ Date Climate Zone........... 15 Compliance Method...... MICROPAS8 v8.1 for 2008 CEC Standards (r03) MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD MICROPAS8 ENERGY USE SUMMARY Energy Use Standard Proposed (kTDV/sf-yr) Design Design Space Heating. ..'..,...... 5.76 6.95 Space cooling..::`..... 76.64 69.72 Ventilation Fans....... 0.66 0.66 .Water Heating.... 6.72 11.14 'Total 89.78 8.8.,..47 ax� i ,'*. ,{ Building co pl es with Computer J ;-. HERS.0l. erf icat3:on'Requ3_red f or <,`."., v ' -.'Mv il HERS Verification >� ,:,,Conditioned Floor Area..... >., 8u1ld A,g`Type.............. Construction Type ......... Natural�..:�Gas at Site ....... Buiid:ng Front Orientation. Number.of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Compliance Percent Margin Improvement -1.19 -20.7% 6.92 9.0% 0.00 0.0% -4.42 -65.8°% -.,. 3 . _ 1.5% Required 5108 sf Single Family Detached New Yes Front Facing 288 deg (W) 1 2 FullYear Slab On Grade 2 58722 cf 4523 sf 31.8 % of floor area 0.4 Btu/hr-sf-F 0.31 11.5 ft Reg: 211-N0016690A-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc i CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD BUILDING ZONE INFORMATION ATTIC AND ROOF DETAILS Floor # of # of Cond- Thermo- Vent Vent Verified t�Wood. Wall Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap 1.ZONE (lb/sgft) ance 6 (in.) (in.) Deck Deck Ratio High Residence 4856 56202 0.95 7.6 Yes Setback 8.0 Standard No 2.ZONE 9 Wall Wood 756 0.069 21 I 10 Wall Wood Residence 252 2520 0.05 0.4 Yes Setback 8.0 Standard No ATTIC AND ROOF DETAILS OPAQUE :SURFACESru= - Ly T� Solar y� •;Gains rilt�V, R U�t'J11� Frame' Ai: 66iVf a c t;- Cavity Surface ��T'y : '(�s f j or R -va1 -R Frame R- R - 21 � 2 t�Wood. Wall Roof Roof Re- Emiss- Frame Spac- Value Value Vent 0.069 21 Mass Rise flect- ivity Depth ing Above Below Area Vent Roof Type (lb/sgft) ance 6 (in.) (in.) Deck Deck Ratio High Wall Wood 179 0.069 21 I 8 Wall Wood 94 0.069 1.ZONE 9 Wall Wood 756 0.069 21 I 10 Wall Wood Tile Heavy '.3:12 0.33 0.85 3.5 24 oc 0.00 0.00 1/150 0.30 2 . ZONE ` 396 0.069 21 13 Wall Wood 145 0.069 Asphalt Light' -.:5 12,x,,0 55 0.90 3.5 2 oc 0 1. 0,0 0.00 1/150 0.3041 OPAQUE :SURFACESru= - Ly T� Solar y� •;Gains rilt�V, R U�t'J11� Frame' Ai: 66iVf a c t;- Cavity Surface ��T'y : '(�s f j or R -va1 -R 288 18 108 198 288 108 198 308 38 128 218 308 128 198 348 78 258 258 288 288 IUx 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 No 4.3.1 A6 Firewall 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 No 4.5.1 A4 10 Yes 4.2.1 A21 Tile Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc 1'Walyl�" . %535 0.069 21 � 2 t�Wood. Wall - Wood ,,375 0.069 21 3 Wall Wood zl99 0.069 21 4 Wall wood �A981 0.069 21 i 5 Wall Wood;' `:643 0.069 21 I 6 Wall Wood 60 0.069 21 I 7 Wall Wood 179 0.069 21 I 8 Wall Wood 94 0.069 21 I 9 Wall Wood 756 0.069 21 I 10 Wall Wood 657 0.069 21 11 Wall Wood 268 0.069 21 12 Wall Wood 396 0.069 21 13 Wall Wood 145 0.069 21 14 Wall Wood 290 0.069 21 15 Wall Wood 120 0.069 21 16 Wall Wood 18 0.069 21 17 Wall Wood 58 0.069 21 18 Wall Wood 83 0.069 21 19 Door Wood 21 0.500 0 20 AtticRad Wood 3683 0.025 38 288 18 108 198 288 108 198 308 38 128 218 308 128 198 348 78 258 258 288 288 IUx 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 No 4.3.1 A6 Firewall 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 Yes 4.3.1 A6 90 No 4.5.1 A4 10 Yes 4.2.1 A21 Tile Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc 71 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD OPAQUE SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains JA4 Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments 22 F1oorExt Wood 63 0.034 30 0 288 180 No 4.4:2 A7 2nd Floor 2.ZONE 21 AtticRad Wood 252 0.025 38 0 n/a 0 Yes 4.2.1 A21 Deck PERIMETER LOSSES Appendix Length F2 Insul Solar JA4 Location/ Surface (ft) Factor R-val Gains Reference Comments 1 . ZONE fir; 23 SlabEdge 52011, 0.730 R-0/Oin No 4.4.7 Al Standard Slab Edge 2 . ZONE;, ; 24.STabEdge' 17`-0.730 R-0/Oin No 4.4.7 Al Standard Slab Edge FENESTRATION SURFACES ti yrr .s x iii'`"=77 " r iti� s s 'u-, Area,3 U- 4Act rShade Orientation i(sf)-factor SHGC.Azm�Tiltr� Type; „.Lo.catLonyComments .0 ¢ 3 s r b . i r > K,. ar Al .4Z ,rs . °t -�. q t x iae i ik'� "nr t� . -z i j t 1 Door Left (NE) ' 20 '0 0 360s 0:'2b0 •38 "'90 Standard W1%French Dr LoE2 272 2 Wind Back (SE)J12 00.350 0.310 128 90 Standard W2/Casement LoE2 272 3aDoor Left''.(NE),. 20..0 0.360 0.260 38 90 Standard W3/French Dr LoE2 272 4 Door Left7", (NE) '112.0 0.350 0.250 38 90 Standard W4/Bi-Fold Dr LoE2 272 5 Door Left "(NE) 'i20.0 0.360 0.260 38 90 Standard W5/French _ Dr LoE2 272 6 Wind Left (NE.);f'12.0 0.330 0.350 38 90 Standard W6/Fixed LoE2 272 - 7 Wind Left (NE).';``..12.0 0.350 0.310 38 90 Standard W7/Casement LoE2 272 8 Wind Left (NE) 12.0 0.330 0.350 38 90 Standard W8/Fixed LoE2 272 9 Wind Left (NE) 12.0 0.350 0.310 38 90 Standard W9/Casement LoE2 272 10 Wind Back (SE) 8.0 0.330 0.350 128 90 Standard W10/Fixed LoE2 272 11 Door Back (SE) 40.0 0.360 0.260 128 90 Standard W11/French Dr LoE2 272 12 Wind Back (SE) 20.0 0.350 0.310 128 90 Standard W12/Operable LoE2 272 13 Wind Back (SE) 4.0 0.330 0.350 128 90 Standard W13/Fixed LoE2 272 14 Wind Back (SE) 4.0 0.330 0.350 128 90 Standard W14/Fixed LoE2 272 15 Wind Back (SE) 4.0 0.330 0.350 128 90 Standard W15/Fixed LoE2 272 16 Wind Back (SE) 4.0 0.330 0.350 128 90 Standard W16/Fixed LoE2 272 17 Wind Back (SE) 4.0 0.330 0.350 128 90 Standard W17/Fixed LoE2 272 18 Door Back (SE) 170.0 0.450 0.360 128 90 Standard W18/Weiland LoE2 272 or 19 Wind Back (E) 80.0 0.330 0.350 108 90 Standard W19/Fixed LoE2 272 20 Wind Right (S) 21.0 0.330 0.350 198 90 Standard W20/Fixed LoE2 272 21 Door Right (S) 73.4 0.360 0.260 198 90 Standard W21/French Dr LoE2 272 22 Wind Right (S) 6.0 0.350 0.310 198 90 Standard W22/Casement LoE2 272 Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments 23 Door Right (S) 20.0 0.360 0.260 198 90 Standard W23/French Dr LoE2 272 24 Wind Right (S) 10.0 0.350 0.310 198 90 Standard W24/Casement LoE2 272 25 Door Right (S) 20.0 0.360 0.260 198 90 Standard W25/French Dr LoE2 272 26 Wind Right (S) 25.0 0.350 0.310 198 90 Standard W26/Casement LoE2 272 27 Wind Right (S) 6.0 0.350 0.310 198 90 Standard W27/Casement LoE2 272 28 Wind Right (S) 6.0 0.350 0.310 198 90 Standard W28/Casement LoE2 272 29 Wind Right (S) 10.0 0.350 0.310 198 90 Standard W29/Casement LoE2 272 30 Wind Right (S) 10.0 0.350 0.310 198 90 Standard W30/Casement LoE2 272 31 Wind Front (W) 12.5 0.350 0.310 288 90 Standard W31/Casement LoE2 272 32 Wind Front (W) 12.5 0.350 0.310 288 90 Standard W32/Casement LoE2 272 33 Door Left (N) 40.0 0.360 0.260 18 90 Standard W33/French Dr LoE2 272 34 Door Left (N) 84.0 0.360 0.260 18 90 Standard W34/French Dr LoE2 272 35 Door Left (N) 84.0 0.360 0.260 18 90 Standard W35/French Dr LoE2 272 36 Wind Front (W) 16.0 0.550 0.670 288 90 Standard W36/Special Shape Dual P 37 Door Front (W) 40.0 0.990 0.740 288 90 Standard W37/Entry Single Pane 38 Wind_Left, (N) 20.0 0.3.30 0_.,35.0__.18,___-9.0- _Standard..W38/Fixed LoE2 272 39 W rid'Left (N) '120.0 0.350 0.310 '18 ?90' Standard W39/Casement LoE2 272 40 Wind Front (NW) 120'0 0.330 0'350 308 j' 90, Standard W40/Fixed LoE2 272 41 "Door Front. (NW) 76.0 0.360 0.260'�308� 90 Standard W41/French!Dr LoE2 272 42 ,Door Right (SW) 112.0 0.350 0.250 218 90 Standard W42/Bi-Fold ,Dr,-LoE2 272 43"Door Back (SE) 40.0 0.360`0.260/128 90 Standard WA3/French DrL�oE2 272 44 Wind-kight (S) 25.0 0.350 0.310 198 90 Standard W44/Casement LoE-2.-2_72 45 Door Back (E) 40.0 0.360 0.260 108 90 Standard W45/French Dr LoE2 272 46 Wind Front (W) 12.5 0.350 0.310 288 90 Standard W46/Casement LoE2 272 47 Wind Front (W) 12.5 0.350 0.310 288 90 Standard W47/Casement LoE2 272 48 Door Left (N) 40.0 0.360 0.260 348 90 Standard W48/French Dr LoE2 272 49 Wind Left (NE) 6.0 0.350 0.310 38 90 Standard W49/Casement LoE2 272 50 Wind Left (NE) 6.0 0.350 0.310 38 90 Standard W50/Casement LoE2 272 51 Wind Left (NE) 6.0 0.350 0.310 38 90 Standard W51/Casement LoE2 272 52 Wind Left (NE) 6.0 0.350 0.310 38 90 Standard W52/Casement LoE2 272 53 Wind Back (SE) 6.0 0.350 0.310 128 90 Standard W53/Casement LoE2 272 54 Wind Back (SE) 6.0 0.350 0.310 128 90 Standard W54/Casement LoE2 272 55 Wind Right (SW) 10.0 0.350 0.310 218 90 Standard W55/Casement LoE2 272 56 Wind Right (SW) 10.0 0.350 0.310 218 90 Standard W56/Casement LoE2 272 57 Wind Right (SW) 25.0 0.350 0.310 218 90 Standard W57/Casement LoE2 272 58 Door Fror-t (W) 40.0 0.360 0.260 258 90 Standard W58/French Dr LoE2 272 59 Skyl Horz 16.0 1.980 0.830 288 0 None W59/Skylight ck values 60 Skyl Horz 4.0 1.980 0.830 288 0 None W60/Skylight ck values Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD OVERHANGS -Window- Overhang Area Left Right Surface (sf) Width Height Depth Height Extension Extension 1.ZONE 1 Door 20.0 2.5 8 9 2 n/a n/a 2 Window 12.0 3 4 4 2 n/a n/a 5 Door 20.0 2.5 8 2 0 n/a n/a 12 Window 20.0 4 5 14 0 n/a n/a 13 Window 4.0 2 2 1.5 0 n/a n/a 14 Window 4.0 2 2 1.5 0 n/a n/a 15 Window 4.0 2 2 1.5 0 n/a n/a 16 Window 4.0 2 2 1.5 0 n/a n/a 17 Window 4.0 2 2 1.5 0 n/a n/a 18 Door 170.0 14 10 14.5 0 n/a n/a 19 Window 80.0 8 8 5 0 n/a n/a 31 Window 12.5 5 2.5 1.5 0 n/a n/a 32 Window 12.5 5 2.5 1.5 0 n/a n/a 37 Door 40.0 4 10 3 0 n/a n/a 46 Window 12.5 ._2 5, 5 .. 1r, 5 0 n/a n/a 7 <Wi`niaow 12t"5 2 5. 5 �) ` ,� 1.':50 ,K5 8, Door' 4.0' 05 8 18' S'0 "'' x �, n a n/a f SLAB' SURFACES '�• r�: ��;. ea Slab Type .(sf) �. ... A 1.ZONE ' Standard Slab 4271 2.ZONE 5 7 Standard Slab 252 HVAC SYSTEMS Verified Verified Verified Verified Verified Maximum System Minimum Refrig Charge Adequate Fan Watt Cooling Type Efficiency EER or CID Airflow Draw Capacity 1.ZONE Furnace 0.800 AFUE n/a n/a n/a n/a n/a ACSplit 14.00 SEER 12 Yes Yes Yes No 2.ZONE Furnace 0.800 AFUE n/a n/a n/a n/a n/a ACSplit 14.00 SEER 12 Yes Yes Yes No Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD NWAr cT7TTTr- Summer.Insde Design75 RanF ..}. Summer ged `�¢ d"rk, i DUCT SYSTEMSs"� x Verifl ed�,Verifl E AIN = System 'Duct .� (<: DuctDuct4� ,S a : Type 'zLocationr R -value"'' Leakage Area 1 ZONE x Furnace -Attic ACSplit.ry ,' ; ;-.. Attic 2. ZONE' Furnace ,,.h ..' Attic ACSplit Attic I System Type Ducts R-8 Yes No No Verified Yes Total Sensible Design Maximum No Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) 1.ZONE Furnace 105903 n/a n/a n/a ACSplit n/a 85327 105891 n/a 2.ZONE Furnace 2341 n/a n/a n/a ACSplit n/a 1598 1983 n/a Total 108244 86925 107874 n/a Sizing Location............ LA QUINTA Winter Outside Design...... 26 F Winter Inside Design......: 70 F Summer Outside Design...... 111 F Summer.Insde Design75 RanF ..}. Summer ged `�¢ d"rk, i DUCT SYSTEMSs"� x Verifl ed�,Verifl E AIN = System 'Duct .� (<: DuctDuct4� ,S a : Type 'zLocationr R -value"'' Leakage Area 1 ZONE x Furnace -Attic ACSplit.ry ,' ; ;-.. Attic 2. ZONE' Furnace ,,.h ..' Attic ACSplit Attic I System Type Ducts R-8 Yes No No R-8 Yes No No R-8 Yes No No R-8 Yes No No rnm cvemvnQ Flow Power (cfm) (W/cfm) 1. ZONE Standard 105.56 .25 2.ZONE Standard 5.52 .25 Reg: 211-N0016690A-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc 'J CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 7 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD Tank Type WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Type Distribution Type System Factor (gal) R -value 1 LargeStorage Gas Recirc/TimeTemp 1 n/a WATER HEATING SYSTEMS DETAIL Recovery Rated System Efficiency Input 75 R- n/a Standby Internal Tank Loss Insulation Pilot Fraction R -value Light 1 LargeStor 0.80 75000 Btuh 0.03 R- n/a n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items inl'this section should be documented on the plans, *** *** installed`to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This uig incorporatadi}ant Barrier Th i's; building,tn`corporates a Co 'lRoof t �FK? RM1,Z 8 3`! i��.Yh � $ Thrs building incorporates anon standard Water4Heating System w.- ��'�'<''+-0`k,;- �"�; HERS REQUIRED VERIFICATION *** Items in' -this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate. *** This building incorporates a HERS verified Improved Refrigerant Charge test or the installation of a HERS verified Charge Indicator Display (CID). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified High Energy Efficiency Ratio (EER). This building incorporates HERS verified Air Handler Fan Watt Draw. If a cooling system is not.installed, then HERS verification is not necessary. This building incorporates HERS verified Cooling Coil Airflow. If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified Duct Leakage. Target leakage is Reg: 211-N0016690A-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc �'d CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 8 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD HERS REQUIRED VERIFICATION calculated and documented on the CF -4R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary. REMARKS Zone 1: Tile Roof / Zone 2: Deck Roof The values and materials used in this compliance portfolio are the minimum required to show compliance with Title 24 Energy Conservation Standards. The owner may (at his/her option) install better materials without additional compliance calculations. Any mfg specifications included in this report are for the purpose of�demonstrating to the building department that the material or equipment is available. The owner, architect or contractor,are resporisiblefor selectonof,�the final maters ass and/or equipment to'4be i{nstalled-V n addition'; - mat r -awls ox' equipment included in this reporx4is not an'endorsement-of the prodm uct or the'anu#facturer. p-,"- 'iaIF tip eg H AC load c� alcula Ions ,'included IA hL's comp, re ort �1 x . Orr: . z e xW y� �� w 1, c g p +1, 4 ,. Ips . .,�_._ ' . are for..permit'purposes only'`�The,�insta lin HVAC contractor GQ is responsible for .determing'the►-HVAC` design loads` and equipment-selection(s). The HVAC design shall be done in accord- ance'.witli 'industry standards. The load calculation in this report considers ambient temperature load, solar gain, people and a fixedjlatent heat gain percentage. This basic load must be adjusted.for additional design conditions and system/equipment'pe;rformance. The HVAC filters shall be MERV 6 or better. The builder/contractor/installer of the mechanical ventilation system shall meet the new ASHRAE 6.2 requirements and provide a calculation.of the required whole -building ventilation airflow rate and selection of the whole -building ventilation system type and equipment (fans). The installing contractor shall document compliance on Form CF-6R-MECH-05. For more information see the Residential Design Manual Chapter 4 section 4.8. All contractors and subconstractors are responsible to meet the requirements of Title 24 Mandatory Measures related to their work. 1 Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: Ca10ERTS, Inc CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 9 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD REMARKS Compliance Form CF -6R Installation Certificate is required to be completed by installing contractors during various phases of construction. The 2008 code has increased the number of forms. All Installation Certificates are available at the CEC website. http://www.energy.ca.gov/title24/2008standards/residential manual .html COMPLIANCE STATEMENT t This certificate of compliance lists the building features and performance 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 -cert ficate has been signed by the individual with ove Pall "{design esponsibility.� : "�' DESIGNER dor OWNER A fDOCUMENTATIOWT AUTHOR r }yT N�A5 � 3� ame;ANTON �MARINKOVZCH�f Name """CATHERINE )LIN Company STRACTS , tINC'�:"" �^- �' �ti`�Com an - IN p _ y Madlin .s Enterprises. Address. 51555•Desert',Club`,Dr, 300'"'•Address P.O. Box 1443 +La_Quinta; CA 92253 Palm Springs, CA 92263 Phone'.:. 760-636-8951 Phone... 760-322-5004 License. Signed.. :<' Signed.. (date) (date) ENFORCEMENT AGENCY r r Name.... rr Title... Agency.. CABEC California Association of Building Energy Consultants Phone... Catherine M. Madlin Signed.. Residential R08.90.240 & Nonresidential NROB-90.553 (date) . Residential R08.89.1596 & Nonresidential NROB-88.3673 Electronically Signed at CalCERTS.com by Anton Marinkovich (Stracts Inc.) 4/4/2011 a Electronically Filed by CATHERINE M. MADLIN and Authenticated at CalCERTS.com - 4/3/2011 Reg: 211-NO01669OA-000000000-0000 Registration Date/Time: 2011/04/03 21:13:52 HERS Provider: CalCERTS, Inc Mandatory Measures Summary MF -1R Residential (Page 1 of 3 NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance (CF -1R, CF -IR -ADD, or CF -IR -ALT Forni) shall supersede the items marked with an asterisk(*) below. This MandatoryMeasures Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum componentperformance specifications whether they are shown elsewhere in the documents or in this summary. Submit all applicable sections of the MF -1R Form with plans. DESCRIPTION Building Envelope Measures: § 1 16(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. § 116(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration that meets the requirements of §10-11 l(a). §117: Exterior doors and windows are weather-stripped; all joints and penetrations are caulked and sealed. §118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF -6R Form. §118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §118(i) when the installation of a Cool Roof is specified on the CF -1R Form. *§150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -Value. *§150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor. *§150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. §150(f): Air retarding wrap is tested, labeled, and installed according to ASTM E1677-95(2000) when specified on the CF -IR Form. § 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces, Decorative Gas Appliances and Gas Log Measures: §150(e)IA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. § 150(e)1B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible, operable, and fight -fitting damper and or a combustion -air control device. § 150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment: water heaters, showerheads, faucets and all other regulated appliances are certified by the Energy Commission. § 113(c)5: Water heating recirculation loops serving multiple dwelling units and High -Rise residential occupancies meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of § 113(c)5. §115: Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters. §150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or RCCA. § 150(i): Heating systems are equipped with thermostats that meet the setback requirements of Section 112(c). § 1506)IA: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or greater. § 1506)1B: Unfired storage tanks, such as storage tanks or backup tanks for solar water -heating system, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. §1506)2: First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-B. § 1500)2: Cooling system piping (suction, chilled water, or brine lines),and piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. § 1506)2: Pipe insulation for steam hydronic heating systems or hot water systems >15 psi, meets the requirements of Standards Table 123-A. § I506)3A: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. § I500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. ,uuo tcesraennat uomptrance corms August 2009 Mandatory Measures Summary MF -1R Residential (Page 2 of 3 §1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. Ducts and Fans Measures: § 150(m)1: All air -distribution system ducts and plenums installed, are 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 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used §I50(m)l: 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. § 150(m)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. § 150(m)7: Exhaust fan systems have back draft or automatic dampers. § 150(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. § 150(m)9: 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. §150(m)10: Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: § 114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater, a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating ora pilot light. § 114(b)l: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and return lines, or built-up connections for future solar heating § 114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover. § 114(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p). Residential Lighting Measures: §150(k)1: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire as specified by § 150(k)2. §150(k)3: The wattage of permanently installed luminaires shall be determined as specified by § 130(d). §I 50(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line -voltage socket or line -voltage lamp holder, OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain a medium screw -base socket. §I50(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k). §150(k)7: All switching devices and controls shall meet the req uirements of §I50(k)7. §I50(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 fe or 100 watts for dwelling units larger than 2,500 ft2 may be exempt from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor, dimmer, energy management system (EMCS), or a multi -scene programmable control system; and all permanently installed luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a manual -on occupant sensor. § I50(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. §150(k)10: Permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high efficacy. 2008 Residential Compliance Forms August 2009 Mandatory Measures Summary MF -1R Residential (Page 3 of 3 EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual -on occupant sensor certified to comply with the applicable requirements of §119. EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a manual -on occu ant sensor. §150(k)ll: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility rooms shall be high efficacy lummnaires. EXCEPTION 1: Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch that complies with the applicable requirements of §119, or by a manual -on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with §150(k)11. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; and have a label that certifies the lumiunaire is airtight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be sealed with a gasket or caulk between the luminaire housing and ceiling. §150(k)13: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling units, entrances, balconies, and porches, which are permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy. EXCEPTION 1: Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an astronomical time clock not having an override or bypass switch that disables the astronomical time clock; OR an energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be always on EXCEPTION 2: Outdoor luminaires used to comply with Exceptionl to §150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five watts of power as detennined according to § 130(d). §150(k)15: Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134, and 147. Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134, and 146 § 150(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by an occupant sensor(s) certified to comply with the applicable requirements of § 119. 2008 Residential Compliance Forms August 2009 v Catherine M. Madlin, Certified Energy Analyst , 760-322-5004 / 323-3644 Fax MadlinI s enterprises vvvvvvv Residential Lighting Compliance Catherine M. Madlin, Certified Energy Analyst - 760-322-5004 / 323-3644 Fax Post Office Box 1443 - Palm Springs, CA 92263-1443 . Cmadlin@aolcom Madlin S enterprises VVVVVVV RESIDENTIAL KITCHEN LIGHTING CF -6R -LTG -01 Table(b) This T24 worksheet is to provided to determine if the kitchen lighting complies with the Standards requirements. Any kitchen lighting plan that has atleast 50% of the lighting wattage provided by high efficacy luminaires is in compliance with the Standards. The installing contractor shall provide at the job site a CF -6R -LTG -01 that reflects the final installed lighting compliance. The compliance Table(b) shown above is a preliminary compliance calculation based on the proposed lighting plan, which may change during construction. Madlin's Enterprises Project Title: Townsend Residence Date: 3/31/2011 Job: 31530A Luminaire Type High Efficacy? Watts x Quantity = High Efficacy Watts or Other Watts Incandescent No 75 x 4 = or 300 CFL -1 Fluorescent Yes 32 x 10 = 320 or T5-36" Fluorescent Yes 21 x 2 = 42 or T5-24" Fluorescent Yes 18 x 2 = 36 or x = or x = or x = or x = or x = or x _ or Total A: 398 B: 1 ;300 COMPLIES IF A >_ B This T24 worksheet is to provided to determine if the kitchen lighting complies with the Standards requirements. Any kitchen lighting plan that has atleast 50% of the lighting wattage provided by high efficacy luminaires is in compliance with the Standards. The installing contractor shall provide at the job site a CF -6R -LTG -01 that reflects the final installed lighting compliance. The compliance Table(b) shown above is a preliminary compliance calculation based on the proposed lighting plan, which may change during construction. _Madlin s enterpfises Catherine M. Madlin, Certified Energy Analyst . 760-322-5004 l 323-3644 (fax) ..... lv. H. V.A. C. Load Calculation HVAC SIZING HVAC Page 1 Project Title.......... STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 Project Address LOT 301 - THE HIDEAWA ****** LA QUINTA, CA 92253 *v8.1* Documentation Author... CATHERINE M. MADLIN ****** Building Permit # Madlin's Enterprises �. P.O. Box 1443 Plan Check / Date Palm Springs, CA 92263 f 760-322-5004 I Field Check/ Date Climate Zone........... 15 f Compliance Method...... MICROPAS8 v8.1 for 2008 CEC Standards (r03) MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside -Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 5108 sf 58722 cf Front Facing 288 deg LA QUINTA 33.8 degrees 26 F 70 F 111 F 75 F 34 F Yes Yes Yes 0.24 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 46754 18026 Glazing Conduction and Solar..... 28600 41330 Infiltration ..................... 21105 12921 Internal Gain .................... n/a 3440 Ducts ............................ 11786 11207 Sensible Load .................... 108244 86925 Latent Load ...................... n/a 20949 Minimum Total Load 108244 107874 (w) .Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. HVAC SIZING HVAC Page 2 Project Title.......:.. STRACTS.TOWNSEND.LOT301 Date..04/02/11 15:37:55 MICROPAS8 v8.1 File -31530A6 Wth-CTZ15S08 User#-MP0207 User-Madlin's Enterprises Run -PERMIT CALC 2 STORY SFD t HEATING AND COOLING LOAD SUMMARY BY ZONE ZONE '1.ZONE'. Floor Area ....................... 4856 sf Volume ............................ 56202 cf Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 45709 17444 Glazing Conduction and Solar..... 28600 41330 Infiltration ..................... 20063 12284 Internal Gain...... ............ n/a 3268 Ducts ............................ 11531 11001 Sensible Load .................... 105903 85327 Latent Load ...................... n/a 20564 Minimum Zone Load 105903 105891 ZONE '2.ZONE' Floor Area ....................... 252 sf Volume ........................... 2520 cf Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 1045 582 Glazing Conduction and Solar..... 0 0 Infiltration ..................... 1041 637 Internal Gain. ................. n/a 172 Ducts ............................ 255 206 Sensible Load .................... 2341 1598 Latent Load ...................... n/a 385 Minimum Zone Load 2341 1983 11 if 0 i Maatin s ente rises Catherine M. Madlin, Certified Energy Analyst • 760-322-5004 / 323-3644 (fax) v v v v v v . Addendums and Notes Madlin S-' enterprises Catherine M. Madlin Certified Energy Analyst W Certified Energy Plans Examiner Phone: 760-322-5004/ W Fax: 323-3644 v MadlinT24@aol.com ...... - Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Roof Radiant Barrier Mandatory Measures 3.3.3 Radiant Barriers Radiant Barrier Requirements §151(02 The prescriptive requirements tali for a radiant barrier in climate zones with significant cooling loads (2, 4, and 8 through 15). The radiant barrier is a reflective material that reduces radiant heat transfer caused by solar heat gain in the roof. Radiant barriers reduce the radiant gain to air distribution ducts and insulation located below the radiant barrier. In the performance approach, radiant barriers are modeled as separatee adjustments to the heating U -factor and the cooling U - factor. The duct efficiency is also affected by the presence of a radiant barrier, with the performance approach.. Radiant Barrier Construction Practice To qualify, a radiant barrier must have an emittance of 0.05 or less. The product must be tested according to ASTM C-1371-98 or ASTIM E408-71(2002) and must be certified by the Department of Consumer Affairs2. Radiant barriers must also meet installation criteria as specified in Residential Appendices RA422 (Section RA42.2 is also reproduced in Appendix D of this document). The most common way of meeting the radiant barrier requirement is to use roof sheathing that has a radiant barrier bonded to it in the factory. Oriented strand board (OSB) is the most common material available with a factory -applied radiant barrier_ The sheathing is installed with the radiant barrier (shiny side) facing down toward the attic space. Alternatively, a radiant barrier material that meets the same ASTM test and moisture perforation requirements that apply to factory - laminated foil can be field -laminated. Field lamination must use a secure mechanical means of holding the foil to the bottom -of the roof decking such as staples or nails that do not penetratee all the way through the roof deck material. Other acceptable methods are to drape a foil: type radiant barrier over the top of the top chords before the sheathing is installed, stapling the radiant barrier between the top chords after the sheathing is installed, and stapling the radiant barrier to the underside of the .trusslrafters (top chord ). For these installation methods, the foil must be installed with spacing requirements as described in Residential Appendices RA4.2.2. The minimum spacing requirements do not apply to this installation since it is considered a. "laminated" system. Installation of radiant barriers is somewhat more challenging in the case of closed rafter spaces when sheathing is installed that does not include a laminated foil.. Foil may be field -laminated after the sheathing has been installed by'laminating' the foil as described above to the roof sheathing between framing members. This construction type is described in the Residential Appendices RA 4.2-2- 2008 Addendum Radiant Barrier.doc Madlin s enterprises Tvvvvvv Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Roof Radiant Barriers Mandatory Measures See Figure 3-11 for drawings of radiant barrier installation methods. Method 1': Radiant Ranier Draped Method 2: Radiant BanierAttached Over Top of TruwRafter Between Tru:W raftm- Roof becldng ff�oof neowno /--Rafter / Rafder7 Joist �r ��1/~.%/; z'l/,.X/1 d Method 3: Radiant HevierAttached to Bottom of TrusdRafter Method c Radiant: Said er Attached to LAndersde of Roof Deck Figure 3-11 — Methods of Installation for Radiant Barriers 2008 Addendum Radiant Barrier.doc k7n t•...- J tt = l_ Method 1': Radiant Ranier Draped Method 2: Radiant BanierAttached Over Top of TruwRafter Between Tru:W raftm- Roof becldng ff�oof neowno /--Rafter / Rafder7 Joist �r ��1/~.%/; z'l/,.X/1 d Method 3: Radiant HevierAttached to Bottom of TrusdRafter Method c Radiant: Said er Attached to LAndersde of Roof Deck Figure 3-11 — Methods of Installation for Radiant Barriers 2008 Addendum Radiant Barrier.doc Madlin ' s Catherine M. Madlin, Certified Energy Analyst W Certified Energy Plans Examiner enterprises Phone: 760-322-5004 W Fax: 760-323-3644 W CMadlin@aol.com ....... Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Cool Roof Products Mandatory Measures 3.3.1 Mandatory Measures 3.7 Roofing Products {Coo! R000 Roofing products with high solar reflectance and thermal emittance are referred to as "cool roof', which is the outer layer or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a conventional roof, reducing cooling loads and the energy required to provide air conditioning. Compliance credit may be taken when a cool roof is installed when using the performance approach. The credit is available only if there is no radiant barrier installed. In the performance method calculations, the cooling benefit of a cool roof is assumed to be equal to that of a radiant barrier. There is no heating impact calculated for a cool roof (while there is some heating benefit assumed for a radiant barrier). The benefit of a high reflectance surface is obvious: while dark surfaces absorb the sun's energy (visible light, invisible infrared. and ultraviolet radiation) and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is also important. Emittance refers to the ability of heat to escape from a surface once it is absorbed. Surfaces with low emittance (usually shiny metallic surfaces) contribute to the transmission of heat into the roof components under the roof surface. However, due to increase of heat, the building's air conditioning load will result in an increased of the air conditioning load and less comfort for the occupants. High -emitting roof surfaces give off absorbed heat relatively quickly through the path of least resistance—upward and out of the building. 2008 Addendum Cool Roof doc Madlin s enterprises VVVVVV♦ Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Cool Roof Products Mandatory Measures 3.7.1 Mandatory Measures §118(1) Roofing Products Solar Reflectance and Thermal Emittance All roofing products must meet the mandatory requirements of §10-113 and §118(i), Rating and Labeling Roofing products that are used for compliance with the standards (prescriptive and performance approaches) are required to be tested and labeled by the Cool Roof Rating Council (CRRC) per §10-113 and that liquid applied products meet minimum standards for performance and durability per §118(i)4. The CRRC is the supervisory entity responsible for certifying cool roof products. The CRRC test procedure is documented in CRRC-1, the CRRC Product Rating Program Manual. This test procedure includes tests for both solar reflectance and thermal emittance. The roofing products manufacturer must have its roofing product tested for solar reflectance and thermal emittance, and be listed in the CRRC's Rated Product Directory (see http://www.coolroofs.om) and be labeled according to CRRC procedures. Figure 3-29 provides an example of an approved CRRC product label. CR C Initial 'Weathered Solar Reflectance 0.00 Pending Thermal Emittance 0.00 Pending R&cd Product M Numbor — — — — 0001. ROOF Licensed Seller M Number VATWG COUNCIL— ® — — — Classification Production Line Cool Roof R b.-�S Cau=J mungs we demi med fw a find set of conaitu ns, and may nw be mprcq�+ixte fat de¢tmiuing seasoiul e=9Y petfonoauacal ce. The eteffect of solu, tell • ce and thenal ein ttatme on building perfo[mance map cary. 'fanufactuar of product atipulatco that the*, ratinga mea determined in aeomdw -kh the applicable Cool Roo' hating Council procedws. Figure 3-29- CRRC Product label and information If the aged value for the reflectance is not available in the CRRC's Rated Product Directory then the equation below can be used until the aged rated value for the reflectance is posted in the directory. Aged:Reflectaneeca,a,ated=(0.2+0.7[Pini;ai — 0.2]) Where P,f,it;ai = Initial Reflectance listed in the.CRRC Rated Product Directory. Madlin s enterprises VVVVVVV Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Insulation Mandatory Measures 3.3.2 Ceiling/Roof Insulation Mandatory Measures §118(d) §118(e) §150(a) § 150(b) These sections are also shown in Appendix 8 of this document. The following mandatory measures apply specifically to roof and ceiling insulation: • When insulation is installed in the attics of existing buildings, at least R-38 must be installed in climate zones 1 and 16 and at least R-30 in the other climate zones. Insulation in roof/ceiling constructions must be placed in direct contact with the infiltration barrier. In most cases the attic is ventilated and the infiltration barrier is the drywall ceiling; in this case, the insulation must lie directly on top of the ceiling. • Wood framed ceiling/roof construction assemblies must have at least R-19 insulation or a maximum U -factor of 0.051 based on 16 inch (40 cm) on center wood framed rafter roofs, as determined from the Reference Joint Appendix JA4. The equivalent U -factor is from Table 4.2.2, entry A5, which is R-19 insulation in a wood framed rafter roof. • Some areas of the ceiling/roof can fail to meet the mandatory minimum U - factor as long as other areas exceed the requirement and the weighted average U -factor for the overall ceiling/roof is 0.051 or less. • In new construction, the R-19 mandatory minimum level of insulation applies for the performance compliance method. Otherwise, the R-19 minimum is superseded by the prescriptive requirements, which call for either R-30 or R- 38, depending on climate zone. • Metal -framed and ceiling/roof constructions other than wood framed must have a U -factor of 0.051 or less in order to comply with the mandatory measures. If the insulation is not penetrated by framing, such as rigid insulation laid over a structural deck, then the rigid insulation can actually have a rated R -value of less than R-19, and the mandatory measures can be satisfied.' 2008 Addendum Insulation V l .doc Madlin s enterprises ♦VVVVVV Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Insulation Mandatory Measures 3.2.2 Roof Mandatory Measures Continued Appendix JA4. The equivalent U -factor is from Table 4.2.2, entry A5, which is R-19 insulation in a wood framed rafter roof. • Some areas of the ceiling/roof can fail to meet the mandatory minimum U - factor as long as other areas exceed the requirement and the weighted average U -factor for the overall ceiling/roof is 0.051 or less. In new construction, the R-19 mandatory minimum level of insulation applies for the performance compliance method. Otherwise, the R-19 minimum is superseded by the prescriptive requirements, which call for either R-30 or R- 38, depending on climate zone. • Metal -framed and ceiling/roof constructions other than wood framed must have a U -factor of 0.051 or less in order to comply with the mandatory measures. If the insulation is not penetrated by framing, such as rigid insulation laid over a structural deck, then the rigid insulation can actually have a rated R -value of less than R-19, and the mandatory measures can be satisfied. Insulation Construction Practices Construction Practice Insulation Coverage Ceiling insulation should extend far enough to the outside walls to cover the bottom chord of the truss. However, insulation should not block eave vents in attics because if the flow of air is blocked, moisture may build up in the attic and water vapor may condense on the underside of the roof. This can cause structural damage and reduce the insulation's effectiveness. Insulation may be tapered near the eave, but it must be applied at a rate to cover the entire ceiling at the specified level. An elevated truss is not required but may be desirable. See Figure 3-8. Loose Fill Insulation §150(b) Loose Fill Insulation Loose fill insulation must be blown in evenly, and insulation levels must be documented on the Installation Certificate (CF -6R). The insulation level can be 2008 Addendum Insulation V I.doc il Madlin s enterprises ♦VVVVVV Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Insulation Mandatory Measures verified by checking that the depth of insulation conforms to the manufacturer's coverage chart for achieving the required R -value. The insulation must also meet the manufacturer's specified minimum weight per ft2 for the corresponding R - value. When installing loose fill insulation, the following guidelines should be followed: 1. For wood trusses thatprovide a flat ceiling and a sloped roof, the slope of the roof should be at about 4:12 or greater in order to provide adequate access for installing the insulation. Insulation thickness near the edge of the attic will be reduced with all standard trusses, but this is acceptable as long as the average thickness is adequate to meet the minimum insulation requirement. 2. If the ceiling is sloped (for instance, with scissor trusses), loose fill insulation can be used as long as the slope of the ceiling is no more than 4:12. If the ceiling slope is greater than 4:12, loose fill should be used only if the insulation manufacturer will certify the installation for the slope of the ceiling. 3. At the apex of the truss, a clearance of at least 30 inch should be provided to facilitate installation and inspection. Ceiling insulatirn (R-19 minimum) Eave baffleContinuous ridge ventilation Insulation wind baffle 2 -in. minimum space Water protection membrane (ice dam protection where required) 2008 Addendum Insulation V l.doc Continuous soffit vent Attic ventilation Figure 3-8 — Ceiling Insulation Construction Detail Madlin Y enterprises ♦vvvvv♦ Title 24 2008 Buildinq Enerqv Efficiency Standards Residential Excerpt Insulation Mandatory Measures Source: California Energy Commission Ventilation Where ceiling insulation is installed next to eave or soffit vents, a rigid baffle should be installed at the top plate to direct ventilation air up and over the ceiling insulation. See Figure 3-9.The.baffle should extend beyond the height of the ceiling insulation and should have sufficient clearance between the baffle and roof deck at the top. There are a number of acceptable. methods for maintaining ventilation air, including pre -formed baffies'made of either.paper or plastic. In some cases, plywood baffles are used. The CBC requires a minimum vent area of 1 ft2 for each 150 ft2 of attic floor area. This. ratio maybe reduced to 1 to 300 if a ceiling vapor retarder is present or if high '(for example, :ridge or gable vents) and low (soffit vents) attic ventilation is used: When part of the vent area is blocked by meshes or louvers, the net free area of the vent must be considered when meeting ventilation requirements. Wood Rafter Constructions Ventilating solid rafter spaces is more difficult.than ventilating attics. because each framing cavity requires its own.Vent openings. However, the requirement for ventilation is at the discretion,of the local building official.:It it, common practice with cellulose. insulation, for instance; to completely .*fill the cavity so-that:there is no ventilation at all. Also, -if spray polyurethane foam is used jt is applied to the underside of the 'ro6f deck leaving no .ventilation space,' With battt insulation; Madlin Y entemrises Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Insulation Mandatory Measures 3.2.2 Mandatory Measures Urea Formaldehyde Foam Insulation §1 18(b) Urea formaldehyde is restricted by §1553 of CBC Title 20. If such products are certified, this is verification that the restrictions of §1553 were met. The restrictions in Standards §118 also apply, which allow the use of urea formaldehyde foam insulation only if • it is installed in exterior side walls; and • a four -mil -thick (0.1 mm) plastic polyethylene vapor barrier or equivalent plastic sheeting vapor barrier is installed between the urea formaldehyde foam insulation and the interior space in all applications. Flame Spread Ratings §118(c) California Standards for Insulating Materials require that all exposed installations of faced mineral fiber and mineral aggregate insulations must use fire retardant facings. Exposed installations are those where the insulation facings do not touch a ceiling, wall or floor surface, and faced batts on the underside of roofs with an air space between the ceiling and facing. These installations require insulation that has been tested and certified not to exceed a flame spread of 25 and a smoke development rating of 450. Flame spread ratings and smoke development ratings are shown on the insulation or packaging material or may be obtained from the manufacturer. 2008 Addendum Insulation V I.doc Madlin s enterprises Catherine M. Madlin, Certified Energy Analyst W Certified Energy Plans Examiner Phone: 760-322-5004/ w Fax: 323-3644 W MadlinT24@aol.com T V V V V .. Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Insulation Mandatory Measures 3.3.1 Mandatory Measures §118 A number of mandatory measures apply to insulation in general, and those are covered in this section: • Insulating materials must be certified and labeled by the manufacturer. • Urea formaldehyde foam insulation may be installed only in exterior side walls and with a four -mil -thick (0.1 mm) plastic polyethylene vapor barrier or equivalent plastic sheeting vapor barrier installed between the urea formaldehyde foam insulation and the interior space. Insulating materials installed in exposed applications must have a flame spread of 25 or less and a smoke development rating of 450 or less. Other mandatory measures apply to speck applications, and they are covered in the sections on ceiling/roof insulation, wall insulation, floor insulation, and slab insulation. Certification of Insulating Materials §118(a) The California Standards for Insulating Materials, which became effective on January 1, 1982, ensure that insulation sold or installed in the state performs according to the stated R -value and meets minimum quality, health and safety standards. All materials which claim insulation thermal conductive performance for compliance must be certified by Department of Consumer Affairs, Bureau of Home Furnishing and Thermal Insulation that the insulation conductive thermal performance complies with the Califomia Code of Regulations, Title 24, Part 12, Chapters 12-13, Article 3, "Standards for Insulating Material." Builders may not install the types of insulating materials indicated in §118(a) unless the manufacturer is licensed to sell in California and the insulation product is certified under one of the categories of insulating materials covered by the Bureau of Home Furnishings. Builders and enforcement agencies should use the Department of Consumer Affair's Consumer Guide and Directory of Certified Insulation Material to check .compliance. Enforcement agencies receive a copy of the current directory. If an insulating product is not listed in the most recent edition of the directory, or to purchase a directory, contact the Department of Consumer Affairs Thermal Insulation Program at (916) 574-2041. 2008 Addendum Insulation V I .doc Madlin S Catherine M. Madlin, Certified Energy Analyst W Certifienterprises ed Energy Plain Examiner .... � .. Phone: 760-322-5004/ v' Fax: 323-3644 v'MadlinT24@aol.com Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Fenestration Mandatory Measures 3.2.2 Mandatory Measures The Standards define three types of fenestration products that face different mandatory measures: Manufactured products are delivered pre -assembled from the factory. This is the most common type of fenestration in residential construction. Site -built products are glazed or assembled on site using factory prepared systems. These are more common in nonresidential construction and include storefront and curtainwall systems. The glazing contractor may also pre -assemble site -built fenestration at his or her shop before final installation. For unlabeled site -built fenestration use default values from Standards Table 116-A for U -factor and Table 116-B for SHGC, otherwise, select site -build fenestration from NFRC's Certified Products Directory. See htto://www.NFRC.org. Field -fabricated products are built on site using standard dimensional lumber or other materials not intentionally prepared for use as a fenestration product. For field -fabricated fenestration use default values from Standards Table 116-A for U -factor and Table 116-B for SHGC. Complete definitions can be found in the Reference Joint Appendices, JA1. Air Leakage §116(a)1 Manufactured Fenestration Products. Manufactured fenestration products, including exterior doors, must be tested and certified to leak not more than 0.3 cubic feet per minute (cfm) per ft2 of window area. For a window that has an area of 10 ft2, the maximum leakage would be 10 ft2 times 0.3 cfm/ft2 or a total leakage of 3 cfm. This is equal to about 86 in per second or about a quart and a half of air each second. This mandatory measure applies to all manufactured windows whether they are used in new residential or nonresidential buildings. To determine leakage, the test procedure that manufacturers use is either NFRC 400 or ASTM E283, which are essentially the same. Site -built Products. There are no specific air leakage requirements for site -built fenestration products, the Standards require limiting air leakage through weatherstripping and caulking. Field -fabricated Products. No testing is required for field -fabricated fenestration products; however, the Standards require limiting air leakage through weatherstripping and caulking. 2008 Addendum Fenestration V2.d6c Madlin s enterprises ♦TTVVVV Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Fenestration Mandatory Measures 3.2.2 Mandatory Measures Exterior Doors. Exterior doors must meet the following requirements: • Manufactured exterior doors must be certified as meeting an air leakage rate of 0.3 cfm/ftz of door area of §116(a)1, which is the same as windows. • They must comply with the requirements of §117, as described below in "Joints and Other Openings," e.g., they must be caulked and weatherstripped if field -fabricated. • Any door that is more than one-half glass is a fenestration product and must comply with the mandatory and prescriptive measures and other Standards requirements for fenestration products. U -factor and SHGC Ratings §116(a)2 and §116(a)3 Table 116-A Table 116-8 Manufactured Fenestration Products. The mandatory measures require that both the U -factor and the SHGC of manufactured fenestration products be determined from NFRC's Certified Product Directory or from Energy Commission -approved default tables. At the time of inspection, the actual fenestration U -factor and SHGC values as shown on NFRC labels or in the default tables must result in equal or lower overall energy consumption than the values indicated on the compliance documents. The default U -factors are contained in Standards Table 116-A, and the default SHGC values are contained in Standards Table 116-B (also in Appendix B of this compliance manual). A directory of NFRC certified ratings is available at hftD://www.NFRC.ora. Commission default values in both Standards Tables 116-A and 116=B are on the poor side of the performance range for windows. To get credit for advanced window features such as low -e (low -emissivity) coatings and thermal break frames, the window manufacturer must have the window tested, labeled, and certified according to NFRC procedures. Figure 3-2 an example of an NFRC- approved temporary fenestration label. 2008 Addendum Fenestration V2.doc Madlin s enterprises vvvvvvv Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Fenestration Mandatory Measures 0% World's Best "FR Window Co. Millennium 2000+ National Feneshlion �at�gcourd Vinyl-0ad Wood Frame Double Glaring • Argon Fill - Low E Product Type: Vertical Slider ENERGY PERFORMANCE RATINGS U -Factor (U.S.II-P) Solar Heat Gain Coefficient 0.35 0.32 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage (U.SJI-P) 0.51 0.z Manufacturer stipulates tint these ratings conform to applicable NFRC promdures for determining Dole product performance. NFRC ratings are dela-mired for a fires set of environmental conditions and a Weifc product she NFRC door not rmommand any product and does not warrunt the suitability of any product for any spedfic use. Consult mmufidurer's Irteraiure for other product performance infomatiom MATITIrc.org Figure 3-2 — NFRC Temporary Label Requiring that SHGC and U -factor be calculated using a common procedure ensures that the performance data for fenestration products are more accurate and that data provided by different manufacturers can be more easily compared. The test procedure for U -factor is NFRC 100, and the test procedure for SHGC is NFRC 200. Site -built Fenestration Products. For low-rise residential construction, site -built products are treated the same as manufactured products: LI -factor and SHGC values must come from NFRC ratings or from Standards Tables 116-A and 116-B. Note that different alternative default values apply to nonresidential projects; default values may be found in the Reference Nonresidential Appendices NA6. Field -fabricated Products §116(b). Field -fabricated fenestration must always use the Energy Commission default U -factors from Standards Table 116-A and SHGC values from Table 116-B. For non -field -fabricated products, acceptable methods of determining U -factor are shown in Table 3-1. Acceptable methods of determining SHGC are shown in Table 3-2. 2008 Addendum Fenestration V2.doc Madlin S enterprises VVVVVVV Title 24 2008 Building Energy Efficiency Standards Residential Excerpt Fenestration Mandatory Measures Temporary and Permanent Labels see §10-111(a) and §116(a)4 Manufactured Fenestration Products. The Standards require that manufactured windows have both temporary and permanent labels that show the NFRC performance characteristics. The temporary label shows the U -factor and SHGC, for each rated window. The label must also show that the window meets the air infiltration criteria. The temporary label must not be removed before inspection by the enforcement agency. The permanent label must, at a minimum, identify the certifying organization and have a number or code to allow tracking back to the original information on file with the certifying organization. The permanent label also can be inscribed on the spacer, etched on the glass, engraved on the frame, or otherwise located so as not to affect aesthetics. Site -Built Fenestration Products. Labeling requirements apply to site -built fenestration products as well, except that a label certificate may be provided in accordance with NFRC 100 in place of an attached temporary label. The label certificate is a document that verifies the performance of the site -built fenestration product but that is not physically attached to the product. The label certificate is kept at the job site by the contractor for field inspector verification. Field -Fabricated Fenestration Products. A label is not required for field - fabricated fenestration products, but must use the default values in Table 116-A and Table 116-B from the Standards. 2008 Addendum Fenestration V2.doc Mallin s enterprises Catherine M. Madiin, Certifted.Energy Analyst - 760-322-5004 /323-3644 Fax Post Office Box 1443 w Palm Springs, CA 92263-1.443 w Cmadlin&oLrom TITLE 24 2008 BUILDING ENERGY EFFICIENCY STANDARDS RESIDENTIAL MANDATORY MEASURES' No ROOM DESCRIPTION 2008 STANDARDS MANDATORY MEASURES 1 Kitchen High efficacy or, -Up.to.50lo-of.the total wattage:bele -efficacy, --..All high -efficacy and low -efficacy =lighting .must be controlled separatly. . Smtch..tDcation'iequiremeht removed 2 Bathroom High efficacy or Manual -on occupancy sensor 3 Garage High efficacy or Manual -on occupancy sensor 4 Laundry Room High efficacy or Manual -on occupancy:sensor 5'Utility Room High efficacy or:Manual-on occupancy sensor 6 All other interior rooms 'High efficacy or (i.g., living, dining, :halls, Manual -on occupancy sensor or bedrooms) except Dimmer closets less :than 70 st 7 Outdook:lighting:attached High efficacy or to buildincis Controlled by motion sensor +, hotocontrol 8 Common areas of how -rise -.High dfficacy or Occupancy sensor, resideidiai :buildings inrith.4 or more dwelling units 9 Residential parking lots Must meet nonresidential lighting standards and garages for 8 or more vehicles Additional Notes ilghiing kit installed as part of a fan-light,packa 6 s hall.>be switched separately. # the 'light fixtures are incandes6ent.1he -tight switch shall be a Glimmer. This T24 worksheet is provided to assist designers and builders in determining if theirlighting complies with the Standards. Any kitchen lighting plan that has.atleast 50% of the lighting wattage provided by high efficacy luminaires is in compliance with the Standards. The installing contractor shall provide at the job site a CF -6R -LTG -01 that reflects the final installed lighting compliance. 0 min s entoppfises Catherine M. Madlin, Certified Energy Analyst v' Certified Energy Plans Examiner .... V .. Phone: 760-322-5004/ v, Fax: 323-3644 v, MadlinT24@aol.com Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Lighting Mandatory Measures Light Fixtures and Recessed Equipment §150(k)5 Luminaires recessed in insulated ceilings can create thermal bridging through the insulation. Not only does this degrade the performance of the ceiling assembly, but it can also permit condensation on a cold surface of the luminaire if exposed to moist air, as in a bathroom. For these reasons, luminaires recessed in insulated ceilings must meet three requirements: 1. They must be approved for zero clearance insulation cover (IC) by Underwriters Laboratories or other testing/rating laboratories recognized by the International Conference of Building Officials. This enables insulation to be packed in direct contact with the . luminaire. (See Figure 3-10). 2. The luminaire must have a label certifying air tight (AT) construction. Air tight construction means that leakage through the luminaire will not exceed 2.0 cfm when exposed to a 75 Pa pressure difference, when tested in accordance with ASTM E283. 3. The luminaire must be sealed with a gasket or caulk between the housing and ceiling. For more information see Section 6.10 of this manual. T....- - -� c._ -_ Gasket between fixture and gypsum board or sealant around opening Figure 3-10 — IC -Rated Light Fixture Madli n s enterprisesCatherine M. Madlin, Certified Energy Analyst W 760-322-5004 / 323-3644 Fax ....... Post Office Box 1443 v' Palm. Springs, CA 92263-1443 W Cmadlin@aol.com Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Compliance Forms - Construction Construction Phase Documentation Installation Certificate (CF -6R) The CF -6R is now broken into categories; ENV, LTG and MECH, and most compliance measures have a separate CF -6R form that is specific to a particular installation. A set of CF - 6R documents applicable to the construction project is required to be assembled and posted at the building site. Different installing contractors are responsible for installing the water heating equipment, the windows (fenestration), the lighting system, the air distribution ducts and HVAC equipment, the measures that affect building envelope tightness, and the insulation. Installation Certificate (CF -6R -HERS) Some installations are required to be Field verified by a third party HERS rater. These types of installations require that installers submit forms that certify certain performance or quality specifications have been met. These performance or quality specifications will be verified by a. HERS rater. Field Verification and/or Diagnostic Testing Documentation Certificate of Field Verification and Diagnostic Testing (CF -4R) The CF -4R is now broken into categories, ENV, and MECH, and most compliance measures have a separate CF -4R form that is specific to a particular installation. A set of CF -4R documents applicable to the construction project is required to be assembled and posted at the building site. These document are completed by the HERS rater when field verification and/or diagnostic testing is required_ These documents include information about the measurements and tests that were performed_ The HERS rater verifies that the requirements for compliance credit have been met. Copies of the CF -4R are required to be provided to the Builder, HERS Provider and Enforcement Agency for every home that utilizes HER verification for compliance. Installation Certificates forms can be obtained at the CEC website: http://www.energy.ca.gov/title24/2008standards/residential manual.htmi. Madlin s enterprises vvvvvvv Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Compliance Forms - Construction Installation Certificate CF -6R -ENV -01 — Envelope — Insulation; Roofing; Fenestration 3 Pages CF -6R -ENV -20 -HERS — Building Envelope Sealing 3 Pages CF -6R -ENV -2I -HERS — Quality Insulation Installation QII - Framing Stage Checklist 2 Pages CF -6R -ENV -22 -HERS — Quality Insulation Installation (QII) - Insulation Stage Checklist 3 Pages CF -6R -LTG -01 — Residential Lighting 3 Pages CF-6R-MECH-01 —Domestic Hot Water DHW 2 Pages CF-6R-MECH-02 — Solar Domestic Hot Water Systems SDHW 1 Page CF-6R-MECH-03 — Pool And Spa Heating Systems 2 Pages CF-6R-MECH-04 — Space Conditioning stems Ducts and Fans 2 Pages CF-6R-MECH-05 — Indoor Air Quarity and Mechanical Ventilation 5 Pages CF-6R-MECH-06 — Evaporatively Cooled Condensing Units 2 Pages CF-6R-MECH-07 — Evaporative Coolers 2 Pages CF-6R-MECH-08 — Ice Storage Air Conditioning 1SAC) Units 2 Pages CF-6R-MECH-20-HERS — Duct Leakage Test — Completely New or Replacement Duct System 2 Pages CF-6R-MECH-2I-HERS — Duct Leakage Test —Existing Duct System 2 Pages CF-6R-MECH-22-HERS — HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test 2 Pages CF-6R-MECH-23-HERS — Verification of High EER Equipment 1 Page CF-6R-MECH-24-HERS — Charge Indicator Display CID 1 Page CF-6R-MECH-25-HERS — Refrigerant Charge Verification - Standard Measurement Procedure 5 Pa es CF-6R-MECH-26-HERS — Refrigerant Charge Verification - Alternate Measurement Procedure 2 Pages CF-6R-MECH-27-HERS — Maximum Rated Total Cooling Capacity 2 Pa es CF-6R-MECH-28-HERS — Low Leakage Air Handler Verification 1 Page CF-6R-MECH-29-HERS — Supply Duct Compliance Credits - Location; Surface Area; R -value 2 Pages Certificate of Field Verification and Diagnostic Testing CF -4R -ENV -20 — Building Envelope Sealing 1 Page CFAR-ENV-21 — Quality Insulation Installation QII - Framing Stage Checklist 2 Pages CFAR-ENV-22 — Quality Insulation Installation QII - Insulation Stage Checklist 3 Pages CFAR-MECH-20 — Duct Leakage Test — Completely New or Replacement Duct System 2 Pages CFAR-MECH-21 — Duct Leakage Test — Existing Duct System 2 Pages CFAR-MECH-22 — HSPP/PSPP Installation; Cooling Coil Airflow & Fan Watt Draw Test 2 Pages CFAR-MECH-23 — Verification of High EER Equipment 1 Page CFAR-MECH-24 — Charge Indicator Display CID 1 Page CFAR-MECH-25 — Refrigerant Charge Verification - Standard Measurement Procedure 5 Pages CFAR-MECH-26 — Not Used N/A CFAR-MECH-27 — Maximum Rated Total Cooling Capacity 2 Pages CFAR-MECH-28 — Low Leakage Air Handler Verification 1 Page CFAR-MECH-29 — Supply Duct Compliance Credits - Location; Surface Area; R -value 2 Pages Madli S Catherine M. Madlin, Certified Energy Analyst v' 760-322-5004 / 323-3644 Fax enterprises Post Office Box 1443 W Palm Springs, CA 92263-1443 W Cmadlin@aol. com V V V V ... Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Construction Phase Documentation — CF -6R and CF -4R 2.3.2 Construction Phase Documentation (CF -6111) §f0 -103(a)3 and 4 The Installation Certificates (CF -6R) are separated into Envelope (CF -6R -ENV), Lighting (CF -6R -LTG), and Mechanical (CF-6R-MECH) categories, and most compliance measures have a separate CF -6R form that is specific to a particular installation.The CF-6R's must be completed during the construction phase of the compliance and enforcement process. The CF -6R documents must be completed by the applicable contractors who are responsible for installing regulated energy features such as windows (fenestration), the air distribution ducts and the HVAC equipment, the measures that affect building envelope tightness, the lighting system, and the insulation. The CF -6R must be signed by the licensed person responsible for the installation. If the Standards require registration of the energy compliance documentation for the project, all CF -6R documents that require HERS verification must be registered CF -6R copies from a HERS provider data registry. • HVAC Systems. The contractor who installs mechanical equipment signs this part. Heating and cooling equipment are listed and the energy efficiency, capacity, design loads and other properties of each piece of equipment are documented. • Water Heating Systems. This part includes information about the water heating equipment installed in the building, including model number, energy efficiency, tank size, input rating and other properties. The installer also verifies that faucets and shower heads are certified and comply with the appliance standards. • Fenestration/Glazing. This part includes a list of all windows installed in the home. For each, the U -factor, SHGC, area, number of panes, and number of windows of this type in the building are indicated. This section is signed by the contractor that installs the windows. • Lighting Systems. This part is completed and signed by the contractor responsible for installing hard -wired lighting systems. Madlin s enterprises ♦VVVVVV Title 24 2008 Buildinq Energy Efficiency Standards Residential Manual Excerpt Construction Phase Documentation — CF -6R and CF -4R • Duct Leakage and Design Diagnostics. This part is signed by the contractor responsible for installing the HVAC air distribution ducts and verifying that they comply with the leakage requirements. On this form the contractor includes the results of diagnostic tests, which will later be verified by a third -party inspector (HERS rater). • Refrigerant Charge and Airflow Measurement. This part is signed by the contractor responsible for verifying that split system air conditioner and heat pumps have the correct refrigerant charge. This form contains diagnostic data that are later verified by a third -party inspector (HERS rater). • Duct Location and Area Reduction Diagnostics. This portion of the mechanical section of the CF -6R must be completed and signed by the contractor who installs the HVAC air distribution ducts. It verifies that the installed duct system conforms to the duct system design layout that was submitted to the enforcement agency at plan check. The person responsible for the duct system installation must certify on the CF -6R that installed system features, such as supply register and return grill locations, duct diameters, duct R -values and other duct system design details conform to the duct system layout approved by the enforcement agency. This CF -6R requirement seeks to ensure that the installed duct design conforms to the requirements for energy compliance credit for improved duct design as specified on the CF -1 R for the building. • Building Envelope Leakage Diagnostics. This part is completed by the contractor responsible for testing building envelope leakage through pressurization of the house. This form contains test results that will later be verified by a third -party inspector (HERS rater). • Insulation Certificate. This part is completed and signed by the contractor responsible for installing the insulation. This indicates the manufacturer, brand, and thermal properties of insulation installed in the roof, ceiling, walls, and floor. • Insulation Quality Checklist. This part is completed and signed by the insulation contractor when credit is taken for quality insulation installation. This is later verified by a third -party inspector (HERS rater). Madlin s enterprises VVVVVVV Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Construction Phase Documentation — CF -6R and CF -4R Persons responsible for the installations must sign the applicable CF -6R to certify that the installed features, materials, components, or manufactured devices conform to Title 20 Appliance Efficiency Regulations and Title 24 Building Energy Efficiency Standards. The requirements on the plans and specifications should match the CF -1 R documents approved by the local enforcement agency for the building. The MF -1 R shall be on the plans to list the mandatory measures required for the particular project. The CF -6R must be posted at the job site in a conspicuous location (e.g., in the garage) or kept with the building permit and made available to the enforcement agency upon request. When field verification and/or diagnostic testing of the feature is required for compliance (as shown in the special features section of the CF -1 R), the builder or the builder's subcontractor must perform field verification and diagnostic testing of the installation to confirm and document compliance with the Standards utilizing the applicable procedures specified in Reference Residential Appendix RA3. A copy of the completed CF -6R must be provided to the HERS rater for use during the HERS verification procedure. When document registration is required, the builder, the builder's subcontractor, or authorized representative must submit the CF -6R information to a HERS provider data registry. When registration is required, all CF -6R information submittals must be done electronically. HERS raters or other authorized users of the HERS provider data registry shall be allowed to facilitate the transmittal/submittal of the Installation Certificate information to the HERS provider data registry website on behalf of the builder or the builder's subcontractor when such facilitation has been authorized by the builder or subcontractor. However, the builder or subcontractor responsible for the installation shall still be required to sign/certify the completed Installation Certificate (CF -6R) to confirm the accuracy of the information, and confirm that the installation complies with the requirements shown on the Certificate of Compliance (CF -1 R) for the building. After submittal of the Installation Certificate information to the HERS provider data registry, the builder or subcontractor must access the registered Installation Certificate from the provider data registry, submit an electronic certification/signature to the registry, or sign a copy of the Installation Certificate accessed from.the registry by the builder or subcontractor's authorized representative, provide a copy of the completed, signed and registered Installation Certificate to the HERS rater, and post a copy of the completed signed registered Installation Certificate at the building site for review by the enforcement agency in conjunction with requests for final inspection for each dwelling unit. The registered copy submitted to the HERS rater may be in paper or electronic format, except that if the builder or subcontractor provides electronic certification/signature directly to -the registry, the HERS rater shall have access to a completed, signed and registered copy of the Installation Certificate directly from the registry. Madlin s enterprises vvvvvvv Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Construction Phase Documentation — CF -6R and CF -4R A copy of the completed and registered CF -6R must be left in the building for the building owner to receive at occupancy, and included with the homeowners' manual (see below). The manual serves to provide the homeowner with information about the energy efficiency features installed in their home. 2.3.3 Field Verification and/or Diagnostic Testing Documentation (CFAR) §10-103(8)5 Many of the prescriptive requirements and some of the measures that may be used for compliance in the performance approach may require field verification and/or diagnostic testing. This must be performed by a third -party inspector who is specially trained and independent from the builder or general contractor. The Energy Commission recognizes HERS raters for this purpose. When field verification and/or diagnostic testing is required, the Certificate of Field Verification and Diagnostic Testing (CF -4R) must be completed and signed/certified by the HERS rater. The CF -4R documents include information about the measurements and test results that were required to be performed. The HERS rater must verify that the requirements for compliance credit have been met. The HERS rater must transmit the CF -4R information to a HERS provider data registry. A registered CF -4R from the provider that has been signed/certified by the rater is made available to the enforcement agency and to the. builder when HERS verification confirms compliance. The builder is ultimately responsible for ensuring that the enforcement agency has received the CF -4R prior to the occupancy, permit or final inspection. Raters shall provide a separate registered CF -4R form for each house the rater determines has met the diagnostic requirements for compliance. The HERS rater shall not sign a CF -4R form for a house that does not have a CF -6R signed'by the installer. When registration is required, the HERS rater shall not sign a CF -4R for a house that does not have a registered CF -6R that has been signed/certified by the installer. If the building was approved as part of a sample group, the CF - 4R will include additional information that identifies whether the building was a tested ora "not tested" building from the sample group. Refer to Reference Residential Appendix RA2 for more detail on HERS verification and CF -4R documentation procedures. Madlin S enterprises ♦vvvvvv Title 24 2008 Building Energy Efficiency Standards Residential Manual Excerpt Construction Phase Documentation — CF -6R and CF -4R 2.3.4 Compliance, Operating, and Maintenance, and Ventilation Information to be Provided by Builder §10-103(b) The final documentation in the compliance and enforcement process is the information that is provided to the homeowner. At the completion of construction and prior to occupancy, the enforcement agency shall require the builder to leave in the building the applicable completed, signed and dated compliance documentation including, at a minimum, the applicable CF -1R forms, and CF -6R forms, and if compliance required HERS verification, the applicable CF -4R forms. When registration is required, these compliance documents shall be registered copies. In addition to the compliance documentation, the builder must leave in the building all operating and maintenance information for all installed features, materials, components, and manufactured devices. The operating and maintenance information must contain the details needed to provide the building owner/occupant with instruction on how to operate the home in an energy- efficient manner and to maintain it so that it will continue to work efficiently into the future. For individually -owned units in a multifamily building, the documentation must be provided to the owner of the dwelling unit or to the individual(s) responsible for operating the feature, equipment, or device. Information must be for the appropriate dwelling unit or building (paper or electronic copies of these documents are acceptable). Madlln s enterprises Catherine M. Madlin, Certified Energy Analyst v 760-322-5004 l 323-3644 (fax) v .. v . S . Manufacturer's Specifications i 1 Catherine M. Madlin, Certified Energy Analyst - 760-322-5004 / 323-3644 Fax Post Office Box 1443 w Palm Springs, CA 92263-1443 - Cmadlin@aol.com Madl in s enterprises VVVVVVV Nolel �egar�nq ?�anufacfuv�ev� s S'hecs It is the responsibility of the owner or contractor to select the equipment and materials for this project. The equipment and materials shall be in compliance with the specifications set forth in this compliance calculation and shown on the Certificate of Compliance form CFA R and Title 24 Mandatory Measures. All requests for equipment or material verifications and certification numbers required by the building department to demonstrate compliance with this compliance document shall be provided by the owner or contractor. Catherine M. Madlin Certified Energy Plans Examiner No R08-89-1596 Residential Certified Energy Analyst No. R08-90-2400 Residential