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07-2827 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: ; 10-7-00002827__; Owner: Property Address: 80735 VIA PORTOFINO Dan & Gretchen Eakes APN: 777-150-018-. - - 2827 Brentwood Blvd. - Application description: DWELLING - SINGLE FAMILY DETACHED GRAND ISLAND, -NE 68801 Property Zoning: LOW DENSITY RESIDENTIAL Application Valuation: 447772 - Contractor: Applicant: Architect or Engineer: BRADSHAW, MARK 46248.ROUDEL LN T LA QUINTA, CA 92253 V (760)347-4246 J Allk� Lic. No.: 848057 • AF ----------------------------------------------= -=---- - - - -_ - --- - -- - - - - -- LICENS CONTRACTOR'S DECLARATION WORKER'S COMPENSA RATION I hereby affirm under penalty of perjury that I a i__"sad under provisions of Chapter (commencing with I hereby affirm under penalty of perjury one of the followingdeclare Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -in rgA_fla�i�v ker ation, as provided License Class: 13 License No.: 848057 for by Section 3700 of the Labor Code, for the performa a of th ork hich this permit is issued. V71a1e: j 1S-0Contractor: - 1 have and will maintain workers' compensation insurance, as re ired b action 3700 of the Labor Code, for the performance of the work for which this permit is i My workers' compensation OWNER -BUILDER DECLARATION • insurance carrier and policy number are: - I hereby affirm under penalty of perjuy that) am exempt from the Contractor's State License Law for the Carrier. EXEMPT Policy Number EXEMPT following reason (Sec. 7031 .5; Business and Professions Cade: Any city or county that requires a permit to . _ I certify that, in the performance of the,work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the. person in any manner so as t ecome subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should b me subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of,Division 3 of the Business and Professions Code) or_- 3700 of the Labor Code, I all forthwith comply with those provisions.' ` that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: -IJ _og►�Applicant: (_ 1 I, as owner of the. property, or my employees with wages as their sole compensation, willdo'the work, and the structure is not intended or offered for sale (Seca 7044, Business and Professions Code: The _ WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .r one year of completion, the owner -builder will have the burden of proving that he or she did not build or - - improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. .IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State.License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for'the projects with a contractor_s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant.to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. . , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date 2/13/08 Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT of La Qumta, its officers, agentsand employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomesn and void if work is not commenced within 180 days from date of issuance of such permit, ssation of work for 180 days will subject permit to cancellation. I certify that l have read this application and state that the above of mation is correct. 1 agree to comply with all city and county ordinances and state laws relating to building c n uction, and hereby authorize representatives of this county to enter upon the above-mentioned property fo i pection purposes. /Gate:✓Signature (Applicant or Agent): �� , Application Number . . . 07-00002.827 -=-=-- Structure Information 2 STORY 5143 SF LIVING SFD ----- Other struct info . . . . . CODE EDITION 01BMP04E05EN # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 1107.00 PATIO SQ FTG 791.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4100.00 2ND FLOOR SQUARE FOOTAGE 1043.00 Permit . . . BUILDING PERMIT Additional desc 5143 SF 2 STORY SFD Permit Fee . . . . 1857.50 Plan Check Fee 1207.38 Issue Date . . Valuation 447772 Expiration Date 8/11/08 Qty Unit Charge Per Extension BASE FEE 639.50.`. 348.00 .3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1218.00 r Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 232.15 Plan Check Fee 58.04 Issue Date Valuation 0 Expiration Date 8/11/08 Qty Unit Charge Per Extension BASE FEE. 15.00 5143.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY. 180.01 1107:00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 22.14 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . . MECHANICAL Additional desc . Permit Fee 142.50 Plan Check Fee 35.63 Issue Date Valuation . . . . •0 Expiration Date 8/11/08 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.000,0 EA MECH B/C <=3HP/100K BTU 36.00 1.00' 16.5000 EA MECH B/C >3-15HP/>l00K7500KBTU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 LQPERMIT LQPERMIT Application Number 07-00002827 Permit . . . . . . MECHANICAL Qty Unit Charge Per_ Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc . Permit Fee 222.00. Plan Check Fee 55.50. Issue Date . . . Valuation 0 Expiration Date 8/11/08 Qty Unit Charge Per Extension " BASE FEE 15.00 25.00 6.0000 EA PLB FIXTURE 150.00 1.00 15.0000.EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 , 1.00 .3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER' 15.00 Permit GRADING PERMIT Additional desc .. Permit Fee . . . 15.0'0. Plan Check Fee .00 Issue Date . . Valuation . . 0 Expiration Date 8/11/08" Qty Unit Charge Per Extension BASE FEE.. 15.00. Special Notes and Comments 2 STORY SFD, 5143 SF LIVING, 1107 SF GARAGE (INCL 220 SF MUDROOM) R-3 OCC. TYPE"V-N CONSTR. 2001 CBC,CMC,CPC, 2004 CEC, 2005 ENERGY CODES Other Fees" . . . . ART IN PUBLIC PLACES -RES 619.43 DIF COMMUNITY CENTERS -RES 74.00" DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 120.74 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 44.77" DIF STREET MAINT FAC-RES 67.00 LQPERMIT Application Number .. . . . . 07-00002827 ------------.------=--------------------------------------------------------- Other Fees . . . . . . . .. DIF TRANSPORTATION - RES 1930.00 Fee summary Charged. Paid Credited' Due Permit Fee Total 2469.15 00 .00 2469.15 Plan Check Total 1356.55 750.00 .00 .606.55 Other Fee Total 5259.94 .00 ..00 5259.94 Grand Total 9085.64 750.00 00 8335.64 u1',H,icv n'� P.O. BOX 1504 APPLICATION ONLY Building 8-495 CALLE TAMPICO Address(a 735��OA4T/I(LlINTA, CALIFORNIA 92253 Owner Mf^ lul BUILDING: TYPE CONST OCC. GRP� Mailing — Addressial P2� w� 6Jvd A.PNumber i,O y 4p !^� Legal Description W 1 I �� �QVf G' Int t�lh�l Contractor V Proje t Description ro��d �eD � a rfn��5 b� Address City Zip Tel. State Lic. City iie Ft. �z No. Dw. & Classif. Lic. # J Dries il Units Arch., Engr.,� �� New Add ❑ Alter ❑ e of Designer AC921S qxr� 1 `�Y1 cI2Ly� �l 2 wt Zip State �,_ RUP f % Lic. # _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($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 im- 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 WORKER'S COMPENSATION DECLARATION I 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' COMPENSATION INSURANCE (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 Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I AMOUNT dam" Driveway Enc. Infrastructure 1 TOTAL REMARKS sem\ ZONE: BY:_ Minimum Setback Distances: FINAL DATE_ Issued by: Validated by:— Validation: YELLOW = APPLICANT Front Setback from Center Lin Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line INSPECTOR Date Permit PINK = FINANCE Coachella Valley Unified School District This Box For District Use Only 83-733 Avenue 55, Thermal, CA. 92274 DEVELOPER FEES PAID (760) 398-5909 — Fax (760) 398-1224 AREA: AMOUNT - LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATIONS AMOUNT: COMM/IND. AMOUNT: -DATE: RECEIPT: CHECK #: WITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence is at the Hideaway,' Date: February15; 2008 Owner's Name: Daniel & Gretchen Eakes Phone No. Project Address: 80-735 Via Portofino La Quinta, CA Project Description: 1 sSFD APN:. 771-490-018-4 Tract #: Lot #'s: Type of Development: Residential !XX Commercial Industrial Total Square Feet of Building Area: 5,143 sq. ft. Certification of Applicant/,Owners: The person signing certifies that e' above information is correct and makes, this statement under penalty of perjury and further represents that he/she is authorized to ign on be of the owner/developer. Dated: February 15, 2008 Signature:, SCHOOL DISTRICT'S REQUIREMENTS FORT ABOVE PROJECT_ HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWI . G:, (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement . Nom Number of Sq.Ft. 5,1433 Amount per Sq.Ft. $3.48 Amount Collected $17,897.64 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business'Services C Certificate issued by: Elvira Mattson, Secretary III Signature: 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. At such time as this Certificate expires, if -a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. MV:c/mydocs/devfees/certi6cate of compliance form tables TO USE.doc 1/16/03 T FIDELITY NATIONAL TIi E COMPANY !.4MYeTn1TMENT " X00... i* -200:3-40 1306. ,7W"nIRTTLE COMPANY 07/02/203 08:e0A Fee:3e.00p 1Y NATIONAL Page 1 of 4 Doc T Tax Paid SWWMp�g��ONDEPARTMERecorded in -Official Records CORDED MAIL TO: County yLv of Riverside Gary so Daniel H. Eakes and Gretchen D. Eake3 Assessor, county Clerk & Recorder • 2827 Brentwood Blvd. l 111111NilGrandIsland,NE 68801.. 111111111111111111111111111111111111111111111111111 MAIL TAX, STATENIENT TO: SAME AS ABOVE �oeMmoMM= N/iM i7iOMMM MINEW see MMe � DOCUMENT TRANSFER TAX $ XX Computed on the consideration or.value of_ property conveyed, OR Computed on tile consideration or value less liens or --encumbrances YS remaining at the time'of sale. • r Signature of Declarant or Agent determining tax – Firm Name "1701 Ia0.0 ig•�-i - TP,�- GRANT DEED: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ND LA QUINTA PARTNERS,'LLC, a Delaware limited liability company C'Grantor's, hereby GRANT(S) to DANIEL H. EAKES AND GRETCHENN D., BAKES, HUSBAND AND WIFE, AS JOINT TENANTS , ("Grantee'), the real property located in the "City of La Quinta, County of Riverside, State of California, described as: See Legal Description attached hereto and, incorporated herein as Exhibit "A". SUBJECT TO all matters of record including, :without limitation, the covenants and agreements described in Exhibit "A„ attached hereto. ' Dated: May 8, 2003 _ ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company r By:. Nationwide Realty investors, Ltd. an Ohio limited li bility co p y its managing m ber �. By. �. :. los h Amson Authorized Representative . r STATE OF California ) ) ss. COUNTY OF Riverside ) On iYl C�� q , 2003, before me, the undersigned, a notary public in and for said State, personally appeared Joseph L. Arenson, authorized representative of Nationwide Realty Investors, Ltd., (whose identity was proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and, that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS MY HAND AND OFFICIAL SEAL. - KATHRYN L. HUNTER [SEAL] Commission # 1382692 Notary Public - Cailfomla y Signature Riverside County ' My Comm. 6Pkes Nov 1.2D06 ' 6 • t . 2003-491306 11 Ilfl I{I{II 111[[1 111 [llfl llll ill{ 07, 1 {II{Il Ilil{{ Ifllll I 1 a 4 a0R SUBJECT TO: 1. Non delinquent general, special and supplemental real property taxes and assessments. 2. 'All other covenants, conditions, restrictions; reservations, easements, rights and rights; -of -way of record including, without imitation, the Declaration and the Map for Tract No. 298942. Grantee, by acceptance and recordation of this Grant Deed, hereby (a) accepts and approves all of the foregoing in this Grant Deed, (b) grants to Grantor and The.Hideaway Owners Association such powers and rights as are set forth in the Declaration, and (c) accepts, covenants and agrees to be bound by and assume performance of all of the applicable provisions and requirements set forth in the'Declaration, including Section 13.15 establishing the procedure for resolving disputes with Grantor, and the notice, which provisions and requirements are acknowledged to be reasonable and incorporated herein by this reference thereto. This grant is conditioned upon the performance of such provisions and requirements as are: to be performed by Grantee under the Declaration. 'The restrictions on use and occupancyof the Lot are set forth in the Declaration to which this Grant Deed is specifically and expressly made subject. GRANTEE HEREBY ACCEPTS AND APPROVES THE FOREGOING, granting unto Grantor and The Hideaway Owners sociation such powers and rights which are set forth in the aratio above, on 2 2003. bDelI es Gretchen D. Bakes STATE OF&kM_=kms 1t ) ) ss. - COUNTY OF ) On 1 Line , V_�) , 2003, before me, the undersigned, a notary public in and for said State, personally appeared Daniel H. Eakes and Gretchen D. Eakes, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signature on the instrument the persons, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS MY HAND AND OFFICIAL SEAL.. [SEAL] y , uo-sra� of tam 24.2003 2003-49130fi IIAINAIFI9VIIIIIIIInI1111Allllllllk'All nom;69, =.• ,L Err "A" f Legal'Description ` Parcel No. 1: Lot 145 -(the "Lot") of Amended Tract No. 29894-2 as shown on Subdivision Map (the "Map') recorded on December 12, 2002, in Book 327, Pages 56 to 88, inclusive, of Maps, in the Office + of the Riverside County Recorder. EXCEPTING AND RESERVING THEREFROM TO GRANTOR, and its successors, assigns, invitees, licensees and employees, together with the right to -grant and transfer all or a ` portion of the same, all easements and rights foraccess, ingress, egress, encroachment, - maintenance, drainage, support, and for, other purposes over the Association Maintenance Areas and other portion of.the Lot, reserved to Grantor in the following instruments: . {, 1. The Amended and Restated Declaration of Covenants; Conditions and Restrictions and Reservation of Easements for The Hideaway Owners Association (as amended ? or supplemented, the "Declaration'), recorded on December 13, 2002, as Instrument No. 2002- 745939, of Official Records of Riverside County, California (the "Official Records'); 2. The Supplementary Declaration of Annexation of Properly, recorded on March +. 21, 2003, as Instrument No. 2003-201647, of Official Records of Riverside Country, California. FURTHER RESERVING THEREFROM, the right to enter the Lot for a term of twelve (12) months following the recordation of this Grant Deed, to complete and repair any f improvements or landscaping located thereon as determined necessary by Grantor, in its sole ' discretion, mi order to comply with requirements. for the recordation of the Final Tract Map the i grading of said Tract and/or in compliance with the requirements of applicable governmental _ agencies. Such entry by Grantor shall be preceded by reasonable notice to "Grantee before such. en If this reservation of right of en is not complied with b Grantee Grantor may enforce h'Y- � try ' p . y � y . this right of entry in a court of law. Grantee shall be responsible for all damages arising out of said breach including attorneys' fees and court costs. This reservation of right of entry. shall automatically expire twelve (1"2) months from the recordation of this Grant Deed. ' Parcel No. 2• - Nonexclusive easements for access, ingress, egress, drainage, maintenance, repairs and for other purposes; all as described in the Declaration: �s: I illlll 111111 Ilfll! 111111111!lIII !11!11 III [IIS! IIlI lilt 070228018 sGOR t ��-- - Certificate of Occu anc . p Y. INCppOAA7FD ��� 1902 C OFT19� Building& Safet4 Department Y p This Certificate is issued pursuant to the requirements of Section 909 of the California Building 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: 80-735 VIA PORTOFINO Use classification: SINGLE FAMILY DWELLING Building Permit No.: 07-2827 t Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RL Owner of Building: DAN & GRETCHEN EAKES Address: 2827 BRENTWOOD BLVD City, ST, ZIP: GRAND ISLAND, NE 68801 By: STEVE TRAXEL Date: NOVEMBER 24, 2008 Building Official i POST IN A CONSPICUOUS PLACE AERO ENERGY TITLE 24 CALCULATIONS 15434 SHELTON DRIVE ' r LAKE MATHEWS, CA., 92570 (951) 776-4140 • DATE: 01-28-08 OWNER: DAN & GRETCHEN EAKES ' 80735 VIA PORTOFINO LA QUINTA, CA. ' DESIGNER: ERIC TRABERT ASSOCIATES CITY OF LA QUINTA 9521 IRVINE CENTER DRIVE IRVINE, CA. 92618 13UILDiN(a & SAFETY DEPT.. 949-861-2244 APPROVED ED • FOR CONSTRUCTION PROJECT: CUSTOM RESIDENCE..•' 79855 LIGA DATE2 1 bI3 � " LA QUINTA, CA. ( SQUARE FOOTAGE REVISION SET)— 2-B%y7 j STATEMENT OF COMPLIANCE The energy conservation standards for new residential buildings as set forth in Title24, Part 2, Chapter 2- 53; and Title 20, Chapter 2, Subchapter 4, article 1, of the California Administrative Code, have been Reviewed. This design conforms to all requirements as they apply in Climate Zone 15 using Micropas 7, Version 7.30, a California Energy Commision approved computer performance program for the 2005 Energy Standards. PREPARED BY: • µ v ' TERRY M. STATUM 'FEB ® 5 2008 �- 73S V pct. By a t i **SUMMARY SHEET ** " Proiect: Eakes Residence Zone: 1 79855 Liga La Quinta, Ca. Custom Residence'- Wall Insulation: R-19 Ceiling Insulation: R-30 Radiant Foil Barrier: Not Required Raised Floor Insulation: R-19 Slab Edge Insulation: None Glazing Type: All glass is DUAL PANE except the following, which is SINGLE: (See Notes) ** Entry Door ** Hard Surface Flooring: None Required Minimum Furnace AFUE: 80% AFUE Minimum Heating Capacity: 9.2,!i40tu/Hr ` Minimum A/C SEER: 13.0 SEER/11.0 EER Rater Verified (TXV Required) A/C Tonnage: 13.5 Tons (Min.Sens. = 78,x,32-13tu/Hr) y Duct Insulation: R-6 (Duct Leakage Test IS Required)' Note(s): 1) Entry Door can be single pane clear glass non-metal frame with CEC default values. 2) All windows and glass doors can have clad frames with an Average NFRC U -factor of .45 or less and an average SHGC of .40 or less with high performance Low -E glass.' 3) The water heater requires a MINIMUM of 75,100 Btu/Hr input. 4) This house requires R-4 or greater insulation on .75 inch or larger hot water main. lines. This is in addition to the insulation required by the mandatory measures. 5) The water heater for this house can have a recirculating pump with a thermostatic controller and time clock, or a hot water demand type recirculating system. HVAC EQUIPMENT SCHEDULE PROJECT: EAKES RESIDENCE 79855 LIGA LA QUINTA, CA. 2005 ENERGY STANDARDS NOTE: THIS HOUSE REQUIRES TIGHT DUCTS WITH R-6 DUCT INSUL. NOTE: THIS HOUSE REQUIRES HERS VERIFICATION FOR EER & TXV FIRST FLOOR - HEATING: (1) CARRIER CO. FURNACE #58RAV07012 56,000 BTU/HR OUTPUT, 80.0% AFUE COOLING: (1) CARRIER CO. CONDENSER #38ETG036 13.0 SEER/ 11.0 EER/ W/TXV, 3.0 TONS HEATING: (1) CARRIER CO, FURNACE #ZAV11522 93,000 BTU/HR OUTPUT, 80.0% AFUE COOLING: (l) CARRIER CO, CONDENSER #38ETG060 13.0 SEER/ 11.0 EER/ W/TXV, 5.0 TONS SECOND FLOOR HEATING: (1) CARRIER CO. FURNACE #RAV07012 56,000 BTU/HR OUTPUT, 80.0% AFUE', COOLING: (1) CARRIER CO. CONDENSER #38ETG036 13.0 SEER/ 11.0 EER/ W/ TXV; 3.0 TONS MASTER BEDROOM HEATING: (1) CARRIER CO. FURNACE #RAV05008 ' 35,000 BTU/HR OUTPUT, 80.0% AFUE COOLING: (1) CARRIER CO. CONDENSER #38ETG024 . 13.0 SEER/. 11.0 EER/W/TXV, 2.0 TONS NOTE: THIS SCHEDULE IS FOR BIDDING PURPOSES. FINAL EQUIPMENT SELECTION AND SIZING IS THE R_ ESPONSI13 LITY OF THE INSTALLING HVAC CONTRACTOR NOTE: ALL EQUIPMENT IS OR EQUAL CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... EAKES RESIDENCE Date..01/28/08 09:12:12 Project Address........ 79855 LIGA ******* LA QUINTA, CA. *v7.30* Documentation Author... Terry Statum Aero Energy 15434 Shelton Dr. Lake Mathews, CA •92570 951-776-4140 Climate Zone 15 Compliance Method...... MICROPAS7 v7.30 for 2005.Standards by Enercomp, Inc. MICROPAS7 v7.30 File=ETAEAKES Wth-CTZ15S05,.Program-FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE MICROPAS7 Building -79 Permit Plan Check Date Field Check/ Date Compliance Method...... MICROPAS7 v7.30 for 2005.Standards by Enercomp, Inc. MICROPAS7 v7.30 File=ETAEAKES Wth-CTZ15S05,.Program-FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE GENERAL INFORMATION HERS Verification......:. Required Conditioned Floor Area...... 5143 sf } Building Type...... .. ... Single Family Detached Construction Type ......... New Fuel Type .......... ***''** NaturalGas Building Front Orientation. Front Facing 45.deg (NE) Number of Dwelling Units... 1 Number of Building Stories. 2 Weather Data Type.,......... FullYear- Floor Construction Type..'.. Slab On Grade Number of Building .Zones... 1 ," Conditioned Volume......... 54572 cf Slab -On -Grade Area.:....... 4100 sf Glazing Percentage.:.'....-.. 15.9.% of floor area Average Glazing -U -factor... 0.5 Btu/hr-sf-F Average Glazing SHGC.....:. 0.43. Average Ceiling Height..... 10.6 ft. MICROPAS7 ENERGY•USE SUMMARY Energy Use Standard Proposed Compliance (kTDV/sf-yr) Design Design Margin Space Heating.......... 2.70 •3.37 -0.67 Space Cooling........... 64.54 61.72 2.82 Water Heating....`..... . 4.70 5.61 -0.91 Total 71.94 -70.70 1.24 *** Building complies with' Computer Performance *** *** HERS Verification Required for Compliance *** GENERAL INFORMATION HERS Verification......:. Required Conditioned Floor Area...... 5143 sf } Building Type...... .. ... Single Family Detached Construction Type ......... New Fuel Type .......... ***''** NaturalGas Building Front Orientation. Front Facing 45.deg (NE) Number of Dwelling Units... 1 Number of Building Stories. 2 Weather Data Type.,......... FullYear- Floor Construction Type..'.. Slab On Grade Number of Building .Zones... 1 ," Conditioned Volume......... 54572 cf Slab -On -Grade Area.:....... 4100 sf Glazing Percentage.:.'....-.. 15.9.% of floor area Average Glazing -U -factor... 0.5 Btu/hr-sf-F Average Glazing SHGC.....:. 0.43. Average Ceiling Height..... 10.6 ft. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... EAKES RESIDENCE Date..01/28/08 09:12:12 MICROPAS7 v7.30 File-ETAEAKES Wth-CTZ15S05 Program -FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE BUILDING ZONE INFORMATION Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) .(sf) Housewrap Residence 5143 54572 1.00' 8.0 Yes -Setback 8.0 Standard No OPAQUE SURFACES PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments. 14 S1abEdge 328 0.730 R=0 No IV.26 Al To Outside FENESTRATION SURFACES Exterior Area" U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/ comments 1 Wind Front (NE) 8.8 0.450 0.400 45 90 Standard FGLASSI/Clad/Openable 2 Wind Front (NE) 5.3 0.450 0.400 45 90 Standard FGLASS2/Clad/Openable 3 Wind Front (NE) 30.0 0.450 0.400 45 90 'Standard FGLASS3/Clad/Fixed 4 Door Front (NE) 54.0 1.250 0.800 45 90 Standard FGLASS4/Metal/Door 5 Wind Front (NE) 4."0 0.450 0.400 45 90 Standard FGLASS5/Clad/Fixed 6 Wind Front (NE) 18.0 0.450 0.400 45 90 Standard FGLASS6/Clad/Openable 7 Door Front (NE) 32.0 0.450 0.400 45 90 Standard FGLASS7/Clad/Door 8 Wind Left (SE) 5.3 0.450 0.400 135 90 Standard LGLASSI/Clad/Openable 9 Wind Left (SE) 8.0 0.450 0.400 135 90 Standard LGLASS2/Clad/Openable 10 Wind Left (SE) 17.5 0.450 0.400 135 90 Standard LGLASS3/Clad/Openable 4 U- Sheath- Solar Appendix Frame Area fact- Cavity.ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments 1 Wall Wood 719 0.074 19 0 45 .90 Yes IV.9 A5� Front 2x6 Wall 2 Wall Wood 196 0.074 19 0 45 90 No IV.9 A5• Gar. 2x6 Wall 3 Wall Wood '1005 0.074 19. 0 135 90 Yes IV.9 A5 Left 2x6 Wall 4 Wall Wood 70 0.074 19 0 135 90 No IV.9 A5 Gar. 2x6 Wall 5 Wall Wood 718 0.074 19 0 225 90 Yes IV.9 A5 Back 2x6 Wall 6 Wall Wood 954 0.074 19� 0 315 90 Yes IV.9 A5 Right 2x6 Wall 7 Roof Wood 4810 0.032 30 0 n/a 0 Yes IV.1 A7 Vented Attic 8 Roof Wood 160 0.032 30 0 135 27 Yes IV.1 A7 Vaulted Roof 9 Roof Wood 160 0.032 30 0 315 27 Yes IV.1 A7, Vaulted Roof 10 F1oorExt Wood 770 0.048 19 0 n/a 0 No IV.20 A4 Over Garage 11 FloorExt Wood 30 0.048 19 0 n/a 0 No IV.20 A4 Over Outside 12 Door Other 24 0.500 0 0 45 90 No IV.5 A4- Garage Door 13 Door Other 24 0.500 0 0 315 90 Yes IV.5 A4' Right Door PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments. 14 S1abEdge 328 0.730 R=0 No IV.26 Al To Outside FENESTRATION SURFACES Exterior Area" U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/ comments 1 Wind Front (NE) 8.8 0.450 0.400 45 90 Standard FGLASSI/Clad/Openable 2 Wind Front (NE) 5.3 0.450 0.400 45 90 Standard FGLASS2/Clad/Openable 3 Wind Front (NE) 30.0 0.450 0.400 45 90 'Standard FGLASS3/Clad/Fixed 4 Door Front (NE) 54.0 1.250 0.800 45 90 Standard FGLASS4/Metal/Door 5 Wind Front (NE) 4."0 0.450 0.400 45 90 Standard FGLASS5/Clad/Fixed 6 Wind Front (NE) 18.0 0.450 0.400 45 90 Standard FGLASS6/Clad/Openable 7 Door Front (NE) 32.0 0.450 0.400 45 90 Standard FGLASS7/Clad/Door 8 Wind Left (SE) 5.3 0.450 0.400 135 90 Standard LGLASSI/Clad/Openable 9 Wind Left (SE) 8.0 0.450 0.400 135 90 Standard LGLASS2/Clad/Openable 10 Wind Left (SE) 17.5 0.450 0.400 135 90 Standard LGLASS3/Clad/Openable CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... EAKES RESIDENCE Date..01/28/08 09:12:12 MICROPAS7 v7:30 File-ETAEAKES Wth-CTZ15S05 Program -FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE FENESTRATION SURFACES Exterior. Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments 11 Wind Left (SE) 5.3 0.450 0.400 135 90 Standard LGLASS4/Clad/Openable 12 Wind Left (SE) 25.0 0.450 0.400 135 90 Standard LGLASS5/Clad/Openable 13 Wind Left (SE) 12.5 0.450 0.400 135 90 Standard LGLASS6/Clad/Fixed 14 Wind Back (SW) 60.0 0.450 0.400 225 9.0 Standard BGLASSI/Clad/Openable 15 Wind Back (SW) 18.0 0.450 0.400 225 90 Standard BGLASS2/Clad/Openable 16 Wind Back (SW) 31.2 0.450 0.400 225 90 Standard BGLASS3/Clad/Fixed 17 Door Back (SW) 200.0 0.450 0.400 225 90 Standard BGLASS4/Clad/Door 18 Wind Back (SW) 10.0 0.450 0.400 225 90 Standard BGLASS5/Clad/Openable 19 Wind Back (SW) 10.0 0.450 0.400 225 90, Standard BGLASS6,/Clad/Openable 20 Door Back (SW) 40.0 0.450 0.400 225 90 Standard BGLASS7/Clad/Door 21 Wind Right (NW) 31.2 0.450 0.400 315 90 Standard RGLASSI/Clad/Fixed 22 Door Right (NW) 24.0 0.450 0.400 315 90 Standard RGLASS2/Clad/Door 23 Wind Right (NW) 15.0 0.450 0.400 315 90 Standard RGLASS3/Clad/Openable 24 Wind Right (NW) 25.0 0.450 0.400 315 90 Standard RGLASS4/Clad/Openable 25 Wind Right (NW) 14.0 0.450 0.400 315 90 Standard RGLASS5/Clad/Openable 26 Wind Right (NW) 8.0 0.450 0.400 315 90 Standard RGLASS6/Clad/Openable 27 Door Right (NW) 48.0 0.450 0.400 315 90 Standard RGLASS7/Clad/Door 28 Wind Right (NW) 8.0 0.450 0.400 315 90 Standard RGLASS8/Clad/Openable 29 Door Right (NW) 48.0 0.450 0.400 315 90 Standard RGLASS9/Clad/Door OVERHANGS Window Overhang Area Left Right Surface (sf) Width Height Depth Height Extension Extension 1 Window 8.8 n/a 3.5 1.0 4.0 n/a n/a 2 Window 5.3 n/a 3.5 2.0 2.0 n/a n/a 3 Window 30.0 n/a 7.5 2.0 7.5 n/a n/a 4 Door 54.0 n/a 9.0 2.0 8.0 n/a n/a 5 Window 4.0 n/a 2.0 2.0 2.0 n/a n/a 6 Window 18.0 n/a 4.5 2.0 1.5 n/a n/a 7 Door 32.0 n/a 8.0 1.5 4.0 n/a n/a 8 Window 5.3 n/a 3.5 0.5 5.0 n/a n/a 9 Window 8.0 n/a 4.0 2.0 5.5 n/a n/a 10 Window 17.5 n/a 5.0 1.0 0.5 n/a n/a 11 Window 5.3 n/a 3.5 2.0 1.0 n/a n/a 12 Window 25.0 n/a 5.0 2.5 1.0 n/a n/a 13 Window 12.5 n/a 5.0 2.5 1.0 n/a n/a. 14 Window 60.0 n/a 7.5 2.0 2.5 n/a n/a 15 Window 18.0 n/a 4.5 2.5 1.0 n/a n/a 16 Window 31.2 n/a 5.5 7.0 2.5 n/a n/a 17 Door 200.0 n/a 10.0 18.0 0.5 n/a n/a 18 Window 10.0 n/a 5.0 18.0 2.5 n/a n/a 19 Window 10.0 n/a 5.0 10.0 0.5 n/a n/a 20 Door 40.0 n/a 8.0 10.0 0.5 n/a n/a 21 Window 31.2 n/a 5.5 10.0 0.5 n/a n/a 22 Door 24.0 n/a 8.0 14.0 0.5 n/a n/a 23 Window 15.0 n/a 5.0 13.0 0.5 n/a n/a r - r CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... EAKES RESIDENCE. Date..01/28/08 09:12:12 MICROPAS7 x7.30 File-ETAEAKES Wth-CTZ15S05 Program -FORM CF -1R User#-MP1751 User -Aero -Energy Run-EAKES RESIDENCE OVERHANGS Window overhang Area Left Right Surface (sf) Width Height Depth Height Extension Extension' 24 Window 25.0 'n/a 5.0' 1.0 0.5 n/a n/a 25 Window 14.0 n/a 3.,5° 1.0 2.5 n/a n/a 26 Window 8.0 n/a 4.0 2.0 1:0 n/a n/a . 27 Door 48:0 n/a 8.0 4.0 0.5 ' n/a n/a 28 Window 8.0 n/a 4.0 2.0 1.0 n/a n/a 29 Door 48.0' n/a 8.0,.-, 4.0. 0.5 n/a. n/a SLAB SURFACES Area Slab Type (sf) Standard Slab 4100 HVAC SYSTEMS' Verified Verified Verified, , Verified Verified Maximum System Minimum Refrig Charge Adequate Fan Watt Cooling Type Efficiency EER or TXV Airflow Draw Capacity Gas 0.800 AFUE n/a n/a n/a n/a n/a ACSplit 13.00 SEER 11.0 Yes, No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling,. Cooling System Load Load Capacity Capacity Type (Btu/hr) `y (Btu/hr) (Btu/hr) (Btu/hr) Gas 92566 n/a n/,a n/a ACSplit: n/a 78232, 97086 n/a' Sizing Location. ......... LA QUINTA Winter Outside Design...... 26 F Winter Inside Design....... 70 F Summer Outside Des'ign...... 111 F Summer Inside Design....... 75 F Summer Range ...:........... 34 F r CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R_ Page 5 Project Title.......... EAKES RESIDENCE. Date..01/28/08 09:12:12 MICROPAS7 v7.30 File-ETAEAKES Wth-CTZ15S05 Program -FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE WATER HEATING SYSTEMS DUCT SYSTEMS Number Tank External Heater Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts Gas Attic R-6 Yes No No ACSplit Attic R-6 Yes No No WATER HEATING SYSTEMS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. This building incorporates a non-standard Water Heating System. r 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 Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified EER. Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor +(gal) R -value 1 Large Gas Recirc/TimeTemp 1 n/a 75 R-0 WATER HEATING SYSTEMS DETAIL , i Standby Internal .Tank Recovery Rated Loss Insulation Pilot System Efficiency Input Fraction R -value Light 1 Large .793 n/a .0244' R- n/a 500 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. This building incorporates a non-standard Water Heating System. r 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 Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified EER. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 Project Title.......... EAKES RESIDENCE Date..01/28/08 09:12:12 MICROPAS7 v7.30 File-ETAEAKES Wth-CTZ15S05 Program -FORM CF -1R User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE HERS REQUIRED VERIFICATION This building incorporates HERS verified Duct Leakage. Target leakage is 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 COMPLIANCE STATEMENT 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 certificate has been signed by the individual with overall design responsibility. Name.... Company. Address. Phone... License. Signed.. Name.... Title... Agency.. Phone... DESIGNER or OWNER ERIC TRABERT E.T.A. 9521 IRVINE. IRVINE, CA. 949-861-2244 CENTER DRIVE 92618 ate ENFORCEMENT AG NCY Signed. ate DOCUMENTATION AUTHOR Name.... Terry Statum Company. Aero Energy Address. 15434 Shelton Dr. . Lake Mathews, CA 92570 Phone... 951-776-4140 (ctSigned., cel 2�� � ate MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page i of 2) MF -IR Project Title I Date ote: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes or check NA if not applicable and included with the permit application documentation. DESCRIPTION NA Designer Enforced 3*= eutxr;: Building Envelope Measures: ✓ ✓ ✓ ; * 150 a Minimum R-19 in wood frame ceiling § O: g insulation or equivalent U -factor in metal frame ceiling. ❑ ® ;f* ` �❑fin Y §I50(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ® 3' r❑�y,� ' * §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). El 19 t ❑ r,:, 150 d q * § O: Minimum R-13 raised Floor insulation in framed floors ore equivalent U -factor. ❑ � Y ::, a❑ � s §I50(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. I. Masonry and factory -built fireplaces have: a. closeable metal or glass door covering the entire opening of the firebox ❑ JR ❑« '' b. outside air intake with damper and control, flue damper and control tc 2. No continuous burning gas pilot lights allowed. ❑ is s+' S ❑ 150 : Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual. t §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑�� ❑ §150(1): Slab edge insulation -water absorption rate for the insulation material alone without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0perm/inch. ❑ ® le❑ -;; §118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF -6R Form: ❑ � 'Y ❑ k " §116-§117: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ 14 r� ❑ 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. ❑ � may: °yz ,�❑i�j,,; 3. Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed. ❑ ® ? ❑ s, Space Conditioning, Water Heating and Plumbing System Measures: §110+13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑ f';, §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ® "w❑3': §150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ «' { ❑ 4: %. § 1500): Water system pipe and tank insulation and cooling systems line insulation. 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. ❑❑ i'v> 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation and indicated on the exterior of the tank showin g the R -value. ❑ H ` p ❑ 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. 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 shall be insulated to Table 150B.�k.:',a ❑ :xis { ❑ , ,i: 2. Cooling system piping(suction, chilled water, or brine lines), i in insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A.> In ❑ � ❑� r,' 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A. ❑�" t❑ Residential Compliance Forms December 2005 MANDATORY MEASURES SUMMARY: RESIDENTIAL Page 2 of 2) MF-1R DESCRIPTION j NA Desili.er Enforce Space Conditioning, Water Heating and Plumbing System Measures: (continued) ✓ ✓✓a F 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. ❑ ®Q ,x 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in ❑ 12 i conditioned s ace. 1 7. Solar water-heating systems/collectors are certified by'the Solar Rating and Certification Corporation. ® ❑ k0", * §I50(m): Ducts and Fans e 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply-air and retum-air ducts and plenums are insulated to a minimum installed level of R4.2 or enclosed r ' entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct-closure system that meets the ❑ �e applicable requirements of UL 181, UL 181 A, or UL 181 B or aerosol sealant that meets the requirements of UL 723. If ) ry mastic or tape is used to seal openings eater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 3ti; 2. 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 ❑ / �c ❑<§ 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. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes ❑ �t. unless such to is used in combination with mastic and draw bands. gM,, 4. Exhaust fan systems have back draft or automatic dampers. , . ❑ �, 0 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated§ 11 dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment 4V., maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water ❑ ❑ i°: retardant and provides shielding from solar radiation that can cause degradation of the material.,;` 7. Flexible ducts cannot have porous inner cores. ❑ IR §114: Pool and Spa Heating Systems and Equipment.DSL - 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ heater, weatherpr6ofoperating instructions, no electric resistance heating and no pilot light. " ,;5 2. System is installed with: a. at least 36" of pipe between filter and heater for future solar heating r ® ❑ �0 b. cover for outdoor pools or outdoor spas ❑ %Q` s, 3. Pool system has directional inlets and a circulation pump time switch. ❑ f+`GQ°'` §115: Gas fired fan-type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ uri s burning pilot light. (Exception: Non-electrical cooking appliances with pilot < 150 Btu/hr). § 118(i): Cool Roof material meets specified criteria ® ❑ Residential Lighting Measures: § I50(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater ❑ are electronic and have an output frequency no less than 20 kHz �s¢ §150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® r 150-C, luminaire has facto installed HID ballast Y §150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy ❑ 21 luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy f � ❑° ` luminaires. §150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms and utility rooms shall be high efficacy Hr luminaires. OR are controlled by an occupant sensors certified to comply with Section 1 19(d) that does not turn on ' automatically or have an always onoption. Wi §150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility ria z; rooms shall be high efficacy luminaires (except closets less than 70ft2): OR are controlled by a dimmer switch OR are§ controlled by an occupant sensor that complies with Section 119(d) that does not tum on automatically or have an always El (a �L.� ono tion.t'c'=`% §150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified airtight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. ❑ i ° ft §I50(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section ❑ kg �'4: 119(d).�< rti A • Yi §I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. ❑ tfr ❑ , " t Lighting for parkinggarages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146. �� :N `' §150(k)8: Permanently installed lighting in the enclosed, non-dwelling spaces of low-rise residential buildings with four or y t more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensors) certified to comply withvw ® ❑ ❑%: Section 119(d). .ez4 Residential Compliance Forms, December 2005 HVAC SIZING HVAC 'Page 1' Project Title........... EAKES RESIDENCE Date..01/28/08 09:12:12 Project Address...:.... 79855 LICA ******* LA QUINTA, CA. .*v7.30* Documentation Author... Terry Statum ******* Aero Energy 15434 Shelton Dr. Lake Mathews, CA 92570 951-776-4140 Climate Zone......... . 15 Building Permit Plan Check Date Field Check/ Date Compliance Method..-..,.. MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File-ETAEAKES Wth-CTZ15S05 Program -HVAC SIZING User#-MP1751 User -Aero Energy Run-EAKES RESIDENCE GENERAL INFORMATION i Floor Area....... 5143 sf , Volume .................. 54572 cf Front Orientation.......... Front Facing 45 deg (NE) Sizing Location............ LA QUINTA Latitude ................... 33.8 degrees , Winter Outside Design...... 26 F - Winter Inside Design....... 70 F Summer Outside Design...... 111 F Summer Inside Design....... 75 F Summer Range................ 34 F.• Interior Shading Used...... Yes Exterior Shading Used...... Yes ti Overhang Shading Used...... Yes Latent Load Fraction....... 0.24 HEATING AND COOLING LOAD SUMMARY Description Opaque Conduction and Solar..... Glazing Conduction and Solar.... Infiltration.... ......... Internal Gain... :.... .Ducts................... Sensible Load... .. Latent Load... Minimum Total Load Heating (Btu/hr) Cooling (Btu/hr) 39207 21498 18060 26259 24604 15064 n/a 3440 10695 11971 92566 78232 n/a 18854 92566 97086 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.,I must also be considered. I -t is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. r f t f t MICROPAS7 Chapter 2: INPUT REFERENCE Table 2-2. Standard U factors of Wood Frame Roofs/Ceilings and Wallst Framing Reference Appendix IV Insulation Spacing Name U Factor Table Cell Roof/Ceiling Floor " Reference = R-19 16" o.c. R. 19.2X8.16 0.049 IV.1 A4 R-19 24" o.c. R.19.2 X4.24 0.048 IV. I A 14 R-30 16" o.c. 8.30.2X10.16 0.032 IV.I A7 R-30 24" o.c. R.30.2X4.24 0.032 IV.I A17 R-38 16" o.c. R38.2X12.16 0.026 IV.I A8 R-38 24" o.c. R38.2X4.24 0.025 IV.I A18 R-49 16" o.c.. R.49.2X4.16 0.020 IV.1 A9 R-49 24" o.c. R.49.2X4.24 0.020 IV.I A19 Wall Insulation R-13 16" o.c. W.13.2X4.16 0.102 1V.9 A3 R-13 16" o.c. W. 13.2X4.16. R4 0.068 IV.9 C3 R-15 16" o.c. W.15.2X4.16 0.095 IV.9 A4 R- 15 16" o.c. W.I5.2X4.16.R4 0.064 IV.9 C4 R-19 16" o.c. W. 19.2X6.16 0.074 IV.9 A5 R-19 16" o.c. " W.19.2X6.16.114 0.055 IV.9 C5 R-19' 24" o.c. W.19.2X6.24 0.071 IV.9 A23 R-19 24" o.c. W.192X624.R4 0.053 IV.9 C23 R-21 16"o.c. W.21.2X6.t6 0.069 IV.9 A6 R-21 16" o.c. W.21.2X6.16.R4 0.051 IV.9 C6 R-21 24" o.c. W.21.2X6.24 0.066 IV.9 A24 R-21 24" o.c. W.21.2X6.24.R4 0.049 IV.9 C24 Solidcore wood DOOR 0.50 IV.28 A4 Slab Edge no insulation EDGE.EXT 0.73 IV26 Al Slab Edge R7 insulation EDGE..EXT.R7 0.56 IV26 C7 © 2005 by Enercomp, Inc. 03/30/2005 COMPLIANCE 2'3 3 2-34 Table 2-3. Standard U factors of Wood Frame Raised Floors Floor " Reference Appendix IV Insulation Condition Name U -factor Table Cell R-13 No crawlspace FX. 132X6.16 0.064 IV.21 A3 R-13 Crawlspace FC. 13.2X6.16 0.046 IV.20 A3 R-19 No crawlspace FX. 192X8.16 0.048 IV.21 A4 R-19 Crawlspace FC. 19.2X8.16 0.037 IV.20 A4 R-30 No crawlspace FX.30.2XI0.16 0.034 IV.21 A7 R-30 Crawlspace FC.302X10.16 0.028 IV.20 A7 © 2005 by Enercomp, Inc. 03/30/2005 COMPLIANCE 2'3 3 2-34 INSTALLATION CERTIFICATE --'-(Page 12 of 12) CF -6R Site Address Permit Number County Subdivision Lot Number Description of Insulation (Formerly IC -1 Form) t - 1. RAISED FLOOR Item #s Material ' Brand Name Thickness (inches) ,..E Thermal Resistance (R -Value) 2. SLAB FLOOR/PERIMETER . Material Brand Name Thickness (inches) Thermal. Resistance (R -Value) Perimeter Insulation Depth (inches) ' Item #s 3. EXTERIOR WALL , Installing Subcontractor (Co. Name) OR Frame Type «• A. Cavity Insulation Material Brand Name Thickness (inches) Thermal Resistance (R -Value) B . Exterior Foam Sheathing _ Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 4. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 5. CEILING Batt or Blanket Type - Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand, Contractor's min installed weight/W .1b Minimum thickness inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 6. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration ✓ ❑ I hereby certify that the above insulation was installed in the building at the location in above conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name)'OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature bate Installing Subcontractor (Co. Name) OR (if applicable) «• General Contractor (Co. Name) OR Owner { OR,Window Distributor Residential Compliance Forms April 2005 f CIHIEIEIRIS Registry:: Site:: Structure Details Structure Details Structure Note This Structure has been Approved. All verifications have been completed. Page 1 of 1 Structure Number 1 Address 80735 Via Portafino La Quinta, California 92253 Number of 1 Dwelling Units Project Participation 2005: Title 24 ` Project Eakes Residence Floorplan MOM Eakes Residence Grouping ..Phase 1 Statistics I----�--Status Approved — Verification Tested`+_-_ Number of 17 Verifications Verifications Ducts (Complete) Latest Test Status Latest Tested Feature Verification Test Status Distribution System is Fully Ducted Duct Leakage Reduction Compliance Credit Proper Duct Sealing / Tape P 9 Tested Tested Tested 10/21/2008 Complete 10/21/2008 Complete 10/21/2008' Complete HVAC Equipment (Complete) Feature Verification Latest Test Status Thermostatic Expansion Valve (TXV) Tested 10/21/2008 Complete Structure Envelope (Complete) Feature Verification Latest Test Status CF -6R Verification Tested 10/21/2008 Complete © 2000 - 2008 CIHIEIEIRIS Page: 0.7041 Questions or Comments http://registry.cheers.org/index.php?Realm=Site&Action=Detail&SiteID=189152 11/20/2008 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 3) CF4R Project Address I Eakes Residence I Duct Pressurization Test Results CFM 25 Pa t ( @ ) � 5 / :`. � Builder / Installer 80735 Via Portafino / La Quinta / CA / 92253 1 Bradshaw Construction Builder / Installer Contact Telephone Plan Number / Permit Number Tom Bradshaw 7603474246 Eakes Residence HERS Rater Telephone Sample Group Number Michael Willeford - CJHJEJEJRJS®1D 7604497248 0 #CCNMW263496 6 Enter Reduction in LeakageforAltered Duct System [ Line #4 Minus Line #5] (Only. if Applicable). --' 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). # Compliance Method (Prescriptive) TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for Compliance Climate Zone 15 Certifying Signature Date Sample House Number 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] ] 1 Firm 11 HERS Provider MW Ratings ❑ Pass ❑ Fail CJHJEJEJRJS@ Address City/State/Zip 74315 Peppergrass Pass if One of Lines #9 through #12 Pass Palm Desert /CA /92260 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT This house was: ,/ Tested ; As the HERS rater providing diagnostic testing and field verification,, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building: The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. ll V The installer has provided a copy of CF 6R (Installation Certiffcat,)i' New Ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New ducts with cloth backed, rubber adhesive duct tape is -installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connection MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results System # 1 NEW CONSTRUCTION: ! `--- Duct Pressurization Test Results CFM 25 Pa t ( @ ) � 5 / :`. � Measured Values 1 Enter Tested Leakage Flow in CFM f 1, ; 1 103 2 Fan Flow: Calculated (Nominal: ❑ Cooling ❑ Heating `✓ Measured) Enter Total Fan Flow in CFM:^ 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] 5.1 _ �/ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out I ] t iK) 4 Enter Tested Leakage Flow in CFM from CF -6R' Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipmeni Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or' Equipment Change-Out.1 6 Enter Reduction in LeakageforAltered Duct System [ Line #4 Minus Line #5] (Only. if Applicable). --' 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). # 8 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for Compliance 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 J ] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] ] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 Pass ❑ Pass ❑ Fail Residential Compliance Forms Generated by CJHJEJEJRJS@ http://www.CHEERS.org December 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 2 of 3) CF4R Project Address I Eakes Residence I 80735 Via Portafino / La Quinta / CA / 92253 Builder / Installer Bradshaw Construction System # 2 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM 52 2 Fan Flow: Calculated (Nominal: ❑ Cooling ❑ Heating Measured) Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] J 4.3 v/ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only if Applicable). 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). 8 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/,HVAC Equipment Change -Out Use one of the following four Test or Verification Standards -for e6mplii n16'e 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #S/ Line #2*1 -]�, e ( I A ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10%;[ 100 x [ Line #7 /.Line #2_ ] ]> I I I I w O Pass ❑Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [`Line #6 / L_ine,#4'fl and Verification by Smoke Test and Visual Inspection 1__-1 .11 ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and'.Verification bySmoke Test and Visual Inspection - ❑pass ❑Fail �✓ �a "`Pass if One of Lines #9 through #12 Pass ❑ Pass ❑ Fail System # 3 S. -t—$ $ —1 1 • ) ' _ _a. NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) ' _ N_ Measured Values 1 Enter Tested Leakage Flow in CFM ^"�- _ , - '—r __, ,r f _ 44 2 Fan Flow: Calculated (Nominal: ❑ Cooling ❑ Heating Meastircd)' — Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #] / Line #2 ] ],. E 3.6 V pass ❑Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out } 4 '.Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. . 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. I 1 4 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line #5] (Only if Applicable). r 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). I { 8 Enter New Duct System:- Pass if Leakage Percentage <6%,[ 100 x [ Line #5 / Line #2 ❑pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change-out;_ Use one of the following four Test or Verification Standards for Compliance = v- 9 Pass if Leakage Percentage < 15% [y100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x ( Line #7 / Line #2 ] ] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke Test and Visual Inspection ❑ pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 Pass ❑ Pass ❑ Fail Residential Compliance Forms Generated by CJHJEJEJRJS® http://www.CHEERS-org December 2005 r CERTIFICATE OF FIELD VERIFICATION •& DIAGNOSTIC TESTING (Page 3 of 3) CF4R Project Address I Eakes Residence I 80735 Via Portafino / La Quinta / CA / 92253 Builder / Installer Bradshaw Construction System # 4 ' NEW CONSTRUCTION: V THERMOSTATIC EXPANSION VALVE (TXV) -Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RLv , System # 1 System # 2 System # 3 �'" f � F1 Fr"-�. i 4 ;7 ,' f- [ F'"3 f F System # 4 - 1 .. .. .. - 1 •. •'tel • , . - » � Residential Compliance Forms Generated by CJHJEJEJRJS® http://www.CHEERS.org. December 2005 - Access is provided for inspection. -The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment'shall be verified- , - Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values � !.J � _,'s. � I Enter Tested Leakage Flow in CFM 26 2 Fan Flow: Calculated (Nominal: ❑ Cooling El Heating ,/ Measured) Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] 3.2 �/ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out - 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out., 5 • Enter Tested Leakage Flow in CFM: Final Test of New Duct System_ or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Aitered Duct System [ Line #4 Minus Line #5] (Only if Applicable). 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). 8 Enter New Duct System - Pass if Leakage Percentage < 6% [ 100 x [ Line #5 / Line #2 ] ] ❑pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct ystem'and/or,HVAC Equipment Change -gut Use one of the following four Test or Verification Standards forCompliance, ' 9 Pass if Leakage Percentage < 15% [ 100 x [ Lure #5/ Line #2 ] ], l ❑Pass ❑Fail 10 Pass if Leakage to Outside Percentage < 10%I[ 100 z (Line #VLinc fl, t 1' ❑ Pass ❑ Fail 1 I Pass if Leakage Reduction Percentage > 60% [ 100 x-[ Line #6-/ Line.#4`] ] and Verification by Smoke Test and Visual Inspection 1-711 C,-1- ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and.Verification by Smoke Test acid .V=sua1 Inspection � ❑Pass ❑Fail if One of Lines #9 through #12 Pass ❑Pass ❑Fail Yes ❑ No Access is provided for inspection. -The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment'shall be verified- , - Pass ❑Fail �/ Yes Cl No • Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and` installation of the specific equipment shall be verified. - Yes is a pass Pass El Fail ❑ No Access,is provided for inspection.The procedure shall consist of visual verification, at the TXV. is installed on the system and installation of the specific`equipment shall beverified. l "� � L--7 � !.J � _,'s. � j� Yes is a pass Pass ❑Fail V Yes ❑ No Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on the system and installation of the specific equipment shall be verified • Yes is a pass V Pass Cl Fail