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11-0135 (MECH)-41 - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: X11--000001357,-ti Property Address: 153-3,95 =AVENIDA-VILLA APN: 774 -093 -020 -8 -0.00000 - Application description:, MECHANICAL Property Zoning: COVE.RESIDENTIAL Application valuation: 6000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PAT THACKER .53395 AVENIDA VILLA _ �= LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/08/11 ..r Contractor: I Applicant: Architect or Engineer: BEST IN THE' WEST f �` p n��� 255 N. EL CIELO,. 140;12 J PALM SPRINGS, CA 92262 Li�Y (760) 343-1002 t Frjll�;ir�lltNT,� Lic. No.: 826714 --------------------------------------- LIC ONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury tha amlice sed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busine f 'ovals Code, and my License is in full force and effect, I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice a Class: C20 -C38 License No.: 826714 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C ractor: 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 OWNER -BUILDER DECLARATION ' insurance carrier and policy number are: I hereby affirm -under penalty of perjury that I am exempt from the Contractor's. State License Law for the - Carrier STATE FUND Policy Number 1932774-2010 - 'following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ [-certify that, in the performance of the wor c hich this permit is issued, 1 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 sous t_ ubject 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 1 should o s 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 C s Ifo it ly 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= plicant: ° (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and .. the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' 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 CRIMINAL 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 FAR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ 1 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 chi; agglic@t140� property who builds or improves iheieon, and who contracts for the projects with a contractorW licensed - L 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 toany 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 • of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following, issuance of this permit. Date: Owner: 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 CONSTRUCTION LENDING AGENCY• permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above' for tion is c ct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). cityand county ordinances and state laws relating to building c s cu r y authorizerepresentatives _ of this county to enter upon the above-mentioned property for p r Lender's Name: - - �rr `�D ate•!�%�� (��( ignature (Applicant or Agent): Lender's Address: ; .' LQPERMIT Application Number 11-00000135 ` Permit . . MECHANICAL Additional desc... . Permit Fee 40.50 Plan Check Fee 10.13 " Issue Date . . 'Valuation 0. Expiration Date 8/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 ' 1.00 9.0000 EA MECH FURNACE'<=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ------------------------------------------------ -------------------- --------------- SpecialNotes and Comments --Special INSTALL NEW AIR HANDLER & CONDENSER, 13 'SEER, LIKE FOR LIKE. 2010 CODES. Other Fees . . . ... . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT ------------- w I HVAC CF-iR-ALT-HVAC ' , Simplified -Prescriptive Certificate of Compliance: 2008 Residential Alterations Climate Zones 10 - 15 -Site Address: Enforcement Agency:' Date: Permit #: 53395 Avenida Villa La Quinta, CA 92253 City of La,Quinta Jan 26, 2011, Duct insulation , Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area .Thermostat Package Unit . . W, Furnace , Indoor Coil ] AFUE � SEER 13.0 L COP RV HSPF J R 6�(CZ 10-13) -14=15) ' Served by system -1400 sf ,R Setback If not al; eady,present P Condensing Unit EER Resistance❑ R 8 (CZ - , must be installed) ❑ Outer 1.Zquij0mdnt Type: Choose the equipment being insia/led; if mom [hari orie System, ore_ anoYherCY`-IR=ALT=HVAC,Fureach system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and sgnedBeginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. C�1 1. HVAC Changeout. Required Forms: . All HVAC, Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS - replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 „ • Condenser Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Indoor Coil and /or CF -4R forms: MECH-21 and (for split systems) MECH-25 ..-Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requiremant), TMAH For Packaged Units: Dud leakage < 15 percent Exempted from duct leagage testing if:. ❑ 1. Duct system was documented to have been previously sealed arid confirmed through HERS verification, or ❑.2. Duct systems with.less than 40 linear feet in. unconditioned space, or, R. [13. Existing dud -systems are constructed insulated or, sealed with,asbestos " . , . y ,1117, Cl2. Nevi HVAC , y, - Required Forms: �'" Ui. System . Cut in or Changeout ,+ ' ' lt_ CF 6R forms MECH-04, MECH-20 HERS,.and (for split systems).,MECH-22 KERS and T ' with new ducts Call new ductirig'a� MECH125;HERS ,�. „: p s w,� i W. MECH-22' MECH•25`�`',» new equipment)' CF -4R forms ,MECH 20'and (for-_'SpliCsystemsj and ¢r. ,<`6 For Split Systems: Duct leakage percent RC;'CCA 2: 350 CFM/ton,'FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6'percent , 3.N ew Ducts with /or without Required Forms: Replacement '= . Includes replacing or installing a®. new ducting and/or outdoor CF -6R forms: MECH-04, MECH-20-HERS, and (for split systens) MECH-25-HERS condensing.unit and/or indoor coil CF -4R' forms: MECH=20'and-(for split systems) MECH-25 ' and/or furnace. No or some equipment changed. For Split Systems: Duct'leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 4. New Ducting over 40 feet Required Forms: .Includes: adding:or•:replacing.. more . . CF -6R formst MECH=04, MECH'-21-HERS < I than 40 linear feet of duct in CF -4R forms: MECH-21 'r unconditioned space. For split system or packaged units: Duct leakage < 15 percent 'p EXCEPTION: Existing duct systems constructed; insulated'orsealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on. -other applicable " compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the penri f application. Name: Wendy Stewart ' Signature: weir Stewart Company:_ BEST IN THE WEST Date: ]an �.4, 2011 ' Address: 1188 ADOBE WAY License: 8M714 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (763) 322-0202 L • . • J Reg: 211-A0003514B-00000000-0000 Registration Date/Time: 2011/01/24 18:40:27 HERE Provider: CalCERTS, Inc. 2008 Res idential'Compliance FormsJuly 2010 Bin Y City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:S,33 $� �U� (Oi �! Owner's Name: o -r A. P. Number: Address: Legal Description: City, ST, Zip/"1 ar,,Y ,4/Ml IL 9 3 Contractor Telephone: ;k Address: ;25'5� j,L FJ Ppm Project Description: City, Telephone: i State Lic. # : Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:7L6LO 3 3 / o O 2, Estimated Value of Project: �p ' APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACIONG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans ticked up Construction Flood plain.plan Plans resubmitted Mechanical Grading plan 2' Review, ready for correctionstissue Electri_al Subcoutactor List Called Contact Person Plumb -.mg Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LPM Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I INSTALLATION CERTIFICATE' CF=6R=MECH= - Space Conditioning Systems, Ducts and Fans (Page 1 of 2) ; + Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253 (System 1) City of La Quinta 11-013E Space Conditioning Systems Heating Equipment Cooling Equipment ' IF " ti J $ Duct - n Equip . . Efficiency Location __ 3 n Equip r (AFUE, (attic,' Type ' . ARI #of etc.)1,3 crawl-' . He9ting Heating (package- CEC Certified Mfr. Name Reference. Identical (>=CF -1R space, Duct. Lead Capacity heat pump) and Model Number Number2 Systems value)4 etc.) R -value (kBtu/hr) (kBtu/hr) , Split Carrier 36461S3-,�- �1• r....., ,14.5 SEER 12.0 EERY ",,Attic•- r2,pl 3.5 Tons Heat Pump FX4CNF042 3646153 1 8.30 HSPF Attic R-4.2 2S_4 42.0 kBtu r s w Cooling Equipment ' IF " ti J $ Dud - n Equip . (SEER ti __ 3 n Type y Cooling Equipment ' IF " r 1. -If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at *• a'. http://www.aridirecto,ry'.oigl,iri/ac:php# P �, 3. Listed efficiency on this page•must be greater than or equal ( ?) to the value shown on the CF -1R foam. ' 4. When CF -IR is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ' Yii §110-§113: HVAC equipment is certified by the Califomia`Energy Commission. • §i50(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. • §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of _ §112(c) - t , • §150(j)2: Pipe insulatio6 for cooling system refrigerant suction, chilled water and brine limes meets ' minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.. Reg: 211-A0003514B-M0400001A-0000 Registration Date/Time: 2011/02/15 15:54:47 HERS Provider: CaicERTS, Inc. 2008 Residential Compliance Forms August 2009 r ,�3 /Ude-' - •- .. '- . . •' � . '� Efficiency Dud - Equip . (SEER Location Type y and EER) (attic, (package ' . ARI # of 1,3 crawl- Cooling Cooling 'heat CEC Certified Mtr. Name +Reference Identical (>=CF -1R space, .Duct Lead Capacity pump) and Model Number' ;, Number2 ' Systems value)4 etc.) R -value (kB-u/hr) (kBtu/hr) Split Heat Pump-,-�a"'?25HBC542A300 Carrier t.- ; �,*y' 36461S3-,�- �1• r....., ,14.5 SEER 12.0 EERY ",,Attic•- r2,pl 3.5 Tons r 1. -If project is new construction, see Footnotes to Standards Table 151-8 and Table 151-C for duct ceiling alternative compliance. 2. ARI Reference Number can be found by entering the equipment model number at *• a'. http://www.aridirecto,ry'.oigl,iri/ac:php# P �, 3. Listed efficiency on this page•must be greater than or equal ( ?) to the value shown on the CF -1R foam. ' 4. When CF -IR is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM ' Yii §110-§113: HVAC equipment is certified by the Califomia`Energy Commission. • §i50(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA. • §150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of _ §112(c) - t , • §150(j)2: Pipe insulatio6 for cooling system refrigerant suction, chilled water and brine limes meets ' minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.. Reg: 211-A0003514B-M0400001A-0000 Registration Date/Time: 2011/02/15 15:54:47 HERS Provider: CaicERTS, Inc. 2008 Residential Compliance Forms August 2009 r ,�3 /Ude-' - •- .. '- . . •' � . '� c INSTALLATION CERTIFICATE CF-611-MECH-04 Space Conditioning Systems, Ducts and Fans (Page 2 of 2) Site Address: 'Enforcement Agency: Permit,Number: 53395 -Avenida -Villa; La•Quinta CA 92253 (System 1) -City of La-Quinta• 11-013-5, ° ' rDucts and Fans ' §150(m):.Duct and Fans L. G� 1. All,air-distribution system ducts and plenums installed, sealed and insulated to meet the , requirements of CMC Sections 601,. 602, 603, 604, 605 and Standard 6-5; supply -air and return -air. ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned' space. Openings shall'be sealed -with mastic, tape or other duct -closure system that meets the applicable. requirements of UL 181,,UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4inch, the combination ; of mastic and either mesh or tape'shall be used; and 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed'in cavities- and avities and support platforms shall•not be compressed'to cause reductions in the cross-sectionafarea of'the ducts. R 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 drw bands. E v 7. Exhaust fan systems have back draft or automatic dampers. ' R1 8. Gravity ventilating systems serving conditioned space have either automatic or reEdily accessible, tmaiivally operated dampers. • i✓ Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight,, ' moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or , painted with a coating thatlis'water retardant and provides shielding from solar radiation that.can cause degradation of the material. ' R 10. Flexible ducts cannot"have porous inner cores.. . = ' F V ti y•. _ f" ,.yiWIf k� y itf i �i } f:t ti tiypi1' DECLARATION STATEMENT, i t ' - } . I certify under iienaity of perjury, under the laws of the State of California, the information provided on this form isrtrue and correct. • . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (tl a installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the. ' _ - enforcement agency.- . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific t = requirements for the installation. I certify that the requirements detailed on the CF -IR that apply to the installation have been met. . I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made availlable with the `t building permit(s) issued for the building, and made available to the enforcement agency for all applica ile inspections. I ' understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder' . • „ provides to the building owner at occupancy. - Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) x ' BEST IN THE WEST Responsible Person's Name: , Responsible Person's Signature: ' Wendy Stewart Wendy Stewort CSLB License: Date Signed: 11/13/2011 Position With Company'(Title): 826714 t? „ > . Reg: 211-A0003514B-M0400001A-0000 Registration Date/Time: 2011/02/1.5 15:54:47., HERS Provider: CalCERTB, Inc. 2008 Residential Compliance Forms August 2009 t CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING CF-4R-MECH=21 Duct Leakage Test — Existing Duct System (Page 1 of 2) Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253 (System 1) City of La Quinta 111-0135 nter the Duct System Name or Identification/Tag: 5 nter the Duct System Location, or Area Served: rote: Submit one Installation Certificate for each duct system that must demonstrate compiance in the Welling. ; . r his installation certificate is required for compliance for alterations, and additions in existing- dwellings to pace conditioning systems and duct systems. rote: For existing dwellings, a completely new or replacement duct system can also include existing parts of 'ie original duct system (e.g., register boots, air handler, coil, plenums, etc.) if those parts are accessible, nor they can be sealed. For a completely new or replacement duct system installed in an e) sting dwelling, ' . use the Installation Certificate titled "Duct Leakage Test - Completely New or Replacement Duct System. Duct Leakage Diagnostic Test - existing duct system Select one compliance method from the following four choices. I] 1. Measured leakage less than 1S% of fan flow s.} F] 2. Measured leakage to outside less than 10% of Fan Flow ,,•. 3. Reduce leakage by 60% and conduct smoke and fix as leaks 04. Fix al accessible leaks using smoke and HERS rater verify Note: (One'of Options 1,'2, or 3 mUsfDe attempted before utilizing Option 4.) ` Determine nom�rat Fars Flow using one of theJolowin .three lation>rrk ods. : ✓ E cooling,stem method: Size o cQnd ltseF m Tots. a�r4f1Q<CF ✓ 0 Heatingfsystem metho'd— Z -.L 7 x. C�xltput Capa'c� � housandsYof Btu/hr... GFf+I.. • : , w. t ✓ 0 MeasuYed s st m a�rfloin" aRA. airflow test f(ocedures: Cf N! - ' . rEli:; ^ s ;sts.•.". �°>� _ •:w a , ssc.i, x - x.,•e:._ _ .tic -.masse' s�,s O tlOn; -u- tgg "' 1 Allowed`teaka e tan FFo4vr:' :.:x;:0:1:5:`- r- 9 _,..:;,:;:>'CFM-_, : ;; ,.:..... ; , ;:.. , . . "Ri: Actual Leakage = '= Pass if Leakage Actual is less than Allowed Pass 0 Fail ?........ ... , Option 2;Used then: f • 2 Allowed leakage = Fan Flow x 0.10 = _ CFM Actual Leakage to outside = `CFM Pass if Leakage Actual is less than Allowedi -- Pass - Fail Option 3 used then: i Initial leakage prior to start of work = 'CFM r • Final leakage after sealing all accessible leaks using smoke test = CFM 3 Initial leakage _ -`Final leakage _ = Leakage reduction _ CFM ((leakage reduction=/ Initial leakage_) x 100% _ % Reduction Pass if "/o Reduction > 600/o Pass U Fail . Option 4 used then: 4 All accessible leaks repaired using smoke. HERS rater must verify (No sampling). No smoke , allowed to leak from system. Including ducts, plenums, .air. handier and door panel. Pass if all accessible leaks have using Pass .. been repaired smoke ❑ Fail Reg: 211-A0003514B-M2100001A-M21A 2008 Residential Compliance Forms y� "Ri: r , • e r � - Responsible Person's Name: _ 1 Wendy Stewart 1826714 i C � not-tested/verified dwelling irr , .. , .- • ` • �� HERS Rater Company Name: r + 1 t Responsible Rater's Signature: + , , •n W xfa,k y,i. f+ ♦ - to v:r' S• y• ,`. +}'i' Vr. ,. . • - � �.! .. �.t F t' •cry * i r � 'k I.L'. ;, e1 Ary �1 r - .v Y � ,, i .Y � _ty °• +i -_Sa` .' , ❑ Outside air (OA) ducts for Central Fan Integrated (CFI) ventilation systems, shall not be sealed/taped off ' during duct leakage testing. CFI OA ducts that utilize controlled motorized dampers, that open only when OA ` ventilation is required to meet ASHRAE Standard 62.2, and close when OA ventilation isnot irequired,.may_' be configured to the closed positron during duct leakage testing.'; - O All'siipply rtd r.trn register tots Susi beseale o�te dryw_[l4fismoketesxtsrs utflizd scar icompliance .-.applies ta�Ctleakage compli, tic optgon 3:1(.}eakage-rettuetro t 6Oo,`o ;ak1 Witton 4 (xX a accessible �� + leaks) described above h,,;_ „�, _ ... > =•y_l` sem•'.::... ' ,.^tom s - '{7:%:'. +• - L]'New cI ct'installations.cannotrtrbuilding cavrtes:as:.:plefiur>asacirptatform eturns.n.lr1of;duits.::: ,` Cl Mastic at�d raw ads r ust beaus torribrpa> or Wrx clo , baCkedrui�beE aanest dLzt gape tti eai yrs ?: u ti t leaks at all e v � DECLidili'ATION STATEMENIT ":`.:: I certify under penalty of perjury, uriaetthe laws of the State of California, the information provided on this form is [rue and correct. R c I am the certified HERS rater -who performed,the verification services identified and reported on this certificate (reEponsible rater). v - .",The installed feature, material;`comi ent, or manufactured device requiring HERS verification that is identified or this certificate (the i"" instatetion) complies with the applimble requirements in Reference Residential Appendices RA2 and RA3 and the requirements specified on the Certificate(s) of Compliance (CF -1R) approved by the focal enforcement agency. , • ' The information reported on applicable sections of.the Installation Certificate(s) (CF -611), signed and submitted by :he 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) 'BEST IN THE WEST Responsible Person's Name: _ CSLB License: Wendy Stewart 1826714 HERS Provider Data Registry Information ^ Sample Group # (if applicable): 197734 7 ❑ tested/verified dwelling not-tested/verified dwelling irr , .. , .- • ` a HERS sample group ' HERS Rater Information CaICERTS Certificate # CC1-1798537756 HERS Rater Company Name: r + Energy Management Services Responsible Rater's Name:, + Responsible Rater's Signature: + , Jack B LaFontaine Jack B LaFontaine ' Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/9/2011 CC2004051 r r Reg: 211-A0003514B-M2100001A-M21A Registration Date/Time:,2011/02/15 18:56:08 HERS Provider: Ca10ERTS, Inc. , 2008 Residential Compliance Forms G': 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: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11-013E 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 farm. Attach an additional form(s) for fY any additional systems in the dwelling as applicable. Temperature Measurement Access Holes (TMAH) and Saturation Temperature Measurement Sensors (SIMS) 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 3 System Location or Area Served 7 tensor is factonyrtstalled, orft&gti! instated'aceritrng td'inatldactiirer s �Mo spectfirations, or is5i�is a d. by rri R( ..speaficatto�approva- the Executive... ,•`.-�" 1 0Yes ., L No 5116 inch (8 mm) access hole upstream of evaporative coil in the:eturn plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 ❑ Yes L No '": is 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 ✓ 'D Pass _ ✓ ❑Fail STMS- Sensor.owthe Eva oorator''Coil System Na a orldentriication/Tag 3 C ,_ . ­j: ,� Yes es 7 tensor is factonyrtstalled, orft&gti! instated'aceritrng td'inatldactiirer s �Mo spectfirations, or is5i�is a d. by rri R( ..speaficatto�approva- the Executive... ,•`.-�" The sensor is factory installed, or field installed according p _ 7 r..:'- 4 < Q'les� eg 3enso 6 re i�lterminat 5i, uvith a standard rr�rn► p ug surtabfe fct conn ttton to a [�ilo� i eceess bie to instal ln�giteChnician x .. d�gi fierro6 ete� se s nrplus ►s Director. ::and.thy.;.#iERS-.rater,wit>tout.cflahying the.aiifilow through the cord-2ns'er coil 5 ❑Yes.;.:.:;;:;::: ❑ No When attached to a digital thermometer, the sensor provides an irl;dication of the []Yes • = = saturation temperature of the coil. Yes to'3; 4 'and 5 is a pass. Enter NJ�A.if STMS are not ✓ ❑ N/A and the HERS rater without changing the airflow through the condenser coil applicable. Otherwise enter:Pass o.Fail ❑ Yes O No When attached to a digital thermometer, the sensor provides an indication of the STMS - Sensor on the Condenses Coil ✓ ❑Pass ✓ p Fail ' to manu=acturer's - ons approved by the Executive , System Name or Identification/Tag The sensor is factory installed, or field installed according 6 ❑ Yes_ ' ❑ No specifications, or is installed by methods/specifications 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 O 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 ✓ 8 N/A ✓ ID Pass ✓ ❑Fail applicable- Otherwise enter Pass or Fail Reg: 211-A0003514B-M2500001A-M25A 2008 Residential Compliance Forma l Registration Date/Time: 2011/02/15 19:07:10 HERS Provider: Ca10ERTS, Inc. March 2010 7 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 he documented for complianceusOg this form. Attach an additional _forrrioo forany additional systems in the dwelling as applicable. - : ,The system should be installed and charged in accordance with the manufacturers 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 55OF or below, the installer must use the Alternate Charge Measurement Procedure. $Paod Conditioning Systems Systerri Name or Identification/Tag AN, (must be re-cali brated,monthly) System Location or Area Served MA A Outdoor Unit SerW # gag 4-- Date of'.Thermocoubld,'"C-�Slibration 'R . . . . . . . Outdoor Unit Make c.A 5 ibraU' d monthly) Outdoor Unit.Model Nominal Cooling Capacity Btu/hr Date of Verification Calibration of Diagnostic Instruments Date of Refrigerant Gauge Calibratid AN, (must be re-cali brated,monthly) 41 MA A Supply (evAo"'&atdr��' davy.. pgr4 fy-gbb gag 4-- Date of'.Thermocoubld,'"C-�Slibration 'R . . . . . . . temperature $upply, db ... .. ..... c.A 5 ibraU' d monthly) Return (evaporater. 9tering) air dry'**bulb temperature " return,`d b.) measur%"mPeratur95'-(,7,& System ak -orlden .1 AN, 41 MA A Supply (evAo"'&atdr��' davy.. pgr4 fy-gbb gag temperature $upply, db ... .. ..... Return (evaporater. 9tering) air dry'**bulb temperature " return,`d b.) Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Evaporator -saturation temperatur6;:.!­ (Tevaporator,sat) Cond ensor saturation temperature (Tcondensor, sat) Suction line temperature (Tsuction) Liquid Line Temperature (Ttiq,id) Condenser (entering) air dry-bulb temperature (Tcondenser, db) Reg: 211-A0003514B-M2500001A-M25A 2008 -Residential Compliance Forms INSTALLATION CERTIFICATE CF-4R-MECH-25 Refrigerant Charge Verification - Standard Measurement Procedure (Page 3 of 5) Site Address: Enforcement Agency: Permit Dumber: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11-0135 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 Sprit 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 -40F and -100°F ; t Enter Pass or Fa_ ' Note: Temperature Split Method Calculation is not necessary if actual Cooling Coil Airflow is verified usf')g 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 (cfn/ton) z System':Name=ce-1 d-e-eittif-icationrTag. Calculated M►nPrrium Airflo Reduirement� CFM t. -✓"i: Ilk .. Fe'_-' ,nom.,—.- ...: i IN .e g�e: a i., .�, -'- - MeasuredA ow usin R 3' 'Yo- rrfl g . A p.. cedures (CFM .�3 r..�i":"y'•kM�..�,•�""`. -'�`rsc�z;�-,.:�:ac: t}��-'�.n�.'�'.'<.� .i•cYu � E:�::. . F ''C..:.:... ,�:'is:i:''' rY ;Fr.. ��Yt.:>:v 3'?. Passes if meaSfJled.,all'f�aW 15:.f�rea�£1�t�lah,;D.ISL'Qtf��.._, .:_::::;:�:':::':°�:�;::';::r'::r<,::?•:::;::'.�"'�r...:;;�'i4i:�,._,::.'. <,;•:�,-r::._::< to the calculated minimum airflow"', iremeht. - Er& ":'Pass.os 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 +60F Enter Pass or Fail � � \. ..rte �4 r ''�l .} rt � 1` } •t .� t . ` - `y. ; '... " �• �" I tiy,., f • � ° � a 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 '. f ` 3 • a Z. Calculate:; Actual Subcooling Aaj. Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer , { manufacturer's specifications (or, use range;, Calculate difference: ' Actual Subcooling - Target Subcooling System passes if difference is between - q -- + -4°F and +40F. �. 4- a ,- 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 f ` 3 • a Z. Calculate: Actual Superheat Tsuction - Tevaporator, sat Enter allowable superheat range frdth- , manufacturer's specifications (or, use range;, between'31F and -260F if manufacturer's specification is nottaavailable) - - q -- - i System passgs rf:actaLsuperheaf rsithmati,e;: r allowable superfieat range 4- __p Enter Par Fail •�. L� f ` 3 • a Z. d •• p • mss:-.ca.<.�:..:�,—�- _:� _ - c:`'r -tib-moi.- 3 s ei r•:::.:. 1 • .. a -.. � <- + •. .a 3f � .- �' �.. .ter` f `.«'•A '.. .. � ,�� T" •. � � ,.. ,� �. brI -/; '.', ���,' •+ 2. `. s � - � •,. .. ,. .. t''�• `t � "�• l 1. .f ,FY .i ytj. y 3 ,'! t -r.•a + i�fj f't n: V ..a ,J ' ` ' •— .� _ �. '. •a,. 47f � 1 t t. i 4 .• ,+ F., •.•rte [;, - . . •� � at —. 1. rY i�; •y. — . , - '•sit: 4 _ .. � �. .. - j r ❑� J- �`, L Re :--2'11-A0003514B-M2500001A-M25A' -Registration gistration Date/Time:'-2011/02/15 19e'07:10 HERS •Provider:,Ca10ERTS, Znc.�... r 2008 Residential : Compliance Forms - F. - '� 1' �, • �'•. March 2010 - f a.' INSTALLATION CERTIFICATE CF-4R-MECH=25 Refrigerant Charge Verification - Standard Measurement Procedure. (Page 5 of 5) Site Address: Enforcement Agency:. Permit Number: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11-0135 R Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on,measurernents 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 Wendy Stewart 1CSLB 826714 HERS Provider Data Registry Information Sample Group # (if applicable): 197734 System meets all refrigerant charge and airflow ®'not-tested/verified dwelling in fo. to _ INSTALLATION CERTIFICATE CF-4R-MECH=25 Refrigerant Charge Verification - Standard Measurement Procedure. (Page 5 of 5) Site Address: Enforcement Agency:. Permit Number: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11-0135 R Standard Charge Measurement Summary: System shall pass both refrigerant charge criteria, metering device criteria (if applicable), and minimum cooling coil airflow criteria based on,measurernents 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 Wendy Stewart 1CSLB 826714 HERS Provider Data Registry Information Sample Group # (if applicable): 197734 System meets all refrigerant charge and airflow ®'not-tested/verified dwelling in a HERS sample group requirements.. HERS Rater Company Name: Energy Management Services f Responsible Rater's Signature: Enter Pass or Fail' Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/9/2011 ' CC2004051 N.41 '�. x •.. = 1 � . rte. ... + ' ' . r " • t • i - - •••Ya ..S' .,•.:;:p.;-:.. :. ,. ,.., i .�,�-.`.•r<.,�..:.,,. . Yx��'-, �.�-;:, ..,, . Vis. .•,rti �.;.: ,, .. _ , :.., ,_.... ,.tf�:':t .,c:::. °�'::'.. his:..:: ��j''�'":'� •:g;..,:. FOR . ':i - �^:..:.. <s...-.'���::s:.2.^' :.... .•gam'+._ ,: .,xc. ..:'�t-.. - .:-.'5.,..� DECLARATION STATEMENT =`` I certify under penalty of perjury, uglaws of the State of California, the Information provided on this form i true and correct. r I am the certified HERS rater'who peiformed the verification services identified and reported on this certificate (responsible rater). The lnstaEed feature, material campone.nt, or manufactured.:device-requiring.HERS.verlf ration.thatis:identified on -this certificate, (the,. y instalation) 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. _ 1 The information reported on applicable sections of the Installation Certrfkate(s) (CF -611), signed and submitted by the person(s) r- ` . 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) ; BEST IN THE WEST Responsible Person's Name: License: Wendy Stewart 1CSLB 826714 HERS Provider Data Registry Information Sample Group # (if applicable): 197734 JLJtested/verified dwelling ®'not-tested/verified dwelling in a HERS sample group HERS Rater Information Ca10ERTS Certificate # CC1-1798537756 HERS Rater Company Name: Energy Management Services Responsible Rater's Name:. Responsible Rater's Signature: lack B LaFontaine , , Jack B LaFontaine Responsible Rater's Certification Number w/ this HERS Provider: Date Signed: 2/9/2011 ' CC2004051 ." ! i' i t i Reg: 211-A0003514B-M2500001A-M25A Registration-Date/Time: 2011/02/15 19:07_:10 HERS'Provider: CalCERTS; Inc. 2008 Residential Compliance Forms March 2010 4 INSTALLATION CERTIFICATE CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 1 of 2) -Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253. (System 1) City of La Quint a 111-0135 Enter the Duct System Name or Identification/Tag: System 1 Enter the Duct, System Location or Area Served: Whole House Note: Submit one Installation Certificate for each duct system that must demonstrate compliance in the, dwelling. This installation certiFcate is required for compliance for alterations and additions in existing dwellings to space conditioning systems and duct systems. ` Note: For existing dwellings, a completely new or replacement duct system can also include existing parts of the original duct system (e.g., register boots, air handler, coil,, plenums, etc.) if those parts are accessible and thou i -an ho coaloif Fnr a nous nr ranlaramonh iiur•h cucham inctallarl in an airichinn rlwallinn Duct Leakage Diagnostic Test - existing duct system . Select one compliance method from the following four choices. " 1'. Measured leakage less than 15% of fan flow E 2. Measured leakage to outside less than 10%, of Fan Flow ❑ 3. Reduce leakage' by 60% and: c6nduct smoke and fix al leaks r 4. Fix a® accessible leaks using 3rfioke and HERS rater verify Note::.(One of Options 1, 2 or 3 must -be attempted before utilizing Option 4.) Determine nominalk�Fan. Flow using one of the fg0 wing three. ca.lculatio . methods., gg, y ethod: Size oeondenset in Tons x400 Coolin s stem m. f ::.:' ✓ rte: anarr' dik ✓ El Heattn,gr:system meth d'2,Y.7>X'•<> utput Capacity�n.7 ousands o,f� BLuJba = MMUE"' ✓ t 101 ... �,a , Mea fed s stem ieflowrt�ii3 12x3: _ inflow test, rtacedure EM <,.r:::.,_ y .�. � ._ s _,,,� � 51..x,-_., .� tea, ....,�-;d�-x��. Optronl.seiit�i�en�-'�tr�' ?s .... sem- Allow et�;aeak09e".=Fan•Airflovu._v�4©tF:X Actual Leakage = .175 CFM;,-;;;::::::..,..:'. . Pass if Actual Leakage is less than Alowed leakage, M Pass D Fail Opt'rori:7?°tL§ed'then: Z Allowed leakage ='Fan Airflow; _ x 0.10 = =CFM Actual Leakage to outside = �M Pass if Actual leakage to outside is less than Allowed leakage Pass Fail Option 3 used then: Initial leakage prior to start of work = _ CFM Final leakage after sealing all accessible leaks using -smoke test = CFM 3 Initial leakage _ - Final leakage _ = Leakage reduction - CFM ((Leakage reduction _/ Initial leakage x 100% _ % Reduction + , r Pass if 9/b Reduction > 600/6•, 0 Pass Fail Option 4 used then: 4 All accessible leaks repaired using smoke test. HERS'rater must verify (No Sampling). Pass if all accessible leaks have been repaired using smok Pass Fail , Reg: 211-A0003514B-M2100001A-0000 Registration Date/Time: 2011/02/15 15:57:09 HERS Provider: Ca10ERTS, Inc. 2008 Residential'Compliance Forms March 2010 r f i , INSTALLATION CERTIFICATE - CF-6R-MECH-2I-HERS Duct Leakage Test - Existing Duct System (Page 2 of 2] Site Address• Enforcement A en Permit Mumber• 9 �y 153395 Avenida Villa, La Quinta CA 92253 (System 1) City of La Quinta 11-0135 I r{ _ • ; +. •' i, r may. � ., `' - i '>- - ., 41 01 ` a'-�yV ;'.. 1.• '-pix • * +' + r.{ • .. • +•t ,- i •'` r, , • e 9 Outside' air(OA) ducts for Ceiatral Fan Integrated (CFI) ventilation systems,'shall not be staled/taped off �, + during duct leakage testing. CF: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 t, . be configured to the,closed position during duct leakage testing. ECJ All supply a d>return`register boots must .b al dy toARt e dry. �Umo�ke_te U. `utllizedalor compliance ' -applies 1 ortuct:leaCage Compliance;v, iota 3:ieakagTe reeftrctiony 6, p j aardopron 4 xaQaccessible leakj7 s) de0�rlaed ab8ve:y LNJ New d-0.4nstallations: anno ;`tl' izguildin c It .:lenum ori latfor returns.in IfeJhof ducts s s ... . .t F.:{..,,.- �tK:,az�, t�:;, .,�.;:::'�.''F`:: • ��::: .}'va�..:'r'_; �.;.�..:..;�.�t',,.r, ,..•'•,;•�i r?ys;:.:.. , �,-.F,_ . ,. :r':'�:' E,.., � :. 3t ^. . ':`�..... `�.; . - `. • �. , ©Mastic anddraw:bandsube usedlnCOmtfln,dey�t(an�wJitlba..c`iced rnbier adhe5lWe dtlCtae otoea�w:+ w , ,� leaks at alt new:duct;eonrrectfiorss�=<;:>;.:-: .,-; ..-r DECLAI2ATIOAI`.STAf RENT ; I cern 'Under penalty ofperjury, fy p y underahe laws of the State of California, ation provided on this form is true and I y . I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized , representative of the person responsible for construction (responsible person).. { - . I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) �•, 4Y, - conforms -to al applicable codes and 'regulation's, and the installation is consistent with the plans and specifications approved by the 3 •' - enforcement agency. . I understand that a HERS .rater will check the installation to verify compliance, and that that if such checking identifies defects, I am required to take corrective action at my expense. I understand that Energy Commission and HERS provider represeitatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS + rater, and if those installations fail to meet the requirements of such ,quality assurance checking, the required corrective action and r • t r additional checking/testing of other installations in that HERS sample group will be performed at my expense. . I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifles the specific F r "ti requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the r'+4 y r building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I '+ understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder .' provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HEIRS provider data Y „ > registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings., Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) BEST IN THE WEST ' Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: !, Date Signed: position With Company (Title): 826714 - ,,, , • 1/13/2011 t; ' Is this installation monitored by a Third Party Quality Name of TPQCP (if applicable): Control Program (TPQCP)? - p Yes ❑ Nci y' • _ t t r _ Reg: 211-A0003514B-M2100001A-0000 Registration Date/Time: 2011/02/15 15:57:09'.'HERS'Provider:;CalCERTS, Inc. - 2008 Residential'Compliance Forms µ i., 4 ?` 'March 2010 ,,.• } ' „}. �. 4 4 " 1' • '' ~f • } p,,, • - •1 4 {' 1. . Ht�:.< , +i f ,,.i { - .'�.f • _ • INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11=0135 i Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charg? 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 STNS 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 speed 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 ethod.-TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or IdentificationfTag { System Location or Area Served Whole House 1 R Yes, y ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the -eturn plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 R Yes 0 No . -.I-: 3$ 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. INSTALLATION CERTIFICATE* CF-6R-MECH-25-HERS Refrigerant Charge Verification - Standard Measurement Procedure (Page 1 of 5) Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11=0135 i Note: If installation of a Charge Indicator Display (CID) is utilized as an alternative to refrigerant charg? 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 STNS 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 speed 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 ethod.-TMAH - Access Holes in Supply and Return Plenums of Air Handler System Name or IdentificationfTag System 1 System Location or Area Served Whole House 1 R Yes, y ❑ No 5/16 inch (8 mm) access hole upstream of evaporative coil in the -eturn plenum and labeled according to Figure in Section RA3.2.2.2.2. 2 R Yes 0 No . -.I-: 3$ 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 ✓ 2 Pass ✓ p Fail STMS- = Sensor on the Evaporator>Coil System.Nam, e::br-IdEation/Ta ss,�::.;. `:teisiY� - •:=>- �""; �;:>:-- ,��-: 3Yes :. (�'Io The sensor is factor stalled, orlf0Winstatted ace s'fih to °rf%ahiYactiker's specifccations, or ME by by meWWcks%specificattoCssapproved!ny the Executive ❑ Yes W, _ " 3k r AWN The sensor wt?e is=tert►iinated wtth;` sfan ardi'nin plug sur able fc� cbnrte�cfiott fora` 4 ° i d� Ila! tdlerfn m ter =e nsor in} se► Plugs accessible to the�lnstalhl6, G chnielant The sensor wire is terminated with a standard mini plug suitable fc r connection to a and theERS.-Tarerw7�houC;chahghng the arftoiv ow.:: tough the condenser coil" 5 C Yes [ No Tie sensor measures the saturation temperature of the coil within 1.3 degrees F Yes to..3.;;4 ;antl 5 s a.:pass. Enter PfjA if STMS are not applicahl"is'Otlierviise enter Pass or'Faif -T ✓ N/A ✓ r) Pass ✓ []Fail' STMS - Sensor on the Condenses Coil System Name or Identification/Tag I System 1 1 1 1^ The sensor is factory installed, or field installed according to manu;acturer'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 fc r connection to a 7 ❑ Yes ❑ No digital thermometer. The sensor mini plug is accessible to the inst<iling technician and the HERS rater without changing the airflow through the condenser coil 8 ❑Yes 1 p No IThe sensor measures the saturation temperature of the coil within 1.3 degrees F .. Yes to 6, 7, and 8 is a pass. Enter N/A if STMS are not ✓ ®N/A - ✓ ❑Pass ✓ ❑Fail applicable. Otherwise enter Pass or Fail , Reg: 211=A0003514B-M2500001A-0000_ Registration Bate/Time: 2011/02/15 16:00:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August 2009 Standard Charge Measurement. Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 Systems in the dwelling can be documented for compliance using this form. Attach an additional form (s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag System I ust be re -calibrated monthly) DateA Thef J0A-Rb%librati,n i System Location or Area Served Al 'k P Outdoor Unit Serial # r 2210EO8397 .R .: V%_ Outdoor Unit Mak Carrier Standard Charge Measurement. Procedure (for use if outdoor air dry-bulb is above 55°F) Procedures for determining Refrigerant Charge using the Standard Charge Measurement Procedure are available in Reference Residential Appendix RA3.2. As many as 4 Systems in the dwelling can be documented for compliance using this form. Attach an additional form (s) for any additional systems in the dwelling as applicable. • The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. • The system must meet minimum airflow requirements as prerequisite for a valid refrigerant charge test. • If outdoor air dry-bulb is 55°F or below, the installer must use the Alternate Charge Measurement Procedure. Space Conditioning Systems System Name or Identification/Tag System I ust be re -calibrated monthly) DateA Thef J0A-Rb%librati,n i System Location or Area Served Whole House 'k P Outdoor Unit Serial # r 2210EO8397 .R .: V%_ Outdoor Unit Mak Carrier Outdoor Unit, Model 25HBC542A300 Nominal Cooling Capacity Btu/hr: 42,000 Date of Verification. 1/13/2011 41 Calibration of Diagnostic Instruffients Date of Refrigerant Gauge Calibration::.' 1/11/2011(M ust be re -calibrated monthly) DateA Thef J0A-Rb%librati,n i alar eonthly) 'k _Y, Measurjoo#iinperaturqiOM; AN System or IdentifAl�' N_ systowl. & V _0 SUNW.- 'k P Supply (eVgr g Mm, r ) .R .: V%_ temperature t poN, db Return (evaporator entering) air d "..bulb 68 N, Return (evaporator entering) air wer:bulb 54 41 temperature (T return, wb) Evaporator saturation temperature ::: ' 26 k, (Tevaporator, sat) . .. Reg: 211-A0003514B-M2500001,A-0000 Registration Date/Time: 2011/02/15 16:00:05 Condensor saturation temperature 78, 2008 Residential Compliance Forms August (Tcondersor, sat) Suction line temperature (Tsuction) 39 Liquid Line Temperature (Tliquid) .69 Condenser (entering) air dry-bulb j temperature (Tcondenser, db) 'k N, 41 k, Reg: 211-A0003514B-M2500001,A-0000 Registration Date/Time: 2011/02/15 16:00:05 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms August -2009 + ,Minimum Airflow Requirement Temperature Split Method Calculations for determining Minimum Airflow Requirement for Refrigerant Charge Verification. The temperature split method is specified in Reference Residential Appendix RA3.2. System Name or Identification/Tag System 1 rX , i Calculate: Actual Superheat = Calculate: Actual Temperature Split = Treturn, 20 ` db - Tsupply, db - , Target Temperature Split from Table RA3.2-3 19 using Treturn, wb and Treturn, db Calculate difference: Actual Temperature Split = 1 Target Temperature Split = Passes if difference is between -3'F and +3°F or, upon remeasurement, if between -3'F and PASS -100'F , } Enter Pass or Fai 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 ao or greater than the Calculated Minimum Airflow Requirement in the table below.' Calculated Minimum Airflow Requirement (CFM) = Nominal Cooling Capacity (ton) X 300 (chn/ton) SystemName.rgr:Identffication/Tag -ems=�• $::: ..`�L,: o -t' ii\.�y: � :�y_ �. :y`�t4•;.. ' i R,A{ Calculated�M nimum Airflow qA Mail '�-:•:� Measured'Ar�flow-�rsrr g RA � pratedure CFM. _ = '%'.: ;.?:: ,v��:: .,mac... f. ". ,A ....:> ,;..;-moo .. ." .::...� 'rte...."� : ? t ._,�..., .:. :� :. Passes if measGred'airflow is greatertfiari"oi"" ......` equal to the calculated minimum airffow: ' requirerpenh:'>.`'`'s , Ent 'Pass or Fail Superheat Charge Method Caleulations for Refrigerant Charge Verification. This procedure_. is required to be used for fixed orifice metering device siif ms System Name or Id entification/Tag / System 1 rX r i Calculate: Actual Superheat = Tsuction - Tevaporator, `sat Target Superheat from Table RA3.2-2 using , Treturn, wb and Tcondenser, db Calculate difference: Actual Superheat - Target Superheat System passes if difference is between -5°F and +5°F Enter Pass or Faill i L «! . rX r i INSTALLATION CERTIFICATE CF-6R-MECH-25-HERS Refrigerant Charge Verification Standard Measurement Procedure (Page 4 of 5) Site Address: Enforcement Agency: Permit Number: 53395 Avenida Villa, La Quinta CA 92253 City of La Quinta 11-0135 Subcooling Charge Method Calculations for Refrigerant Charge Verification. This procedure is required to be used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name or Identification/Tag System 1 Calculate: Actual Subcooling = g Tcondenser, sat - Tliquid Target Subcooling specified by manufacturer' 12 Calculate difference: -3 Actual Subcooling - Target Subcooling = System passes if difference is between ' -3'F and +31F PASS sem;=:` , -;=::-= "'� ?: •t Enter Pass or Fai 33 Metering Device Calculations for Refrigerant Charge Verification. This procedure is required to to used for thermostatic expansion valve (TXV) and electronic expansion valve (EXV) systems. System Name•or Identification/Tag System 1 Calculate: Actual Superheat = 13 Tsuction - Tevaporator, sat Enter allowable superheat range from:_ manufacturer's specifications (or userange 4-25 between 4'F and 25°F if manufacturer's specification is not available) ' System passesfif.`actual`:.superheat is wit in WL .,._ alowable.5u r ..r: .. sem;=:` , -;=::-= "'� ?: Enter 33 Mri:✓.� a.. s MM� w `�"...::_. _ {?�. . s x. >„. =J, s - r ♦ v i " n • _ • - tl i • ' - - 14 '. U Reg: 211-A0003514B-M2500001A-0000 Registration Date/Time: 2011/02/15 16:00:05 HERS -Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms �,. August 2009 r 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 actio•is were taken; all applicable verification criteria must°be re -measured and/or recalculated. System Name or Identification/Tag ' _ 'System i Al Date Signed: , System meets all refrigerant charge and airflow , 1/13/2011 ,. Name of TPQCP (if, applicable): F f requirements. PASS , ' Enter Pass or Faill r ' ` , f" 1` s t�`�f;'+�' fur �.. , , ., ... �•A y - � r � „ .. - ... . 41 - i �:�" :i: AMP .n fig.. ._.6. 4 N .�: .i ,r �? - ;mss'. >i• •A jis . ....,.............:..:..,tea::....:.2,.:..: ,,.�, r.,yw... , .,,.:.� .,. .4 - w . . . . . . r DECLARAiEON'STATEMENT fi e I certify under penalty of perjuryunder the laws of the State of California,. the information provided on this form isitrue and correct* } . I am eligible under Division 3 of.the Business and Professions Code to accept responsibility for construction, or an authorized w _ representative of the person responsibfe' for construction. (responsible person). e s Y ti, . I certify that the installed features;'materials, components, or manufactured devices identified on this certificate (the installation) + conforms to all applicable codes and regulations, and the installation Is consistent with the plans and specifications approved by the enforcement agency: t` 3 `ib I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identi5es defects, I am y' ' ' `k' ' • a required to take corrective action at my expense I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS , x rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corr& ive action and ,,1. ; additional checking/testing of other installations in that HERS sample group will be performed at my expense. } [ , .7 I . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifiee. the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. +t I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the e , 1 building permit(s) issued for the building, and made available to the enforcement agency for all applies ale inspections: I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data = . registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. r Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - BEST IN THE WEST= Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart Al Date Signed: , 826714- 1/13/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if, applicable): F f Control Program (TPQCP)? ❑Yes p No , f" 1` s t�`�f;'+�' fur �.. , , ., ... �•A y - � r � „ .. - ... . 41 - i �:�" :i: AMP .n fig.. ._.6. 4 N .�: .i ,r �? - ;mss'. >i• •A jis . ....,.............:..:..,tea::....:.2,.:..: ,,.�, r.,yw... , .,,.:.� .,. .4 - w . . . . . . r DECLARAiEON'STATEMENT fi e I certify under penalty of perjuryunder the laws of the State of California,. the information provided on this form isitrue and correct* } . I am eligible under Division 3 of.the Business and Professions Code to accept responsibility for construction, or an authorized w _ representative of the person responsibfe' for construction. (responsible person). e s Y ti, . I certify that the installed features;'materials, components, or manufactured devices identified on this certificate (the installation) + conforms to all applicable codes and regulations, and the installation Is consistent with the plans and specifications approved by the enforcement agency: t` 3 `ib I understand that a HERS rater will check the installation to verify compliance, and that that if such checking identi5es defects, I am y' ' ' `k' ' • a required to take corrective action at my expense I understand that Energy Commission and HERS provider representatives will also perform quality assurance checking of installations, including those approved as part of a sample group but not checked by a HERS , x rater, and if those installations fail to meet the requirements of such quality assurance checking, the required corr& ive action and ,,1. ; additional checking/testing of other installations in that HERS sample group will be performed at my expense. } [ , .7 I . I reviewed a copy of the Certificate of Compliance (CF -111) form approved by the enforcement agency that identifiee. the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. +t I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the e , 1 building permit(s) issued for the building, and made available to the enforcement agency for all applies ale inspections: I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. I will ensure that all Installation Certificates will come from a HERS provider data = . registry for multiple orientation alternatives, and beginning October 1, 2010, for all low-rise residential buildings. r Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) - BEST IN THE WEST= Responsible Person's Name: Responsible Person's Signature: Wendy Stewart Wendy Stewart CSLB License: Date Signed: Position With Company (Title): ' .f 826714- 1/13/2011 Is this installation monitored by a Third Party Quality Name of TPQCP (if, applicable): F f Control Program (TPQCP)? ❑Yes p No Reg: 211-A0003514B7M2500001A-0000., Registration Date/Time: 2011/02/15 16:00:05 HERS Provider:'-CalCERTS, Inc. 2008 Residential Compliance Forms 4 ;� •t k' August 2009 ,� •;� ' �: Lal"`"`' -CITY OF LA QUINTA' BUILDING & SAFE NT _ > (760) 77 -70 _ INSPECTION INSR QU S OF [(-700)-- T LIN r (760 a 1 M , e. 53.E PAT THACKER "O wner f O� fjy BEST THE WESM Contractor - Permit Number - POST ON JOB IN. CON US qtXOE INSPECTOR MUST SIGN ALL SPACES 53-395 AVENIDA VI -LA, F, JOB ADDRESS - ,INSTALL NEW AIR HANDLER & CONDENSER` r 13 SEER, LIKE FOR LIKE. 2010 CODES. r TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS ' U/G PLUMBING/ WASTE U/G ELECTRICAL / GROUNDING ' I FOOTINGS / STEEL CONCRETE SLAB ' N' DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ; ,'-..ROOF NAIL / PRE -ROOF OKAY TO WRAP , - FRAMING (COMBINATION)- ROUGH COMBINATION ROUGH ELECTRIC ROUGH PLUMBING, �� t< ROUGH MECHANICAL } t 1 ' INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH w GAS TEST_ SEPTIC ABANDONMENT <, SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR• i MASONRY INSPECTIONS y FOOTINGS / STEEL ' BOND BEAM rr POOL/ SPA /WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS r r1 U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS DECK BONDING N' FINAL INSPECTIONS r TEMP. USE OF PERMANENT POWER ' + ELECTRICAL ' PLUMBING ' MECHANICAL - PUBLIC WORKS DEPARTMENT d COMMUNITY DEVELOPMENT DEPT. , FINAL/ JOB COMPLETED /- j, ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ` TURN ON UTILITIES OR OCCUPY BUILDING